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At the height of the West African Ebola epidemic, West African governments and Mobile Network Operators (MNOs) were barraged with requests from international humanitarian and Western data analytics agencies to provide Call Detail Record data. This data could furnish the large-scale ambitions of data modelling to track and predict contagion. Despite its utility in tracking mobility and, as such, disease, CDR’s use raises many privacy concerns. In addition, embedded within a turn towards datafication, CDR technologies for surveillance embed specific ontologies of the data-focused society they emerge from. There is a false equivalence embedded in the relationship between humans and technology. The predominantly Western idea that one phone equals one person underlines the claim that CDR data accurately tracks distinct user movements, encoding a Western “phone self-subjectivity” (Erikson 2018). However, the refusal by some African actors to hand over sensitive mobile data to international agencies was met with forceful rhetoric of Africa’s moral obligation to comply—to forgo privacy rights in the name of ‘safety.’ The Ebola context reflects an emergent digitization of emergencies in the Global South, which is reshaping the way societies understand and manage emergencies, risk, data, and technology. The big data frenzy has seen a rising demand to test novel methods of epidemic/pandemic surveillance, prediction, and containment in some of the most vulnerable communities. These communities lack the regulatory and infrastructural capacity to mitigate harmful ramifications. With this emergence is a pivot towards 'humanitarian innovation,' where technological advancements and corporate industry collaboration are foregrounded as means to enhance aid delivery. In many ways, these narratives of innovation and scale replicate the language of Silicon Valley’s start-up culture. Surveillance of the poor and disempowered is carried out under the guise and rhetoric of care. In this scenario, market ideals and data technologies (re)construe social good as dependent on the “imposition of certain unfreedoms” as the cost of protection (Magalhaes and Couldry 2021). As big data technologies, they foreground a convergence of market logistics and global networks with existing and already problematic international humanitarian infrastructures (Madianou 2019). These convergences create new power arrangements that further perpetuate an unequal and complex dependency of developing countries on foreign organizations and corporations. Pushback against these data demands showcases competing notions of where risk truly lies. While resistance to data demands was at the state level, community responses to imposed epidemic regulations ranged from non-compliance to riots. These resistances demonstrated how the questions of ‘who and what is a threat?’ or ‘who and what is risky?’ and ‘to whom?’ experience shifting definitions in relation to these technologies as global, national, and community imaginaries are reinforced and reproduced as cultural, political, as well as biological units. 

Source

Akinwumi, Adjua. 2023. "Technological care vs Fugitive care: Exploring Power, Risk, and Resistance in AI and Big Data During the Ebola Epidemic." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science.

(MNOs) were barraged with requests from international humanitarian and Western data analytics agencies to provide Call Detail Record data. This data could furnish the large-scale ambitions of data modelling to track and predict contagion. Despite its utility in tracking mobility and, as such, disease, CDR’s use raises many privacy concerns. In addition, embedded within a turn towards datafication, CDR technologies for surveillance embed specific ontologies of the data-focused society they emerge from. There is a false equivalence embedded in the relationship between humans and technology. The predominantly Western idea that one phone equals one person underlines the claim that CDR data accurately tracks distinct user movements, encoding a Western “phone self-subjectivity” (Erikson 2018). However, the refusal by some African actors to hand over sensitive mobile data to international agencies was met with forceful rhetoric of Africa’s moral obligation to comply—to forgo privacy rights in the name of ‘safety.’ The Ebola context reflects an emergent digitization of emergencies in the Global South, which is reshaping the way societies understand and manage emergencies, risk, data, and technology. The big data frenzy has seen a rising demand to test novel methods of epidemic/pandemic surveillance, prediction, and containment in some of the most vulnerable communities. These communities lack the regulatory and infrastructural capacity to mitigate harmful ramifications. With this emergence is a pivot towards 'humanitarian innovation,' where technological advancements and corporate industry collaboration are foregrounded as means to enhance aid delivery. In many ways, these narratives of innovation and scale replicate the language of Silicon Valley’s start-up culture. Surveillance of the poor and disempowered is carried out under the guise and rhetoric of care. In this scenario, market ideals and data technologies (re)construe social good as dependent on the “imposition of certain unfreedoms” as the cost of protection (Magalhaes and Couldry 2021). As big data technologies, they foreground a convergence of market logistics and global networks with existing and already problematic international humanitarian infrastructures (Madianou 2019). These convergences create new power arrangements that further perpetuate an unequal and complex dependency of developing countries on foreign organizations and corporations. Pushback against these data demands showcases competing notions of where risk truly lies. While resistance to data demands was at the state level, community responses to imposed epidemic regulations ranged from non-compliance to riots. These resistances demonstrated how the questions of ‘who and what is a threat?’ or ‘who and what is risky?’ and ‘to whom?’ experience shifting definitions in relation to these technologies as global, national, and community imaginaries are reinforced and reproduced as cultural, political, as well as biological units. 

