Hypocrisy at the International Society for Environmental Epidemiology

The ISEE, or the International Society for Environmental Epidemiology, is an organization that one would expect to walk its talk. After all, it has been around for 31 years with its annual conferences, and is one of the most sophisticated and cutting edge of the biological medical sciences. Environmental epidemiology’s ability to aggregate data across many different scientific domains in a meaningful way, to build off of findings in genetics, population biology, medicine, and public health, is truly extraordinary. Furthermore, the field has demonstrated a commitment to addressing questions of environmental racism, classicism, and gender inequality, and is actively diverse.

isee_2019_meeting_graphic

Why then, at my first ISEE conference, in Utrecht, which was a 30 minute train ride from my home in Rotterdam, am I bombarded with 1960s style catering?

I know, I know. Why pick on such a minor detail? After all, the content of the meeting is driving policies far more important than some PC peccadillo having to do with food, right?

I do not dispute the good of bringing people together here. I do not dispute the good of the research, the necessity of the work. But I do object to the weak argument that because of all the other good being done, that we can ignore our own personal emissions and harms, that we can refuse responsibility to do our part, to do better, to be the change we wish to see in the world.

The metaphor is how discredited Al Gore has been for flying all around the world on his private jet to promote sustainability. It doesn’t pass the smell test. How can we say, “Do as I say, not as I do?” It’s this sort of elitist thinking that got us into this quandary in the first place.

Example A. In a Symposium session today on “A World less dependent on fossil fuels — scientific evidence and corporate influence,” a presenter brought up the fact that the way academic conferences are organized are going to have to change. But, the presenter said the AMA (American Medical Association) has to change, but immediately addended his comment with, “But not the ISEE.” I and a few others blurted out “Why not?” Why is our precious little conference exonerated? How are we any different, except for our smaller size? People still are arriving from all over the globe via airplanes to spend 3 days presenting a 10 minute paper and then hanging around nervously at the peripheries hardly communicating with people they didn’t already know.

Thanks for the trash, ISEE!

Which leads me to the point of my post.

I have been to APHA and many other larger and smaller conferences, in Europe and the US, and I am sorry to say that this is the least environmentally sustainable conference I have ever been to. The fact that hundreds of thousands of pieces of single-use plastic are being used every day for this conference should be sobering to us all.

And the fact the majority of the food is meat and animal-based shows the height of hypocrisy on environmental issues—not leadership.

Therefore, I propose that the ISEE adopt the following two binding resolutions, effective immediately, and for all future conferences:


(1) Conference organizers and any other contracted companies and caterers shall only use reusable forks, knives, spoons, plates, bowls, cups, and other food ware items. This includes no longer relying on single-use creamers, sugars, etc. 

(If the ISEE and its conference organizers are still addicted to disposables, at least have them be PLA (compostable bioplastics), which is a far second-best to washing actual silverware and dishes, but is still better than sucking down more on the plastic-petrol pipeline.)

(2) In light of the well-documented harmful effects to personal and planetary health, ISEE conferences and gatherings shall only serve vegetarian meals, with a minimum of 50% of all meal items being vegan (and clearly labeled). This is consistent with the evidence base and ISEE’s leadership in walking our talk on health and climate change.
Please forward these resolutions to the authorizing boards, and let me know the outcome of the vote.

I see this as a beginning, not a destination. Complacency on these issues will just make the ISEE less relevant. For example, the name badges are oversized non-recyclable hard plastics. A huge amount of waste. And instead of giving steel water bottles out at every conference, just start selling them, and advertise in large font “BRING YOUR OWN REUSABLE WATER BOTTLE.” A little prevention goes a long way. But we, more than anyone, environmental epidemiologists, already knew that.

CODA

It turns out, that in the ISEE’s 2018 meeting in Ottowa, Canada, a country quickly becoming synonymous with oil power obliterating public health, that affiliated societies part of the ISES-ISEE joint conference received financial sponsorship by ExxonMobil — a huge conflict of interest! That the ISEE, and its local organizers let this one “slip past them,” is a huge cognitive-ethical bungle. How can public health researchers be credible in evaluating the science of pollution when they are lining their pockets and funding their meetings with those very same polluters’ dollars?

