Parademic Notes Week Ending 180708

Read This First, Heuristics (1), Glossary (A-H), Mini Lessons (2)

-1. Stigma Acceleration, 1.1. Epidemic vs Pandemic, 1.2. Stigma Consequences, 1.3. Economic Costs, 2. Self Inflicted Vulnerability, 3. Ukraine Project, 3.1 BRET Project, A. Bats, B. Human Factors, 4. Biocalamity Paradox, 4.1. Hydrology Maps, 4.2. Stratigraphy, 4.3. Forced Migration, 5. Social Construction of Nature, 6. Scott Pruitt Resignation, 6.1. Biotrumpism Acceleration, 7. Use of DNA, 8. Anti-Breasts, <ADDED>. >1. Invasive Canines, >2. Immigration and Rural Areas, >3. Idealism and Synthesis, >4. PAHPA, >5. DRC Polio, >7. Sarin Execution, >7. Gun Violence Research, >8. Flint Ennui, A. Water Safety Deregulation, B. Rolling Back Rollbacks >9. Flood Related Disease in Puerto Rico, >10. Trash Capitalism, >11. Dickens. >12. Quarantine Law and Protections. <VCP Version>.

Other Topics: BioTrumpism, BioPolitics, Vaccine, Biosphere, Disaster, Humor, Climate Change, Anthropocene, Anthropogenic, Communication, Conspiracy Theory, Swine Flu, Safety Nets, Toxic Warfare, US Geological Service, John Wesley Powell, Stratigraphy, Urban Geography, Zipf’s Law, Clean Water Act, Too Much Science, Likely Probability, Informing Policy, Opioid Crisis, Moral Panic, Agriculture, Public Health, Global Health, One Health, Water, Narratives, Polio, Lowering Bar on What is a Problem.

-1. This is a consistent observation. Stigma (ignoring and attacking) doesn’t cure or fix any health, environmental or social problem; and in fact consistently makes these worse. Research Warns Indonesia Gay Bashing Is Fueling HIV Epidemic*. Disowned by his father and ill equipped to deal with the stigma of HIV/AIDS [Meme, #], a young man had effectively committed suicide by stopping anti-viral medication, according to a doctor familiar with the case. The death is a sign of an out of control but little acknowledged epidemic of HIV among gay men in Indonesia that researchers say is now being fueled by a gay hate climate (a moral panic) whipped up by the country’s conservative political and religious leaders. | In Indonesia, the majority are not tested for HIV until developing symptoms of illness. Testing and condom use are both crucial to curbing its spread, but Indonesia is failing at both and is now making it even more difficult for health workers to reach gay and bisexual men. Highly publicized police raids targeting gay men and a vicious outpouring of anti-LGBT rhetoric from officials and other influential figures since early 2016 have caused significant disruption to HIV awareness and testing programs. The police practice of using condoms as evidence against gay men has had a pernicious ripple effect, turning the crucial rubber safeguard into possible grounds for criminal prosecution. | The failure of this approach is clear when compared with Thailand, a neighboring developing country of similar income level to Indonesia that has addressed the epidemic more openly. About 9 percent of Thai gay and bisexual men have the HIV virus, compared with 26 percent in Indonesia, according to U.N. data. More than 90 percent of the people estimated to have HIV in Thailand have been tested and know their result, compared with only 1 in 3 in Indonesia. Effectively they are waiting in turn to be infected. The toll of the health crisis is hidden from view. Frequently, people with HIV/AIDS are dying alone, either afraid to reveal their health status – and their sexual orientation – to their families or rejected by them when they do.

            -*1.1. Note the use of epidemic in the headline. I am pretty sure that a global spanning disease, infecting 1% on average, which is fatal and chronic, is a pandemic. Indicates the word pandemic itself is still stigmatized, and probably set the stage for Ebolaphobia, distrust of CDC and WHO, and justification for defunding. The “Fake Pandemic” Charge Goes Mainstream and WHO’s Credibility Nosedives, The Elusive Definition of Pandemic Influenza. WHO and the Pandemic Flu Conspiracies, Whom Do You Trust. Doubt and Conspiracy Theories in the 2009 Influenza Pandemic, H1N1 Hype a Treasure Trove for Conspiracy Theorists, Swine Flu: Lab Accident May Have Caused Pandemic, Swine Flu Warning. Is the Government Hiding Something about Swine Flu. It also turned out that the 2009 Flu Pandemic Was 10 Times More Deadly Than Previously Thought. Why Our Brains Constantly Create New Threats. When something becomes rare, we sometimes see it in more places than ever. It’s a quirk that can impair our judgment, but may be one we can control, -180701-1.1↓.

            -1.2. Stigma also tends to create scarcity, which means associated costs will increase, Rising Cost of PrEP to Prevent HIV Infection Pushes it out of Reach for Many. Costs include Costs include exploitation, criminal activity, work around barriers, increasing tempo and severity of law enforcement: Prevalence and Public Health Implications of State Laws that Criminalize Potential HIV Exposure in the United States. Discrimination and Homophobia Fuel the HIV Epidemic in Gay and Bisexual Men, despite the clear evidence for the social determinants of HIV transmission, there have been limited efforts targeting these social inequalities. HIV and Substance Abuse, the link is not only related to dirty needles, but also to risk taking behavior and impaired judgement. Stuck in the Quagmire of an HIV Ghetto: The Meaning of Stigma in the Lives of Older Black Gay and Bisexual Men Living with HIV in New York City, structural disregard can slowly kill you, which may be the hope of moral panic that the disease will eventually solve the sinful behavior.

            -1.3. The Human Costs of Epidemics Are Going down but the Economic Costs Are Going Up. Here's Why. Most economic losses are not typically caused by the disease directly, but rather by relatively predictable consumer reactions, labor shortages and cascading failures in the economic and financial sectors. The number and kind of infectious disease outbreaks has increased significantly over the past 30 years. As global trade and travel increases, so does the international spread of disease – and so does the economic impact of outbreaks. The annual global cost of moderately severe to severe pandemics is roughly $570 billion, or 0.7% of global income. While the number of outbreaks is increasing, medical and public health advances have enabled us to better contain the morbidity and mortality effect of these events. However, at the same time our collective vulnerability to the societal and economic impacts of infectious disease crises appears to be increasing. In this way, behavioural impacts (An indicator of a parademic is economic consequences) can be as disruptive as the disease itself. Flu_Conomics: The next Pandemic Could Trigger Global Recession.

-2. 3 Reasons Why the US Is Vulnerable to Big Disasters. During the 2017 disaster season, three severe hurricanes devastated large parts of the US As a complex emergency researcher, I investigate why some countries can better withstand and respond to disasters. The factors are many and diverse, but three major ones stand out because they are within the grasp of the federal and local governments: where and how cities grow; how easily households can access critical services during disaster; and the reliability of the supply chains for critical goods. [Cartoon]. 180701-7. Mitigation Pays – Eventually. 3 [and a Bunch More] Reasons Why the U.S. Is Vulnerable to Big Disasters, we are headed for disaster trouble.

