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Luísa Reis-Castro: mosquitoes, race, and class

LuisaReisCastro

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?

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Sara_Nesheiwat

The study addresses vulnerable populations by initially focusing on youths that were in the vicinity of the Fukushima disaster at the time of the event. These subjects are vulnerable due to their proximity to the nuclear disaster, but also due to their age and the fact that they are still developing, causing them to be at more risk. 

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Sara_Nesheiwat

This was an excerpt from a book entitled "Medicine, rationality, and experience" by Byron J. Good. This book has been cited in 16 different papers and works. Many of the works it has been cited in include anthropology of the Middle East, global health, Nurse and lay community members and other topics associated with anthropology and cultural communication.

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Sara_Nesheiwat
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The American Red Cross is a nonprofit, tax-exempt, charitable organization. The American Red Cross isn't a federal agency, so they do not receive regular federal funding to carry out their services. They get their money from public voluntary contributions and from cost-recovery charges they have for their services, such as health and safety training courses they offer. There are times though that the federal government contracts with the American Red Cross and provides material and aid assistance to support the Red Cross at times.

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Sara_Nesheiwat

This policy greatly helped sculpt emergency medicine and public health. By giving the right to the patient to have emergency medical treatment required without proof of insurance or payment, astronomically influenced the amount of patients being turned away and their possibilty of developing worse illnesses or dying. In a paper I read, a young doctor in the late 70s and early 80s remembers watching a woman in labor give birth in the doorway of the hospital and proceed to borht her child in the parking lot after being turned away for not having insurance. By requiring hospitals and doctors to see that all ED patients get care, no patient was at risk of dying or complicating their baby's health and birth due to a lack of insurance, ultimately increasing public health efforts. Not all hospitals turned away their patients, but enough did to make it a public health concern and get Congress involved. EMTALA changed emergency medicine protocols but also public health expectations and actions.

http://www.hhnmag.com/articles/5010-the-law-that-changed-everything-and…

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Sara_Nesheiwat

-I looked up UN response efforts in Liberia during the time of this outbreak. Doing this, I was able to learn about the process that was taken in an attempt to decrease the transmission of the disease. I also learned about specific numbers in terms of confirmed cases as well as deaths. The UN was mentioned but not explicitly talked about in the film, so I wanted to further my understanding of the actions and role they played during this outbreak. 

http://ebolaresponse.un.org/liberia

-I wanted to research the general healthcare in Libera and see if there is a lack in healthcare in this area, which may have aided in the severe devastation caused by the outbreak. As mentioned, the civil war really effected many outcomes of the country, one of them being healthcare. Communicable diseases were a factor that was already a topic of concern in this area before the outbreak of Ebola. Currently healthcare in Libera is being reformed, yet after reading this report, it is easy to see why the government and public health workers struggled so much to contain this outbreak.

https://csis-prod.s3.amazonaws.com/s3fs-public/legacy_files/files/publi…

-I wanted to learn more about the Ebola virus in general but also learn more about the diagnosis and the symptoms that those infected would display. I also wanted to learn more about the progression of the virus after being infected as well as the incubation period. I researched the virus on the World Health Organization website. Here I was able to find all this information out from the virus' origin to the diagnoses process and symptoms.

http://www.who.int/mediacentre/factsheets/fs103/en/

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Sara_Nesheiwat

This paper has been cited and discussed in 7 different articles according to Google Scholar. Many of the papers it has been cited in have to do with the effects of social media on opinions of opioid use, gun violence, vaccination rates and more. The papers all have to do with public perception and education on certain topics, very similar to this study.

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Sara_Nesheiwat

Emergency response is addressed in terms of post disaster investigations rather than immediate on scene response. The political and social analysis of these city areas, as well as the social aspects of the disasters are analyzed. Discussing why the events occurred, how to prevent them, as well as the political aspects such as power and public factors are also discussed. Investigations mainly showed that more needed to be done in terms of preventatives and safety that could have possibly minimized the amount of disaster in some of the situations. 

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Sara_Nesheiwat

This article discusses the French laws and their effect on immigration and healthcare. The laws around the retention of illegal immigrants in France to get treated for their illnesses are discussed. Policies are also discussed in comparison with America and other western nations. The law that is behind this was published in June 1997 by Jean-Pierre Chevenementthe. The public health aspects as well a immigrant rights are also discussed. 

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Sara_Nesheiwat

This program, as mentioned earlier is set in Tulane University in New Orleans yet has a lot of global outreach. This program's website has a map showing their direct partners all over the world on the front page. Partners include, Tulane University, RAND Gulf States Policy Institute, Louisiana State University,University of South Alabama, Louisiana Public Health Institute, Benadir University, Catholic Relief Services, dozens of colleges and programs in Africa such as the University of Zimbabwe as well as the Kinshasa School of Public Health, other partners includes UNICEF-Mali and others in Asia, such as Moi University and the Asian Disaster Preparedness Center. Needless to say these are just  few of the many partners this program based out of Tulane has all over the world.