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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?

1) “‘A confusion between humanitarianism and politics–two fundamentally different orders of activity – can only lead to a mutual weakening of both”.

2) “Approaching gender-based violence as a medical or health issue alters how violence is both approached and understood; that is, rather than understanding gender violence in the context of gendered relations of power, or as part of larger histories and expressions of inequality which are inseparable from histories of class or race or colonialism, this type of medicalisation transforms gender-based violence into an emergency illness, requiring immediate intervention.”

3) “Sexual violence elicited a particular form of moral outrage in the MSF report and debate; and the question was how to justify the willingness to condemn the perpetrators in cases of rape more than with other forms of violence or torture. Should women be !C 2011 Blackwell Publishing Ltd. Medicalising and Politicising Sexual Violence 259 treated as special categories of victim, who need more protection? Furthermore, are they the only ones recognised as subject to rape? Should sex and sexual violence be seen as crimes apart, or should they be equivalent to any type of harm or injury in times of war? What is the nature of gender-based violence, and how do we qualify the particular vulnerabilities to it?”

Andrew Lakoff is an Associate Professor of Sociology and Communication at the University of Southern California, Department of Sociology. His disciplines are: Social Theory, Medical Anthropology, and Cultural Anthropology.

Stephen Collier holds a Ph.D in Sociocultural Anthropology at the University of California Berkeley, Department of Department of Sociology. His disciplines are Social Policy, Social Theory, Social Theory, Foucault, and Neoliberalism. He was also Chair and Associate Professor at The New School, Department of International Affairs from 2003-2015.

Although they are not directly involved in emergency response, Stephen and Andrew have written extensively on the social aspects of medicine, especially in disaster scenarios. 

I felt that the extend interview time of Emmanuel Urey’s family in the US did not further any real understanding of the issue and was just an appeal to the viewer’s emotion.

The Iroquois Theater Fire, the destruction of US Capitol Building, and the Hague Street boiler explosion are used as historical examples to support the arguments made in the article as well as the findings of a steel expert who investigated the collapse of the towers.

Emergency response is not directly addressed, but the policy of allowing otherwise ineligible people to full access to the emergency medical system indirectly is effected and has its own challenges, disputes, and implications.

The arguments are supported by data from the National Institute of Health and beyond as well as interviews with people on the ground.

The assessments that patients take are not visible to the public so I can not elaborate on it. This is what is quoted from the company’s website about the “Easy Clinical Screenings”:

“Patients take digital, gamified mental health assessments conveniently on their mobile device to learn their actual diagnosis and become more self aware. Providers can deploy customized assessment questions specific to each patient. Patients can see their charted progress over time. Assessments are reimbursable by insurers.”

The claims are supported by personal interviews/surveys by the author as well as external data from the state and other sources and studies.