-3. Am working on a short project with a faculty member of the Swedish Defence University, Department of Security, Strategy and Leadership, to provide longue duree and social context of the biocalamity and parademic stemming from the current Ukrainian-Russia conflict. Fears of Radiation Leak from Flooded Ukraine Mine, source Transitions Online. Fears of Radioactive Disaster as Russian Proxies Plan to Flood Nuclear Test Site in Donbas, source Euromaidan Press. Ukraine Fears 'Second Chernobyl' If Militants Flood Nuclear Bomb Mine, source The Irish Times. Ongoing Violations of International Law and Defiance of OSCE Principles and Commitments by the Russian Federation in Ukraine, source OSCE. [Statue, Forged Figures Park in Donetsk] Coal Mine in the Lugansk Region. Ukraine Cuts Power to Coal Mines in Lugansk, Leaving 240 People Underground, source Sputnik News. Ukraine 2014 Human Rights Report, source United States Department of State; Bureau of Democracy, Human Rights and Labor. Ukraine Conflict – 24 Months of Urgent Environmental Recovery Will Cost $30M source The Toxic Remnants of War Network [Logo], which monitors the Ukraine along with other countries, and has been replaced by The Conflict and Environment Observatory which likewise follows the Ukraine. | Normally parademic stubs do not include the metadatum of: source, date published, author, editorial bias, evaluation of source and information. All of that is available from the original with additional research diligence by the reader. In this case the supported individual is not familiar with the parademic notes format, possibly the websites I am using, and its purpose of giving people experience of processing chaotic information and apophenia into a synthesis, preferably before a biocalamity. | Eventually it is hoped that this information will be incorporated in a publication that parademic can link too. 180701-4.1. | Could Russian Aggression Solve Ukraine’s Vaccine Crisis, Ukraine’s Health Sector 2017. Parents in Ukraine Wary of Vaccinations Even as Measles Numbers Rise 2017, Vaccination Crisis in Ukraine: its Origins and Consequences 2016, WHO: Polio Outbreak in Ukraine Due to Low Immunization Rates 2015. VCP Notes 180610. Not Used:..... Ukraine Measles Outbreak near 20,000 Cases, 40 Percent in Adults, <ADDED 180506-VCP>, <ADDED 180506-VCP>, VCP Notes 180422, <ADDED 180415-VCP>Ukraine, 180325-6.1‡, 180128-10, <ADDED 170730-170507-1A>, 150125-14, 131117-4.1, 130707-11.4.

            -3.1. In addition to VCP and the above Ukraine project, Parademic Notes will be supporting the One Health Bat Rabies Education Team (BRET)*A. Rabid Raccoon Killed by Dog near Pittsburgh. Health officials say a groundhog killed by a dog near Pittsburgh has tested positive for rabies. The county health department says the groundhog (not a raccoon) was brought to one of its facilities after a dog killed it in Mount Lebanon. Officials say this is the ninth rabid animal reported in the county so far this year. The others were four raccoons and four bats. County residents are being warned to avoid stray animals and wildlife, even if the animals appear healthy. They should also have their pets vaccinated and watch for unusual behavior. Social aspects (parademic): First, if any animal is found with rabies it is likely that bats in the area are carrying rabies and transmitting to other mammals, increasing the possibility of human infection. Second, confusion happens very easily with information. In this case headline had Raccoon when the actual animal was a Groundhog. The error was probably because there were raccoons with rabies, and reports of zombie raccoons: A Mystery Illness is Turning Pennsylvania Wildlife into Zombies 2017, Reports of ‘Zombie’ Raccoons Scare Homeowners, Puzzle Police. <ADDED 180513-180408-10>5, fueled in part by the popularity of the zombie narrative. Third, it may seem irrational and ridiculous (because it is but even so do not dismiss it), but these a priori narratives can influence perception and interpretation if there is a rabies outbreak -4.2↓ (increasingly likely as animal control and public health continue to be under funded). One will see emergent behaviors, conspiracy theory (lab accident or intentional release of rabies), reports of sighting of these or other mythological creatures (believe it or not this happens in nearly every epidemic), over reactions of behavior and policy (over abundance of caution for West Africa Ebola, closing borders, disproportionate public health violation of civil rights, exterminating pigs during the 2009 Swine Flu, easily repurposed to culling bats), fear mongering, and magical thinking to include scapegoating (lynching, attacks, denial of medical access  2  and abuse  2   3   4  upon immigrants -180701-1.1↓), panic, and influencing the 2014 (and arguably the 2016) US elections. Fourth, people get most of their scientific literacy from fiction (which uses fact to increase believability) and friends, not from science classes, personal experimentation, or reading (boring) scientific literature. -3.1, -4, -4.1, -4.3, -6, -7, -180701-1.1↓.

            -*A. The One Health Commission supports Bat Rabies Education in the Americas at this time has a clinical/ medical approach to Bat Rabies, so as the sole non member social (fuzzy) scientist contributor to BRET, who has a background in education and public information, it is expected that BRET will not immediately accept the information – quite frankly it will appear to be non sequiturs, ludicrous juxtapositions, and rabbit hole tangents – much less know how to apply what the aspects and human factors insights contribute. Information sharing and acceptance is a process, explaining relevance, having real world incidents that are applicable (but one hopes that these don’t happen as people die during the learning curve), moving from awareness to interesting to maybe there is something to this, making mistakes and probably offending people, encouraging to ask questions and examine assumptions, learning what questions to ask of social science* and how to ask, gaining value where it is not just interesting but worth putting effort into. For example I shared These Portuguese Libraries Are Infested With Bats – and They Like It That Way, knowing that the consensus of the BRET group would be to not include in its library. The following -B↓ is my email response after the head of the group asked if the article should be included and it was decided to not be relevant. It is too long and likely not read. But that was the point, not that the information be accepted, but to give a visual demonstration that there were lots of reasons it was relevant (that BTW is an old teaching trick, overwhelm and then show an easy way). I agree with the decision as it was not the best vehicle for a first attempt to introduce anthromes to One Health, though it is assumed that the concepts of anthropogenic and urban terrain would be more easily accepted. | Beside bats and knowledge Libraries can be dangerous places How We Discovered Three Poisonous Books in Our University Library. The Batty, Explosive History of Bats in the Military – and Why this New Idea Just Might Work, illustrating the problem of dual usein , and may become the basis of a conspiracy theory about intentional spread of rabies leading to culling or extermination of the local bat population., causing severe harm to the local ecology. *Though parademic is an interdisciplinary field, to include outside of social sciences, it is by no way representative of all social science and schools of thought, but the perspective of its curator. Parademic is not Medical Anthropology, there are overlaps but it is more Disaster Anthropology  2   3   4   5   6 .

