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. 

How Stigma Hurts Series: Opium and Chinese Repression

By Eva Pechtl

Samuel Walker proposes that America has two crime problems, one affecting most white, middle-class Americans and another affecting mostly people of color in poverty. Racial bias has been expressed in drug policy for centuries and has not ceased to marginalize certain racial and ethnic minorities. Chinese immigrants have been historically discriminated against in the United States and have not ceased to face racism in everyday life, especially after being associated with the COVID-19 pandemic. Bias has not only affected drug policy over time, but drug policy has reiterated this bias. 

Stigma refers to a negative attitude toward a particular group of people, which is usually unfair and leads to discrimination. Stigma can be both explicitly expressed, like thinking people with mental health conditions are dangerous, and subtly embedded in societal norms, like repeatedly showing people of certain groups in the media in negative situations. Labeling someone in a positive or negative way is an easy solution to avoid the toll of understanding the challenges they are experiencing. Stigma is hugely based on social identity and perception of other groups, in that negatively stigmatizing other groups can be a way to justify inequalities in one’s own privilege compared to others. 

Understanding stigma toward other social identities is especially important in the context of historical and present drug policy. In this series of blogs, I will explore some important historical examples of how stigma against minority groups has been embedded in American drug sentiment. Throughout this series, I will review the opium trade and Chinese repression, the criminalization of marijuana and Mexican immigrants, the unequal playing field of the hippie counterculture movement and the Indigenous Peyote movement, and the controversy over racial disparities in crack and cocaine sentencing. I hope to offer new perspectives on how targeting and incarcerating drug users has resulted in challenges specifically for minority groups, and how stigma hurts in the criminal justice system.

  

Outlining the Opium Wars in China 

An early point to recognize in the development of drug prohibition was the Opium Wars in China and their effects on the criminalization of Chinese immigrants, especially in the US. This example importantly impacted policies on opiates, the term for the chemicals found naturally and refined into heroin, morphine, and codeine. These variations are derived and created from opium, a depressant drug from the sap of the opium poppy plant. Opioids can refer to both naturally derived opium and its variations synthetically made in the laboratory, like oxycodone and hydrocodone (partly synthetic) or tramadol and fentanyl (fully synthetic). As a medication, opium is meant to be used for pain control, but smoking opium causes euphoric effects almost immediately since the chemicals are instantly absorbed through the lungs and to the brain. The coming of opium smoking to the US created very toxic discrimination by those in privilege against Chinese immigrants, leading to blatant policies against Chinese people in poverty, even when the opium frenzy that followed was far from their goal. 

 

The cultivation of opium increased substantially after the Opium Wars strongly shifted China's economy.
An image of a woman and two children picking the opium poppy fields grown in Old China around 1900. Source: Yahoo Images via Flickr. The cultivation of opium increased substantially after the Opium Wars strongly shifted China’s economy.

 

In the 1700s, opium poppy fields in India were conquered by the British Empire and smuggled into China for profit. Even though China banned the opium trade in 1729, the illegal sale of the drug by outside nations caused an addiction epidemic and devastating economic consequences. In the Opium Wars, the Qing Dynasty attempted to fight against opium importation, but the British consistently gained more power over trafficking and forced China to make the opium trade legal by 1860. China had imported tea through the East India Company to Britain for many years, but it no longer appealed to Britain’s trade options, and this was detrimental to trade. As Britain ran out of silver to maintain the tea trade, the East India Company found that opium could be sourced in bulk from China, which led to a growing and promising market. The East India Company did not initially create the demand for opium but found a way to maximize the economic disruption and addiction in China for the benefit of trade.  

Opium was then trafficked increasingly and was effectively destructive to the Chinese. For example, for the British to get their fix of caffeine, the Chinese got their fix of opium. The drug was sold and medicalized to merchants around the world, notably America, which played a significant role in finding new sources of supply from China and expanding the opium market until 1840. In Chinese culture, smoking opium was initially a ritual luxury that was used to display privilege, but as it became more accessible, the government was less concerned with controlling its pharmacological effects and more with controlling the social deviance associated with it. The Opium Wars ended in an unequal trading arrangement in Europe’s favor, continuing importation and causing the market to become socially segmented. Depending on their wealth, people bought different varieties of opium. However, addiction did not discriminate by wealth. 

  

Judging Drugs by Culture 

When many Chinese immigrants came to the US in the mid-1800s, primarily to escape the social and economic devastation brought upon them by the Opium Wars, they were an easy scapegoat for US politicians to blame for the internationally emerging opium crisis. Opium smoking, as well as poverty, was popular among them, so many started businesses of their own, including Opium Dens. These were hidden places to smoke without social consequences, popular in San Francisco, and were typically run by Chinese immigrants, though people of all backgrounds could be found there. These dens were compared to sin and hell, which only increased the already pervasive anti-Chinese sentiment. There was popularity in claims that vulnerable white women who entered the dens were manipulated and their honor surrendered by Chinese men. Males made up 95% of Chinese immigrants in the late 19th century, working for the few available jobs amid the great depression, leading to strong discriminatory sentiment among Americans affected by unemployment, such as referring to cheap laborers as ‘opium fiends.’  

