Edward C. Green

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Edward C. (Ted) Green is an American medical anthropologist currently affiliated with the Dept. of Population and Reproductive Health, Johns Hopkins University. He was a Senior Research Scientist at the Harvard School of Public Health [1] and served as director of the AIDS Prevention Research Project at the Harvard Center for Population and Development Studies. He was appointed to serve as a member of the Presidential Advisory Council on HIV/AIDS (2003–2007),[2] served on the Office of AIDS Research Advisory Council for the National Institutes of Health (2003–2006), and serves on the board of AIDS.org[3] and the Bonobo Conservation Initiative.[4] He has worked for over 30 years in international development.[5] Much of his work since the latter 1980s has been in AIDS and sexually transmitted diseases, primarily in Africa, but also in Asia, Latin America, the Caribbean, the Middle East and Eastern Europe. He served as a public health advisor to the governments of both Mozambique and Swaziland. He was widely quoted in March 2009 when he publicly agreed with Pope Benedict XVI's claim that the distribution of condoms may be aggravating the problem of AIDS in Africa.

Education and research history[edit]

Edward Green attended the Groton School, in Groton, Massachusetts and Seoul American High School in Korea (1960–62). He was educated at George Washington University (B.A., 1967, Anthropology), Northwestern University (M.A., 1968, Anthropology) and the Catholic University of America (Ph.D., 1974, Anthropology). He held a post-doctoral fellowship at Vanderbilt University (1978–79), Harvard University (2001–2002), visiting lectureships at the University of Kentucky and West Virginia University, and taught public health and anthropology at both Boston University and George Washington University for a short time (1988–89). Since 1981, he has held various research positions in social science and consultancy roles in many countries in Africa, Asia and eastern Europe. Between 2002-2010, he continued these research projects while serving as a Senior Research Scientist at Harvard University's School of Public Health. He is the author of 8 books and over 400 scientific articles, book chapters, and commissioned reports.[6]

For his dissertation ethnographic research in the early 1970s, Green spent two years living with the Matawai Maroons of Suriname, descendants of escaped African slaves who have lived in the Amazon rain forest for over two centuries.

Research on Indigenous Healers[edit]

Green is a pioneer in anthropological research on indigenous healers and in developing public health programs that involve collaboration between African indigenous healers and biomedical personnel. He has guided such programs in Mozambique, Swaziland, South Africa and Nigeria. He has published extensively on indigenous African healing roles and behaviors, as well as underlying health-related knowledge and beliefs, and has written the following 3 books on these topics: Practicing Development Anthropology(1986), AIDS And STDs in Africa: Bridging the Gap Between Traditional Healing and Modern Medicine (1994), Indigenous Theories of Contagious Disease (1999), which has been called a "highly readable contribution to medical and applied anthropology".[citation needed]

Views on AIDS Prevention[edit]

In Rethinking AIDS Prevention: Learning from Successes in Developing Countries (2003), Green challenged the accepted wisdom of the AIDS prevention community about the efficacy of condoms and HIV counseling and testing as prevention strategies. He argued that epidemiological evidence showed it was declines in number (and perhaps concurrency) of sexual partners that was primarily responsible for Uganda's two-thirds decline in HIV prevalence from 1992 to 2003, and also noted evidence of changes in sexual behavior and HIV prevention success in other countries. Green summarises the book's thesis as follows: "The largely medical solutions funded by major donors have had little impact in Africa, the continent hardest hit by AIDS. Instead, relatively simple, low-cost behavioral change programs--stressing increased monogamy and delayed sexual activity for young people--have made the greatest headway in fighting or preventing the disease's spread. Ugandans pioneered these simple, sustainable interventions and achieved significant results."

A review of Rethinking AIDS Prevention in the Journal of the American Medical Association stated: "If Green’s analysis is correct, we are faced with a troubling paradox: while our technologically sophisticated system often operates at the margin of acceptable cost efficacy, halfway around the world, secular bias and biomedical fiscal power are responsible for discouraging and discrediting simple yet effective solutions, at the cost of millions of lives."[7]

Controversy: Pope Benedict and the distribution of condoms[edit]

In March 2009, Green generated controversy when he supported a remark from Pope Benedict XVI about the role of condom promotion in Africa. In a mid-flight news conference in route to Cameroon, Pope Benedict had said: "If the soul is lacking, if Africans do not help one another, the scourge cannot be resolved by distributing condoms; quite the contrary, we risk worsening the problem."[8][9]

Green responded with a March 29, 2009 editorial in The Washington Post ("The Pope May Be Right").[10] In this editorial he argued that empirical data supported the Pope, and that condoms have not worked as a primary HIV-prevention measure in Africa. Green argued that the tendency of people in steady relationships to not use condoms, and the "risk compensation" phenomenon ("if somebody is using a certain technology to reduce risk, a phenomenon actually occurs where people are willing to take on greater risk"), may account for the failure of condoms to reduce HIV infections in Africa. (Articles in the prestigious medical journals British Medical Journal and The Lancet, by Cassell et al. (2006)[11] and Richens et al. (2000)[12] have discussed the potential for condom use to lead to risk compensation or behavioral disinhibition.) Green concludes, "So what has worked in Africa? Strategies that break up... sexual networks -- or, in plain language, faithful mutual monogamy or at least reduction in numbers of partners, especially concurrent ones."