            -B. I have not read all the emails yet but this one brings up a particular concern about relevance. One of the reasons I feel that medical does not seek out information about human factors is that it does not seem relevant. Why care that there are bats in the belfry. To explain then. 1) You asked the question that was not answered in the article. How does the library handle the guano problem. Good question and one that I myself asked and found the answers. The clues of what to ask about guano were actually in the article. Cleaning is daily and they cover the tables and book each evening. 2) What I don't know and would have asked my medical partners is what are the health and environmental dangers and damage of bat guano, urine, feces, food droppings, possible parasite or insects they could bring in. Actually I know some of the answers to those questions but as I am not medical I would rather ask the experts of BRET. I would have also asked structural engineers about materials and construction that mitigate potential bat problems to buildings. 3) Currently from what I can find about the Nipah outbreak in India it is known that fruit bats are the carrier/ vector, but so far they have not found any infected bats. Is there another mammal involved in the particular transmission. Are there bats in anthromes that are so mundane that people forget or dismiss. For example bats are frequently associated with temples. Could it be that people were exposed at a temple, or from a temple source, and did not think of it as a place where the could have been exposed because it is sacred. Is there a mythology of temple bats that makes people not even consider that as a reservoir. 4) Could the lessons from Nipah in India be applied to Rabies in different continents. Are there types of bat interactions in India that would have counterparts in other parts of the world. Is there a practice of guano clean up – and likely selling of the material as a fertilizer which may be a source of infection – that is a health risk. <ADDED 180701-180527-2.2>4. 5) You may recall the Ebola outbreak in West Africa. There was a legitimate question about why was Ebola spreading far faster than its reproductive rate would explain. One medical individual looked at it as a medical problem and speculated that Ebola had "mutated" and now could be transmitted by air. Unfortunately instead of remaining in medical channels he chose to publish in the New York times where it quickly increased the panic, diverted attention, became a political meme, ended some careers, resulted in civil rights violations, and general rejection of medical expertise. At the same time MSF anthropologists were pursuing if the acceleration was from human factors such as bush meat, traditional healing methods or funeral practices. It was later determined to be a combination of traditional healing and funerals. 6) If one looks a rabies from bats being transmitted to humans one can see analogues with these irrelevant observations. 7) Another question is why humans chose to adapt to the bats rather than prevent entry or exterminate. Do the bats feeding habits keep down an insect population that have feeding habits that enjoy cellulose and other products that are used in the manufacture of book. Was the technology of the time the library built unequal to the task of preventing ingress and/or destruction of bats, and current means to do so are now considered ecologically unsound. Was there local knowledge about bats that recognized that bats could be a problem and already had solutions that informed the construction of the library – construction of the ranges to avoid bat droppings and roosting, the covering of the tables, making a library inviting as a hunting ground but not as a roosting habitat. What are the local clean up practices that protect people form bat dust that could be a health hazard. 8) Note also that it took a large amount of words to address why care (and even so only partially), and that the above is not refined to be simple, clear and concise writing that meets government standards, not the opposite writing that meets academic standards. From experience unless people see immediate relevance or are personally interested they will not make the effort to go though something like the above. Hence the use of the ludicrous juxtaposition (also called humor), that is short, invokes questions, and just maybe will get sufficient interest to explore. | This is what I hoped would happen by sending the article. That questions would be asked about why is this information relevant and applicable, and should be dismissed as ludicrous. This is what is known as breaking out of silos, out of the box thinking. The problem though is not limiting oneself by staying in one's safe silo/box, but how to find and apply what is in other silos, outside the box, to one's silo and box. Thanks for questioning why as medical people should there be any interest about bats in libraries. More than likely there is not, but requiring that the information be provided is a form that clearly gives the pertinence to medical is ignoring the reality that people, the world, nature in general, knowledge don't work that way.

            -Quote: I wanted to be a physician because medicine combined the things I loved the most, science and people. I understood that medicine would give me more direct and independent ways to contribute to society, not through organizations or abstract studies, but acting directly on the individual. – Dr. Helen Rodriguez-Trias.

            -‡. Application - Knowledge, Attitudes and Practices Regarding Rabies and Exposure to Bats in Two Rural Communities in Guatemala 2015, <ADDED 180701-180527-2.2>4 -‡. Clinical Report - Officials Seeing More Michigan Bats Infected with Rabies. Association of Rabies and Monsters - The Bestial Virus: The Infectious Origins of Werewolves, Zombies & Vampires 2013, Sick Idea: How Rabies Spawned Vampires and Zombies 2013, Were Zombies and Vampires Inspired by a Real Disease 2017, Rabies – the Curse Behind Vampires, Werewolves and Zombies 2013, Surprisingly, Zombies, Vampires, Werewolves and Failed Alien Invasions All Have Roots in One Ancient Disease 2015, Eeek. The Actual Diseases That Inspired Vampires, Werewolves, and Zombies 2017, Scientific Reasons to Believe in Vampires, Werewolves & Zombies 2010, The Virus That Inspired the Whole Zombie Genre 2012, Are Rabies Responsible for Werewolf Myths 2010. Medical Explanation - The Plague Behind the Zombies 2012, What Is Rabies 2017, Did Rabies Inspire the Legend of the Werewolf (And Vampires and Zombies, to Boot) 2015, Terrible Virus, Fascinating History in 'Rabid' 2012, Medusa's Gaze and Vampire's Bite 2012, The Origins of 10 Scariest Halloween Monsters: Zombies, Ghosts and Vampires, Oh My 2016 [Meme], The Surprising Medical Origins of Vampires, Zombies, Werewolves, and More Spooky Characters 2017, The Strange Science and Shocking Horror of Rabies 2012, The Virus Behind the Horror Legends 2014, Does Your Zombie Have Rabies 2014. Bats and the Occult - Bat Week: Witches, Vampires, and Bats… Oh My 2016, Why Are Bats Associated with Halloween 2012, Why Are Vampires Usually Associated to Bats If There Were No Blood Sucking Bats in the Old World Before 2017.

-4. Apparent paradox is a norm in biocalamity. Usually due to a false correlation that something is the same as something else, but also because biocalamities and disaster tend to be too much of something at one place or time, while at a different place at the concurrent time this is too little of the same something, in this case CO2. Judge Orders EPA to Share Evidence for Pruitt’s Climate Change Claims -6↓. Heat Dome Brings Death, Misery to US for Fourth of July, Heat Wave Turns Deadly and Expected to Last Through 4^th of July, Red Hot Planet: All Time Heat Records Have Been Set All over the World During the past Week, Growing Wildfires in Us West Mean More Red on July 4, [Tweet, Cartoon, Cartoon, Cartoon, Cartoon], Melting Roads and Runny Roofs: Heat Scorches the Northern Hemisphere. How More Carbon Dioxide in the Air Could Lead to More Human Disease. And if there is to much CO2 in the air how could there be A Carbon Dioxide Shortage Is Threatening the U.K.’s Supply of Beer and Crumpets. Expansion of Agricultural Land Reduces Carbon Dioxide Absorption, Land Use and Climate Change. ¶ And with heat there is concurrent issues of water shortages and drought, Iraq Bans Farming Summer Crops as Water Crisis Grows Dire, Snow Job: Iran Accuses its Enemies of Stealing Clouds to Create Drought, India's Worst Water Crisis in History Leaves Millions Thirsty, In India, Swapping Crops Could Save Water and Improve Nutrition, World Cup Host City Encouraged to Save Water for Fans, Told to Shower in Pairs, <ADDED 180610-180527-2.2>3, 180520-1, <ADDED 180429-170409-10.1>10, 180325-1 -7, <ADDED 180318-180204-6.4>7. -3.1↑, -4.1, -4.3, -6, -7, -180701-1.1↓. The Mysterious Disappearance of the Phrase Climate Change from a CDC Website. Shortly after Trump’s election but before his formal inauguration, an agency focused on conducting research to improve workers’ health watered down a website on climate change’s contributions to occupational hazards, like those that require working outside, Heat Wave Builds in Western US after Leaving Dozens Dead in the East, Canada. | A Frightening New Reason to Worry About Air Pollution, Illegal Levels of Air Pollution Linked to Child's Death, In the Days Around Ella's Death, There Were Big Spikes in Air Pollution.

