Navy Medicine in Vietnam begins and ends with a humanitarian operation-the first, in 1954, after the French were defeated, when refugees fled to South Vietnam to escape from the communist regime in the North; and the second, in 1975, after the fall of Saigon and the final stage of America's exit that entailed a massive helicopter evacuation of American staff and selected Vietnamese and their families from South Vietnam. In both cases the Navy provided medical support to avert the spread of disease and tend to basic medical needs. Between those dates, 1954 and 1975, Navy medical personnel responded to the buildup and intensifying combat operations by taking a multipronged approach in treating casualties. Helicopter medical evacuations, triaging, and a system of moving casualties from short-term to long-term care meant higher rates of survival and targeted care. Poignant recollections of the medical personnel serving in Vietnam, recorded by author Jan Herman, historian of the Navy Medical Department, are a reminder of the great sacrifices these men and women made for their country and their patients.

Problems stemming from the misuse and abuse of alcohol and other drugs are by no means a new phenomenon, although the face of the issues has changed in recent years. National trends indicate substantial increases in the abuse of prescription medications. These increases are particularly prominent within the military, a population that also continues to experience long-standing issues with alcohol abuse. The problem of substance abuse within the military has come under new scrutiny in the context of the two concurrent wars in which the United States has been engaged during the past decade-in Afghanistan (Operation Enduring Freedom) and Iraq (Operation Iraqi Freedom and Operation New Dawn). Increasing rates of alcohol and other drug misuse adversely affect military readiness, family readiness, and safety, thereby posing a significant public health problem for the Department of Defense (DoD). To better understand this problem, DoD requested that the Institute of Medicine (IOM) assess the adequacy of current protocols in place across DoD and the different branches of the military pertaining to the prevention, screening, diagnosis, and treatment of substance use disorders (SUDs). Substance Use Disorders in the U.S. Armed Forces reviews the IOM's task of assessing access to SUD care for service members, members of the National Guard and Reserves, and military dependents, as well as the education and credentialing of SUD care providers, and offers specific recommendations to DoD on where and how improvements in these areas could be made.

Perspectives on the Department of Defense Global Emerging Infections Surveillance and Response System: A Program Review describes the capacity, quality, and effectiveness of the international and domestic facilities and programs that are a part of a DoD system to monitor and address emerging infectious diseases globally. The committee concludes that the goals of the system are in U.S. military, U.S. civilian, and global public health interests and that substantial progress has been made toward achieving system goals.

From one of Sweden’s most astute cultural critics, a razor-sharp comedy of the progress and ruin of the industrial welfare state, told through the story of a single family. Ragnar Johansson is born in 1932, a transformative moment in Swedish history. He has Swedish social democracy flowing through his veins—convinced it lifted humankind out of the dark ages and into modernity, he cherishes it. At times Ragnar despises his mother, Svea, whose perpetual baking, scrubbing, and canning represent the poverty of the peasantry. Ragnar, for his part, hails the efficiency of washing machines and prefab food. Once he has children himself, he raises them in accordance with his values, standing in the ski track supporting his daughter Elsa as she works hard to become one of the best skiers in the country. While Svea is a relic of the past, Elsa represents hope for the future. In time, however, Ragnar realizes that the world is changing. Is his golden age coming to an end? In Son of Svea, Lena Andersson offers a characteristically funny, wise, and moving family chronicle about the social transformations that unite and divide us, and about finding the courage to be true to oneself.

A variety of cross-cultural collisions and collusions—sometimes amusing, sometimes tragic, but always complex—resulted from the U.S. Navy’s introduction of Western health and sanitation practices to Guam’s native population. In Colonial Dis-Ease, Anne Perez Hattori examines early twentieth-century U.S. military colonialism through the lens of Western medicine and its cultural impact on the Chamorro people. In four case studies, Hattori considers the histories of Chamorro leprosy patients exiled to Culion Leper Colony in the Philippines, hookworm programs for children, the regulation of native midwives and nurses, and the creation and operation of the Susana Hospital for women and children. Changes to Guam’s traditional systems of health and hygiene placed demands not only on Chamorro bodies, but also on their cultural values, social relationships, political controls, and economic expectations. Hattori effectively demonstrates that the new health projects signified more than a benevolent interest in hygiene and the philanthropic sharing of medical knowledge. Rather the navy’s health care regime in Guam was an important vehicle through which U.S. colonial power and moral authority over Chamorros was introduced and entrenched. Medical experts, navy doctors, and health care workers asserted their scientific knowledge as well as their administrative might and in the process became active participants in the colonization of Guam.