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Anonymous (not verified)
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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wolmad

The article supports its arguments in two main ways, by providing statistics and case stories. Statistics pertaining to medical based residence applications are separated by location, rationale, and department they were processed by in order to demonstrate varied acceptance rates. Case stories are used to show the process, the hurdles faced by applicants, and the effect that this policy has on the health of applicants.

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wolmad

The author of this article is Adriana Petryna, who is a professor of anthropology at the University of Pennsylvania. Her research focus has been on nuclear science and medicine, and it's cultural and political ramifications.

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wolmad

"In this article, we describe examples of structural violance upon people living with HIV in the US and Rawanda. In both cases, we show that it is possible to address structural violance through structural interventions."

"Susceptabiliy to infection [by HIV/AIDs] and poor outcomes is aggrivated by social factors such as poverty, gender inequality, and raceism."

"by insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violance."