 

Opium users sit and lay relaxing on the floor of a small and organized Opium Den, wearing traditional Chinese clothing and smoking the drug through a pipe next to a tray of materials.
An image of two men inside an opium den run by Chinese immigrants in San Francisco in 1898. Source: Yahoo Images via Flickr. Opium users sit and lay relaxing on the floor of a small and organized Opium Den, wearing traditional Chinese clothing and smoking the drug through a pipe next to a tray of materials.

 

Several Chinese immigrants sit beside each other inside a dark and smoky Opium Den, some of them passed out or laid back.
A drawing of an opium den with several Chinese men appearing delirious and their surroundings unclean. Opium Dens were commonly perceived as disgusting places when many were well-kept and included people of different backgrounds. Source: Yahoo Images via Uncyclopedia. Several Chinese immigrants sit beside each other inside a dark and smoky Opium Den, some of them passed out or laid back.

 

Chinese people were at first welcomed by some Americans as “the most industrious, quiet, patient people among us,” by a California newspaper in 1852. Still, tensions rose at the same time that immigrants started impacting opium use and the workforce. Policies on opium reflect xenophobia and racism, perpetuating fear of the ‘yellow peril,’ a racist color metaphor in American campaigns disguised as ‘anti-drug.’  To further conceptualize racism in politics during this time, the California Supreme Court case People v. Hall in 1854 categorized several racial and ethnic minorities as lacking the progress or development to testify against White people. Even if states did not blatantly pass these laws, Chinese people would be dismissed as liars before even speaking for themselves. This pervasiveness made it impossible for Chinese immigrants to seek justice against the severe discrimination and bias of the drug wars or practically any repressive measures they were subjected to. With the completion of the railroad in 1869, thousands of Chinese people were out of work, denied access to jobs, and targeted as competition as soon as they began to succeed.  

With the quote "the Chinese must go," an American figure with long legs labeled 'the Missouri Steam Washer' chases away a Chinese man representing the competition of immigrant businesses. The fleeing man clutches a stool and a container of opium.
An image of a political cartoon describing the exclusion of Chinese immigrants, pushing them away from San Francisco back to China. A Chinese man flees from the American market competition while clutching a stepping stool and a container of opium. Source: Yahoo Images via History1700s. With the quote “the Chinese must go,” an American figure with long legs labeled ‘the Missouri Steam Washer’ chases away a Chinese man representing the competition of immigrant businesses. The fleeing man clutches a stool and a container of opium.

 

By the 1870s, it became apparent that many individuals, including white people, were picking up on opiate addiction. Opium use had increased alarmingly by the 1880s across the American medical field as well, and this led to criticism of Chinese immigrants by people who saw their fellow Americans as plagued by a disgusting habit. When more others were associated with Chinese people in this way, the criminalization of Chinese people represented a shift in focus toward protecting the perceived integrity of white people. For example, the San Francisco Opium Den Ordinance in 1875 made it illegal to maintain or visit places where opium was smoked, so many Chinese people and their neighborhoods were criminalized. Essentially, the US passed the Chinese Exclusion Act in 1882, which was the first major federal legislation to explicitly restrict immigration for a specific nationality. This meant pushing Chinese people away from the US even when they were producing the backbone of American railroad labor and only making up 0.002% of the population at that time. 

 

A group of US Marshals stand close by a pile of opium and smoking materials to be burned on a busy Chinatown street while hundreds of people surround and watch.
An image of US Marshals burning opium and opium pipes resulting from an Opium Den raid in the middle of a crowded Chinatown street. Source: Yahoo Images via FoundSF. A group of US Marshals stands close by a pile of opium and smoking materials to be burned on a busy Chinatown street while hundreds of people surround and watch.

 

Parallels of Criminalization and Overprescription 

The Smoking Opium Exclusion Act in 1909 continued to ban the possession, use, and importation of opium for smoking, being the first federal law to ban the non-medical use of a substance. Even though opioids were rampantly prescribed and available in America by this time, the criminalization only applied to smoking opium, primarily done by Chinese immigrants in Chinatowns. Contrary to assumptions, it is not illegal drug cartels but pharmaceutical companies that fueled the opioid epidemic. For example, many Union soldiers in the Civil War returned home addicted to opium pills or needing treatment only possible by hypodermic syringes, which had become widely overused by both doctors and addicts due to their powerful relieving abilities. Male doctors prescribed morphine for women’s menstrual cramps, and it was even infused into syrup to soothe teething babies who became addicted. This was known as the ‘Poor Child’s Nurse, since the drug often led to infant death by starvation when sold as a medicine to calm hungry babies. In a broad sense, depending on or relating to one’s racial or ethnic community, opioids were regulated differently.  

