Search

California’s Central Valley is arguably the most productive agricultural region in the world. Despite making up only 1% of all farmland in the United States, it produces 250 different crops that make up a quarter of all food consumed in the U.S., including close to half of all fruit, nuts, and table foods. The map included below shows the variety and intensity of this kind of cultivation. This level of agricultural production has been made possible by the dominance of industrial agriculture interests at all levels of government, resulting in one of the most physically altered landscapes in the world. These alterations focused in large part on water, the biggest limiting factor for industrial agriculture in a region technically classified as a desert. Over the course of the 20th century, the largest body of freshwater west of the Mississippi–Tulare Lake–was drained to make more land available, the Central Valley Project and State Water Project built thousands of miles of canals and tens of dams to control the supply of water for irrigation, and massive groundwater aquifers were pumped nearly dry during drought years. These transformations were accomplished through the utilization of rhetoric that emphasizes the centrality of the farmer identity to the American political imaginary (despite the massive distance between Californian industrial agriculture and the Jeffersonian agrarian ideal) and the unique importance of providing the nation’s food. This kind of exceptionalism has characterized agriculture across the United States since its inception and has repeatedly produced other forms of social injustice (e.g., the exclusion of agricultural laborers from U.S. labor protections) that compound the hazardous effects of its environmental injustices.

Source

Vo, Katie, Taranjot Bhari and Margaret Tebbe. 2023. Industrial Agriculture in California's Central Valley. In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

California’s Central Valley is arguably the most productive agricultural region in the world. Despite making up only 1% of all farmland in the United States, it produces 250 different crops that make up a quarter of all food consumed in the U.S., including close to half of all fruit, nuts, and table foods. The map included below shows the variety and intensity of this kind of cultivation. This level of agricultural production has been made possible by the dominance of industrial agriculture interests at all levels of government, resulting in one of the most physically altered landscapes in the world. These alterations focused in large part on water, the biggest limiting factor for industrial agriculture in a region technically classified as a desert. Over the course of the 20th century, the largest body of freshwater west of the Mississippi–Tulare Lake–was drained to make more land available, the Central Valley Project and State Water Project built thousands of miles of canals and tens of dams to control the supply of water for irrigation, and massive groundwater aquifers were pumped nearly dry during drought years. These transformations were accomplished through the utilization of rhetoric that emphasizes the centrality of the farmer identity to the American political imaginary (despite the massive distance between Californian industrial agriculture and the Jeffersonian agrarian ideal) and the unique importance of providing the nation’s food. This kind of exceptionalism has characterized agriculture across the United States since its inception and has repeatedly produced other forms of social injustice (e.g., the exclusion of agricultural laborers from U.S. labor protections) that compound the hazardous effects of its environmental injustices.

Vo, Katie, Taranjot Bhari and Margaret Tebbe. 2023. "Industrial Agriculture in California's Central Valley." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

The Global Burden of Disease (GBD) study that the authors reference and model their call to action around is the worlds' largest scientific effort to quantify trends in health. It is lead by the Institute foe Health Metrics and Evaluation (IHME) at the University of Washington. It began in 1990 as a World Bank-commissioned study and is known for having introduced the disability-adujusted life year (DALY) as a new metric to quantify the burden of disease, injuries, and risk factors (or determinants), and enable comparisons. 

The 1990s were  a turning point for global health structures of governance and knowledge production, which the GBD study exemplifies. Global health experts began increasingly reframing health and healthcare in technical terms like DALY, removing health from public governance in ways that complemented and bolstered structural adjustment policies that were introduced in the 1980s (Janes 2004). As a result of these policies, the size, scope and reach of healthcare delivery and public health services were steadily reduced and downgraded. Anthropologists have been critical of these processes and other perceived failures in global health: the collapse of primary care initiatives fostered at Alma Ata in 1978, the resurgence of selective forms of primary care and vertical public health programs, and the ascendency of the World Bank as the principal health policymaking institution (Janes 2004, 2009).

Janes, Craig R (2004). "Going global in century XXI: medical anthropology and the new primary health care." Human Organization 63, no. 4: 457-471.

Janes, C. R., & Corbett, K. K. (2009). Anthropology and global health. Annual Review of Anthropology, 38, 167–183. doi:10.1146/annurev-anthro-091908-164314

The educational program in Haiti organized by Handicap International aims to train citizens of Haiti for careers as rehabilitation technicians and orthopedic technicians. The program is designed to provide a recognized degree allowing graduates to work as technicians under the supervision of physical therapists and orthopedic doctors. 

Handicap International brings aid to places dealing with the aftermath of natural disasters. In this case the Rehabilitiation Technicians pogram was created in response to the 2010 earthquake in Haiti, during which thousands of Hatians needed orthopedic rehabilitation or prosthetics and there was a significant shortange of specialized medical professionals. The program was created to respond to the need for rehabilitation professionals to deal with the immediate aftermath of the earthquake and the continuing care of those permanently disabled.

This program is one of many run by Handicap International, and supported by the United States Agency for International Development. The program was run at Healing Hands for Haiti (http://www.haitilibre.com/en/news-14990-haiti-health-first-in-haiti-tra…), with instructors from the Universidad de Don Bosco in El Salvador. 

The program is funded primarily by Handicap International, with additional funding from the United States Agency for International Development.

The program is devided into two degrees with different requirements, the rehabilitation technician degree is 18 months or in-class instruction and practical experience while the orthopedics technician degree is 2 years. Hatian citizens over the age of 18 are allowed to take the course. At the end of both courses the students must pass the International Society of Prosthetics and Orthotics Exam to graduate. 

The program is targeted for Hatian citizens over the age of 18 with an interest in the rehabilitaiton field as a career. 

The program provides the graduates with a degree, recognized by the Hatian government and the International Society of Prosthetics and Orthetics as officail proof of training and ability in the rehabilitation technician field.