This paper follows the development of a novel biosecurity technology known as ‘syndromic surveillance’. By monitoring new sources of nondiagnostic health information (911 calls, ER triage logs, pharmaceutical sales), syndromic surveillance produces new ‘territories of intelligibility’. But the implemention of syndromic systems—and the opening up of these new territories—poses a problem of interpretation. What is significant in nondiagnostic data flows? In fact, the development of a national syndromic system in the United States attracted criticism from local public health experts, who complained about the costs of ‘false positive’ or insignificant detections. This exposes a disjuncture between two interpretative frameworks, two styles of governing biosecurity: public health (a responsibility for maximal population health) and preparedness (a concern for disaster-scale events). At stake are new norms and forms of securing life.
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References
1.
AndrewsJQuinbyGLangmuirA, 1950, “Malaria eradication in the United States”American Journal of Public Health401405–1411
2.
BaxterR, 2000, “Assessing core capacities for infectious disease surveillance: final report”, The Lewin Group, Falls Church, VA 22042
3.
BeckU, 1992Risk Society: Towards a New Modernity (Sage, London)
4.
BeckUGiddensAScottL, 1994Reflexive Modernization: Politics, Tradition and Aesthetics in the Modern Social Order (Polity Press, Cambridge)
5.
BerkelmanRBryanROsterholmMLeducJHughesJ, 1994, “Infectious disease surveillance: a crumbling foundation”Science264368–370
BroomeCHortonHTressDLucidoSKooD, 2003, “Statutory basis for public health reporting beyond specific diseases”Journal of Urban Health80(2) supplement 1, i14–i22
10.
CanguilhemG, 1994A Vital Rationalist: Selected Writings from George Canguilhem Ed. DelaporteF (Zone Books, New York)
11.
CDC, 1998, “Preventing emerging infectious diseases: a strategy for the 21st century”, Centers for Disease Control and Prevention, Atlanta, GA
12.
ChybaC, 1998, “Biological terrorism, emerging diseases, and national security”, Project on World Security, Rockefeller Brothers Fund, New York, http://www.rbf.org/pdf/Chyba_Bioterrorism.pdf
13.
Coalition for Health Funding, 2006, “Statement to the House Labor–HHS–Education Appropriations Subcommittee on the FY 2007 Funding Recommendations for the US Public Health Services Agencies and Programs”, http://www.aamc.org/advocacy/healthfunding/testimony/start.htm
14.
ColemanW, 1982Death is a Social Disease: Public Health and Political Economy in Early Industrial France (University of Wisconsin Press, Madison, WI)
15.
CollierSLakoffA, 2004, “Ethics and the anthropology of modern reason”Anthropological Theory4419–434
16.
CollierSLakoffA, 2008a, “Distributed preparedness: the spatial logic of domestic security in the United States”Environment and Planning D: Society and Space267–28
17.
CollierSLakoffA, 2008b, “The vulnerability of vital systems: how ‘critical infrastructure’ became a security problem”, in The Changing Logics of Risk and Security Ed. DunnM (Routledge, London) forthcoming
18.
CollierSLakoffARabinowP, 2004, “Biosecurity: towards an anthropology of the contemporary”Anthropology Today20(5) 3–7
19.
CooperM, 2006, “Pre-empting emergence: the biological turn in the war on terror”Theory, Culture, and Society23(4) 113–135
20.
DHS, 2007, “Better management needed for the National Bio-surveillance Integration System program”, Department of Homeland Security, Office of Inspector General, Washington, DC
21.
DuchinJ S, 2003, “Epidemiological response to syndromic surveillance signals”Journal of Urban Health80(2) supplement 1, i115–i116
22.
EbanK, 2007, “BioSense or biononsense?”The Scientist21(4) 32
23.
EdwardsP, 2003, “Infrastructure and modernity: force, time and social organization in the history of sociotechnical systems”, in Modernity and Technology Eds MisaTBreyPFeenbergA (MIT Press, Cambridge, MA) pp 185–225
24.
