Category: Right to Health and Public Health

Group Homes for People with Disabilities are Harbors for Abuse

by James DeLano

“I don’t feel safe here.” 

That statement was uttered repeatedly in interviews performed by the Alabama Disabilities Advocacy Program (ADAP) with residents of Sequel Courtland, a psychiatric group home for boys in Courtland, AL. The residents of the home reported consistent patterns of abuse. One boy “reported witnessing a staff member lifting another resident up by the throat and slamming him to the floor.” Multiple boys reported being slammed into the ground and not being allowed to receive medical attention.

Three people standing outside the door of a group home
Group homes often house only a few people. Source: Yahoo Images

Sequel Courtland is a facility for boys. At the time the letter was sent in July 2020, there were “at least two transgender girls inappropriately placed at Courtland,” one of whom reported that she “is constantly touched, smacked on the butt” and that “they [other residents] try to watch me dress.” 

At a Sequel facility in Owens Cross Roads that was part of the same investigation, “male staff repeatedly enter girls’ bedrooms and put them in violent containments.” At the same facility, residents were frequently ordered to sleep in common areas rather than in their bedrooms as a punishment. Staff also failed to report or make any attempt to prevent suicide attempts. 

Sequel Montgomery practiced “Group Ignorance” as a punishment. Group Ignorance, or GI, involved staff and other residents completely ignoring the person being punished. The isolated person was unable to interact with peers in any way; just being within ten feet of another resident would be considered a violation. The facility’s then-current guidelines read that “They can participate with peers only during direct billable services—BLS and therapist-led group therapy.” One resident reported attempting suicide specifically because of the stress of being isolated under GI. 

Sequel Tuskegee utilized a “time-out room” for up to days at a time as a means of controlling residents. There was no mattress present in the room; boys were required to move the mat from their bedroom into the confinement area. It also lacked a toilet or sink. Because of that, residents were forced to either try – and often fail – to gain staff’s attention to use the restroom or, failing that, “urinate in the corner of the room and clean it up later.” 

A Sequel group home in Ohio was also investigated by that state’s protection & advocacy (P&A) agency,  Disability Rights Ohio. They reported that one of the children living at that home told them he was “Put in a hold so strong that it almost broke my arm; they kept holding me tighter and tighter; my hands and arms were tingling and going numb.” Another said, “I don’t feel safe.” 

Abusive group homes are not exclusive to Sequel. Group homes are often abusive, no matter what company owns them. 

At a residential facility called Canyon Hills Treatment Facility in North Carolina, “at least one-third of residents lost weight after they were admitted for treatment.” Canyon Hills’ residents were children who should still have been growing. When residents asked for more food, their portions were cut even further. At another facility in North Carolina called Anderson Health Services, “Ten staffers at this facility have been charged with child abuse since 2017.”

At a group home in California, a woman with severe autism often went out on rides in the home’s van. She occasionally tried to stand up, after which “the staff member driving would slam on the brakes and, like, brake check her.” That practice caused bruises. The same woman, who had harmed herself in the past, was frequently left alone and unsupervised, during which time she banged her head into the wall, leaving large holes in the process. 

Neglect in Group Homes 

Many group homes are chronically understaffed. That, along with low pay and a lack of care from and proper training for staff, collectively leads to preventable injuries and death. 

A woman choked to death at a New Jersey group home in 2017. She was unable to swallow large pieces of food; everything needed to be in small pieces, and she required supervision while eating. Two years prior, she had been taken to the hospital after choking on a bagel – an incident her family was never told about. 

As a result of poor staffing, a resident of an Oklahoma group home named Terry Brown was strangled by his roommate. There was only one staff member on duty; when she intervened, she was attacked as well and “watched Terry’s body turn purple, go limp and fall lifeless.” At a group home owned by the same company, a resident drowned in 2011 on an outing. He was supposed to be wearing a life jacket. When he died, there was no life jacket for him to wear. 

One Texas caregiver worked for almost 70 hours straight while caring for two disabled women; her only breaks were a short nap and a trip to run errands. She is the only caregiver for two women who require constant care and supervision. She was clocked in from 8:16 Tuesday morning to 10:08 Friday morning, and only four hours after clocking out she returned for another 19-hour shift. She said that, “I’m always here. The only thing I do for fun — besides sleep — is go to church, read my Bible, hang out with my family.” The only occasional help she has comes from equally understaffed and exhausted workers at other group homes. For her work – providing constant, necessary care to two people – she makes $9 per hour, which is a wage that is not uncommonly low and serves as one of many reasons group homes are so often neglectful.

At the previously mentioned Sequel group home in Courtland, Alabama, ADAP investigators found blood and feces on windows and floors. The same investigation had residents report insufficient and inadequate food and water, nonexistent education and medical treatment, and that “there’s mold in the showers, and rats and roaches in our bedrooms and the hallway.” 

Physical and Chemical Restraint 

Mental healthcare professionals generally agree that restraining someone who is in crisis only makes things worse. Many group homes do it anyway.

As part of the previously mentioned investigation into Sequel facilities in Alabama, numerous instances of inappropriate restraint were reported. A report compiling the results of several investigations by various state Protection & Advocacy Agencies (P&As) reads about an Alabama group home, “One boy described his head being caught on a nail in the wall during a restraint; another said he was picked up and slammed on his stomach onto the concrete. A boy who had visible gashes to his head said that facility staff had slammed him against a wall the previous night.” 

In 2020, a 16-year-old boy was physically restrained by several staff members at a Sequel facility in Kalamazoo, Michigan, for twelve minutes. They used their body weight to restrain his torso and legs. He died two days later due to being asphyxiated while he was restrained. His name was Cornelius Frederick. In the 18 months preceding his death, emergency services visited the facility 237 times. 

A group home in Carlton Palms, Florida has yet another pattern of restraints being used. Those restraints include cuffs, residents being strapped to chairs or being tied down, and straitjackets. These restraints directly cause physical harm – broken bones, bruises, and broken teeth, to name a few. 

A box of Seroquel in front of a laptop.
A box of Seroquel in front of a laptop. Source: Wikimedia Commons

Seroquel is an antipsychotic drug that is approved by the FDA to treat some severe mental illnesses. Seroquel does not have an immediate effect. It is not approved as a form of chemical restraint or as a treatment for insomnia or anger management, among other off-label uses, but that is what it has been marketed and used for. Disability Rights Tennessee, the P&A agency in Tennessee, reported that “In one facility, staff increased a child’s Seroquel dosage from 50 mg to 300 mg as an emergency intervention.” The same problems occurred in North Carolina; “staff had administered Seroquel numerous times to a child who did not have any diagnoses that would indicate use of antipsychotics.”

What Is Being Done? 

Several of the group homes mentioned above have shut down since investigations into them concluded, including some Sequel group homes. Sequel changed its homes’ names to Brighter Path due to the negative press. In other cases, states have stopped sending children to abusive group homes or, rarely, revoked their licenses. Other group homes, while not yet shut down, are no longer receiving new residents or are being downsized. 

The Unrecognized Effects of the Opioid Crisis on Native Americans

by Abigail Shumate

A Brief History of the Opioid Crisis

Beginning in the late 20th century, opioid prescription rates skyrocketed in shocking numbers, and in just over ten years, opioid sales quadrupled. With the introduction of OxyContin into everyday life and medication sales, an opioid that was falsely advertised as non-addictive, as well as pill mills across the United States, millions of people fell into a deadly addiction. As people lost access to prescription opioids, they often turned to more illicit drugs, such as heroin. This was worsened by the prices of heroin going down, making it much easier for people to afford large quantities of the drug. The use of heroin is often looked at as the second wave of the drug crisis, and heroin deaths surpassed prescription drug deaths in 2015. The third wave of the opioid crisis is where we currently reside, and it is characterized by overdose deaths related to synthetic opioids, such as fentanyl.

Connection to Native Americans and Alaskan Natives

The opioid epidemic has been heavily discussed in the past few years; however, it has been occurring for even longer. Opioid usage affects most groups; however, its large-scale detriment to minority race and ethnicity groups is frequently ignored. Native Americans and Alaskan Natives (here referred to as NA/AN) are disproportionately affected by the opioid crisis, and this discrepancy is ignored by many critical groups.

