Analyze

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. 

How is the aftermath of COVID-19 crisis being imagined in different settings? How is this shaping beliefs, practices, and policies?

The college was created to continue New York State's position as a leader in homeland security, cybersecurity and emergency preparedness and as a response to the growing need for professionals in those fields. Advances in technology, and increased threats to terrorism and cybersecurity in the past few decades called for the formation of this college. Overall it was a strategic political and economic decision by Governor Andrew Cuomo as it would provide training in a field that's expected to grow by 650,000 employees (for cybersecurity) in the next decade*.

*http://www.albany.edu/news/57214.php

The argument is supported with case studies, anecdotal evidence from medical officers, research on the history of the article, and news reports regarding the law. 

The policy doesn't specifically address the elderly or children, who are very vulnerable populations during disasters/ emergencies (but it does address pets and animals in Title IV).

The narrative is sustained through Atul Gawande's experience and research into improving his end-of-life care for his own patients by meeting with other healthcare professionals (oncologists, palliative care experts and surgeons), and analyzing his actions with his father. The film has strong emotional appeal, as loss of loved ones is a common experience, and difficult for all parties involved. 

Scientific info isn't really in depth (disease processes aren't talked about) mostly just psycho-social aspects discussed. 

Violence against health care workers is the subject of the article so emergency medical response is addressed directly, but mostly within the context of humanitarian aid. 

While the practical yield of such circumscribed inquiry has been enormous, exclusive focus on molecular­level phenomena has contributed to the increasing “desocialization” of scientific inquiry: a tendency to ask only biological questions about what are in fact biosocial phenomena [1].

What would happen if race and insurance status no longer determined who had access to the standard of care?

Sometimes public health crises, such as the AIDS pandemic in Africa, can lead to bold and specific interventions, such as the campaign to provide AIDS prevention and care as a public good [54].

In this struggle, equity in healthcare is our responsibility.

The main arguments in the article are that globalization has created new threats to the public health and security on a global scale, with biological threats the foremost concern. "Biosecurity" is the goal, which looks at public health preparedness at all levels (local, national, international, global) with four domains: "emerging infectious disease; bioterrorism; the cutting-edge life sciences; and food safety." Despite increasing defenses and plans for current threats, the article notes that we need to become better at predicting new threats and identifying risks to biosecurity while adapting to changing political, environmental and infrastructure factors that create difficult ethical decisions. 

1. Nobel Prize winner Joshua Lederberg noted the connections between global inequality and threats to U.S. health security: “World health is indivisible, [and] we cannot satisfy our most parochial needs without attending to the health conditions of all the globe.”

2.Erin Koch (chapter 5) describes the implementation of a TB-control program called DOTS (for “Directly-Observed Treatment, Short-Course”) in post-Soviet Georgia.

3. the problem of maintaining quality control over global food and drug production chains, as indicated by recent scandals over the regulation of ingredients for pet food, toothpaste, or blood thinner that are imported from China.