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Sherri White-Williamson collects a water sample in Sampson County, NC (March 2021)

rwitter

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.   

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erin_tuttle

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. 

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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.

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erin_tuttle

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. 

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erin_tuttle

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. 

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erin_tuttle

The program is well regarded by the public, both international and the Hatian community. Articles have been written in many countries and the program recieved positive news coverege in Hatian news outlets and newspapers. Other emergency response organizations have also taken note of the program, and presented it as a successful relief effort. 

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The aim of the program is to provide courses to train Haitians to enhance their rehabilitation skills as Haiti has a lack of the rehabilitation professionals (this situation happened with both of before the earthquake and aftermath). After taking the courses, the citizens can either be rehabilitation technicians or orthopedic technicians.