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I situate my research at the crossroads of history, philosophy, sociology and anthropology of science. In the past, I have focused on epigenetics, environmental research, empirical bioethics and environmental justice, within and outside the academia, as you can read here, or here. Now I am focusing on antibiotic resistance, and I use it as a lens to interpret the contradictions of the last century derived by industrial production, environmental degradation and biomedical cultures.

What interests me is the (at that time) new epistemic discourse that since the Forties has been produced to explain morphological changes of organisms produce when they experience new environmental conditions or perturbations. Through an important experiment at the base of the so-called concept of genetic assimilation, Conrad H. Waddington showed that a thermic shock can produce changes in wings’ veins of fruit flies, changes that can eventually be inherited across generations, without the environmental trigger that caused them.

This focus on production and (genetic) storage of biological differences elicited by the environment is nowadays coupled with the knowledge produced through microbiome research that explains the phenotypic patterns that recur across generations.

In a thought-provoking twist, with microbiome research, the focus shifts from production and inheritance of biological differences to production and inheritance of biological similarities. Microbiome research shows that some phenotypic patterns are allowed by ecological communities of microorganisms composing all animals. Bacteria allow the development and functioning of our bodies within an epistemic framework that is now key to understand biology. The network of vessels composing mammals’ stomach is formed through cellular differentiation and expression of genes coordinated by bacteria. The same is true for our immune system that is coordinated by gut bacteria. Food, which is an important aspect of our lives also impacts on this microecology and mediates between our biological functions and functioning of means of production whose parts dedicated to food production have immense importance for our biology and our internal and external ecologies. Antibiotic resistance is one of the crossroads where culture, biology, history and the Anthropocene meet. Indeed, Antibiotic resistance shows that means of production of our societies have an even more widespread, deep and allegedly unexpected impact on the biology of animals and plants. The microorganism can indeed adapt to resist the selective toxicity of antibiotics. Moreover, bacteria can transfer their genetic code horizontally, by touch, so that we can acquire antibiotic resistance by eating food that functions as a vector, by hosting lice on our heads and many other contacts. Bacteria that are resistant to antibiotics that have been used as growth factors in animal husbandry and to prevent diseases in livestock and aquaculture, spread in natural ecosystems and can be found in wild species. Rivers and estuarine waters are places hosting antibiotic resistance.

Searching on PubMed (the search engine for biomedical literature) titles of articles containing the terms ‘antimicrobial’ and ‘Louisiana’ I retrieved just one twelve-years-old article. No results with terms such as 'Mississippi' or 'New Orleans'. The authors collected and analysed Oysters from both waters of Louisiana Gulf and in restaurants and food retailers in Baton Rouge. In most of the samples gathered, scientists recognised the presence of bacteria (Vibrio parahaemolyticus and Vibrio vulnificus) resistant to specific antimicrobials. Food production is indeed the first factor in terms of the quantity of antibiotics used. This use and related antibiotic resistance impact all the living beings present in a specific area, and can easily travel around the globe through many channels. As Littman & Viens have highlighted, a sustainable future is a future without antibiotics as “there may be no truly sustainable way of using antibiotics in the long-run, as microorganisms have shown to be almost infinitely adaptable since the first introduction of antibiotics” (Littman & Viens 2015). But in the meanwhile, we need to use them and antibiotic resistance is a phenomenon that can be better studied through environmental research, by analysing wild species and emissions nearby livestock, for instance.

The study that I retrieved focuses on Oysters. But what about antibiotic resistance conveyed through food that is consumed by the most?

What about exposures of communities that are living in highly polluted areas?

And what is the additive value on antibiotic resistance for individuals who experience the presence of industrial pollutants and that live in areas where cancer epidemics are registered?

In this respect, there is a strategy to cope with the issue of antibiotic resistance promoted by the Center for Disease Control and Prevention. The document doesn’t mention any action to monitor and regulate the production and usage of antibiotics in livestock. Nevertheless, the CDC wants to scrutinise, through genome sequencing, “Listeria, Salmonella, Campylobacter, and E. coli and uploads sequence data into PulseNet for nationwide monitoring of outbreaks and trends.” Moreover, the document reports that “In Fiscal Year 2019, Louisiana will begin simultaneously monitoring these isolates for resistance genes. When outbreaks are detected, local CDC-supported epidemiologists investigate the cases to stop spread.”

