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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?

Emergency responders were not the main focus of the film but were portrayed as having to deal with difficult situations that they had little real control over, mostly because the state was portrayed as trying to do the right thing but making things worse. The consequences of the government fell on the emergency workers. The doctors and responders had to risk personal safety and had to deal with people not trusting them and ignoring their requests.

The purpose of the article is to underscore the difficulties and importance of post-disaster research investigation into why exactly the structural collapse of the towers happened. Dr. Knowles does this by looking into the cause, investigation, and aftermath of several historical building catastrophes in the US.   These cases have reveal how politics, public, and private entities contributed to the disasters and what tends to happen in the aftermath. In the case of the World Trade Center, Dr. Knowles identifies the main reasons for the structures failing and how other sky scrapers are susceptible to the same attack. 

1) Case studies.

2) The laws of France with regard to healthcare and non-citizens.

3)  Personal experience of medical professionals.

The main argument of the article is “Chronic disaster syndrome” stems from three problems: first the long-term effects of personal trauma, second the disruption of the smooth functioning of their way of life, and third the permanent displacement of depressed populations from the social landscape.

Cloud9 relies on its funders: IBM, Capital Factory, Telemental Health Institute, and Health Wildcatters. Telemental Health Institute especially lends to the service.

The main finding of the research article is that the aftermath and effects of the Chernoblyl incident are still wreaking havoc today on those that were exposed as well as on the healthcare systems which they rely on.

1) Fukushima proved current standard ineffective. Fukushima was the worst nuclear accident since the Chernobyl incident over 25 years ago. Hundreds of thousands of people had to be relocated due to the radiation leaks—many to this day. The effects of the hundreds of thousands of gallons of radiation contaminated water released into the ocean are still not fully known.

                2) International groups called for agency to enforce as no current candidate is feasible. IAEA is large enough but not fully trusted to be the host as it promotes nuclear use and appeared to praise TEPCO and the handling of the Fukushima incident. The World Association of Nuclear Operators (WANO) is a better candidate but still faces the problem of appearing as a secretive organization keeping its member companies confidential. WANO also currently lacks the size and resources to build an international nuclear disaster strike team.

                3) The author stresses that good communication and cooperation are required for success of such an organization. For a response team to work at the international level, sharing of different countries’ reactor designs and other various trade secrets would be crucial. The expertise from operators, responders, and other professionals who have had hands-on experience from Fukushima and other nuclear disasters. It would take a sizable amount of funding for such an organization and maintain the capabilities as the author described. 

1) “Repeatedly, I have been surprised by the impact that even lightly sketched case histories can have on readers.”

2) “But even the manifesto conceded that less formal expertise would remain important in the areas of practice that had not been subject to high-level testing. THAT confession covers much of the territory.”