American Indians have the highest drug overdose death rates, and these rates are not stagnant. The CDC reports that overdose deaths have increased by 33% within the last several years. This pattern of drug abuse and overdose is not isolated to adults, as NA/AN youth also struggle with the use of unauthorized prescription painkillers, with some reports showing as many as 11% of high school students using painkillers without explicit orders from their doctors.

There are many factors that cause NA/AN groups to be affected more heavily than other groups, and these include historical trauma, lower educational attainment, lack of easy access to healthcare, housing problems, poverty, unemployment, violence, and mental health issues. In this post, I will choose to focus on two main reasons: lack of easy access to healthcare and mental health issues caused by lost connection to culture.

Health Disparities in NA/AN Communities

NA/AN groups have serious healthcare inconsistencies that must be addressed for these communities to gain adequate support during the opioid crisis. The Indian Health Service (IHS) is a group that provides care to over 2.2 million people, but it is severely underfunded by Congress. As this is one of the main organizations providing healthcare access to NA/AN groups, this underfunding affects millions of lives. To put these funding issues in perspective, funding would have to almost double to match the degree of care provided to federal prisoners, and it would have to increase by even more to equate to Medicaid benefits.

Alternate Text: Image of white OxyContin bottle with white pills laid out in front. Source: Flickr
Image of white OxyContin bottle with white pills laid out in front. Source: Flickr

Poor healthcare consistently results in the treatment of symptoms instead of causes, and, unfortunately, this means the prescription of opioids. Whether injuries occur from manual labor, physical activity, or driving accidents, NA/AN individuals are more likely to be treated with opioids as opposed to more effective means of treatment, such as physical therapy. Poor healthcare aligns directly with low-quality insurance or no insurance at all, and opioids are more likely to be prescribed in areas with uninsured people.

Mental Health and Cultural Disconnect

The traumatic history of Native American groups has a massive impact on these overdose rates, as forceful deprivation from culture leads not only to issues such as inadequate healthcare and poverty, but also mental health issues, one cause of opioid treatment, these being direct pathways to opioid addictions.

Mental health issues are incredibly prevalent within NA/AN communities, with suicide rates for them being more than double those for the entire U.S. population. NA/AN individuals are also more likely to be diagnosed with anxiety disorders and PTSD. These mental health conditions, when left untreated or inadequately treated, can often lead to drug abuse. The IHS does provide care for mental health and substance abuse issues; however, the already underfunded organization only uses about 10% of these funds to support substance abuse treatment

These mental health issues can be attributed to many things; however, a major force playing into this is the history of trauma amongst Native Americans. This topic could be one if not several, entire blog posts, but here I will attempt to briefly sum it up. It is important to note that there are around 600 federally recognized tribes, so the experiences of NA/AN individuals can vary greatly. One thing most groups share is a prevalent history of displacement and loss of culture. In the late 19th century, the majority of Native American individuals were forced to relocate to reservations or into urban areas. This resulted in a decline in socioeconomic status, which resulted in poor living and working conditions, as well as heightened health issues, both mental and physical.

It is vital to remember that NA/AN groups are underrepresented in major clinical research studies. This results in the general public being unaware of the true extent of issues within these communities. This underrepresentation in research exacerbates the disparities and can easily result in the continuance of the opioid crisis for Native Americans with little to no acknowledgement from major government parties. Another impact of inadequate research is misconstrued statistics, and it is likely that the opioid crisis is worse for NA/AN groups than scholars anticipate, as overdose cases may be underestimated by as much as 35% due to race miscalculations.

Alternate Text: Image of a white hospital room with two bed placed in the center. Source: Flickr.
Image of a white hospital room with two bed placed in the center. Source: Flickr.

 

Creating Change

The first thing that needs to be done in order to improve the worsening opioid crisis in NA/AN areas is to improve funding for the Indian Health Service. The United States Congress must take action and increase funding—the funding in 2022 is less than half of what patients need. With adequate health care, individuals with mental health and substance abuse issues will be able to get the help that they need, and, on the more preventative side, with better care, individuals will be less likely to be prescribed opioids as a substitute for proper treatment.

The second action that needs to be taken is better awareness. There needs to be more research devoted to NA/AN groups, so that we are able to pin down what leads to these heightened addiction statistics. Overall, it is vital for individuals to take personal responsibility and increase their own awareness of the issues. Native Americans have been ignored and mistreated for decades, and this must be remedied in the present.

Mental Illness in U.S. Prisons and Jails

by James DeLano 

“I run the biggest mental hospital in the country.”

That was Los Angeles County Sheriff Lee Baca in 2005. He was referring to the fact that, in 2005, over 2,000 people in the county jail had been diagnosed with a mental illness. That has not changed. Nationwide, between 16% and 24% of incarcerated people have a severe mental illness. In the general population, 4% of people have these illnesses. Prisons are serving as replacements for psychiatric hospitals, but they are not changing to accommodate that.

In the 1840s, people with mental illnesses were generally imprisoned. That was due to the criminalization of many symptoms and a lack of societal acceptance. Although mental disability has not been a legitimate excuse for imprisonment, mental health problems are still significant in today’s prisons.

National Problems 

Nationally, estimates for the percentage of inmates with a severe mental illness range from 15% to 20%. As previously mentioned, the Los Angeles County Jail was described by its sheriff in 2005 as the largest mental hospital in the country. At the Cook County Jail in Illinois, about 1/3 of the incarcerated population has a mental illness. According to the mental healthcare supervisor at the Gwinett County Detention Center in Georgia, the closure of a nearby psychiatric hospital caused the number of mentally ill inmates to skyrocket. In Polk County, Florida, the jail has a mental health unit based on psychiatric hospitals and “immediately put[s] them back on medication because the vast majority of them – the overwhelming majority of them — have decompensated.” In the U.S. Virgin Islands, individuals who were found not guilty of a crime by reason of insanity – that is, who committed a crime but were determined not to be culpable due to a mental illness – are kept in the general prison population rather than being hospitalized. For that reason, the U.S. Virgin Islands has been involved in a class-action lawsuit, Carty v. Mapp, since 1994, one which shows no signs of being resolved.

These situations are exacerbated by the criminalization of symptoms and coping mechanisms of people with mental illnesses. Some people use illegal substances as a means of self-medication. Others steal food or break into buildings to find a place to sleep. Rather than investigating the reasons behind these crimes, people are incarcerated, sometimes medicated, and only occasionally given true mental health treatment. They are then released with no outside support or ways to continue accessing medications.

That is still entirely ignoring that prisons can cause mental health issues on their own. Solitary confinement, something that is widely used in American prisons, can cause or worsen symptoms of mental illness. Incarcerated people kept in solitary confinement are almost seven times as likely to harm themselves and more than six times as likely to “commit acts of potentially fatal self-harm” when compared to the general prison population.

Failures in the South

In 2017, a federal district court found that the Alabama Department of Corrections (ADOC) was providing “significantly inadequate care.” This decision came after years of litigation. The case, Braggs v. Dunn, is still ongoing almost ten years after it was first filed in 2014. Since then, little has changed in ADOC’s prisons.

An opinion given in the case mentioned Jamie Wallace and his testimony 36 times over 300 pages. Wallace was incarcerated in 2014 for the murder of his mother. He had been diagnosed with bipolar disorder and schizophrenia. He testified in December of 2016. He died of suicide ten days later while in a unit dedicated to severely mentally ill inmates. Five days prior to his suicide, a healthcare worker at the prison wrote that he was “using crisis cell/threats to get what he wants.”

Wallace was mentally ill. For that, he was punished by prison guards. He was disciplined twelve times for harming himself, six of which involved being subjected to solitary confinement. Solitary confinement is regularly criticized for being inhumane, and it is especially so for those with preexisting mental health issues. According to Solitary Watch, a non-profit dedicated to ending the overuse of solitary confinement, citing a 2014 study on the topic, “individuals placed in solitary confinement were 6.9 times more likely to commit acts of self-harm and 6.3 times more likely to commit acts of potentially fatal self-harm than people in the general population.” Adding that people with mental illnesses are more likely to harm themselves than people without paints a grim picture of what happens inside these walls.

