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pece_annotation_1479089077

Andreas_Rebmann

“During our interviews in Turkey, many of the conversations we had - with those suffering seizures, with family members, persons in the community, and health care providers - were made up largely of stories. We were told stories of the sudden and shocking onset of seizures or fainting, of particularly dramatic episodes of seizures or extended loss of consciousness, of years of efforts in which families and individuals engaged in a quest to find a cure, of especially memorable interactions with physicians and with religious healers, and of experiences at work, with friends, and, for example, in marriage negotiations that were influenced by the illness.”

“The same issue was raised in our attempts to elicit a "history" of the illness _ again, a problem shared by physicians who attempt to elicit a clinical history. The stories we heard were life stories, and the temporal structure was organized around events of importance to individuals and families.”

“Narrative is a form in which experience is represented and recounted, in which events are presented as having a meaningful and coherent order, in which activities and events are described along with the experiences associated with them and the significance that lends them their sense for the persons involved. But experience always far exceeds its description or narrativization.”

pece_annotation_1473603779

Andreas_Rebmann

There is no evidence that corpses cause or spread disease following a natural disaster. There would have to be more direct circumstances for potential damage from corpses.

The risk associated with epidemics is correlated to the population displaced and affected by infrastructure.

The most commun post-natural disaster diseases are related to water contamination and crowding. While corpses could potential contaminate water, because the population is displaced the corpses likely won't contaminate the new water source, but the overcrowded displaced population will. Some of such disease include Hepatitis A and E, Leptospirosis, and measles. Meninginitis and Acute Respiratory Infections can also develop if vaccinations are not prevelant there.

pece_annotation_1479089050

Andreas_Rebmann

Good begins with explaining his own experiences working with patients suffering from epilepsy in Turkey, and his struggle to better understand the history of their illness

He then proceeds to give an in-detail explanation of one such patient, going into the specifics of the lack of clarity, and explaining the cultural connotation of different aspects of the patient-provided story, explaining why they might be muddled or less than accurate.

Next he looks at the work of others in the field, trying to get a better way of assessing the experiences of others and understanding their narrative without knowing everything they know.

 

pece_annotation_1473603896

Andreas_Rebmann

Negligible risk for epidemics after geophysical disasters

Narrative review: tetanus—a health threat after natural disasters in developing countries

Infectious diseases following natural disasters: prevention and control measures

Use of mobile phones in an emergency reporting system for infectious disease surveillance after the Sichuan earthquake in China

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Andreas_Rebmann

Dr. John Watson, the primary author of this study, works for WHO as a medical epidemiologist with the Disease Control in Humanitarian Emergencies Program (this program is the one providing technical and operational support for the study). In his work, he particularly studies respiratory disease and tuberculosis, focusing on surveillance, prevention and control. He is a Chairman of the International Society for Influenza.