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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?

This is a 180 page document that has hundreds of components in terms of what information, as well as measures and advice that the report includes and recommends. The report contains information on the radioactive release amounts and deposition in the urban, environmental, agricultural and aquatic areas surrounding the plant. Recommendations for future monitoring and research are also provided. Countermeasures are also widely discussed and ways in which people can combat and help reverse effects of the radiation and evacuations. The effects the disaster had on plants and animals is also analyzed and supported by facts and figures. The amount of human exposure and recommendations are also discussed. Future trends are analyzed as well as very detailed reports of the weather during the time of the incident, how that effected things, how specific types of animals were effected, the differences between external and internal doses.  A break down of the impact on air, shelter, surface water, groundwater etc. is also provided. Needless to say, pretty much any single detail that could possibly be known about the condition during the event and after the event were researched and documented in this report. 

This study was written by Kota Katanoda et al and recently published in 2016. The article is published by JJCO (Japanese journal of Clinical Oncology.) This journal publishes many works involving cancer studies and epidemiological studies analyzing the distribution of cancers. This journal focuses on oncology and the medical aspects of causes and effects based off radiation exposure, surgeries mainly focused on effects seen on Asian countries and citizens. The journal focuses on all types of cancers and publishes meta-analyses, as well as systematic reviews of risks that patients face post or pre surgery in terms of cancer, as well as possible reactions to disasters or radiation exposure. This journal has numerous publications as well as has ties to the Oxford Journals, it is regarded as a dependable and noteworthy journal for clinical oncology by peers. It is edited by Tadao Kakizoe and was established in 1971.

The argument is supported through the use of other work by professionals in this field and on this topic, which corroborate the author's own findings and provide material support for his arguments. Secondly, case studies along with statistics and data are provided along with stories of patients and their experiences in Ankara. Along with interviews and statistics, an in depth background is also provided by the author in which he analyzes the meaning of narrative and explains its connection with culture. 

American Red Cross is comprised of volunteers. According to their website, 90% of all their humanitarian work is done by volunteers. People of all backgrounds and abilities volunteer and respond to emergencies- from ordinary people to veterans to doctors. These volunteers help overseas, locally through blood drives, fundraising and in areas of crisis. 

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

I would say the average community member is the main intended audience of this documentary, due to the fact that those in the general public can see themselves as being in the same situation. Most of those in the public aren't medically educated and the responses seen in Libera is the same that many of those would have in other general populations of other countries and locations. Due to the lack of scientific research and statistical analysis in the documentary, I would say that this documentary was meant to appeal to the general average person and not scientists, scholars or experts on the topic of disease containment. 

I further researched some of the articles and works cited throughout the paper to read up more on the backgrounds of the papers. I also looked at statistics on violence and healthcare service delivery as well as stories and past instances of attacks and other forms of violence on workers in the health field and humanitarian sectors. 

The author discusses and analyzes the 9/11 collapse and compares it to other historical disasters in terms of causes as well as the influences of the clashing of power as well as attributions of responsibility. The author goes thorough numerous different historical events in which the underlying forms of politics, power and public/society influences are discussed. Finally, the last event discussed is the World Trade Center. The author discusses the fireproofing material surrounding the beams in the towers, how exit strategies failed, and the remarkable fact that the towers withstood being struck by large jets. He noted, that the buildings might have continued to stand if it weren't for the fires that we couldn't put out and the 2000F temperature reached. Then he brings up the point about how this same situation can affect other sky scrapers in NY. The politics as well as memorial funding is also discussed toward the end of this paper as well.