Analyze

In Louisiana, governing elites have long found it more profitable to deny the connections between health outcomes and the structural inequities of an anti-Black petrostate. Their denial is made possible by the existence of data divergence–that is, inconsistencies between data sets or between a data set and the realities it purports to represent (Encyclopedia of Social Measurement 2005). These inconsistencies range from missing or “undone” (i.e. incomplete or ignored) data (Frickel et al. 2007) to the production of different measures (and the selection of different priorities) by institutional silos. Recognition of the need for public health capacities that address the systems and structures impacting health–especially children’s health–has motivated health equity advocates in Louisiana to fill the data gaps through collaborative datawork, that is, the work of making data meaningful across social and scientific communities. In 2022, a coalition of community organizations, academic researchers, and public health workers led by the Louisiana Center for Health Equity (LCHE), a community-based organization created by a registered nurse, worked together to examine the links between adolescent mental health and disciplinary practices in schools. Ensuring their agendas were informed by community priorities led them to incorporate the contributions of adolescents advocating for better access to physical and mental healthcare resources and the abolishment of discriminatory and punitive disciplinary actions in schools. Their collaborative datawork revealed how data gaps around adolescent mental health are a structuring component of schools’ discriminatory and punitive climates–much as gaps in environmental health data benefit polluting industries. They found that existing figures around adolescent mental health are inaccurate, as many youth are unable to receive an official diagnosis owing to lack of healthcare access. LCHE advocates at a house committee meeting in January 2023 reported that students who exhibit behavioral issues rooted in trauma or mental health more often receive punitive disciplinary actions rather than rehabilitative and restorative services. This work generated the support needed to pass legislation to expand public health infrastructure and access to mental health resources. In June 2023, House Bill 353 authorized the allotment of "mental health days" as an excused absence for students; introduced procedures for schools to connect students to medical treatment and services; and required the Louisiana Department of Education to develop and administer a pilot program for implementing mental health screening, among other changes. By mobilizing advocates and scholars from across the social and institutional silos, LCHE’s collaborative datawork tentatively expanded children’s public health infrastructures. 

Fisher, Margaux. 2023. "Collaborative Datawork and Reframing Adolescent Mental Health in the Deep South." 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.

According to its mission statement, "The American Red Cross prevents and alleviates human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors.​"

Approximately 90 percent of the American Red Cross membership is volunteer, drawing people from all ages, ethnicity, and background. These volunteers respond to nearly 70,000 disasters every year, mostly home and apartment fires. They also put on training programs and blood drives.

The Red Cross is a large national organization with fixed sets of stockpiled resources which they adapt and apply to each disaster response they face. They set up shelters, distribute emergency supply kits and provide food and medical service in the aftermath of disasters. 

This organization does not claim to have new or novel way of responding to disasters, however their uniqueness lies in the sheer number of disasters of all sizes they respond to. This is best characterized by the information found on their page titled "Disaster Relief," which states the following:

"We respond to an emergency every 8 minutes

The American Red Cross was founded in 1881 with the experiances of the Civil War still fresh on people's minds. After touring Europe and seeing the swiss Red Cross in action, Civil War nurse Clara Barton founded the American Red Cross to provide disaster relief and first aid both on the homefront and the front line. Early on, the Red Cross served to educate the public about topics such as first aid and water safety, while starting nursing programs and providing assistance to the military and military families. As new needs, such as blood donation, made themselves apparent, the Red Cross met these needs, starting donation programs and doing labratory research on the blood dontation technology and techniques starting in the 1960's.

Funding for the American Red Cross comes primarily from individual and corporate donations. They are funded by the people to serve the people.

The Red Cross opened a Red Cross R&D in 1961 to further existing research on blood component technology, blood safety, plasma-derived therapeutics, transfusion medicine, and biomedical science. Red Cross R&D has made accievements in the following areas, listed on their website:

• Developed a technique to freeze red blood cells, preserving their viability for up to 3 years, helping to ensure a steady supply of red cells for patients needing rare blood types. (1971)
• Contributed to the development of bar-coding for blood products. (1977)
• Developed procedures for large-scale purification of therapeutic blood proteins like gamma globulin and factor VIII. (1978)
• Collaborated with scientists at the Centers for Disease Control and Prevention (CDC) to define the window period—the length of time between infection with the virus and the earliest stage in infection that can be detected by a test—for human immunodeficiency virus (HIV) following implementation of universal HIV testing of donor blood. (1994)
• Investigated the prevalence of blood-transmitted diseases like human T-lymphotropic virus-1 (HTLV-1) and Chagas disease, providing key data that led to implementation of testing for these diseases. (HTLV-1 in 1987, Chagas disease in 2008)
• Continue to facilitate improvements in bacterial testing of blood products.
• Investigated the role of antibodies in female-source plasma in causing transfusion-related acute lung injury (TRALI), leading to reduction in the incidence of TRALI by providing male-predominant plasma for transfusion. (2009)
• Modified height and weight restrictions for donors younger than 19, which has significantly reduced adverse reactions among young donors. (2009)

The red cross relies on notification systems of disaster to mobilize their volunteers such as those created by FEMA, NOAA, and other goverment services, transportation infrastructure and technology to move supplies and people from place to place, established red cross infrastructure of supply stockpiles, specialized vehicles, and training centers.

With every new disaster it faces, the ARC draws much on its own research and the experiances of the Global Red Cross. Recent major domsetic disasters the ARC has faced include Hurricane Katrina and Superstorm Sandy,