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Mitigating Chronic Diseases during Archaeological Fieldwork

Lessons from Managing Asthma, Diabetes, and Depression

Published online by Cambridge University Press:  11 March 2021

Carla Klehm*
Affiliation:
Center of Advanced Spatial Technologies, University of Arkansas, 227 N. Harmon Avenue, Fayetteville, AR72701, USA; Department of Anthropology, University of Arkansas, 525 Old Main, Fayetteville, AR72701, USA
Elisabeth Hildebrand
Affiliation:
Department of Anthropology, Stony Brook University, Circle Road, SBS Building S-501, Stony Brook, NY11794, USA (elisabeth.hildebrand@stonybrook.edu)
Maureen S. Meyers
Affiliation:
Department of Sociology and Anthropology, University of Mississippi, 510 Lamar Hall, 615 Grove Loop, Oxford, MS38655, USA (memeyer1@olemiss.edu)
*
(cklehm@gmail.com, corresponding author)

Abstract

Chronic diseases and preexisting conditions shape daily life for many archaeologists both in and out of the field. Chronic issues, however, can be overlooked in safety planning, which more often focuses on emergency situations because they are considered mundane, or they are imperceptible to project directors and crews until a serious problem arises. This article focuses on asthma, diabetes, and depression as common medical conditions that impact otherwise healthy archaeologists during fieldwork, with the goal of raising awareness of these conditions in particular, and the need to be more attentive to chronic diseases in general. Archaeological fieldwork presents novel situations that put those with chronic diseases and preexisting conditions at risk: environmental hazards, remoteness from medical and social resources and networks, lack of group awareness, and varying cultural norms. As a result, if chronic diseases are not attended to properly in the field, they can lead to life-threatening situations. Managing the risk presented by these conditions requires a group culture where team members are aware of issues, as appropriate, and collaborate to mitigate them during fieldwork. Descriptions of how chronic diseases affect archaeologists in the field are followed by “best practice” recommendations for self-management and for group leaders.

Las enfermedades crónicas y las condiciones preexistentes son parte de la vida diaria de muchos arqueólogos, tanto dentro como fuera del campo. Sin embargo, los problemas crónicos pueden obviarse en la planificación de seguridad, pues esta se limita a situaciones de emergencia, por lo que estos problemas resultan triviales e imperceptibles para los directores de proyectos y los equipos hasta que surge un problema grave. Este artículo se enfoca en el asma, la diabetes y la depresión como afecciones médicas comunes que impactan a los arqueólogos, por lo demás saludables, durante el trabajo de campo, con el objetivo de crear conciencia sobre estas afecciones en particular y la necesidad de dar importancia a las enfermedades crónicas en general. El trabajo de campo arqueológico presenta situaciones inusuales que ponen en riesgo a quienes padecen enfermedades crónicas y condiciones preexistentes: peligros ambientales, lejanía de recursos y redes médicas y sociales, falta de conciencia de grupo y normas culturales variables. Como resultado, si las necesidades de tratamiento para el asma, la diabetes y la depresión no son atendidas adecuadamente en el campo, pueden provocar situaciones que pongan en riesgo la vida. La gestión de riesgo que conllevan estas condiciones requiere de una cultura grupal en que los miembros del equipo sean conscientes de los problemas, según corresponda, y colaboren para mitigarlos durante el trabajo de campo. Las descripciones de cómo estas condiciones afectan a los arqueólogos en el campo van seguidas de recomendaciones de “buenas prácticas” para la autogestión y para los líderes de grupo.

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How to Series
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of Society for American Archaeology

