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Anthropological Quarterly, Vol. 87, No. 4, p. 1279-1310, ISSN 0003-5491. 2014 by the Institute for
Ethnographic Research (IFER) a part of the George Washington University. All rights reserved.
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Merrill Singer
draw attention to the importance of expanding zoonotic ecosyndemic research in anthropology and to locating this project within a multispecies
ethnographic framework.
even though the large majority of our participants considered themselves as part of nature, their general perception of natural environments excluded any humans or human involvement while their
general perceptions of unnatural environments included mostly human-made entities. It seems that most of our participants had the
idea that nature involved pristine preserved land that is uninhabited
and unaltered by human beings. (2008:8)
But, this place out there called nature (or the wild), as we encounter it today (and for a long time before today), is not natural in the sense
of being independent of humans, their narratives of unlimited resources,
acts of domination, focused conquests, and impactful exploitation for human gain and advancement, and the intended and unintended consequences (or what Robert Merton [1936] called the negative, unexpected
detriment) of their actions. As a result, it is difficult to find untouched
nature as the human hand reaches everywhere and human impacts on
the environment have been underway for centuries, continually reshaping
nature in dramatic ways (Goudie and Viles 1997). Hill and Helmers, in
a poetic summation of the contemporary era, state that, We are facing
culture as we sit on the benches and gaze at the oiled sea (2004:83). As
Hurricane Katrina made clear, even natural disasters increasingly are
recognized as unnatural events because of anthropogenic actions and
impacts (Hartman and Squires 2006, Smith 2006, Singer 1996).
Without question, there is nothing new (except by degree and increased adverse consequence) in human impact on the environment.
Contemporary ecosystems that we label natural often were reshaped by
human activities in the past. For example, in contrast with an older pristine
myth about Native Americans, a now extensive literature makes clear that,
among the indigenous peoples of North America (Whitney 1994, Williams
2002) (and elsewhere with regard to other local conditions), there emerged
recognition that deer (and other species, like nuts and blueberries) were
most easily acquired not in forests but in grassy meadows among the
trees where they could find an abundance of food. Building on this insight
(borne of keen environmental observation), they learned to burn forest
edges to expand meadows and improve hunting (and gathering) success,
significantly altering the environment long before the arrival of Columbus.
Were the resulting meadows Nature? Or Culture? As Raymond Williams
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Animals Revised
Also influencing the emergence of multispecies ethnography is an ongoing
psychosocial reconceptualization of animals, including their cognitions,
emotions, subjectivities, and rights. In The Cognitive Animal, for example,
Bekoff, Allen, and Burghard (2002) bring together over 50 essays authored
by practitioners of an array of disciplines (e.g., behavioral psychologists,
cognitive ethologists, computer scientists, philosophers, neuroscientists)
that examine the internal psychological states of animals as diverse as
earthworms, bees, rats, pigeons, snakes, sea lions, pronghorns, dolphins,
and primates. Regarding the first of these, Crist recalls Darwins work on
what might be called the inner life of earthworms, noting: In Darwins portrayal, the inner life of worms is indeed a cognitive worlda world about
which worms form judgments. The inner life of worms also includes their
subjective worlda world of perception and work that they experience,
rather than sleepwalk through (2002:3). As a result of his willingness
to think about what previously had been unthinkable for many people,
Darwin found mindboth cognition and subjective experiencewhere
it was presumed not to exist (Crist 2002:7). This point is stressed as well
by Wasserman based on his research with as intellectually challenged
a beast [allegedly] as the pigeon, a species whose behavior in various
cognitive tests, in fact, affirms a continuity of mental processes in human
and nonhuman animals (2002:180).
The movement toward a rethinking of animals is fed by multiple
streams, including intensive ethological studies. Based on his year-plus
experience raising a human-imprinted flock of wild turkeys in a dense
swampy area of Florida, for example, naturalist and wildlife artist Joe
Hutto (2006), has observed that, contrary to human expressions like bird
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brain, turkeys are possessed of an extraordinary intelligence characterized by true problem solving reason, and a consciousness that was undeniable, at all times conspicuous, and for me, humbling (Nature 2011).
Surviving a 20 million year history as prey animals for various species,
including our own, Hutto notes, has produced an animal that lives in a
state of complete sentient wakefulness. Yet, Huttos observations of his
own species suggest that we find it difficult to recognize a higher order of
experience in nonhuman animals. The challenge presented by this kind
of naturalistic study for a cultured species like our own is seeing animals
as they are, and not in some kind of anthropomorphic reflection of our
own nature (Crist 1999, Kennedy 1992; cf. Candea 2013). Still, repeatedly, ethnological and other research tends to support Huttos conclusions
about the complexities of animal experience and cognition (Bekoff 1995,
Cheney and Seyfarth 1990, Hanggi 2005).
