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"Antibiotic Resistance in Louisiana"

fdabramo

I situate my research at the crossroads of history, philosophy, sociology and anthropology of science. In the past, I have focused on epigenetics, environmental research, empirical bioethics and environmental justice, within and outside the academia, as you can read here, or here. Now I am focusing on antibiotic resistance, and I use it as a lens to interpret the contradictions of the last century derived by industrial production, environmental degradation and biomedical cultures.

What interests me is the (at that time) new epistemic discourse that since the Forties has been produced to explain morphological changes of organisms produce when they experience new environmental conditions or perturbations. Through an important experiment at the base of the so-called concept of genetic assimilation, Conrad H. Waddington showed that a thermic shock can produce changes in wings’ veins of fruit flies, changes that can eventually be inherited across generations, without the environmental trigger that caused them.

This focus on production and (genetic) storage of biological differences elicited by the environment is nowadays coupled with the knowledge produced through microbiome research that explains the phenotypic patterns that recur across generations.

In a thought-provoking twist, with microbiome research, the focus shifts from production and inheritance of biological differences to production and inheritance of biological similarities. Microbiome research shows that some phenotypic patterns are allowed by ecological communities of microorganisms composing all animals. Bacteria allow the development and functioning of our bodies within an epistemic framework that is now key to understand biology. The network of vessels composing mammals’ stomach is formed through cellular differentiation and expression of genes coordinated by bacteria. The same is true for our immune system that is coordinated by gut bacteria. Food, which is an important aspect of our lives also impacts on this microecology and mediates between our biological functions and functioning of means of production whose parts dedicated to food production have immense importance for our biology and our internal and external ecologies. Antibiotic resistance is one of the crossroads where culture, biology, history and the Anthropocene meet. Indeed, Antibiotic resistance shows that means of production of our societies have an even more widespread, deep and allegedly unexpected impact on the biology of animals and plants. The microorganism can indeed adapt to resist the selective toxicity of antibiotics. Moreover, bacteria can transfer their genetic code horizontally, by touch, so that we can acquire antibiotic resistance by eating food that functions as a vector, by hosting lice on our heads and many other contacts. Bacteria that are resistant to antibiotics that have been used as growth factors in animal husbandry and to prevent diseases in livestock and aquaculture, spread in natural ecosystems and can be found in wild species. Rivers and estuarine waters are places hosting antibiotic resistance.

Searching on PubMed (the search engine for biomedical literature) titles of articles containing the terms ‘antimicrobial’ and ‘Louisiana’ I retrieved just one twelve-years-old article. No results with terms such as 'Mississippi' or 'New Orleans'. The authors collected and analysed Oysters from both waters of Louisiana Gulf and in restaurants and food retailers in Baton Rouge. In most of the samples gathered, scientists recognised the presence of bacteria (Vibrio parahaemolyticus and Vibrio vulnificus) resistant to specific antimicrobials. Food production is indeed the first factor in terms of the quantity of antibiotics used. This use and related antibiotic resistance impact all the living beings present in a specific area, and can easily travel around the globe through many channels. As Littman & Viens have highlighted, a sustainable future is a future without antibiotics as “there may be no truly sustainable way of using antibiotics in the long-run, as microorganisms have shown to be almost infinitely adaptable since the first introduction of antibiotics” (Littman & Viens 2015). But in the meanwhile, we need to use them and antibiotic resistance is a phenomenon that can be better studied through environmental research, by analysing wild species and emissions nearby livestock, for instance.

The study that I retrieved focuses on Oysters. But what about antibiotic resistance conveyed through food that is consumed by the most?

What about exposures of communities that are living in highly polluted areas?

And what is the additive value on antibiotic resistance for individuals who experience the presence of industrial pollutants and that live in areas where cancer epidemics are registered?

In this respect, there is a strategy to cope with the issue of antibiotic resistance promoted by the Center for Disease Control and Prevention. The document doesn’t mention any action to monitor and regulate the production and usage of antibiotics in livestock. Nevertheless, the CDC wants to scrutinise, through genome sequencing, “Listeria, Salmonella, Campylobacter, and E. coli and uploads sequence data into PulseNet for nationwide monitoring of outbreaks and trends.” Moreover, the document reports that “In Fiscal Year 2019, Louisiana will begin simultaneously monitoring these isolates for resistance genes. When outbreaks are detected, local CDC-supported epidemiologists investigate the cases to stop spread.”

The questions that I would like to ask (to local ppl, activists, researchers, practitioners..) are:

What could be the epidemiologic characteristics (socioeconomic status, gender, residence..) of the populations more vulnerable to antibiotic resistance?

What is the additive role of antibiotic resistance for people living in highly polluted areas?

What is the impact of antibiotic resistance for people and patients living in areas where cancer incidence is high?

