Analyze

The authors offer a review of themes within occupational health and environmental public health surveillance over the past decade. In reviewing the history of public health surveillance, the authors highlight key acts of Congress in the 1970s that have made the development of “modern” occupational health and environmental health surveillance possible—but which also failed to develop into a cohesive and well-connected data management systems across federal agencies. Separate agencies were tasked with different data collection, management and intervention tasks in ways that fragmented the surveillance system to the point of ineffectiveness.

The authors argue that effective surveillance for occupational and environmental health demands development of a clear purpose for collecting data and having the data available to make meaningful analysis possible. They turn to the CDC’s childhood lead prevention program to demonstrate these points.

This text builds from earlier conceptions of the term “land dispossession” and “land grab”. As defined by the 2011 International Land Coalition, land grabbing specifically refers to large scale land acquisitions that are “ in violation of human rights, without prior consent of the preexisting land users, and with no consideration of social and environmental impacts”. Characterization of land grabs and their resulting harms most commonly considers the effect of physical displacement and harms within the articulated “grabbed” area (Nyantakyi-Frimpong, 2017;Ogwand, 2018;  huaserman, 2018). Li and Pan seek to expand the frame of analysis for land grabs beyond the site of grabbed land to consider the full extent of harms associated with land grabs both geographically (via pollution spillover to areas outside of “grabbed land”) and temporally (via latent “expulsion by pollution). 

 “While the villagers are not passive victims and have adopted various resistance strategies, the space for them to struggle and achieve success is confined and shaped by the existing power asymmetry in which local villagers, capital and local government are embedded.”  (Li and Pan, 2021, p 418). 

“...this framing of land dispossession is problematic in two aspects. Firstly, it obscures an invisible form of land dispossession in which people still maintain control of their land but its use value is damaged by pollution. This kind of indirect land dispossession could lead to expulsion, not due to the direct loss of control over land but by it being rendered useless by pollution.” Li and Pan, 2021, p 409). 

 This text employs a case study approach to characterize how villagers in a village in China have been displaced “in-place” as a result of new industrial activities within the area  (all specific details have been hidden within the publication, wherein the names of villager groups and the site of study itself is referenced only by coded letters). The scale of analysis primarily centers at the village level, though analysis of the case study itself extends towards the country level specifically when analysis of state actors are involved. 

Authors Hua Li and Lu Pan are scholars from China. Li is  affiliated with the College of Humanities and Law at Taiyuan University of Technology, wherein her research focuses specifically on water politics, environmental justice, and rural development and agrarian change. Pan is affiliated with the College of Humanities and Development at China Agricultural University. Her research interests include marginalized communities, rural development, and agrarian change.

The policy was the multi-tiered approach designed by New York City officials in the event of an Ebola case. This included designation of eight hospitals as being care centers for Ebola cases, teaching non-designated hospitals or care centers how to identify Ebola candidates, communication with transportation services (both EMS and non-EMS), and running unscheduled drills to practice handling scenes with an Ebola candidate (the example given was someone falling ill in a subway car). The poly aimed to standardize the approaches and protocols used when dealing with a possible Ebola case. It focused on minimizing the excessive risk to citizens, EMS personnel, and healthcare workers in the event of a patient with Ebola. The policy also sought to train and drill these protocols, including unscheduled calls (mentioned above) and continued inspections to ensure preparedness. The obvious end goal was to minimize the possibility of wide-spread infection, either through improper handling or failed detection of an Ebola case.

Several leaders from various New York State agencies convened to outline plans for this policy. This included Governor Andrew M Cuomo, State Health Commissioner Dr. Howard Zucker, State Police Superintendent Joseph D'Amico, Port Authority Executive Director Pat Foye, and representatives from health care centers and agencies around the state.

The policy applies to New York state citizens, health care workers, EMS personnel, and leadership within health care centers. Additionally, the policy has parts that effect transportation agencies and their employees. In many ways, due to Ebola's nature and the nature of New York as a major metropolitan area, these policies will also have a global effect.

As described by Governor Cuomo, Dallas was the first major US city to see an Ebola case. This, in turn, allowed New York leadership to have some semblance of what methods did or did not work when trying to contain the disease. Moreover, the policy was implemented in response to the major Ebola outbreaks occurring at this time. This included those within Africa, Europe, and cases seen in Dallas. Moreover, the policy follows the city's "Safe-than-sorry" methodology discussed by Governor Cuomo; he, along with other state and city leaders, believed assuming an Ebola outbreak would occur within the state would give them the best chance of mitigating its effects and minimizing disease spread.

The Ebola outbreak is, by its very definition, a matter of public health. The outbreak presented a danger to the global health community and resulting policies dealing with this epidemic were public health policies. That being said, the policy in place mostly served as a protocol mostly for agencies of New York in the event the epidemic spread. It focused on standardizing the practices of health, transport, and government agencies in the event of an outbreak; it did not focus on individuals already effected with the disease, but more so on preventing the spread of the epidemic.