We are excited to announce that our paper ‘An Ecological Assessment for COVID-19 and Other Pandemics’ is being published in an upcoming book for the World Scientific Book Series in Extreme Events titled ‘Policy and Governance in Preventing and Mitigating Disasters and Dangers’.
The origins of this paper started as an immediate response to the COVID-19 pandemic and through the support or advisor Prof. Ilan Kelman the paper has been accepted into this book Edited by Lisa Guppy (University College London, UK) and Yulia Ioffe (University College London, UK).
ABSTRACT
At the start of the COVID-19 pandemic, those from racialised communities were the most vulnerable and at the highest risk of contracting the virus. Multiple studies identify environmental and social determinants, such as overcrowded housing and economic deprivation, as contributing factors for the disproportionate COVID-19 rates amongst racialised communities. This paper will show that to fully understand the link between high rates of COVID-19 mortalities and racialised communities, both an ecological analysis and biological lens is needed. An ecological analysis highlights how a person’s habitat and the experiences within it mediate their susceptibility to disease. Moreover, to understand how this mediation works, this paper will use stress response as a biological lens to link a person to their habitat and the poor health outcomes that contributed to the most severe documented COVID-19 health outcomes, mortality. COVID-19 mortality rates highlight the depth of the crises created by people's susceptibility to contracting COVID-19 due to structural marginalization. Through this lens, the paper will serve as an anti-racist framework as it removes the focus and blame on the individual’s biology and behavior and instead focuses on systemic marginalization of communities. This can be used to create future pandemic responses that are rooted in justice for all peoples.
Read more from us in our ‘Stories & Provocations’ section
Understanding health in this way situates it as a political, ecological, social, and cultural phenomena impacted by systems of power, material conditions, and historical context. This way of framing health is not new, it has deep historic precedent. Socialist Dr W.E.B Dubois in the 1800’s framed poor health outcomes as being a direct consequence of the racialised Black experience. He could be seen as the godfather of the concept “determinants” of health.
Throughout our ten years as a lab, we have observed both how people get sick and how they heal. We have identified social medicine as a key part of the infrastructure of healing. From this point, we will be specialising in providing the necessary infrastructure and support for communities to enact social medicine.
At Centric Lab, we often talk about health autonomy, or health justice being rooted in autonomy. In medical practice, autonomy is often equated with informed decision making of the patient about their own care. It is timely to come back to what these terms mean for us especially. Autonomy, and the discourse around it, is not without its pitfalls and caveats. So why do we need to bring knowledge into the centre of autonomy?
We write these blogs to give a window into some of the internal conversations and insights we have as a team. This is a reflection on the common term ‘indicator’.
At the Centric Lab the topic of agency has been coming up a lot, and how we are coming to understand our work in advancing it as well as understanding the things that strip or challenge it. When we speak to those we work with about what has been ultimately healing in their journeys towards health justice, many share that it is a sense of agency.
In response to the COVID-19 pandemic, Centric Lab leaned into an emerging ontological shift with knowledge production. The result was to set up the Urban Health Council as a means to convene a wide range of practitioners, researchers, and advocates focused on health in cities.
In part two of Ecological Being and Land Relations, Hannah writes about the role of building an infrastructure for relationality that people can have with land; ways to imagine, investigate, and organise around land relations and health.
In this blog, Hannah introduces us to the role of Land relations in the UK, and the world over, as a key determinant of health. Land relations are overlooked, obscured and erased even though they are behind the scenes as a context of everything.
We present pathways, philosophies, and strategies for community-led healing to safeguard against air pollution.
We have created this zine as a framing that helps guide our work moving forward. We understand that this era is presenting health challenges that we have not seen before and perhaps do not have the languages and narratives to describe what is happening. The zine provides a path towards health reparations and a set of guiding contemplations.
Our understanding of ecology is not only the relationships within the natural environment, ecology is also the social, political, economic and cultural systems that were formed from histories of extractivism and domination.
“Knowledge cannot be found in just one Institution, everything carries knowledge, bodies, emotions, Peoples, Land” - Nina Rivera
A write up from our 2024 Symposium of what’s taking place within the Centric Lab ecosystem.