Tag: Covid-19

Staring Contest

It’s 3 in the morning. I’m sitting at the end of the hallway of the boomerang-shaped intensive care unit (ICU) where I work, looking into the darkness beyond the unit’s only window. When I’m on the unit, the world outside the hospital transforms into something entirely remote—intangible, imperceptible, inconsequential. I force myself to imagine the scent of the fresh air I will inhale when I leave. It’s hard to remember that the world is pulsing with life outside these walls. The hospital’s resistance to darkness and quiet permeates the boundaries of reality itself. The fluorescent lights transform me into something other than a person, washing out the details that make me Sophie. In here, I can lose myself. In here, I am lost. (read more...)

Hippocrates Against Protocols: Experiments, Experience, and Evidence-Based Medicine in Brazil

In this text, I address processes in which science is being claimed, shaken, disputed, and unpredictably rearticulated in Brazil’s medical field. Specifically, I consider denialist practices and movements during the Covid-19 pandemic. Based on an ethnographic approach to a variety of actions by medical groups and institutions that are critical of vaccination against Covid-19 and instead defend the use of drugs (considered ineffective by others) for the “early treatment” of the disease, I seek to highlight how their practices rearticulate, transform, and dispute new meanings, values, and practices of science, rather than simply reject it. Although they are publicly named by the media and scientists as denialists, their practices and discourses, as well as the repercussions of their actions, do not seem to be well explained by mere vulnerability to misinformation, lack of understanding of the technical aspects of the disease, or even the supposedly self-explanatory diagnosis of a frankly anti-science position. On the contrary, as I demonstrate in this essay, these groups resort to different constructions of science to produce their arguments and defend themselves against criticism. They do this by repositioning the content and legitimacy of the evidence on different axes than those of Evidence-Based Medicine (EBM), while at the same time, claiming EBM’s authority. In this sense, the following question animates this text: since the practices of these doctors can be recognized as denialist, how can this concept refer to something beyond a simple and direct refusal of everything that is usually called “science”? (read more...)

Is it Going to Be Okay? / Est-ce que ça va aller?

This is is a multilingual comic that serves as a meditation on the infrastructures of COVID-19, care, and time. In the spirit of the multilingual spaces I inhabit in Tio’tia:ke/Mooninyaang/Montréal, I have chosen to write bilingually—a process that can be messy, but that speaks to my experiences of COVID-19 locally as I am thinking of COVID-19 globally. (read more...)

Co-signature Event Context: Toward a Participatory Electronic Health Record

The days of doctors scratching illegible notes in charts fated to hide in obscure files never read by another soul is long gone. Over the last two decades, paper charts have nearly disappeared as the evolution of the electronic health record (EHR) has come to dominate the healthcare environment not only in the US, but globally. The health record performs multiple types of labor. It serves to facilitate communication in medical care or research; it is a legal document and a record to justify billing. A new diagnosis and billing code must make its first entry into the medical record accompanied by the signature of a clinician authorized to determine this diagnosis. After this initial entry, non-professional personnel may then use this diagnosis for any of the above purposes (communication, billing, legal). This blog post explores how developments like the patient portal of the EHR create new opportunities for interpretation, (read more...)

“I’m Not an Anti-Vaxxer, I Just Don’t Want This Vaccine”: Understanding Vaccine Hesitancy among Pregnant Women

“The world isn’t made up of good people and death eaters.” -JK Rowling The world isn’t made up of people who choose to vaccinate and those who are vehemently opposed. With the evolution of the COVID-19 pandemic, understanding has changed rapidly. With the development of three effective vaccinations, there has emerged a group of people that exhibit what has been dubbed “vaccine hesitancy.” This is a relatively new phenomenon in terms of new vaccination–the uptake, for example, of the polio vaccination in the early 1950s, was more immediate and widespread. The Zika epidemic also provides an interesting contrast to the current situation as well. I use these examples simply as a foil to the current pandemic and draw a number of interesting similarities and differences. (read more...)

Naming the Virus, Becoming the Virus: Affective Forces of Threat from Hà Nội to Atlanta and the Possibility for Anti-Racist Solidarities

“Chống dịch như chống giặc” (“Fight the pandemic like an invader”) has become Vietnam’s slogan in its battle against COVID-19. From the pandemic’s onset until April 2021, Vietnam performed exceptionally in halting the viral spread and preventing deaths from COVID-19. While COVID-19’s origin remains contested, Vietnam’s 1,306km border with China posed an acute risk during the first wave in early 2020. Defying odds, Vietnam kept the virus at bay. With a low case load and death count between Jan 2020 – June 2020, Vietnam stood out from its northern neighbor, China, as well as other European countries and the United States. Simply crediting Vietnam’s success to an authoritarian regime misses a deeper distrust of the Chinese government within Vietnam. This distrust stems from the historical colonization of China over Vietnam and imminent military and sovereignty threats posed in the East Sea (or the South China Sea) over the Spratly and Paracel Islands. (read more...)

Days of Their Lives: The Limits, Possibilities, and Parallels of Media-Ted Research during a Pandemic

On a regular day, a Hindi soap opera production set in Mumbai is home to upwards of 100 artists and technicians – production associates, actors, make-up artists, costume artists, lighting technicians, assistant directors, creatives, and spot boys.  Their collective efforts ensure that audiences have new episodes to look forward to daily. Come rain, hail, or shine, through collaborations and conflicts, together they build melodramatic worlds that entertain millions of households in India. But what happens when the meaning of “regular” is redefined? What happens when even two become a crowd? When the first wave of COVID-19 hit Mumbai in March 2020, it brought, among other things, the Hindi soap opera industry to a halt. Daily production activities of soap operas across channels were abruptly paused. Sets had to be abandoned in haste when a citywide lockdown was announced. The absence of film work meant that workers would go without payments (read more...)

Indian Food Delivery Networks During the COVID-19 Pandemic

Over the past decade, the concept of the gig economy has gained momentum in academic discourse. Often linked to temporary employment created by multinational technological corporations through digital platforms, the gig economy has transformed conventional discourses of labor and economy. It brought to the fore the increased precarity in employment, transformed modes of mobilization, fueled workers’ unionizing efforts, and produced new vocabularies (Vallas and Schor 2020; Khreiche 2018). In India’s dynamic economic landscape, these changes are particularly visible. One can argue that the use of digital technologies has reached a new peak in the ongoing global pandemic–as we have observed the changes in techno-bio-political regimes associated with COVID-19-tracking and increased reliance on mobile applications (Battin 2020; Segata 2020). In this light, focusing on India in the times of the COVID-19 pandemic becomes especially useful considering the narratives of hegemony and precarity often associated with gig labor within this geographical context, (read more...)