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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?

I would say the average community member is the main intended audience of this documentary, due to the fact that those in the general public can see themselves as being in the same situation. Most of those in the public aren't medically educated and the responses seen in Libera is the same that many of those would have in other general populations of other countries and locations. Due to the lack of scientific research and statistical analysis in the documentary, I would say that this documentary was meant to appeal to the general average person and not scientists, scholars or experts on the topic of disease containment. 

I further researched some of the articles and works cited throughout the paper to read up more on the backgrounds of the papers. I also looked at statistics on violence and healthcare service delivery as well as stories and past instances of attacks and other forms of violence on workers in the health field and humanitarian sectors. 

The author discusses and analyzes the 9/11 collapse and compares it to other historical disasters in terms of causes as well as the influences of the clashing of power as well as attributions of responsibility. The author goes thorough numerous different historical events in which the underlying forms of politics, power and public/society influences are discussed. Finally, the last event discussed is the World Trade Center. The author discusses the fireproofing material surrounding the beams in the towers, how exit strategies failed, and the remarkable fact that the towers withstood being struck by large jets. He noted, that the buildings might have continued to stand if it weren't for the fires that we couldn't put out and the 2000F temperature reached. Then he brings up the point about how this same situation can affect other sky scrapers in NY. The politics as well as memorial funding is also discussed toward the end of this paper as well. 

Participants complete a 30 minute in person or telephone interview. They offer information about their mental health and physical health (the questions they are asked can be found here: http://www1.nyc.gov/assets/911health/downloads/pdf/wtc/wtc-questionnair….) Information is also gathered about where they were during the attacks, as well as their level of exposure to rubble and smoke etc. After this initial interview, there are waves 2-4 of interviews. These consisted of follow up questions as well as more in depth questions about hospitalization, health conditions, and symptoms. 

The main focus of this article is the unfair treatment and deplorable conditions in which those who are incarcerated at Rikers deal with daily. The article discusses how Rikers is often cast aside, for example the mayor did not develop and evacuation route for Rikers, but the rest of the city got one. There are needs for renovation and money, yet nothing has been done. There have been cases where inmates did not have basic access to medical needs and ended up dying as a truly. There are also cases in which it was documented that inmates developed illnesses while in custody of the jail and medical episodes were triggered by temperature, poor conditions and pollution. This is all discussed and exemplified in the article by way of examples from inmates and what they have dealt with along with documented statistics and facts. 

This article has been referenced in dozens of other papers on the topic of Katrina recovery and the effects the disaster had on its survivors. One of which is cited below: 

Adams, Vincanne et al. “Aging Disaster: Mortality, Vulnerability, and Long-Term Recovery Among Katrina Survivors.” Medical anthropology 30.3 (2011): 247–270. PMC. Web. 10 Oct. 2016.

There are far more articles that have cited this specific work, many of them having to do with Katrina disaster recovery specifically, as well as preventative measures or vulnerabilities that the area had pre hurricane. It is also important to note that the article is also discussed by numerous governmental agencies as well.