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Death toll rises to 7 in fungal meningitis outbreak; cases at 34, 161 at risk

One of the medical clinics suspended by Mexican health authorities in Matamoros, Tamaulipas, Mexico, on May 19, 2023.

Enlarge / One of the medical clinics suspended by Mexican health authorities in Matamoros, Tamaulipas, Mexico, on May 19, 2023. (credit: Getty | AFP)

Three more people in the US have died from fungal meningitis in an outbreak linked to tainted surgeries in Mexico, bringing the total deaths to seven, the Centers for Disease Control and Prevention reported Thursday.

The total case count remains unchanged from an update earlier this month, with 34 cases in the US: nine confirmed, 10 probable, and 15 suspected. Health officials are investigating 161 others who may have been exposed.

The outbreak is linked to cosmetic surgeries involving epidural anesthesia at two clinics in Matamoros, Mexico, just across the border from Brownsville, Texas. Mexican and US officials suspect that a component of the anesthetic was contaminated, resulting in the pathogenic fungus Fusarium solani being injected directly into people's spinal cords. The tainted surgeries are thought to have occurred between January 1, 2023, to May 13, 2023, around when the clinics were shut down by local health officials.

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Errant Telenovelas

Telenovelas are the Mexican arbiters of life and death.

Memorializing Eruption

Perched on a makeshift stage, a trio dressed in wool ponchos sings pirekuas, the region’s most acclaimed and loved musical genre in a mix of Purépecha and Spanish. Despite their upbeat and soft-sounding melodies, the lyrics of the songs describe a time of fear and destruction when, eighty years ago, the Paricutin, the world’s youngest volcano, emerged from a cornfield and devastated the region. Stallkeepers are busy selling quesadillas, chips, sodas, and beers to the expectant crowd, gathering around a bonfire installed inside a miniature volcano. This contrast between apparently joyful festivities and solemn commemoration marks the evening’s atmosphere in Angahuan, Caltzontzin and San Juan Nuevo in Michoacan, Mexico. Several uniformed and heavily-armed municipality police stand nervously watching the horizon. These days, this is fraught territory, as organized crime groups dispute control over the area. This is also the first time that an event like this is staged on-site at the place known locally as las ruinas [the ruins], a shorthand for the remains of the old San Juan Parangaricutiro church, the only surviving structure of an entire town buried under the thick and rugged lava.

Volcano model

Image 1. Bonfire inside the miniature volcano in Las Ruinas. Photo: Sandra Rozental.

Although this uncanny landscape, a combination of human and non-human architecture, has been an iconic tourist attraction for decades, tonight it shines under the lights of commemoration. Authorities from San Juan Nuevo, the locality where the residents of the devastated town were relocated, installed strings of blue strobing LED lights to illuminate the ruins. Their blinding glare made the silhouette of the volcanic cone barely visible in the distance. At 9 pm, the mountain began emitting incandescent explosions. These were not the product of molten magma emerging powerfully from the earth’s core, as had been the case decades ago, but purpose-made fireworks, spinning loudly, spitting orange and red heart-shaped sparks into the sky. National tourists and local visitors silently admired the spectacle sitting uncomfortably on the sharp rocky surfaces by the ruins; others chose panoramic vistas of this volcanic surrogate from the terrace restaurant and tourist center in the nearby town of Angahuan.

In Mexico, we are fond of anniversaries. Our political culture relies heavily on commemoration, centennials, and bicentennials. The volcano is no exception. Every decade that passes, around the volcano’s birth on February 20th, its anniversary is marked both by locals, who commemorate its eruption and its destructive effects, and by academic institutions and government bodies celebrating its emergence as a milestone for the earth sciences and for Mexican national and regional history.

Flyers commemorating the Paricutin’s 80th anniversary posted on the wall of the municipal office in Angahuan.

Image 2. Program flyers for community and state government’s events commemorating the Paricutin’s 80th anniversary posted on the wall of the municipal office in Angahuan. Photo: Sandra Rozental.

