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• W4386291274 abstract "Reviewed by: Cancer and the Kali Yuga: Gender, Inequality and Health in South India by Cecilia Coale Van Hollen Nikhil Pandhi Cecilia Coale Van Hollen. Cancer and the Kali Yuga: Gender, Inequality and Health in South India, University of California Press, 2022, 306 pp. Cancer and the Kali Yuga begins with an apology. While interviewing a 14-year-old Dalit girl in a village in northeastern Tamil Nadu about her experiences of living with the loss of her mother who has recently died of breast cancer, the author has to apologize to her interlocutor who is overcome by emotion due to the pain of the recall. It is no mere apology issued in the face of an acute ethnographic rupture. The pain of losing a mother to breast cancer, the author shares, is known to her intimately too. That moment – and the tensions it encompasses – almost makes the obvious differences of time and place (x) between a white American researcher of privilege and her poor lower-caste interlocutors appear attenuated. Yet, as the anthropologist acknowledges all along, her field is marked by insurmountable inequities of power, class, caste, religion, and a host of other complex asymmetries. The text has a careful method of accounting for some of these unbridgeable chasms—turning to the stories of young and old Dalit girls and women and letting them narrate the vicissitudes of their diseased (and hopeful) lives replete with the vitality of emic concepts, affects, histories and futurities. The author adds to this rich scaffolding of womanist reckonings and resilience her deft engagement with critical medical anthropology, gender and sexuality studies and a range of insights from subaltern studies rooted in Tamil culture. The result is a powerful, meaningful and highly readable chronicle of brown women's precarious lives, whose triple marginalization at the hands of caste, gender and cancer makes their stories of disease causality and risk, their journeys of navigating cancer diagnosis, treatment and care, and their [End Page 599] intimate experiences of living and dying with cancer a primer about core cultural values and social relationships (3) in southern India. In choosing to focus on the experiences of lower-class and caste-oppressed women in Tamil Nadu, the author intends to provide a context specific portrait of the social contours of cancer as experienced by women who are the targets for global public health cancer programs in South India (14). The wider project is situated in a specific moment in history during which cancer has come to be viewed as a public health crisis in India (the WHO predicts that by 2035 India's cancer burden would rise by almost 70 percent to 1.7 million). Yet, there remain galling gaps in local public health access and cancer treatment; apart from the virtual absence of palliative care and hospice facilities at the ends of life, cancer diagnosis in India continues to be deeply stigmatized. By the time patients are diagnosed they often have late-stage cancers. This produces a particularly gendered crisis: more women die from cervical and breast cancer in India than anywhere else in the world (12). Drawing on ethnographic interviews, casual conversations, focus group discussions and participant observations conducted between 2015-2016 in the lives of poor, 'lower-caste' women in Tamil Nadu and two renowned public health cancer treatment facilities in the state, the author chronicles women's stories which broadly explain how their class, caste, and gender position in society had rendered them increasingly vulnerable to reproductive cancers (15), while also compromising the biomedical care they receive. Intriguingly, the author's interlocutors elicit the cultural idiom of the Kali Yuga—or an age of moral and material decline—to analyse how their afflictions become rooted in specific permutations of political, economic, social and ecological catastrophe shot through with long-term injustices linked to caste. In Chapter 1, the author offers a brief historical overview of the history of cancer care in India from the late-colonial period to the postcolonial independence era. She contends that the growing statistical legibility of cancer tied to the epidemiological transition in India obscures the on-the-ground realities (34) of the disease, including the quotidian and chronic experiences..." @default.
• W4386291274 created "2023-08-31" @default.
• W4386291274 date "2023-06-01" @default.
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• W4386291274 title "Cancer and the Kali Yuga: Gender, Inequality and Health in South India by Cecilia Coale Van Hollen (review)" @default.
• W4386291274 doi "https://doi.org/10.1353/anq.2023.a905308" @default.
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