            -4.1. Another aspect of biocalamity it that usually its acceleration was predicted well in advance, another example of copious ignorance with scarcity of information, followed by too much information and tyranny of ignorance. The Visionary John Wesley Powell Had a Plan for Developing the West, but Nobody Listened, the 1890 foresight, illustrated by maps* of the West as defined by water and its natural movement, [Map, Map, Map]. Although Powell’s ideas were generally rejected at the time, the essence of his recommendations (that is partially) was later incorporated into the federal reclamation program established by Congress in 1902. Wildfires Are Not Unusual and Should Be Expected. | Speaking of abundance of ignorance and suppression of information. Departures of USGS Scientists Highlight Trump Era Tensions Surrounding Data, in this regard the people exiting from government due to biotrumpism is not functionally different from the mass fatalities and loss of expertise from attrition during a pandemic, and possibly as difficult to recover from -6‡↓. Scientists at USGS Face New Scrutiny on Research Presentations, they have to identify how their research relates to Interior Secretary Ryan Zinke's priorities. Nominee to Lead USGS Is Hard to Read. 180225-1, <ADDED 170924-170917-3>4. John Wesley Powell Library of Anthropology [Photo]. *Forty years after Mapping the 1854 Broad Street Outbreak. -3.1, -4, -4.3, -6, -7, -180701-1.1↓.

            -Quote: A good friend of mine had gathered a great number of obituary notices, and it was interesting and rather flattering to me to discover the high esteem in which I had been held by the people of the United States. In my supposed death I had attained to a glory which I fear my continued life has not fully vindicated. – John Wesley Powell, Canyons of the Colorado. Mark Twain plagiarized this for his more famous quip two years later.

            -4.2. Given this early relation of geology and social science this is probably a good place to articulate about disturbed stratigraphy. This concept is another one key to parademic narratives but rarely expressed directly ⊓, [Diagram]. 1) Uniformitarianism: Processes of the past are the same ones as the present, however the circumstances they occur in are different. Examples a) an outbreak in the 1400s is different than in the 2000s if for no other reason than medical advances and public health, the process of rumor creation is the same, but is different from a time and place with no written communication, to a time and place of global communication. 2) Superposition: In a sequence the younger is based on the earlier, and is in turn it is the older basis of what comes next -180701-1.1>2↓. A fragmented sequence can be reconstructed based on this, and the sequence influences the meaning. 3). Initial Horizontal Spread: Current ideas spread evenly in time and space. These are deformed by latter cross cutting spreads -7↓, and form edges with concurrent other spreads, which are frequently borders -4.3↓. Continuity: Evidence of the older will end in space and time before they actually ended. These could become fragments in a different whole. 4) Cross Cutting Relationships: Things that cross cut across previous history probably postdate them, to include what is brought up from the past to a later time is likely due to actions of that particular present [Infographic]. 5) The Edge Effect: The boundaries between two of more distinct entities will be a third synthesis that is more than a simple combination of the two. 6) Inclusions: Fragments of concepts within larger concepts tend to be older than the larger whole, a superposition within a cross cutting initial spread -6.1↓. 7) Diagenesis. Process of the malleable new/ living becoming the fixed old/ dead. 8) Correlation: in one place and time will correlate with others, possibly as an equivalent analogue, but a fragment repurposed in a different whole may be so different as to no longer have continuity with its origins -3.1↑, -VCPII-USA↓. Principles of Stratigraphy.  Steno's Laws or Principles, Lithification, Diagenesis.

            -4.3. Climate Change Sparked the Border Migration Crisis. The Northern Triangle’s agricultural crisis has been more than a decade in the making. Did Climate Change Spark the Border Crisis. The majority of immigrants crossing the southwestern US border in recent months have come from the Northern Triangle of Central America: El Salvador, Guatemala, and Honduras. In the popular narrative, they are fleeing gang violence, drug wars, and a lack of economic opportunities -4.2↑. An alternative narrative, however, suggests that another factor sparked the border crisis: protracted drought. -3.1, -4, .4.1↑, -6, -7, -180701-1.1↓. Doomsayer or Realist. Author Takes on Climate Change and War in Creative Nonfiction Essay Collection. #Book, We’re Doomed. Now What, [Cover+Cover].

-5. Inventing the Beach: The Unnatural History of a Natural Place 2016. The seashore used to be a scary place, then it became a place of respite and vacation. What happened. This type of anthropogenic change is hard to fix by humans. Most beaches, if sand is not brought in, are unattractive, filled with detritus, smelly, and difficult to move on. Even so they protected the coast and inland from storm surge and provided habitat to a wide range of intertidal life. If they were returned to their natural state people would complain that nature is being destroyed, even though modern beaches are artificial replications of the sandy beaches of shallow salt water islands. Given enough time nature will return these to a natural state, but humans are likely to want to fix them again. The Weird Origins of Going to the Beach 2016, The Historic Healing Power of the Beach 2013.

-6. I have no idea if from a biocalamity standpoint this is a good thing or not, Scott Pruitt, Trump’s Scandal Plagued EPA Chief, Has Resigned, [Tweet+Tweet]. Things could get worse, This Coal Lobbyist Could Head the EPA, and He May Be Worse than Pruitt*. Unlikely for the time being there will be any reversal on regulation rollbacks, and possibly there will still be more of the same, but more subtle. As noted before Pruitt got into trouble for scandals, not for damaging the environment, Impeach Scott Pruitt for Dismantling the EPA, Not His First Class Flights. 180701-4B. -3.1, -4, -4.1, -4.3, -7, -180701-1.1 -180624-4.1. -180204-6.4‡ -170730-8↓. [Cartoon].

            -*. Scandal Plagued EPA Head Scott Pruitt Has Been Replaced by a Coal Lobbyist. Who Is Andrew Wheeler, Trump's New EPA Chief. How the New Acting E.P.A. Chief Differs From Scott Pruitt. Incoming EPA Chief: This Is the Right Job for Me. Shift at EPA Shows Technocrats Are Replacing Big Personality Cabinet Members. Pelosi: Pruitt's Successor Even More Focused on Advancing the Toxic Trump Agenda. Woman Who Told Pruitt to Resign at Restaurant: Hey Trump, Where Are You Going to Lunch Tomorrow. Schwarzenegger Celebrates Pruitt Resignation: It's about Time. Bernie Sanders: Pruitt Was the Worst EPA Administrator in the History of the Agency. DC Restaurant Offers Drink Special to Celebrate Pruitt Resignation. Matt Drudge Shares Mock ‘Survivor’ Cover Suggesting More White House Officials Will Leave this Summer [Cover]. Why EPA’s Scott Pruitt Had to Go (And What to Expect from the EPA Now). EPA Administrator Scott Pruitt Resigned, but for the Climate It’s Business as Usual, The Memo: At EPA, Pruitt Is Gone but Policies Stay, Incoming EPA Administrator Promises Overall Agenda at the Agency Won’t Change Much, Scott Pruitt is Gone. What’s Next Could Be Worse. Incoming EPA Administrator: I Do Believe That People Have an Impact on the Climate.

