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“Since asthma surveillance data were not available at the census tract level for most of Louisiana, we estimated asthma burden using the inpatient discharge data available through LDH.”  (4)

“Case counts are not provided for CTs with a 2018 population of less than 800 to safeguard privacy.” (4)

“To minimize the need for suppression, inpatient discharge data was aggregated for the three most recent years available (2017–2019) and average annual crude rates were calculated for cases where asthma (ICD-10 code J45) was the primary diagnosis, as well as where asthma was any diagnosis.” (4)

“Spearman’s Rank Correlation was utilized to analyze the correlation between various social and environmental vulnerability factors, COVID-19 incidence, and the measures of asthma risk by CT.” (4)

“This was performed by first ranking the values in each dataset using RANK.AVG function in MS Excel 2016, followed by applying the PEARSON function to compare two datasets. Significance was set at alpha less than 0.05 (α < 0.05), with degrees of freedom (df) equal to two less than the total number of data points represented in both datasets” (4)

The research team works for the Section of Environmental Epidemiology and Toxicology, Office of Public Health, Louisiana Department of Health in Baton Rouge. Team members included Arundhati Bakshi; Shanon Soileau; Collete Stewart; Kate Friedman; Collete Maser; Alexis Williams; Kathleen Aubin; and Alicia Van Doren. 

“Currently, much of the environmental focus of the pandemic remains on PM2.5 levels; however, we noted that higher levels of ozone was consistently associated with higher incidence rates of COVID-19, and it was the only environmental factor that appeared to have an additive effect over SVI on COVID-19 incidence (Fig 1).” (11)

“Specifically, our data show a moderately strong positive correlation between SVI due to minority status/language barrier and three health data variables: asthma hospitalization; estimated asthma prevalence; and cumulative COVID-19 incidence at 3 months (Table 2). Interestingly, SVI measures were either negatively or not significantly correlated COVID-19 incidence at the 9-and 12-month time points, indicating that social vulnerability factors may have played a greater role in COVID-19 spread early in the pandemic, but may have been of diminishing importance as the pandemic wore on (Fig 1 and Table 2).” (9)

Bakshi A, Van Doren A, Maser C, Aubin K, Stewart C, Soileau S, et al. (2022) Identifying Louisiana communities at the crossroads of environmental and social vulnerability, COVID-19, and asthma. PLoS ONE 17(2): e0264336. https:// doi.org/10.1371/journal.pone.0264336. 

This document uses data resources from the Center for Disease Control/Agency for Toxic Substances and Disease Registry (CDC/ATSDR), the Environmental Protection Agency (EPA), and the Louisiana Department of Health (LDH).

These data resources include the Social Vulnerability Index (2018 - CDC/ATSDR), the NATA Respiratory Hazard Index (EPA 2014), PM2.5level (average annual concentration in ug/m3, EPA 2016), ozone level (summer seasonal average of daily maximum 8-hour concentration in air in parts per billion, EPA 2016), indoor mold concerns reported to IEQES program (average annual number of calls, LDH 2017-2019), cumulative COVID-19 incidence rate at 3-, 6-, 9- and 12-month increments (LDH March 2020 - March 2021), asthma hospitalization (average annual crude rate, where asthma was a primary diagnosis among hospitalization cases, LDH 2017-2019), and estimated asthma prevalence (average annual crude rate, where asthma was any diagnosis among hospitalization cases, LDH 2017-2019).

Protests to demand inclusion as project-affected people

Oppositional mobilizations - “internal to the logic of the project” p153 - so people do not consider something less damaging to the land and animals or a way to do it with less extraction of resources and profit for elite people in Kathmandu or in Europe/the US/China who do not really have to bear any of the cost of it. 

The author thinks that information circulated about the shareholder model - financial education - would be helpful - he notes that it would have to be oversimplified and made into financial narratives even though it is a complex socioenvironmental decisions. But his final conclusion is more optimistic. I think this kind of corporate-led education is a big foreclosure.

