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In 2019, the National Assembly of the Republic of Korea passed a law identifying particle pollution (also called particulate matter, PM) as a “social disaster” (Framework Act on the Management of Disasters and Safety 2019). It was a response to nationwide attention to particle pollution from 2017, when apocalypse-like particle pollution occurred. It is not uncommon to characterize pollution as a disaster. Pollution is often described in damage-based narratives like disasters because environmental pollution becomes visible when a certain kind of damage occurs (Nixon 2011). PM is a mixture of extremely small particles and liquid droplets (EPA 2023). An established method for assessing the health risks associated with PM is the utilization of government or World Health Organization (WHO) air quality indices. These indices reflect the potential harm to human health based on PM concentrations. However, due to the limitations of the available monitoring data and the assumption of a certain normality according to the air quality index, its utility is diminished for bodies that fall outside this assumed range of normality. The existing practices and knowledge in pollution control had individualized pollution by presuming certain states of normalcy and excluding others. To challenge this, the anti-PM advocates in South Korea have defined, datafied, perceived, and adjusted the toxicity of particulate matter in various ways. They refer to the air quality index given by the WHO or the government, but they also set their own standards to match their needs and ways of life. They actively measure the air quality of their nearest environment and share, compare, and archive their own data online. The fact that the severity of air pollution is differently tolerated by individuals challenges the concept of the toxicity index that presupposes a certain normalcy. Describing pollution as a disaster contributes to environmental injustice by obscuring the underlying context and complexities of pollution. With the values of care, solidarity, and connectivity, capturing different perspectives of living with pollution and listening to stories from different bodies can generate alternative knowledge challenging environmental injustice. Drawing upon the stories of different bodies and lives with pollution, we can imagine other ways of thinking about the environment and pollution that do not externalize risks nor individualize responsibility. 

Kim, Seohyung. 2023. "Beyond the Index: Stories of Otherized Bodies Crafting Resistant Narratives against Environmental Injustice in South Korea." 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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The authors are Paul E. Farmer, Bruce Nizeye, Sara Stulac, and Salmaan Keshavjee. All of the authors are involved with the nonprofit organization Partners in Health in some capacity, with experience working with rural or poverty stricken areas. Paul E Farmer, the primary author of the article is a medical doctor also working for the United Nations who has published many other articles on similar topics.

The main argument is that susceptibility to certain diseases is not only determined by biology but also social conditions, leading to a disproportionate disease rate among the poor, and minority groups without access to medical services. The author shows that addressing these social conditions leads to a decrease in disease when combining treatment and prevention plans.

The argument is supported through a combination of historical information including rates of AIDS in the early 1990’s and a study done in Baltimore in an effort to reduce AIDS rates in African Americans, who were more likely to be in poverty, by addressing monetary barriers to heath care. Two more recent cases are also used to support the main argument, implementing a method created by the Partners in Health to prevent transmission and provide AIDS care in rural Haiti and rural Rwanda. Throughout the article references were made to the current medical professional’s dilemma, where they are in a position to see the social inequalities contributing to disease rates but not trained to report or change common social contributing factors. This makes the article more relatable to the reader that may have experience in the medical field which elps to support the argument.

“Pioneers of modern public health during the nineteenth century, such as Rudolph Virchow, understood that epidemic disease and dismal life expectancies were tightly linked to social conditions [55,56].” (Farmer 5)

“…large­-scale social forces—racism, gender inequality, poverty, political violence and war, and sometimes the very policies that address them—often determine who falls ill and who has access to care.” (Farmer 1)

“In an attempt to address these ethnic disparities in care, researchers and clinicians in Baltimore reported how racism and poverty— forms of structural violence, though they did not use these specific terms—were embodied [33,34] as excess mortality among African Americans without insurance.” (Farmer 2)

Data collected from a study done in Baltimore in the 1990’s, including statistics and observations is used to support the main argument. The methods used in Haiti and Rwanda as well as the results from implementing those methods are also used as examples for the claim that social conditions greatly impact disease susceptibility.

Emergency response is addressed in terms of both long term response and future emergency prevention. The method used by the PIH in both Haiti and Rwanda were implemented in response to high rates of disease in those places, showing that an emergency can occur gradually and the response may require creating a permanent system. Prevention is also discussed as a portion of emergency response, that it is important not only to deal with emergencies as they occur but also to identify the causes and change the system to prevent the same emergency in the future.

The article has primarily been referenced in later works by Paul E. Farmer who has written several other papers and articles on both the medical state of Haiti and Rwanda as well as structural violence in many capacities. The article was initially published in 2006 and has since been published in journals, books, as well as open online collections for use by the sts community.

The bibliography shows references to several papers by many of the same authors, showing it was produced as a continuation of previous ideas but showing new information learned through the PIH’s activities in Haiti and Rwanda. The bibliography also shows many references from the early to mid 1990’s showing similar thoughts to initial research done in Baltimore and other places with high rates of AIDS.