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Oceania

Misria

Emerging technologies are increasingly being sought as interventions to intractable environmental and public health issues that promise to intensify on our warming planet. Genetically engineered mosquitoes could curb the impacts of mosquito-borne diseases like malaria and dengue. Solar geoengineering could use cloud thinning or aerosol scattering to reflect sunlight back into space and cool the planet. Adequate regulatory and governance mechanisms do not yet exist for these technologies, the impacts of which span international boundaries, and have the power to irreversibly alter environments. There is wide recognition from national and international bodies that decision-making processes surrounding these technologies must engage local and Indigenous communities whose lands and resources would be impacted by their trial and deployment. In response, public, community, and stakeholder “engagement” has taken center stage in the discourse on emerging environmental technology governance. Scientists and technologists are now compelled to engage publics and communities, as they recognize that some form of engagement or authorization will be requisite to the application of their technologies outside the laboratory. The language of participatory engagement abounds in scientific and governance literature on environmental technologies. These texts espouse the importance of co-design, relationship-building, shared decision-making, and mutual learning, and recognize the uneven power relations in which environmental decisions have historically been made. Yet, emergent practices of engagement leave much to be desired in terms of realizing their stated aspirations. Deficit model approaches frame publics and communities primarily as “lay people” needing to be educated before weighing in on decisions. In my fieldwork on one Pacific island where genetically modified mosquitoes are being considered for endangered bird conservation, I observed a focus group in a market research firm in which local and Indigenous residents were tested on their knowledge of invasive species biology and asked to rank radio advertisements and slogans about the modified mosquitoes. The conflation of engagement with marketing strategies and public relations campaigns prioritize the management of public perception over genuine dialogue or mutual learning. In theory, all the interest in engagement promises to open up meaningful possibilities for local and Indigenous communities to realize their rights to self-determination. In practice, strategic and instrumental approaches instead subdue opposition and manufacture consent. Legal mechanisms are needed to codify Indigenous rights in decision-making processes. Alternative approaches are needed that widen the focus beyond a single technofix to let communities define environmental challenges and collectively imagine solutions. Opposition should be read not as a barrier but as a generative site for inquiry, as often it is not the technology itself being refused but the exclusionary processes that surround its use. The most just solutions are likely to emerge from those very refusals. 

Taitingfong, Riley. 2023. "It’s all talk: how community engagement is failing in environmental technology governance." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

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maryclare.crochiere
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The mission statement summarizes the aim of the Partners in Health as "to bring the benefits of modern medical science to those most in need of them and to serve as an antidote to despair". They are available to many of the suffering third-world countries that lack modern medicine. They are aided by the most prominent health care leaders in the world. They want to treat those in need of medical care like family, not just giving, but making them feel like they belong and are deserving of the same level of care.

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The organization saw cholera cases pop up and immediately opened clinics in those areas to try to reduce the impact and spread of cholera, as well as mental health services for families that lost loved ones. They vaccinated for cholera, and improved the infrastructure in the areas to reduce the spread of all waterborne diseases.

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maryclare.crochiere
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They do not seem to be very unique in any way, just the fact that they respond quickly, with plenty of resources, and the desire to do good with the resources they have, makes them a good organization. Their nurses and workers are highly trained but also have compassion, so they do not come off as trying to take over, but rather as trying to help the community from the bottom up.

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maryclare.crochiere
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They are partnered with some of the largest and most prestigious health care companies and institutes in the world, so that helps them to have cutting edge technology and as many resources as possible, given their budget. Those partners may encourage them to use their resources in particular ways, but overall, healthcare is the basis of each partner's goals, so they shouldn't be swayed in unethical ways.

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maryclare.crochiere
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They have lots of data on the diseases and causes of death in children, since children die at an alarming rate from preventable causes. The Partners in Health uses this data to channel their resources to help the most children. They provide hot lunches to help kids focus in school, Toms helps them give closed-toe shoes required for schools, they give hens to families to produce eggs for a higher-protein diet and to increase the family's income. These solutions, among others, are fueled by data and are now trying to help keep more kids alive.

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The Partners in Health are working on expanding surgery centers across the world, as described on their website: "'Essential surgical procedures rank among the most cost-effective of all health interventions,' finds the World Bank.". They have surgical centers, clinics, and other facilities for healthcare, but also help to better all of the infrastructure in the communities they aid, to reduce the spread of diseases.

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maryclare.crochiere
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The organization has workers that live in the various communities to increase trust with the native people, and show them that the nurses and midwives are there to help and save lives, not take over. They do home visits since travel is hard in many of the areas, and they do routine check ups to make sure that clean water and living conditions are aiding recovery processes apporopriately.