Analyze

pece_annotation_1474057189

seanw146
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In response to

1)            In domains of biosecurity: bio-terrorism (smallpox, anthrax, etc.), emerging infectious diseases (AIDS, tuberculosis [TB], malaria, etc.), life science (intention production of various deadly organisms for research or otherwise), and food safety (animal borne pathogens and diseases like mad cow, E. coli, etc.)

2)            Global health and emergency response: The DOTS (Directly-Observed Treatment, Short-Course) program failed in several areas to be a service-ready anywhere in the globe for drug resistant TB in places like Georgia. The strict regulations in treatment did not account for the variance in doctor training and practices in this area of the world. Its rigidness led to the breakdown of the protocol adherence.

3)            Health security and modernization risks: As the world modernizes, we generate new risks that need to be addressed. For example, in the 20th century, the technological and system advancements in agriculture and food processing have aided in consistent and increased food supply, but also introduced new problems such as sanitation practices and diseases that led to the creation of the Food and Drug Administration and the expansion of the Department of Agriculture.

pece_annotation_1473550345

seanw146
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In response to

1)            Factors affecting disease (HIV/AIDS) outcome in different biosocial settings are radically different despite similar, established “risk-factors” in lifestyles/behaviors for individuals. This is because biosocial factors play an important role that is far often overlooked by current medical systems and policies.

 

2)            mother-to-child transmission (MTCT) of HIV, antiretroviral therapy (ART) and infant formula (preventing pediatric aids transmission through mother). MTCT of HIV is driven through universal breastfeeding being mainly pushed by the existing medical structures of the local and international healthcare policy makers. They claimed that the difficulty giving access to infant formula in rural areas and stigma around signing up for an HIV project doomed it to failure; however the projects in Rwanda and Haiti proved otherwise, when the structural “violence” was addressed. This was done mainly by giving both distal and proximal support and care as well as addressing the other social-economic barriers to good medical care in these communities.

 

3)            When locals, who are much more aware of the areas biosocial setting, implications and problems, are utilized in the medical system, the results are multifold. Proximal care provided by an accompagnateur not only reduces barriers to care such as traveling to a hospital for basic medicine, but also creates jobs that contribute to raising the quality of life which is another major factor when examining structural “violence”.

pece_annotation_1472748570

seanw146
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In response to

1) Fukushima proved current standard ineffective. Fukushima was the worst nuclear accident since the Chernobyl incident over 25 years ago. Hundreds of thousands of people had to be relocated due to the radiation leaks—many to this day. The effects of the hundreds of thousands of gallons of radiation contaminated water released into the ocean are still not fully known.

                2) International groups called for agency to enforce as no current candidate is feasible. IAEA is large enough but not fully trusted to be the host as it promotes nuclear use and appeared to praise TEPCO and the handling of the Fukushima incident. The World Association of Nuclear Operators (WANO) is a better candidate but still faces the problem of appearing as a secretive organization keeping its member companies confidential. WANO also currently lacks the size and resources to build an international nuclear disaster strike team.

                3) The author stresses that good communication and cooperation are required for success of such an organization. For a response team to work at the international level, sharing of different countries’ reactor designs and other various trade secrets would be crucial. The expertise from operators, responders, and other professionals who have had hands-on experience from Fukushima and other nuclear disasters. It would take a sizable amount of funding for such an organization and maintain the capabilities as the author described. 

pece_annotation_1476076646

seanw146
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In response to

1)            Personal trauma: this includes not only the direct, immediate effects of the disaster but also the long-term mental and physical effects from the disaster.

2)            Way of life disrupted “disaster capitalism”: the next part of the syndrome includes business taking advantage of the situation for profits; the main case being private companies profiting off of federal funding to rebuild the homes and lives of the citizens who were affected.

3)            Displacement: the well-off are able to relocated after the disaster has ended but for those less fortunate, there permanent effects are worse, and there is little they can do to relocated to their homes and communities after the superficial aspect of the disaster have ended.

pece_annotation_1480299848

seanw146
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In response to

1) International courts came to agreement that gender based acts of violence, such as rape, constitute a crime against humanity.

2)  When gender is erased from the picture it removes the why, what, and how of the incident as well as ting to be uniform in care but also recognizing biological differences between men and women, gender differences and how that changes treatment, care, and outcome.

3) Human rights activists have been championing to address violence against women since the 1980s which later turned into “gender based violence” so that it would broaden the scope to include any gender. 

pece_annotation_1474904817

seanw146
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In response to

Dr. Knowles points out the structural failures of the World Trade Center due to steel beams and poor fireproofing material. Dr. Knowles connects the burning of the Capitol Building in 1814, the 1850 Hague Street boiler explosion in NYC, and Chicago’s Iroquois Theater Fire of 1903 to convey the different aspects of a structural disaster. The Capital Building focused on the investigation, the importance of the sentimental value of the building, and rebuild it as well as the difficulties involved with doing so. The Hague Street Explosion investigation attempted to pinpoint the root cause of the disaster, but after thorough investigation there were many failures at many different levels which led to the ultimate failure. The Iroquois theater fire revealed issues with public policy, regulation compliance, and public perception in addition to its investigation.