            -‡. How Trump Handles Scandal: Conspiracy Theory after Conspiracy Theory, Trump: 'No final Straw' on Pruitt. | Scott Pruitt Is out but His Impact on the Environment Will Be Felt for Years, leaving a demoralized agency where staff fear their ability to protect public health is diminished. Former Aides Describe Culture of Fear under Pruitt. Pruitt Resigns Amid Perpetual Scandal. Science Still Likely to Suffer at EPA. The Real Danger to Our Health from Scott Pruitt’s Scandals. -4.1↑. | Scott Pruitt Is Not the First Scandal Plagued EPA Leader. But Differences Are Seen this Time. Parademic notes has been collecting on biotrumpism, a largeportion being about Pruitt. This material runs for several pages and not posted. If anyone is looking for material it can be provided. Read Outgoing EPA Head Pruitt's Resignation Letter. Ethics Watchdog Releases One Word Statement on Pruitt Resignation: Good. Americans Already Living EPA Rollbacks under Pruitt. Pruitt's Almighty Feast Had Trump's Blessing. Pruitt Leaves His Mark on Businesses but Will it Last. EPA Officials Claim Political Interference in Cancer Causing Chemical Study, Formaldehyde Causes Cancer. The EPA Doesn’t Want to Acknowledge It. Scott Pruitt Is Leaving Behind a Toxic Mess at the EPA. How Republicans Came to Embrace Anti-Environmentalism. Pruitt Grants Loophole to Super Polluting Diesel Truck Manufacturers on Last Day at EPA. The Future of Scott Pruitt’s Anti-Science Legacy. Scott Pruitt Leaves EPA to Join Hospital Ethics Committee, plans to go back to basics by rolling back medical regulations, returning medicine to pre microscope, supporting faith healing, and deleting all medical records from existence.

            -6.1. If parademic modeling of biotrumpism/ dominionism is correct then this will probably be a point of acceleration -8↓, going beyond the exponential growth before this. These have all happened before but now expect to see more: magical thinking, inconsistency of logic of narratives -4.2↑, doubling down, backfire, attrition to a hardcore, immutable narrative while before there was more variation, people and occupations being hurt, vicious humor, grief, acceptance of greater deviance from the norm (to the point of belief it has always been this way), more skill in subtle decisive change, unsustainable coping mechanisms, ends justifying means, divorce from context, unrealistic expectations, accusations, ...... if things don’t change there there will likely be a rapid deceleration (not necessarily the fall of Trumpism, but some form of change of government) that will test the resilience of American society and probably cascade globally, not necessarily with collapse of critical infra and superstructure, or causing a paradigm shift. Furthermore expect observations of Zipf’s Law, The Principle of Least Effort: Definition and Examples of Zipf's Law, and unconformaties which will be informative to improve parademic modeling. Keep in mind a model is a representation, it is not actual life.

-7. The issue here is not immigration but DNA collection. A conspiracy narrative -4.2↑ could be developed about government collection and then nefarious use of DNA, similar to He Led the CIA to bin Laden—and Unwittingly Fueled a Vaccine Backlash  2   3  4   5   6   7 , that had unintended consequences to vaccination and global health -180513-1.1*¶2A↓. Apprehension how the US government could use DNA could create a similar parademic for a future accelerated biocalamity. HHS Using DNA Testing in Order to Reunite Migrant Families Faster, DNA Testing Being Done on Separated Migrant Children and Parents; Family DNA Testing at the Border Would Be an Ethical Quagmire, DNA Testing Could Reunite Families at the US Border — and Fuel Surveillance, 23andMe Offers DNA Help for Families Separated at U.S. Border, Why Immigration Groups Said No to Using DNA to Reunite Separated Kids, A Lesser Known DNA Test That Can Help Reunite Immigrant Parents with Detained Children. Ethics in Transnational Forensic DNA Data Exchange in the EU: Constructing Boundaries and Managing Controversies. Trump Admin Lost Track of Parents of 38 Young Migrant Children under age 5. Parents were already deported, and the whereabouts of parents of another 19 are unknown. | Given the history and demonstrated willingness of the Trump administration for pushing legal boundaries and blaming others for the consequences [Tweet, Tweet+Tweet], the concern is this data could end up with ICE or other agency with no medical purpose, and used for persecution. HHS would have hell to pay (at least resignations) for violation of law and medical ethics. Warren Fires Back at Trump: Don’t Obsess over My Genes. -3.1, -4, -4.3, -7↑, -7.1, -180701-1.1>↓.

            -7.1. HHS Now Estimates under 3,000 Kids Separated from Parents in Government Custody had previously reported that it had 2,047 children from separated families in its care. Separations at the Border Didn’t Worry Some Trump Officials. Donald Trump Has No Answers for the Border Crisis. And Things Are about to Get Worse, The Government Separated Immigrant Families. But Officials Still Won't Say Exactly How Many Kids Are in Custody, The Trump Administration Just Admitted it Doesn’t Know How Many Kids Are Still Separated from Their Parents. Trump Administration Says it Will Comply with Family Reunification Deadlines HHS Enters Damage Control Mode over Family Separations. HHS Tries to Clamp down on Unannounced Lawmaker Visits to Child Detention Centers. Azar Blames Broken Immigration System as HHS Struggles to Meet Court Ordered Deadline for Reuniting Families. -3.1, -4, -4.3, -7↑, -180701-1.1↓. UN View on the European Migrant Crisis. There Isn't One. The European Union is not in the throes of a migration crisis, despite a toxic narrative and political spin.

            -Quote: There is always an easy solution to every human problem — neat, plausible, and wrong. – Henry Louis Menck, The Divine Afflatus. A Force of History. 170220-Quote14  2 , 27 Scathing H.L. Mencken Quotes on Politics, Religion, and the American Public

-8. U.S. Opposition to Breast Feeding Resolution Stuns World Health Officials  2 . A resolution to encourage breast feeding was expected to be approved quickly and easily by the hundreds of government delegates who gathered this spring in Geneva for the United Nations affiliated World Health Assembly. Based on decades of research, the resolution says that mother’s milk is healthiest for children and countries should strive to limit the inaccurate or misleading marketing of breast milk substitutes. Then the United States delegation, embracing the **interests of infant formula manufacturers, upended the deliberations. In the end, the Americans’ efforts were mostly unsuccessful. It was the Russians who ultimately stepped in to introduce the measure – and the Americans did not threaten them. U.S. Opposes International Resolution to Promote Breast Feeding.

            -A. This has been consistent stance of the US, though biotrumpism has taken it to a new level with economic threats The Trump Administration Made Trade Threats to Ecuador over … Breastfeeding, Fighting Resolution to Restrict Baby Formula Sales and Promote Breastfeeding, Trump Officials Threatened Funding Cuts, US Turned to Threats to Fight Breast Feeding Resolution, US Tries to Bully WHO into Dropping Breast Feeding Resolution, NYT: US Threatened Nations over Breastfeeding Resolution, Breast Feeding. Not So Fast. The Tender Feelings of Infant Formula Makers Come First, How Baby Formula Companies Undermine Breastfeeding . Again when people are involved nothing is simple, even if it seems so, U.S., Almost Alone, Casts Ballot Against Code on Baby Formula 1981, The International Infant Formula Controversy: A Dilemma in Corporate Social Responsibility 1985, Enforced Self Regulation in the Infant Formula Industry: A Radical Extension of an Impractical Proposal 1990, Doing What's Best for Baby - Not Milk Formula Companies 2013, Why Infant Formula Regulations Are Changing 2014, Trump’s Trade Agency Attacks Other Countries’ Efforts to Promote and Protect Breastfeeding in New Report 2017.