In the Introduction to the symposium on “A world less dependent on fossil fuels – scientific evidence and corporate influence” Prof. Dr. Manolis Kogevinas, Research Professor of the NCDs Program at the Barcelona Institute for Global Health, gave a talk on August 26th, 2019 that included the following abstract:

The Symposium organised by the Policy Committee of ISEE originated following the widespread surprise and annoyance of our members from the sponsorship of the 2018 ISES-ISEE joint conference in Ottawa by ExxonMobil. ISEE did not directly accept these funds but other societies are more willing to accept them.
We will argue that organizations representing health researchers should not accept support from the fossil fuel extraction companies.
Banning health research funded by the tobacco industry helped bring major public health gains; we will argue that we should do the same with BigOil. We further argue that ISEE should become more vocal on this issue and promote measures such as divestment from these industries.
There are three main reasons for taking this position: (i) The most important is that fossil fuel industries are major determinants of human disease and environmental deterioration; (ii) The second is that they knew! Like the tobacco industry, Big Oil knew for decades that their products could make the planet uninhabitable, and intentionally buried the evidence; (iii) The third reason is that like our stand against the tobacco industry that resulted to significant public health advances, we should take a categorical, effective and clear-cut position against the products and actions of these harmful industries. The science is more than adequate to warrant action. Unless we do this, we will not be able to effectively convince the lay public and our politicians of the urgency with which we must mobilise.
The proposed Symposium will illustrate major aspects of health consequences of fossil fuel combustion and the reactions of the industry trying to influence epidemiological research. We will discuss on the way epidemiologists should continue providing essential support to health policies avoiding corporate interests while encouraging industry and other stakeholder involvement as a part of the solution to the problem.

San Francisco BART’s Unpleasant Design

Introducing: The inverted guillotine

Having lived for the better part of my life in the San Francisco Bay Area, I have put in my time on the Bay Area Rapid Transit (BART) system. From it’s loud, overcrowded, clunky, and infrequent trains, to the spate of BART police shootings of young men of color, this privatized (militarized?) operation has a monopoly on public transport, and unashamedly has its will with the region with little grace.

The latest offense is the instillation of “skull crusher” “inverted guillotine” pop-up spring-loaded barriers, that could hurt or maim (it’s just a lawsuit waiting to happen).

Instead of pouring money into education, or helping the homeless, the Bay Area has now apparently prioritized metal spikes shooting up from their BART turnstiles. Way to go, gentrification!

The fact that “fare jumping” is solved by violence is telling. Instead of maybe just making the BART – a public service – into a public company, free for all riders, payed by a corporate property tax (or some other public funding in the insanely overpriced Bay), as many other localities such as Tallinn in Estonia have done, doubling down on menacing design elements further marginalizes the marginalized. BART really doesn’t lose much money at all on fare jumpers. Their financial mismanagement is sui generis. Yet, like all administrative classes, the propensity to pay themselves more to harm the poor is too tempting; it exculpates their responsibility for mismanagement (and points to the need for the region to re-buy the service to run it correctly), and instead finger-wags at “scofflaws” for being bad people, when all they really are doing is what is necessary to get around their own town when they haven’t benefited from the Silicon Valley boom.

The book Unpleasant Design discusses the epidemic of public infrastructure that makes being in public an injurious experience for those worst off. From bus benches in shelters that slope so you can’t sleep on them (you’d fall off), to “anti-homeless spikes,” sonic warfare (projecting odious or repetitive noises, like that corporately-engineered “hit” “Baby Shark“), ordinances against “sitting” or lying in public spaces for too long — rich countries, especially English-speaking ones, have declared war on public space.

London, UK. 10th June 2014. Anti-Homeless Spikes Protest outside Stock Photo: 70030582 - Alamy
Anti-homeless spikes

Unpleasant design takes what little of the commons are left – the nooks and the crannies – and puts money into destroying them to keep out “undesirables.” This racist and classiest action is often the result of gentrification; justified to keep the zoos of the rich free of those who can’t pay their entry fee.