When narcotic sales were banned in 1923, this forced many addicts subjected to this overprescription to buy illegally from the thriving black markets, especially in Chinatowns, again criminalizing Chinese people. Countless doctors warned and panicked over the rising commonality of addictiveness in opiates as early as 1833, and opium was rapidly synthesized by scientists all over the world into more dangerous variations. When problems with addiction to medicalized opioid variations spun out of control, the US blamed Chinese immigrants rather than consulting with the professional field to avoid harm in the irresponsible dispersion of highly addictive drugs. Instead of dispersing research on the new and dangerous variations, opium smoking was specifically centralized, with opium being generalized into street names like ‘Chinese molasses’ or ‘Chinese tobacco.’  

The narrative of opioid addicts was changed when opioid abuse rose among white people, and by this, I mean both the attitudes toward addiction and the actions taken to solve it. Framing addiction as a disease rather than a disgusting crime came when it was no longer just people of color getting in trouble. The idea of pharmaceutical treatments for drug abuse came when it was white people suffering and dying from the opioid epidemic. Meanwhile, opium ordinances had a heavy burden on the incarceration and continued detainment and deportation of Chinese people in the United States especially before accurate research was done. Repression was tied to opium but also purposely deprived Chinese immigrants of opportunities to succeed and created criminalized reputations among their communities. Despite its age, the history of the Opium Wars and its impact on societal discrimination in America is not a point to be missed when considering drug stigmatization.

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.

Factors Affecting Poverty in Alabama

by Jordan Price

A child with no shoes, pink pants, and a light pink jacket sits on a red, blue, and yellow hard plastic toy. She is in a backyard surrounded by gray dirt, trash, and other junk. Her face is dirty, and her hair is messy.
Financial stress in the home can have negative psychological effects on young children. Source: Yahoo Images

One day, in the cafeteria of my small-town Alabama high school, my friend asked if I could sneak some extra snacks from the cafeteria as I went through the line, “Anything that I can put in my backpack for later.” I wondered why her question was asked so defeatedly but brushed it off as her just wanting some extra Rice Krispies treats. So I hid an extra snack in my pocket and grabbed a banana that I knew I wasn’t going to eat. As we sat down, she reached deep into her pockets and pulled out packs of carrots, an orange juice, two Rice Krispies treats, and an apple, quickly shoving it all in her backpack. I handed her what I had gotten and I didn’t ask any questions. This went on for the rest of the semester and it gradually became clearer that her love for Rice Krispies was not the driving force. Her mom had lost her job, and she had suddenly been hit with something that over 16% of Alabamians are facing: poverty

In this article, I will lay out some aspects of Alabama’s society based on my research that may correlate to the economic disparity of the state. 

Cultural Emphasis on the Free Market

Because of the biodiversity of the state and the emphasis on agriculture, many people have found success and stability in small-scale agricultural labor. When the main means of production in a community are small, family-owned-and-operated farms, most people in society have access to the means of production. Small farmers tend to pay their workers well and keep prices fair in order to compete with the many other small farms. Customers are willing to pay a fair price for the products because they trust that it is good quality due to the competition. This is how many communities in rural Alabama have historically operated, and it has fostered a strong sense of hospitality and community. This research from Auburn University in 1987 shows the cultural perception of farming and agriculture in Alabama at that time. Many people supported small family farms over larger, more industrialized farms. Many of these small farms were focused on manual, hands-on labor, wherein the employees worked closely with the means of production and saw the outcomes of their labor. This is why many people in the South hold onto values of a completely free market, with little regulations on employment, wages, and worker protections. When I mention the “shift in the industry,” I am referring to the shift from hands-on labor working directly with the Earth’s resources to more industrialized factory work and white-collar office jobs. 

When the means of production become larger and farther removed from the laborers, this type of economic setup becomes an issue. The shift in industries in which Alabamians make money has privatized the means of production and reduced competition. People now are more likely to work indoors in offices, factories, and businesses, far removed from the means of production of the goods and services that they facilitate. This shift has led to many of the problems of an industrialized unregulated system to show themselves in the economic struggles of Alabamians. Employers are farther removed from their employees, meaning they are less likely to directly see all of the work being done by them. Also, under an industrialized free market, salary and wages are often set by huge company employers with little to no competition. Many people must accept these lower wages or be unemployed, making no wages. This is not to say that the free market is necessarily bad. In many ways, Alabama still relies on small businesses and agriculture. There are many ways in which the free market is fundamental to the rights we enjoy, but when a market like this gets into the hands of greedy employers with little regulations on the minimum wage and maximum workload they can give to their employees, it can be used to contribute to the economic struggles of the working class.