ElkinS, 1987City and Regime in the American Republic (University of Chicago Press, Chicago, IL)
25.
EtheridgeE, 1992Sentinel for Health: A History of the Centers for Disease Control (University of California Press, Berkeley, CA)
26.
EwaldF, 1991, “Insurance and risk”, in The Foucault Effect: Studies in Governmentality Eds BurchellGGordonCMillerP (University of Chicago Press, Chicago, IL) pp 197–210
27.
EylerJ M, 1979Victorian Social Medicine: The Ideas and Methods of William Farr (Johns Hopkins University Press, Baltimore, MD)
28.
FeeE, 1994, “Public health and the state: the United States”, in The History of Public Health and the Modern State Ed. PorterD (Rodopi, Atlanta, GA) pp 224–275
29.
FeeEBrownT, 2001, “Preemptive biopreparedness: can we learn anything from history?”American Journal of Public Health91721–726
30.
FoucaultM, 2003‘Society Must be Defended’: Lectures at the Collège de France, 1975–76 (Picador, New York)
31.
FoucaultM, 2007Security, Territory, Population: Lectures at the Collège de France, 1977–78 (Palgrave Macmillan, New York)
32.
GahsonP, 2001, “War against the center”Grey Room4 (Summer) 6–33
33.
GAO, 2005, “Information technology: federal agencies face challenges in implementing initiatives to improve public health infrastructure”, GAO-05-308, US Government Accountability Office, Washington, DC, http://www.gao.gov/new.items/d05308.pdf
34.
GlasserR, 2004, “We are not immune: influenza, SARS and the collapse of public health”Harper's Magazine309(1850) 34–42
35.
GuilleminJ, 2005Biological Weapons: From the Invention of State-sponsored Programs to Contemporary Bioterrorism (Columbia University Press, New York)
36.
HackingI, 1982, “Biopower and the avalanche of printed numbers”Humanities in Society5279–295
37.
HackingI, 2002Historical Ontology (Harvard University Press, Cambridge, MA)
38.
HeffernanRMostashariFDasDKarpatiAKulldorfMWeissD, 2004a, “Syndromic surveillance in public health practice, New York City”Emerging Infectious Diseases10858–864
39.
HeffernanRMostashariFDasDBescuildesMRodriguezCGreenkoJSteiner-SichelLBalterSKarpatAThomasPPhillipsMAckelsbergJLeeELengJHartmanJMetzgerKRosselliRWeissD, 2004b, “System descriptions: New York City syndromic surveillance systems”MMWR53Supplement, 23–27, http://www.cdc.gov/mmwr/preview/mmwrhtml/su5301a6.htm
40.
HendersonD, 1998, “Bioterrorism as a public health threat”Emerging Infectious Diseases4488–492
HutwagnerL CThompsonW WSeemandG MTreadwellT, 2005, “A simulation model for assessing aberration detection methods used in public health surveillance for systems with limited baselines”Statistics in Medicine24543–550
44.
IOM, 1988The Future of Public HealthInstitute of Medicine (National Academy Press, Washington, DC)
45.
IOM, 1992Emerging Infections: Microbial Threats to Health in the United StatesInstitute of Medicine (National Academy Press, Washington, DC)
46.
JacksonMBaerAPainterIDuchinF, 2006, “Systematic comparison of algorithms used in syndromic surveillance”Advances in Disease Surveillance1 abstract 35
47.
KingN, 2002, “Security, disease, commerce: ideologies of postcolonial public health”Social Studies of Science32763–789
48.
KingN, 2005, “The ethics of biodefense”Bioethics19432–446
49.
KooDWetterhallF, 1996, “History and current status of the national notifiable disease surveillance system”Journal of Public Health Management and Practice2(4) 4–10
50.
KriegerN, 2000, “Epidemiology and social sciences: towards a critical reengagement in the 21st century”Epidemiologic Reviews22155–163
51.
KulldorffM, 2001, “Prospective time periodic geographical disease surveillance using a scan statistic”Journal of the Royal Statistical Society, Series A16461–72
52.