But a volcano is not a military victory, nor a conquest, nor a war with friends and foes to be honored or shunned. It is an eruption, a geological emergence, a sudden and unexpected event that physically opens and breaks the earth’s surface, reminding us that we travel on an unwieldy, unknown, and capricious fireball. A volcano might then be imagined as an interstice, a liminal space that for a brief moment in earthly temporalities, brings together history and deep time. It’s an event, but it is also a place where the forces of what we call “nature” and of human historicity and territoriality collide. How, then, do humans memorialize the kinds of disruptions and transformations, even violence, caused by such phenomena? How might those who endure its effects up close mark a volcano’s birth and subsequent destruction of their territory and livelihoods?

Fireworks coming from the crater of a volcano

Image 3. Fireworks from the crater, February 2023. Photo: Lorena Casillas

One of the stall owners, at Las Ruinas known as “Cachuy,” is the event’s main organizer. Nervously feeding the miniature volcano with gasoline and firewood, he is charismatic and clearly enjoys his role as MC. Just before the fireworks, he gathers a group of children and curious visitors (ourselves included) and leads us down a barely visible pathway in the otherwise ash-covered landscape. Our feet sink into the thick powdery surface. Cachuy stops abruptly and asks for silence. In a solemn voice, he explains that we are standing on what is left of the old town’s main street. As he guides us in the dark, he tells a story: “The night that the town was finally evacuated, in May of 1944, elders say the whole street lit up with a long line of flickering lights. They headed down the street from the cemetery like a row of candles. It was the souls of the dead following the living. Even the dead left this place to join their families before the lava covered it.” Cachuy pulls back the branches of a tree, drawing our attention to a pile of crumbling stone masonry. “This is what is left of the walls of a house,” he tells us. A young man walks cautiously amongst the rubble for a few minutes. Almost in a whisper, he murmurs: “I think this was my family’s home.”

Eighty years ago, in February 1943, the Paricutin famously emerged in these lands in Michoacan, becoming the first volcano to be registered during its entire lifespan. The eruptions lasted for almost a decade, completely transforming the region where entire villages were destroyed by lava or devastated by the immense amounts of ash and toxic gasses that the volcano spewed into the air. During this time of hunger, destruction, and forced migration for local residents, scientists, photographers, filmmakers, and artists flocked to the area to witness, as well as to capture, the spectacular displays of incandescent wonder. The Paricutin became an international sensation. Its images went around the globe, featured in artworks by Mexico’s most renowned artists and portrayed in different views, up close and from afar, in thousands of glass plate negatives, black and white and color photographs, and even 35 mm film.

In February of this year, we set out to find out. Although we had attended previous anniversaries, we were especially interested in how the volcano’s 80th anniversary was commemorated. This time period–80 years–was the equivalent of a human lifespan, and therefore, marked the fading possibility of eyewitness accounts, setting the stage for strategies of commemoration that went beyond human memory.

We attended the commemorations organized by three of the Purépecha communities most affected by the Paricutin’s eruption: Caltzontzin and San Juan Nuevo, the resettlements of the disappeared Combutzio and San Juan Parangaricutiro, relocated to lands on the outskirts of Uruapan, Michoacan; and the neighboring Angahuan, a town that survived the lava flows, becoming the point of access to the extinguished cone and the ruins, elsewhere surrounded by the inhospitable terrain known in Spanish as “malpais,” or badland.

Thinking of commemoration as a reiterating strategy for making memory palpable, during these events, we found constant tensions between an impulse to reenact the spectacularity of the geological event–which is also a way to sustain tourism and its subsequent consumption economy; a collective need to compile and display information and images showing the volcano’s past and its effects in the communities’ present; and a wary discomfort, even reprimand, from some elders angered by the celebratory tones that concealed the painful aftermaths of the Paricutin’s emergence in the histories and lives of current inhabitants.

A recurrent theme in local inhabitants’ efforts to commemorate, often in collaboration with researchers like ourselves and with cultural institutions, has been to repeat the eruption in image form, with film screenings and photographic exhibitions on the volcano, particularly on its destructive effects on local towns. Through these activities, commemoration is also a space to affirm senses of ethnic, linguistic, and territorial belonging in a complex and historically rooted context of land disputes, organized crime, and cultural and economic dispossession. The images we share here, which are part of a work in progress, open a visual dialogue on the tensions, possibilities, and also failings of the eruption’s commemoration.