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References

REFERENCES CITED

American Diabetes Association 2020 Statistics about Diabetes. Electronic document, https://www.diabetes.org/resources/statistics/statistics-about-diabetes, accessed February 27, 2020.Google Scholar
American Psychiatric Association 2013 Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Publishing, Arlington, Virginia.Google Scholar
Birnie, Jacky, and Grant, Annie 2001 Providing Learning Support for Students with Mental Health Difficulties Undertaking Fieldwork and Related Activities. Geography Discipline Network, University of Gloucester. Electronic document, http://gdn.glos.ac.uk/disabil/mental/index.htm, accessed June 26, 2020.Google Scholar
Campbell, Amy 2020 Blood Sugar Chart: What's the Normal Range for Blood Sugar? Electronic document, https://www.diabetesselfmanagement.com/managing-diabetes/blood-glucose-management/blood-sugar-chart, accessed February 28, 2020.Google Scholar
CBHSQ (Center for Behavioral Health Statistics and Quality) 2018 2017 National Survey on Drug Use and Health: Methodological Summary and Definitions. Substance Abuse and Mental Health Services Administration, Rockville, Maryland. Electronic document, https://www.samhsa.gov/data/report/2017-methodological-summary-and-definitions, accessed June 26, 2020.Google Scholar
CDC (Centers for Disease Control and Prevention) 2020 National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States. Electronic document, https://www.cdc.gov/diabetes/library/features/diabetes-stat-report.html, accessed February 27, 2020.Google Scholar
Charmaz, Kathy, and Rosenfeld, Dana 2006 Reflections of the Body, Images of Self: Visibility and Invisibility in Chronic Illness and Disability. In Body/Embodiment: Symbolic Interaction and the Sociology of the Body, edited by Waskul, Dennis and Vannini, Phillip, pp. 3549. Ashgate Publishing Limited, Aldershot, United Kingdom.Google Scholar
Clarke, David M., and Currie, Kay C. 2009 Depression, Anxiety and Their Relationship with Chronic Diseases: A Review of the Epidemiology, Risk and Treatment Evidence. Medical Journal of Australia 190(S7):S54S60.CrossRefGoogle ScholarPubMed
Colaninno, Carol E., Lambert, Shawn P., Beahm, Emily L., and Drexler, Carl 2020 Creating and Supporting a Harassment- and Assault-Free Field School. Advances in Archaeological Practice 8:111122.CrossRefGoogle Scholar
Davis, Kaitlyn E., Meehan, Pascale, Klehm, Carla, Kurnick, Sarah, and Cameron, Catherine 2021 Recommendations for Safety Education and Training for Graduate Students Directing Field Projects. Advances in Archaeological Practice 9:74–80.CrossRefGoogle Scholar
Eifling, Kurt P. 2021a Mental Health and the Field Research Team. Advances in Archaeological Practice 9:10–22.CrossRefGoogle Scholar
Eifling, Kurt P. 2021b How to Prepare Your Team for an Emergency: A Preseason Planning Exercise in Four Parts. Advances in Archaeological Practice 9:56–60.CrossRefGoogle Scholar
Eifling, Kurt P., and Klehm, Carla E. 2020 CAMPS: Combined Anthropology Medical Preparation Survey, 2018. Current Anthropology 61:798807. DOI:10.1086/712004.CrossRefGoogle Scholar
Emerson, Matthew C. 2021 Toward a Safe Archaeology Field School: Insights into Policies, Procedures, and Team-Based Learning. Advances in Archaeological Practice 9:66–73.CrossRefGoogle Scholar
Fitzpatrick, Alex 2018 Digging while Depressed: Struggling with Fieldwork and Mental Health. Animal Archaeology (blog), July 9. Electronic document, https://animalarchaeology.com/2018/07/09/digging-while-depressed-struggling-with-fieldwork-and-mental-health/, accessed June 20, 2020Google Scholar
Fitzpatrick, Alex 2019 #DiggingWhileDepressed: A Call for Mental Health Awareness in Archaeology. Public Archaeology Twitter Conference. DOI:10.17605/OSF.IO/AYZB8.CrossRefGoogle Scholar
