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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?

-“…since the era in which demand for foreign labor made immigration a social necessity seem so remote, the immigrant’s body was entirely legitimized through its function as an instrument of production, the performance of which was interrupted by illness or accident.” – Succinctly captures modern views of illness of foreigners.

-Unless his presence constitutes a threat to public order, any foreigner habitually resident in France whose health is such that he requires medical treatment the lack of which could lead to exceptionally serious consequences, and provided that he is effectively unable to receive appropriate treatment in his country of origin, will be granted a temporary residence permit validated ‘for private and family life.’” Ordinance of November 2, 1945; modified on May 11, 1998 to bring into line with the European Convention of Human Rights

-“Should we accept ‘getting our hands dirty’ by agreeing to work with the immigrants’ service of the prefect’s office on the difficult issue of deportations?” asked Charles Candillier, a medical officer in the Seine-Saint-Denis Directorate of Healthy and Social Welfare, in an internal memo. His answer is crystal clear: “Although we recognize the ethical ambiguities of the situation, we did agree, on the grounds that our intervention could only be beneficial in helping to prevent arbitrary explusions.”

It creates a history and a better undestanding of the events that affected so many people on the East coast. It also compares the two storms to exhibit in both cases there were things we could have done better.

Firstly, the bibliography is incrediable thorough and comprehensive. There appears to have been a great deal of research into many aspects of the disaster by these researchers. There were a lot of news articles referenced within the bibliography to captures real events that happened in order to apply those to the greater concept. There were also many anthrological and sociological articles on disasters and their effects within the bibliography, which had been referenced frequently too,

Vulnerable populations for mental health issues seem to be covered by pay exclusion. Those younger than 21 or 22 are included, which appear to be the most at-risk for mental illness.

This was created to support the existing Good Samaritan Policy. The afformentioned policy would not be applicable during biohazard or chemhazard events due to the policy that involve such events. This could cause a delay in treatment that could potentially lead to the deaths of the affected community. In order to allow for treatment without delay the hazard issues would be 'ignored' by the EPA and the responders not prosecuted. They would also receives support from the EPA and FOSC for protecting themselves from any damages lawsuits coming from the potential contamination from the response.

I read through some information about the Bhopal disaster that was referenced, as well as some other articles on Nuclear Emergency Response. I also found some protocol for Radiation Sickness. (Potassium Iodide, Prussian Blue, DTPA, Neupogen)

The author speaks of Dr. Per Bech, a Dutch Psychiatrist, and his co-author Lone Lindberg, and his patient who suffered from mental illness over the course of his life, and how the vignette Bech wrote about this patient had value and relevance for understanding the use of Zoloft.

More studies referencing corpses and their effects on epidemics

http://www.who.int/water_sanitation_health/hygiene/envsan/tn08/en/

Emergency preparedness in developing nations

How EMS deals epidemics

EMS protocol for spit

Usual punishments for abuse by Police

Other stories of similar events