After Wallace’s suicide, the court ordered an emergency plan to be made to prevent future suicides. That plan was too late for James David Johnson, who hung himself only a few days after Wallace.

The court also accused correctional workers of being ambivalent or actively encouraging suicide. “ADOC officers essentially called a prisoner’s bluff, and then that person attempted suicide.” During his testimony, Wallace said that a correctional officer handed him a razor blade and told him, “You want to kill yourself? Here you go. Use this.” The two parties in the case had previously settled over the issue of razor blades’ presence in crisis cells – the same kind of cell Wallace was able to hang himself in. This lack of awareness on the part of ADOC was only exacerbated by the chronic understaffing of mental health workers. In January of 2023, ADOC stopped reporting the number of deaths – both homicides and suicides – that occurred in its prisons.

In 2021, Disability Rights Mississippi, Mississippi’s federally mandated watchdog agency (protection & advocacy agency), filed suit against the Mississippi Department of Corrections due to severe mistreatment of numerous disabled inmates. One individual, who was described as having ADHD, OCD, and bipolar disorder, was refused access to his medications and, according to DRMS’s investigative report, “during suicide watch, recalls being told by a passing officer to go ahead and kill himself.” Another person with PTSD and bipolar disorder “needs… mood stabilizers. MDOC has yet to treat this offender.” The lawsuit itself, Wallace v. Mississippi Department of Corrections, reads, “DRMS has encountered many offenders who have attempted self-harm, which was ignored by MDOC staff. In some cases, the self-harm was encouraged by MDOC staff.”

Florence Supermax 

A short time after Braggs v. Dunn, another lawsuit was filed for similar reasons – this time against the supermax prison in Florence, Colorado, also called the ADX. Rodney Jones, who assisted in the early stages of the lawsuit and who was previously held in the ADX, told the New York Times in 2015 that a staff psychiatrist stopped the medication he took for his bipolar disorder because “We don’t give out feel-good drugs here.”

One of the plaintiffs in that lawsuit is Jack Powers. Powers was sent to the ADX after an escape attempt preempted by threats from members of the Aryan Brotherhood, some of whom he had testified against after witnessing the murder of a friend. All three men he testified against were being held at ADX Florence when Powers was transferred there. While incarcerated there, Powers “lost his mind.” He mutilated himself numerous times, including by removing his earlobes, chewing off one of his fingers, removing one of his testicles, and tattooing himself with a razor and black carbon paper dust.

A slightly elevated shot of Florence Supermax prison, a red brick building surrounded by short grass and hills.
Florence ADX Prison. Source: Yahoo Images

David Shelby was incarcerated for threatening President Bill Clinton after he “became convinced that God wanted him to free Charles Manson from prison.” While incarcerated, Shelby sliced off part of his finger and ate it. Herbert Perkins, another prisoner, attempted to cut his throat with a razor. After being treated, he was ordered to mop up the blood left in his cell – it had not been cleaned since he was taken to the hospital.

Conclusions 

American prisons often have inhumane conditions. Those issues are compounded even further when the inmates in question have a mental illness. Prisons are unprepared to serve as psychiatric institutions, nor have they, overall, attempted to change to do so. Even so, that is what they are doing. Between the lack of adequate treatment, the negative psychological effects being incarcerated can cause, and the lack of assistance from correctional workers, it should be no surprise that rates of self-harm, suicide, and mental illness in prisons are so high.

Courts take time to process cases. This is demonstrated by many of the cases mentioned; Carty v. Mapp has been ongoing for 30 years, Wyatt v. Stickney ended in 2003, 33 years after it was first filed, and Braggs v. Dunn, one of the more recent lawsuits mentioned, is over a decade old. This is by design. A longer trial gives more opportunity for both parties to adequately present cases and, in the cases of these lawsuits, make changes. Despite that necessity, something needs to change. Mentally ill people are suffering and dying in jails and in prisons. The correctional system will not change on its own; it takes outside pressure to change things, and lawsuits, the most effective means of creating this change, take decades to be resolved. Systemic changes need to be made to how these prisons function and the societal role they play.

 

Tragic Killing of a Corporal and the Urgent Need to End Female Genital Mutilation

by Grace Ndanu

The Kenya Girls Guide Association hosted a rally against FGM during 16 Days of Activism in 2011.
The Kenya Girls Guide Association hosted a rally against FGM during 16 Days of Activism in 2011. Source: Yahoo Images

The killing of Corporal Mushote Boma on December 15, 2023, in Elgeyo Marakwet County, Kenya, has brought to light the deeply entrenched issue of female genital mutilation (FGM) and the urgent need for increased awareness and action to eliminate this harmful practice. The tragic incident, where Corporal Boma was stoned to death by a mob of young men after rescuing a group of girls who had been forced to undergo FGM, signifies a significant setback in the fight against this violation of human rights in Kenya.

Female genital mutilation, also known as female genital cutting or female circumcision, is a practice that involves altering or injuring the female genitalia for non-medical reasons. FGM is a harmful practice and a violation of the rights of girls and women. It can lead to severe physical, emotional, and psychological consequences, including but not limited to severe bleeding, infections, complications during childbirth, and long-term psychological trauma. The World Health Organization (WHO) has classified FGM into four types, with type 3 being the most severe, involving the removal of all external genitalia and the stitching of the vaginal opening.

According to reports, the incident involving the Corporal occurred when the police were taking the rescued girls to the hospital after the illegal FGM procedure. It is a grim reminder of the challenges faced by law enforcement officers and activists in combating such deeply rooted harmful practices. Despite the ban on FGM in Kenya, the practice still persists in certain areas, often conducted during school holidays, using crude methods and tools by individuals who continue to defy the law.

It is essential to understand that the practice of FGM is not limited to Kenya but is prevalent in many African countries, as well as in some parts of Asia and the Middle East. The complexity of cultural, social, and traditional beliefs and practices surrounding FGM makes the fight against it particularly challenging.

An infographic on FGM, including information about how many girls and women are impacted by it, practiced in over 30 different countries around the world. Source: Yahoo Images
An infographic on FGM, including information about how many girls and women are impacted by it, is practiced in over 30 different countries around the world. Source: Yahoo Images

In the wake of Corporal Boma’s tragic killing, there is an urgent need for heightened awareness and education about the dangers of FGM. The involvement of communities, religious leaders, and other stakeholders is crucial in effectively addressing and eliminating this harmful practice. There is a pressing need for community-based interventions focused on education, awareness, and empowering women and girls.

Furthermore, it is imperative for the Kenyan government and other relevant authorities to take decisive action and strengthen the enforcement of laws against FGM. Perpetrators of FGM must be brought to justice to send a clear message that this harmful practice will not be tolerated in any form. The government should collaborate closely with local organizations and international partners to develop and implement comprehensive strategies to combat FGM effectively.

The media can play a pivotal role in raising awareness about FGM and shaping public opinion on the issue. Media campaigns and educational programs can provide crucial information on the physical and psychological consequences of FGM, dispel myths and misconceptions, and promote positive social norms around the issue. Additionally, the media can highlight success stories of communities that have abandoned the practice of FGM, inspiring others to follow suit.

At the global level, the international community plays a vital role in supporting efforts to combat FGM. International organizations, including the United Nations and its specialized agencies, as well as non-governmental organizations, have been advocating for the elimination of FGM through various programs and initiatives. These efforts range from providing direct assistance to affected communities, conducting research and data collection, advocating for policy changes, and supporting grassroots organizations working at the local level.

Some resources laid out for community members to learn about the dangers of FGM. It includes pamphlets, brochures, and a 3D model used to teach about different types of FGM.
Some resources are laid out for community members to learn about the dangers of FGM. It includes pamphlets, brochures, and a 3D model used to teach about different types of FGM. Source: Yahoo Images

The killing of Corporal Mushote Boma serves as a stark reminder of the urgent action needed to eliminate the harmful practice of female genital mutilation. It is crucial to work collectively to raise awareness, educate communities, and enforce laws to protect the rights of girls and women. This tragic incident must galvanize individuals, communities, and governments to address FGM comprehensively and put an end to this barbaric practice.

