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Western Diseases

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  • 21 b/w illus. 4 tables
  • Page extent: 236 pages
  • Size: 229 x 14 mm
  • Weight: 0.49 kg
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 (ISBN-13: 9780521851800)

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$167.00 (P)

As a group, western diseases such as type 2 diabetes, cardiovascular disease, breast cancer, allergies and mental health problems constitute one of the major problems facing humans at the beginning of the 21st century, particularly as they extend into poorer countries. An evolutionary perspective has much to offer standard biomedical understandings of western diseases. At the heart of this approach is the notion that human evolution occurred in circumstances very different from the modern affluent western environment and that, as a consequence, human biology is not adapted to the contemporary western environment. Written with an anthropological perspective and aimed at advanced undergraduates and graduates taking courses in the ecology and evolution of disease, Tessa Pollard applies and extends this evolutionary perspective by analysing trends in rates of western diseases and providing a new synthesis of current understandings of evolutionary processes, and of the biology and epidemiology of disease.


1. Introduction; 2. An evolutionary history of human disease; 3. Obesity, type 2 diabetes and cardiovascular disease; 4. The thrifty genotype versus thrifty phenotype debate: efforts to explain between population variation in rates of type 2 diabetes and cardiovascular disease; 5. Reproductive cancers; 6. Reproductive function, breastfeeding and the menopause; 7. Asthma and allergic disease; 8. Depression and stress; 9. Conclusion.


"Throughout our history as a species, our biology and our cultural practices have adapted to changing environments, and that process is ongoing. Still, Western Diseases persuades us that we can only understand health and disease in an evolutionary context. Alas, it also reminds us that you can't fool Mother Nature--or Papa Evolution."
Robert Dorit, American Scientist

"Pollard's book should serve as a good introduction to this field, drawing the attention of a wider readership to the evils, one hopes not inevitably necessary, of progress."
Mark Hanson, The Quarterly Review of Biology

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