            -B. In ideal 180624-4.1↓ circumstances mother’s milk is the best for infants. Unfortunately there are real circumstances where mothers are unable to nurse, provide enough milk, should not nurse due to contaminates that are expressed in the milk, nutritional problems where the milk is not as nutritious at a formula, mother is not available, 15 Ways Breastfeeding Can Lead to Starvation in Babies  2   3   4 . There however is also a bias of anti-formula, that in some cases is a moral panic 2, that could threaten babies health, hence the need for marketing tactics to overcome the prejudice. The Babies Starved Because Their Mothers Were Brainwashed by the Breastapo: How Anti-Formula Milk Fanatics Are Putting Babies' Health in Danger, Breastfeeding Versus Baby Formula Is Not an Either or Debate, Breastfeeding Bullies Keep up Campaign That Breast Is Best, These 4 Baby Formula Brands Are Putting Profits Before Science, Why Countries Such as China Pay Price in Lives for Baby Formula Dependence, The Case Against Breast Feeding, The Backwards History of Attitudes Toward Public Breastfeeding [Meme], Let's Stop Bottle Shaming: Why It's Okay Not to Breastfeed. Biotrumpism resorting to stronger than its normal bullying – adding to its anti-science anti-health, anti-environment, misogynistic reputation, and the equating any policy of this administration as being wrong or going about it the wrong way on its rare occasions of being correct – may be in part the acceleration of backfire (paranoia, self isolation, bunker mentality) resulting from Pruitt’s resignation -6 et al↑. There is also the tendency that bullying and oppression need to get more severe to remain effective. This may also be a means to compensate for the self inflicted damage from tariffs and the trade war  2   3   4   5   6   7 , with the loss of the larger Chinese formula market, China Wants Mothers to Breast Feed, but They Keep Choosing Formula 2015,  2   3   4 . [Photo]. | If the trade war and other policies result in an economic downturn then biotrumpism slips from a civil disruption that could become a parademic, into being a parademic, and that could slip from potential to accelerate a biocalamity into a full polybiocalamity, beyond existing capabilities to handle.

<ADDED 180708>

-180701-1>1. European Dogs Devastated Indigenous American Pup Populations. Disease, cultural change wiped out pre contact populations, leaving no trace of ancient dogs’ DNA in modern counterparts. Native canines fared less well than the native humans, possibly because the indigenous people adopted the European dog and horse. What Happened to the Native Dogs of North America 2014, The Mysterious Disappearance of North America's First Dogs, America’s First Dogs Vanished after Europeans Arrived. America's First Dogs Were Wiped out by Europeans, but Their Genetic Legacy Lives on as a Sexually Transmitted Cancer. [Art, Figurine].

-180701-1.1>2. Putting Band Aids on Things That Need Stitches: Immigration and the Landscape of Care in Rural America. Growing numbers of immigrants work and live in rural, geographically isolated areas throughout the United States, places without previously settled immigrant populations. Rapid immigration to such areas already struggling with poverty, weak public infrastructures, and high concentrations of uninsured residents has given way to an increasingly precarious landscape of care. The neoliberal logics of American health care and contentious debates over immigration reform shape this landscape and condition relations among providers, immigrants, and others. Through what I call band aid*  2   3   4  [Photo] care and the informal transactions that characterize it, such as rationing, bartering, hoarding, willful noncompliance, and goodwill, providers and immigrants counter these logics of exclusion and inequality by participating in the dynamic improvisation of care considered illicit and often prohibited under the market based economic rationale of health care provision. Social obligations and moral legitimacy benefit otherwise marginalized providers who engage in this landscape of care, while vulnerable immigrants gain entry and access to vital resources within this landscape through sociality and interdependence, which engender opportunities (however fraught) for living. Yet providers and immigrants understand band aid care to be necessary, just, moral, and legitimate in response to precarity characterized by geographical isolation, economic scarcity, civic inequality, market based health care, and exclusionary policies, New Trump Admin Order for Separated Parents: Leave U.S. with Kids or Without Them, -3.1↑, which complicates the multiple layers of bandaids -4.2↑, As Deadline Looms, Trump Officials Struggle to Reunite Migrant Families. One of the indicators of parademic is exploitation of a medical, health or environment circumstance, Vulnerable Rural Hospitals Face Tough Decisions on Questionable Billing Schemes. Instead of being a problem immigrants can be a solution, -7↑, 170212-10.1, Fewer Foreign Doctors Could Spell Disaster for America’s Most Underserved Communities, Visa Review Puts Rural America at Risk of Losing Doctors amid a Shortage, Immigrant Doctors in Rural America Are Sick of Waiting for Green Cards. *The Case of the $629 Bandaid and What it Reveals about American Health Care 2016, -3.1, -4, -4.3, -6, -7 -7.1↑. 180408-6, 171015-12, 170402-5.1. The Rural South’s Invisible Public Health Crisis. Why Is the Opioid Epidemic Hitting Rural America Especially Hard. Defining Down Problems, we tend to lower the bar for what constitutes a “problem” as the frequency of that problem decreases, especially if there is a need to keep the problem, or moral panic, 1.1↑, <ADDED 180701-180513-1.1*¶2A>5A.

-180624-4.1>3. To continue to analyze Four Principles to Make Evidence Synthesis More Useful for Policy, I keep hitting the ideal vs real wall -7↑. Scientist tend to forget that they are human, with the same foibles, and that they live in a real world with other imperfect humans. Worse scientists have the possibility of a very dangerous form of bias that is hidden because they believe they are objective. Scientists Rarely Admit Mistakes. People will defend their scientific claims until their death. As scientists, we should be aware that people are often wrong. Do You Believe in Magic? I Do. Talismans and amulets – objects believed to have magical powers – were once part of any self respecting doctor’s medicine bag. To get an idea how imperfect a world that rational evidence synthesis is trying to apply itself to see -6 et al↑, -180204-6.4‡, -170730-8↓. Leaders Focus Too Much on Changing Policies, and Not Enough on Changing Minds. Psychologists Looked in the Mirror … and Saw a Bunch of Liberals.

-180603-1.1 (accidentally numbered 1.2)>4, <ADDED 180617>1, #SubHealth Advances Public Health Bills, Including PAHPA and Children's Hospital GME, will reauthorize key preparedness and response programs for five years. The bill will also provide resources for the development of medical countermeasures for pandemic influenza and emerging infectious diseases. Amendment to H.R. __ Offered by Mrs. Brooks of Indiana. House E&C Subcommittee Members Advance Draft PAHPA Bill to Combat Biological Threats.