The world must unite to protect the rights and well-being of girls and women globally and ensure that no one else suffers the same fate as Corporal Mushote Boma. By fostering a culture of respect for human rights and gender equality and by promoting positive social norms and behaviors, we can strive to create a world where every girl and woman has the right to live free from the fear and trauma of female genital mutilation. Together, we can work towards a future where every girl and woman can fulfill her potential without being subjected to the physical and emotional pain of FGM.

The tragic killing of Corporal Boma is a solemn call to action, and it must be responded to with determination, compassion, and unwavering commitment to bringing an end to the harmful practice of female genital mutilation once and for all.

Disproportionate Deaths: Black Mothers

by Abigail Shumate

*The use of gender-affirming language is incredibly important, and it is vital to remember that women are not the only people capable of giving birth or the only people subjected to maternal risks. Unfortunately, research on transgender, intersex, and nonbinary births is incredibly limited, so for the sake of concision, this post will refer to the maternal mortality crisis largely in the context of women. *

Maternal Mortality

Maternal mortality is perceived as a thing of the past. In the 21st century few feel as apprehensive about the idea of them or a loved one giving birth as they would have in centuries prior. One group that does not share this same luxury is black mothers. In America, black women are three times more likely to die from pregnancy-related causes than white women. Causing these issues are years’ worth of issues, including differences in the quality of healthcare, implicit bias, and structural racism.

With 80% of pregnancy-related deaths being preventable, it empowers no one to learn that Alabama is one of the greatest perpetrators of maternal mortality with the third highest rate in the country. A piece of anecdotal evidence that I stumbled upon while researching this topic is local to not only Birmingham, but to UAB as well. A former faculty member of UAB, Angelica Lyons, was subjected to pregnancy-related trauma that was, simply put, unnecessary and preventable. Lyons, after emphatically describing her symptoms to her doctors, was brushed off and the severity of her symptoms was not realized. Because of this neglect, she was forced to live with an undiagnosed case of sepsis that resulted in an emergency C-section months before her due date. Fortunately, both she and her baby survived although it was a close call for the Lyons mother. This is not an atypical experience for women of color, and black women specifically. Historical bias against black women results in many doctors dismissing their pain as typical or as something they can handle.

To understand the racism incorporated in the gynecological field, it is important to briefly address the history of gynecology. Gynecological science began in the 1840s, when J. Marion Sims, the so-called “father of gynecology,” performed experimental C-sections on black slaves without any anesthetics. This inhumane treatment continued after the abolition of slavery, with unnecessary hysterectomies being performed on black women. Dr. Deirdre Cooper Owens said it best when she stated, “the advancement of obstetrics and gynecology had such an intimate relationship with slavery, and was literally built on the wounds of Black women,” Following this, black families were kept from white hospitals with substantial funding until the Civil Rights Act of 1964. The Civil Rights Act did not completely eliminate the disparity, and healthcare discrimination still follows us to this day.

Alternate Text: Photo of a University of Alabama at Birmingham building, displaying the words “University Hospital.” Source: Flickr
Photo of a University of Alabama at Birmingham building, displaying the words “University Hospital.” Source: Flickr

 

Maternity Deserts

One cause of inadequate care for all mothers is maternity deserts. Maternity deserts are counties that have no hospitals offering obstetric care, no birthing centers, and no obstetric providers. Over two million women between the ages of 15 and 44 live in these maternity deserts, and between 2020 and 2022, the number of counties determined to be maternity deserts increased. Maternity deserts disproportionately affect Black and Hispanic neighborhoods (although, this post focuses on black mothers, as the difference between black and white mothers tends to be starker). Maternity deserts often have lower access to transportation as well, and these transportation barriers can hinder the utilization of prenatal care.

 

Alternate Text: Photo of an industrial city, featuring train tracks, cranes, and various types of buildings. Source: Flickr
Photo of an industrial city, featuring train tracks, cranes, and various types of buildings. Source: Flickr

 

A Broader Scale

Health disparities amongst black people are not isolated to maternal issues.  Black people must struggle with medical practitioners throughout their entire lives. Doctors habitually brush away the concerns of black people of all ages, causing them to be misdiagnosed, and resulting in worse treatment than their white counterparts, or no treatment at all. As written about in this post, this begins when black people are in utero and can lead to lifelong health conditions that are misunderstood and under-addressed.

For example, black children are more likely to have asthma and less likely to have treatment. There are many reasons for this; however, I am choosing to focus on the long-term effects of Jim Crow laws. Unfortunately, many areas with below-average housing (or areas located near toxic sites) are the same areas that were the result of previous redlining. Comparatively, 4 in 10 black children live in areas plagued by poor environmental factors, as opposed to just 1 in 10 white children. People are quick to discount the social factors that play into conditions such as asthma; however, many scientists agree that structural conditions can worsen asthma and cause certain groups to be unable to obtain treatment.

Later in life, black people are more likely not only to have Alzheimer’s, but they are also less likely to be properly diagnosed, which delays or prevents their ability to get treatment (not dissimilar to the conditions referenced above). Statistically, black people who are over 65 are 4% more likely to have Alzheimer’s than white people (14% versus 10%), but it is likely that this disparity is even larger due to said misdiagnosis.

Alternate Text: Photo of a blue inhaler. Source: Flickr
Photo of a blue inhaler. Source: Flickr

Progress

While black maternal mortality is still an incredibly pertinent issue, progress has been made in recent years. In 2019, two members of the House of Representatives, Lauren Underwood and Alma Adams, created the Black Maternal Health Caucus. This caucus is one of the largest bipartisan groups in Congress, and its goal is to “work with…partners in industry, nonprofits, and the Administration to find solutions to ending disparities and achieving optimal birth outcomes for all families”. One creation by the caucus is the Black Maternal Health Momnibus Act, or more casually, the Momnibus. The Momnibus aims to address the maternal mortality crisis through investments in every aspect that may exacerbate mortality rates. It includes 13 bills that aim to enlarge the perinatal workforce so that it addresses diversity needs, extend the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) eligibility so that mothers can have support for longer periods of time after giving birth, increase support for mothers who are incarcerated, invest in federal programs that benefit mothers and infants during public health crises, promote vaccination among mothers, and more.

Another move towards progress is with President Biden’s proposed 2024 budget. This budget incorporates $471 million in funding. One of the tangible things that it will include is Medicaid for twelve months postpartum. These efforts are admirable beginning steps; however, the work is far from complete.

 

Humanitarian Concerns About Methods of Execution

Two hands are using a syringe and needle to pull medication from a small glass vial.
The lethal injection may not be as ethical as it is made out to be. In this image, two hands are using a syringe and needle to pull medication from a small glass vial. Source: Yahoo! Images

 

Content Warning: semi-graphic descriptions of death.

In my most recent article, I approached the issue of capital punishment by taking a broader, more philosophical stance on the ethics of taking the life of a person who has committed a crime. In this article, I will dive into the human rights issues we face when we take a closer look at the methods used to execute convicted criminals. 

While researching for my last article, I fell into a rabbit hole of the methods that States use to execute people. Many states still have firing squads, gas chambers, and hangings as alternatives to lethal injection. Many states have single-drug injections where the person being killed feels their lungs fill with liquid and experiences the paralysis of their respiratory muscles, effectively choking and drowning them in their own bodies. Even during multi-drug lethal injection, it is probable that inmates are still able to feel their death even after anesthesia is given. Many inmates have twitched or moved after the injection, a clear sign that they are not fully anesthetized, including one case where a person fully sat up after being given the lethal injection, proving that his body was not anesthetized and he was experiencing the effects of the lethal drug. Click here to read a description of each of the five most common methods of execution.  

Despite many different execution methods being an option for some prisoners, lethal injection is the standard practice today, as it is seemingly the most ethical. Unfortunately, there is a growing mound of research suggesting that that may not be true. One article in particular, titled Gasping For Air: Autopsies Reveal Troubling Effects Of Lethal Injection has been haunting me since I read it a few months ago and led me to choose this topic to write about this month. It is very informative and I recommend reading it if you would like to continue your research into this topic. 