Photo exhibit with a girl standing by one of the images

Image 4. A girl watches an itinerant photo exhibit, co-organized by geologist Pedro Corona and historian Juana Martínez with the authorities of San Juan Nuevo, Caltzontzin and Angahuan. The exhibit was part of the anniversary commemoration activities. Photographs were selected from different scientific archives that Corona and Martínez’ team compiled into an “object-box” as a strategy to return physical archival images and documents to communities affected by the eruption. Photo: Sandra Rozental.

Photo exhibit with children and adults looking at the images

Image 5. Photographic exhibit “Surviving a Volcano”, co-organized by Gabriela Zamorano, Sandra Rozental, Manuel Sosa Lázaro, Lorena Casillas and the community museum Kutsikua Arhakucha. Photo: Lorena Casillas.

The image shows a music stage set for the volcano anniversary

Image 6. Stage prepared for the Paricutín Anniversary in Caltzontzin featuring regional dance and music. Photo: Gabriela Zamorano.

People dancing

Image 7. Kurhaticha dance, presented by youth from Arantepacuain the Central Plaza of Angahuan as part of the commemorative program of the Paricutin Anniversary. (Photo: Lorena Casillas).

Man interviewing an old woman

Image 8. Purépecha researcher Manuel Sosa interviews María Guadalupe Anguiano Aguilar, a resident of Angahuan, about her childhood memories of the eruption in San Juan Parangaricutiro where she was born and lived until 1944. Photo: Sandra Rozental.

Although commemoration is highlighted in anniversary events, it is also present in everyday forms of interacting with remains, images, and replicas that refer to the eruption and its aftermaths. Catzontzin’s residents, for example, commemorate the volcano every day, as the Saint images rescued from Combutzio and the old bronze bell from the disappeared church were reinstalled in the town’s new church and are now worshiped there.

Figure of a catholic saint from a local town in Mexico

Image 9. The highly venerated figure of Divino Santiago and the together with a dozen Saint images, were rescued from Combutzio and transported to Caltzonzin where they are venerated in the contemporary town church. Photos: Gabriela Zamorano and Sandra Rozental.

Bronze bell hanging

Image 10. Bronze bell rescued from Combutzio and transported to Caltzonzin’s town church. Photos: Gabriela Zamorano and Sandra Rozental.

In San Juan Nuevo, where the residents of San Juan Paranguricutiro were resettled, a small museum next to the rebuilt church houses a collection of ex-votos. In these images, another kind of commemoration and record, the volcano is shown as the cause of great suffering, a source of desperation that people prayed and went on pilgrimages to escape.

An ex-voto of a woman thanking the Señor de los Milagros for having found a water well in San Juan Nuevo

Image 11. An ex-voto of a woman thanking the Señor de los Milagros for having found a water well in San Juan Nuevo, the community where people from San Juan Parangaricutiro were resettled. Photo: Sandra Rozental

One of the first attempts at commemoration once the village of Combutzio was resettled in the outskirts of the city of Uruapan was the mural Exodo de la población de la región del Paricutin, painted in 1950 by two of the country’s important muralists, Alfredo Zalce and Pablo O Higgins in the corridor of the newly built school, a building associated with the Mexican welfare state that had organized the town’s relocation. Now in a rather poor condition and walled in when this part of the school was transformed into the headmistress’ office, the mural continues to be a testament to how the volcano and its aftermath endure in the daily lives of the residents of Calzontzin forced to flee from its afflictions.

Volcano mural

Image 12. Mural Éxodo de la población de la región del Paricutin by Alfredo Zalce and Pablo O Higgins, now the backdrop of the headmistress’ office. Photo: Sandra Rozental.

Another set of murals was commissioned by town authorities to José Luis Soto, an artist from Morelia, to mark the volcano’s 50th anniversary. The artist used glass shards and pieces of volcanic rock to make a multicolored mosaic showing a battle between good and evil incarnated in the local Saint, el Señor de los Milagros, and the devil. The mural commemorates the eruption as well as local religion and beliefs regarding divine punishment for earthly sins.