Akinwumi, Adjua. 2023. "Technological care vs Fugitive care: Exploring Power, Risk, and Resistance in AI and Big Data During the Ebola Epidemic." In 4S Paraconference X EiJ: Building a Global Record, curated by Misria Shaik Ali, Kim Fortun, Phillip Baum and Prerna Srigyan. Annual Meeting of the Society of Social Studies of Science. Honolulu, Hawai'i, Nov 8-11.

The article explains how a team of medical staff treated (and consequently killed) a number of patients following the flooding of a hospital in New Orleans. The staff in question overdosed the patients to put them out of their pain as they saved other patients who were more likely to survive. The article calls into question the process of triage and how we go about it. Who has the authority to make these decisions, and what lines do we draw between ethics and compassion. The article provides a play-by-play of the events leading up to the flooding, and relevant policies that existed and have been created related to this incident. 

“The smell of death was overpowering the moment a relief worker cracked open one of the hospital chapel’s wooden doors.”

“The physician, Anna Pou, defended herself on national television, saying her role was to “help” patients “through their pain,” a position she maintains today.”

From the links provided within the article, relevant information about Hurricane Katrina can be viewed with the commentary and archival articles that published in The New York Times that written by other authors.

Also the author has made in contact with Memorial Medical Center in Uptown New Orleans to focus on the investigation into the detail situations happened with the floodwaters. Afterwards, gained more information on the lethal injection issues.

[http://www.nytimes.com/topic/subject/hurricane-katrina?inline=nyt-class…]

[http://www.nytimes.com/topic/subject/hurricanes-and-tropical-storms-hur…]

The article has first emphasis the number of death and corpses during and after the Hurricane Katrina, then with further investigation and research, the issue related to the lethal injection to the patient has raised. From the physician’s perspective, the lethal injection in this case is a way to relief the patient’s pain, as it is a “for” for the lethal injection, which not seems to be violating the medical ethical. From the conclusion parts of the article, the author provided the evidence that “that more medical professionals were involved in the decision to inject patients — and far more patients were injected — than was previously understood.”     

The main focus group of the article is the physicians that involved in the injection decision to the patients. The discussion to the article questioned on the ethical issue towards overdose injection in order to “help” the patients to relief their pains that causes the death to the patients.  

"Anna Pou, defended herself on national television, saying her role was to “help” patients “through their pain,” a position she maintains today"

"The laws also encourage prosecutors to await the findings of a medical panel before deciding whether to prosecute medical professionals. Pou has also been advising state and national medical organizations on disaster preparedness and legal reform; she has lectured on medicine and ethics at national conferences and addressed military medical trainees"

The author conducted their research for the article through a personal interview with one of the doctors who worked at the Memorial Medical Center in Uptown New Orleans. 

The main point of this article is the idea that government regulations do not always comply with what is best for patient care and the situation at hand. In this particular case doctors and nurses decided to euthanize patients who were in critical condition and were going to be delayed or unable to be rescued.