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The Enculturated GeneSickle Cell Health Politics and Biological Difference in West Africa$
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Duana Fullwiley

Print publication date: 2011

Print ISBN-13: 9780691123165

Published to Princeton Scholarship Online: October 2017

DOI: 10.23943/princeton/9780691123165.001.0001

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Attitudes of Care

Attitudes of Care

(p.119) Chapter Four Attitudes of Care
The Enculturated Gene

Duana Fullwiley

Princeton University Press

This chapter examines how Senegalese French-trained research-physicians in Dakar have adopted similar low-tech strategies and health interventions within the biomedical realm. It focuses on how doctors rationalize economically triaged care, while chronicling their methods for doing so in Dakar's principal sickle cell clinics. These are the pediatric care site at Albert Royer Children's Hospital and the Centre nationale de transfusion sanguine (CNTS), or the National Blood Transfusion Center, where most adult patients are followed. Although physicians often take cues from the social realities that define their patients' lived experiences with this disease, their own clinical limits and technological constraints also inform the alternative assemblages of care they construct.

Keywords:   low-tech strategy, health intervention, economically triaged care, Albert Royer Children's Hospital, Centre nationale de transfusion sanguine, CNTS, National Blood Transfusion Center, alternative care

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