The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships

In the West, most hepatitis C transmission occurs through the sharing of equipment used for injecting drugs, and most sharing occurs between sexual partners. Despite this, little is known about how injecting practice, including equipment use, is managed in these partnerships. This article draws on s...

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Main Author: Fraser, Suzanne
Format: Journal Article
Published: Elsevier BV 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/45153
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author Fraser, Suzanne
author_facet Fraser, Suzanne
author_sort Fraser, Suzanne
building Curtin Institutional Repository
collection Online Access
description In the West, most hepatitis C transmission occurs through the sharing of equipment used for injecting drugs, and most sharing occurs between sexual partners. Despite this, little is known about how injecting practice, including equipment use, is managed in these partnerships. This article draws on science studies theorist Bruno Latour’s work on technology and ethics (2002), and preliminary data collected fora research project on sexual partners who inject together, to illuminate these issues. Responsibility for avoiding transmission has long been conceived individually, as have measures intended to aid individuals in fulfilling this responsibility, such as the distribution of sterile injecting equipment. This individualising tendency has been criticised for inequitably responsibilising disadvantaged people. This article aims to exceed this individualising approach by proposing a different understanding of agency and a new mode of prevention. Rather than treating hepatitis C in conventional terms, as a bounded, ontologically stable object that pre-exists its encounter with individuals and the material objects they use in injecting, it formulates it as made in its enfolding with other phenomena, including social relationships and technological objects. In turn it sees transmission in new terms; as a question of social relationships and of object design. The article goes on to discuss a new Australian research project that takes this approach as its starting point, aiming to develop two key prevention innovations: (1) new messages aimed at partnerships rather than individuals, and (2) a new injecting pack or ‘fitpack’ that treats the partnership a sa primary unit of resourcing. The article concludes by considering the politics of this shift to an ethics of technology, social relationships and objects.
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spelling curtin-20.500.11937-451532019-02-19T04:26:40Z The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships Fraser, Suzanne Bruno Latour Injecting equipment design Sexual partnerships Injecting drug use Hepatitis C Individual responsibility In the West, most hepatitis C transmission occurs through the sharing of equipment used for injecting drugs, and most sharing occurs between sexual partners. Despite this, little is known about how injecting practice, including equipment use, is managed in these partnerships. This article draws on science studies theorist Bruno Latour’s work on technology and ethics (2002), and preliminary data collected fora research project on sexual partners who inject together, to illuminate these issues. Responsibility for avoiding transmission has long been conceived individually, as have measures intended to aid individuals in fulfilling this responsibility, such as the distribution of sterile injecting equipment. This individualising tendency has been criticised for inequitably responsibilising disadvantaged people. This article aims to exceed this individualising approach by proposing a different understanding of agency and a new mode of prevention. Rather than treating hepatitis C in conventional terms, as a bounded, ontologically stable object that pre-exists its encounter with individuals and the material objects they use in injecting, it formulates it as made in its enfolding with other phenomena, including social relationships and technological objects. In turn it sees transmission in new terms; as a question of social relationships and of object design. The article goes on to discuss a new Australian research project that takes this approach as its starting point, aiming to develop two key prevention innovations: (1) new messages aimed at partnerships rather than individuals, and (2) a new injecting pack or ‘fitpack’ that treats the partnership a sa primary unit of resourcing. The article concludes by considering the politics of this shift to an ethics of technology, social relationships and objects. 2013 Journal Article http://hdl.handle.net/20.500.11937/45153 10.1016/j.drugpo.2013.03.009 Elsevier BV fulltext
spellingShingle Bruno Latour
Injecting equipment design
Sexual partnerships
Injecting drug use
Hepatitis C
Individual responsibility
Fraser, Suzanne
The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships
title The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships
title_full The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships
title_fullStr The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships
title_full_unstemmed The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships
title_short The missing mass of morality: A new fitpack design for hepatitis C prevention in sexual partnerships
title_sort missing mass of morality: a new fitpack design for hepatitis c prevention in sexual partnerships
topic Bruno Latour
Injecting equipment design
Sexual partnerships
Injecting drug use
Hepatitis C
Individual responsibility
url http://hdl.handle.net/20.500.11937/45153