Green also gave an extended interview with the BBC Northern Ireland on March 29, 2009 to explain his response to the Pope's statement.[13] In this interview, he stated that while there was no proof of a causal connection between condom usage and a decrease or increase in HIV prevalence at the population level, some evidence supported an association between condom distribution and riskier sexual behavior. He cited a study published in the journal JAIDS which "followed two groups of young people in Uganda, and the group that had the intensive condom promotion. actually were found to have a greater number of sex partners.[14] So that cancels out the risk reduction that the technology of condoms ought to provide."

Green also stated, "the distribution and marketing of condoms is not the solution or the best solution to African AIDS."[13] When questioned on his belief that condom promotion should be a backup strategy, he answered, "they should have a back-up role even in the generalised epidemics of Africa. I believe condoms should be made available to everyone. It should be, and as you say, the ABC strategy: Abstinence, be faithful, use a condom.".[13]

During the same interview, he stated that his Harvard research project was ending. When asked if Harvard had ended the project because of his "politically incorrect" views on the failure of condom distribution programs in Africa, Green replied: "My position is very politically incorrect. I have always been politically incorrect. I have always questioned authority and tried to speak truth to power whatever the consequences.... I don't know whether our programme would have ended when it's ending if I had been more politically correct. You would have to ask Harvard."[13] The administrator of Green's Harvard project later clarified in a statement posted on the BBC website that the end date of the project was unrelated to Green's statements about the Pope or condoms in Africa. The statement said (in part): "The research grant that Dr. Green runs through Harvard University had a 3 year term which would have ended on February 28, 2009. Harvard University and the funder agreed to an extension for an additional year... So I can verify that in no way has Harvard University ended the project."[15]

New Paradigm Research Fund[edit]

Upon the conclusion of the Harvard AIDS Prevention Research Project grant in April 2010, Dr. Green established the New Paradigm Fund [5] to identify, develop and share superior models for addressing the problems associated with AIDS, addiction, rain forest and primate conservation, and aspects of poverty associated with stateless and minority peoples. The New Paradigm Fund works closely with the Ubuntu Institute [6] working toward the eradication of HIV/AIDS, empowerment of women, eradication of poverty and providing access to education in Africa through the use of African cultural values, heritage and indigenous knowledge systems.

Bibliography[edit]

  • (with Allison Ruark) [AIDS, Behavior, and Culture][7] (2011)
  • Broken Promises: How the AIDS Establishment Has Betrayed the Developing World[8] (2011)
  • Rethinking AIDS Prevention: Learning from Successes in Developing Countries[9] (2003)
  • Indigenous Theories of Contagious Disease (1999)
  • Indigenous Healers and the African State: Policy Issues Concerning African Indigenous Healers in Mozambique and Southern Africa (1996)
  • AIDS And STDs in Africa: Bridging the Gap Between Traditional Healing and Modern Medicine (1994)
  • Practicing Development Anthropology (1986)
  • Planning psychiatric services for Southeast Africa (1979)

Music[edit]

Guitarist in rock band in the 1960s in Seoul, Korea (The Silvertones") and fiddler and multi-instrumentalist in Appalachian string bands in the 1970s (Sweetwater String Band, Washington, DC. and the Wild Turkey String Band, Morgantown, WV)

References[edit]

  1. ^ "Researcher Directory". Harvard University. Retrieved 2009-04-06. 
  2. ^ "Teaching the ABCs". The Washington Times. 2003-08-08. 
  3. ^ "AIDS Information, Education, Action, Awareness | AIDS.org Leadership". Aids.org. Retrieved 2012-07-06. 
  4. ^ ":: Bonobo Conservation Initiative :: What Is The Bonobo Initiative?". Bonobo.org. Retrieved 2012-07-06. 
  5. ^ [1][dead link]
  6. ^ Edward C. Green, Ph.D., curriculum vitae.
  7. ^ Glanz, Morton. "Review of Rethinking AIDS Prevention: Learning from Successes in Developing Countries." JAMA 293(17): 2161-2162.
  8. ^ Kathryn Jean Lopez (2009-03-19). "From Saint Peter’s Square to Harvard Square". National Review.com. Retrieved 2009-04-03. 
  9. ^ John-Henry Westen (2009-03-20). "Harvard AIDS Expert: Pope Correct on Condom Distribution". Catholic Online. Retrieved 2009-04-03. 
  10. ^ Edward C. Green (2009-03-29). "The Pope May Be Right". The Washington Post. Retrieved 2009-04-03. 
  11. ^ Cassell MM, et al. (2006). "Risk compensation: the Achilles' heel of innovations in HIV prevention?" BMJ 332(7541): 605-607. [2]
  12. ^ Richens JJ, et al. (2000). "Condoms and seat belts: the parallels and the lessons." Lancet 355(9201): 400. [3]
  13. ^ a b c d William Crawley (29 March 2009). "The pope was right about condoms, says Harvard HIV expert". BBC Will and Testament. British Broadcasting Corporation. 
  14. ^ Kajubi P, et al. (2005) "Increasing condom use without reducing HIV risk: results of a controlled community trial in Uganda." J Acquir Immune Defic Syndr: 40:77-82. [4]
  15. ^ William Crawley (2009-04-01). "Harvard and the Aids Prevention Research Project". BBC Will and Testament. British Broadcasting Corporation. Retrieved 2009-04-03. 

External links[edit]