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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.   

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. 

"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. 

• "In a place of tremendous economic desperation, people competed for work in the zone of exclusion, where salaries were relatively high and steadily paid. Prospective workers engaged in a troubling cost benefit assessment that went something like this: if I work in the zone, I lose my health. But I can send my son to law school."
• "Opinions about how the state should address the fate of these Chemobyl victims also serve as a kind of barometer of the country's changing moral fabric."
• "At stake in the Chernobyl aftermath is a distinctive postsocialist field of power-in-the-making that is using science and scientific categories to establish the state's reach. Scientists and victims are also establishing their own modes of knowledge related to injury as a means of negotiating public accountability, political power, and further state protections in the form of financial compensation and medical care."