EiJ Global Record: Eastern North Carolina, USA
The eastern Piedmont and southeastern lowlands of North Carolina are the “birthplace” of the environmental justice movement (EJ) in the United States.
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.
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josh.correiraThe article addresses the inequities in public health by showing how millions of tons of dust from concrete and asbestos were kicked up into the air after the tower collapses of 9/11 and was then determined to be safe per the EPA. A lawsuit was filed against the EPA on behalf of schoolchildren required to attend school in buildings near the site of the collapse and forced to breathe in so-called safe air. Emergency response is not directly addressed however plans of mandating that the EPA pay for the cleanup process are mentioned.
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Anonymous (not verified)Annotation of
The article looks at the "chronic disaster syndrome" - consisting of a multitude of factors that all act upon a person or family after a disaser like Katrina. The aftermath of the distaster lasts years, and this can wear on one's health if they are unable to return to their normal lives. Being displaced for a long period of time, in less optimal conditions, in a new environment, with new schools and jobs, can be traumatic
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josh.correiraEmergency response is addressed in this article as mentioned above, stating how it should be the focus of disaster prepardness instead of disaster prevention. Schmid also discusses the important components necessary in an emergency response team including analysis of previous disasters and experience from disaster relief organizations like the UN, and improvisation instead of comparing one disaster to another as no two disasters are identical.
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josh.correiraAnnotation of
“Yet risk has never been determined solely by individual behavior: susceptibility to infection and poor outcomes is aggravated by social factors such as poverty, gender inequality, and racism”
“we have transplanted and adapted the “PIH model” of care, which was designed in rural Haiti to prevent the embodiment of poverty and social inequalities as excess mortality due to AIDS, TB, malaria, and other diseases of poverty”
“Physicians can rightly note that structural interventions are “not our job.” Yet, since structural interventions might arguably have a greater impact on disease control than do conventional clinical interventions, we would do well to pay heed to them.”
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josh.correiraAnnotation of
The “PIH Model of Care,” research in Rwanda, and work in Haiti were followed up on
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josh.correiraAnnotation of
In response to
The policy addresses how healthcare workers should respond to a suspected ebola incident. This is directly to public health because it affects how the public will receive medical care in the event of an ebola incident.
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josh.correiraAnnotation of
In response to
Representatives of the Indian Health Service have made numerous congressional testimonies and numerous pieces of legislation have been passes to support the IHS, however, it does not appear that any relate to emergency response or disaster.
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Anonymous (not verified)Annotation of
The only reference to emergency response is that during the flooding, people were rescued from top floor apartments on rafts by neighbors, not by police or other safety officials. The article mostly deals with recovery from emergencies with national and state organizations and policies.