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2022 | OriginalPaper | Chapter

15. “Health as a Social-technical Enterprise Anchored in Social-ecological Justice and Stakeholder Collaboration: Insights from Mexico-Lerma-Cutzamala Hydrological Region”

Authors : Timothy J. Downs, Yelena Ogneva-Himmelberger, Morgan Ruelle, Ravi Kumar Hanumantha, Marisa Mazari-Hiriart, Matiana Ramírez-Aguilar, Carlos Santos-Burgoa

Published in: Handbook of Human and Planetary Health

Publisher: Springer International Publishing

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Abstract

Human health and wellbeing depend on the health and integrity of ecosystems we co-inhabit with other species and the ways we use natural capital in our economy. They depend on the ways people are able (or not) to satisfy basic needs: breathing clean air, drinking clean water, eating healthy food, and having access to healthy housing, a safe and secure neighborhood, a stable livelihood, and healthcare. Science grapples with deciphering how environmental, biological, and lifestyle/behavioral factors interact to co-determine health. Meanwhile, major promoting and degrading factors are highly unevenly distributed across populations and landscapes; significant social-ecological health injustice prevails. We present four innovations to address recognized limitations of existing health research and practice: (1) an integrative framework to tackle innate conundrums and conceptualize important domains; (2) an integrative operational process for designing health-water-ecology-climate projects that enable multi-component research and its translation; (3) coupled mixed methods systems modeling-GIS/geospatial analysis, plus exposure vs. response/risk curves for groups with differential vulnerability to stressors—to reveal promoters and degraders of health, and structural injustices; and (4) a social-technical capacity building enterprise model to frame health-sustainability projects based on prior successful multi-stakeholder experience in Mexico. Our ongoing project—“Climate Change Impacts & Resilience in the Mexico-Lerma-Cutzamala Hydrological Region”—illustrates their application. We argue health, sustainability and climate resilience challenges be reframed as opportunities to co-create social-technical enterprises at different spatial, temporal and human scales, firmly anchored in the moral pursuit of social-ecological justice, and enabled by stakeholder partnerships.

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Footnotes
1
Vulnerability is a function of three dimensions: (i) exposure to hazards, risk agents, stressors or negative climate impacts, e.g. water scarcity; (ii) sensitivity or susceptibility to express adverse health outcomes as a result of exposure, and the severity of them; and (iii) capacity to adapt or cope with adverse health outcomes, mitigate them and/or recover (Downs et al. 2010).
 
2
Includes expert reviews of proposals for large multi-component research programs funded by U.S. National Institutes of Health, including: Environmental Health Centers (P30); Children’s Health Research Centers (P50); Superfund Research Program (P42); Centers for Oceans & Human Health Program (P01).
 
3
This draws from the five-capitals sustainability frame—natural, human, social, financial, manufactured. At: https://​www.​forumforthefutur​e.​org/​the-five-capitals.
 
4
The earliest life stage—also the riskiest one for environmental hazards—is in-utero for babies (9 months on average), also a vulnerable transient stage for mothers. Later life stages are cumulatively riskier for chronic degenerative illnesses, depending on a complex interplay of genetic, environmental and lifestyle risk factors.
 
5
CM3 emphasizes that the modeling is both quantitative and qualitative, including geospatial and narrative forms of data, information and ways of knowing. Conventional systems modeling is perceived to be the domain of natural scientists and engineers, with quantitative descriptors dominant.
 
6
Heat Index combines air temperature with relative humidity to yield human-felt equivalent temperature.
 
7
This avoids the chronic issue of health scientists, for example, doing science without considering translation into policy or action—bridges among science, policy, monitoring and evaluation are ‘baked-in’ to the enterprise design. It also avoids the related issue of project components being disconnected—the design makes exchanges of data and information explicit so the whole is more that the sum o its parts.
 
8
Universities may actually reinforce status quo innovative approaches—perhaps unwittingly—by teaching them to students, by doing research that serves status quo interests and is funded by them.
 
9
These data will be compiled and store with “open-science tools” and customs where appropriate and non-identifiable—open, accessible, reusable, reproducible (Hall et al. 2021).
 
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Metadata
Title
“Health as a Social-technical Enterprise Anchored in Social-ecological Justice and Stakeholder Collaboration: Insights from Mexico-Lerma-Cutzamala Hydrological Region”
Authors
Timothy J. Downs
Yelena Ogneva-Himmelberger
Morgan Ruelle
Ravi Kumar Hanumantha
Marisa Mazari-Hiriart
Matiana Ramírez-Aguilar
Carlos Santos-Burgoa
Copyright Year
2022
DOI
https://doi.org/10.1007/978-3-031-09879-6_15