The parallels and historic relationships between human and nonhuman
animal anatomies and diseases, and yet presumed significant emotional
and cognitive differences between the two, provide the rationale for one of
the particularly fraught ways animals figure in human society as well as in
the consequences of human perceptions of animals. It has been estimated
that as many as 100 million vertebrates, especially mice, are used experimentally each year, most of which are subsequently euthanized. In particular, animal experimentation is driven by regulatory laws and agencies that
require the toxicity testing of new chemicals, pesticides, pharmaceuticals,
and other commodities. Social debate and controversy over such treatment of animals is over 350 years old, but has intensified in the era of global
discourse on human rights. Philosopher Bernard Rollin (1989), who specializes in animal consciousness, for example, argues that animals have
moral rights and that the benefits that accrue to humans do not outweigh
the harm and suffering done to animals. Similarly, critiquing speciesism,
which he likens to racism and sexism, philosopher Peter Singer (2007)
maintains that one thing we share with nonhuman animals is a capacity to
suffer and this sentient capacity means that they, like us, have interests.
From this perspective, a critical question Tom Regan (2003:94) asks is, do
nonhuman organisms have an experiential welfare that is of importance
to them, independently of their possible usefulness to use? He answers:
Like us, they are somebodies, not somethings (2003:94).
These discussions of the ethical treatment of animals and of animal rights
inform multispecies ethnography in several ways, including by revealing
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some of what might be seen as the most extreme human treatment of other
species (e.g., forcing them to ingest toxins with the intention of benefiting human health), the kinds of suffering nonhuman animals endure at human hands, our constructed understandings of ourselves as variously the
crown of creation or the apex of evolution, the rise of human/nonhuman animal relationships as an appropriate subject for academic research,
the intensifying conflicts among humans over our views of and treatment
of animals, and the rise of and resistance to active advocacy movements
intended to change our ways (Phelps 2007, Rudacille 2001).
From the standpoint of zoonotic diseases, this discussion raises questions both about pharmaceutical and other biomedical research (e.g., in
virology, bacteriology, etc.) and with reference to the accepted prioritization of human health that underlies the mass extermination of animals
(e.g., chickens, pigs) to halt diseases like avian flu, swine flu, or SARS from
spreading to humans. Based on an ethnographic examination of avian flu
policies and practices in Vietnam that was informed by Foucaults notion
of biopower, Porter observes: avian influenza policies provoke dilemmas
surrounding whose lives and livelihoods are worth protecting in multispecies biopowerparticularly when they are implemented in historically and
culturally specific situations (2013:144). Issues of authority and resistance in the implementation of containment policies, cross cultural differences in the understanding of particular non-human species, human experience of animal treatment in a zoonotic epidemic, and human response
to diseases spread from humans to animals (e.g., Lowder et al. 2009) are
among the several arenas of research generated by a multispecies focus
in the spread of diseases.
domesticated, and including rodent and insect vectors as well as microorganisms) and not just humans, as well as a recognition of human bodies
as comprising more than human cells (including various microbes that are
vital to our survival or present threats to it). As Roossinck indicates with
reference to viruses, they
have long had a bad rap; since the discovery of tobacco mosaic
virus (TMV) in the 1890s, they have been largely viewed as pathogens. This bias has led to a misunderstanding about viruses, and
few researchers have looked specifically for viruses that might be
beneficial to their hosts. (2011:99)
Every person, in fact, constitutes a community that includes hundreds
of microbial species, many of which are uncultivable and remain unidentified. The human gut alone, a complex in-host environment, is home to 100
trillion bacteria (of 1,000 different species), weighing some three pounds
in residents of developed countries and five in those living in underdeveloped ones (in large part because of worm weight). From an evolutionary
perspective, as Donna Haraway argues in When Species Meet, becoming
is always becoming with... (2007:244). Thus, there can be no understanding of how we came to be what we are as a species independent of our
interactions with and genetic and other responses to the challenges and
opportunities presented by other life forms. Suggests Paxson, for example,
neglect of the microbe (any organism, in the singular, invisible to the naked human eye) continues to distort our anthropological view of the social
world (2008:19). Further, as Anna Tsing (2005) asks, What if we imagined
a human nature that shifted historically together with varied webs of interspecies dependence? Human nature is an interspecies relationship. So
too is human biology. This is particularly evident in zoonotic syndemics
which can involve multiple hosts, vectors, and pathogens.
