Analyze

Hoover’s book is an analysis of the material and psychosocial effects of industrial pollution along the St. Lawrence River, which runs through the Mohawk community of Akwesasne. Hoover focuses on resistance to private and state efforts at land enclosures and economic rearrangements.  Hoover shows how legacy of industrialization and pollution (GM and Alocoa, primarily) ruptured Mohawk relationships with the river, and incurred on tribal sovereignty by disturbing the ability to safely farm, garden, raise livestock, gather, and recreate in ways fostered important connections between and amongst people and the land (“ecocultural relationships”). Hoover describes how confusion about risk and exposure is culturally produced and develops the "Three Bodies" analytic framework to show how individual, social and political bodies are entangled in the process of social and biophysical suffering. 

Hoover also highlights how in response to pollution, Mohawk projects of resistance emerged - a newspaper, documentary films, and  community-based health impacts research. Hoover conducts a comparative history of two research projects tracking the effects on industrial-chemical contamination on Akwesasne people and wildlife: the Mount Sinai School of Medicine’s epidemiological study in the 1980s, which failed to engage Akwesasne people in the production of knowledge or share results meaningfully, and the SUNY-Albany School of Public Health Superfund Basic Research Program study (in the 1990s and 200s), which ultimately began incorporating key theoretical and methodological principles of CBPR.

“Akwesasne residents’ main criticism of the Mount Sinai study was that at its conclusion, the researchers packed up and left, and community members felt they had not received any useful information.” (76) 

“As scholars of tribal health risk evaluation Stuart Harris and Barbara Harper explain, among most tribal people, individual and collective well-being comes from being part of a healthy community with access to heritage resources and ancestral lands, which allow community members to satisfy the personal responsibilities of participating in traditional activities and providing for their families.” (96)

“By placing “race/ethnicity” on a list of diabetes causes without qualifying why it is there, the CDC neglects the underlying root cause—that race/ethnicity is often associated also with class, education, levels of stress, and access to health care and fresh foods.” (231)

“Chaufan argues that to counter the focus on the medicalized aspects of diabetes, which has led to the individualization and depoliticization of the issue, a political ecology framework needs to be applied to the disease, one that is concerned with the social, economic, and political institutions of the human environments where diabetes is emerging.39 Such a framework would highlight how diabetes rates among Mohawk people are influenced more by changes in the natural environment and home environments than by genetic makeup.” (231 - 232)

“Understanding community conceptions of this intertwined “social and biological history” is important because, as Juliet McMullin notes, examining the intersections of health, identity, family, and the environment helps to “denaturalize biomedical definitions of health and moves us toward including knowledge that is based on a shared history of sovereignty, capitalist encounters, resistance, and integrated innovation.”61 The inclusion of this knowledge can lead to the crafting of interventions that community members see as addressing the root causes of their health conditions and promoting better health.” (249)

Katsi Cook, Mother’s Milk Project, collecting samples of breast milk: “Katsi has described this work as “barefoot epidemiology,” with Indigenous women developing their own research projects based on community concerns and then collecting their own data.” (90) - 61? – used a private lab to analyze samples because women did not trust the New York State Health Department

“Barefoot epidemiology” is a concept borrowed from China’s “barefoot doctors”—community-level health workers who brought basic care to China’s countryside in the mid-twentieth century. Hipgrave, “Communicable Disease Control.” According to a “workers’ manual” published by the International Labour Organization, barefoot research is often qualitative, and qualitative research is not the standard approach for conducting health studies, which tend to be based on laboratory experiments and clinical findings. See Keith et al., Barefoot Research” (294)

Civic Dislocation: “In many instances Mohawks experienced what Sheila Jasanoff calls “civic dislocation,” which she defines as a mismatch between what governmental institutions were supposed to do for the public, and what they did in reality. In the dislocated state, trust in government vanished and people looked to other institutions . . . for information and advice to restore their security. It was as if the gears of democracy had spun loose, causing citizens, at least temporarily, to disengage from the state” (118) 

“Dennis Wiedman describes these negative sociocultural changes and structures of disempowerment as “chronicities of modernity,” which produce everyday behaviors that limit physical activities while promoting high caloric intake and psychosocial stress” (235)

Third space of sovereignty: “This tension that arises when community members challenge political bodies while simultaneously demanding that they address the issues of the community has been theorized by political scientist Kevin Bruyneel, who describes how for centuries Indigenous political actors have demanded rights and resources from the American settler state while also challenging the imposition of colonial rule on their lives. He calls this resistance a “third space of sovereignty” that resides neither inside nor outside the American political system, but exists on the very boundaries of that system.” (259)

Elizabeth Hoover is an anthropologist and associate professor of environmental science, policy and management at Berkley, who long claimed to be native (receiving grants and research access under this assumption) but has recently admitted otherwise. She has a PhD in anthropology from Brown University  with a focus on Environmental and critical Medical Anthropology. 

