Medical Anthropology · 2016 · 77 citations · 42 references
Public HealthEnvironmental Social ScienceHealth SciencesEnvironmental ChemistryEnvironmental HealthGlobal HealthChemical SafetyEnvironmental ContaminantsChemical HazardsChemical UseChlorine-based DisinfectantsChlorine-based DisinfectionGlobal Health WorkforceSocial Lives Of ThingsSocial-ecological Interactions
Global health relies on chemicals such as the organophosphate temephos and chlorine-based disinfectants, which are often treated as stable objects but can act as leaky substances in social interactions. The article investigates how temephos and chlorine-based products are integrated into the infrastructure of global health and the everyday practices of health workers in urban Nicaragua. The authors describe three modes of leakage—numerical accounting, structural dissolution and reproduction, and sensory interactions—that transform chemicals into vehicles for new concerns and knowledge. They find that sensory interactions with these chemicals entangle knowledge of bodies and environments, revealing how chemical use shapes perceptions of health and risk.
This article examines how two chemical substances are woven into the infrastructure of global health as well as into the social lives of health workers in urban Nicaragua. One chemical is temephos, an organophosphate used to control mosquitoes. The other is chlorine-based products, which are used to disinfect surfaces and water. While global health projects tend to treat these substances as stable objects, there are three ways in which they might be understood as leaky things, implicated in fluid social interactions. First, global health chemicals are tracked through rigid accounting, but because of numerical leakages, they become vehicles for fashioning new forms of concern. Second, chemicals leak structurally: They can be dissolved and reproduced at a molecular level, although that dissolution is never absolute, and that reproduction is not everywhere the same. Third, chemicals leak in a sensory fashion. Sensory interactions with chemicals produce an entanglement of knowledge about bodies and environments.
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