The Lancet's Cases in Global Social Medicine series, led and co-sponsored by the Berkeley Center for Social Medicine and Neubauer Collegium, among others, centers real clinical cases from around the world that together form a practical social medicine toolkit. Each case traces a clinical course shaped by social forces, introduces a social theory concept to make sense of those forces, and distills actionable implications for clinicians, public health practitioners, health system leaders, and policymakers.
Sir Michael Marmot, preeminent epidemiologist at University College London, led an event in April 2026 to introduce the series.
Cases
Series Introduction
Translational social medicine for global health: introducing Cases in Global Social Medicine
Authors: Seth M. Holmes; Mayssa Rekhis; Scott D. Stonington; Mirko Pasquini; Luke Messac; Eugene Raikhel; Junko Kitanaka; Valéria Macedo; Paola Sesia; Carlos Piñones Rivera; Tinashe Goronga; Salmaan Keshavjee; Benson A. Mulemi; Margareta Matache; Michael Marmot
Case 1
Medical compartmentalisation: a patient with chromosome 22q11.2 deletion syndrome in Japan
Authors: Kiyoto Kasai; Yousuke Kumakura; Junko Kitanaka; Shin-ichiro Kumagaya; Scott D. Stonington
Case 2
Structural intercompetency: an asylum seeker with abdominal pain in Tijuana, Mexico
Authors: Carlos Martinez; Shamsher Samra; Todd Schneberk; Hannah Janeway
Case 3
Linguistic pragmatism: a woman with progressive abdominal pain in Thailand
Authors: Scott Stonington; Preeyanoot Surinkaew; Thidathit Prachanukool
Case 4
Authors: Salek Ali Mohamed Elabd; Laroussi Mohamed Salem; Theodore L Michaels; Dahaman Bachir Hamadi; Raabub Mohamed-Lamin Mehdi; María Carrión; Seth M Holmes
Case 5
Medico-legal entanglement: a woman with abdominal pain in Peru
Authors: Michele Heisler; Marvel Celeste Sabino Pretel; Zoe Boudart; Lutz Oette
Case 6
Social habitus: a factory worker in a stroke rehabilitation unit in France
Authors: Muriel Darmon, Mayssa Rekhis
Case 7
Myopic medical harm: a man receives free colon cancer screening in Ghana
Authors: Joy E Obayemi, Kwabena Agbedinu, Gifty Kwakye
Case 8
Ethical shunts: an old woman in an Italian emergency department
Authors: Mirko Pasquini, Theodore Michaels, Scott D Stonington
Case 9
Epidemiological invisibilisation: a man overdoses in Tijuana
Authors: Joseph Friedman, Lilia Pacheco, Alhelí Calderón-Villarreal

Seth M. Holmes is a cultural and medical anthropologist and physician whose work focuses broadly on social hierarchies, health inequalities, and the ways in which such asymmetries are naturalized, normalized, and resisted. He is the Chancellor's Professor (2022 - 2025) in the UC Berkeley Division of Society and Environment and Researcher and PI of ERC FOODCIRCUITS: Hidden Connections Between Migrants and Societies at the University of Barcelona and the ICREA Catalan Institution for Research and Advanced Study. He is a faculty member in the Graduate Program in Medical Anthropology and affiliated with the Department of Anthropology and the School of Public Health. He is Co-Director of the MD/PhD Track in Medical Anthropology coordinated between UCSF and UC Berkeley, Founder of the Berkeley Center for Social Medicine and Director of the Hub for Global Social Medicine in Barcelona.
Mayssa Rekhis
Mirko Pasquini, Ph.D, is an Assistant Professor in Medical Anthropology at the School of Global Studies at the University of Gothenburg and affiliated researcher at the Centre for Medical Humanities at Uppsala University. His research interests combine hospital ethnography and primary care in Italy and Sweden, with a focus on health inequalities, healthcare governance, the social dynamics of attention, violence, trust and mistrust in care interactions. Mirko’s current research project, “Mistrust in practice: an ethnography of suspicion in general medical practice in the aftermath of COVID-19”, funded by the Swedish Research Council, contributes to debates about the “crisis of trust” in the healthcare sector looking at Italy in the aftermath of COVID-19. Mirko’s Ph.D. work “The Negotiation of Urgency: Economies of Attention in an Italian Emergency Room”, was awarded the annual Westinska Prize (2021) for outstanding dissertation by the Royal Society of Humanists at Uppsala University. A revised version of the book will be published by Rutgers University Press. To promote the application of critical social science concepts within medicine, Mirko is engaged in health workers’ training in “Structural Competency” in Sweden, Denmark and Italy. He is also part of the Applied Health Club of the Applied Anthropology Network.
