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Award Abstract # 1724749
Emergency Services During Heightened Border Security

NSF Org: BCS
Division of Behavioral and Cognitive Sciences
Recipient: PRESIDENT AND FELLOWS OF HARVARD COLLEGE
Initial Amendment Date: January 30, 2017
Latest Amendment Date: January 30, 2017
Award Number: 1724749
Award Instrument: Standard Grant
Program Manager: Jeffrey Mantz
jmantz@nsf.gov
 (703)292-7783
BCS
 Division of Behavioral and Cognitive Sciences
SBE
 Directorate for Social, Behavioral and Economic Sciences
Start Date: December 1, 2016
End Date: March 31, 2019 (Estimated)
Total Intended Award Amount: $41,178.00
Total Awarded Amount to Date: $41,178.00
Funds Obligated to Date: FY 2015 = $41,177.00
History of Investigator:
  • Ieva Jusionyte (Principal Investigator)
    ieva_jusionyte@brown.edu
Recipient Sponsored Research Office: Harvard University
1033 MASSACHUSETTS AVE STE 3
CAMBRIDGE
MA  US  02138-5366
(617)495-5501
Sponsor Congressional District: 05
Primary Place of Performance: Harvard University
MA  US  02138-5366
Primary Place of Performance
Congressional District:
05
Unique Entity Identifier (UEI): LN53LCFJFL45
Parent UEI:
NSF Program(s): LSS-Law And Social Sciences,
Cultural Anthropology
Primary Program Source: 01001516DB NSF RESEARCH & RELATED ACTIVIT
Program Reference Code(s): 1372, 1390, 9178, 9179
Program Element Code(s): 137200, 139000
Award Agency Code: 4900
Fund Agency Code: 4900
Assistance Listing Number(s): 47.075

ABSTRACT

How do first responders confront the challenges of provisioning fire, rescue, and emergency medical services in contexts of heightened security? The case of emergency medical responders is intriguing and oftentimes problematic. As public service providers, they are street-level bureaucrats who work on the frontlines of the post-9/11 security state, facing political, legal and ethical collisions between the security of the communities where they live and work and their social-humanitarian responsibilities to saving lives. Professional ethics and healthcare laws require that first responders provide help without regard to the legal status of their patients, but as state actors they are also invested with political and symbolic functions of governmental authority and tightly integrated into the federal emergency preparedness and homeland security infrastructures. The study examines the relation between local governments and taxpayers that fund fire, rescue and emergency medical services, and federal and state governments, which set and implement national security, border control and immigration policies. The project will be instructive to EMS-related policy and regulatory efforts as they relate to both broader concerns about national security and public health. The project would also promote the advancement and training of students in methods of rigorous data collection and analysis, while broadening the participation of underrepresented groups in the sciences.

Dr. Ieva Jusionyte of the University of Florida explores the everyday practices and experiences of first responders - firefighters, emergency medical technicians and paramedics - who work or volunteer for fire and rescue departments on both sides of the Arizona-Sonora border to expand our understanding of the human and social consequences of security policies and border enforcement. This project asks: (1) what effects do security policies, planned and executed at different government levels, have in the communities where they are applied? And (2) how do potential contradictions that result when these policies are put into practice impact border security efforts? Dr. Jusionyte will seek answers to these questions by engaging in a twelve-month-long ethnographic research in rural and urban communities of Southern Arizona, where she will actively collaborate with research assistants and community partners from the fire and rescue departments. The research team will conduct a series of in-depth interviews, focus group discussions and archival research in order to explain how conflicting policies at different levels of governance can result in potentially deleterious consequences for people who experience them, and assess the implications that these effects have on first responders as frontline state actors. This research is an original and important contribution to our understanding of the effects of security-making and the laws, politics and ethics of rescue from an anthropological perspective.     

PUBLICATIONS PRODUCED AS A RESULT OF THIS RESEARCH

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Ieva Jusionyte "?Called to ?Ankle Alley?: Migrant Injuries and Emergency Medical Services on the U.S.-Mexico Border" American Anthropologist , v.120 , 2018 , p.89
Ieva Jusionyte "?Called to ?Ankle Alley?: Migrant Injuries and Emergency Medical Services on the U.S.-Mexico Border.?" American Anthropologist , v.120 , 2018 , p.89
Ieva Jusionyte "Pain on the Border: Fieldnotes from a Migrant Aid Center in Nogales, Mexico" ReVista: Harvard Review of Latin America , v.16 , 2017 , p.46
Ieva Jusionyte "The Wall and the Wash: Security, Infrastructure, and Rescue on the U.S.-Mexico Border" Anthropology Today , v.33 , 2017 , p.13
Ieva Jusionyte "The Wall and the Wash: Security, Infrastructure, and Rescue on the U.S.-Mexico Border" Anthropology Today , v.33 , 2017

PROJECT OUTCOMES REPORT

Disclaimer

This Project Outcomes Report for the General Public is displayed verbatim as submitted by the Principal Investigator (PI) for this award. Any opinions, findings, and conclusions or recommendations expressed in this Report are those of the PI and do not necessarily reflect the views of the National Science Foundation; NSF has not approved or endorsed its content.

Security buildup on the U.S.-Mexico border since the 1990s has had a mixed impact on emergency responders in the region, both expanding the scope of their activities (which, in addition to fire and EMS functions, now include mitigating hazardous materials incidents and potential WMD threats) while at the same time limiting their ability to collaborate across the line dividing national jurisdictions. This has negative effects for the health and safety of residents of border towns who have for many decades relied on binational mutual aid agreements and cooperation between local and state emergency services in Sonora, Mexico, and Arizona, U.S., particularly in large-scale incidents that overwhelm the resources of any one community (wildland and structure fires, floods). Furthermore, since the mid-1990s border-related trauma has become so common in southern Arizona that calls to rescue injured border crossers make up a significant amount of 911 calls to which local fire departments respond. The changing design of the border barrier in urban areas (from 8-12-feet-tall landing mat fence to 20-30-feet-tall bollard style fence) produced different types of injuries that unauthorized border crossers have needed treatment for. Falls from the present wall in Nogales and Douglas generally result in multi-system trauma (ankle, tib-fib, femur fractures, head and spine injuries). Such injuries mobilize a significant number of local resources and often require immediate transportation of the patients to the only Level 1 trauma facility, frequently, by helicopter. As a consequence, fire and rescue departments in small rural communities, struggling to make ends meet, report injured migrants to the Border Patrol in order to cover the costs for ambulance services, making the provision of life-saving care to unauthorized migrants contingent on them being taken into custody by the Border Patrol. Therefore, as this project has found, security buildup on the U.S.-Mexico border has led to increasing erosion of legal and ethical boundaries between prehospital emergency care and immigration enforcement. 

 


Last Modified: 04/10/2019
Modified by: Ieva Jusionyte

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