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Analyze

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Sara.Till

1) Definition of humanitarian crisis: This article denotes a multitude of situations, all of which seem to have a drastic effect on human health and well-being. That being said, some crisis or armed conflicts are not deemed a humanitarian crisis. According to several sources, the definition is incredibly subjective, and must be event(s) which harm the health, safety, or well-being of a community or large group of people.

2) Humanitarian worker protections: At this time, there does not seem to be a true movement to legally prosecute those who harm humanitarian or aid workers. However, within the Geneva Convention and later Protocols, there are legal protections for non-combatants during armed conflicts; this is in addition to a UN Security Council Resolution (1502) which gives greater protection to aid workers, classifying attacks on them as a war crime.

3) Non-combatants: This is where definitions of humanitarian aid workers and their protections under both the Geneva Convention and UN Resolution fall apart. The current climate and disregard for international sanctions has left many aid workers at the mercy of those who do not recognize the UN or global entities. As such, they are faced with the choice to remain non-combatants (those who do not carry or use a weapon during a conflict) and most likely be harmed; or to carry defensive arms and proclaim themselves a combatant, and thus be a target. Hence, the difficulty in being a health care worker in an age of general militarization. This is also a topic heavily discussed in the book Trauma by Dr. James Cole. As a member of the special operations, Dr. Cole was always well within danger; he discusses the choice to carry or not carry a weapon, and how discharging the weapon (even in self-defense) changes the nature of the health care provider and their position in an armed conflict. 

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Sara.Till

1) DOTs: I chose to look into the TB-control program cited by Paul Farmer and several other global health experts. While this is a minute detail, it seems to be a program which encompasses everything wrong with our current model of biosecurity.

2) Doctors without Borders: Despite reading about this organization multiple times, I've yet to do in-depth research on its goals and capabilities. Recent information seems to indicate DWB (or MSF) struggles to be effective in a long-term way in many of its projects.

3) BSE and food safety: It's been quite a while since mad cow disease has reared its misfolded protein head, but it remains a speck on the public health radar. How agencies balance BSE outbreaks and public opinion can often indicate their level of success, both in terms of job fulfillment and ability to minimize public panic. 

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Sara.Till

1) MSF policy on neutrality: One of the main aspects of humanitarian aid is to remain removed in the conflict at hand, thus assuring unbiased help towards all individuals involved. This comes from neutrality, a tenant stating that MSF and other humanitarian agencies working under MSF will not "pick" or join one side of the conflict nor will they grant a side an advantage. 

2)MSF operations head arrest: At the time of the Sudanese conflict, the Dutch branch of MSF released a report decrying the severe sexual violence perpetrated during fighting. This, in turn, led to the imprisonment and charging of MSF head of mission, Paul Foreman. The MSF report was read in the 2005 Annual International General Assembly, entailing the ongoing violence against women in the Darfur conflict in an attempt to raise awareness about the continued issue. 

3) Darfur Conflict: An major armed conflict started in 2003 with the rebellion of several liberation movements (SLM & JEM) against the Sudanese government. The violence reached a cease fire in 2010 where talks began, propagated by Doha mediators, but an agreement was never met. Thus, violence has continued through 2016, including a chemical weapon attack in September.

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Sara.Till

1) Partners In Health: Mostly known for its work within Haiti and its attempts to alter WHO tuberculosis protocols, this agency appears to be spreading into other international protocols as well. It would be interesting to see what other areas and epidemics they are currently focusing on. 

2) Breast feeding is cited as being a factor of mother to child (MTC) HIV/AIDs transmission. For whatever reason, there seems to be a certain fixation with the "Breast is best" ideology. I would be interested to see where and why this ideal started.

3) As is discussed in the article, the PIH model heavily relies on instituting proximal healthcare into these areas. This, within itself, seems to have a huge impact on serving needy areas. It would be interesting to see how mobile clinics and proximal care during an ongoing disaster effect patient outcomes and care.

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Sara.Till

1) Hocas: an anglicized ottoman-Turkish word meaning "master, professor, teacher"; it evolved from "khawaja", and is an honorific title given to a teacher of the Muslim faith, particularly a sufi teacher. 

2) Tonic-clonic seizure: formerly described as "grand mal seizures", they include two sections (hence the "tonic" and "clonic"). The tonic phase includes the initial rigor and consciousness, while the clonic phase is the characteristic muscle spasms. These phases each last around 1 minute and 3 minutes, respectively.

3) Jinns: anglicized to "genie", this is the term for a supernatural creature in the Muslim faith. Many of the patients interviewed in Dr. Good's work spoke of a terrifying event prior to the onset of their epilepsy, often involving the presence of a "jinn". 

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Sara.Till

1) Current INPO activities and chain of command, an organization that seems to be morphing from a quiet regulator of US nuclear industry to a proponent for international organization.

2) Further research into Three Mile Island incident, which is widely recognized as being a significantly smaller nuclear emergency. Yet, the aftermath of the incident highlighted tensions between public information, environmental concerns, and the need for more nuclear regulation.

3) France is noted by Dr. Schmid as being an international leader in nuclear power, a major surprise to me. I chose to explore this topic more, to see whether this has had any impact on French culture and environmental regulation.

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Sara.Till

1) PFA: the article currently contends that most governmental agencies use this 3-pronged approach to mitigate effects after a disaster. I'd be interested in learning which agencies do not use this approach and what their alternative strategies may be.

2) Resilience: this is a term specifically described in the article, detailing the phenomena of how some individuals manage to survive horrific disasters but are devoid of psychological symptoms after. As a relatively new concept, not much is understood at this time. However, much of PTSD, MDD, and other post-traumatic mood disorders focus on traits predisposing an individual to develop the disorder-- I'd be intrigued to know what traits (if any) predisposed resilience.

3) Cocoanut Grove night club fire: a disaster event I had never heard of, was the deadliest nightclub fire in American history. Almost 500 perished, and hundreds more were injured. This, apparently, led to a huge tightening of fire and safety protocols throughout the US

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Sara.Till

1) Jean-Pierre Chevenement:  a key player in passing this immigration legislation, the leader has since stepped away from the political scene after running for the presidency in 2002. As the sitting minister, Mr. Chevenement has been described as a key member of the left; I'd be intrigued to see what other pieces of legislation he has worked on

2) Didier Fassin: Dr. Fassin, a reigning expert in french state anthropology, appears to bring an element of medical background to his analysis. Obviously, he seems to be a well-respected member of the anthropological community-- where and what other projects he has on-going would be interesting 

3) French healthcare: this type of legislation obviously puts a tremendous amount of strain on the general healthcare; depending on the system utilized by the French state, this could have a detrimental effect on the quality and timing of care delivered. 

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Sara.Till

1) NIST: The National Institute of Standards and Technology, a federal agency primarily charged with promoting innovation and industrial competitiveness. In the wake of 9/11, FEMA chose this institution as the leading body in the investigation. This choice seems odd, as NIST is not a regulatory agency; what this agency exactly accomplishes would be interesting to know.

2) ASCE: Prior to reading this article, I had never heard of the ASCE. It serves as a representation of Civil Engineering for American engineers. I'd be intrigued to know their role in worldwide disasters. 

3) War of 1812: Nobody knows what happened during this war; literally the most misunderstood war in American history, yet it serves as a main point of contrast for this article.