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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?

Google scholars had this article referenced 52 times. Many of these articles are in refernce to major disasters and the recovery of those areas from said disasters.

The article illustrates with the use of statistics of the health care system and their diagnostic method that while the program was created with good intentions, it has become apparent that in order to receive the financial assistance necessary, they need to seek assistance from influential advocacy groups.

The Waiting Room, a documentary film addressing the conversation about health care reform and equal access to care, goes through the lives of those in the emergency room of a hospital. It addresses the problem that some families have no other choice, but to visit the ER, since they do not have a PCP (Primary Care Provider) or insurance.  Additional unforeseen cases, such as trauma, arrests, and individuals that have very urgent needs only naturally make the wait longer. 

The bibliography suggests multiple essays from the MSF showing that it is mostly focusesed on the MSF view. Not to say that this is bad.

The program's purpose is reaffirm the importance that, along with good clinical skills, practicioners of all levels should be able to practice with the ability to listen to a patient's social background, not just have an objective view.

The article has a very diverse bibliography with multiple references from the International Atomic Energy Agency. If you can learn anything, it's that Schmid pulls information from reliable sources. 

1. The study in Baltimore showed that with a reduction in the influence of socio-economic factors in patients receiving health care services. The studies showed that with their increased awareness and effort the socioeconomic disparities largely vanished. Unfortunately this is also underscored by the emergence of HIV which is resistant to multiple drugs. 

2. The use of the PIH model in Haiti was shown to have positive results there, so much so that it was adapted in Rwanda. The greater challenges faced by this group is water quality and gender inequality.

3. Another way the argument is supported is by discussing the ways that clinicians can help to intervene in structural violence. 

"Over the past 10 years, MSF has provided medical care to approximately almost 118,000 victims of sexual violence. Integrating related care into MSF general assistance to populations affected by crisis and conflicts has presented a considerable institutional struggle and continues to be a challenge. Tensions regarding the role of MSF in the care to victims of sexual violence and when facing the multiple challenges inherent in dealing with this crime persist. An overview of MSF experience and related reflection aims to share with the reader on one hand the complexity of the issue, and on the other hand the need to continue fighting for the provision of adequate medical care for victims of sexual violence, which after all and despite the limits, is feasible."

MSF is stricken by the intensely difficult task of helping with sexual violence. Not only do they have to deal with supporting the 118,000 people physically, but they help emotionally as well. Another aspect which contributes to the problem is the vast differences in gender equality throughout the world.  

Hailey-Means’ mental and physical health quickly deteriorated. Her treatment by guards and the intolerable conditions in solitary confinement — complete isolation, extreme temperatures, polluted air, the stink of the landfill — led Candie to try to take her own life.

What they’re calling for instead is a divestment from mass incarceration, along with an end to bail, and an investment in health care, living wage jobs, and mental health treatment that would lead to safer communities.