 

A barbed wire fence in front of a dusky sky
Click here to read an article by my coworker Kala Bhattar recounting the prison crisis in Alabama. It brings to light just how unforgiving and punitive Alabama tends to be in dealing with people who break the law. In this image, a barbed wire fence in front of a dusky sky. Source: Yahoo! Images

 

Alabama’s recent track record with lethal injections does not help the argument for the ethicality of the method. While researching, I came across too many horror stories of Alabama completely mishandling executions to recount them all. There will be a list of links at the end of this article to the stories that I could find. In November 2022, Governor Kay Ivey called to halt executions across the state because of a series of three botched executions in a row. All three, including Alan Miller, Kenneth Smith, and Joe Nathan James involved the inability of Alabama Department of Corrections (ADOC) workers to set an IV line for the drugs to be administered intravenously.

Unfortunately, this is a common theme in executions by lethal injection. As outlined in the Hippocratic Oath, doctors are not allowed to assist in setting the IV line for execution and most nurses refuse because of similar pledges to “do no harm.” This leaves the entire medical procedure of lethal injection in the hands of Department of Corrections (DOC) workers who are not trained in administering intravenous drugs. They often have a hard time obtaining medical training for this procedure because of the ethical restraints of the medical field and the lack of resources put towards obtaining training. DOC workers often puncture or “blow out” the veins of the arms and hands, rendering them unusable for intravenous injections. They then move on to veins in other areas, including the feet, inner thighs, stomach, collarbones, and forehead, blowing those out as well until they get lucky enough to place one without destroying it.

 

A hand with an IV line and a heart rate monitor on the thumb. The person’s arm is covered in a blue medical gown.
Setting an IV line is a standard procedure, but it requires extensive training and medical practice to perfect. The lack of training of DOC workers subjects inmates to excessively being poked by needles all over their bodies for hours on end. In this image, a hand with an IV line and a heart rate monitor on the thumb. The person’s arm is covered in a blue medical gown.Source: Yahoo! Images

 

Alan Miller had his execution called off after the workers attempting to set an IV line took so long that his execution warrant expired. Kenneth Smith’s execution warrant expired while waiting for his case to be heard by the Supreme Court, leaving him strapped to the execution gurney for almost four hours, at least two of which were devoted to placing an IV.

In July 2022, Mr. Joe Nathan James became the victim of the longest-recorded execution in United States history. Faith Hall was murdered in 1994 by her ex-boyfriend Mr. James, who was sentenced to death row in 1996, where he sat until 2022. During this time, the family of Faith Hall petitioned the governor’s office and the Department of Corrections multiple times to express their disapproval of Mr. James’ death sentence and to ask Governor Ivey to pardon him. ADOC took over three hours, allegedly attempting to set the IV line, although it is unsure what was actually going on in that room during this time. His execution was scheduled for 6:00 PM, but observers were not let into the room until 8:57. After repeatedly puncturing, blowing out, and destroying Mr. James’ veins, they finally set the IV correctly and preemptively delivered the anesthetic before the curtain was even opened, violating his right to hear his death warrant read aloud and taking away his chance to speak his last words. To add insult to injury, the family of Faith Hall wished to attend Mr. James’ execution long enough to show him that they forgave him and to hear his last words, then leave before the execution began. They did not get to fulfill these wishes after ADOC told them that leaving before the execution wasn’t an option, saying, “Once you’re in, you’re in.” 

On the day of the execution, in an embarrassing set of events, award-winning reporter for AL.com, Ivana Hrynkiw, was told by ADOC workers that she could not attend the execution because her skirt was too short and her open-toed shoes were “too revealing.” She had worn that same skirt to at least three executions before this one. A cameraman from a different media outlet offered her a pair of fishing waders with suspenders that he had in his car, and she attended the execution wearing those. Kim Chandler, another female reporter from the Associated Press, was subject to a clothing inspection before being allowed to enter the facility. It is thought that this was ADOC’s excuse to stall the entrance of media and guests into the observation room and to justify the three and a half hours that are unaccounted for. This entire execution was a nightmare for everyone involved. Following this was the failed executions of Alan Miller and Kenneth Smith, which led to Governor Ivey halting all executions. 

 

A row of open prison cells alongside a wall. They are made of gray bars and have sliding doors.
From the moment these people are put on death row, all of their human rights are violated. They are stripped of all of their liberty, all of their property, all of their dignity, and all of their humanity while patiently awaiting being stripped of their life. In this image, a row of open prison cells alongside a wall. They are made of gray bars and have sliding doors. Source: Yahoo! Image

 

Many people, including many church leaders, have petitioned Governor Ivey to do away with capital punishment altogether. Many people in all areas of the political spectrum have called out Governor Ivey’s hypocrisy in her intense opposition to abortion rights, citing the sacredness of life while also denying clemency to every death penalty case that has ever crossed her desk. In 2019, she denied clemency to Micheal Samra, a man with borderline intellectual functioning who was only 19 at the time of his crime, the day after passing a state-wide abortion ban. 

“Every life is precious and every life is a sacred gift from God…”

– Governor Kay Ivey, the day before the execution of a teenage offender.

Instead of listening to the cries of its citizens, Alabama has authorized an execution protocol for the use of an untested execution process, nitrogen hypoxia. This entails replacing all of the oxygen in a person’s lungs with nitrogen until they suffocate and essentially drown in gas. Veterinarians consider nitrogen hypoxia an ethically unacceptable practice for the euthanasia of animals. To make matters worse, Alabama wants to test this new method on Kenneth Smith just a few months after subjecting him to his first failed execution horror story. This new method, on top of being a terrible and excruciating death for the person subjected to it, may entail dangers for the executioners and spiritual advisors in the room. In Ramirez v. Collier (2022), the Supreme Court ruled that inmates being executed have a right to be touched by a spiritual advisor during and throughout their executions, but nitrogen hypoxia may infringe on this right, making it unsafe for a person to be within close proximity to them. 

A man asleep on a hospital bed with an oxygen mask covering his nose and mouth.
Caryl Chessman was executed in 1960 by hypoxia and told reporters that he would nod if it hurt. Witnesses watched him nod for multiple minutes straight before falling unconscious. Source: Yahoo! Images

I can understand arguments for capital punishment in theory. I can understand the societal benefit of executing extremely violent repeat offenders who pose an ongoing threat to others. Death may even be more humane than life-long solitary confinement in cases where those are the only two options to prevent someone from causing more harm to others. If we lived in a world where we could guarantee that an execution would be painless, quick, and respectful and that the dignity of the person being executed could be maintained, we might have grounds for capital punishment in extreme cases. But right now, the research is unsure about the experience of people receiving a lethal injection, DOC workers are not qualified to perform the medical procedure of euthanasia, and the vast majority of people receiving the death penalty are one-time offenders who are remorseful for their crimes. I cannot fathom justifying capital punishment under these conditions, especially as it is practiced in the state I call home, Alabama. 

We cannot sit back and watch our Department of Corrections ask an unconscious man for his last words before executing him in silence as if his final thoughts were not worth hearing. We cannot stay silent in a state whose government will soon begin putting people in gas chambers to suffocate and drown in their own lungs, calling it justice. We cannot call ourselves humane if we support forcing other humans to experience the sensation of fire in their lungs from pulmonary edema after not being anesthetized properly, the pressure in their skulls growing until their eyes bulge from their sockets, or the terror of being strapped to your death bed for four hours straight while untrained executioners continuously prick your entire body. We must stand up for the human rights of the humans on death row.

Alabama mishandled executions: 

April 22, 1983 – John Evans

July 14, 1989 – Horace Dunkins, Jr.

December 8, 2016 – Ronald “Bert” Smith

October 17, 2017 – Torrey McNabb

February 22, 2018 – Doyle Hamm

July 28, 2022 – Joe James

September 22, 2022 – Alan Miller

November 17, 2022 – Kenneth Smith

July 21, 2023 – James Barber 

Most of my research for this case was from the Death Penalty Information Center. This is an incredibly holistic and in-depth database regarding the death penalty in the United States.

