Nisha Botchwey’s Online Curriculum on the Built Environment and Health

One of the great things I’ve recently received:

Online curriculum on the built environment and health from University of Virginia faculty member Nisha Botchwey. What’s really great here is that we have a lot of thoughtful reflection–not just planning rah-rah blather–about the importance of neighborhoods in community health, including the effect that neighborhoods can have on reinforcing and reproducing disparities in health.

The Water Emergency in Nigeria and Cameroon

Nigerians are currently being devastated by a disease that nobody in the 21st Century should die from: cholera. Here are some links where you can learn more about the emergency:

How Nigerians Die from Poor Water Conditions

I can’t find any links to organizations targeting medical aid! If you know of any, please send along so that I can post it.

Ten people currently entitled to state-supported health care

1. Sirhan Sirhan (Assassin of Robert Kennedy, living in Pleasant Valley State Prison in California)

2. Charles Manson, cult leader who is imprisoned in Corcoran State Prison (we have a lot of pens in California) for his joint responsibility inspiring the brutal murders of actress Sharon Tate, her guests, and grocer Leon LaBianca and his family).

3. David Berkowitz (Son of Sam killer, currently at Sullivan Correction Center in New York)

4. Kenneth Bianchi (who along with his partner, Angelo Buono, were the Hillside stranglers responsible for the torture and death of at least 10 women. Buono had the decency to die of a heart attack a few years ago.)

5. Gary Ridgway (40+ victims as the Green River Killer)

6. Richard Ramirez, the Night Stalker of Los Angeles who killed 13 women, currently awaiting his execution at San Quentin.

7. Dennis Lyn Rader, the BTK killer who is currently associated with 10 deaths, living in the El Dorado Correctional Facility courtesy of the state of Kansaas.

8. Charles Ng, who is suspected of murdering between 11 to 25 people with his partner Leonard Lake (who killed himself). Ng has health care provided by the state of California on death row at San Quentin.

9. Joel Rifkin, who is in in Clinton Correctional Facility in New York, for killing 17 (perhaps more) people, and is suing the state for $77 million for keeping him in solitary. He might want to ask what happened to Jeffrey Dahlmer when he got to have exercise time with the regular, non-flesh-eating residents in the Columbia Corrections Institution.

10. Patrick Kearney, one of several “Freeway Killers” in southern California who confessed to killing 26 young men. He is serving consecutive life sentences in the California state pen, Mule Creek.

Now, I’m not claiming that prison health care is *good* care–because it’s not– but I do think it’s a bit of an oddity that it is cruel and unusual punishment to not provide health care to prisoners or to execute an unhealthy person, but it’s accepted that ordinary people are not so entitled, and neither are their kids. Kind of makes that whole “deserving” poor question get weird, doesn’t it?

Looking for answers and justice in Kettleman City

Kettleman City, California, is one of the place names that most experts in environmental justice recognize right away, along with Chester, PA, Cancer Alley in Louisiana, and the Niger Delta. Kettleman City has been been a conflict location between the local, deeply impoverished Latino community, the county, the state and the EPA for over a decade now. Kettleman City is the location of the largest toxic waste dump in the state of California–and it’s not just a relative measure. By any measure of volume and toxicity, this is one of the largest facilities in the US.

There are 1,500 residents in Kettleman City, and the conflict has moved back to the public eye after going quiet largely because the community has identified a clustering of birth defects and they are getting traction for their claims under Obama’s EPA. It’s about time. The LA Times has run many stories on the conflict, which I have collected here:

Infant deaths, cleft palates raise concern about toxic landfill in San Joaquin Valley | L.A. NOW | Los Angeles Times

Kettleman City asks: Why so many birth defects? –

EPA to review oversight of toxic waste | Greenspace | Los Angeles Times

Schwarzenegger orders state to investigate birth defects in Kettleman City –

Kettleman City birth defects: Schwarzenegger steps in | Greenspace | Los Angeles Times

On another sad note, when I was collecting these articles, I saw that rights attorney Luke Cole had been killed far too young in a car crash. Cole was one of the attorneys that helped put the Kettleman City case on the national environmental justice agenda. His obituary is here:

Luke Cole dies at 46; leading practitioner of environmental law –

I was pretty pointed in my review in JPAM of the book that Cole co-authored about the original environmental justice conflict in Kettleman City, largely because the authors allowed their personal dislike of EPA staffers to color their writing. They missed an opportunity to write about the institutional issues that really prevented justice from being served here and instead allowed readers to go forward with the impression–all to comforting to American readers–that government employees are lazy and inept and politicians are sleazy and that’s why the residents of Kettleman City were gaining no traction. They failed to describe how the law really is stacked against communities here–property rights are established, environmental rights are not, and the knowledge burdens are prohibitively high to overcome.

Here, I suspect it will be difficult for the community to win on this, but they do have some tenacious activities. Nobody knows what causes cleft palates; we do know it’s one of the more common birth defects, and it does have a higher incidence in Asian and Latino families. This means that the environmental causes get harder to locate because it is not established that Asian communities are disproportionately located near chemical stressors, though it has been established in California for Latino families.

So this is a group of people that has a higher incidence of the problem to begin with, and if this is a small town, the clusters may be related to clusters of families who have a genetic link to the defect.

That said, the case demands investigation; cleft palates are not the only birth defect reported in Kettleman CIty, and the reports have been coming in over a decade. This is an important learning opportunity for environmental policy and public health in addition to being a crucial community issue for the residents.

Cole, L., & Foster, S. (2001). From the ground up: Environmental racism and the rise of the environmental justice movement. New York: New York University Press.