Another mural of a vulcano

Image 13. Mural by José Luis Soto in Angahuan showing the volcano as the result of the battle between good and evil. Photo: Sandra Rozental.

While these murals constitute enduring interpretations of the volcano’s emergence, annual commemorations also reinforce strategies to interpret, remember, and reenact this history, particularly with youth and children. In all the places we visited, community representatives organized a competition where schoolteachers and their pupils were invited to represent the volcano and its effects in drawings and clay models. Hundreds of color drawings lined the buildings that make up the towns’ main squares, featuring human figures and tiny cattle running away from red rivers of lava.

Women looking at an art exhibit on the street

Image 14. Women look at the exhibition of children’s drawings in the Central Plaza of Angahuan. Photo: Sandra Rozental.

Drawing of a volcano

Photo 15. Detail of a drawing about the Paricutin eruption in the Central Plaza of Angahuan. Photo: Sandra Rozental.

In Caltzontzin, the award was unanimously given to a model by a 12-year-old that, like the mural made thirty years ago, featured the volcano as well as the Catholic Saint images in the local church protecting town residents from the dangers of geology. Despite the fact that this child’s life is now temporally and geographically distant from the Paricutin, her present, like that of all the children involved in the commemoration activities, is defined by the intersection of geological and human time. This generation’s awareness and intimacy with the Paricutin is reenacted and kept alive through practices that constantly recreate the volcano and recall its aftermaths.

Photo of a girl with a small volcano model

Photo 16. Liczi Gabriela Diaz Trejo from Caltzontzin showing her clay model. Photo: Gabriela Zamorano

 

*** The authors would like to thank Manuel Sosa, Simón Lázaro, Esperanza Azucena Padilla Anguiano, Jesus Velázquez Gutiérrez (Cachuy), as well as Pedro Corona and Juana Martínez for their welcoming support and guidance during the 80th Paricutin Volcano Anniversary in Angahuan, Caltzontzin, and San Juan Nuevo. We also thank Lorena Casillas and Paula Arroio for their assistance during this visit. Funds for this research were provided by the Imagining Futures project (https://imaginingfutures.world/)

Beyond Victimhood: Women’s Contributions to Criminal Violence

Guest post by María José Méndez

This post is part of a series on illicit economies, organized crime, and extra-legal actors and came out of an IGCC-sponsored conference hosted in October 2022 by the Center for U.S.-Mexican Studies at UC San Diego’s School of Global Policy and Strategy.

In 2019, a 19-year-old woman detonated a grenade on a public bus in an extortion attempt in Guatemala City. Three years later, another woman was arrested for trying to smuggle ammunition and cell phones into a maximum-security prison in Honduras.

Accounts of criminal violence tend to portray women as passive victims. There are good reasons for this. Women are abused daily by criminal groups, especially in Latin America, where they are being killed at record rates. In Central America, women are victimized by gangs when they refuse sexual advances or protect their children from recruitment. In Mexico, they are forced into sex work by drug cartels, and their mutilated bodies are displayed to send messages to rival groups and the state.

Considering this rampant victimization, how important is the role that women play in criminal violence and what drives their participation? My research delves into this question by studying women affiliated with MS-13 and Barrio 18 in Honduras, Guatemala, and El Salvador.

While women have long played an active role in armed conflict, comprising as much as 30 percent of militant movements worldwide, the discussion around women’s involvement in violence tends to ignore contexts of organized crime and why women choose to stay in violent organizations.

In Central America, women are increasingly taking on lethal activities within gangs. This trend is also evident in other countries where women’s engagement in violent crime is also growing and diversifying. In Mexico and Colombia, where the number of female prisoners has more than doubled in the past decade, women have assumed prominent positions in drug trafficking organizations, with some even serving as leaders of their own criminal enterprises.  

Several of the women I spoke with participated in hired killings and attacks against local business owners unable or unwilling to pay extortions. One former gang member said she felt “stronger than men” when given these missions; another spoke about regaining a sense of control, which had been shattered by a traumatic experience of rape. For both, participation in violence was a way of asserting power and earning respect from fellow gang members. For others, it was simply a way of surviving. As one put it to me, “In Honduras [t]here are no jobs for us […] But you must work to survive. We survive from contract killings, extortions, drug sales and kidnappings.”

