C-Urge project is a doctoral network set up to research and better understand the complexity of climate and enviromental change, that is happening on global, as well as on a local scale.
Through various research approaches set in various countries, we aim to highlight the notion of urgency and need to enrich the debate around the topic of environemtal change, that is both fast, and subtle and poses a serious challenge for the future.
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.
" we aim to provide an overall picture of what we have learned from decades of research on the presentation, burden, correlates, and treatment of mental disorder following disasters. We also describe challenges to studyingdisaster-relatedpsychopathologyandlimitationsinourcurrentmethodologiesandoffer directions for future research."
"Childrenexposedtodisastersareparticularlyvulnerabletopsychologicalproblems,mostcommonly symptoms of anxiety (e.g., PTSD, panic, phobias) and depression but also acute stress reactionsandadjustmentdisorder(27).Elevatedvulnerabilityamongchildrenmaybeafunctionof their being less equipped to cope with what they have experienced (49)."
"Psychological first aid (PFA) has become the preferred post-disaster intervention, with three goals: Secure survivors’ safety and basic necessities (e.g., food, medical supplies, shelter), which promotes adaptive coping and problem solving; reduce acute stress by addressing post-disaster stressors and providing strategies that may limit stress reactions; and help victims obtain additional resources that may help them cope and regain feelings of control"
The argument is supported through research into political trends - the survivors gave up their own values to support anyone that could help them. There were interviews with the survivors and those living in the area - they dicussed how their lives changed, their inability to find work and their health issues that started immediately or soon after the disaster. The authors also did research of programs to help the survivors - looking at the compensation they could recieve, options for working, how to get healthcare, etc.
**Linda not Laura as I previously stated
"Two FDNY EMTs who had to intervene to stop four police officers beating a handcuffed patient on a stretcher have turned the cops in to authorities"
""Three cops began to punch the patient in the face, EMS (had) to get in the middle of it to intervene. Pt's. wounds and injuries cleaned in the (ambulance)," the report said."
Institute for Justice and Democracy in Haiti - Boston nonprofit - human rights
NPR - National Public Radio - news source
President Michel Martelly - Haitian president
Nepalese soldiers - from the UN - brought Cholera
United Nations
SecretaryGeneral Ban Kimoon - UN
Haitian Ministries of Health and Environment
Center for Economic Policy and Research - Washington
U.S. District Court Judge J. Paul Oetken
I looked up the rates of hospital bankruptcy/closing, the results looked to be interesting. The article (http://www.healthcarefinancenews.com/news/hospital-bankruptcies-result-…) makes it seem avoidable, if the warnings are taken seriously in the years leading up to the crisis. "What they found was that filing hospitals tended to be smaller, not part of a health system and were more likely to be in the Northeast or West Coast. Many factors were involved, including poor financial management, changes in payer mix, reimbursement reductions, overzealous construction and purchasing of physician practices, decrease in volume and demographic shifts that were the impetus for filing."
I also looked up ER wait time statistics, by state, over the course of several years, etc. (https://projects.propublica.org/emergency/) Very interesting!
This article is more based on the response to disease spread, rather than response to a single emergency event.