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Assessing the PM2.5 impact of biomass combustion in megacity Dhaka, Bangladesh - PubMed (nih.gov)

This article is about crop burning in Dhaka, Bangladesh and attempts to figure out if there is more or less harmful PM2.5 particulate air pollution caused by either fossil fuels or biomass, and during which season is one or the other higher in the air pollution it produces. During monsoon season, fossil fuels lead in the most PM2.5 releases at 44.3%. When it is not monsoon season and is the winter season, the percentages are way higher for PM2.5 air particulate releases at 41.4% for the remainder of the year. Across the globe, there are now people stepping up to uncover the true and real environmental and health impacts this harmful particulate byproduct causes in different parts of the world and with differring weather conditions than what we see in North Carolina. 

https://www.researchgate.net/publication/351209404_PM25_Emissions_from_…;

This study is set in South/Southeast Asia and uncovering that, when trying to count the percentages of PM2.5 put off during biomass, the true amount of emissions were being gravely undercalculated. Specifically rice straw burning becuase the amount burned varied so much because of different harvest and burning practices that it just wasn't taken into consideration. What this study does is go bottom up using these strategies: "subnational spatial database of rice-harvested area, region-specific fuel-loading factors, region, and burning-practice-specific emission and combustion factors, including literature-derived estimates of straw and stubble burned"(Lasko et al. 2021, 1). 

In this essay the authors have highlighted some of the stakeholders in the fight against industrial biomass operations as members of the surrounding community who live with these operations as close as their own backyards, and experience the environmental pollution directly everyday. They highlighted Belinda Joyner, a resident of Northhampton County, and an environmental activist who rose to defend her community and their lands and livelihoods due to expanding hazardous infrastructures such as the Atlantic Coast Pipeline and the Enviva power plant. Other stakeholders besides activists and organziers such as Belinda include the people of Northampton County who attend hearings with government officials and take a stance agaisnt pollution, as well as organizations such as the Dogwood Alliance. The county is predominantly Black and working class, one of several in North Carolina that bear the brunt of exploittion and pollution by powerful biomass manufacturers such as Drax and Enviva.

This timeline essay provides more examples from recent years of community responses and collective action for environmental justice.

The development of both pipelines and CAFOs (confined animal feeding operations) in eastern NC have prompted action from justice organizations such as the North Carolina Environmnetal Justice Network (NCEJN). To address the ongoing problem of CAFOs, NCEJN has provided a number of resources on their site, as well as ways to take action by signing a petition to stop the use of hog waste as fertilizer. Prior to the Atlantic Coast Pipeline (ACP) being canceled in 2020, NCEJN played a role in organizing protests and taking legal actions- in conjunction with many other community member and activist groups- against Dominion and Duke Energy, the companies responsible for the ACP's construction. 

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf

This policy applies to American law and patients who are in need of emergency medical treatment and is to be followed by all emergency departments and personnel alike. 

This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.