 

And on the long run I am interested in imagining possible strategies to not only living with the problem but also to tackle the problem itself, which means to develop strategies to answer the questions:

Why antibiotic resistance, which is known since a century, it’s a problem on the rise?

What is the role and interest of capitalism, in terms of profit-making of corporations, knowledge production and environmental degradation, in not being able to resolve antibiotic resistance?

What can be strategies of local communities to tackle the problem and to promote environmental justice in terms of alliances with ecologists, doctors, epidemiologists and other activists?

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rumil.rana

In terms of precaution regarding air pollution, the article talks about making good choices of transportation which means to walk or bike or take public transportation whenever feasible; choosing cars that have better mileage per gallon or electric cars; buying food locally grown rather than food from other places in order to reduce air pollution. 

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lynn316

Vulnerability the quality or state of being exposed to the possibility of being attacked or harmed, either physically or emotionally. When dealing with the children living in poverty in essex county this is assess by whay disadvantages they are automatically supjected to by living in the area with their current socioeconomic status

Resilience the capacity to recover quickly from difficulties; toughness. This is a reveiw of what resources they hold and how they are currently dealing with the issues that they are facing

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lynn316

A sacrifice zone or sacrifice area (often termed a national sacrifice zone or national sacrifice area) is a geographic area that has been permanently impaired by environmental damage or economic disinvestment. These zones are most commonly found in low-income and minority communities. Children that grow up near these areas are more likely to have asthma and other lung issuesd

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rumil.rana

The article talks about improving pollution in industrial neighbourhood but they forget to realize that there is water contamination in Newark and also the fact that what can be done to improve pollution rather than just stating to improve pollution but they forget about the pollution thats already been emitted, what can be done regarding that. 

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lynn316

Full annotation

Annotate ONE of the readings assigned for the week. The reading you choose must have an asterisk next to it in the syllabus (hint: the longer readings will almost always have an asterisk). Annotations should be at least 200 words, excluding the quotes and citations. Please use the following format:

1. Citation:  ACNJ (2018, March). Newark Kids Count Report  2018 . Retrieved from Kids Count Data Center:https://acnj.org/kids-count/newark-kids-count/2. What three quotes capture the critical import of the text (include page numbers)?Newark has high rates of both. As indicated in this year’s Newark Kids Count, 37 percent of Newark families with children live under the poverty level. Additionally, Newark’s housing stock is relatively old, with 73 percent of households living in homes built before 1980, two years after lead paint was banned. The most up-to-date science recognizes that even very small amounts of lead in a child’s body can cause lifelong damage. The State of New Jersey has recognized this fact by lowering the blood lead level necessary to trigger state action, from 10 micrograms per deciliter to 5. This reflects federal CDC recommendations (ACNJ 7,2018)Importance: There was a common misconception that the issue with lead in the city of newark came from the water systems when actually it came from lead based paint. Newark is extremely old in it history  along with its housing, Some homes date back to almost three hundred years, which dates back to when leadbased paint was the only option.When a family spends too much money on rent, they have less to spend on other necessities, such as food or transportation. The 30 percent of income standard has been in use since the 1930s. 1 In 2016, 59 percent of Newark families spent a significant portion of their income on rent — far higher than the statewide figure of 49 percent. The 2016 median monthly rent for Newark residents was $1,013, just $231 less than the statewide median rent. With a median income of less than $35,000, Newark families with children face disproportionately high housing costs.(ACNJ 24,2018)Importance: The Price of housing in the city of newark economically handicaps the majority of its inhabits. When a family has to spend more than 30% of the total monthly income not only are they unable to save but also it could possible make them unable to afford other basic nessesities such a healthy non processed food, if any.Students who miss 10 percent of school days (about two days a month) are more likely to fall behind in school and not graduate on time.(ACNJ 43 ,2018)Importance: For children that come from a low income background, education for many is the only way that some are able to change their socio-economical status.3. What is the main argument of the text, AND how does the author support it?The Report starts off by giving the statistics of the demographic background of the children of newark and how the population is growing, birthrates and foreign born children. LAstly it mentions the  number of single parent homes in the area. This directly flows into the economical portion because these single parent homes account for 87% of those that live in poverty.  Then it goes into the economic scope while highlighting "Family Economic Security " and " Economically Disadvantaged Children" along with Unemployment and how it influencese children . Housing Costs and how they directly determines the remaining portions that can be alloted to Food, and the lack of Nutritional Benefits children our left with. The report mentions programs that aid to contributing nutritional  diet that impact health for example, School Breakfast.  More topics such as : education,child neglect, prenatal care4. Responses, reflections, or questions:Does HUD plan on increase the amount of affordable housing in Newark?Does Newark plan one creating a lead removal fund program for current home owners?Should Pre-K be mandartory? Would that be wise to do in Essex County and would it influence the Academic preformance?