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The development of both pipelines and CAFOs (confined animal feeding operations) in eastern NC have prompted action from justice organizations such as the North Carolina Environmnetal Justice Network (NCEJN). To address the ongoing problem of CAFOs, NCEJN has provided a number of resources on their site, as well as ways to take action by signing a petition to stop the use of hog waste as fertilizer. Prior to the Atlantic Coast Pipeline (ACP) being canceled in 2020, NCEJN played a role in organizing protests and taking legal actions- in conjunction with many other community member and activist groups- against Dominion and Duke Energy, the companies responsible for the ACP's construction. 

" 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"