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Childhood Lead Poisoning

margauxf

 In 1991, the Public Health Service articulated a vision for primary prevention in Strategic Plan for the Elimination of Childhood Lead Poisoning, a departure from previous federal policy focused on finding and treating lead-poisoned children. This publication detailed a 15-year strategy for primary prevention and offered a cost-benefit analysis to demonstrate the monetized benefits of this approach. A strong national effort to follow this strategy developed but was eventually abandoned.

The organized campaign against universal screening began in California, where letters questioning the reported prevalence of elevated BLL began appearing in pediatric journals and newspapers. These letters acknowledged receiving editorial assistance from Kaiser Permanente Foundation Hospitals and argued that money spent on screening, treatment and abatement would be harmful to more worthy public health efforts. The AAP president took up this attack on universal screening as well, and efforts for universal screening were gradually eroded. 

Needleman identifies racism and the belief that lead poisoning “is a product of poor mothering, not of environmental pollution” as a driving factor shaping lead detection and prevention efforts (or the lack thereof) … “this weighting of personal choice or behavior over environment is a tool used to shift responsibility away from health authorities or polluters and onto the victim” (1875).

The Lapse in the U.S. Federal Government’s Response to the Indigenous Impact of COVID-19

Thomas De Pree

The previous annotation opened with Navajo Nation President Jonathan Nez’s remarks about being forgotten by the U.S. federal government, and the failure of federal actors to recognize their responsibility and respond to the needs of Indigenous nations of the United States. What President Nez said authorizes a common discourse circulating among Indigenous nations around the world about “being forgotten,” and the general ignorance of the nations within which sovereign nations are nested (see IITC Webinar Series). The Indigenous impact of COVID-19 has made the experience of being forgotten painfully apparent. In the previous annotation, I described how recent reportage has displaced this noticeable discursive gap in the absence of the federal government. This annotation amplifies the irony that such structures and processes of forgetting are becoming increasingly visible.

In what follows, I will examine how ignorance and forgetting were enacted by the federal government through a new strategy of the politics of time, as witnessed in the untimely response to the crisis that is rapidly unfolding in the Navajo Nation (Dinétah). To be sure, the delay in federal emergency relief funds incapacitated public health responses across all levels of government—“tribal” and “non-tribal”—but in varying degrees; the impact was acute among tribal government. At a broad scale, what we have witnessed is an inversion of the “capacity building” that was once in vogue in international development discourse in the domains of government and business, and the effective reduction in the U.S. government’s capacity to respond to natural and anthropogenic disasters. I will not speculate on how such extensive incapacitation of government produced a neoliberal lapse that opened up a new space for privatizing ‘essential’ public health services and technologies. Instead I will focus on perceptions of “the lapse” itself, which marks a double meaning as both the passage of time and cognitive failure in memory.

President Nez underscored the urgency of the matter: “Navajo residents are panicking as these numbers rise... We need a lot of help fast from the federal government.” Nez continued by describing the partial access to limited emergency relief funds: “We’re barely getting bits and pieces. You have counties, municipalities, already taking advantage of these funds, and tribes are over here writing our applications and turning it in and waiting weeks to get what we need.” A New York Times report identifies the “delays in receiving federal emergency funds” and the compounding effect of “the requirement that tribal nations, unlike cities and counties, must apply for grants to receive money from federal stimulus legislation.” The report concludes, “the Navajo Nation—among other tribal nations — has faced crippling delays in receiving emergency funding” (NYT). An Arizona Congressman, Greg Stanton, echoed Nez’s concern using a similar vocabulary of timing: “Well, I’m very frustrated. I’m angry we’re waiting. We’re in the middle of a pandemic. The tragedy on the Navajo Nation is happening right now, in real-time. This is not the time for delay.”

This is not the time for delay. It bears repeating. The prevailing discourse of urgency and delay calls out the federal government’s strategic negotiation of the politics of time. The anthropologist Stuart Kirsch introduces the concept of the “politics of time” to understand how corporations strategically delay recognition of the environmental impacts of industry (2014:145-148, 155). I am advancing the concept here to account for how the Trump administration has scaled up the widespread corporate strategy of delaying recognition and deferring critique through a new form of government incapacity building—literally and actually building incapacity into every level of government. The lapse in the federal response is a new strategy of the politics of time that forces us to think critically about novel responses to incapacitating delays during the pandemic. Kirsch also accounts for the new politics of time leveraged by the critics of corporations: the novel strategy of critical intervention early in the production cycle made possible by accelerating the local learning curve and sharing information. In the new (covid) politics of time, both early intervention and information sharing were stifled by the once most trusted authority of information, the Executive Office of the President.

The incapacitating effects of the new politics of time are exacerbated by attempts to control information and, in this case, produce a dazzling array of misinformation at the discursive level of national public health. During an interview on Democracy Now!, Dean Seneca, former senior health scientist in the Partnership Support Unit of the Office for State, Tribal, Local and Territorial Support at the Centers for Disease Control and Prevention, offers a diagnosis for why the Indigenous impact of COVID-19 has been so severe: “Well, as you can tell, you know, right from the very beginning, I mean, [Trump] didn’t make this pandemic a priority. He did a lot of mixed messaging in the very, very beginning when he started to talk about this. And you see that he’s trying to now — in his recent reports, trying to justify that, ‘No, we were on top of this right from the beginning.’ And that’s far from the case. You know, his mixed messaging is what was really critical. At times, he would say, ‘Well, hey, this virus is just going to go away. And we’ll wake up one day, and it won’t be here.’ You know, people listen to this information, and that is the wrong thing to send. He made a major mistake in eliminating his council on international health and global pandemics. That was huge right from the beginning. He should never have done that.” These early interventions of the current administration had broad incapacitating impacts.

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erin_tuttle

This organizations aims to provide a support system for returning veterans, more specifically to ensure access to any type of medical support they may need and assist them in readapting to society after extended periods of time in the military.

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erin_tuttle

The organization membership includes two subsets, first the organization membership includes any and all active serviceman, veterans, and limited membership for their families. The other portion of membership includes administrators, doctors, and public health workers who work to provide the services needed.

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erin_tuttle

This organization does not respond to disasters, but rather provides long term assistance to members of the military and their families. The issues faced by veterans, both medical and social, are often chronic and require a lifetime of support. This is in a way a constant emergency for them and their families, and the US Department of Veteran Affairs aims to provide the necessary support.

pece_annotation_1476645776

erin_tuttle

The US Department of Veteran Affairs is constantly adjusting to new medical research to provide the most effective care possible. This shows a differing approach to emergency response which is only possible due to the long term nature of this organization, most emergency response groups focus on quick response to disasters which does not allow for the same amount of research and adaptation as the Department of Veteran Affairs.