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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).

The positioning that you have to choose, and that Bono gets to choose, between livable working conditions and wages vs HIV treatment - forecloses possibility of HIV treatment AND acceptable working conditions. 

Forecloses critique of the industries’ unethical work conditions - because they are “proven” by inspectors to have good working conditions, and the bodies of the HIV worker-patients who are treated are proof of the goodness of the corps

Worker resistance is foreclosed because they know they depend on this “ethical” reputation to even have industry in their country, which is needed for survival because of past extractions and present oppressive global trade conditions

Bind that the workers are in - they have to perform the ethicalness and pretend their working conditions are ok when inspected because they know that their job (and the whole country’s export industry) depends on this performance of ethicalness and goodness of the factory

Performed Inspections provide proof, as do their HIV-treated bodies

Bono - celebrities promoting - people and at the stores purchasing/consuming branded RED products - blatantly baking “ethical” into the branding of consumer goods. 

Obscure bad working conditions with success of HIV treatment

ALAFA - while genuinely caring about workers’ health, they have made a decision on their behalf that this HIV treatment is what matters, and their working conditions don’t matter; same for Bono of U2 as an example celebrity here.

Fails on the worker’s understanding of responsibility to care for the sick -  violation of moral order because factory makes you sick 

Rejects and sidesteps responsibility for horrible working conditions (exposure and unlivable wages, no maternity leave, insecure) - focus instead on the HIV, for which they claim they have no responsibility, the HIV was already there, so they are responsible for treating those who are their current factory workers, giving them drugs and treatments that help them to be productive bodies, give them trainings that responsibilize them for getting the disease

The ethical is something you can enforce with these performed audits

The ethical is something consumers buy that’s branded and ethically produced - the ethical production is “no sweat” and also made by people whose suffering the profits can go to help

Celebrities and emotional and political sovereignty: “The vague network of forces for which Bono acts as spokesperson decides that HIV treatment is more important, and by extension, that labor violations, work rights, poverty, occupational health risks are less urgent forms of social suffering” -p474

ALAFA, a PPP organization, also makes this decision for the workers

ILO as well, as the inspectors

CSR through humanitarian fetishism, humanitarian consumption of ethical production, ethical industries or ethical production zones, where up the supply chain the brand buyers demand suppliers down the chain be “ethical” (while still demanding obscenely low prices, so of course it’s not possible). 

Ethical production zone against the race-to-bottom for garment manufacturing - instead of the labor being cheap they are sick in a way that the corporation can treat to its own benefit while gaining moral capital - it is a PPP so there are many “stakeholders” paying for different things

Celebrity involvement - consumers of humanitarian products

The authors productively place three bodies of theory in conversation, abolitionist theories, urban political ecology, and decolonial theory, to rewrite the intellectual trajectories of EJ as extending the legacy of the Black Radical Tradition. What are our intellectual and political genealogies as students and researchers of the quotidian anthropocene? What genealogies are we pushing against? Drawing from their examples of spaces and historical moments of interracial solidarity, what kinds of coalitions do we see ourselves partnering with and contributing to as (largely?) newcomers to the activism in Austin?