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Anonymous (not verified)
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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.

"Antibiotic Resistance in Louisiana"

fdabramo
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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?

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Anonymous (not verified)
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" Then, after the scale of the disaster had sunk in and victims began to realize they were barred by the local and federal authorities from returning home, another kind of trauma set in. Families had to find a place to live, a way to replace lost income, a place for their children to go to school, a way to obtain their prescription medications and telephones, a way to pay mounting unpaid bills for homes they no longer inhabited. Without their personal documents, they had to try to track insurance policies, if they had them, bank accounts, and health records, to begin the slow process of accessing government or insurance funds to help pay for their displacement and their hoped-for recovery. The reality of how much had been destroyed, not just in personal physical property but in whole communities, whole ways of life, had just begun to be felt" "The ongoing conditions of displacement have prompted some to report that, despite the length of time since the actual disaster, New Orleans is still in a state of “responding” rather than “recovery.”4 This ongoing predicament is key to understanding that what we are calling “chronic disaster syndrome” is different from posttraumatic stress disorder, in which traumatic events are isolated in time and symptoms are related to events in the past. In the case of Katrina displacement, conditions that are traumatic continue; they are ongoing. " " “Cleaning up the mess” in this case included a deliberate effort to get rid of the poorest sectors of the population, who were seen as a drain on public resources— those who lived in public housing. The notion that subverting support for public-sector recovery and using disaster to enrich private contractors by evicting and “erasing” the poor were part of a deliberate plan was affirmed for residents when they heard one of their state lawmakers say, in regard to the loss of public housing from the storms and flooding, that “God did what we could not do.""

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Anonymous (not verified)
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I further investigated details on the cost of a trailer home, the population changes over the past few years in New Orleans, and images of the city before and after Katrina.

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Anonymous (not verified)
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The article looks at the "chronic disaster syndrome" - consisting of a multitude of factors that all act upon a person or family after a disaser like Katrina. The aftermath of the distaster lasts years, and this can wear on one's health if they are unable to return to their normal lives. Being displaced for a long period of time, in less optimal conditions, in a new environment, with new schools and jobs, can be traumatic

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Anonymous (not verified)
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A variety of sources were used to make this article, as seen in the bibliography. The authors referenced many US government documents, news and research articles, recovery programs, research on other disasters, and various other works. This shows that the authors were not narrow-minded in their research, they looked for many points of view and other evidence for the article.

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Anonymous (not verified)
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The article looks at the "chronic disaster syndrome" - consisting of a multitude of factors that all act upon a person or family after a disaser like Katrina. The aftermath of the distaster lasts years, and this can wear on one's health if they are unable to return to their normal lives. Being displaced for a long period of time, in less optimal conditions, in a new environment, with new schools and jobs, can be traumatic

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Anonymous (not verified)
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The only reference to emergency response is that during the flooding, people were rescued from top floor apartments on rafts by neighbors, not by police or other safety officials. The article mostly deals with recovery from emergencies with national and state organizations and policies.