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Over half of the neighborhoods in Santa Ana (shown in pink on the map below), California are designated disadvantaged communities (DACs) by CalEnviroScreen, the leading tool for assessing environmental injustice in California. GREEN-MPNA, a community-based organization in Santa Ana, is working to change this through its DAC-X campaign: an action-oriented movement to reduce disadvantage through pollution reduction, health equity, economic justice, and inclusive governance. Aware of the risks of gentrification, the goal is to x-out disadvantage in a way that empowers rather than displaces current communities. The University of California EcoGovLab has worked closely with GREEN-MPNA on the design and development of the DAC-X campaign. The four pillars of the campaign were chosen, in part, because they align with the State of California’s own criteria for designating communities as disadvantaged. DAC-X’s design also draws together a diverse array of advocacy organizations, government agencies and schools working against issues that contribute to disadvantage, knitting together threads of work that often run in parallel. The long term goal is to increase these organizations’ collective capacity to address disadvantage – in a way that recognizes the intersectionalities and cross-scale interactions that produce it. One tactic we have used to advance the DAC-X campaign is the staging of Environmental Justice Stakeholder Meetings that bring relevant governmental agencies together in one room to speak and respond to Santa Ana residents.Thus far, these meetings have focused on pollution reduction and inclusive governance. Going forward, we will continue to grow our network of alliances in Santa Ana by organizing Environmental Justice Stakeholder Meetings to address other pillars of the DAC-X campaign, bringing for example, health equity advocates to the table, or educational institutions that could support workforce development. The DAC-X campaign itself – and this poster – also results from an alliance – between EcoGovLab (Browne, Adams, Fortun) and GREEN-MPNA (Flores, Gutierrez & Rea).

Browne, Aiden, James Adam, Jose Rea and Kim Fortun. 2023. "GREEN-MPNA's DAC-X Campaign for Environmental Justice: Designing for Alliance." 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.

Communicating about racial equity and COVID-19: Connecting data to context

See more research on public health communication

Reading Amanda Windle's briefing note I was struck by the question of trust and authority, particularly its absence, and the challenges that raises for crafting a communications strategy for The Simon Community and, by extension, other communities.

In watching the US Senate Panel question public health experts, the inherent distrust toward science and scientists by many republican senators and Lt Governors remains alarming. Conversely Goldman Sach's recently issued a report that wearing masks could save the US economy a 5% hit to the GDP. If this report has an impact, will it signal that economists are more trustworthy that public health officials, or simply that monetary value is the only value that counts in COVID communications. 

I am thinking about the interplay of these differing scales of authority and trust and how difficult it is for individuals, families and local communities and care groups to make sense of the competing messages in order to craft a reasonable, sensible strategy for negotiating risk.

Byron Good, Ph.D., is a professor of Medical Anthropology at Harvard Medical School. His primary area of research is mental illness and how social perceptions evolves around these issues, in terms of both treatment and social acceptance. Dr. Good has several works on these issues, including several that explore the perspective of bio-medicine in non-western medical knowledge, the cultural meaning of mental illness, and patient narrative during illness. His publications including several papers, books, and edited volumes; he is regarded as a major contributor to the field of psychological anthropology. 

The article primarily asserts that how a patient narrates or describes their medical history is deeply rooted in their native culture. As such, physicians must be aware of how an individual's medical experiences can be altered based on this. In turn, physicians must recognize the importance of story-telling and anecdotes when receiving information directly from patients. Narratives project the patient's experience and events through their perspective, granting professionals a glimpse into their thought processes and action patterns.

The author, Byron J. Good, is a Harvard professor in the department of global health and social medicine. He is the director of the International Mental Health Training Program, and has significant experience with field research that has led to many publications.

The article’s main argument is that the narration of an illness is founded in the emotional connection it has to the sufferers life, the place from which they view the illness which includes individual and cultural aspects. Furthermore any lack of factual accuracy is an indicator of the social and cultural environment in which the illness presents itself and is revealing as to how it will be perceived and treated.

The main argument is supported primarily through interviews with many individuals living in Ankara, through which they describe the first presentation of their seizures and in many cases the steps they tool to attempt a cure. Along with the interviews, statistics of the individuals interviewed and their diagnoses is used to provide a reference point to better understand their stories. Finally the article includes an analysis of narratives in a more general sense that can be applied to the narrative of an illness.

• “… illness narratives - both the corpus of story episodes and the larger life "story" or illness narrative to which they contribute - have elements in common with fiction. They have a plot; succession is ordered as history or event, given configuration.” (164)
• “The diverse accounts of the illness in these narratives represent alternative plots, a telling of the story in different ways, each implying a different source of efficacy and the possibility of an alternative ending to the story. My point is not that persons having access to a plural medical system do not simply choose among alternative forms of healing but instead draw on all of them” (155)
• “Predicament, human striving, and an unfolding in time toward a conclusion are thus central to the syntax of human stories, and all of these, as we will see, are important to stories about illness experience.” (145)

The article provides statistics and excerpts of interviews to support its analysis of the narrative of illness. There are also several quotes from other works that analyze story and narrative to support the claims of the importance of emotion as a method of sharing the plot.