The questions that I would like to ask (to local ppl, activists, researchers, practitioners..) are:

What could be the epidemiologic characteristics (socioeconomic status, gender, residence..) of the populations more vulnerable to antibiotic resistance?

What is the additive role of antibiotic resistance for people living in highly polluted areas?

What is the impact of antibiotic resistance for people and patients living in areas where cancer incidence is high?

And on the long run I am interested in imagining possible strategies to not only living with the problem but also to tackle the problem itself, which means to develop strategies to answer the questions:

Why antibiotic resistance, which is known since a century, it’s a problem on the rise?

What is the role and interest of capitalism, in terms of profit-making of corporations, knowledge production and environmental degradation, in not being able to resolve antibiotic resistance?

What can be strategies of local communities to tackle the problem and to promote environmental justice in terms of alliances with ecologists, doctors, epidemiologists and other activists?

The argument is supported through a combination of personal stories, historical changes in protocol, and analysis of the reasons why applicants resort to a medical argument for residence permits. The use of personal stories of applicants highlights the inconsistencies in the process largely due to compassionate bias on the part of officials reading the applications, as well as the resources available in different cities. As the protocols were changed the article shows that while some of the inconsistencies were resolved, the process of determining who can and cannot receive medical treatment necessitates personal judgment which inevitably affects the outcome.

After the storms, many towns affected came up with ways to increase protection in infrastructure. Town officials working alongside exerpts have been working to upgrade their plans on making their communities more resilient to natural disasters. There have also many several funds and donations for the towns affected by Sandy; there have also been ways on how to help prevent flooding in such areas. In the article, it discusses how "the DEP has worked with local officials to design a proposed $230 million federally-funded system of flood walls along the Hudson River for Hoboken and parts of Weehawken and Jersey City."

Users input research data in real time through connected collection systems, as well as ideas and findings in the form of reports and reviews. The type of data varies by user as it is specific to their research topics. 

The policy addresses the support and funding provided by the federal government to victims of a disaster, including the basic needs such as food, water, and access to health care through responding organizations. This policy focuses on the coordination between responding groups as well as the long term funding and support systems that will be in place to aid survivors with rebuilding.

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.

The bibliography, and passages in the article, indicate that the author spent a considerable amount of time interviewing workers at Chernobyl during the initial disaster, workers involved in the continuing maintenance efforts, as well as doctors and policymakers involved in the health care system for those with radiation exposure.

I was interested in the accident prevention mindset that was in part responsible for poor response in past nuclear disasters, so I read a summary of “Risk Society: Towards a New Modernity” by Ulrich Beck, one of the works referenced in Schmid’s article. The summary better explained the societal mindset that a structured set of rules for accident prevention was more reliable that the educated and adaptive individual.

The point that nuclear fallout does not respect national borders was interesting, so I looked at how far fallout can spread. An understanding of how geological features such as mountains and valleys can affect the immediate fallout zone and how meteorological conditions can spread eradiated rain and wind significant distances from the site of a disaster would be important in the evacuation and clean up portions of a response to a nuclear disaster.

When discussing existing emergency response groups that dealt with nuclear disasters the IAEA was mentioned several times, so I looked into the organization and their responsibilities. Although the IEAE is often criticized for its slow response to Fukushima, I found that the organizations stated missions are to promote peaceful use of nuclear energy and safety, as well as implement safeguards meant to prevent military use of nuclear energy. While an international group that works closely with the nuclear industry it does not claim any responsibility to act as a response group to nuclear disasters.

The bibliography was not included in the pdf, and was not easily available online. From the article itself it is clear that the author was involved in a significant amount of original research in Ankara to gather data for this article.

The bibliography shows references to several papers by many of the same authors, showing it was produced as a continuation of previous ideas but showing new information learned through the PIH’s activities in Haiti and Rwanda. The bibliography also shows many references from the early to mid 1990’s showing similar thoughts to initial research done in Baltimore and other places with high rates of AIDS.