Analyze

 In 1991, the Public Health Service articulated a vision for primary prevention in Strategic Plan for the Elimination of Childhood Lead Poisoning, a departure from previous federal policy focused on finding and treating lead-poisoned children. This publication detailed a 15-year strategy for primary prevention and offered a cost-benefit analysis to demonstrate the monetized benefits of this approach. A strong national effort to follow this strategy developed but was eventually abandoned.

The organized campaign against universal screening began in California, where letters questioning the reported prevalence of elevated BLL began appearing in pediatric journals and newspapers. These letters acknowledged receiving editorial assistance from Kaiser Permanente Foundation Hospitals and argued that money spent on screening, treatment and abatement would be harmful to more worthy public health efforts. The AAP president took up this attack on universal screening as well, and efforts for universal screening were gradually eroded. 

Needleman identifies racism and the belief that lead poisoning “is a product of poor mothering, not of environmental pollution” as a driving factor shaping lead detection and prevention efforts (or the lack thereof) … “this weighting of personal choice or behavior over environment is a tool used to shift responsibility away from health authorities or polluters and onto the victim” (1875).

The Grassroots Global Alliance provides a strategy for just transition to a regenerative economy. For the policy makers, this organizations has come up with these questions as guidance: 

1. Who tells the story? 

2. Who makes the decision? 

3. Who benefits and how? 

4. What else will this impact? 

5. How will this build or shift power? 

Framework: Protect, Repair, Invest, Transform. Under each category, this organization presents their demands and solutions. 

Five points of intervention: the Narratives, Base Building and Organizing, Policy Development, Electoralization and Implementation, Direct Action. 

The authors, Andrew Lakoff and Stephen Collier both study anthropology. They have written several papers together focusing on the social and cultural types of knowledge concerning health and medicine. Lakoff works at the University of Southern California and Collier is the Director of Anthropology for the New School.

The authors argue that while recent changes in health security have led to a modern knowledge base and understanding of health threats these new systems are still forming and adapting as the health problems faced change.

The main argument is supported primarily through policy changes that show a changing approach to public health safety in the government and private organizations, with specific examples such as changes to the US government funding for biodefense research in the early twenty-first century. The paper also includes examples of changing scientific knowledge during the later twentieth century, referencing studies and reports that highlight the changing opinions of the scientific community. Finally, the authors divide the paper into several sections each outlining a specific type of problem and the practices devised as a solution, this format clarifies the main argument and aids the reader in understanding the authors views.

“There is no such thing as being “too secure.” Living with risk, by contrast, acknowledges a more complex calculus. It requires new forms of political and ethical reasoning that take into account questions that are often only implicit in discussions of biosecurity interventions.” (Lakoff 28)

“On the one hand, they examine the different political and normative frameworks through which the problem of biosecurity is approached: national defense, public health, and humanitarianism, for example. On the other hand, they examine the styles of reasoning through which uncertain threats to health are transformed into risks that can be known and acted upon” (Lakoff 12)

“These initiatives build on a growing perception among diverse actors—life scientists and public health officials, policymakers and security analysts—that new biological threats challenge existing ways of understanding and managing collective health and security. From the vantage point of such actors, the global scale of these threats crosses and confounds the boundaries of existing regulatory jurisdictions. Moreover, their pathogenicity and mutability pushes the limits of current technical capacities to detect and treat disease” (Lakoff 8)

The primary method of supporting the main argument is a series of historical examples including policies such as those created by the World Health Organization, outbreaks including AIDS, and previous attempts to provide health security such as the Smallpox Caccination Program. The use of these examples highlights the changing nature of health problems and how that effects the type health security. Specific dates and data from the examples is included, which allows for a more detailed analysis to support the main argument. 

The article primarily discuss the motivations behind emergency response, and how that effects the actions taken by emergency response organizations. The authors claim that emergency response is motivated primarily by nationalism or self-preservation due to the global threat posed by epidemics and other health crisis. The idea of an emergency modality is presented, where rapid response to emerging issues is used as a preventative measure to avoid the spread of a crisis across national borders. The authors claim that emergency modality is the usual protocol for global health organizations due to the funds and resources available after an emergency due to public attention that are difficult to obtain for long term health problems.

The articles has not been referenced in other papers that are publicly available, likely due to the very recent publication. It has been published through several platforms and is widely available.

The article referenced many other papers that focus on the modern health threats due to scientific advancement, the spread of disease in modern society, and on the current approach to health prevention and the response to epidemics. This suggests that the paper was a culmination of ideas that did not include new research or data.