Can A Fish Teach Medicine?

Adam Wilson, M1, Class of 2026

How can a fish teach medicine, how does diabetes result from environmental contamination, and how does environmental contamination cause illness through biological and non-biological mechanisms? I recently read “The River Is in Us: Fighting Toxics in a Mohawk Community” by Elizabeth Hoover, which prompted these questions. Hoover describes the impact of contamination and disruption of a Native American community’s environment located at Akwesasne along the St. Lawrence Seaway and bisected by the U.S.-Canada border. Akwesasne is downwind and downriver from a few sites, such as Reynolds Metals and General Motors Central Foundry, recognized as particularly hazardous to human and environmental health by federal and state governments. As a foreword, the Mohawk community at Akwesasne has a long history that this article cannot do justice to. I highly recommend reading Hoover’s book for more information on historical and cultural contexts.

Sculpture by Akwesasne Mohawk artist Natasha Smoke Santiago, depicting a traditional Mohawk woman made from corn husks, insulin bottles, and hypodermic needles. This piece represents the rapid increase of cases of diabetes in the Akwesasne community, with the corn husks symbolizing the traditional foods that the artist wants her relatives to return to in order to regain their health. Photograph by Jessica Sargent. Caption by Elizabeth Hoover.
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