Women’s contributions to violence also manifest in indirect ways, as revealed in a series of 2018 confiscated letters. In these letters, an imprisoned Honduran gang leader asks his wife to serve as a communication bridge with those outside, and to fulfill his daily needs. Requests for logistical support intermingled with demands for basic items, such as boxers and bars of soap, and reminders to give him and his children physical and emotional warmth.

As with armed conflict, criminal violence is made possible by a gender-based division of labor, where women bear the brunt of logistical and caregiving tasks. Most of these activities revolve around Central American prisons, which have become important nodes of decision-making for extortion schemes.

In a context of “mano dura” policies of mass incarceration and state persecution, which have imposed heavy constraints on gang members’ movements since the early 2000s, women have become pivotal in maintaining the complex operations that coordinate between gang members. The women I spoke with acted as the “eyes and hands” of imprisoned gang members, providing support in the transportation of weapons, transmission of messages, record-keeping, and intelligence gathering.

Some of these activities provided unexpected windows for enhancing their entrepreneurial and leadership skills. For instance, one woman who worked for her husband, a Salvadoran gang leader, spoke about how she leveraged this activity to offer paid courier services for other gang members on her own initiative. This allowed her to better support her children and ailing mother.

Gang-affiliated women also supply the basic services and goods—food, clothing, emotional support, childcare, and so on—necessary to sustain gang members and therefore their capacity to engage in the work of violence. One former gang member, for example, related how she was able to commit fully to the gang’s illicit activities because her aunt cared for her one-year-old son.

Women’s role in criminal violence is more important than we often realize. To acknowledge this role, we need to challenge traditional gender stereotypes that reduce criminal violence to a male phenomenon. We also need to challenge a prevalent assumption in research on women and organized violence: that women’s participation in lethal activities is simply the result of male manipulation or submission to patriarchal authority. This means paying attention to how women are also driven by their own aspirations for status and well-being.

Recognizing women’s complex agency in criminal violence, including the different labors they perform and the gendered factors shaping their involvement, is essential for helping address the unprecedented levels of criminal lethality affecting regions like Latin America. As scholars have argued, a clear understanding of the full range of women’s participation in violence can yield effective policy that gives women access to peace initiatives.

María José Méndez is an assistant professor in the Political Science department at the University of Toronto.

Science policy and ‘scientific populism’ in Mexico: Borrowing academic buzzwords to enact institutional violence

By: Taster
Drawing on his study of recent developments in Mexican science policy, Luis Reyes-Galindo, discusses how common concepts from social science have been weaponised to the expense of academic freedom. Epistemic justice, decolonising the curriculum, ontological diversity, the democratisation of science and knowledge co-production are influential concepts across the humanities and social sciences. At heart, these … Continued

Natalia Molina on “A Place at the Nayarit”

Writing Latinos is a new podcast featuring interviews with Latino authors discussing their books and how their writing contributes to the ever-changing conversation about the meanings of latinidad.

The post Natalia Molina on “A Place at the Nayarit” appeared first on Public Books.

Marusela Granell + Manu Bañó Create Beauty With Raw Materials

By: Leo Lei

Marusela Granell + Manu Bañó Create Beauty With Raw Materials

La verdad de la materia is an exhibition presented in Mexico City during this year’s ZONA MACO, and will be public until March 15th. Marusela Granell and Manu Bañó’s works are linked by the simple yet powerful actions of cutting, folding, gluing, and ripping. The two artists share a deep desire to create beauty through manipulation of raw materials.

OBJ-07 Sconce by Manu Manu Bañó

While Manu employs industrial materials in a mechanical process to produce sculptural and functional objects without drawing on references, Marusela deconstructs painting by highlighting the elements that make it up. She uses worn-out tubes of oil paint and pieces of paper as both artwork and models.

Manu Bañó’s latest collection delves into the unique qualities and limitations of copper. Crafted in Santa Clara del Cobre, Michoacán, Mexico, a town renowned for its centuries-old goldsmithing heritage, the collection showcases the expertise of local artisans, who specialize in crafting small objects such as pots and vessels.

