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Morgan: What insights from critical theorizing about place can inform current efforts to understand and respond to the COVID-19

alli.morgan

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.

Morgan: Where are you situated as COVID-19 plays out? What backstories shape your engagement with COVID-19? How can you be conta

alli.morgan

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?

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erin_tuttle

The article primarily discuss the motivations behind emergency response, and how that effects the actions taken by emergency response organizations. The authors claim that emergency response is motivated primarily by nationalism or self-preservation due to the global threat posed by epidemics and other health crisis. The idea of an emergency modality is presented, where rapid response to emerging issues is used as a preventative measure to avoid the spread of a crisis across national borders. The authors claim that emergency modality is the usual protocol for global health organizations due to the funds and resources available after an emergency due to public attention that are difficult to obtain for long term health problems.

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erin_tuttle

There are seven authors on this project, all of whom are connected to research institutes or universities. The project was primarily written by individuals associated with the Stockholm International Peace Research Institute, which has a good reputation.

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erin_tuttle

The World Trade Center collapse was a unique disaster for American organizations to deal with, the aftermath and subsequent investigation into the collapse shows a need for a unified system of authority between investigative organizations. The paper shows the development of his system using several other disasters throughout American history.

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erin_tuttle
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This policy has significant implications as to the future of EMS and fire response, if it became common to carry firearms while on duty. While there are safety benefits, and EMS personnel in Bethel Township say they are also more confident knowing they could defend themselves, it is important to recognize that police have extensive training and protocols on when and how to safely use their firearms. Police should still respond to EMS calls if there is any suspicion that the scene may be unsafe. Additionally, the knowledge that calling an ambulance also means calling several people who may be armed could negatively affect the public opinion of EMS. EMS is here to help the public, and for this to be successful those in need have to feel safe calling 911.

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erin_tuttle

The argument is supported through a combination of personal stories, historical changes in protocol, and analysis of the reasons why applicants resort to a medical argument for residence permits. The use of personal stories of applicants highlights the inconsistencies in the process largely due to compassionate bias on the part of officials reading the applications, as well as the resources available in different cities. As the protocols were changed the article shows that while some of the inconsistencies were resolved, the process of determining who can and cannot receive medical treatment necessitates personal judgment which inevitably affects the outcome.

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erin_tuttle

The policy addresses the support and funding provided by the federal government to victims of a disaster, including the basic needs such as food, water, and access to health care through responding organizations. This policy focuses on the coordination between responding groups as well as the long term funding and support systems that will be in place to aid survivors with rebuilding.