Critical Summary: Kehr's Paper on TB Control in Contemporary France

This report presents a critical summary of J. Kehr's paper, which examines the precariousness of public health in the context of tuberculosis control in contemporary France. The author's paper explores the challenges of TB control, particularly in the Seine-Saint-Denis region, questioning the effectiveness of public health planning and intervention strategies. The summary critiques Kehr's perspective, arguing for the importance of evidence-based practices, political commitment, and training healthcare professionals in advanced treatment procedures and information systems. The report also highlights the implications for health promotion, emphasizing the need for clean resources and the use of advanced technologies to provide high-quality care for patients. The conclusion refutes the author's contradiction, emphasizing the need for political commitment and training to effectively control tuberculosis. The report includes references to relevant literature supporting the arguments presented.

CRITICAL
SUMMARY OF A
PAPER

Table of Contents
SUMMARY....................................................................................................................................3
CRITIQUE.....................................................................................................................................3
IMPLICATION FOR HEALTH PROMOTION.......................................................................4
CONCLUSION..............................................................................................................................5
REFERENCES...............................................................................................................................6

SUMMARY
This particular paper is based on the Precariousness of the public health on the control of
tuberculosis in the contemporary France. On the basis of scientific description of various people
in France and their cultures with reference to their custom and mutual differences the author tried
to explore the extent of control on the tuberculosis. This exploration was done in the poorest
region of France named Seine-Saint-Denis. After appropriate investigation on the subject author
tends to question on the relationship between public health planning and provision of specific
interventions in the prevailing condition related to multiple precarity. Along with this author also
depicts the generation of feeling that are related to state of ridiculous and futility when there is
encounter in between the feasible and fantastic realm of the public health. The contradictions
was given by author on the tuberculosis disease in the France and state that these feelings are
generally aroused among various professionals that are related to medical field due to the
characteristics of diseases control pattern in the precarious present (Kehr, 2016).
According to the author precarity is neither an economic condition nor a social
condition. Along with this the author describes that precarity is not a link that is present between
disease and precarity static but rather it is a dynamic process of political inclusion, exclusion and
inequalities that substantially differs among the various unequal spheres of precarious life. But at
the end author states that contradiction made by him in control of tuberculosis is not only the
characteristics of the people living in France but of global public health in today’s scenario.
According to him in ongoing world there are various illusion that strikes in disease control and
encounter the exclusionary realities of the social life of people.
CRITIQUE
On the basis of above discussion I can state myself against to the contradiction done by
author (Kehr, 2016). It can be critically analyzed that, tuberculosis control is defined as the
evidenced based public health practice that is rigorously implemented with an effective emphasis
on the central importance of the political support for any kind of success. TB control play an
important role in the management of both communicable and non-communicable disease (Laokri
and et.al., 2013). Along with this it was also identified that various available diagnostics tests,
proven standardized treatment procedures along with the effective medical facility help in the

proper management of the cases related to tuberculosis. There is also presence of the new
advanced information system that help in tracking the progress of every patients.
It can also be critically analyzed that tuberculosis control is highly effective in case when
two important components combines together which includes: a practical and implementable
proven technical package along with the political component (Lessons from tuberculosis control
for public health, 2010). Along with this it was also found that TB control when applied in the
public health programs including the long term treatment in care systems is highly effective in
the poor countries. On the other hand the rate of patients suffering from TB is effectively
influenced by social, environmental and epidemiologic factors prevailing in that particular
region. As it is discussed that political commitment is necessary for the effective TB control as it
is helpful in implementing the various types of intervention process that help in the improvement
of health of the patients suffering from tuberculosis (Melchers and et.al., 2013). The
improvement of health was done by providing patients with fresh air and good quality food and
water and reducing the use of tobacco by the patients that leads to serious cardiovascular
problems, cancer and other health related problems. It can also be critically analyzed that use of
evidence based practices, implementation of advanced technologies in the treatment procedure
that support the accountability and appropriate political support to the health care centers help in
eradicating the problems that arises in the health care centers (Lönnroth and et.al., 2015).
IMPLICATION FOR HEALTH PROMOTION
Being at the opposite position of the contradiction provided by author many strategies
can be formed for the implication of health promotion among the poor areas of the France. The
first and the foremost thing is to provide the health care professional and person related to
medical background with effective training sessions (Anderson and et.al., 2014). This training
session includes the flow of information and knowledge regarding use of advanced information
systems and new treatment procedures. As these information systems help in the complete
assessment and aid in tracking the improvement done in every patients. Along with this they are
provided with knowledge regarding the new treatment procedures and various types of
diagnostic tests that help in easy identification of prevalence of disease among people living poor
region of France (Mackenbach, Karanikolos and McKee, 2013).

Through the appropriate distribution of knowledge among health care professionals and
nurses help them in providing the treatment to people that further help in lowering the rates of
patients that are suffering from tuberculosis (Kaforou and et.al., 2013). Contrary to the statement
provided by author it can also be stated that there are various other factors that tends to increase
the rate of tuberculosis among the patients that generally includes: environmental and social
factors. Through the provision of clean food and water and good supply of air the condition the
patients that are suffering from TB can be improved.
CONCLUSION
From the above discussion it can be concluded that contradiction provided by Kehr
(2016), is stated to be wrong as there is need of political commitment for the effective
tuberculosis control. Along with this there is need of training that can be provided to the
healthcare professionals so that they can effectively promote the health care procedures related to
the tuberculosis control. There is need of acknowledging the care providers and professionals
related to medical background regarding advance information system and effective treatment
procedures in order to provide the patients living poor region of France with high quality care.

REFERENCES
Books and journals
Anderson, S. T. and et.al., 2014. Diagnosis of childhood tuberculosis and host RNA expression
in Africa. New England Journal of Medicine. 370(18). pp.1712-1723.
Kaforou, M. and et.al., 2013. Detection of tuberculosis in HIV-infected and-uninfected African
adults using whole blood RNA expression signatures: a case-control study. PLoS
medicine. 10(10). p.e1001538.
Kehr, J. 2016. The Precariousness of Public Health: On Tuberculosis Control in Contemporary
France. Medical Anthropology. 35(5). 377-389.
Laokri, S. and et.al., 2013. Patients are paying too much for tuberculosis: a direct cost-burden
evaluation in Burkina Faso. PloS one. 8(2). p.e56752.
Lönnroth, K. and et.al., 2015. Towards tuberculosis elimination: an action framework for low-
incidence countries. European Respiratory Journal. 45(4). pp.928-952.
Mackenbach, J. P., Karanikolos, M. and McKee, M., 2013. The unequal health of Europeans:
successes and failures of policies. The Lancet. 381(9872). pp.1125-1134.
Melchers, N. V. V. and et.al., 2013 State of affairs of tuberculosis in prison facilities: a
systematic review of screening practices and recommendations for best TB control. PLoS
One. 8(1). p.e53644.
Online
Lessons from tuberculosis control for public health. 2010. [Online]. Available through <
https://www.ncbi.nlm.nih.gov/pubmed/19335945>. [Assessed on 17th October 2017].