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pece_annotation_1474159268

maryclare.crochiere

" At just the moment when it seemed that infectious disease was about to be conquered, and that the critical health problems of the industrialized world now involved chronic disease and diseases of lifestyle, experts warned, we were witnessing a “return of the microbe.”"

" The aim of such techniques is not to manage known disease but to address vulnerabilities in health infrastructure by, for example, strengthening hospital surge capacity, stockpiling drugs, exercising response protocols, and vaccinating first responders. Approaches based on preparedness may not be guided by rigorous cost-benefit analysis. Rather, they are aimed at developing the capability to respond to various types of potentially catastrophic biological events."

"Security — the freedom from fear or risk — always suggests an absolute demand; security has, as Foucault wrote, no principle of limitation. There is no such thing as being “too secure.”51 Living with risk, by contrast, acknowledges a more complex calculus. It requires new forms of political and ethical reasoning that take into account questions that are often only implicit in discussions of biosecurity interventions."

pece_annotation_1480105126

maryclare.crochiere

"It is tempting for a medical social scientist to enumerate the cultural beliefs concerning thecause and workings of epilepsy, then compare these with beliefs in other societies. People of course reason about illness, and culture provides the logic of that rationality. I have resisted, however, focusing on the structure of reasoning. The transformation of these narratives and the modes of aesthetic response associated with stories into "beliefs" or "explanation" would be extremely misleading."

"I began this chapter with questions about the relation of "fainting" to "epilepsy" in Turkish culture provoked by Meliha Hanim' s stories about her illness. Through the course of our research it became clear that epilepsy belongs in popular discourse to the larger domain of "fainting." This should come as no surprise, not only because fainting is less stigmatizing than epilepsy in Turkish culture."

"Emine was silent. Her story was told exclusively by those around her."

pece_annotation_1474158865

maryclare.crochiere

There are four regions of microbial threats that the paper focuses on: emerging infectious disease; bioterrorism; life sciences; and food safety.

Huge increases on spending in the US on biodefense from millions to billions of dollars

Very general emergency response plans have weaknesses in that they are so quickly applied to any situation without considering what a specific region needs, has, or lacks.

pece_annotation_1480096435

maryclare.crochiere

"Among inhabitants of Kyiv and other urban centers, there is a growing consensus that the invalids are "parasites of the state, dam aging the economy, not paying taxes." Many youths who had been evacuated from the zone do not want to be associated with groups of sufferers as this association makes it more difficult for them to find employment.

"Another administrator who authenticated com pensation claims told me illnesses had become a form of currency. "There are a lot of people out of work," he said. "People don't have enough money to eat. The state doesn't give medicines for free anymore. Drug stores are commercialized." He likened his work to that of a bank. "The diagnosis we write is money.""

"Symon Lavrov, was well-regarded internationally for having developed computerized fallout models and calculating population-wide doses in the post-Soviet period. He told me, how ever, that "when a crying mother comes to my laboratory and asks me, Professor Lavrov, 'tell me what's wrong with my child?' I assign her a dose and say nothing more. I double it, as much as I can." The offer of a higher dose increased the likelihood that the mother would be able to secure social protection on account of her potentially sick child.""

pece_annotation_1473296561

maryclare.crochiere

" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."

"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"

" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"

pece_annotation_1477310454

maryclare.crochiere

" we aim to provide an overall picture of what we have learned from decades of research on the presentation, burden, correlates, and treatment of mental disorder following disasters. We also describe challenges to studyingdisaster-relatedpsychopathologyandlimitationsinourcurrentmethodologiesandoffer directions for future research."

"Childrenexposedtodisastersareparticularlyvulnerabletopsychologicalproblems,mostcommonly symptoms of anxiety (e.g., PTSD, panic, phobias) and depression but also acute stress reactionsandadjustmentdisorder(27).Elevatedvulnerabilityamongchildrenmaybeafunctionof their being less equipped to cope with what they have experienced (49)."

"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"

pece_annotation_1472661833

maryclare.crochiere

"The purpose of this essay is to discuss a truly formidable task, the creation of an international nuclear emergency response team"

This quote sets up the rest of the article by showing the reader, regardless of their background or knowledge, that the creation of such a team is going to be difficult.  Beyond the standard challenge of creating a unified emergency response team, it is an international one - therefore with language barriers, geographical differences, and large distances to travel in the case of an emergency. And futhermore, it is a team created to deal with the incertainty of nuclear materials in an emergency situation - even more of a challenge.

pece_annotation_1475257704

maryclare.crochiere

"Clearly, this criterion aimed to prevent people who came to France solely for the purposes of getting treatment for their illness from also acquiring a temporary residence permit and free health care under the medical assistance system. However, such situations were not uncommon"

"Precisely because he or she is illegally resident, the sick immigrant may undertake medical tests or seek treatment under a different name, so that the cost of treatment is coverd, or simply to avoid being denounced and deported"

pece_annotation_1474847625

maryclare.crochiere

"History shows that, with time, a given community of engineers and scientists has generally proven able to explain the technical particulars of a structural collapse. Yet, the demands placed in an investigation have as much, or more, to do with defining the dominant investigator and quickly addressing the fears and anger of the press, government, and an outraged public than they do with discovering the defiinintive technical truths of a catastrophic event."

"Steam power...utterly transformed American economic and social life in the 19th century. With this promising technology, though, arrived a whole series of risks, catastrophic boiler explosions being the most dramatic, and the deadliest."

pece_annotation_1480126269

maryclare.crochiere

"But more significantly, in addition to revealing the reproduction of inequality, the fissures rendered visible by the entry of gender-based violence into humanitarian missions force an engagement with new forms of the political. Humanitarianism’s mission has expanded so that it now occupies a dominant place in the global political arena – whether humanitarians asked for this or not"

"It seems that humanitarianism, as universalism,both erases and depends on difference; on the one hand, it manages difference, declawing it so that it doesn’t tear apart the humanitarian kit, made to fit and rehabilitate everyone into a basic bare-bones humanity. That is, it assumes that difference ultimately leads back to sameness: to some nondescript, generic human survival. Yet on the other hand, humanitarianism is necessarily built on difference – the difference between two populations – those who have the power to protect, and those who need protection66 – those who suffer, and those who recognise and address suffering"

"It seems that MSF workers assumed that sexual violence would bring a particular sort of shame, greater than that accompanying other forms of violence or brutality; and therefore that it should be kept quiet, confidential, in the private realm. This particular approach stems from the historically and culturally situated belief that a woman’s chastity is her most precious possession and that sexual violence is more significant than other forms of violence – of course,the question is whether it is equally significant for female and male, straight and queer."