LangmuirA, 1963, “The surveillance of communicable diseases of national importance”New England Journal of Medicine268182–192
53.
LangmuirAAndrewsJ, 1952, “Biological warefare defense”American Journal of Public Health42235–238
54.
LinkJ, 2004, “From the ‘power of the norm’ to ‘flexible normalism’: considerations after Foucault”Cultural Critique5714–32
55.
LopezW, 2003, “New York City and state legal authorities related to syndromic surveillance”Journal of Urban Health80(2) supplement 1, i23–i24
56.
MacDonaldS, 2003, “What's wrong with evaluating syndromic surveillance?”Journal of Urban Health80(2) supplement 1, i135–i136
57.
MorseS S, 1995, “Factors in the emergence of infectious diseases”Emerging Infectious Diseases17–15
58.
MostashariFHartmanJ, 2003, “Syndromic surveillance: a local perspective”Journal of Urban Health80(2) supplement 1, i1–i7
59.
MullanF, 1989Plagues and Politics: The History of the United States Public Health Service (Basic Books, New York)
O'TooleTIngelsbyT V, 2003, “Toward biosecurity”Biosecurity and Bioterrorism1(1) 1–3
62.
PavlinJ, 2003, “Innovative surveillance methods for rapid detection of disease outbreaks and bioterrorism: results from an interagency workshop on health indicator surveillance”American Journal of Public Health931230–1235
63.
PorterD, 1994, “Introduction” in The History of Public Health and the Modern State Ed. PorterD (Rodolpi, Atlanta, GA) pp 1–44
64.
RabinowP, 1995French Modern: Norms and Forms of the Social Environment (University of Chicago Press, Chicago, IL)
65.
RabinowP, 1999French DNA: Trouble in Purgatory (University of Chicago Press, Chicago, IL)
66.
RabinowP, 2003Anthropos Today: Reflections on Modern Equipment (Princeton University Press, Princeton, NJ)
ReingoldA, 2003, “If syndromic surveillance is the answer, then what is the question?”Biosecurity and Bioterrorism: Biodefense Strategy, Practice and Science1(2) 77–81
69.
RoseD, 2006, “How did the smallpox vaccination program come about?”, WP 4, Anthropology of the Contemporary Research Collaboratory, http://www.anthropos-lab.net/documents
70.
SavitzD APooleCMillerW C, 1999, “Reassessing the role of epidemiology in public health”American Journal of Public Health891158–1161
71.
SchulerA, 2004, “Billions for biodefense: federal agency biodefense funding, FY2001–FY2005”Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science2(2) 86–96
72.
SchulerA, 2005, “Billions for biodefense: federal agency biodefense budgeting, FY2005–FY2006”Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science3(2) 94–101
73.
SherryM, 1977Preparing for the Next War: American Plans for Postwar Defense, 1941–45 (Yale University Press, New Haven, CT)
74.
SidelV, 2003, “Bioterrorism in the United States: a balanced assessment of risk and response”Medicine, Conflict, and Survival19318–325
75.
SidelVGouldRCohenH, 2002, “Bioterrorism preparedness: cooptation of public health?”Medicine and Global Survival7(2) 82–89
StotoMSchonlauMMarianoL, 2004, “Syndromic surveillance: is it worth the effort?”Chance17(1) 19–24
80.
ThackerSBerkelmanR, 1988, “Public health surveillance in the United States”Epidemiological Reviews10164–190
81.
ThriftN, 2005, “From born to made: technology, biology and space”Transactions of the Institute of British Geographers, New Series30463–476
82.
USCNS/21, 1999, “New world coming: American security in the 21st century”, US Commission on National Security/21st Century, http://www.au.af.mil/au/awc/awcgate/nssg/
WoolgarS, 1991, “Configuring the user: the case of usability trials”, in A Sociology of Monsters: Essays on Power, Technology, and Domination Ed. LawJ (Routledge, New York) pp 58–100
85.
YerginD, 1977Shattered Peace: The Origins of the Cold War and the Rise of the National Security State (Houghton Mifflin, Boston, MA)