These artists are tackling London's anti-homeless spikes head on
Activists in London combat the painful anti-homeless spikes

The psychological warfare of guillotine turnstiles makes the entire experience of public transportation less comfortable for everyone. Instead of dealing with the 80-20 principle that 80% or 90% of riders will pay no problem, and that there will always be a remainder of the population that for what ever (often very legitimate) reason cannot or will not pay, BART has chosen to harm the public, pushing more people into their polluting cars.

I’m sure before long, people will be defacing these violent turnstiles. And it is likely that the accumulated rage against BART will reduce paying ridership (despite their monopoly), actually bringing them less money than they had before–the exact opposite result than they profess to so-desperately and so-forcefully want.

The public outrage on Twitter is already loud and clear against BART’s weaponization of its service. Such aggrandizement activities miss the point of their charge: they are in the business in providing a public service, and some people can pay more, some less, and not at all. Perhaps peg BART tickets to income. Then the rich might pay $100 per ride, the poor the normal $3.40 trip, and the very poor nothing. That would be a fair approach. Our society is far from that enlightened thinking, sadly, even in that hotbed of *potential* San Francisco, Oakland, Berkeley, and environs.

But let’s not deceive ourselves. There’s a reason why you can’t take the BART to Marin County: racism. Back in the 1950’s there was a plan in place to extend the San Francisco BART to Marin (North Bay), but because of vocal refusal by residents, it failed. And now, no easy public transportation (besides the ferries) go to Marin. The Bay Area is disconnected by design, an open gated community in a natural and cultural paradise predicated on class, race, and exclusion.

Have we not evolved as a city in 70 years? Are we still just as violent towards those less fortunate than us. San Francisco is a mess because of its wealth. But at least on this case of BART structural violence, the people are having their day of reckoning.

Big Tobacco, Big Pharma, Big Vape

About a decade ago, the “American Vaping Association” railed against RJReynolds (later RAI, now part of British American Tobacco (BAT)) for attempting to persuade the FDA to “ban the sale of open-system e-cigarettes, including all component parts.” Now that pretty much all of the e-cigarette companies are tobacco companies, from Altria’s 35% stake in JUUL to RAI’s Vuse being #2 in the US, the question is moot. Big Tobacco won. Open systems are on the fringe, for people like Leonardo di Caprio.

Reynolds’ play to racism and prejudice by equating Chinese manufacture with poor quality is telling. Their own products are manufactured in China. But in order to try to dissuade the FDA from allowing open tank vape systems, it plays the China card. We need to educate people to stop doing this, as 99% of the time they are being hypocritical anyways (their own products are being made in China); and also, American manufacture now is mainly robot-run anyhow. Few quality American manufacturing jobs exist, compared to the 1970’s, for example.

What remains to be seen in the indefinite postponement of the E-cigarette regulations by the FDA is whether Big Tobacco got their way; or if public health will see their day.

Lies in an Extra-Moral Sense

In doing some background research for my book, I remembered that I had read about a year ago of a US Congressman who was working to get rid of the imperative for US health insurers to take patients with preexisting conditions, who shortly thereafter was diagnosed with prostate cancer. The poetic justice was obvious, and I was ready to incorporate the story into mine, to demonstrate the hypocrisy of the political landscape around medical issues, and the demonizing of illness, making it into some Biblical or New Age Law of Attraction bullshit.

And then I noticed that as I went to retrieve this information, that the first hit that came up was from a notoriously provocative website, “The Daily KOS.” I read the article, but it seemed more lukewarm than I remembered in terms of evidence, so I went back and watched the original CNN interview with the supposed damning evidence of hypocrisy of the US Representative from Alabama, Republican Mo Brooks scorning those with preexisting conditions.

In fact, the Daily KOS had cherry-picked Brooks’ words out of context, completely mangling his meaning, which amounted to: those who have lived risk-prone lives should have to pay more than people who have done their best to take care of themselves, and many people are sick “through no fault of their own,” and “we must take care of them.” We can quibble with if we agree with that, but Brooks’ statement looked nothing like the fire and brimstone irony Daily KOS was insinuating.

Shoddy reporting helps no one, and making people whose political ideas you may not agree with into hyperbolic monsters reduces credibility, creates mutual antagonism, and is part of why America is divided. It’s time for journalistic ethics to make a comeback.

