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11 wastewater treatment plants in LA County produce half a million tons of treated sewage sludge from human waste per year. Sludge is sent to a lnadfill in Kern County, the Westlake Facility, and some to Arizona

water pollution from sewage sludge

air pollution from sewage sludge and from trucks hauling the sludge to the farm - 55 trucks per day/20,000 per year at full capacity

LA County: "It's an important investment in long-term, reliable infrastructure that is critical to our ability to provide vital wastewater treatment services"

Westlake Farms: receiving less than they bargained for

Local farmers: it's a way to dispose of green waste (like wood chips)

Environmental groups and residents: concerned about air and water pollution, sued the project but settled after LA agreed to use clean-fuel trucks to haul waste. “It seemed like another deal where the Central Valley gets shafted by Southern California,” she said. “We send them good water to drink, and they send us back their poo. … I can’t say I’ll be really upset if they’re not operating at 100%.”

LA County: bought 14,500 acres of a farm for $27.4 million, used 2,500 acres to construct the $130 million composting plant, leased the remaining land back to the farm. The plant processes less than a 10th of what it was supposed to process, providing the farm with much less fertilizer than they expected.

Westlake Farms: sold the land to LA County, sued to have the sale undone after the plant produced much less fertilizer than expecte

Kings County and other nearby counties: banned application of biosolids (human waste) directly onto land, forcing LA to build a composting plant

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.