Fraser, Meredith A. 2008 Dis/abling Exclusion, En/abling Access: Identifying and Removing Barriers in Archaeological Practice for Persons with (Dis)Abilities. PhD dissertation, Department of Anthropology, American University, Washington, DC.Google Scholar
GBD 2017 Disease and Injury Incidence and Prevalence Collaborators 2018 Global, Regional, and National Incidence, Prevalence, and Years Lived with Disability for 354 Diseases and Injuries for 195 Countries and Territories, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 2017. Lancet 392:17891858.CrossRefGoogle Scholar
Hawkins, Seth C., and Simon, R. Bryan 2021 Ten Myths about Medical Emergencies and Medical Kits. Advances in Archaeological Practice 9:23–33.CrossRefGoogle Scholar
Hawkins, Seth C., and Winstead, Corey 2021 Wilderness Medicine Education: How to Choose the Right Resources for Archaeology Field Programs. Advances in Archaeological Practice 9:49–55.CrossRefGoogle Scholar
Hoppe, Silke 2010 Visibility and Invisibility in Chronic Illness. Medische Anthropologie 22:361373.Google Scholar
Hsu, Joy, Sircar, Kanta, Herman, Elizabeth, and Garbe, Paul 2018 EXHALE: A Technical Package to Control Asthma. National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic document, https://www.cdc.gov/asthma/pdfs/EXHALE_technical_package-508.pdf, accessed June 13, 2020.Google Scholar
Joachim, Gloria and Acorn, Sonia 2000 Stigma of Visible and Invisible Chronic Conditions. Journal of Advanced Nursing 32:243248. DOI:10.1046/j.1365-2648.2000.01466.x.CrossRefGoogle ScholarPubMed
Levecque, Katia, Anseel, Frederik, De Beuckelaer, Alain, Van der Heyden, Johan, and Gisle, Lydia 2017 Work Organization and Mental Health Problems in PhD Students. Research Policy 46:868879.CrossRefGoogle Scholar
Mayo Clinic 2020 Asthma Attack. Electronic document, https://www.mayoclinic.org/diseases-conditions/asthma-attack/diagnosis-treatment/drc-20354274, accessed June 13, 2020.Google Scholar
McGladrey, Laura, and Campisi, Catherine 2018 Management of Behavioral Emergencies in the Wilderness. In Wilderness EMS, edited by Hawkins, Seth C., pp. 413429. Wolters Kluwer, Philadelphia.Google Scholar
Meyers, Maureen S., Breetzke, David, and Holt, Henry 2021 Arsenic and Old Graves: A Method for Testing Arsenic Contamination in Historic Cemeteries. Advances in Archaeological Practice 9:34–40.CrossRefGoogle Scholar
Meyers, Maureen S., Horton, Elizabeth, Boudreaux, Edmond, Carmody, Stephen, Wright, Alice, and Dekle, Victoria 2018 The Context and Consequences of Sexual Harassment in Southeastern Archaeology. Advances in Archaeological Practice 6:275287. DOI:10.1017/aap.2018.23.CrossRefGoogle Scholar
NACP (Centers for Disease Control and Prevention: National Asthma Control Program) 2020 America Breathing Easier. Electronic document, https://www.cdc.gov/asthma/pdfs/breathing_easier_brochure.pdf, accessed June 13, 2020.Google Scholar
Nall, Rachel 2020 How to Create an Asthma Action Plan. Healthline, April 16. Electronic document, https://www.healthline.com/health/asthma/asthma-action-plan, accessed June 13, 2020.Google Scholar
Natale, Ginny 2019 Experiencing Invisible Chronic Illnesses at Work and in the Clinic: It's Almost Like People Have to Physically See It. PhD dissertation, Department of Sociology, Kent State University, Kent, Ohio.Google Scholar
NCCDPHP (Centers for Disease Control and Prevention: National Center for Chronic Disease Prevention and Health Promotion) 2020 About Chronic Diseases. Electronic document, https://www.cdc.gov/chronicdisease/about/index.htm, accessed November 1, 2020.Google Scholar
Nelson, Robin G., Rutherford, Julienne N., Hinde, Katie, and Clancy, Kathryn B. H. 2017 Signaling Safety: Characterizing Fieldwork Experiences and Their Implications for Career Trajectories. American Anthropologist 119:710722.CrossRefGoogle Scholar
New Ethnographer 2019 Towards a Compassionate Turn. The New Ethnographer (website), February 26. Electronic document, https://www.thenewethnographer.org/the-new-ethnographer/2019/02/26/towards-a-compassionate-turn, accessed June 26, 2020.Google Scholar
