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META: Water seems to be one important medium through which NOLA envisions the “impacts” of the Anthropocene—scarcity, abundance, temporalities and spatial distributions, management of, and hazards that emerge in its context. Less is said about the causal or attributional aspects of the Anthropocene. How might water function as an entry point into the assemblages of local anthropocenics?

I found the NOLA Hazard Mitigation Plan for 2018, which frames the impacts of the Anthropocene as an intersection of weather extremes amid climate change and evolving vulnerabilities of its people. Four of seven items in the executive summary note water as central to local interventions: flood awareness, flood repair, flood mitigation, flood infrastructure. Too much water or water in the wrong places and the aftereffect of water on infrastructure and lives. One expression, then, is preparedness.

MACRO: Mitigation is an interesting analytic for the Anthropocene. In the US mitigation plans are shaped by the 1988 Stafford Act (which amended the 1974 Disaster Relief Act). Constraints on communities come through rules, regulations, policies, (dis)incentives, and surveillance by state and federal authorities. Much of this is bound by economic and administrative discourses.

Goals are set in this document—broken out by timelines, activities, priorities, and capabilities. Another expression is classification of anthropocenics by subfields and accounting metrics. How do we measure progress and what is deferred to the future, 5-10 years out from today, a goal that has no tangible accountability but is named and acknowledged. What are the practices of naming, responsibility, and making (in)visible in the Anthropocene?

BIO: One new initiative, Ready for Rain, in particular is of interest to me as it highlights the more neoliberal vision for how the public should self-regulate risk and mitigate harm. I hear this as an extension of a government agency program to make the nation Weather Ready. Other bullets highlight “green” buildings, energies, and infrastructures. These could be examples of how the city envisions the Anthropocene feedback loop of humans changing/planning for climate alterations, which is a fairly typical lens.

Some questions: What does the water do? What does the water know? If we trace water in all its instantiations (e.g. historical water, flow of water, chemistry of water, application of water, temperature of water), what do we learn about the future imaginaries of what NOLA will / could / ought to become?

Resilience is a term that is widely embraced by many in city management and planning. It holds the positive gloss not just of recovery but bouncing back better. To my ears, it has become one of many anthems of the Anthropocene, a kind of restrained tempo thrumming along through communities that will adapt to climate change (or seasonal-to-subseasonal climate variability post Trump). They will mitigate, innovate, transform, strategize in order to endure unanticipated shocks, both chronic and acute.

NOLA is one of 100 Resilient Cities named by the Rockefeller Foundation sometime in 2013. Like others selected across the globe, the city of New Orleans would benefit from the resources of a Chief Resilience Officer (CRO), an expert in resilience to be hired to work within city governance to develop a strategic plan; NOLA's was published in 2015. Selection of the cities for the "100 Resilient Cities" initiative was difficult, a competitive bid for resources based primarily on a city's recent experience with disaster, usually connected to a weather or climate extreme (e.g. hurricane, flood, etc). Resources were provided via the hierarchy of the CRO, sometimes to hire staff, develop training for the community, and create working groups and to write the stratetic plan. As one former directer of NOLA RC said of this opportunity provided by Katrina, the disaster that qualified NOLA for Rockefeller monies, it demonstrates the need for an the age of resilience. In what ways is resilience measured, accounted for, adjudicated and managed through or in spite of this strategic document? 

The language of resilience includes many terms that I think of as a collective imaginary of utopian preparedness, a vision for a nation that is--in the parlance of the weather prediction community in which I work--weather ready. Through the filter of resilience, then, vulnerability (another problematic term) is eradicated through individual action, community engineering, and adherance to strategic policies like 100RC. Yet how does this image of NOLA, one of "mindful citizenry" engaged in "partnerships" around the city (terms used in their summary video), match with the realities of living in NOLA, today and in the everyday future?

Resilience is also a term widely critiqued in STS and the broader social science and humanistic disciplines. For good reason. Common questions in this literature: What counts as resilience? Who decides? At what costs? Resilience against what? What does resilience elide? How has the discourse of resilience reframed individual and community accountability? What is the political economy of resilience? I'm interested in the discourses of preparedness and planning, and "the eventness" of disaster, as Scott has highlighted many times. But my concern is not just to critique and tear down concepts like resilence (or vulnerability). I worry that we then evicerate common lexicons of hope and imaginaries of the future that do some good. How are we as field campus participants and those who re-envision or reveal the quotidian reflexive? How do we triage the Anthropocene amid our own state of compromise--as scholars, participants in Capitalism, in post colonialism, humans? What are our ethical commitments? How do we make good? 