Cardboard boxes full of bright orange peaches sit on shelves. The boxes read "Headley's Big Peach. Chilton County I-65 Exit 212. Located under Alabama's largest peach." There is a sign saying, "$9.99 per box, Do not mash on peaches."
In Chilton County, where I am from, the economy still relies heavily on farming, particularly peaches, which play a huge role in the culture of the county. Farming in Chilton County still maintains many of the good qualities that I mentioned in the first paragraph of this section. Source: Yahoo Images

In Alabama, many people have the attitude that if they earn their money or belongings through work, then they deserve to hoard all of the benefits of it. The “bootstraps” view of work is heavily valued in Southern culture, which has its benefits, but ultimately fails to bring fair wages and labor conditions to the middle class post-industrialization. By the “bootstraps” view of work, I am referring to the saying that one can or should “pull themselves up by the bootstraps” when they are of lower economic class. This promotes the idea that working hard is the best way to move up in one’s socioeconomic class; however, people can be of lower economic class for a multitude of reasons, not limited to merely work ethic. This view of work rarely has the intended effect in industrialized fields. It also often excludes people with disabilities whose work opportunities are limited. Watch this Tedx Talk, where Antonio Valdés explains the logistical issues with this view and the statistics surrounding the issue. Additionally, in a strictly free-market worldview, it is often hard to justify social welfare programs, since funding for them must come from the hard-earned tax dollars of people who claim that they deserve their money, and go to people who they claim do not. Although this view does encourage people to work hard and pull their own weight in society, this system can often be manipulated to benefit a few people while pushing a large portion of the population underneath the poverty line. 

Education 

Another factor that is affecting the wealth of Alabamians is the education system. Alabama consistently ranks in the bottom half – mostly in the bottom 10 – of states in every area regarding education. This article puts some numbers to these statistics. There is no doubt that education correlates to economic mobility, and the education that Alabama students are receiving does not prepare them to compete in a national – much less international – job market. With the industrialization of the workforce, it is important that Alabama puts more resources into improving the quality of our education system if we want to grow economically. 

During my research, I came across an article titled Alabama’s Education System was Designed to Preserve White Supremacy – I Should Know. It explains the history of the education system of Alabama and how – rather than designing schools for students to flourish through knowledge – the designers of the system were preoccupied trying to push a white supremacist political agenda. Effects of this can still be found in Alabama’s K-12 education system today, making Alabama school history and social studies curriculum a battleground of political ideologies rather than a place where children can gain a better understanding of their society. I highly recommend giving this article a read, as it was incredibly informative and helpful in my understanding of the pitfalls of the education system in which I was raised. 

Slavery, Segregation, and Civil Rights

For many of its first decades, Alabama’s economy was fully held up by unpaid enslaved Black laborers. The soil in this region was the perfect conditions for cotton to be grown, so cotton, along with tobacco, were the main crops that were produced by these laborers. Once the Emancipation Proclamation was carried out in Alabama, the economy took a big hit. Rather than blaming themselves for not working “labor wages” into their finances, plantation owners blamed the formerly enslaved people for not working for free anymore. Slavery grounded our state’s history directly into the soil of race-based hatred, prejudice, and power imbalances from which we have never recovered. Segregation immediately followed emancipation and lasted for 91 years. Following this, Alabama was a significant site for the Civil Rights Movement of the 1950s and 60s. In Selma, an event called Bloody Sunday occurred when a group of police officers used whips, clubs, and tear gas to attack protesters. In Montgomery, Rosa Parks notably refused to give up her seat to a white man, for which she was arrested. In Birmingham, Martin Luther King Jr. wrote, “Letter from Birmingham Jail,” one of the most famous pieces of writing from this movement. Still today, Alabama is one of the most socially segregated states in the United States. 

Two similar emblems, each centering a black and white drawing of a rooster with a banner above and below. The banner above the first says, “white supremacy” and below, “for the right.” The banner above the second says, "Democrats" and below says, "for the right."
The emblem on the left served as the official emblem for the democratic party of Alabama from 1904-1966, appearing on all ballots, official government materials, and some government buildings. In 1966, they switched to the emblem on the right. Important note: the parties switched sides in the 1970’s, so the democratic party for which this emblem stood is now called the republican party. Source: Yahoo Images

It is unsurprising that a state so steeped in racism would have such a large percentage of people in poverty. When entire groups of people live in an area but cannot work certain jobs, access an equal education, earn equal wages, or make big purchases, the entire area suffers. Economies are reliant on the ability of people to participate in them, which is the reasoning behind stimulus checks. If people don’t, or can’t, make or spend money, a free-market economy will not be strong. Not only are people of color in Alabama denied from higher-paying jobs at a much higher rate, but when they do get these jobs, they are often paid significantly less than their white counterparts. This economic inequality leaves entire communities impoverished, more likely to find themselves without a house, and more likely to commit petty crimes for survival. This creates a harsh cycle of poverty, imprisonment, and stereotyping that is incredibly difficult to escape. 

