Hello all, and welcome to another AnthroKy article! Today, I am writing about another Latin American folk illness that appears rather often in anthropological studies. To recap from previous posts, folk illnesses are sets of symptoms clustered into “illnesses” that are only recognized within certain cultures. If you are new to the concept of folk illnesses and want to learn about them more deeply, you can read more about them here. Though I will continue to publish articles on anthropological applications to interesting phenomena, I plan to research folk illnesses and medical anthropology over the next few months. After exploring cultural ailments in Latin American peoples, I will shift the focus of my articles to African American experiences with asthma.
Empacho
Empacho is recognized by multiple medical organizations as one of the three major Latino culture-bound syndromes (along with Susto and Mal de Ojo). Closely resembling dyspepsia, the syndrome is described as a feeling that food or other matter has stuck to the walls of the stomach or intestines. This creates a sensation of physical blockage in the intestine, with symptoms typically including loss of appetite, stomach pain, cramping, nausea, and constipation. Those who report experiencing Empacho attribute it to dietary indiscretions such as eating too quickly and consuming raw or spoiled food. While this appears to be a harmless cultural classification for a common occurrence, traditional Empacho treatments can be harmful for patients, especially if the underlying condition being classified as the folk illness is actually an acute medical emergency. These treatments range from abdominal massages intended to “dislodge” trapped food to “back snapping”, a technique where skin on the patient’s back is “snapped back” to relieve the tension in the intestine. Less popular is the ingestion of lead-based remedies, stored in the homes of about 11% of Mexican households (PubMed). According to the CDC, lead-based medicines are extremely dangerous, posing risks of damage to the brain and body. Treatment is typically administered by family members at home or with folk healers (curanderos or sobadores).
Cultural Application
Empacho has been studied extensively by medical anthropologists and public health researchers alike. The treatment methods practiced by Latin Americans have been closely studied, in particular. Most studies have been conducted in order to mitigate harmful practices, building on the examination of the impacts of traditional treatments of Susto, the dangers of traditional treatment on unofficial illnesses can be seen in the way that Empacho is treated in many individuals. Relating to the purpose of this series (to examine how a diagnostic AI model could impact cultural illness and be impacted by it), beliefs that one is suffering from Empacho could complicate a diagnosis by skewing the user’s provided information if they are part of the Latin American culture. Similar to Susto, an AI model trained by American doctors only could have a heightened likelihood of misdiagnosing symptoms due to the lack of cultural training of the model, coupled with the reporting bias of the patient. This article is only a brief examination of another popular illness that has the potential to lead to misdiagnoses. Next week, I will delve further into the issue of culture and race-based bias in diagnoses as I study African Americans and asthma. Thank you for reading!
Sources
https://pubmed.ncbi.nlm.nih.gov/9783868
https://www.cdc.gov/lead-prevention/prevention/foods-cosmetics-medicines.html
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