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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?

Emergency response is addressed in terms of both long term response and future emergency prevention. The method used by the PIH in both Haiti and Rwanda were implemented in response to high rates of disease in those places, showing that an emergency can occur gradually and the response may require creating a permanent system. Prevention is also discussed as a portion of emergency response, that it is important not only to deal with emergencies as they occur but also to identify the causes and change the system to prevent the same emergency in the future.

The author supports the main argument with detailed analysis of the actions of humanitarian aid groups, a brief history of the changing public and legal perceptions of domestic abuse and sexual violence, and reports by the media and humanitarian aid organizations. The use of public opinion as well as the legal aspect of political change highlights the necessity for the public to drive change in social issues such as sexual violence in order to have practices become political action.

The primary method of supporting the main argument is a series of historical examples including policies such as those created by the World Health Organization, outbreaks including AIDS, and previous attempts to provide health security such as the Smallpox Caccination Program. The use of these examples highlights the changing nature of health problems and how that effects the type health security. Specific dates and data from the examples is included, which allows for a more detailed analysis to support the main argument. 

Users input contact data and video recordings

This policy addresses public health in that it can reduce the amount of time between a 911 call and the start of patient care if the EMS responders feel more comfortable entering a scene before police arrive. 

The author, Didier Fassin, is a French anthropologist and sociologist with training in medicine and public health. He has worked in the field of medical anthropology for decades through research and field experience. He currently works as a professor of social science at the Institute for Advanced Study in Princeton. 

The system has partners including UNAIDS, a branch of UNISEF, International Medical Corps, Medecins Du Monde, AAHI, and other humanitarian organizations. The support of these groups both financially and with the user community is important to maintain the app as an active site for research and development. The technical aspects of the site also heavily rely on the data storage method, which is not mentioned but would require massive amounts of memory as well as safeguards to prevent data loss on the app servers.

Different sections of the policy applies to different groups, the first section focused on disaster preparedness which was directed at state and city governments. The subsequent sections apply to various organizations and government groups that would be working under an interagency task force in the case of an emergency, and the individuals that would be requesting aid or funding after a disaster.