International Day of Science and Peace

by Wajiha Mekki 

November 10 is the International Day of Science and Peace (IDSP), also known as the World Science Day for Peace and Development. The United Nations host this international event.

History of IDSP

Established in 1986, this historical day was initially developed to commemorate the birth of Marie Curie, a notable physicist and humanitarian. Curie was known for her innovative work within radioactivity, contributing to the discovery of radium and polonium. By 1999, its purpose changed to reflect the global needs of the scientific and humanitarian community, utilizing the day to affirm the global commitment to attaining the goals of the Declaration on Science and the Use of Scientific Knowledge. The day and annual summit unite governmental, intervention mental, and non-governmental organizations meaningfully to promote international solidarity for shared sciences between countries and renew the global commitment to use science to benefit communities that need it most. 

The overall goal of IDSP is to help achieve the UN 2030 Agenda and the 17 Sustainable Development Goals, creating a plan for prosperity for people and the planet. 

 

ISDP 2023

The 2023 theme for IDSP will be “Bridging the Gap: Science, Peace, and Human Rights.” This emphasizes the interconnectedness between science and peace, having a role in advancing human rights. Science is a valuable tool for making technological advancements, but it is also helpful in helping address social issues, reducing conflicts, and sustainably promoting human rights.

 

Photo of space shuttle near body of water.
Photo of space shuttle near body of water.
Source: Flickr

Science and Human Rights

Science is frequently associated with helping improve medical interventions, solving coding bugs, and completing mathematical equations. However, contrary to popular belief, science is essential to human rights. Firstly, science has a valuable role in promoting sustainable development. Utilizing scientific methods, data can be collected to quantify the progress toward fulfilling the 17 UN Sustainable Development Goals. Ranging from climate change to poverty to infant mortality, scientific data collection and analysis methods are needed to efficiently and effectively respond to global issues. Research and innovation also contribute to the mobilization of resources to historically underserved communities, allowing them to gain access to necessities. 

Within innovation, shared desires and interests help unite countries with singular goals. Scientific diplomacy is valuable in bringing countries to the table of collaboration. This deepens connections between countries as it relates to trade and commercial interests and helps foster peaceful relationships, prioritizing human rights.

With the appropriate distribution of resources, scientific advancements help improve the quality of life for communities internationally. Applying what is traditionally “scientific” to communities gives them a chance to live a better quality of life in a cleaner environment.

It is available to educate the public about the vital role of science and encourage innovation to solve global challenges.

How Countries Can Get Involved

Beyond participating in IDSP, countries can have a role in unifying science and human rights through many different avenues. One route is to protect and invest in scientific diplomacy. By allocating funding to scientific innovation and multilateral collaborations, governments can ensure that they can focus on shared goals with their international counterparts, working collaboratively to promote peace and cooperation. Another route is developing policies that protect innovation while developing guardrails for its usage, ensuring it is mobilized to those who need it most. States have a responsibility to be an advocate and protectors of their citizens, and by working to ensure that scientific diplomacy is used for the betterment of people abroad, they can elicit change in a meaningful way.

 

INTL and MAST Students Visit US Department of State Source: GU Blog
INTL and MAST Students Visit US Department of State Source: GU Blog

How Citizens Can Get Involved

Citizens have a responsibility to promote peace with science, as well. The role of a community member is to primarily use one’s voice to advocate for innovation and peace; by doing so and mobilizing one’s own story, organizations are held accountable for their actions. From governmental entities, non-profit organizations, and grassroots movements, stakeholders are supported by the citizenry. It is also important to have open conversations  to explore further the nuanced introspection of science, peace, and human rights, continuing to promote awareness and understanding.

 

Hopeless Efforts at Release on Parole from Alabama Prisons

by Eva Pechtl 

“They see me trying to do right, but my past is my problem,” said Terry Townshend, an inmate resembling countless others denied release on parole from Alabama’s prisons at astounding rates.

Two inmates sleep and one stands wearing prison uniforms. Some inmates will spend most of their time simply waiting, as not all prisons provide adequate opportunities for engagement in normal day-to-day activities.
An image of inmates waiting for the time to pass. Source: ProPublica via Yahoo Images

 

Before we begin, I encourage you to read Kala Bhattar’s posts on the extensive history and severity of the Alabama prison crisis concerning human rights. She offers valuable insights into the unique nature of the legal system in Alabama, and how its background connects to ever-present challenges in prisons today.

This post is going to explore the overwhelming decrease in parole rates being granted to prisoners by the Alabama Parole Board. The Alabama Bureau of Pardons and Paroles (ABPP) considers inmates eligible for parole after serving most of their sentence, allowing them to be released early from prison to reenter the community and complete service outside of prison walls. The declining rates of parole being granted are a barrier to the multifaceted issue of prison overcrowding pressed by understaffed facilities and increased prison violence. There are widely differing perspectives on the best strategies to calm the swelling chaos of prison overcrowding. To Alabama’s parole board, parole is not one of them.

It’s important to understand that parole is a privilege, not a right. Even if approved, inmates are released on strict conditions that may include reporting to a supervising officer, maintaining steady employment, not buying alcohol, or attending counseling to name a few. At any point, individuals can have their parole revoked and be reimprisoned. 

Parole hearings are conducted based on guidelines set forth by the ABPP. They are meant to consider whether an incarcerated person is likely to reoffend. The board considers the severity of an offender’s criminal history, risk assessments, reports of institutional behavior, participation in programs or treatment, and plans for navigating problems the offender is likely to face again during reentry. These guidelines have recently been criticized as flat-out ignored by the Parole Board, likely sparked following the consistently declining rate of parole actually being granted. According to the ABPP’s Monthly Statistical Reports, Alabama has gone from a grant rate of 54% in 2017 to 10% in 2022, and it reached as low as 2% in January of this year. 

A significant event sparking this change was Jimmy O’Neal Spencer, an inmate who was paroled in 2018 and, upon release, murdered three people. This tragic case led to tremendous pressure to keep inmates in prison and aligned with the sudden drop in grant rates beginning that year. When releasing convicted felons became understandably more controversial after Spencer’s release, the parole board’s actions were put under a microscope. The primary concern of the parole board seemed to shift to avoiding negative headlines.

 

Guidelines Being Overrun by Discretion

To be clear, the parole board ultimately has complete discretion over a decision, and the guidelines are meant to serve solely as an aid. Consequently, in May of 2023, the recommended 78% grant rate indicated by the guidelines was actually 18%. This raises questions about the disparities between parole guidelines and parole decisions. For one, why are the guidelines in place if they are consistently overlooked? This breach is represented by the conformance rate, which indicates the number of cases that matched the guidelines’ recommendation for grants or denials. It amounted to 23% in May, 14% in June, and 5% in July of 2023. This adds to years of disparities between recommended grant rates and actual grant rates present in Alabama. So, what is going on at parole hearings?

The precise reasons remain unclear. The parole board does not always articulate its reasons for approving or denying parole, even though they are required to by Alabama Code 15-22-26. Decisions were also commonly made based solely on the severity of an offense. Alabama determines the criteria for parole eligibility of certain offenses outlined in Section 15-22-27, but decisions are still weighed based on that information which the system has already approved. The point of having an additional hearing is to judge an inmate on who they are now.

Furthermore, race was an illuminated factor toward reentry this May, where 30% of decisions for White individuals conformed to the parole guidelines while 17% of decisions for Black applicants conformed to the same guidelines. However, I cannot comprehensively address the topic of race on reentry in this single blog.

 

The Power of Decision Makers

The drop in grant rates came promptly with Governor Kay Ivey’s appointment of Leigh Gwathney as the current board chair in 2019. Years later, Gwathney granted 2.4% parole of cases in the summer of 2023. Board members of the ABPP have tremendous discretion by law and have by no doubt used it to impact grant rates. Parole Watch documented a lack of attention toward the cases by the board and expanded on concerns about the three-chair system. A main takeaway from many perspectives on the hearing system is the influence the third seat can have on a hearing’s outcome. With two seats, the majority rule turns to a unanimous vote. When the board shrank to Gwathney’s seat, plus one, so did the grant rate from 13.2% in June to 4.1% in July. 