Mass Incarceration

All it takes is a quick search on the Institute for Human Rights Blog to see just how many posts have been written about Alabama’s prison system. Anybody unaware of the prison crisis would think that we are beating a dead horse. They would be shocked to hear about the horrors occurring in prisons right down the road from where many of these posts were written. Maybe then, they would understand why we write so much. Because of the wealth of information on this topic, I will link a few articles written by my colleague Kala Bhattar here if you would like to learn more:

The Ongoing Alabama Prison Crisis: A History

The Ongoing Alabama Prison Crisis: From the Past to the Present 

 

It is not a stretch to link mass incarceration to poverty. Recidivism rates (the rate at which people who have spent time in prison return to prison) are high in Alabama. Roughly 29% of people released from prison re-offend within the first three years. The Alabama government seems to attribute this statistic to these people being morally depraved, that they are just “bad people” (whatever that means) rather than to the fact that their needs are not being provided for. The classic example of the link between poverty and crime is a parent stealing bread to feed their family, when the only other option is to go hungry. Technically, stealing is a crime, but most people would agree that the parent who steals bread for their kids should not be punished as harshly as someone who steals for other, more selfish reasons. Of course, poverty does not totally excuse or account for all crime, but there is no doubt that necessity mitigates moral culpability.

A graphic labeled “Incarceration Rates: Comparing Alabama and Founding NATO Countries.” The graphic is made of 13 horizontal bars representing the number of people per 100,000 that are incarcerated in each place. The first two bars, representing Alabama and the United States, are so long that they extend outside of the graphic. The specific numbers per place are as follows: Alabama - 938. United States - 664. United Kingdom - 129. Portugal - 111. Canada - 104. France - 93. Belgium - 93. Italy - 89. Luxembourg - 86. Denmark - 72. Netherlands - 63. Norway - 54. Iceland - 33.
Alabama has a seven times higher incarceration rate than any founding NATO country, excluding the United States. Source.

This is not an extensive list of reasons why Alabamians are having the amount of economic struggles that they are having. Some others include: political polarization, excessive legal fines and fees, the fentanyl and opioid crisis, and the social disenfranchisement of pretty much every minoritized group. As an Alabamian, it is incredibly upsetting to see my state fall short in so many ways. It often feels like there is not much to be proud of, but it is important to remember that pride in one’s homeland does not mean blindly defending everything about the state. Pride in one’s homeland comes from genuinely caring for the communities that live here, criticizing the government when warranted, and guiding the culture to a more harmonious place. And caring, criticizing, and guiding is what we will do until our state sees better days. 

The Wine Industry: Years of Exploitation and Human Trafficking

by Caitlin Cerillo

Have you ever had a glass of wine and wondered how it’s made? Or, pondered what it comes from and how long the wine-making process takes? Who is responsible for making it? Surely, the wine industry has been modernized, where mechanical inventions can do most of the handiwork when creating a delicious bottle of wine used for birthdays, weddings, anniversaries, and other milestone celebrations.

Unfortunately, this isn’t the case. The wine industry has had a history of exploiting its workers by forcing them to work in extremely poor conditions and grueling hours. Wine-making follows an intricate process, starting with the harvesting of grapes in vineyards. Mechanical harvesting does exist and is generally quicker than doing so by hand, as the average human can harvest 1-2 tons a day, while a machine can harvest 80-200 tons. However, human harvesting is still favored because it offers a more precise selection and lessens the severity of oxidation getting to the grapes due to damaged skins.

A person picking grapes to harvest for wine.
A worker manually harvesting grapes for wine. Source: Yahoo Images

The amount of grapes needed to produce a standard-size bottle of wine varies depending on the style of wine. However, a general number given by experts is an average of 1.25 to 1.50 kilograms, or 2.75 to 3.3 pounds. With the amount of wine that is produced worldwide within just a year, this adds up to a huge demand for grape pickers to supply the lucrative wine business. In the world, there are two primary countries responsible for the largest number of wine production: Italy and France. Both countries have come under fire for unethical practices in their wine production and human rights violations that include human trafficking, exploitation, and extremely poor working/living conditions for workers.

What is Human Trafficking and Exploitation?

Human trafficking is a huge issue across the world. The United Nations Office on Drugs and Crime (UNODC) defines human trafficking as the “recruitment, transportation, transfer, harboring or receipt of people through force, fraud or deception, with the aim of exploiting them for profit.” Human trafficking can come in many different forms, like sex trafficking, forced labor, and child sex trafficking. Victims of human trafficking can come from any kind of age group, gender, and background.

However, specific groups may be more vulnerable than others. These groups include people separated from their families or other support systems, refugees or migrant workers, sexual and gender minorities, people with disabilities, and members of lower socio-economic groups. According to the Centers for Disease Control and Prevention (CDC), human traffickers will use manipulation tactics and exploit the vulnerabilities of their victims, which is why these specific groups are at heightened risk.

Italy

In September 2021, a humanitarian organization by the name of Oxfam released a Human Rights Impact Assessment (HRIA) on the Italian wine supply chain to assess their impact on human rights. The HRIA is titled “The Workers Behind Sweden’s Italian Wine” and focuses on the primary Italian wine supply chain in Sweden, Systembolaget. The HRIA’s objectives were to perform a context analysis on Systembolaget in order to “build an understanding of the nature of the Systembolaget supply chains” and then to “identify the actual and potential human rights impacts in Systembolaget supply chains in practice.”

