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I situate my research at the crossroads of history, philosophy, sociology and anthropology of science. In the past, I have focused on epigenetics, environmental research, empirical bioethics and environmental justice, within and outside the academia, as you can read here, or here. Now I am focusing on antibiotic resistance, and I use it as a lens to interpret the contradictions of the last century derived by industrial production, environmental degradation and biomedical cultures.

What interests me is the (at that time) new epistemic discourse that since the Forties has been produced to explain morphological changes of organisms produce when they experience new environmental conditions or perturbations. Through an important experiment at the base of the so-called concept of genetic assimilation, Conrad H. Waddington showed that a thermic shock can produce changes in wings’ veins of fruit flies, changes that can eventually be inherited across generations, without the environmental trigger that caused them.

This focus on production and (genetic) storage of biological differences elicited by the environment is nowadays coupled with the knowledge produced through microbiome research that explains the phenotypic patterns that recur across generations.

In a thought-provoking twist, with microbiome research, the focus shifts from production and inheritance of biological differences to production and inheritance of biological similarities. Microbiome research shows that some phenotypic patterns are allowed by ecological communities of microorganisms composing all animals. Bacteria allow the development and functioning of our bodies within an epistemic framework that is now key to understand biology. The network of vessels composing mammals’ stomach is formed through cellular differentiation and expression of genes coordinated by bacteria. The same is true for our immune system that is coordinated by gut bacteria. Food, which is an important aspect of our lives also impacts on this microecology and mediates between our biological functions and functioning of means of production whose parts dedicated to food production have immense importance for our biology and our internal and external ecologies. Antibiotic resistance is one of the crossroads where culture, biology, history and the Anthropocene meet. Indeed, Antibiotic resistance shows that means of production of our societies have an even more widespread, deep and allegedly unexpected impact on the biology of animals and plants. The microorganism can indeed adapt to resist the selective toxicity of antibiotics. Moreover, bacteria can transfer their genetic code horizontally, by touch, so that we can acquire antibiotic resistance by eating food that functions as a vector, by hosting lice on our heads and many other contacts. Bacteria that are resistant to antibiotics that have been used as growth factors in animal husbandry and to prevent diseases in livestock and aquaculture, spread in natural ecosystems and can be found in wild species. Rivers and estuarine waters are places hosting antibiotic resistance.

Searching on PubMed (the search engine for biomedical literature) titles of articles containing the terms ‘antimicrobial’ and ‘Louisiana’ I retrieved just one twelve-years-old article. No results with terms such as 'Mississippi' or 'New Orleans'. The authors collected and analysed Oysters from both waters of Louisiana Gulf and in restaurants and food retailers in Baton Rouge. In most of the samples gathered, scientists recognised the presence of bacteria (Vibrio parahaemolyticus and Vibrio vulnificus) resistant to specific antimicrobials. Food production is indeed the first factor in terms of the quantity of antibiotics used. This use and related antibiotic resistance impact all the living beings present in a specific area, and can easily travel around the globe through many channels. As Littman & Viens have highlighted, a sustainable future is a future without antibiotics as “there may be no truly sustainable way of using antibiotics in the long-run, as microorganisms have shown to be almost infinitely adaptable since the first introduction of antibiotics” (Littman & Viens 2015). But in the meanwhile, we need to use them and antibiotic resistance is a phenomenon that can be better studied through environmental research, by analysing wild species and emissions nearby livestock, for instance.

The study that I retrieved focuses on Oysters. But what about antibiotic resistance conveyed through food that is consumed by the most?

What about exposures of communities that are living in highly polluted areas?

And what is the additive value on antibiotic resistance for individuals who experience the presence of industrial pollutants and that live in areas where cancer epidemics are registered?

In this respect, there is a strategy to cope with the issue of antibiotic resistance promoted by the Center for Disease Control and Prevention. The document doesn’t mention any action to monitor and regulate the production and usage of antibiotics in livestock. Nevertheless, the CDC wants to scrutinise, through genome sequencing, “Listeria, Salmonella, Campylobacter, and E. coli and uploads sequence data into PulseNet for nationwide monitoring of outbreaks and trends.” Moreover, the document reports that “In Fiscal Year 2019, Louisiana will begin simultaneously monitoring these isolates for resistance genes. When outbreaks are detected, local CDC-supported epidemiologists investigate the cases to stop spread.”

The questions that I would like to ask (to local ppl, activists, researchers, practitioners..) are:

What could be the epidemiologic characteristics (socioeconomic status, gender, residence..) of the populations more vulnerable to antibiotic resistance?

What is the additive role of antibiotic resistance for people living in highly polluted areas?

What is the impact of antibiotic resistance for people and patients living in areas where cancer incidence is high?

And on the long run I am interested in imagining possible strategies to not only living with the problem but also to tackle the problem itself, which means to develop strategies to answer the questions:

Why antibiotic resistance, which is known since a century, it’s a problem on the rise?

What is the role and interest of capitalism, in terms of profit-making of corporations, knowledge production and environmental degradation, in not being able to resolve antibiotic resistance?

What can be strategies of local communities to tackle the problem and to promote environmental justice in terms of alliances with ecologists, doctors, epidemiologists and other activists?

Three ways the argument is supported is through explanations of what humantarism is and its types and explaining the backround of sexual violence and how it is the perfect scapegoat. The article uses MSF's history of treatment in the Congo and toher countries and points out the high incidients of rape. The artilce also uses meetings and quotes that describe sexual violence as a staple issue to explain the argument.

The main findings presented in the article is preventing epidemics, watching global health patterns, reviewing past health epidemics. The article analyzes the ways health can be secured through keeping food in your home country, to preventing epidemics by looking at health globally. The article also mentions factors that can cause illness that include: bio weapons, biological labs, the food industry, travel, etc.

The film suggests to change the healthcare system in America. Perhaps by providing universal healthcare to those who are in need, or allowing public hospitals to provide patients without insurance some form of care. Everyone has the right to be seen and treated.

The implications that this policy has on first responders and others is that the whole country supports the cause of those who fight to protect the rights of others in a time of need. It foreshadows that if something drastic was to happen again, that those who work to save others would get the needed recognition.

The data/reports they have collected to support their approach to help disaster include annual reports and newsletters that define the issues they are currently focusing on: what it includes, how one person can help. Their website also includes resources that describe the issue they are tackling their position and what is going on to prevent/cure the problem. Their website has experts, a university that specializes on 'empowering global communities' in order to be able to recoginze their lack of human rights. They also have a blog and first hand video accounts.

Three ways the article is supported is through first hand accounts of diverse residents that have lived in New Orleans- their opinions of how the rebuild process is progressing as well as the lack of a connection between need and aid from the government. The interviews also provide an emotional perspective into the lives of those who experienced the disaster. The article includes direct quotes from federal disaster efforts such as FEMA and HOME, who provided statistics into how many people received trailer homes and money to rebuild their lives. Another way this article was supported was using records of mail, who had lived in New Orleans before the hurricane and after. This evidence provides an insight into how many people were actually homeless because they had no way of getting federal aid.

The system was built to serve those who cannot afford mental health care and to those who are not educated on mental health disorders. This system was built was reduce problems such as: senseless violence, broken families, lost productivity, and costly physical illness from mental disorders- the app can help these issues over time. To ultimately build healthier communities, workplaces, homes, personal relationships, preventing these in future generations.

The methods/data used to produce the arguments in the report include general statements about mental health disorders followed by stats and explanations that support the stat and/or deny the increase of mental health illness (those that have been reported). The paper is chunked into portions that explain an illness, a coping mechanism and factors that produce higher rates of mental illness.