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As I’ve written on the blog before, comics are a powerful tool for use in health care. The growing community focused on the rich intersection of comics and health, illness, and caregiving is known as Graphic Medicine.

Comics have several roles to play in health-based research, such as an educational intervention to be evaluated, for example, this study of comics as a tool for emergency room education, or as a methodology for doing research itself.

Geriatrician Muna Al Jawad describes how comics are, for her, a research methodology. Image courtesy of the artist. See citation above.

In this post, I’d like to focus on comics as a valuable tool for communicating the results of our research. Thanks to the great work of medical librarian Matthew Noe, I became aware of a comic called “Randomized Control Trials: What Are They?” created by Martin Vuillème (working under the name Tekai).Tekai’s comics are predominantly made in French, a tradition of comics known as bande dessinée, or BD. This comic in the series illustrates this research study relevant to many nurses, questioning the value of inpatient routine three-day IV site rotation. (If the comic at the link above appears tiny, click on it and it will enlarge.)

Comic made about a research study on IV site rotation. For full citation see link above.

When I wrote to Tekai to express how thrilled I am with this work, he wrote, “I am pleased to know that you like them… although I’m sure my comics only look good due to few alternatives in the research-genre to compare them with.” He’s not right about it looking good only because there are few comparisons, the work is very strong. But he is right about the lack of work in this area. I can see so many applications for this kind of comic as an excellent way to disseminate our important research. Why is this kind of work so rare?

Perhaps it’s because health researchers are not considering comics as a legitimate means by which to communicate their research. We in the Graphic Medicine field hope to change that. The field of graphic journalism is growing, and health care reporting should take note. For a few stellar examples of graphic journalism, see this 2011 Atlantic article. Of special interest to nurses interested in policy and media work is number seven on that list, The Influencing Machine by National Public Radio journalist Brooke Gladstone, illustrated by John Neufeld.

A variation on the use of comics to translate research results are whiteboard videos, such as these examples by physician cartoonist Alex Thomas and health education specialist Gary Ashwal of Booster Shot Comics.

Another way comics can be useful in health research is to exemplify, using the power of narrative, the individual experience that a study seeks to illuminate. Consider this recent example comic by Aubrey Hirsch, “Medicine’s Women Problem” published last week on The Nib.

panel from “Medicine’s Women Problem” by Aubrey Hirsch. Link to full comic above.

There is much data to support the claim that women’s experiences in medicine are unequal to those of men, that is, that a gender bias exists in medical care. Hirsch cites several of these studies at the end of her comic. But it is her story, presented clearly, visually, and supported by data, that is uniquely revelatory and compelling.

Bottom Line: Consider building comics into your research plan. When applying for grants, include a budget for paying a comic artist to work with you. Bring a comic artist whose aesthetic you like into your work as early as possible. If you would like recommendations for partnering with cartoonists, or simply finding cartoonists whose aesthetic and background might match your research goals, here are a few resources for connecting with comic artist in your area.

You can contact cartoonist/health care practitioners via Graphic Medicine. You can be in touch with the place that confers advanced degrees in making comics, the Center for Cartoon Studies in White River Junction, Vermont. You can attend your local independent Comic expos, such as Small Press Expo (Bethesda), CAKE (Chicago), MOCCA (New York), MICE (Boston area), Short Run (Seattle), TCAF (Toronto), Alternative Press Expo (San Jose area). Walk the floor, see who is doing science-themed work, or whose aesthetic you might like, and strike up a conversation about potential collaboration.

As James Sturm, co-founder of the Center for Cartoon Studies in White River Junction, said when discussing Graphic Medicine and his school’s applied comics program, “Comics are a blowtorch. So far we’ve only lit a few cigarettes.”

As I’ve written on the blog before,

June and July have hosted many fantastic events across the United States in celebration and support of the LGBTQ+ (lesbian, gay, bisexual, transgender, queer, plus) community. As these events draw to a close, it remains important to keep human rights on the forefront of policy discussions. While many people promote and accept the LGBTQ+ community, oppression and discrimination represent significant challenges.

Russian law hosts some of the strongest discrimination towards the LGBTQ+ community. Homosexuality was classified as a mental illness until 1999 and gay rights forums were banned in Moscow until 2006. This past year at the Women’s March in Moscow, young people displaying rainbow flags were arrested due to “promoting” the LGBTQ+ community. Russia’s current view on LGBTQ+ issues has caused the government to continuously ban Moscow Pride since its original launch date in May 2006. Additionally, it remains illegal to distribute any LGBTQ+ related materials to minors.

In 2014, Russia passed an Anti-Gay Propaganda Bill that prevented LGBTQ+ children from accessing support groups and information by a 436-0 vote. This bill attempted to sever access to support resources for LGBTQ+ teenagers, including Children-404 and Gayrussia.ru. Children-404 helps by creating online forums for LGBTQ+ teenagers. They publish real, anonymous letters from Russian who share their lives, interactions, and experiences. Gayrussia.ru strives to assist the Russian LGBTQ+ community via initiating events and marches to raise awareness for the LGBTQ+ population. Gayrussia.ru has attempted to organize Moscow Pride marches, however this has been outlawed and deemed punishable via physical torture by the Russian government.

Gayrussia.ru’s motto, “Gay Equality, No Compromise,” perfectly shows their message and mission. These organizations are two of the many that demand change. They need help. Only the people of the world can bring about change. This issue cannot go unchecked and needs to be fixed NOW. If you aren’t convinced, go to Children-404’s website and read a few of their letters:

“Parents, when did you disavow your child? Why did you betray your determination to be there for them, to protect and support? Who are you to your child now, when you found out he’s different: a chastener, a ruthless judge, a detached boring preacher? You promised to love your child ALWAYS, WHATEVER HAPPENS, probably BEFORE HE WAS EVEN BORN, so why did you break your promise? Why do you demand from your child to be responsible for something you cannot change without causing harm? Are you sure you can change the sexuality of your grown-up children? Are you sure your life priorities are placed in the right order?”Anonymous Letter, January 16, 2015, Children 404

World humanitarian rights are typically championed by the United Nations. Currently, the United Nations allows member countries to individually ratify its edicts, including the one concerning LGBTQ+ rights. This contributes to the sluggish passage of humanitarian rights in many countries.  Additionally, many countries avoid passing certain edicts due to concerns regarding accountability for previous actions. Once a country passes a law or definition agreed upon by the United Nations, they are bound to acknowledge and respond accordingly. That action may require reparations, a formal apology, or sometimes more drastic measures as was the case when Germany formally accepted the UN’s definition of genocide after the Holocaust.

Russia is not alone. Just today, President Trump announced plans to ban transgender individuals from serving in the United States military. I am not proud that human rights are not always a first priority in many countries throughout the world. However, I’m hopeful that equity and equality will prevail when human rights are made the priority and love becomes the ultimate agenda.

This blog is authored by Sarah Lobo, high school student, human rights advocate, and HealthCetera intern. Sarah and her friend, Parker Russ, have created a video depicting the challenges of Russian LGBTQ+ youth.

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June and July have hosted many fantastic