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with rage and the fear of rage, and, binding them into a set of rules which
at once contains them and allows them play, builds a symbolic structure
in which, over and over again, the reality of their inner affiliation can be
intelligibly felt (1972:84).
Ultimately, Geertz maintains, the cockfight in Bali speaks (culturally)
most powerfully about human relationships, specifically status hierarchies
which are profound and dramatic matters of life and death; thus it is only
apparently cocks that are fighting there. Actually, it is men (1972:60). This
interpretation is culturally appropriate for Bali as ultimately the Balinese
are a great deal more interested in understanding men than they are in
understanding cocks (1972:82).
But what of understanding in anthropology, specifically understanding
that develops within a multispecies perspective? How might Geertzs account have been different if it had been based on this alternative framework? Geertz, himself, provides a starting point for answering this question. He notes, The cockfight is really real only to the cocks (1972:79),
who are enraged, frightened, slashed, suffer, and die. For the birds, life
changes dramatically in a short brutal encounter for which they have been
raised their whole lives; for humans, by contrast, social meanings as they
construct them and social hierarchies as they enact them persist, re-experienced anew but unchanged.
Unfortunately, we know little about the social and emotional life of
roosters or chickens generally (but see Edgar et al. 2011). Notably, however, Geertz observed that the cocks are not always willing players in this
human cultural drama. Occasionally, they refuse to fight, or one of the
birds runs away from the other (giving rise to the old English and Irish
saying, That cock wont fight, also phrased as That dog wont hunt,
to mean an argument that wont work). To get them to do what is required
of them by people, Bali handlers place troublesome cocks together under
a wicker cage, a stressful experience for territorial beings. Yet, do cocks
naturally fight? Or, if they do, do they tend to fight to the death? Studies
of other fowl, including the Red junglefowl, thought by many to be the
progenitor species of the domestic chicken, suggest that, as with many
animals, ritual displays of fighting capacity are the norm, actual fights and
especially fights to the death are uncommon (particularly among birds
raised together). Based on seven months of observation of the daily activities of feral domestic chickens (in flocks that have been feral for 40
years), McBride, Parer, and Foenander report that while young roosters
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salmonellosis, arizonosis, colibacillosis, and influenza are the most frequent avian diseases that constitute health risks for humans, but the full
list of avian pathogens that have leaped the species barrier to infect humans is far longer (Jacob, Pescatore, and Cantor 2011). In the case of
influenza in human communities, fairly good records exist for at least a
300 year history of infection although the virus was not identified until
1932. Prior to the emergence of HIV/AIDS, flu was the most studied viral disease, attracting the interest not only of researchers, epidemiologists, physicians, and the pharmaceutical industry, but also politicians,
the media, and the general public (Potter 2001). Potter (1998) suggests
that as many as 13 global influenza pandemics have occurred since 1590.
Most notable was the pandemic of 1918 to 1919, which took as many as
100 million lives around the world and remains one of the most important global health events in human history (Crosby 1989, Pettit and Bailie
2008). The disease left a severe legacy in the bodies of sufferers who
survived, especially among those who were exposed in utero. As Almond
(2006:693) comments, findings from the 1960, 1970, and 1980 US Census
surveys show a broad array of persistent effects, including reduced educational attainment, socioeconomic status, and labor force participation,
as well as heightened levels of disability. Notably, the severe impact of
this pandemic appears to stem from the fact that it was caused not by a
single microbe but by syndemic interaction between a virus and at least
one strain of bacteria (Herring and Sattenspiel 2007, Morens et al. 2008,
Singer 2010b). In other words, appreciating the importance of multispecies interaction is critical to understanding this costly pandemic.
In passing, it merits mention (as further proof of the complexities of multispecies research) that some of the deaths that occurred during the 19181919 pandemic were the result of animal attacks in communities whose
infrastructures collapsed as many of their citizens were overwhelmed by
illness. Writes Collier (1974:300), What the flu had begun, the dogs had
ended. Crazed with hunger, they smashed through windows, worried
down doors, attacking those still alive as impartially as the dead.
Additionally, of note in light of one of the roles animals play in scientific
research relative to human health, 87 years after the 1918-1919 influenza,
pandemic researchers at CDC and several other institutions used frozen
lung tissue from people who died during the pandemic to successfully
reconstruct the implicated virus. To test the pathogenicity of the recombinant virus, it was injected in various forms into mice, chicken embryos,
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and monkeys, which were then monitored for viral reproduction, morbidity, and mortality (Tumpey et al. 2005). All of the reconstructed viral forms
proved to be a greater threat to life than several control viruses.
emerged into public view (2008:4). This fact led Nikiforuk (2006:6) to refer
to H5N1 as a predictable man-made plague.