If parole is denied, the board determines an inmates’ set off date, or how long they will wait before being reconsidered for parole. Gwathney voted for the maximum set off date in 73.4% of denied cases in the summer of 2023, more than any other seat. What makes overcrowding a progressively hopeless matter is the fact that Alabama’s Department of Corrections has an opportunity to clear crowded and understaffed prisons of inmates that are eligible by the guidelines and obvious recommendation to leave. With an 80% decrease in parole grants from September 2019 to June 2020, the population in custody increased, even as custody admissions decreased. The impact of denying parole to so many is daringly increasing the pressure of prisons that are already way above full occupancy.

Parole hearings are open to the public, but unlike other states, Alabama does not allow offenders to represent themselves. Also, no rebuttal is allowed by supporters after opponents give the final word. Often, victims or advocates will misrepresent the facts leaving supporters of parole with no opportunity to correct them. According to Parole Watch’s observations, some representatives claimed to advocate for the victim but still opposed parole even if it supported the victim’s wishes. Opponents of parole like Victims of Crime and Leniency (VOCAL) and the Attorney General’s Office, proved to have a tremendous influence on the decisions of the parole board. Of the 78.3% of hearings this summer where VOCAL was present, 96.6% were denied. 

Inmates Are People Just Like Us

Aging inmates are pushed in wheelchairs outside by prison staff. The population of elderly inmates has risen dramatically in the past fifty years.
An image of aging inmates being pushed in wheelchairs outside by prison staff. Source: Yahoo Images via Unprison

 

71 year old Leola Harris, who has end-stage kidney failure, diabetes, and cannot walk or use the bathroom on her own, will likely die before her next hearing in 5 years. Having certification by the Department of Corrections for medical parole, testimonies by nursing home staff for a confirmed living plan, a successful lie detector test denying that she murdered the victim, and two decades of good behavior was not enough to get her out of prison for her remaining years.

This is reflected by many inmates who have numerous accomplishments to advocate for their improvement but are swiftly rejected. Terry Townshend has faced a life of drug addiction and resulting imprisonment, demonstrating fighting efforts to stay away from pills and crime. His release on parole failed when he got back into drugs after being given take-home narcotics after cancer surgery. Terry did everything he could to build personal responsibility from completing substance abuse treatment programs to earning a degree in trade school, and this in turn helped him understand his addiction and how to handle it without crime. However, like many, he was held down by his failures and rejected.

Timothy Bille, a now free man who was denied parole 4 times in 18 years, expressed that “They tell you to do all these prison programs to increase your chances for parole, but when they deny guys like Terry, it feels like a lie.” 

Finally, Frederick Bishop was denied parole at his hearing scheduled 10 days after he died in prison. Justice is not denying release to a corpse. His case demonstrates a lack of attention by the entire justice system toward informing relevant parties of an inmate’s status and judging them accordingly. 

The reality is that Alabama prisons have become more unsafe than the free world. Overcrowding in prisons is not as much due to new crime but to repeated declines of release for experienced inmates. Advocates for less violence and victimization in prison populations would agree that prisoners of minimal risk to their community, especially under careful supervision, should be granted freedom, and therefore safety. 

Jimmy O’Neal Spencer has been convicted, denied parole, and sentenced to death. It is time that thousands of others who are stuck in Alabama’s combusting, debilitating conditions deserve real chances at parole.

Understand the Impact of Poverty on Kenyan Society: Unveiling the Struggles Faced by Vulnerable Communities

By Grace Ndanu

An image of Diani Beach in Kenya to showcase some of the natural beauty of the nation
Diani Beach, Kenya; Source: Yahoo Images

Poverty is a deeply rooted issue that affects countless individuals and communities around the world. In Kenya, it is no different. Despite its natural beauty and richness, Kenya faces significant challenges when it comes to poverty, particularly among vulnerable communities.

The high living standards brought by the new government of Kenya make the poverty issue more pressing. Everything is doubled. Tax is doubled, food is doubled, oil is doubled, women’s products price is now double the initial price.

An image of a Masai market in Kenya
Masai Market in Kenya; Source: Yahoo Images

One issue arising from poverty is limited access to basic necessities such as food, clean water, and health care. According to a United Nations Development Program report, approximately 36% of Kenyans live below the national poverty line. This means that millions of people struggle to afford even one meal a day, leading to malnutrition and adverse health conditions. Additionally, a lack of access to clean water and proper sanitation facilities further intensifies the spread of diseases, resulting in a higher mortality rate.

An image of Kenyans sorting through the food assistance provided by the United Nations World Food Program.
The UN World Food Program (WFP) assists many Kenyans who face food insecurity. Source: Yahoo Images

Another consequence of poverty is the limited educational opportunities available to children coming from disadvantaged backgrounds. Before the current government, a normal student at the university level was paying approximately 38 thousand Kenyan Shilling per year. Today the student pays 122 thousand Kenyan Shillings per year. Many families cannot afford to send their children to school due to financial constraints, resulting in a significant number of young individuals being deprived of basic education. The lack of education perpetuates the cycle of poverty, as individuals without the necessary skills and knowledge struggle to find stable employment opportunities.

The impact of poverty is also evident in the housing conditions experienced by vulnerable communities in Kenya. Slums and informal settlements are common in urban areas, where individuals live in makeshift shelters with little to no access to basic amenities. Unsanitary living conditions in these areas increase health risks and disease vulnerability.

An image of a student in Kenya with school materials. Paying for school in Kenya has become increasingly expensive.
A Student with school materials. Nyeri Primary School, Nyeri County, Kenya; Source: Yahoo Images

These challenges are not insurmountable, however. It’s important to note that while these issues persist, there are numerous organizations, both local and international working alongside the government of Kenya to tackle these issues and improve the overall well-being of the Kenyan people. Efforts such as community-based programs, microfinance initiatives, and educational campaigns have shown promising results in uplifting vulnerable communities and breaking the cycle of poverty.

To bring about lasting change, it is crucial for individuals, governments, and organizations to come together and address the root causes of poverty in Kenya. This includes investing in sustainable agriculture practices, promoting entrepreneurship and job creation, improving access to quality education, and providing support for health care and social welfare systems.

An image of the Parliament of Kenya.
Parliament of Kenya; Source: Yahoo Images

In conclusion, poverty remains a critical issue in Kenyan society, affecting vulnerable communities in various aspects of their lives. By understanding the impact of poverty and actively working towards its eradication, we can create a brighter future for all Kenyans.

Food Insecurity: Ecuador and the Global Poor

Since 2014 and the COVID-19 pandemic, food insecurity has been steadily rising, with hundreds of millions being threatened by malnutrition and hunger. In 2020, above 30% of the global population was found to be moderately or severely food insecure. Food insecurity affects different populations in distinct ways, and in order to understand this more clearly, we examine Ecuador. Here, historical contexts have unique influences on food insecurity, but also, this nation exemplifies the reality that low-income nations face when combatting hunger. 

Facts and figures of food insecurity in Ecuador 

Hunger is an issue that is widespread globally and within Latin America and the Caribbean. In fact, researchers Akram Hernández-Vásquez, Fabriccio J. Visconti-Lopez, and Rodrigo Vargas-Fernández found that the region has the second-highest figures for food insecurity globally. The region is also predicted to be the fastest-growing in food insecurity rates. 

Ecuador is just one example of why food insecurity manifests and in which populations. The country is ranked second in the region for chronic child malnutrition: 23% of children under five and 27% of children lack access to proper nutrition. 

According to the Global Food Banking Network, an international non-profit focused on alleviating hunger, 900,000 tons of food are wasted or lost yearly in Ecuador. This is an alarming statistic considering that 33% of the population experienced food insecurity between 2018 and 2020 一 a threefold increase since 2014-2016. 

Economic conditions have only been heightened in the pandemic, leading to widespread protests across the nation by indigenous people demanding equitable access to education, healthcare, and jobs. In sum, indigenous people cannot afford to get by, exacerbating existing food insecurity.