-180513-1.1*¶2A -‡>5, <ADDED 180701>5. Alarming Polio Outbreak Spreads in Congo, Threatening Global Eradication Efforts. -7↑, VCP-DRC↓, Overshadowed by the Ebola outbreak in the Democratic Republic of the Congo, another frightening virus is on the loose in that vast, chaotic country: polio. Public health experts have worked for months to stamp out the virus, but it keeps spreading. The DRC is absolutely the most worrisome polio outbreak today. , H5N1 Comment. Whenever there is a disease outbreak it is a safe bet that there are environmental and social conditions that foster the spread and initial outbreak exist, and that there will be a syndemic of other diseases, in other words a polycalamity. Realizing a Polio Free World: Sustaining U.S. Support for Global Polio Eradication. A Vaccine We Don’t Even Use Anymore Is a Reason Polio Keeps Spreading – Yes, Really. Vaccine Causing Polio in Africa. Context from an Expert.| Low Quality Healthcare Is Increasing the Burden of Illness and Health Costs Globally.

-180311-6B>6. <ADDED 180325>7. Japan Executes Cult Leader Behind Deadly 1995 Subway Attack, Cult Leader Executed for Japan Sarin Attacks Still a Mystery, Japan Cult Leader Behind Gas Attack, Followers Are Executed, Tokyo Sarin Attack: Aum Shinrikyo Cult Leaders Executed. ¶ Novichok Nerve Agent Identified in Amesbury Poisoning, Police Say.

-180304-3>7, <ADDED 180506>3. Firearm Injuries and Violence Prevention — The Potential Power of a Surgeon General’s Report. Objective data on the history, epidemiology, health effects, and financial costs of firearm violence, as well as the factors that contribute to it, could inform this discussion by conveying the full scope of the problem. The nearly 20,000 gun suicides and estimated 760 gun deaths related to domestic violence in the United States each year would be worthy areas of focus for such a report, given the programs already supported by the CDC and other federal agencies that are aimed at preventing suicide and intimate-partner violence. A definitive statement could also summarize the overwhelming scientific evidence that having a firearm in the home increases the risk of suicide. The report could serve as an urgent call to action for professional medical organizations and federal authorities. International leaders could help by describing the changes in both gun laws and social norms that have reduced firearm violence in their countries. Not going to happen until after 2020. 180701-7, 180617-3. Federal School Safety Commission Holds First Public Session. DeVos Wasn't There, Betsy DeVos’s Federal School Safety Commission Won’t Look at Guns. Despite Renewed Calls, Funding for Research on Gun Violence Continues to Stall. Trump’s Dizzying Shifts on Issues from NK, Guns, Health Care. Trump on Texas School Shooting: This Has Been Going on Too Long in Our Country. Trump: 2^nd Amendment People Could Stop Clinton, Trump's Focus on Mental Health over Guns at Odds with His Own Record. Gunman Arrested after Police Shootout at Trump Resort. No Way to Prevent This, Says Only Nation Where this Regularly Happens. Texas School Had a Plan, Armed Cops and Practice. Still 10 People Died, Texas Lieutenant Governor Calls for Hardening of Schools. NRA Links School Violence to Ritalin but Experts Deny Link. What We Know About Gun Violence. If Americans were 25 times as likely to die of cancer as citizens of other wealthy nations, the federal government would be pouring billions into research to find the causes. Yet there is much less interest in examining why the U.S. gun homicide rate is 25 times as high as in peer countries. ER Workers on Chicago Gang Violence: We’re in a War Zone Too. <ADDED 180429-180304-3>6.

-180204-6.4>8, <ADDED 180701>7. Nothing to Worry About. The Water Is Fine: How Flint Poisoned its People. When people complained that their tap water smelled bad and made children sick, it took officials 18 months to accept there was a problem.

            -A. Currently in the US there seems to have a troubled relation between people and water. Obama’s Wetlands Protection Rule Put ‘Too Much Emphasis’ on Science, Trump Officials Argue, faulting its predecessor for overemphasizing science in writing a 2015 Clean Water Act rule aimed at defining what isolated wetlands and waterways deserve automatic federal regulatory protection. As it proposes to repeal the Clean Water Rule, or Waters of the U.S. (WOTUS), regulation, biotrumpism (obviously my minor edit) says the previous administration gave too much weight to the Connectivity Report. The administration instead says EPA and the Army Corps should put more weight on the legal history of the Clean Water Rule. It's baffling for a science based agency to say that they relied too much on science. EPA has always relied on both science and the law in developing regulations. However, when the statute and case law are as ambiguous as they are regarding Waters of the U.S., EPA must rely on science to provide the clarity missing from the law in order to avoid an arbitrary and capricious determination. The agencies need to worry primarily about the statute and the Constitution, not what the report said. Science informs policymakers, it does not give us an answer to policy questions. This is unique. It isn't a standard for contaminants in drinking water where you only are considering scientific principles. This is rule that creates a legal definition, so you're wrapping science into this process that also includes case law, history and cooperative federalism. The biggest flaw of the proposed repeal isn't that it accuses the Obama administration of putting too much weight in science but that the administration doesn't explain how science should fit into the question of Clean Water Act jurisdiction. They don't seem to be saying, Here is an appropriate way to balance questions of science and law. -180624-4.1↑, 180701-4B, 180624-3.1, <ADDED 180218-180204-6.4>5.

            -B‡. U.S. Groups Sue Trump Administration over Water Protections. Scott Pruitt Claims Misappropriated EPA Funds Would Have Only Been Wasted on Dumb Shit like Clean Water.  Nothing Certain in Search for 'Regulatory Certainty' at EPA. EPA chief Pruitt often cites the need for regulatory certainty. Even some supporters of his sweeping rollbacks say they're creating the opposite. EPA Blocks Some Media from Pruitt Water Contaminants Summit, EPA Blocks Some Media from Summit, Then Reverses Course. Pruitt: Dealing with Water Contaminant a National Priority, Pruitt Promises Action on Rising Threat from Contaminants. States, Greens Sue Trump over Obama EPA Water Rule Delay. ¶ Something in the Water: Life after Mercury Poisoning.

-180128-3.1>9, <ADDED 180617>5, Bacterial Disease Deaths in Puerto Rico Hit Epidemic Level after Hurricane Maria. And though likely to be ignored unless it gets much worse, it is also is not a surprise: Health Risks After a Major Hurricane, When a Hurricane Finally Passes, it Spreads Deadly Disease in its Wake, Flooding and Communicable Diseases Fact Sheet, Puerto Ricans at Risk of Waterborne Disease Outbreaks in Wake of Hurricane Maria. Preventing and Controlling Infectious Diseases after Natural Disasters. Risk Factors and Risk Factor Cascades for Communicable Disease Outbreaks in Complex Humanitarian Emergencies: a Qualitative Systematic Review. Communicable diseases are a major concern during complex humanitarian emergencies (CHEs). Descriptions of risk factors for outbreaks are often non-specific and not easily generalisable to similar situations. This review attempts to capture relevant evidence and explore whether it is possible to better generalise the role of risk factors and risk factor cascades these factors may form. Key risk factors include crowded conditions, forced displacement, poor quality shelter, poor water, sanitation and hygiene, lack of healthcare facilities and lack of adequate surveillance. Most identified risk factors do not relate to specific diseases, or are specific to a group of diseases such as diarrhoeal diseases and not to a particular disease within that group. Risk factors are often listed in general terms but are poorly evidenced, not contextualised and not considered with respect to interaction effects. The high level of the inter relatedness of risk factors became evident, demonstrating risk factor cascades that are triggered by individual risk factors or clusters of risk factors. 170219-C.1.

