Analyze

The main point of this article was to display the inner workings of Rikers and what it is like within the walls. Factors such as weather conditions, solitary and its effects on mental and physical health, mistreatment, pollution and other environmental aspects, internal dangers and abuse are some of the things discussed and revealed within this article. These overall main points are supported through facts and figures, as well as first hand testimony from those that have spent time at Rikers, recounting their stay there and the conditions in which they lived in. 

1) The article begins by articulating the four domains that "biosecurity" supposedly encompasses. Yet, even just by looking at these four domains with a basic knowledge of current events, one can understand these are all far from having any sense of stability. Just recently, more reports emerged of use of chlorine gas and other agents against citizens in Syria. Reluctance to vaccination has led to a re-emergence of measles and pertussis across the US. 

2) Increase awareness and attention does not always result in cooperative and cohesive actions. While there may be movement to address certain issues, this does not always encompass details of how to attack certain public concerns. One of the main examples cited in the article was a small pox scenario termed "Dark Winter". Here, officials struggled to gauge the possibility of a small pox bioterrorism attack with the cost and effect of the small pox vaccine-- which can result in death. The conflicting results of the scenario between healthcare personnel "on the ground", government officials, and the CDC's difficulty in gauging a credible threat level led to a dismissal of the program.

3) Many of the approaches by global agencies touted as medical agencies primarily center on emergency response protocols. This modality prepares them for quick, short responses to emergency problems, while neglecting long-term intervention. The article argues this approach is preferred because of the galvanizing, global responses emergencies have-- they garner attention and resources quickly, while long-term problems do not. Additionally, short-term presence is far easier to prepare for than implementing long-term solutions to medical scenarios. 

The article utilizes first hand testimony from those living in new Orleans that lived through the disaster and were evacuated, documenting their hardships faced. The article also cited different government agencies as well as different papers and organizations for statistics on post disaster government funding, emergency response and preparedness.

The article discusses the provocation for the declaration of a "Suicide Crisis" in the Attawapiskat First Nation, and how this is not the first time a crisis has been declared with little to no result. The idea of mental health is still highly stigmatized, with movement just now occurring in federal chambers; the news article seeks to highlight how the stigma and lack of response only amplifies when you look at vulnerable populations, such as North America's native communities. It also highlights how much of the supposedly shocking information coming from this inquiry and crisis (the high percentage of suicides and attempts, the proliferation of depression and mood disorders, and the the lack of productive action or conversation) has been known for at least 20 years when the Royal Commission on Aboriginal People was released. 

Several sources are utilized in compiling Dr. Knowles' argument. Much of the historical information comes from first-hand accounts provided at the time and compiled for posterity. A good portion of information also emerges from news articles produced in the wake of the event. This includes interviews and press releases. Historical court documentation and correspondences between parties are used for depiction of events and subsequent investigations. Several aanalysis pieces by historians also appear to be used. When discussing the parallels between scenarios, Dr. Knowles relies on his own logic to fully connect the events.

"Health care service delivery may be challenging in the post-disaster environment and often requires coordination and cooperation among levels of government, health services programs, schools, media, and community organizations  "

"The first challenge lies in identifying the correct sampling frame, which generally comprises all persons affected by the disaster. The sampling frame may be even more difficult to identify in natural disasters, when the geographic area of impact is larger and less defined."

"The second challenge lies in finding potential participants and completing interviews. Widespread displacement and communication breakdown may make it difficult to reach per- sons who have experienced the disaster, and if they can be reached, they may be consumed with recovery efforts and may not agree to participate in research .  "

"Psychological first aid (PFA) has become the preferred post-disaster intervention, with three goals: Secure survivors’ safety and basic necessities (e.g., food, medical supplies, shelter), which promotes adaptive coping and problem solving; reduce acute stress by addressing post-disaster stressors and providing strategies that may limit stress reactions; and help victims obtain additional resources that may help them cope and regain feelings of control.  "

1) "The inclusion of a single anecdote in a research overview can lead to a reprimand, for reliance on storytelling."

2) "Because clinical observations often do pan out, they serve as low­level evidence — especially if they jibe with what basic science suggests is likely. To be sure, this approach, giving weight to the combination of doctors’ experience and biological plausibility, stands somewhat in conflict with the principles of evidence­based medicine"

3) "HERE is where I want to venture a radical statement about the worth of anecdote. Beyond its roles as illustration, affirmation, hypothesis­builder and lowlevel guidance for practice, storytelling can act as a modest counterbalance to a straitened understanding of evidence."

The article pays tribute to the development of immigrants into French residency due to medical issues. Should an immigrant have a serious medical condition, and be unable to procure adequate medical care in their home nation, they would be given residency. This was a curious ascent for immigrants in status; the loss of immigrant workers as an integral portion of the economy had led to a general public distaste for immigration.

The very nature of the law made it very subject to individual interpretation-- creating divisions within the health care system. Fassin notes some instances where this interpretation caused the law to fail; discontinuity between medical professionals created situations where similar conditions were met with opposing decisions. Moreover, as cited by Fassin, this also led to several scenarios where doctors allowed their personal opinions on immigration to sway their decisions.

Since the report was published by the IAEA, which is an intergovernmental forum for scientific and technical cooperation of nuclear technology worldwide, it can be considered a government report.