Most recent news (As of September 2022) focuses on the EPAs naming of 23 EtO sterilization plants as high risk. This announcement enables local leadership, environmental organizations and legal partners to assess human health risks while focusing on reducing EtO emissions, as outlined by the EPA. Most recent news (As of September 2022) focuses on the EPAs naming of 23 EtO sterilization plants as high risk. This announcement has enabled local leadership, environmental organizations and legal partners to assess human health risks while focusing on reducing EtO emissions, as outlined by the EPA. This release by the EPA has prompted activism in the communities affected by EtO sterilization facilities. As noted by EarthJustice on the news, “Raul Garcia, legislative director for Healthy Communities at Earthjustice: ‘This is an important and welcome step to increasing transparency on the toxic air pollution and health threats that sterilizer facilities pose to the health of millions of Americans. Now that EPA has new information on precisely where the worst health threats are, the agency must use its full authority to ensure public health so no one gets cancer from this pollution and require fenceline monitoring at these facilities. Now, EPA must issue a strong new rule that phases out the use of ethylene oxide at commercial sterilizers. No one should get cancer from facilities that are used to sterilize equipment in the treatment of cancer.’ “. In addition, one major article edited and published by ProPublica sparked both outrage but in addition, change. The article The Most Detailed Map of Cancer-Causing Industrial Air Pollution in the U.S. details 

Activism has prompted more indepth research, increased acquisition and availability of EtO industry data, and increased focus on EtO as a carcinogen and toxin. This hazard was recognized fully by the EPA between 2016-2018 which led to increased assessment and acknowledgement of EtO as a toxin.

The main concern with EtO exposure includes inhalation. Laws that regulate air emissions have invariably affected and regulated this hazard. But specifically, below is a rough outline of  laws that directly impacted the air emissions of facilities processing EtO: 

• Clean Air Act Section 112, Hazardous Air Pollutants. The CAA regulates Ethylene Oxide under section 112 of the CAA. The CAA labels EtO as a hazardous air pollutant. Under the CAA, EtO emissions can be regulated in conjunction with promoting the best emission controls.

• Regulations on Sterilization Facilities (From Federal Register : National Emission Standards for Hazardous Air Pollutants: Ethylene Oxide Commercial Sterilization and Fumigation Operations) 

Note, fugitive emissions have not been standardized by the EPA, including back vents, emergency ventilation etc.

Mainly stark contrast can be found between the EPA and various state and chemical manufacturing companies in terms of data divergence. The main concern surrounding EtO is the elevated cancer risk that occurs with long exposure both direct and indirect. The ways in which the EPA and other companies and agencies assess risk have been different in terms of unit quantity. The EPA utilized in 2016 the Integrated Risk Information System to model cancer risk. According to the American Chemical Council the, “ACC believes the value is significantly flawed.” Also, the Texas Commision on Environmental Quality has stated, “ ‘the US EPA unit risk factor (URF) for ethylene oxide is not scientifically justified.’ ”. This has led the TCEQ to raise its exposure limit from 1 ppb to 2.4 ppb.

• Results of the Risk Assessment of Ethylene Oxide Emitting Facilities in Texas and Louisiana

Provides a list of 8 high risk EtO facilities both in LA and TX. Provides a breakdown of race in terms of proximity to facility and risk level. *One point to mention, is that data from the 2018 National Emissions Inventory (NEI), which was used, is provided to the EPA by the LDEQ and TCEQ.*

• Ethylene Oxide Risk Map - Air Alliance Houston

Mapped by the Environmental Advocacy group Air Alliance Houston are EtO facilities across America. The top 25 EtO emitting facilities are labeled and census tracts with a cancer risk greater than 100 in 1 million are also highlighted.

The major organization involved in assessment of EtO is the EPA. The EPA and its branch leaders have spearheaded the response guidelines, have outlined cancer risks, and have conducted research in partnership with other national partners such as the NIH, federal departments of health, and state departments of health.