Comprising three distinct pieces – a chair, coffee table, and wall lamp – the collection is the result of a labor-intensive process involving the manual hammering of a thin copper sheet. This technique imbues the metal with both strength and a three-dimensional quality that distinguishes each piece.

OBJ-07 Sconce by Manu Manu Bañó

OBJ-07 Sconce by Manu Manu Bañó

OBJ-06 Lounge Chair by Manu Manu Bañó

OBJ-06 Lounge Chair by Manu Manu Bañó

OBJ-06 Lounge Chair by Manu Manu Bañó

OBJ-05 Coffee Table by Manu Manu Bañó

OBJ-05 Coffee Table by Manu Manu Bañó

OBJ-06 Lounge Chair by Manu Manu Bañó

OBJ-07 Sconce by Manu Manu Bañó

La verdad de la materia is an exhibition presented in Mexico City during this year's ZONA MACO, and will be public until March 15th

La verdad de la materia is an exhibition presented in Mexico City during this year's ZONA MACO, and will be public until March 15th

OBJ-05 Coffee Table by Manu Manu Bañó

La verdad de la materia is an exhibition presented in Mexico City during this year's ZONA MACO, and will be public until March 15th

Photos by Alejandro Ramírez Orozco.

Death in Mexico Means Something Different Now

Mexico once cultivated a “special relationship” with death. But cultural globalization and rising violence is weakening that bond.

The post Death in Mexico Means Something Different Now appeared first on Public Books.

Threats as a Tool of Criminal Governance

Guest post by Shauna N. Gillooly and Philip Luke Johnson

In 2020, a university campus in Bogotá, Colombia was festooned with flyers threatening “the children of professors that indoctrinate their students into communism.” A year earlier, a campus in Medellín was plastered with pamphlets, this time threatening students that engaged in political activity instead of quietly getting on with their studies. Both messages were signed by the Águilas Negras, a notorious criminal band. While the strength of this group has been disputed, for those targeted by the threats—and many besides—these messages could hardly be dismissed as anything less than terrifying.

These messages are hardly an isolated occurrence. Hundreds of threatening messages signed by the Águilas Negras have appeared across Colombia in recent years. Gangs in Brazil have published threatening messages in newspapers, while in Mexico, criminal actors sometimes use “narco-messages” to threaten rivals, officials, or other members of the public. Although the practice is relatively widespread, it raises questions about the behavior and power of criminal actors.

How Do Criminal Actors Use Threats?

Most scholarship shows that criminal actors maintain a low profile, wielding power through clandestine means of coercion, corruption, and cooptation. Keeping a low profile reduces the costs of run-ins with rivals or the law. Criminal actors certainly do make use of public, sometimes spectacular violence, but primarily when the government is incapable or inefficient at punishing (or protecting) organized crime. Even so, most criminal actors moderate the frequency and visibility of their violence most of the time.

Threats are a particularly useful way to exert subtle power, as they leave no mark, no “smoking gun.” For a group with an established reputation, the mere whisper of a threat may be enough to induce compliance on the part of their targets (indeed, some actors with established reputations expend considerable resources to prevent pretenders from issuing threats in their name). Publicizing threats thus seems to undermine one of the main advantages of threats; the ability to coerce while reducing the risks associated with the actual use of violence. Why, then, would criminal actors publicize their threats to far wider audiences than the intended targets?

Our new research takes up this question by analyzing the content of threatening messages from four different criminal groups in Colombia and Mexico. These range from neo-paramilitary groups in Colombia, such as the Gaitanistas, to the pseudo-evangelical cartel, the Caballeros Templarios, in Mexico. Breaking the messages down into a “grammar” of their core elements—such as who is the target of the violence, what conditions are placed on the violence, and on whose behalf violence is threatened—we identify consistencies and variations in the use of public threats across these varied cases.

We find that when criminal actors publicize threats, they are projecting order; delineating their rules on the ground, dictating who (or what) is welcome and who will find no place on their turf. The threats may also induce compliance from the target, but the publicity serves this important additional function. The orders projected by different groups share some common elements: they position the criminal actors as mediators between the in-group of decent society and the out-group of deviants from that society (the threateners are also defining—sometimes with extreme prejudice—who they consider deviant). In positioning themselves as violent mediators, criminal actors displace other possible mediators, such as rival groups as well as non-violent civil society actors.

