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CITIZEN SCIENCE

Epistemic negotiation

Stakeholders (indigenous groups, activist, scientist, scholars, etc)

In response to multiple concerns about water quality expressed by residents, EJCAN launched a water quality testing initiative with university-based collaborators from UNC Chapel Hill and Appalachian State University. Threats to water include but are not limited to industrialized agriculture. Industrialized hog feces contain pathogens, heavy metals, and antibiotic-resistant bacteria that growers store in large, open pit lagoons (Grant 1999; Wing et al. 2008; Blanchette 2019; Christenson et al. 2022). When operators spray the waste onto nearby fields, they also release air and waterborne contaminants. Scholars have linked airborne emissions from industrial hog operations to respiratory dysfunction, mood disorders, compromised immune function, anemia, kidney disease, tuberculosis, and low birth weight (Wing et al. 2000; Kravchenko et al. 2018; Guidry et al. 2018). Moreover, the odor is noxious, causing nausea, embarrassment, disorientation, and social loss in cultural continuity as people cease culturally meaningful practices like gardening, going for walks, or gathering outside to share food (Herring 2014; Blanchette 2019). The impacts to water include contamination, harmful algal blooms, fish kills, and eutrophication in rivers and estuaries, especially when hurricanes flood the inner coastal plains with industrialized animal waste (Wing et al. 2000; Wing et al. 2008; NCCN 2021; Emanuel 2018; Christenson et al. 2022). Access to water infrastructure in Sampson County is highly uneven, and residents have been advocating for improved access for more than a decade. 

In response to concerns expressed by community members, EJCAN launched a water quality testing initiative with university-based collaborators to increase knoweldge about the impacts of multiple hazards on water. Industrialized hog feces contain pathogens, heavy metals, and antibiotic-resistant bacteria that growers store in large, open pit lagoons (Grant 1999; Wing et al. 2008; Blanchette 2019; Christenson et al. 2022). When operators spray the waste onto nearby fields, they also release air and waterborne contaminants. Scholars have linked airborne emissions from industrial hog operations to respiratory dysfunction, mood disorders, compromised immune function, anemia, kidney disease, tuberculosis, and low birth weight (Wing et al. 2000; Kravchenko et al. 2018; Guidry et al. 2018). Moreover, the odor is noxious, causing nausea, embarrassment, disorientation, and social loss in cultural continuity as people cease culturally meaningful practices like gardening, going for walks, or gathering outside to share food (Herring 2014; Blanchette 2019). The impacts to water include contamination, harmful algal blooms, fish kills, and eutrophication in rivers and estuaries, especially when hurricanes flood the inner coastal plains with industrialized animal waste (Wing et al. 2000; Wing et al. 2008; NCCN 2021; Emanuel 2018; Christenson et al. 2022).Through Sampson County there is uneven access to water quality infrastructure, and residents have been advocating for improved access for water quality for more than a decade.   

A professor of Medical Anthropology at Harvard University, Dr. Byron Good, Ph.D. is an anthropologist who has conducted research on mental illness and the society's perspective on various mental illnesses. He has authored and published numerous research articles, publications, and books on his areas of research. 

The authors cite instances of violence against healthcare providers and the environments in which these instances have occured. Anecdotal evidence along with research data on these issues are presented to support the authors' case.

"Moreover, in any mumber of disasters over the past two centuries, the 'disaster investigation,' far from proving itself the dispassionate, scientific verdict on causality and blame, actually emerges as a hard-fought contest to define the moment in politics and society, in technology and culture."

"And, no investigation he could provide would change the fact that most Americans viewed the burning of the Capitol in 1814 as a diplomatic and military, not an engineering, disaster."

"Certainly the move to NIST places a great premium on the power of "investigation" as not only a technical, but also a moral tool, a sacred act, assigning a higher meaning to the tests and calculations that must ultimately assign causes and fix blame--but this is nothing new in American history. While the investigator's tools may have sharpened since Latrobe's study of the Capitol, the Hague Street inquest, or the Iroquois Fire, disaster investigation still pits expert against expert, the demand for patient study against the will to rebuild and forget."

This policy was, in part, designed to prevent "patient dumping" whereby hospitals would refuse to treat certain patients due to inability to pay for treatment and either refuse admittance or transfer them to other hospitals. Furthermore, it specifically addresses female patients in active labor, requiring that hospitals ensure that these patients are also treated and stabilized in the emergency department or receiving facility.

The authors rely heavily on anecdotal evidence provided through interviews of survivors of Hurricane Katrina, though they supplement this with statistics, socioeconomic data, and mental health data.

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.