-171210-10>10, <ADDED 180617>7. Disposable America. A history of modern capitalism from the perspective of the straw. <ADDED 180624-171210-1>7.

-171119-2.1>11, <ADDED 180520>7¶2. A Twist on Charles Dickens: He Was a Public Health Pioneer Too. Dickens thought it imperative that people did things with medical knowledge. The message of A Christmas Carol, that Tiny Tim will die if nothing is done for him, that's very strongly Dicken's argument. It's no good just to feel sympathetic. You have to take action. At a time when society was indelibly divided into the rich and the terribly downtrodden – he drew attention to working people laboring in dangerous factories and living in unsanitary ghettos with few public protections in place. He created charismatic, impoverished characters like Tiny Tim to generate sympathy among London's middle and upper class, getting readers to see poor people as human. Did Charles Dickens Really Save Poor Children and Clean up the Slums. a Christmas Carol, with Republicans in Role of Scrooge. In Dickens' 'Carol', a Warning for Hard Times. [Cover, Cover Page, Cover]. Do Poor People Have a Right to Health Care.

-170730-8 -‡>12. Raising the Yellow Flag: State Variation in Quarantine Laws. Quarantine is an important but often misused tool of public health. An effective quarantine requires a process that inspires trust in government, only punishes noncompliance, and promotes a culture of social responsibility. Accomplishing successful quarantine requires incentives and enabling factors, payments, job security, and a tiered enforcement plan. We find that most states allow for an individual to have a hearing and to have a voice in burial and cremation procedures, yet are weak on all other individual rights measures. Few states have provisions to protect employment when an individual is under quarantine, and less than half have plans for safe and humane quarantines. Decision makers at the state and local levels must make a concerted effort to revise and update quarantine laws and regulations. Ideally, these laws and regulations should be harmonized so as to avoid confusion and disruption between states, and public health officials should work with populations to identify and address the factors that will support successful quarantines if they are ever required. -6 et al, -180624-4.1, -180204-6.4‡↑. [Flag]. Quarantine _Search is a frequent topic in parademic.

Parademic Notes for VCP Week Ending 180708

-3, -7, -180513-1.1*¶2A -‡>5,

-I. VCP, News Archive↕: {Not in VCP}

            -Italy: Proof of Children’s Vaccinations. Italy Will Now Take Parents’ Word for It. <ADDED 180624-VCP>. {Mandatory Vaccinations: Italian Parents Will No Longer Need to Provide Doctor's Note}. At a minimum we can thank Italy for providing an opportunity of a natural experiment (that is not violating national and international law about medical experiments on human subjects) to test if measles will increase, stay the same, or decrease, by not having verifiable vaccination. Now we can simply watch for morbidity and mortality counts, and eventual health travel notices* [Poster] about going to Italy. -VCPII-USA↓.

*

            -Pakistan: Fake Vaccine Video Goes Viral Putting the Global Drive to Eradicate Polio at Risk at the 11^th Hour. VCP used Yahoo Version.

            -DRC: Alarming Polio Outbreak Spreads in Congo, Threatening Global Eradication Efforts -180513-1.1*¶2A↑.

            -UK: National Measles Warning after Five Fold Rise in Cases in England {Surge in Measles Cases Prompts Warning to GPs, number of confirmed cases set to quadruple last year’s total. Measles Outbreak in Bristol Prompts Public Health Warning, [Tweet Chart]}. <ADDED 180624-VCP>, <ADDED 180617-VCP>, <ADDED 180527-VCP>, <ADDED 180520-VCP>ECDC, 180121-3‡.

            -India: Owners Refuse to Vaccinate Cattle Fearing Low Milk Yield. Suspect that this is part of the larger context of peasant movements in India, Indian Peasants Cry For Justice. The Foot and Mouth Disease (FMD) vaccine resistance may the the credible reason, but the root problem is that in subsistence agricultural economies the majority of change, even if there are positive results, have negative consequences. India’s Sacred Cow Now Threatens an $83 Billion Dairy Industry, violence against cattle owners, in a Hindu majority country under a populist government, resulted in 11 deaths last year. Any rumor or empirical observation would find fertile ground in such conditions of uncertainty. Depending on the FMD vaccine used there is a reduction of milk production during the fever stage, but the again there is a permanent reduction in milk production from FMD infection.

-II. Not in VCP News Archive:

            -Vaccine Research: Researchers Hopeful over Experimental HIV Vaccine. HIV Vaccine Shows Promise in Human Trial. Duration of Post Vaccination Immunity to Yellow Fever in Volunteers Eight Years Later.

            -Brazil: Measles Spreads in Brazil after Cases Come from Venezuela, doesn’t help that Brazil is under vaccinated for measles, <ADDED 180624-VCP>Brazil, 180506-7.1, <ADDED 180429-180311-11>5. Brazil: Measles Outbreak That Infected 500 May Devastate Indigenous People.

            -USA: Measles Case Confirmed in Portland, About 500 People Possibly Exposed, of those 40 are considered non immune. Multnomah County Health Officials Confirm Second Case of Measles, Confirmed Measles Case in Snohomish County Prompts Health Warning. This is an anti-vax hotspot, 180617-3 -‡, worth watching to see if there is another large outbreak. Bad timing for Bob Sears. VCPI-Italy↑. ¶ The Excuses and Conspiracy Theories Flow over Dr. Bob Sears’ Being Disciplined by the Medical Board of California. Last week, we learned that antivaccine pediatrician Dr. Bob Sears was disciplined by the Medical Board of California. It didn't take long for him to take to Facebook to make excuses and paint himself as a martyr to the "vaccine freedom" cause or for his antivaccine admirers to come up with ridiculous conspiracy theories}. Potentially Wakefield 3.0, <ADDED 180701-VCP>. | A Belated Fourth of July Antivaccine Rant about “Zero Tolerance Vaccine Laws,” Courtesy of Barbara Loe Fisher, who doesn’t mention the recent disciplining of antivaccine pediatrician and icon Dr. Bob Sears is probably partially behind this. Ever since it was revealed a week ago that Dr. Bob’s medical license had been conditionally revoked and that he had been put on probation for three years, antivaxers have been beside themselves trying to portray the California Board of Medicine as jack booted fascist thugs assaulting medical freedom, all because its members are in the thrall of big pharma. There is a similar narrative developing about doctors still pushing the growing opioid epidemic  2  due to Big Pharma influence, a repurposing of the narrative that Big Pharma is paying doctors to push vaccines, which in turn supports the anti-vaccine narrative that Big Pharma is bribing doctors to push vaccines -4.2↑: The More Opioids Doctors Prescribe, the More Money They Make, The Growing Number of Lawsuits Against Opioid Companies, Morphine Shortage Pushes Chicago Doctors Towards Opioid Alternatives, Despite New Law, Thousands of NC Doctors Still over Prescribing Opioids, An Overprescription of Opioids That Led to a Crisis, Doctors Who Recommend Drugs for Approval Often Get Big Pharma Money After. The Truth about the US Opioid Crisis – Prescriptions Aren’t the Problem. The overdose epidemic is unmistakable. But it’s driven by illicit use of drugs. If moral panic results in more patients in pain, that would be a disaster

            -France: Think Americans Fear Vaccines. Check out the French 2016.