Oxfam’s HRIA does a great job at going more in-depth with the current human rights violations occurring in the Italian wine industry, along with the potential human rights violations that are at high risk of coming to fruition. To summarize, Oxfam found several serious violations: forced labor, low wages, excessive working hours, health and safety risks in vineyards and wineries, lack of access to remedy, restrictions to freedom of association, sexual harassment and gender discrimination, and unsanitary housing. To read more about Oxfam’s findings, follow this link.

France

France’s primary region for wine production is called the Champagne region, located roughly to the east of Paris. In late 2023, a large portion of the region was shut down by French authorities and put under investigation for human rights violations. Wine-makers in the Champagne region are migrants primarily from West African countries. It was discovered that the lodgings that provided housing to the migrant workers were of poor quality, with makeshift beds surrounded by electrical cables and extremely unsanitary bathroom facilities.

Workers picking grapes in a French vineyard.
Workers picking grapes in a French vineyard. Source: Yahoo Images

The investigation also found that the contractors responsible for hiring the migrant workers exploited their vulnerabilities, as they were willing to work, even without proper contracts and for extremely low wages. At the end of the 2023 harvest season, another trafficking investigation was opened by authorities, which involved 160 laborers from Ukraine living in poor conditions in another area of the Champagne region.

South Africa

Although South Africa isn’t at the very top of the list of wine-producing countries, it has been accused of violating several human rights for years. In 2011, Human Rights Watch released a report titled “Ripe with Abuse: Human Rights Conditions in South Africa’s Fruit and Wine Industries,” detailing the problems surrounding the country’s industries. For over a decade, numerous attempts have been made to improve them, as well as conditions on farms. For instance, the Wine Industry Ethical Trade Association was created in 2002. Unfortunately, significant improvements have yet to be made to rectify the issues at hand.

South African farmworkers who supply the grapes needed for wine are vulnerable to some of the following human rights violations: exposure to pesticides and harmful chemicals, working long hours, and being forced to work in extreme weather conditions. Many farmworkers don’t even have access to safe drinking water, toilets, or livable housing. They face difficulty in forming a union to bring attention to the injustices they face. Like Italy and France, South African farmworkers receive low wages and little to no protection from the government.

The Future of the Wine Industry

There are many possible routes that can be taken to improve the working conditions for wine-makers. One of the most productive ways includes wineries turning to certifications that can help lay a groundwork for better standards, like environmental sustainability and safe working conditions. These certifications can help ensure that wineries are being held to their promises. Several wineries across the world have turned to certification efforts, like Chile’s Emiliana Organic Vineyards, which is certified under B Corp. B Corp was established in 2006, with the initiative of encouraging accountability, transparency, and environmental performance in business. Similarly, Italy has founded the Equalitas standard in 2015, which is specifically aimed at the wine industry.

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.

 

Rohingya Refugee Crisis Leads to Shifting Tide in Indonesia

by Delisha Valacheril

Figure 1 Displaced Rohingya at a refugee camp. Source: Yahoo Images
Figure 1 Displaced Rohingya at a refugee camp. Source: Yahoo Images

 

The Rohingya are survivors of atrocities committed by the government of Myanmar. Described as the most persecuted minority in the world by the United Nations, the Rohingya are the world’s largest stateless population. Under Myanmar’s Citizenship Law, the government has consistently denied citizenship to this group of people for decades. 135 distinct ethnic groups are recognized under the law, with Rohingya being one of the few exceptions. Without citizenship, they are deprived of basic rights such as access to health services, education, and employment. Forced to leave their homes and families, more than 730,000 fled to neighboring countries like Bangladesh or Indonesia. Approximately 600,000 still reside in Myanmar’s western Rakhine State. They are restricted to refugee camps and settlements where there is a severe lack of food, adequate healthcare, education, and livelihood opportunities. The long-lasting systemic abuses against the Rohingya at the hands of the Myanmar government are equivalent to crimes against humanity, deprivation of liberty, and even apartheid.

Who are the Rohingya?

The Rohingya are a Muslim ethnic group who have lived in the predominantly Buddhist region of the Rakhine State of Myanmar for generations. Since the government of Myanmar does not recognize them as an official ethnic group, during the conflict, authorities took over much of the former Rohingya land. Forced to flee their homeland, nearly a million Rohingya live in makeshift camps on the outskirts of civilizations. Despite being disenfranchised, refugees try to have a way of life, but the seasonal flooding and tropical storms endemic to safe haven regions like Bangladesh prevent them from doing so. Due to decades of state-sanctioned discrimination, repression, and violence, the Rohingya refugees cannot return to their homes either.

The remaining 600,000 Rohingya who have been arbitrarily detained in Myanmar endure even worse conditions with no agency or freedom. Of the 72,000 children who are confined to these detention sites, 40,000 were born into imprisonment, and it is all they have ever known. Access to indispensable necessities like clean water, enough food, and adequate housing is limited in this squalid, stateless purgatory. Military officials impose strict curfews, unnecessary checkpoints, and barbed wire fencing, significantly affecting the Rohingya population’s right to movement. This directly violates the Universal Declaration of Human Rights, respective of Article 13. By depriving this community of their civil liberties and development rights, such as freedom to movement, food, water, and housing, the government is hardening the barrier of segregation to marginalize them from society permanently.

