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I am interested in the Macro scale and the macro effects evident at a city-scale level. I remember visiting New Orleans in 2016 and vividly remember seeing several signs with a large 'No' symbol drawn and the text  "neighbors not tourists" printed on the sign. Recently, as part of my research into New Orleans, I stumbled on this piece by the Guardian on how short-term rentals through platforms such as Airbnb are leading to gentrification in New Orleans. Highlighted in the article is how several Airbnb hosts do not reside on the listed premises. I remember the place we stayed, as we were a large party, having a 617 prefix number.  The prefix stood out as I knew the code 617 represented Boston and was curious what someone with ties to Boston doing in New Orleans as a host. In a similar vein, the article also highlights the problem of absentee hosts, hosts who acquire property for the sole purpose of setting up the property as an Airbnb site.

To tackle the problem, one councilwoman passed a law that required any Airbnb hosts in residential zones to have a homestead exemption verifying they live on site. In this case, a city-wide measure was taken and passed into law affecting the micro. It is common to have one host having several properties in different residential areas in New Orleans. From a technical standpoint, it could be viewed that Airbnb as technology is developed and presented as a scalable product. With no limits to reproducibility. Meanwhile, real-life discontinuities exist in the form of such homestead laws. It is impossible to live in more than one homestead at the same time. In other words, the concept of the human is not scalable.
Likewise, neither is cultural heritage. The city of New Orleans positions its self as a city with great cultural heritage. It is through this heritage that they seek to draw more and more tourists. How do cities think of scaling up successful initiatives and how do they navigate the political, social, ecological, or economic entanglements. At what point is downscaling necessary? Is culture scalable?

[1]https://www.theguardian.com/us-news/2019/mar/13/new-orleans-airbnb-trem…

I am currently a Ph.D. student interested in exploring the entanglements of scale, especially in the context of environmental sensing.  My primary research seeks to engage in discourse around the value of scalability that is presented as inherent in computation. While the term scale-up is almost synonymous with computation, sustainability; on the other hand, is known as a problem of scale. Take for example, the discourse on climate change where the actions required to combat climate change requires interventions at different scales. In this context, demanding changes at individual scales while no corresponding changes happen at larger scales would not yield much.

In looking at New Orleans, I came across a video on IoT cameras developed by Cisco, the networking giant. What struck me other than the apparent rise of surveillance capitalism was the narrative of one of the police officers highlighted in the video. The officer mentions that it is not feasible for the city to place police officers on every corner. In the context of scale, the police officer is implying that cameras are useful as they extend the police officer's ability to surveil the city. In other words, cameras and the networks help scale up the police officer, making it possible for them to cover a larger scale than before.

One of the police officers, in the video, also mentions that New Orleans is a tourist and hospitable town. Which brings up the question at any given period, what scale of visitors can New Orleans support without stretching the city's resources? Several other cities in the world have made efforts to limit visitors, in order not stretch city resources. The recent crisis at Mount Everest is an excellent example of what happens when resources are stretched to accommodate the increasing number of local visitors. How could something of this nature similarly impact New Orleans?

At the communication center where the video feed is analyzed, the IT manager provides reasons as to why they chose Cisco as their vendor. One of the reasons he gives was that the system is easily expandable, allowing the ability to scale out/up the network.

The extensive citation show the work that went into the research to put the article together. The article cites other research articles as well as government publications and interviews.

Dr. Emily Goldmann graduated from the University of Michigan with her PhD in Epidemiology and Columbia University with a Bachelor’s in economics and Chinese. Dr. Goldmann is currently a clinical assistant Professor of Global Public Health at New York University. “I am currently on the faculty of NYU's College of Global Public Health, in the Division of Social Epidemiology. My current research focuses on the intersection between physical and mental health in older adults, specifically trajectories of depressive symptoms following stroke. I also have a strong interest in the characterization, prevention, and treatment of mental illness in low-resource settings globally. I currently teach a master's level course in global mental health and an introductory course in epidemiology to undergraduate students.” (LinkedIn profile)

Dr. Sandro Galea graduated from University of Toronto with his MD, Harvard with a MPH, and Columbia with a DPH. Dr. Galea works as a physician and epidemiologist at Boston University School of Public Health. “In his scholarship, Dr Galea is centrally interested in the social production of health of urban populations, with a focus on the causes of brain disorders, particularly common mood-anxiety disorders and substance abuse. He has long had a particular interest in the consequences of mass trauma and conflict worldwide, including as a result of the September 11 attacks, Hurricane Katrina, conflicts in sub-Saharan Africa, and the American wars in Iraq and Afghanistan. ” (Boston University Biography)

The bibliography is not included in the excerpt that we received. Based on the text it appears that many other research articles and outside studies were used as well as interviews.

The author uses a wide variety of news and journal sources to make their point. Everything from the New York Times to East Asian Science. It also cites many volumes on disaster preparedness. For example, “The Chernobyl Accident: a Case Study in International Law Regulation State Responsibility for Transboundary”. The sources tell me that the article was developed around the news at the time and works that dealt with handling of disasters from the past. For me, this furthers the case that the author is making: that the way we have been doing things in the past is not working.

I looked into how EMS operates in situations that are beyond protocols, standing orders, and medical control. I also looked into how story cases are used by other medical professionals. Further I looked into how “evidence” based approaches are formulated for studies and research.

1) “…what would happen if race and insurance status no longer determined who had access to the standard of care?

…in addition to removing some of the obvious economic barriers at the point of care, the clinicians and researchers considered paying for transportation costs and other incentives as well as addressing comorbid conditions ranging from drug addiction to mental illness. They also implemented improvements in community-based care, conceived to make AIDS care more convenient and socially acceptable for patients. The goal was to make sure that nothing within the medical system or the surrounding community prevented poor and otherwise marginalized patients from receiving the standard of care.

The results registered just a few years later were dramatic: racial, gender, injection-drug use, and socioeconomic disparities in outcomes largely disappeared within the study population [35].”

2)            “This model [PIH’s model], with conventional clinic-based (distal) services complemented by home-based (more proximal) care, is deemed by some to be the world's most effective way of removing structural barriers to quality care for AIDS and other chronic diseases.”

3)            “While some interventions are straightforward, we also have to recognize that there is an enormous flaw in the dominant model of medical care: as long as medical services are sold as commodities, they will remain available only to those who can purchase them.”

I had difficulty finding direct discussion of that particular chapter, but according to Google Scholar there are 22 citations of the larger work, some of which cite this particular chapter.

1) “The current concern with new microbial threats has developed in at least four overlapping but distinct domains: emerging infectious disease; bioterrorism; the cutting-edge life sciences; and food safety”

2) “’Global health’ is a second field in which health threats have been problematized in new ways.”

3) “The regulation of what Ulrich Beck calls “modernization risks” comprises a third field in which biosecurity has been newly problematized.”

4) “Although there is a great sense of urgency to address contemporary biosecurity problems— and while impressive resources have been mobilized to do so — there is no consensus about how to conceptualize these threats, nor about what the most appropriate measures are to deal with them.”