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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?

Users for I've-Been-Violated just put in name, phone number, and email. It also documents location, sound, and video when you activate the service. 

The other two apps require registration with the system, though if you register for one, you aren't able to just use the same login for the other. The registration just asks for email and password. Not sure if it asks for more later, as the app was really glitchy when I tried.

The author is making the point that we are too caught up in the numbers and facts of medicine, and we need to go back to the narrative. The details that come with a patient's history and social actions contribute a great deal to outcome and treatment. The author supports this with several examples of cases he has had or heard of and how they changed his view of a treatment. 

The program is divided into three sub-programs: Radiation Disaster Medicine, Radioactivity Environmental Protection, and Radioactivity Social Recovery. The Radiation Disaster Medicine course is a four year PhD program, for those who already have professional degrees (medicine, pharmacy, dentistry, etc.) and master’s degrees (medical physics). The Radioactivity Environmental Protection course is a five year program for students who have completed a bachelors or masters in a related field. The Radioactivity Social Recovery course is a five year program for students with a bachelors or master’s. The curriculum is broken down into common subjects, specialized subjects, fieldwork, and internships. 

“More than 20 years ago, social scientists Harry Otway and Brian Wayne cautioned that accident prevention (safer designs, better operator training, etc. , but even more so emergency planning, faced significant economic and managerial hurdles.”(p199)

“Nuclear accidents have tended to trigger organizational reform with regard to nuclear emergency response, but not on an international level. In considering this problematic ground, where might we start to develop a global approach to nuclear disaster mitigation?”(p200)

“The specific kinds of highly specialized knowledge involved with operation nuclear reactors however may not be accessible to broad public debate to the same degree as, for example, evacuation policies. But in the interest of sustainable, socially legitimate solutions, arguably decisions about even the technical responses to disasters should not be left to scientists and engineers alone, whether they are based within the nuclear industry, a regulatory bod, or a nongovernmental organization.”(p196)

“For all its undeniable flaws, the nuclear industry worked for several decades- in Japan and elsewhere. That is also the truly frightening realization after Fukushima: this disaster was not ‘waiting to happen’, but occurred in a system that had been functioning reasonable well for quite some time.”(p198)

“…The Way Forward is embedded in a technocratic rationality that seeks an effective ‘technical fix’ for reducing the risk of a nuclear disaster to manageable proportions. That misses the less tangible social expertise and improvisational skills inevitable involved in any successful disaster response.” (p206)

The American Red Cross uses the gold-standard products for most of its research and service. For disaster response, the ARC utilizes the good-will of its volunteers to address needs such as shelter, food, and health services. On the local level, chapters of the ARC have disaster action teams that respond to smaller emergencies and provide transition services to the victims of such emergencies. They also have a larger wokforce of volunteers to pull from and use for support services. 

The authors are Stephen Collier, PhD and Andrew Lakoff, PhD. Dr, Collier is an associate professor of international affairs at UC Berkeley. He is an anthropologist by training, and focuses his research on a variety of political schools of thought and their applications. Dr, Lakoff is an associate professor of sociology and focuses his research globalization, biomedical innovation and the history of human sciences.