Resilience is a term that is widely embraced by many in city management and planning. It holds the positive gloss not just of recovery but bouncing back better. To my ears, it has become one of many anthems of the Anthropocene, a kind of restrained tempo thrumming along through communities that will adapt to climate change (or seasonal-to-subseasonal climate variability post Trump). They will mitigate, innovate, transform, strategize in order to endure unanticipated shocks, both chronic and acute.

NOLA is one of 100 Resilient Cities named by the Rockefeller Foundation sometime in 2013. Like others selected across the globe, the city of New Orleans would benefit from the resources of a Chief Resilience Officer (CRO), an expert in resilience to be hired to work within city governance to develop a strategic plan; NOLA's was published in 2015. Selection of the cities for the "100 Resilient Cities" initiative was difficult, a competitive bid for resources based primarily on a city's recent experience with disaster, usually connected to a weather or climate extreme (e.g. hurricane, flood, etc). Resources were provided via the hierarchy of the CRO, sometimes to hire staff, develop training for the community, and create working groups and to write the stratetic plan. As one former directer of NOLA RC said of this opportunity provided by Katrina, the disaster that qualified NOLA for Rockefeller monies, it demonstrates the need for an the age of resilience. In what ways is resilience measured, accounted for, adjudicated and managed through or in spite of this strategic document? 

The language of resilience includes many terms that I think of as a collective imaginary of utopian preparedness, a vision for a nation that is--in the parlance of the weather prediction community in which I work--weather ready. Through the filter of resilience, then, vulnerability (another problematic term) is eradicated through individual action, community engineering, and adherance to strategic policies like 100RC. Yet how does this image of NOLA, one of "mindful citizenry" engaged in "partnerships" around the city (terms used in their summary video), match with the realities of living in NOLA, today and in the everyday future?

Resilience is also a term widely critiqued in STS and the broader social science and humanistic disciplines. For good reason. Common questions in this literature: What counts as resilience? Who decides? At what costs? Resilience against what? What does resilience elide? How has the discourse of resilience reframed individual and community accountability? What is the political economy of resilience? I'm interested in the discourses of preparedness and planning, and "the eventness" of disaster, as Scott has highlighted many times. But my concern is not just to critique and tear down concepts like resilence (or vulnerability). I worry that we then evicerate common lexicons of hope and imaginaries of the future that do some good. How are we as field campus participants and those who re-envision or reveal the quotidian reflexive? How do we triage the Anthropocene amid our own state of compromise--as scholars, participants in Capitalism, in post colonialism, humans? What are our ethical commitments? How do we make good? 

Emergency response is not directly addressed in this article, however there is likely some emergency response occuring in the countries that are needing the humanitarian aid. Hopefully the first responders there are well trained in responding to victims of sexual assault if that is something that they see more often, if it is something that people would call an ambulance for in those areas.

The main point is the lack of justice for Haiti in this rebuild process. They got huge amounts of dontions from all over the world in hopes of rebuilding the country to be better than it was. Insead, the vast majority of the money is not being spent in the right ways, and much of the spending is not being done in the most economical ways. The ways that the companies are going about rebuilding is much more wasteful than it has to be, thus using more of the money and preventing it from going as far as it could.  Additionally, the UN has created a cholera epidemic in Haiti and is not being held accountable for cleaning it up.

It doesn't cover many people that openly do have insurance, nor does it interview the healthcare providers outside of the ER, like the PCPs, the recovery facilities, etc.

" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."

"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"

" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"

Most of the claims are based on past examples in history of response to disease outbreaks and the development of new diseases. They looked at how regualtions were developed after each one, what research showed in each case, and how people reacted to the risk or security associated with each.

The government and politicians that released the information do not share their defense of why they cut information out, at the cost of the people and responders.

Vincanne Adams is a professor at UCSF School of Medicine. She has her PhD and experience in anthropology. Taslim Van Hattum is the maternal and child health portfolio director at The Louisiana Public Health Institute. Diana English is a Clinical Assistant Professor and specializes in OB/GYN and gynecologic oncology.