Skip to main content

Search

Luísa Reis-Castro: mosquitoes, race, and class

LuisaReisCastro

As a researcher, I’m interested in the political, ecological, and cultural debates around mosquito-borne diseases and the solutions proposed to mitigate them.

When we received the task, my first impulse was to investigate about the contemporary effects of anthropogenic climate change in mosquito-borne diseases in New Orleans. But I was afraid to make the same mistake that I did in my PhD research. I wrote my PhD proposal while based in the US, more specifically in New England, during the Zika epidemic, and proposed to understand how scientists were studying ecological climate change and mosquitoes in Brazil. However, once I arrived in the country the political climate was a much more pressing issue, with the dismantling of health and scientific institutions.

Thus, after our meeting yesterday, and Jason Ludwig’s reminder that the theme of our Field Campus is the plantation, I decided to focus on how it related to mosquitoes in New Orleans.

The Aedes aegypti mosquito and the yellow fever virus it can transmit are imbricated in the violent histories of settler-colonialism and slavery that define the plantation economy. The mosquito and the virus arrived in the Americas in the same ships that brought enslaved peoples from Africa. The city of New Orleans had its first yellow fever epidemic in 1796, with frequent epidemics happening between 1817 and 1905. What caused New Orleans to be the “City of the Dead,” as Kristin Gupta has indicated, was yellow fever. However, as historian Urmi Engineer Willoughby points out, the slave trade cannot explain alone the spread and persistance of the disease in the region: "Alterations to the landscape, combined with demographic changes resulting from the rise of sugar production, slavery, and urban growth all contributed to the region’s development as a yellow fever zone." For example, sugar cultivation created ideal conditions for mosquito proliferation because of the extensive landscape alteration and ecological instabilities, including heavy deforestation and the construction of drainage ditches and canals.

Historian Kathryn Olivarius examines how for whites "acclimatization" to the disease played a role in hierarchies with “acclimated” (immune) people at the top and a great mass of “unacclimated” (non-immune) people and how for black enslaved people "who were embodied capital, immunity enhanced the value and safety of that capital for their white owners, strengthening the set of racialized assumptions about the black body bolstering racial slavery."

As I continue to think through these topics, I wonder how both the historical materialities of the plantation and the contemporary anthropogenic changes might be influencing mosquito-borne diseases in New Orleans nowadays? And more, how the regions’ histories of race and class might still be shaping the effects of these diseases and how debates about them are framed?

pece_annotation_1477259985

tamar.rogoszinski

Research using data from previous studies, interviews, and case studies helped the authors produce their claims. A strength to their methods is that they used anecdotes from not only doctors, but patients as well. Statistical data analysis also helped shape the argument about lack of mental health assistance and research. Their own professional capacity and knowledge also helped present their argument and formulate a cohesive, wholesome discussion.

pece_annotation_1474470219

wolmad

This article has been referenced in various other articles in the DSTS field, including Engineering Risk and Disaster: Disaster-STS and the American History of Technology (S. Knowles) and The World Trade Center Analyses: Case Study of Ethics, Public Policy and the Engineering Profession (WH Coste).

pece_annotation_1477962723

tamar.rogoszinski

While this app is tailored for emergency situations, I would find it hard to believe that a physician who is in an emergency situation regarding radiological or nuclear danger would pull out their iPhone or Android to quickly find the proper dosage or way to triage patients. Although this app does suggest review before an emergency and print-outs from their website that can be kept with a physician in this type of situation, I do think it would be difficult for a physician to use their cell phone in this case. This app also works without data or wifi, which is good. But I feel that a physician might not want to take out their phones in an emergency situation, especially if it's because of nuclear spills or something to that nature that can ruin and contaminate their phones (and PPE).

pece_annotation_1479071688

tamar.rogoszinski

The author is Byron Good, Ph.D. He is an American anthropologist and teaches medical anthropology at Harvard Medical School. His main focus is mental illness and the cultural meanings of it. He also explores patient narratives and the perspectives of non-Western medical knowledge and compareds different mental health systems. He has done research in Iran, Indonesia, and the US. He has several publications including papers, books, and editted volumes.

pece_annotation_1480867180

wolmad
Annotation of

This report does not specifically address disaster, however it shows a new trend in primary care medicine, taking it out of doctor's offices and hospital emergency rooms and bringing it into people's residences. Recent trends have shown massive increases in ED usage for non emergency conditions, causing a shortage in beds and resources. The communuty paramedic program has the purpose of "respond[ing] to identified health needs in underserved communities, ultimately improving the quality of life and health of rural and remote citizens and visitors." The report also cites previous community paramedic programs in Fort Worth, TX, and Nova Scotia, Canada, where the program was shown to decrease ED usage by 23% and reduce costs by over $2 million. 

pece_annotation_1473445187

tamar.rogoszinski

Brian Concannon, executive director of the Insitute of Justice and Democracy in Haiti, a nonprofit in Boston. Fights for human rights on the island of Haiti. 

Carrie Kahn, NPR. National Public Radio, news source. 

President Michel Martelly, Haitain president. 

United Nations

Nepalese soldiers - brought with them cholera to Haiti. Sent from UN.

Ban Ki-moon - U.N. Secretary-General - led plan to eradicate cholera. 

Haitain Ministries of Health and Environment - not trusted by the world to control a trust fund

Jake Johnson - Center for Economic Policy and Research - Washington 

US Government Accountability Office - pricing the cost of building new housing too high

Mission of Hope - NGO helping build houses

US Congressmen - demaing UN Secretary-General take responsibility for outbreak

US District Court Judge J. Paul Oetken - rejected class-action lawsuit that saught to compel the UN to compensate victims and fund cholera eradication

Beatrice Lindstrom - lawter at the Institute for Justice and Democracy in Haiti