Figure 2 Young girl holding a child in detention sites in Myanmar. Source: Yahoo Images
Figure 2 Young girl holding a child in detention sites in Myanmar. Source: Yahoo Images

How did the crisis begin?

          Presently, in Sittwe, a town that was once home to approximately 75,000 Rohingya residents before 2012—constituting nearly half of the town’s population—only 4,000 individuals remain. Anti-Muslim sentiments across Myanmar marked the onset of a period of heightened oppression of the Rohingya in both policy and actions. Article 3 of the 1982 Law, on the other hand, positions taing-yin-tha, national race, and identity as an ongoing basis for recognition of citizenship. This meant that national race trumps citizenship, so even though Rohingya were born and raised in Myanmar, they can be kicked out because they are not a part of the national race. This environment set the stage for more severe and organized military atrocities in 2016 and 2017. The largest exodus of refugees is marked by military attacks that occurred in August of 2017 that resulted in the massacre of thousands, villages burned to the ground, and the whole community displaced. The war crimes that occurred offer a clear warning of Myanmar’s military to carry out ethnic cleansing and the government to support the internment of the Rohingya people. The brutality that played out in the Rakhine State is on par with apartheid, persecution, and imprisonment.

Figure 3 Rohingya landing on the shores of Indonesia. Source: Yahoo Images
Figure 3 Rohingya landing on the shores of Indonesia. Source: Yahoo Images

What is happening to Rohingya refugees in Indonesia right now?

Indonesia is turning away 150 Rohingya refugees from its shores because of local resentment about the arrival of boats carrying exhausted refugees. Due to the unending oppression in Myanmar and the growing risks of calamity in Bangladesh, refugees are now risking tumultuous sea voyages to seek refuge in neighboring countries like Indonesia. However, the growing influx of immigrants is a cause for concern for Indonesian residents. The Indonesian navy has intercepted a boat with Rohingya refugees as it neared the coast of Aceh. Aceh is the only state in the archipelago where 90 percent of the population follows Islamic law. The United Nations High Commissioner for Refugees (UNHCR) reported that since November 11 Rohingya boats have landed, and the refugees have relocated to informal sites, mainly in Aceh and one in North Sumatra. The attack on refugees is not an isolated incident but rather the consequence of an organized online campaign of misinformation, deception, and hate speech directed towards Rohingya.

In the escalation of hatred against the Rohingya, hundreds of students stormed a temporary Rohingya shelter in Indonesia’s western Aceh province, demanding their deportation. The students shouted and physically abused the migrants before forcing them onto trucks and transporting them to the government office responsible for immigration. Demands for relocation stem from local anger over the already limited resources that are overstretched to accommodate new arrivals. Residents do not want the refugees in their communities and have gathered to protest boat landings. The greater international pressure to provide fair asylum to Rohingya refugees is causing tensions to rise in Southeast Asian governments. It is unfair to expect these countries to deprive resources of their citizens instead of addressing the real issue.

What Can We Do?

The responsibility to end the worst forms of violence and persecution falls on the government of Myanmar. For instance, by cutting off the Myanmar military’s government funding, the revenue from the abusive operations can be allocated to the Rohingya people so they can finally experience justice.

The governments of Indonesia, Malaysia, and Bangladesh should pressure the government of Myanmar to be responsible for the genocide and displacement of the Rohingya people. By exerting the existing international obligations that require governments to take a number of actions to prevent and punish genocide, war crimes, and crimes against humanity, Myanmar will have to respond. It is a long road to repatriation, but placing pressure on governments and non-profit organizations ensures the onus falls on Myanmar to correct its wrongs.

The long-term root causes of the crisis must be addressed to quell the tide of hopelessness. However, until safe and dignified returns are guaranteed for Rohingya refugees, they will require emergency assistance in order to survive. Myanmar is strengthened as a state by its multi-ethnic, multi-religious makeup. With help from foreign governments and humanitarian aid, the Rohingya can work towards restoring their rights.

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.

 

Antisemitism: From the Bubonic Plague to the COVID-19 Pandemic

The prevalence of Antisemitism in the modern world is frequently discounted. When someone refers to antisemitism, it is common for your first thought to be about the Holocaust. While Holocaust education remains important, we should also remain aware of the more current acts of antisemitism. Antisemitism is “a certain perception of Jews, which may be expressed as hatred toward Jews”. This can be manifested in many ways, both rhetorical and physical. Awareness is the first step to action, and if you discount the claims and stories of those being affected by antisemitism, you can’t contribute to the solution, and are, frequently, contributing instead to the problem.

 

It is worth noting that this post is based on a US context, as it would be difficult to capture the international nuances of antisemitism in one blog post.