Scott Stonington
Luke Messac is an attending physician in the Department of Emergency Medicine at Brigham and Women’s Hospital and an Instructor of Emergency Medicine at Harvard Medical School. He received his BA from Harvard University, his MD and PhD from the University of Pennsylvania, and completed residency training in emergency medicine at Rhode Island Hospital. His research focuses on the history and political economy of health care finance in sub-Saharan Africa and the United States. His work has been funded by the Robert Wood Johnson Foundation and published in the New England Journal of Medicine, Health Affairs, and other leading peer-reviewed journals. He is the author of No More to Spend: Neglect and the Construction of Scarcity in Malawi’s History of Health Care (Oxford University Press, 2020), and Your Money or Your Life: Debt Collection in American Medicine (Oxford University Press, 2023). He serves on the board of Dollar For, a nonprofit that helps low-income patients obtain hospital financial assistance.
Eugene Raikhel
Junko Kitanaka is a professor of medical anthropology in the Department of Human Sciences at Keio University in Tokyo, Japan. Her book Depression in Japan: psychiatric cures for a society in distress (2012, Princeton University Press) has won five awards including the American Anthropological Association’s Francis Hsu Prize in 2013. The book has been translated into French, Japanese, Persian and Korean (and parts of it in Chinese). She has been featured in global media including New York Times, The New Yorker, and BBC, CNN, and Danish, German, and French national TV. She is a member of Japan’s Science Council and has served on numerous journal editorial boards including BioSocieties, Medical Anthropology Quarterly, and Cultural Anthropology. Her articles include: “The social in psychiatries,” with Ecks, S. and Wu. H. Lancet, 28 May 2021; “Depression.” Cambridge Encyclopedia of Anthropology, with S. Ecks. 2021, and “Depression as a Problem of Labor,” Sadness or Depression?, J. Wakefield & S. Demazeux eds. Springer, 2016. Her work on dementia, preventive psychiatry, and the neuropsychiatrization of the lifecycle has appeared as “In the Mind of Dementia,” Medical Anthropology Quarterly, 34(1), 2020, which has been translated into Spanish.
Valéria Macedo is an anthropologist and professor at the Federal University of São Paulo since 2011, where she coordinates a training course for teachers belonging to indigenous peoples in Brazil. Since 2005, she has been working in partnership with communities of the Guarani Mbya people in the State of São Paulo and has conducted research in medical centers focused on indigenous people. She is co-editor of the books “Nas redes guarani: saberes, traduções e transformações” (In the Guarani networks: knowledge, translations, and transformations) and “Povos Indígenas entre Olhares” (Indigenous Peoples between Perspectives), as well as several articles in scientific journals and other publications.
Paola M. Sesia, PhD and MPH, is a researcher and professor at the Centre for Research and Advanced Studies in Social Anthropology (CIESAS), Mexico. She is a medical anthropologist and public health specialist with a PhD in cultural anthropology from the University of Arizona, Tucson and a Master's in Public Health from the University of California, Berkeley. Her current research interests focus on maternal, newborn, and reproductive health (including prenatal and obstetric care quality, professional and traditional midwifery, obstetric violence and access to abortion and abortion care), maternal mortality, health policies and Indigenous peoples in Mexico. She works from a reproductive rights, human rights, and Indigenous collective rights perspectives, as well as from a social justice, structural vulnerabilities, and social inequalities theoretical approaches.
Carlos Piñones Rivera holds a PhD in Anthropology from the Universitat Rovira i Virgili (Catalonia). He is Associate Professor in the Department of Social Sciences at the Universidad de Tarapacá (Chile) and faculty member in its PhD programs in Social Sciences and Psychology. He has been a visiting scholar at the Berkeley Center for Social Medicine and guest editor for Health and Human Rights (Harvard) and Global Public Health (Columbia). His research addresses indigenous peoples’ health, intercultural health, migrant health, and health mobility. He is principal investigator of the project SARNAQAÑA: Mobility, Economy and Rituality of Andean Medical Knowledge in the Far North of Chile and currently a postdoctoral fellow at the Universidad Andina Simón Bolívar, supervised by Dr. Jaime Breilh.
