Estimates suggest that in sub-Saharan Africa women are sick 2 in 5 days and men are sick 1 in 5 days. Consequently, illness shapes engagement with livelihoods and thereby the environment. My research around Lake Victoria, Kenya, where HIV prevalence among adults exceeds 25%, examines the impact of adult morbidity, or the experience of illness, on fishing activities as well as the links between fish declines and transactional fish-for-sex relationships. This work seeks to understand the effects of poor human health on the environment and the ways that improved healthcare can serve both people and their environment.
Example Projects:
- Fiorella, KJ, Desai, P, Miller, JD, Okeyo, N, Young, SL. 2019. A Review of Transactional Sex for Natural Resources: Under-researched, overstated or unique to fishing economies? Global Public Health. 1-12.
- Fiorella, KJ, Milner, EM, Salmen, CS, Hickey, MD, Omollo, DO, Mattah, B, Adhiambo, A, Bukusi, EB, Fernald, LCH, Brashares, JS. 2017. Human Health Alters the Sustainability of Fishing Practices in East Africa. PNAS. 114(16): 4171-4176.Â
- Fiorella, KJ, Camlin, CS, Salmen, CR, Omondi, R, Hickey, MD, Omollo, DO, Milner, EM, Bukusi, EA, Fernald, LCH, Brashares, JS. 2015. Transactional Fish-for-Sex Relationships Amid Declining Fish Access in Kenya. World Development. 74: 323-332.