The certifications, following through with trainings that were asked for, and doing the certification ceremony for an audience

Rhetoric of benefit-sharing

The high levels of buy-in; the quotes from locals themselves supporting the dam and the company, they can honestly boast strong local support of the projects - what better proof than that people have dug up their life savings from the ground to buy the stocks?

The corporate actors aren’t particularly fleshed out in this account. The World Bank people weren’t expecting the Nepalese people to come deliver demands in a very educated and efficient way 

Ah there was one part where the corporate actors feel like the Nepalese people who live near the dam sites are extorting them - in this case they don’t feel like they’re helping but rather conceding to unreasonable demands, the poor corporation has to be the government and the villagers have these crazy ideas about how much money the corporation has (the corporation does have the money… it’s extremely ironic)

We don’t get to know how the corporate actors feel about the shareholder model - do they begrudge the shares not being sold to their family or something like that, or do they recognize that this is really also a sharing of risk and cost, more than just being pure benefits in a ‘help’ way?

Power outages and material scarcity → moral and social authority for government and corps to act quickly - “Discursive momentum”

Hydropower has been reframed as a sustainable/green energy source, esp. With carbon finance, so now institutions like the World Bank are funding it - it is a responsible way to bring about development. In Nepal, the government is also trying to declare Nepal as “open to business” - the ethical thing to do is to let corporations in to build hydropower dams 

Local people are there with them - some people say they are willing to have their houses submerged, the government is the unethical party for blocking the development from happening - the quote from someone is ‘some foreign country should get Nepal and develop it’ (Rest 2012:113), p151 here.

This text has a lot on governance:

More people bought shares during Chilime Hydropower Company public offering in 2010 than voted in the recent national elections in that more remote district. 

“Hydropower is our government now” - p150 - there is a “vacuum of governance” - so “hydropower sector has become a major political force in its own right, at both the national and local scales, adn investment in the hydropower sector is seen as a bellwether of political stability. The Nepalese state is reforming alongside the political economy of hydropower - the production of the hydropower future ensures the economic and political coherence of the state, and vice versa” - p150 - hydropower sector and Nepalese government are mutually constructive

P151 - “role of hydropower companies seems to rival or eclipse the role of government as a provider of social services…” So when people get classified as project-affected they finally get services that the government has failed to provide - better entitlements, faster, more promising recognition. The corporations even complain about being treated as the government: “To them we are the government, they give us all their demands” p151

Not just the corporation, but “industry beholden to donor standards and international conventions is a much more effective” p152

“Neoliberal spaces of exception” - so the state has made a lot of exceptions and ceded a lot of power to the corps (this isn’t directly CSR) 

Corps can make competing territorial claims - people who are project-affected “now attempt to make claims as project-affected people with rights, based on the architecture of international conventions and agreements”  p153

P155 - the corporation collected data to determine who would qualify as “project-affected” - it was more detailed and recent than the census - they provided this data to the local government - the corporation made not only eligibility determinations but also about what counts as living there and what documents are good enough as proof

Villagers have specifically requested cooking classes for Chinese and European food because they expect the infrastructure to bring tourists. And they did indeed get the cooking classes - there was a ceremony to certify the women who did the 2 week class, they wore traditional Tamang clothes. 

“Shareholder model” - also known as “benefit sharing” - “local” people who are categorized by the company as “project-affected” have 10% of shares reserved for them. This model was also the result of a court case - the shares are typically sold to the people that Nepali politicians are friendly with, so an alliance of people living near where the dam was being constructed demanded a share of the benefits. And presumably, the Colonial country where the hydropower company is based, in the frequent cases where the company is international, gets a very healthy chunk of the 90% of unreserved stock. 

People are familiar with the logics of CSR and mobilize to get their demands - efficiently deliver their demands when they know world bank officials are coming. 

“People-public-private-partnership” - another way to describe it.