Tinashe Goronga is a medical doctor and public and global health specialist committed to social justice and health equity. He serves as a community organiser with EqualHealth’s Campaign Against Racism, a movement of health professionals, students, academics, and communities working to address the health impacts of structural racism. He is a member of the Social Medicine Consortium and co-founder of the Centre for Health Equity Zimbabwe, a network of health professionals advancing social medicine education and the climate and health nexus. Tinashe is also a Commissioner for The Lancet Global Health Commission on People-Centered Care for Universal Health Coverage, an Emerging Voices for Global Health Fellow, and co-Vice Chair of the Health Systems Global Climate-Resilient and Sustainable Health Systems Thematic Working Group (Climate TWG).
Salmaan Keshavjee, MD, PhD, ScM, is Director of Harvard Medical School’s Center for Global Health Delivery and Professor of Global Health and Social Medicine in the Department of Global Health and Social Medicine (DGHSM) at Harvard Medical School. He is also Associate Professor of Medicine in the Division of Global Health Equity at Brigham and Women’s Hospital. With advanced training in both medicine and anthropology, Dr. Keshavjee is a leading expert in drug-resistant tuberculosis treatment and the anthropology of health policy. He is the author of Blind Spot: How neoliberalism infiltrated global health, which is based on his doctoral research in Central Asia (Tajikistan). He has worked extensively with the Boston-based non-profit Partners In Health (PIH) on the treatment of drug-resistant tuberculosis.
Benson A. Mulemi
Dr. Margareta (Magda) Matache is a Lecturer on Social and Behavioral Sciences at the Harvard T.H. Chan School of Public Health and the co-founder and Director of the Roma Program at the FXB Center for Health and Human Rights at Harvard University. She is also a member of the Lancet Commission on Racism, Structural Discrimination and Global Health. Her research focuses on the manifestations and impacts of racism and other systems of oppression in different geographical and political contexts. Her research examines the structural and social determinants of health and their nexus with historical contexts and contemporary public policies, with a particular focus on anti-Roma racism.
Sir Michael Marmot is a world-renowned epidemiologist and Director of the UCL Institute of Health Equity. After earning his medical degree in Sydney, he completed a PhD at UC Berkeley, where he began investigating how social environments shape physical health. He is best known for the Whitehall Studies, which revealed the "social gradient"—the link between lower social status and poorer health. Marmot chaired the WHO Commission on Social Determinants of Health and authored the influential Marmot Review. There are now over 60 Marmot places. Knighted in 2000 and made a Companion of Honour in 2023, he remains a leading global voice arguing that social justice is vital for public health.
Zoe Boudart (she/her) is an MD-PhD Anthropology student in the University of Michigan's Medical Scientist Training Program. Her research interests include science and technology studies, intimacy and imaginaries, the phenomenology of expertise, and sensory ethnography. Her dissertation project lies at the intersection of obstetrics and pediatrics, and examines the coordination of diagnostics and care in the realm of fetal substance exposure in the Upper Peninsula of Michigan. She has previously worked extensively on theorizing as well as enacting multidisciplinary research collaborations.
Christine Chen
Sadia Demby is an MD-PhD candidate in Medical Anthropology at UCSF and UC Berkeley. She is interested in the study of people as infrastructure, notions and networks of care, and theory from the south. She conducts research on care-seeking behavior and city-making in Freetown, interrogating the turbulent and striking effects of (post)colonialism, urbanism, and resistance through life in Sierra Leone. Clinically, she is interested in internal medicine, emergency medicine, and psychiatry.
Jeremy A. Gottlieb (they/them) is an MD-PhD candidate in Medical Anthropology at UCSF and UC-Berkeley. They study subjectivity, subjectification, and changing conceptions of the human through ethnographic research on deep brain stimulation as a treatment for psychiatric illnesses. They have also published anthropological research into ontologies of gender through ethnographic research of pediatric transgender clinics, and gender and biomedicalization within direct-to-consumer men’s health companies.
Theodore Michaels is an MD-PhD student in Medical Anthropology at UCSF and UC Berkeley. He is interested in questions of the far-right, labor, paranoia, surveillance capitalism, infrastructure, and migration. He has performed research on cultures of mourning on Reddit.com, conspiracy theorists in England, and crisis response services in California. For his PhD, Theo plans to drive a long-haul truck and research the public health and surveillance of truck drivers.
Athina Vrosgou
Brian Whetsell
Cristian Yanes is an MD/PhD candidate in anthropology at UCLA. His research interests are political economy; prefiguration; harm reduction/mutual aid; racial capitalism; Los Angeles; Central America and Guatemala.



