Analyze

I've found myself returning to thinking about/around/within interstitial spaces of care, particularly within hospital settings, interested in how viral activity unsettles the ideas we have around space and boundaries, both biological and infrastructural. In COVID-19 pathology and response, the inbetween, the interstitial, become sites challenge and possibility. With COVID-19, we see an acknowledgment of once forgotten spaces quite obviously, with hospital atria and hallways being reconfigured into patient care spaces, makeshift morgues established in refrigerated trucks, and hospitals spilling out into neighboring streets and parks. More than ever, we see how hospitals are simultaneously bounded and unbounded--the most stable and unstable sites for care. Along this line of thought, what might thinking through hospitals as heterotopia of crisis and deviation afford?

Foucault outlines six principles for heterotopic spaces

The heterotopia is capable of juxtaposing in a single real place several spaces, several sites that are in themselves incompatible

Heterotopias are most often linked to slices in time—which is to say that they open onto what might be termed, for the sake of symmetry, heterochronies. The heterotopia begins to function at full capacity when men arrive at a sort of absolute break with their traditional time. This situation shows us that the cemetery is indeed a highly heterotopic place since, for the individual, the cemetery begins with this strange heterochrony, the loss of life, and with this quasi-eternity in which her permanent lot is dissolution and disappearance.

Heterotopias always presuppose a system of opening and closing that both isolates them and makes them penetrable. In general, the heterotopic site is not freely accessible like a public place. Either the entry is compulsory, as in the case of entering a barracks or a prison, or else the individual has to submit to rites and purifications.

I'm currently based in Troy, NY where I recently completed a PhD in Science and Technology Studies.  I'll soon be living in NYC to attend medical school. I can be reached at amorgan14[at]gmail[dot]com

I've long been interested in the disaster of routine medical care in the U.S. healthcare system. As far as COVID-19 is concerned, I'm particularly interested in how the long-term health impacts of intensive care are conceptualized and communicated (including Post Intensive Care Syndrome (PICS)) and the tensions between acute and chronic illness, broadly. 

How is the aftermath of COVID-19 crisis being imagined in different settings? How is this shaping beliefs, practices, and policies?

"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."

"However, the ideal of dual use faces many difficulties, in part because public health professionals often do not agree with security experts about which problems deserve attention, and how interventions should be implemented. Such disagreements point to broader tensions provoked by the current intersection of public health and national security. Public health officials and national security experts promoting preparedness strategies have very different ways of evaluating threats and responses. As a result, programs that depend on coordination between these groups may often founder."

"The report defines emerging disease as one among a number of new threats to security that 'do not stem from the actions of clearly defined individual states but from diffuse issues that transcend sovereign borders and bear directly on the effects of increasing globalization that challenge extant frameworks for thinking about national and international security.' Proposed responses to this new 'global threat' have come from various kinds of organizations, with diverse agendas."

OSHA is a part of the United States Department of Labor and is overseen by the Secretary of Labor. The chief administrator of OSHA is the Assistant Secretary of Labor for Occupational Safety and Health, who is supported by a Chief of Staff and several Senior Advisors. The Assistant Secretary oversees two Deputy Assistant Secretaries who supervises various directors and administrators. The full organization chart can be found on the OSHA website.

• "Until the early 1990s, illness was used as grounds for seeking a residence permit in only exceptional cases. Ten years later, the health criterion had become one of the primary grounds for legalization, and one that was increasing most rapidly."
• “The compassion protocol is thus a procedure of the last resort that derives from a form of sympathy evoked in the face of suffering. It demands the right to keep alive individuals who have nothing except their mere existence."
• “Sometimes the foreigner, too, is no more than his body, but this body is no longer the same: useless to the political economy, it now finds its place in a new moral economy that values suffering over labor and compassion more than rights.”

Natural disasters are the first type of disaster that comes to mind when assessing FEMA's response efforts, but the organization is also concerned with response to acts of terrorism, acts of war by a foreign nation, and other manmade disasters. That being said, FEMA was heavily criticized for its response during and after Hurricane Andrew in 1992 and Hurricane Katrina in 2005. 

Figure 1 was developed as a platform to serve medical professionals and students by providing widespread access to information on medical cases and enable discussion among medical professionals.

The BSVAC is a volunteer EMS agency that provides 911 basic life support service to its area of service. In addition, the organization has responded to Ground Zero on 9/11, Louisiana after Hurricane Katrina, and Haiti on three occasions in 2010. 

The NYS Ebola Preparedness Plan applied to residents and those travelling to and from the State of New York. The policy affected numerous agencies including hospitals, EMS agencies, public safety departments, and transportation authorities.