Thoughts and Prayers and Regulations

There is an epidemic of thoughts and prayers in America. It seems the more politicians think and pray, the more school shootings happen, the more places of worship get gunned and burned down, and the more people die.

Maybe to reverse this trend, politicians need to stop sending their thoughts and quit praying, and instead begin doing their jobs: defending the commonweal against those who would sacrifice it for profit.

Electric Cars are Not Enough for Life

As the New York Times recently reported, State SenatorScott Weiner’s California Legislature bill to increase density allotments along transit corridors is a much-needed method to solve both housing and environmental burdens. Driving, no matter how you slice it, takes more energy than public transportation, so getting people on high-quality and convenient public transportation, is a sustainability priority.

Unsurprising, however, is that many of the bluechip environmental groups, like Sierra Club, oppose higher density housing zoning near transit centers because their members may be negatively affected by, say, decreased property values from higher density. Such self-serving agendas are understandable, if misguided. Those who got in early in a housing rush, enjoy their peace and privacy, and higher density changes the feel of the neighborhood. On the other hand, a commitment to sustainability, which really means finding a livable way to continue business as usual as much as possible without too much discomfort (like cataclysmic climate change), requires simple measures like smart zoning in order to make it happen. The very notion of a transition town, or a sustainable city is based on accessible public transportation. We shouldn’t fail to see the forest of preventing climate change through the trees of inconvenience. Sustainability means that we all make some small sacrifices now in order to prevent much larger ones down the road.

Sharing the sacrifice is a fundamental principle of democratic societies. For too long, women, people of color, and the poor have had to make sacrifices (living further from work, paying more than half of their paycheck in rent, etc.) while the middle-class and wealthy have serially insulated themselves from as severe costs. Having mixed neighborhoods is a small but important gesture from those who comprise well-funded environmental groups. Overcoming internal resistance to change will allow greater accessibility for those in need of convenient housing. Higher density live/work areas (like any major city in Europe) is smart, low-carbon planning. It is effective because it obviates the need for a car. Sustainable cities are resilient because they have redundancy (more than one way to get to work), flexibility (if one option is closed, take the other), diversity, and slack (abundance, more than enough niches for everyone). California can achieve this much better with more environmentally-sound zoning. One can only hope that the major, private donor-funded environmental orgs can get on the right side of history.

Owning Life versus Thwarting the Hygiene Hypothesis

 

With such a provocative title as “Pet Ownership Protects Us Against Allergies,” UCSF’s Dr. Homer Boushey makes the claim that children brought up with pets inherit some of their protective microbes that mitigate against developing allergies.

 

 

 

 

While certainly the science on exposing human children and adult humans to other forms of life soundly concludes that microorganism transfer is on the whole necessary for healthy (mind and body) development, owning life for the instrumental good of health is quite a quixotic mission. Destroying the planet and then importing charismatic genetically-altered (through breeding now, later through genetic engineering) cute critters that bypass our evolutionary instincts for fear by mirroring the oversized eyes of babies and other exaggerated features, is like getting silicon peck implants instead of actually doing manual labor to help society. It puts a natural symbiotic process into the realm of money–the financialization of nature. This devalues nature as such, and sees pets in terms of their use value for boosting infant immune systems. Such a logic is hopelessly backwards. Instead, we should be concentrating our energies on rewilding our cities, returning our suburbs to parks where humans can go, and letting our wild areas get a breather from human interference for at least a few generations. Then, living everyday with healthy dirt, animals and plants, we will receive the bounty of beneficial microbes we need to stay healthy and avoid sickness. Proper farming and permaculture principles, and creating new definitions of hygiene which are integrated with healthy ecosystems, achieves to a much greater degree the goods Dr. Boushey might wish to confer on our ailing feeble-minded culture, while also solving most of our other problems along with it.

Furthermore, it’s high time humans question ownership. Ownership of other bodies for our own benefit–bringing these bodies out to use and cuddle or parade, is just another misbegotten form of biopower. Where are those Foucaultians who apply biopower to pets? How do we think humans got the beneficial microbes we needed before there was even possible ownership of pets? Perhaps we need to rethink our antiseptic western civilization, our throwaway economy, and slavery of life to realize that continuous contact with the more-than-human word is the only way we will regenerate ourselves and nature.