This is a strong image precisely for the ways that it forces the viewer to confront the information in the previous slide on U.S. lead poisoning. In fact, playing with the order of the first and second image produces quite different readings depending on the order they are presented. It appears that given the theoretical thrust of the slideshow, it may be interesting to see how placing this image as the first image would create a discussion of the way we visualize toxicity in relation to lead (third vs. first worlds)– the author seems to suggest that this is an important narrative strand given that the current slide lists Flint.