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.
- 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.
- 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.