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Dr. Cheney is attempting to answer the following question: What can we learn from the residents about their experience in living with asthma, and can this help us understand the disease?

There are very few hospitals in the area around the Salton Sea--only two in Imperial County and three in the Coachella Valley.

• In 2003, the Imperial Irrigation District signed the Quantification Settlement Agreement, in which they transferred the water from agricultural runoff that formerly fed the Salton Sea to supply municipalities in Southern California. The agreement kept water flowing into the lake until 2018 in order to give time to come up with ways to mitigate environmental effects of the lake's desiccation. These solutions have not materialized.
• UCR scientists are collecting dust for microbial analysis

• Increased salinity
• Waterfowl dieoffs
• Desiccation produces toxic dust that blows
• Childhood asthma and other respiratory conditions
• 15% of Imperial County residents have asthma
• wind-blown dust can act as a pathway for microbes, fungi, and viruses to enter lungs by attaching to dust particles
• Municipal sewage from Mexicali
• Waste from prisons

The "Disparities in Environmental Exposures and Health Impacts" project has four goals:

1. To establish a community advisory board to provide local stakeholder input;
2. To identify spatial patterns and trends in population exposure and in pollutant transport;
3. To distribute particle collectors at sites that represent the range of sources of particulate matter and to identify the elemental and biological composition of particles;
4. To use environmental chamber exposure studies to develop a protocol for monitoring pulmonary inflammation impacts of aerosol particulates identified from the particle collectors.

• The state of California is responsible for implementing and paying for environmental mitigation projects
• The Colorado River flows through multiple states and countries--all have a stake in extra-local actions

New and Alamo Rivers - transboundary movement

• Investors who left in the first half of the 20th century
• Residents who remained in the area (highly Latinx)
• Labor exploitation, especially of immigrants through programs like the Bracero program
• Indigenous groups - especially the Torres Martinez, 40% of whose land is underneath the Salton Sea
• Agriculture
• Historically not identified as an unwanted land use, which allowed farmers to get away with more than other industries

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.