At the same time, the specific order projected varies across groups. Some groups threaten future violence that is conditional, while others threaten violence as the inevitable continuation of actions already occurring. Similarly, the specific in-group and out-group projected by threats varies. The Gaitanistas and Águilas Negras in Colombia both use the language of social cleansing, but the Águilas target an expansive out-group of leftists and alleged guerrilla sympathizers while barely mentioning an in-group, while the Gaitanistas invoke a national in-group but target only localized rivals.

Public threats can be quite low-tech, like the flyers that blanketed campuses in Colombia, but regardless of the medium, they aim to maximize publicity. This highlights the vital role of the media in impeding or permitting the projection of criminal orders. Mexico is one of the most dangerous countries in the world for journalists, with criminal actors threatening and sometimes killing media workers to shape the flow of information (officials are also deeply implicated in this). Preserving the safety and autonomy of the press—even where reporting uncovers uncomfortable truths for those in power—is thus absolutely vital to limiting the influence of public threats and criminal orders. In interviews, however, journalists told us that the government protection mechanism is unreliable and often conditioned on favorable reporting.

Criminal governance is often treated as damaging the “fabric of society.” While we often think of this damage in terms of the direct use of violence, we need to examine not only how criminal actors kill, but also how they talk, persuade, and project. We also need to think about violence beyond the act itself; the hint or threat of violence can have powerful effects on direct targets and wider society. From a safe distance, we might question the low-tech or seemingly unsophisticated threats—pundits in Mexico initially mocked the poor spelling of narco-messages—but this does not mean that they are ineffective tools. Nor does it means that the people closer to the threats can afford to discount them.

Shauna N. Gillooly (@ShaunaGillooly) is a postdoctoral fellow at the Global Research Institute housed at William and Mary, and an affiliated researcher with Instituto PENSAR at Pontifica Universidad Javeriana in Bogota, Colombia. Philip Luke Johnson (@phillegitimate) is a lecturer at Princeton University.

The restorative power of pozole

"That’s Mexican food; that’s what it is," says chef Jose Avila. "Simple, comforting food."

Your Next Hospital Bed Might Be at Home

We think of being in the hospital as enduring isolation in a clinical setting, cut off from normal life. But what if being hospitalized meant something different? What if you could be receive hospital-quality care in your own home? Helen Ouyang profiles a movement of health care providers who, propelled by a range of factors, not least among them the COVID-19 pandemic, are working to redefine what hospitalization in America might look like:

Other countries, including Australia, Canada and several in Europe, had already been experimenting with this practice, some of them extensively. In Australia, which has been running home-hospitals for decades, these services provided in Victoria alone are the equivalent of what a 500-bed facility could offer in one year. Overall, the patients treated in this way do just as well, if not better, in their homes.

The obstacles impeding Leff and other hospital-at-home advocates in the United States were bound up with America’s labyrinthine health care system and particular medical culture. The Centers for Medicare and Medicaid Services (C.M.S.), which is the largest payer of hospitalizations, has required that nurses must be on site 24 hours a day, seven days a week, effectively keeping patients within the hospital walls. This matches how American society has come to regard hospitalization, too — nurses at the bedside, doctors making their rounds, in elaborate facilities pulsating with machines.

But Americans didn’t always convalesce in hospitals. Before the 20th century, treatment at home was the norm. “Only the most crowded and filthy dwellings were inferior to the hospital’s impersonal ward,” the historian Charles E. Rosenberg writes in his 1987 book “The Care of Strangers: The Rise of America’s Hospital System.” “Ordinarily, home atmosphere and the nursing of family members provided the ideal conditions for restoring health.” As Rosenberg puts it, “Much of household medicine was, in fact, identical with hospital treatment.” As health care became more specialized and high-tech, however, diagnosis and treatment gradually moved into hospitals, and they evolved into institutions of science and technology.

For the Public Good

On Mexico’s history of overzealous public works.
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