NHLBI (National Institutes of Health: National Heart, Lung, and Blood Institute) 2007 Clinical Management of Asthma: Expert Panel Report 3. U.S. Department of Health and Human Services, National Institutes of Health, Bethesda, Maryland. Electronic document, https://www.ncbi.nlm.nih.gov/books/NBK7232/pdf/Bookshelf_NBK7232.pdf, accessed June 13, 2020.Google Scholar
O'Mahony, Theresa 2015 Enabled Fieldwork. BAJR Guides 41. British Archaeological Jobs and Resources, Dunbar, United Kingdom.Google Scholar
Peixotto, Becca, Klehm, Carla, and Eifling, Kurt P. 2021 Rethinking Research Sites as Wilderness Activity Sites: Reframing Health, Safety, and Wellness in Archaeology. Advances in Archaeological Practice 9:1–9.CrossRefGoogle Scholar
Phillips, Tim, and Gilchrist, Roberta 2012 Inclusive, Accessible, Archaeology: Enabling Person with Disabilities. In The Oxford Handbook of Public Archaeology, edited by Skeates, Robin, McDavid, Carol, and Carman, John, pp. 673693. Oxford University Press, Oxford.Google Scholar
Phillips, Tim, Gilchrist, Roberta, Hewitt, Iain, Le Scouiller, Stephanie, Booy, Darren, and Cook, Geoff 2007 Inclusive, Accessible, Archaeology: Good Practice Guidelines for Including Disabled Students and Self-Evaluation in Archaeological Fieldwork Training. Higher Education Funding Council for England. Electronic document, https://www.heacademy.ac.uk/system/files/Number5_Teaching_and_Learning_Guide_Inclusive_Accessible_Archaeology.pdf, accessed June 26, 2020.Google Scholar
Pollard, Amy 2009 Field of Screams: Difficulty and Ethnographic Fieldwork. Anthropology Matters 11(2). DOI:10.22582/am.v11i2.10.CrossRefGoogle Scholar
Public Health Agency of Canada 2020 Chronic Diseases. Electronic document, https://www.canada.ca/en/public-health/services/chronic-diseases.html, accessed September 8, 2020.Google Scholar
Rocks-Macqueen, Douglas 2016 Mental Health in Archaeology. Doug's Archaeology (blog), April 20. Electronic document, https://dougsarchaeology.wordpress.com/2016/04/20/mental-health-in-archaeology/, accessed June 26, 2020.Google Scholar
Tucker, Faith, and Horton, John 2018 The Show Must Go On! Fieldwork, Mental Health and Wellbeing in Geography, Earth and Environmental Sciences. Area 51:8493. DOI:10.1111/area.12437.CrossRefGoogle Scholar
US-FDA (United States Food and Drug Administration) 2013 FDA Drug Safety Communication: FDA Approves Label Changes for Antimalarial Drug Mefloquine Hydrochloride Due to Risk of Serious Psychiatric and Nerve Side Effects. Electronic document, https://www.fda.gov/media/86285/download, accessed June 27, 2020.Google Scholar
Valk, Thomas H. 2019 Mental Health Issues of Travelers. In Travel Medicine, 4th ed., edited by Keystone, Jay S., Kozarsky, Phyllis E., Connor, Bradley A., Nothdurft, Hans D., Mendelson, Marc, and Leder, Karin, pp. 463467. Elsevier, Edinburgh.CrossRefGoogle Scholar
VanDerwarker, Amber, Brown, Kaitlin, Gonzalez, Toni, and Radde, Hugh 2018 The UCSB Gender Equity Project: Taking Stock of Mentorship, Equity, and Harassment in California Archaeology through Qualitative Survey Data. California Archaeology 10:131158.CrossRefGoogle Scholar
Vieth, Rine 2019 Dis/ability to Do Fieldwork. The New Ethnographer (website), October 4. Electronic document, https://www.thenewethnographer.org/the-new-ethnographer/2018/10/04/dis-ability-to-do-fieldwork, accessed September 5, 2020.Google Scholar
Wells, Diana K. 2019 Asthma Classification. Healthline, January 10. Electronic document, www.healthline.com/health/asthma/asthma-classification, accessed June 13, 2020.Google Scholar
White, William A. III 2021 Applying Risk Management Concepts from CRM and the Outdoor Recreation Industry to Academic Archaeology Projects. Advances in Archaeological Practice 9:61–65.CrossRefGoogle Scholar
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