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Combo Disaster and Environmental Injustice

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Join us for the Disaster STS Network’s Fall 2021 virtual tour of Louisiana's Cancer Alley, a corridor of chemical plants along the Mississippi River between Baton Rouge and New Orleans with shockin

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ciera.williams
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The article highlights public health security and "biosecurity" in the context of large scale efforts/interventions in response to public health threats. Various frameworks have been proposed and implemented to analyze and respond to the new range of pathogenic threats. These take form as research groups, global health initiatives, legislation and emergency preparedness plans. The article proposes looking at biosecurity with an STS multidisciplinary approach (though not explicitly stated as such) and has separated biosecurity into four unique domains. These are emerging infection disease, bioterrorism, cutting-edge life-sciences, and food safety. These all overlap throughout the article. The article further highlights the faults of the "public health" approach and emphasized the trend towards a preparadness model.

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ciera.williams
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The author cites a number of cases in which the law proved difficult to enforce. One example is seen when looking at the difference in residency application acceptance rates between different locales/prefects. The much larger and metropolitan areas would accept down to 47% of the applications, indicating a possibly fair division of candidates reviewed. Other more rural areas would accept over 90% of the applications, showing almost no distiguishment between ailments. The question becomes whether this is reflective on the doctors' judgements of "serious ailment" given location, the political beliefs of the prefect, or simply the lack of caring whether someone emmigrates or not. Another example of the flaws in this law is highlighted by a personal anecdote from a patient. The patient was given a diagnosis when originially coming to France on a personal visa. They were told their condition was quite serious and would require ongoing care. However, when the doctor who diagnosed him was asked to sign for evaluation for the residency permit, the doctor changed his diagnosis to something much less serious. The political thought behind the poicy came into play and interrupted the normal proceedings, tearing doctors between their obligations to the law (and only allow exceptional cases) and to medicine (and err on the side of caution).  

The author also highlights the development of this law and its effects in three stages. Pre-1990: Serious illness was a factor in residency completely at the discretion of local government. Immigrants were seen as workers and they served that purpose only. If a worker was sick, they were of no use to society. 1990-1998: Illness was more often factored into the decision making process, but those allowed to stay received no paid employment or social wellfare benefits. Post 1998: Written into law, ill immigrants were allowed to stay with the opportunity for pay and legal status in France. 

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ciera.williams
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Emily Goldmann is an Assistant Research Professor at NYU in the College of Global Public Health. Her research primarily focuses on the social and environmental factors affecting mental health. She has written several articles on the mental health conditions in soldiers, which can sometimes be extended to emergency responders in disaster zones. 

Sandro Galea is a professor and dean at Bostom University and former Chair of Epidemiology at Columbia University. He formerly was an emergency physician and served with MSF. His research primarily focuses on the causes of mood and anxiety disorders in realtion to urban populations. He also talks on inequality in health care and the consequences of traumatic events on specific populations.

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ciera.williams
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That is a very good question, I have seen reviews of it, but never about it actually being used for the intended purpose. Thats not surprising given the subject content. As a college student, I personally would be offended and more or less turned off if my partner decided to pull out their phone and record consent on it while we were going for it. Thats probably why its hard to find any good reviews...