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      Deported, homeless, and into the canal: Environmental structural violence in the binational Tijuana River

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          Abstract

          Introduction:

          The US deports more Mexicans to Tijuana than any other borderland city. Returning involuntarily as members of a stigmatized underclass, many find themselves homeless and de-facto stateless. Subject to routinized police victimization, many take refuge in the Tijuana River Canal ( El Bordo). Previous reports suggest Tijuana River water may be contaminated but prior studies have not accessed the health effects or contamination of the water closest to the river residents.

          Methods:

          A binational, transdisciplinary team undertook a socio-environmental, mixed methods assessment to simultaneously characterize Tijuana River water quality with chemical testing, assess the frequency of El Bordo residents’ water-related diseases, and trace water contacts with epidemiological survey methods (n = 85 adults, 18+) in 2019, and ethnographic methods in 2019–2021. Our analysis brings the structural violence framework into conversation with an environmental injustice perspective to documented how social forces drive poor health outcomes enacted through the environment.

          Results:

          The Tijuana River water most proximate to its human inhabitants fails numerous water-quality standards, posing acute health risks. Escherichia coli values were ∼40,000 times the Mexican regulatory standard for directly contacted water. Skin infections (47%), dehydration (40%) and diarrhea (28%) were commonly reported among El Bordo residents. Residents are aware the water is contaminated and strive to minimize harm to their health by differentially using local water sources. Their numerous survival constraints, however, are exacerbated by routine police violence which propels residents and other people who inject drugs into involuntary contact with contaminated water.

          Discussion:

          Human rights to drinking water, sanitation and hygiene are routinely violated among El Bordo in-habitants. This is exacerbated by violent policing practices that force unhoused deportees to seek refuge in waterways, and drive water contacts. Furthermore, US-Mexico ‘free-trade’ agreements drive rapid growth in Tijuana, restrict Mexican environmental regulation enforcement, and drive underinvestment in sewage systems and infrastructure.

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          Most cited references66

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          The social structural production of HIV risk among injecting drug users.

          There is increasing appreciation of the need to understand how social and structural factors shape HIV risk. Drawing on a review of recently published literature, we seek to describe the social structural production of HIV risk associated with injecting drug use. We adopt an inclusive definition of the HIV 'risk environment' as the space, whether social or physical, in which a variety of factors exogenous to the individual interact to increase vulnerability to HIV. We identify the following factors as critical in the social structural production of HIV risk associated with drug injecting: cross-border trade and transport links; population movement and mixing; urban or neighbourhood deprivation and disadvantage; specific injecting environments (including shooting galleries and prisons); the role of peer groups and social networks; the relevance of 'social capital' at the level of networks, communities and neighbourhoods; the role of macro-social change and political or economic transition; political, social and economic inequities in relation to ethnicity, gender and sexuality; the role of social stigma and discrimination in reproducing inequity and vulnerability; the role of policies, laws and policing; and the role of complex emergencies such as armed conflict and natural disasters. We argue that the HIV risk environment is a product of interplay in which social and structural factors intermingle but where political-economic factors may play a predominant role. We therefore emphasise that much of the most needed 'structural HIV prevention' is unavoidably political in that it calls for community actions and structural changes within a broad framework concerned to alleviate inequity in health, welfare and human rights.
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            Migrant “Illegality” and Deportability in Everyday Life

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              An Anthropology of Structural Violence

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                Author and article information

                Journal
                8303205
                7517
                Soc Sci Med
                Soc Sci Med
                Social science & medicine (1982)
                0277-9536
                1873-5347
                13 October 2022
                July 2022
                18 May 2022
                21 October 2022
                : 305
                : 115044
                Affiliations
                [a ]Department of Family and Preventive Medicine, University of California, San Diego (UCSD), San Diego, CA, USA
                [b ]Graduate School of Public Health, San Diego State University (SDSU), San Diego, CA, USA
                [c ]Pomona College, Claremont, CA, USA
                [d ]Epigenetics Programme, Babraham Institute, Cambridge, UK
                [e ]University of California, Los Angeles (UCLA), Los Angeles, CA, USA
                [f ]Proyecto Fronterizo de Educación Ambiental A. C. (PFEA), Tijuana, Mexico
                [g ]Prevencasa A. C., Tijuana, Mexico
                [h ]University of California, Berkeley (UC Berkeley), Berkeley, CA, USA
                [i ]University of California, San Francisco (UCSF), San Francisco, USA
                [j ]El Colegio de La Frontera Norte (El COLEF), Tijuana, Mexico
                [k ]Herbert Wertheim School of Public Health and Human Longevity Science, UCSD, San Diego, CA, USA
                [l ]Division of Infectious Diseases and Global Public Health, Department of Medicine, UCSD, San Diego, CA, USA
                [m ]University of Southern California, USA
                Author notes
                [* ]Corresponding author. Department of Family and Preventive Medicine, University of California, San Diego (UCSD), San Diego, CA, USA. alheli.calderon@ 123456gmail.com , (A. Calderón-Villarreal)
                Article
                NIHMS1823562
                10.1016/j.socscimed.2022.115044
                9585906
                35633600
                79b1c77b-8966-40cf-9ed7-e52d2bea1d15

                This is an open access article under the CC BY license ( http://creativecommons.org/licenses/by/4.0/).

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                Categories
                Article

                Health & Social care
                environmental injustice,water quality analysis,wash access,ethnography,epidemiology,us-mexico border,police violence,pwid

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