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Renwu, Kaohsiung, Taiwan

Misria

Renwu is a part of Kaohsiung City, Taiwan, where there are large factories making chemical products. Renwu Elementary School is very close to these factories, just 500 meters away. The school has been actively engaged in discussions about how to improve the environment and promote prosperity for everyone. Approximately 80% of the students at the school have asthma, a respiratory condition. Recognizing the challenges of improving the environment around the school, some students and teachers decided to explore ways to improve the air quality within the school. The students did a few things: first, they used low-cost sensors and single-board computers to make regular air purifiers work better. When levels for air pollution (PM 10 and PM 2.5) are high, these gadgets turn on the air purifiers in many classrooms. This air purifier project is one of three ongoing educational programs aimed at educating students about air pollution and its potential health impacts. In art class, students use paper mache to design their own air purifiers to save money. Using magnifying glasses for tablets and smartphones, they explore which materials work best for air filtration. In parallel, they began collecting air pollution data over time using a digital system developed by the students themselves. They also used hand-held monitors outside to measure pollution levels around a major chemical factory operated by Formosa Plastics, a large petrochemical company. It is worth noting that Formosa Plastics is currently planning to expand its production facilities in Texas and Louisiana, which would also affect air quality in nearby schools. The monitoring and data collection by the Renwu students could inspire others in different places to do something similar about air pollution in their own communities. 

Schütz, Tim, Jia-An Lin & Yu-Hsin Hsu. 2023. "DIY Air Monitoring at Renwu Elementary School in Kaohsiung, Taiwan." 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.

Empirical points

margauxf

“Under a 1986 federal law titled the Emergency Medical Treatment and Labor Act (EMTALA), hospitals are required to treat people who come to the ED presenting with an emergency medical condition, defined as a condition that, without treatment, will likely lead to serious impairment or death. … EMTALA is one of the largest federal mandates to provide services to have gone unfunded (Friedman 2011); costs instead fall on states and local health care systems.” 481

Quotes

margauxf

“In bringing ethnographic attention to hot spotting as a technique of governance, we find that it provides lifesaving humanitarian interventions while operating within the racialized structures of violence that produce continual life crises. The institutional rationality of hotspotting and the encounters of care that it produces illustrate the often-contradictory role of medicine in the lives of poor people: both caring and coercive, it intertwines care and violence.” 475; “we conclude by suggesting that economic investment and return are becoming a reigning logic in the governance of poverty, generating hot spots as sites of interest for both policing and health care and decentering normative assessments of deviance, illness, and social problems” 476; “Neoliberal social assistance, as it is practiced in the health care safety net, is conceptualized as an “investment “in the population, as a strategic and targeted deployment of basic resources, one that promises to generate a return on investment for the state or health system in the form of cost savings.“ 485

 

Summary

margauxf

 The authors examine the practice of “hot spotting,” a form of surveillance and intervention through which health care systems in the US intensively direct health and social services towards high-cost patients.  Health care hot spotting is seen as a way to improve population health while also reducing financial expenditures on healthcare for impoverished people. The authors argue that argue that ultimately hot spotting targets zones of racialized urban poverty—the same neighborhoods and individuals that have long been targeted by the police. These practices produce “a convergence of caring and punitive strategies of governance” (474). The boundaries between the spaces of healthcare and policing have shifted as a “financialized logic of governance has come to dominate both health and criminal justice” (474).

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Andreas_Rebmann

To deliver medicinial aid wherever aid is needed throughout the world, especially where human suffering is greatest.

To quote their website:

"We are Doctors Without Borders/Médecins Sans Frontières (MSF). We help people worldwide where the need is greatest, delivering emergency medical aid to people affected by conflict, epidemics, disasters, or exclusion from health care."

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Andreas_Rebmann

The organization is so large and diverse in its portfolio of accomplishments that it is hard to pinpoint through their research precisely how they approach disasters. However, their overall message is that they help where help is needed most and supply quality medical care for the people there. They seem to have a wholistic approach wherein they supply all care post-disaster instead of focusing on the immediate effects of the disaster. 

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Andreas_Rebmann

It was a new way of addressing disaster in 1971 when it was founded. 

“It’s simple really: go where the patients are. It seems obvious, but at the time it was a revolutionary concept because borders got in the way. It’s no coincidence that we called it ‘Médecins Sans Frontières.’”