In global economic and health discourse, however, blame for the pandemic was laid on the free-range practices involved in traditional backyard
chicken raising by small farmers rather than on the mechanical practices
of factory farms. Additionally, as a result of the mass slaughter of chickens
on small farms, the poor lost access to a critical source of livelihood and
protein. Ironically, in Vietnam, with few birds available, access to poultry
came to be reserved for the elite, the educated, and the urban, while
becoming a symbol of social and cultural capital (Lockerbie 2008:9). In
short, both the making of the H5N1 avian flu pandemic and its consequences entailed a multidimensional interaction of people and poultry and
culture and nature. In no small part, hierarchical relations between humans
and chickens were but a reflection of human relations with each other.
As it turns out, the so-called swine fluInfluenza A virus subtype
H1N1the most common cause of human influenza globally during 2009
and 2010 (with an overall international incidence rate of 11 percent to 21
percent prior to the development of a vaccine [Kelly et al. 2011]) has an even
more complex multispecies history than H5N1. H1N1 is a quadruple reassortment virus that blurs species (or quasi-species) boundaries by uniting
genes from the flu virus that is normally found in pigs in Asia and Europe
with both avian and human flu genes. This species-bending complexity is
not unique. For example, a triple reassortment with swine, avian, and human genes has been in circulation among the US pig population since the
late 1990s (World Health Organization 2009). H1N1 is thought to have originated in pigs because they can be infected with strains of different species
origin, and thus can serve as mixing vessels for varied influenza genes.
As both a direct descendent of the virus involved in the most devastating influenza pandemic of the 20th century (which, as noted, was the 19181919 influenza pandemic) and the source of the first truly global pandemic
of the 21st century, the appearance of the H1N1 virus sparked significant
public health (as well as political) concern. From the standpoint of severe
morbidity and population mortality, however, the virus proved to be a comparatively mild version of its deadly ancestor of 90 years ago. However,
H1N1 did prove to be a health disparity disease, with some minority populations suffering significantly higher rates of intensive care hospitalization,
respiratory intervention, and death than did majority populations. The key
factor was the biological interaction of H1N1 with other diseases, such
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as diabetes mellitus, asthma, and tuberculosis, that are known to be disproportionately common among lower income and socially subordinated
ethnic minorities (e.g., Blacks, Latinos, Native Americans, and Alaskan
Natives in the US, and structurally similar populations elsewhere in the
world). As a result, the H1N1 pandemic (or more precisely, the H1N1/
chronic and infectious disease syndemic) was of gravest threat to populations already at comparatively high risk for a range of other health and
social burdens (Lipsitch et al. 2009). As this example suggests, structural
inequalities among humans often find expression and exposure in our relationship with other species. So too, inequalities among humans have
significant consequence for animal health and well-being (Davis 2005).
Since 2009, H1N1 has continued to circulate among species, with reintroduction to pigs, for example, being described in Hong Kong in 2010.
Concern has been expressed that ongoing reassortment of H1N1/2009
with swine influenza viruses could produce variants with transmissibility
and altered virulence for humans (Vijaykrishna et al. 2010:1529).
Merrill Singer
these bats into cultivated fruit orchards, in part driven by the smoke of
fires that were set to clear forested areas. Fourth, pig farmers in the area
had begun to expand their farms into surviving forest areas and planted orchards, resulting in tree branches overhanging the new pigsties.
Fifth, fruit bats, which are large, highly social animals that roost in family
groups on branches, routinely dropped partially eaten fruit into the sties
and their excreta into feeding troughs, which pigs consumed, leading to
their infection. Fifth, the development of an export market for pig products motivated the dense packing of pigs into sties, allowing the rapid
pig-to-pig transmission of disease. Sixth, farmers were exposed to the
virus when caring for and slaughtering pigs. Facilitated by this exposure
and mutation, Nipah leaped the species barrier. Finally, the movement of
infected pigs (through sales) allowed the disease to spread to new areas
in Malaysia and to Singapore. In Bangladesh, anthropological research
revealed that other human behaviors (namely drinking fresh date palm
sap from clay collector pots that fruit bats also visited) facilitated human
infection (Luby et al. 2006).
As the account above suggests, ethnographic study of behaviors and
interactions among multiple species (fruit bats, pigs, humans, and viruses), assessment of human impacts on the environment, and identification
of specific political economic drivers of these changes, along with epidemiologic and virologic data, are needed to understand this case and
inform preventive measures.
In addition to climate change and deforestation, or in conjunction with
them, are many other anthropogenic factors that contribute to increasing
numbers of zoonotic infections, including overpopulation, disruptions
due to military actions, mass migrations of populations due to disasters,
migration to large urban centers [and residential crowding in servicelimited areas], and inadequate food and water supplies (Weiss 2008:2).
