Search

By Scott G. Knowles: As part of the STL Anthropocene Field Campus the research team visited the Wood Refinery Refinery History Museum on March 9, 2019. This museum is located on the grounds of the Wood River Refinery, a Shell Oil refinery built in 1917 and today owned by Phillips 66. The site is Roxana, Illinois, just upriver from Granite City, and just over two miles from the convergence of the Mississippi and Missouri Rivers. Sitting on the actual grounds of the refinery, the museum is an invitation to think across the micro, meso, and macro scales of the Quotidian Anthropocene, in terms of geography and also in terms of time. This refinery was built at the crux of the WWI, at a time when United States petrochemical production was entering an intensive phase of production, invention, corporate structuring, and global engagement. The museum is an invitation to think across temporal scales, backwards to the start of the refinery--through the individual lives of the workers and engineers whose lives defined the refinery--and forward to indeterminate points of future memory. This photo captures a key moment in an informal interview we did with one of the history guides. He had worked in the museum for decades before retiring. He explained to us that the museum sits in the former research facility of the refinery--and the glass plat he is showing reveals a beautiful artifact, a photograph made of the complex when it was built. Our guide only showed us this collection of slides after our conversation had advanced, perhaps after he was sure we were truly interested in his story, and the deeper history of the refinery. The pride in the place, the community of workers, and the teaching ability of the museum was manifest. The research team felt impressed, but also concerned about the health impacts (and naturally the environmental impacts as well) of the refinery. There was a mismatch in the scales--the memory of the individual tied to emotions of pride and knowledge of hard work done there--and the Anthropocene, global scale of petrochemicals. How do we resolve this mismatch? The glass plate is somehow a clue.

This study examined the risk of acquiring Ebola Virus Disease (EVD) by healthcare workers in the setting of general hospitals and isolation units. By looking retrospectively at the Ebola Outbreak in Sierra Leone, the relative levels of risk to healthcare workers were computed and compared. The reasoning for these levels was also examined through interviews of surviving workers and the families/associates/colleagues of the deceased workers. The interviews reviewed common actions (and lack there of) for affected workers. This revealed certain themes that should be visited when reveising/creating hospital infection prevention and control policies.

In the case of this study, the vulnerable population examined was healthcare workers in Sierra Leone during the outbreak. These workers were found to be at a significant level of risk for transmission for a number of reasons. These include proximity to the virus (due to the occupation), lack of training in the area of infection control, and cultural factors (such as prevalence of self-medication and home management of illness). Nurses as a whole were most affected, with over half of the infected members. 

The data acquired in this study can be used not only for improvement in policies and training for healthcare workers, but also to examine the risk factors for the disease. One example is the age and gender disparities in those nfected. These could be explained by the typical age and gender of healthcare workers, but could also show a trend in risk when coupled with patient data. The data on the districts and their infection rates can be used to help pinpoint the origin of infection. 

The study was published in BMC Infectious Diseases, a peer-reviewed journal on the prevention, diagnoisis, and management of infectious disease. The journal seems to be genrally well respected.

This was a retrospective study. While not the most accurate and well supported way to conduct a study, due to the effects of recall bias, it was really the only way to gain the data that was presented in the report. There isn't really anything new about the style of research. 

At least one further study has been conducted using this data. A more focussed paper on the Kenema District in Sierra Leone was written, addressing the staggering number of cases with infected healthcare workers. The paper is titled "Facors Underlying Ebola Virus Infection Among healthcare Workers, Kenema, Sierra Leone, 2014-2015."  The paper reached similar conlusions as the original one, with a need for better practices in infection control and prevention. 

The study was funded by the WHO Country Office for Sierra leone.

The main point of this article is to look at the shortcomings of the response to the World Trade Center on 9/11/01 by the NYPD, PAPD, and FDNY. The article shows that the response was plauged by communication breakdowns between fire companies and commanders, a complete lack of communication between fire and law enforcement agencies with heavy roots in the history of the two departments, and an uncoordinated response by off duty firefighters, who swarmed the area after the attacks. The article discusses various improvements that could have been made after the 1993 bombing and would have significantly effected response on 9/11 such as the improvement and standardization of radio hardware and channels between departments, joint training drills, more rigid command durring response, and the adoption of the FEMA incident command system.

FDNY, Fire Department, City of New York
-composed of individual Engine, Truck, Ladder, Rescue, HazMat, and EMS companies, as well as other specialized units which handle most of the city's emergencies that could cause dammage to life and property. The FDNY was technically the agency in command of the response at the WTC site.

NYPD - New York City Police Department. 
-Provides law enforcement for the NYC. Police Emergency Service Units are also mentioned. These are groups which share some of the responsibilities and training of firefighters, and are familuar with technical rescue equiptment.

PAPDNYNJ - Port Authority Police Department of New York and New Jersey. 
-Responsible for providing protection at all of the major ports and entrances to NYC, incluing bus terminals, shipping docks and ports, train stations, rail yards, bridges, tunnels, and other commuter and shipping hubs.