Analyze

This image reminds me of how mutual aid and communities keep each other fed, and safe, and how local practices are actually best practices. My own research， although not immediatley related to the specific public health concern of COVID, will focus on Indigenous food soverignty, particularly the right and autonomy to ferment and distribute alcohol (紅糯米酒) within the Amis community, and their current fight with the local health department on declaring whether or not their alcohol is "safe" for public consumption and distribution.

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?

This article shows how some communities that, in the opinion of the Disaster Accountability Project organization, are within an effective radius of a nuclear incident at Indian Point and have little or no emergency plan for this kind of event. This is primarily due to these communities not having the knowledge that they could be effected by an event of this nature if they are over 10 miles away from the plant. Also, many of the communities that said they had not undergone any studies in relation to the plant's effects on their own community or developed any emergency plans because they cannot without federal aid. These counties and towns are not well-enough informed and are lacking the funding from the government in order to provide for their own safety if a nuclear accident were to occur

Emergency response is addressed in a broad sense of the major risk factors associated with a natural disaster and epidemics. The main points they make are that preparedness, with a focus on availability of safe water and primary healthcare services, along with surveillance for the beginnings of an epidemic, are necessessay for a strong response to a disaster situation   

The National Regulatory Commission: Government agency responsible for public safety with regards to nuclear reactors and nuclear energy

Entergy: An integrated energy company that primarily deals with electric power production. Operators of the Indian Point Nuclear Power Plant

Disaster Accountability Project: Nonprofit organization that monitors disaster-response programs and acts as a watchdog for disaster response and preperation

The main methods that the authors appear to use are reported data from disasters that have happened around the globe, including numbers and types of infections, displacement and crowding data, and knowledge of the disaster incidents examined

The main point of the article is to report a conflict of opinions between the NRC and the Disaster Accountability Project on the safety of the communities surrounding the Indian Point Nuclear Power Plant. The NRC and the company running the plant, Entergy, state that those communities within a 10 mile radius are required to have emergency evacuation plans in place should a nuclear emergency occur; those outside this radius, however, are not at as large of risk. The nonprofit, however, cites the NRC's report on the Fukushima disaster, where it recommended the US citizens within 50 miles of the plant should evacuate the area, and suggests that communities within a 50 mile radius of Indian Point have specific nuclear emergency plans at hand and prepared for use. Entergy says that the radius "provides a robust safety margin", and the NRC replies to the Disaster Accountability Project's statement by saying that the incident at Fukushima is not comparable to any nuclear power cite in the US, due to the size and number of reactors in the Fukushima plant.

"The risk for commuicable disease transmission after disasters is associated primarily with the size and characteristics of the population displaced, specifically the proximity of safe water adn functioning latrines, the nutritional status of the displaced population, the level of immunuty to vaccine-preventable diseases..., and the access to healthcare services"

"...natural disasters (regardless of type) that do not result in population displacement are rarely associated with outbreaks"

"When death is directly due to the natural disaster, human remains do not pose a rise for outbreaks"

The author contacted both the NRC and the nonprofit Disaster Accountability Project for statements and information on the safety of the plant and if emergency plans were in place. The NRC gave statements and information on their discussions with the Disaster Accountability Project, and the nonprofit described their process of sending freedom-of-information requests to 20 jurisdictions in NY, NJ, and CT located up to 50 miles from Indian Point, in order to determine if they had emergency plans related to the power plant and what they might be