Additionally, the clearing of new areas for food cultivation or other new
land use patterns has exposed people to new animal populations, disease vectors, pathogens, and subsequent zoonotic transfer. The evident
convergence of human and nonhuman animal diseases underlines the
adoption of a multispecies perspective (and clinical approach) to environmental health in medical anthropology (Rabinowitz and Conti 2009).
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Africa, whose population only comprises seven percent of the worlds population, has 17 percent of the global HIV disease burden, as well as one
of the worst tuberculosis epidemics on the planet, which, in recent years,
has been exacerbated by rising rates of drug resistant tuberculosis among
people with HIV co-infection (Karim et al. 2009).
As indicated earlier, a subtype of syndemic of particular importance to
this piece is termed an ecosyndemic. Various anthropogenic alterations
of the physical environment, such as those mentioned above, have significant implications for the clustering and adverse synergistic exchange
among zoonotic diseases. This process is seen in the rising number of
cases in the world of leishmaniasis and leishmania/HIV co-infection as
discussed below.
Leishmaniasis is a disease caused by protozoan parasites (genus
Leishmania, of which there are several infectious species) that are transmitted by the bite of an infected female sand fly in a manner similar to
the mosquito transmission of malaria. Host animals include dogs, rodents, and humans. Leishmaniasis is one of ten diseases identified by
the World Health Organization that disproportionately burden poor and
socially marginalized populations, causing untold misery and death
[while impacting human] population dynamics, economic achievements,
and land use (Hurd 2003:142). The most severe form of this neglected
disease, called visceral leishmaniasis (VL), is variously characterized by
fever, weight loss, swelling of body organs, anemia, disabling disfigurement (often linked to the stigmatization of sufferers), as well as a high
likelihood of death if left untreated. VL can cause major epidemics with
high case fatality rates. For example, between 1984 and 1994 there was
a significant VL outbreak in Western Upper Nile State in South Sudan.
Because of multiple local risk factors, including civil unrest, disruption of
the health care system, malnutrition, syndemic disease interactions, and
lack of local availability of first-line medicines, as many as 40,000 people
died. In some villages, up to half of the population perished (World Health
Organization 2000). When leishmaniasis arises in urban areas, social conditions (e.g., high populations, population density, slum areas) favor explosive, rapidly spreading, epidemics.
One species, Leishmania infantum, is spreading northward into
Europe, a diffusion that has been possible, in part, because of changes
wrought by global warming that facilitate vector diffusion to new areas.
As a result of planetary warming, disease models accurately predicted a
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Conclusion
A multispecies approach to the ethnographic study of zoonotic ecosyndemics focuses attention on the continuous and consequential interactions
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that occur among biological, sociopolitical, and environmental phenomena. Further, it seeks to elevate the importance of the characteristics, experiences, behaviors, and social life of multiple species in health rather
than treat nonhuman species as non-agentive objects in a human world of
meaning and action. At the same time, multispecies ethnography in medical anthropology raises multiple questions, including how many species
to consider (e.g., within its range, leishmania interacts with other pathogens besides HIV), how much environment to consider (e.g., in the case of
Nipah, do snakes or birds that prey on fruit bats have to be considered),
and with what expertise (are medical anthropologists trained or have the
resources and capacity to undertake the study of humans, multiple other
animals, plants, diverse pathogens, and multiple species interactions)? Of
course, none of these questions are completely new to ethnography, given
the holistic orientation of the field. In this sense, multispecies ethnography
can be considered an extension of an existing holistic tradition that moves
us from studying humans in physical and social contexts to unpacking
and studying contexts in which humans are important but not the only
players, and in which the agencies, cognitions, and experiences of other
species matter. It is the argument of this piece that, in the same way that
anthropologys traditional holism enabled insights not possible with a narrow lens of study, a fully developed multispecies approach holds promise
of further clarifying our impactful embeddedness in a world of intertwined,
mutually causal processes and relationships, and the ramification of this
for the health of humans and nonhumans alike.
While multispecies entwinements have always been critical to health, in
the Anthropocene, a perilous epoch of growing and often adverse human
impacts on all locations and lives on Earth, the situated connectivities
that bind us into multi-species communities (Rose 2009:87) has become
an especially vital issue within and beyond anthropology. n
Acknowledgments:
This piece benefited from a critical reading by Elyse Singer.
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F o r e i g n L a n g u a g e Tr a n s l a t i o n s :
Zoonotic Ecosyndemics and Multispecies Ethnography
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