A man holding a protest sign with a few people to the left.
Figure 1: Source: Flickr, Motoperu; Protesters holding a sign that says “No more injustice, eliminate lifetime presidential salaries,” Cuenca, Ecuador.

Maria Isabel Humagingan, a 42-year-old Indigenous Quichua from Sumbawa in Cotopaxi province described why she was protesting to Aljazeera reporter Kimberley Brown. 

“For fertilizer, for example, it used to be worth $15 or up to $20, now it costs up to $50 or $40. Sometimes we lost everything [the whole crop]. So we no longer harvest anything.”

During a time when global inflation is rising, it is the poorest people who are at the most risk. Even those who used to live on subsistence farming are vulnerable. The United Nations Food and Agricultural Organization (FAO) found that Ecuador’s food insecurity had risen from 20.7% to 36.8% in one year during the pandemic, and it is apparent that indigenous peoples are the most at risk during this time. 

This is not to mention the fact that during a time when global hunger is growing, there is a disproportionate impact on women. Ultimately, food insecurity, while complex and layered, is a mirror of the prejudices and inequalities of society. In order to better understand why and who is impacted, we first need to understand two components: is food available (production and imports), is the food adequate (nutritious), and is food accessible (affordability)? 

Factors behind food insecurity in Ecuador and beyond 

Environmental Racism 

Ecuador has a long history of environmental racism, and for the sake of brevity, we will be focusing on the practices of Texaco/Chevron and its impact on soil fertility. 

Victoria Peña-Parr defines environmental racism as,

“minority group neighborhoods—populated primarily by people of color and members of low-socioeconomic backgrounds—… burdened with disproportionate numbers of hazards including toxic waste facilities, garbage dumps, and other sources of environmental pollution and foul odors that lower the quality of life.”

From 1964 to 1990, Texaco (which merged with Chevron in 2001) drilled oil in the Ecuadorian Amazon. Over 16 billion gallons of toxic wastewater were dumped in water sources and unlined open pits left to seep into the soil and devastate clean water sources for people and agriculture. Additionally, 17 million gallons of crude oil were spilled in the disaster now known as “Amazon Chernobyl.” Ecuadorians, a good majority of which were indigenous peoples displaced from their land due to environmental destruction, levied a suit against Chevron which was won in February 2011. 

Indigenous people standing behind and looking at an open and unlined oil pit.
Figure 2: Source: Yahoo Images; Indigenous people overlooking one of 900 unlined, open oil pits from Chevron.

During the judicial process, 916 unlined and abandoned pits of crude oil were found. The human rights implications of this historic case and horrifying disregard for human and environmental safety are lengthy, in order to learn more read this blog by Kala Bhattar. 

With this brief background in mind, it is clear to see how this would impact agricultural production, particularly in rural areas where indigenous persons live. Moreover, Afro-Ecuadorians, while only making up 7.2% of the population, are 40% of those living in poverty in the entire country. Most Afro-Ecuadorians live in the province of Esmeraldas, one of the poorest in the country, where most people live off agriculture and “85% of people live below the poverty line.”

UN experts have found that this population is the most vulnerable to environmental racism, suffering from systematic contamination of water supplies and intimidation. 

As people suffer through the impacts of a ravaged environment, they must continue to rely on subsistence farming without aid. When crops fail to provide enough economically and for individual families, many go without in this impoverished region. 

Climate Change

Global warming is leading to changes in weather patterns that have a serious impact on agricultural production 一, particularly in low-income countries that rely on seasonal rains, temperature, and other factors. 

Climate change has also led to more severe and deadly disruptions, from hurricanes and earthquakes to monsoons, flooding, and mudslides. Ecuador has been suffering from these climate changes, despite only producing 2.5 metric tons of CO2 emissions per capita (the US comparatively emitted 5,222 million tons in 2020). 

Specifically, Ecuador has suffered from a lack of water, specifically irrigation water, landslides, droughts, and heavy rains. The last two aforementioned climate impacts are particularly salient issues as it has impacted seed development by not allowing them to germinate or produce. 

Image of a map with areas ranging from blue to deep red to indicate areas under threat by climate change. Latin America, Sub-saharan Africa, and Southeast Asia are the most threatened.
Figure 3: Source: Yahoo Images, Mannion, et al. in Trends in Ecology & Evolution; Worldmap where biodiversity is threatened the most by climate change.

In all, the consequences of climate change are having disproportionate effects on low-income states globally in spite of the that they have historically contributed very little to greenhouse emissions. The worst impacts are on nations surrounding the equator and countries with relatively hot climates 一 both of which tend to be low-income countries. 

Ukraine War

Due to the ongoing war in Ukraine, food prices have been rising. Ukraine is a leading wheat producer globally. It is the seventh-largest producer of wheat, supplies 16% of the world’s corn, and 40% of the world’s sunflower oil. In the summer of 2022, 22 million tons of grain were stranded in Ukrainian ports, causing mostly low-income countries to feel the growing threat of food insecurity. 

Additionally, Ukraine supplied 40% of the World Food Programme’s (WFP) wheat supply. The immediate impact of this is clear in the 45% increase in wheat prices in Africa alone, while any country that receives aid from WFP (which Ecuador has since 1964) is threatened directly by the situation. 

As food prices continue to soar, the price of food sold within lower-income nations remains the same, creating a gap between cost and production. The conflict has also led to increases in the price of fuel and fertilizer, leading to food insecurity in many countries beyond just Ecuador. The war in Ukraine has disrupted global food supply chains and led to the largest global food crisis since WWII. 

Hunger and the human right to food 

There has long been a precedent in the international human rights framework for the right to food, beginning with the first declaration (unanimously accepted) in 1948. In Article 25 of the Universal Declaration of Human Rights (UDHR), the right to an adequate standard of living is guaranteed to everyone with the express mention of food. Fast forward 20 years later, and once more, Article 11 of the International Covenant on Economic, Social, and Cultural Rights (ICESCR) reiterates (almost identically) the right to food. 

The ICESCR actually expounds further on a state’s responsibility to free everyone from hunger, specifically outlining that either individually or through international cooperation specific programs should be developed to address food insecurity and hunger. Moreover, the covenant addresses that food-importing and food-exporting countries should both be reviewed for problems that would impact the equitable distribution of food globally. Lastly, agrarian systems should be reformed to address nutrition and achieve maximum utilization and efficient use of agricultural resources.

Image of a bowl with the words “Zero Hunger” from the 2015 UN Sustainable Development Goals.
Figure 4: Source: Yahoo Images, United Nations; Logo of the second Sustainable Development Goal to end hunger.

In 1999, the Committee on Economic, Social, and Cultural Rights convened to review the progress to end hunger. General Comment 12 reiterated the obligation of states to fulfill the aforementioned responsibilities. Most crucially, however, was the specific mention that states must immediately address issues of discrimination that plague food insecurity. In the case of Ecuador, it is clear that this remains a salient issue. 

Most recently, in 2015, during a historic UN summit, world leaders adopted 17 objectives to be achieved by 2030. Known as the Sustainable Development Goals (SDGs), the second objective is to create a “Zero Hunger” world by 2030. 

Conclusion: Fighting Food Insecurity 

According to the World Food Program, 60% of the world’s hungry live in areas afflicted by conflict. There is no simple way to end a conflict, but it is crucial that all states remember their commitments to the SDGs and ICESCR. This means that states need to step in to provide nutritious food when a home state will not or cannot. Just like Red Cross, journalists, and other humanitarian organizations are protected by international humanitarian law from being targeted in conflict, so too should persons ensuring food access to people. Moreover, countries should address the factors that contribute to food insecurity such as environmental racism and climate change. 

There is no one solution for this issue since there is no single cause. However, by refusing to accept these conditions, learning more about the causes and conditions of food insecurity, and demanding more, we can begin to bring about a world that truly is free from hunger.

  • Food Insecurity in Birmingham, AL by Mary Bailey
  • America: The Land of the Hungry by Kala Bhattar 
  • The Right to Food: A Government Responsibility by Zee Islam 
  • Donate to the World Food Program
  • Learn more and get directly involved with SDGs 
  • Follow @uab_ihr for Speaker events, blogs, and to learn more about supporting human rights locally and globally