Search

Main argument

Anonymous (not verified)
In response to
Lee argues that EJ practice has long stagnated over an inability to properly define the concept of disproportionate (environmental and public health) impacts, but that national conversations on system racism and the development of EJ mapping tools have improved his outlook on the potential for better application of the concept of disproportionate impact. Lee identifies mapping tools (e.g. CalEnviroScreen) as a pathway for empirically based and analytically rigorous articulation and analysis of disproportionate impacts that are linked to systemic racism. In describing the scope and nature of application of mapping tools, Baker highlights the concept of cumulative impacts (the concentration of multiple environmental, public health, and social stressors), the importance of public participation (e.g. Hoffman’s community science model), the role of redlining in creating disproportionate vulnerabilities, and the importance of integrating research into decision making processes. Baker ultimately argues that mapping tools offer a promising opportunity for integrating research into policy decision making as part of a second generation of EJ practice. Key areas that Lee identifies as important to the continued development of more effective EJ practice include: identifying good models for quantitative studies and analysis, assembling a spectrum of different integrative approaches (to fit different contexts), connecting EJ research to policy implications, and being attentive to historical contexts and processes that produce/reproduce structural inequities.

pece_annotation_1476143073

Anonymous (not verified)
Annotation of
In response to
I further investigated details on the cost of a trailer home, the population changes over the past few years in New Orleans, and images of the city before and after Katrina.

pece_annotation_1473632355

joerene.aviles
Annotation of
In response to

The article notes the U.N.'s role in the cholera epidemic that killed thousands of Haitians and government and societal factors that lead to Haiti's lack of major improvement after the earthquake. Another public health issue that was mentioned was, "the only part of the Haitian government that receives direct funding from the U.S. government, the Health Ministry, has racked up impressive post-earthquake gains in childhood vaccination rates and access to lifesaving HIV treatment". 

pece_annotation_1474230362

joerene.aviles
Annotation of
In response to

The report addresses how strained public health infrastructures can get in the face of large scale epidemics like in the ebola outbreak. It analyzes the responses of local government, health care workers, and MSF in the ebola outbreak, discussing what could have been done to prevent the spread and severity of the disease.

pece_annotation_1476048148

joerene.aviles
Annotation of
In response to

The article describes the situation in post-Katrina New Orleans as one where trauma is constantly happening and more work is going into emergency response than recovery. Instead of construction workers, social workers and the like, the military was sent by the government for aid after Katrina. 

pece_annotation_1478470604

joerene.aviles
Annotation of
In response to

The main findings in this article is the phenomenon of "biological citizenship" that occurred in the Ukraine after the Chernobyl disaster, how "scientific cooperation and political management" developed, and how sociopolitical factors affect the course of health and disease in a country. 

pece_annotation_1479078445

joerene.aviles
In response to

The parts of the film that I found most persuasive and compelling were Atul Gawande's personal experience. As both a surgeon and son, he has the unique viewpoint of being the one to be the bearer of bad news and be the one to accept his father's mortality as his cancer progressed. Gawande gives rational and emotional parts of end-of-life care, and is able to learn new ways of handling mortality as a healthcare provider and a human. 

pece_annotation_1473624574

joerene.aviles
Annotation of
In response to

While the practical yield of such circumscribed inquiry has been enormous, exclusive focus on molecular­level phenomena has contributed to the increasing “desocialization” of scientific inquiry: a tendency to ask only biological questions about what are in fact biosocial phenomena [1].

What would happen if race and insurance status no longer determined who had access to the standard of care?

Sometimes public health crises, such as the AIDS pandemic in Africa, can lead to bold and specific interventions, such as the campaign to provide AIDS prevention and care as a public good [54].

In this struggle, equity in healthcare is our responsibility.