Don't be the "Fifth Guy": Risk, Responsibility, and the Rhetoric of Handwashing Campaigns.

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  • Author(s): Brown MM;Brown MM
  • Source:
    The Journal of medical humanities [J Med Humanit] 2019 Jun; Vol. 40 (2), pp. 211-224.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Springer Country of Publication: United States NLM ID: 8917478 Publication Model: Print Cited Medium: Internet ISSN: 1573-3645 (Electronic) Linking ISSN: 10413545 NLM ISO Abbreviation: J Med Humanit Subsets: MEDLINE
    • Publication Information:
      Publication: New York, NY : Springer
      Original Publication: New York, N.Y. : Human Sciences Press, [c1989-
    • Subject Terms:
      Disease Transmission, Infectious* ; Hand Disinfection* ; Health Promotion* ; Social Responsibility*; HIV Infections/transmission ; Humans ; Public Health ; Risk Reduction Behavior ; Social Stigma
    • Abstract:
      In recent years, outbreaks such as H1N1 have prompted heightened efforts to manage the risk of infection. These efforts often involve the endorsement of personal responsibility for infection risk, thus reinforcing an individualistic model of public health. Some scholars-for example, Peterson and Lupton (1996)-term this model the "new public health." In this essay, I describe how the focus on personal responsibility for infection risk shapes the promotion of hand hygiene and other forms of illness etiquette. My analysis underscores the use of constitutive and stigmatizing rhetoric to depict individual bodies, rather than environments, as prime sources of infection. Common among workplaces, this rhetoric provides the impetus for encouraging individual behavior change as a hedge against infection risk. I argue, though, that the mandating of personal responsibility for infection risk galvanizes a culture of stigma and blame that may work against the aims of public health.
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    • Contributed Indexing:
      Keywords: Handwashing campaigns; Personal responsibility; Public health; Rhetoric; Risk
    • Publication Date:
      Date Created: 20170831 Date Completed: 20191224 Latest Revision: 20200324
    • Publication Date:
      20231215
    • Accession Number:
      PMC7088277
    • Accession Number:
      10.1007/s10912-017-9470-4
    • Accession Number:
      28853016