 

Many people carrying signs stating “Zero Tolerance For Antisemitism.” Source: Yahoo Images
Many people carrying signs stating “Zero Tolerance For Antisemitism.” Source: Yahoo Images

 

 

 

History of Antisemitism

            Antisemitism stems back to before the Middle Ages. During the 14th century, people commonly accused Jewish people of causing the Bubonic Plague. Claims revolved around the (false) idea that Jewish people were poisoning drinking wells to spread the disease farther and faster. Centuries later, after World War I, it was common for German military leaders to perpetuate the idea that Jewish people had betrayed the country and that they were the reason that Germany lost the war. This, along with people’s need to focus on one group to blame, allowed Hitler and his supporters to rise through the ranks of German politics by claiming that the way to make the country strong again was to exterminate the Jewish people residing within the borders. These brutal opinions and stories all string together, resulting in major antisemitic events, such as the Holocaust.

 

Image of an open area in the United States Holocaust Museum. The walls are made of red brick and the ceiling is an open window. Source: Yahoo Images.
Image of an open area in the United States Holocaust Museum. The walls are made of red brick and the ceiling is an open window. Source: Yahoo Images.

 

Antisemitism Today

The COVID-19 pandemic left millions dead in its wake; deaths brought on both by the illness as well as the societal changes that it caused. Jewish people were not blamed for the pandemic like they were in the 14th century, but a rise in antisemitism online made it more accessible to the average person. As opposed to the very beginning of the 21st century, now people can connect with those who share their opinions—no matter how hateful those opinions may be. This makes it much easier for people to validate their beliefs, instead of being contradicted by those who won’t stand for hates towards Jewish people, they nestle away in communities that share their hateful sentiments.

Social media does not just provide opportunities for individuals to group together and relate, it allows social media companies to potentially profit from hate-based searches. YouTube is the greatest culprit of this issue, as it runs ads directly before videos championing white supremacist and antisemitic groups. YouTube also generates channels for musical artists or other forms of media with “significant presence.” These generated channels have included heavy metal artists with a history of antisemitism and white supremacy, as well as video games with similar ideologies.

The rise of antisemitism online correlates with the increase of physical attacks against Jewish people. Data was collected by the Center for the Study of Contemporary European Jewry (CSCEJ), and this tells us that in New York alone, there were 261 anti-Jewish hate crimes in 2022, 47 more than in 2021. These numerical trends follow in other major cities in the United States, with an increase in hate crimes in Los Angeles and Chicago. Nationwide, harassment towards Jewish people increased by 29% and vandalism by 51%. One striking statistic is that there were 91 bomb threats towards Jewish institutions. This is the largest number since 2017, and the CSCEJ makes it clear that there is no sign of these attacks abating any time soon.

 

Someone to Blame

All throughout time, people have looked for a person or a group to scapegoat. When troubles arise, it is easy to take the blame from yourself and put it onto a group you can look disdainfully on. Not only that, but people who feel like they are at the bottom of society’s pyramid are eager to look for those who are seen as worse off than them. In the case of antisemitism, there is an interesting contradiction of stereotypes. A more traditional take on hatred views Jewish people through the lens of white supremacy, for example, the Charlottesville riots in 2017. On the opposite end of the spectrum, some antisemitism perceives Jewish people as a privileged group, both in ethnicity and in class. This view of antisemitism views Jewish people are “part of the establishment”, and this stems from economic stereotypes about Jewish people controlling financial markets.

This duality contributes to the persecution of Jewish people from all directions.

 

 

Image of a crowd of Caucasian men protesting. They are carrying flaming torches, and it appears that they are shouting something. Source: Yahoo Images.
Image of a crowd of Caucasian men protesting. They are carrying flaming torches, and it appears that they are shouting something. Source: Yahoo Images.

 

 

Creating Change

To eradicate antisemitism, there are things that must be done on both small and large scales. While you likely don’t have direct access to government policy and law enforcement, there are things that you can do as an everyday citizen to help Jewish communities. The first thing you can do is be aware of the hate that happens online. The Anti-Defamation League (ADL) has a great resource that helps you report antisemitism in the most effective way. Reporting actions you see in person is just as important as reporting online hate. Report antisemitism directly to the ADL as well as your local law enforcement to prevent antisemitic harassment or to help those who have been harassed receive justice. In a more policy-oriented approach, you can sign petitions that will encourage Congress to enact laws that will protect Jewish communities.

To those who do have access to a greater platform, mandates for public reports are imperative. Public reporting on hate, violence, and other antisemitic issues would bring awareness to the issues so often not brought to justice due to either the stigma of reporting or the fear that said reports will not be handled appropriately. Large-scale changes in education would also benefit Jewish communities in the United States. Educational standards need to include a Holocaust education curriculum, as well as Anti-Bias education.

It is vital that we empower ourselves and our communities to directly fight against antisemitism. And education is the first critical step. Listen to Jewish voices in your community so you know best how to create active change. Unlearn the prevalent stereotypes against Jewish people that have been surrounding you since before your grandparents were born, and continue working every day to beat the bias that has been instilled in you.