Currently, I am a resident physician in emergency medicine at the University of Rochester, New York. I earned my MD from the University of California, Irvine, during which time I helped found the Orange County Needle Exchange Program (OCNEP). Much of my current work thus revolves around harm reduction and its intersection with emergency medicine.
I believe in solidarity, direct democracy, decentralization, and the inherent equality of all people. To me, harm reduction is the natural orientation that follows from these principles, and is in essence love channeled into public health. My hope for the future is that medicine increasingly follows along these lines and becomes more open, more free, and more liberatory in its practice.
My interest in medicine originates from my years working with the Bay Area Mountain Rescue Unit and other search and rescue agencies, and I continue to be in love with emergency, rescue, and humanitarian work in demanding, austere environments. Previously, I worked for San Francisco Suicide Prevention and as an Emergency Department Technician in a Bay Area trauma center.
I studied neurobiology as an undergraduate in the Department of Molecular and Cell Biology at the University of California, Berkeley. While a research assistant in Dr. Stratmann's lab in the Department of Anesthesia, University of California, San Francisco, I focused on the impacts of anesthesia on neurogenesis and memory. I've come to deeply regret the work that I did, which I don't think made enough impact to justify the animal suffering. I've since gone vegan and encourage other animal researchers to reconsider the value of each experiment.
I'm happy to talk about my work — if you have questions, feel free to contact me. I have outlines for most of the presentations I've given and would be happy to share them if they would help you.
This is a partial list — for a full listing, see my CV above. If you have any questions, would like to talk harm reduction, or if we can help your program, please get in touch with me. Many, many people helped OCNEP open, and we would love to help you.
I believe slides are best used as adjuncts to the talk and not the talk itself, so most of my slides are pretty spartan. If you're confused by what you're reading or you saw them out of context, feel free to email me and I'd be happy to give some context. My publications on related topics which are also below are likely to be easier to interpret if you weren't at the actual talk.
- Barbour K, Augustine D, Newark C (2018). Syringe litter: mythology, blame, and power. Presenter. National Harm Reduction Conference, New Orleans, 2018. parts 1 + 3: pdf/tex, part 2: pptx/pdf
- Barbour K, McQuade M, Brown B (2017). Students as effective harm reductionists and needle exchange organizers. Substance Abuse Treatment, Prevention, and Policy, 12(1): 15: pdf
- Barbour K, McQuade M (2016). Building a needle exchange in the desert: community, legal, and operational aspects of the Orange County Needle Exchange Program (OCNEP). Presenter. National Harm Reduction Conference, San Diego, 2016. pdf/pptx/m4v
- Showalter D, Barbour K, Wilson B. Volunteers, collectives, and outlaws: supporting informal harm reduction in a period of partial mainstreaming. Roundtable presenter. National Harm Reduction Conference, San Diego, 2016.
- Barbour K (2016). Landmark decision opens first needle exchange in conservative Orange County. Huffington Post. (mirror)
- Barbour K, McQuade M. Harm reduction as solidarity in practice. Invited presenter. University of Southern California School of Social Work, Irvine, 2016.
- Barbour K, McQuade M, Alarcón J, Ewald I, Brown B. Obstacles in harm reduction implementation: lessons from founding the Orange County Needle Exchange Program. Presenter. American Public Health Association Annual Meeting, Chicago, 2015: pdf/mp4
- McQuade M, Barbour K, Alarcón J, Ewald I, Brown B. Clean needles save lives: a conversation about needle exchange. Presenter. Substance Use Disorders Statewide Conference, Garden Grove, 2015: pdf
- Barbour K (2015). Harm reduction is essential to combat the addiction epidemic. Huffington Post. (mirror)
- Stratmann G, Lee J, Sall JW, Lee BH, Alvi RS, Shih J, Rowe AM, Ramage TM, Chang FL, Alexander TG, Lempert DK, Lin N, Siu KH, Elphick SA, Wong A, Schnair CI, Vu AF, Chan JT, Zai H, Michelle KW, Anthony AM, Barbour K, Ben-Tzur D, Kazarian NE, Lee JY, Shen JR, Liu E, Behniwal GS, Lammers CR, Quinones Z, Aggarwal A, Cedars E, Yonelinas AP, Ghetti S. (2014). Effect of general anesthesia in infancy on long-term recognition memory in humans and rats. Neuropsychopharmacology, 39(10), 2275 – 2287: pdf
- Ramage TM, Chang FL, Shih J, Alvi RS, Quitoriano GR, Rau V, Barbour K, Elphick SA, Kong CL, Tantoco NK, Ben-Tzur D, McCreery MS, Huang P, Park A, Uy J, Rossi MJ, Zhao C, Di Geronimo RT, Stratmann G, Sall JW. (2013). Distinct long-term neurocognitive outcomes after equipotent sevoflurane or isoflurane anesthesia in immature rats. British Journal of Anaesthesia, 110(S1), i39 – i46: pdf
- Honors thesis: Long-term effects of neonatal sevoflurane on recognition memory in rats (2012): pdf/latex
- Long-term effects of neonatal sevoflurane general anesthesia on rat hippocampally-mediated recognition memory (2011, poster): pdf/txt
Art and design
- Reasons, a fire art project about suicide
- Two Months, a poem of mine which won UC Irvine's 2015 School of Medicine Creative Writing Contest
- T-shirt designs: Surfer, MD, Art of Medicine symposium
- OCNEP logo
- Painted Chucks
- My buttons for the Mountain Goats
- Murals in Mexico, photographed in summer 2015
And from my life as a Lindy Hopper and swing dance organizer:
I've written a few simple pieces of code to help build this site and other things when I found the tools available poorly suited for what I needed. This site, and the RSS feed for the Annotated Mountain Goats, are generated with: