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BIOETHNOGRAPHY: “Thus, instead of combining objects of inquiry (biology and culture), I conceived of bioethnography as combining two different methods for knowing the world (Mol 2002, 153)—ethnographic observation and biochemical sampling—in order to ask and answer research questions that could not be addressed through either method alone. This methodological focus involves exploring how our data collection and analysis might be shaped if we suspended the nature/culture binary” (Roberts, 2021, p. 2)

“bioethnography asks, what if we created numbers otherwise, upending the cooked data that reinforces inequality? In fact, bioethnography can enable us to identify structural forces, such as NAFTA and the global health apparatus itself, that are part of the bodily processes that make ill health. In other words, while we know that all data is cooked, it matters how it’s cooked.” (Roberts, 2021, p. 5)

Roberts describes their ongoing bioethnographic collaboration with a team of exposure scientists who are working in environmental engineering and health. Though ethnography is not easily enumerated, Roberts emphasizes that integrating it with quantitative data is worthwhile and makes for “better numbers”. As an example, Roberts describes 3 bioethnographic projects on neighborhoods, water distribution, and employment and chemical exposures. These projects were part of a longitudinal birth-cohort study in Mexico City called Early Life Exposures in Mexico to ENvironmental Toxicants (ELEMENT), created to understand the effects of early-life nutrition and exposure to toxicants (such as lead and phenols). Overtime, this project was expanded to include the study of new toxins (e.g. BPAS, mercury, and fluoride) and new health concerns (e.g. obesity, meopause, sleep).

Roberts’ focus on neighborhoods was produced from the ethnographic observation that neighborhood characteristics might influence exposure levels. Following this observation, Roberts’ and ELEMENT researchers sorted participants by neighborhood and identified significant differences in blood-lead levels. Additionally, Roberts applied previous ethnographic observation and scholarship to argue that high levels of toxicants like lead correlate with the capacity of neighborhoods to withstand other dangers, such as police violence. These findings prompted the development of two new bioethnographic project centered on water and the effect of neighborhood dynamics on health.

This report was published by Human Rights Watch.

It appears that this is an NGO report. Human Rights Watch regularly publishes articles in an attempt to draw attention to percieved human rights issues throughout the world. They claim to be an independant organization supported by contributions from private individuals and foundations. They also deny accepting any government funds whether it be directly or indirectly.

The report was written to examine the severe increase in the number of internally displaced people in Bogot and Cartagena, Columbia. HRW was concerned with the number of people and families being forcibly displaced by paramilitary groups and their lack of access to education and public health services.

This report includes a glossary, a summary of the report and situation in Colombia, recommendations from HRW which address education, health needs, and the ability to return home, a section discussing the internal displacement in Colombia, registration and humanitarian assistance, a section discussing access to education, and a section which discusses access to public health services. The report concludes with a list of acknowledgements and a listing of other HRW reports on Colombia.

The data for this report were collected through over 70 interviews with people displaced from their homes and over 50 interviews with teachers, HCPs, activists, academics, lawyers, and government officials. In July and August 2004, with a follow-up visit to Bogot in September 2005.

This report discusses the adverse consequences that result from people being forcibly displaced from their homes. These consequences include reduced or eliminated access to public health and utilities, which can further exacerbate the problem because those native to the area where people are traveling can lose access when immigrants flood their systems.

This report doesn't have a great deal of impact with technical professionals. This report is much more geared toward those in the government in Colombia and actors in the international community. The report touches on the fact that hospitals and clinics are obligated to provide all persons with emergency care, but doesn't address emergency medicine more than that.

this report has spread to a number of academic institutions and their websites. This report seems to be relatively old, so I was unable to find any news reports that cited it. It appears that there are a number of other articles related to this topic; however, I was unable to find any direct connections between them and this report.