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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_1474926682

maryclare.crochiere

The government should not edit the EPA's notices and warnings.

There should be far more safety information given to first responders and people living/working in a dangerous area. If they are not actively saving lives, they should not be risking their own lives - like in the rubble cleanup for 9/11.

pece_annotation_1480094764

maryclare.crochiere

This article finds that the people living in the area of the Chernobyl disaster are still experiencing the aftermath of the situation. Due to the health and financial results of the disaster, they have become dependent on the infrastructures that can help them, such as the healthcare system. This prevents them from making independent decisions, or moving anywhere that would reduce their ability to recieve help.

pece_annotation_1480106743

maryclare.crochiere

Laura Garro is a professor of anthropology at UCLA, so this shows her extensive background in athropology, and indicates that she writes this article with that sort of background, rather than a medical one.

pece_annotation_1472924647

maryclare.crochiere

The main point is the lack of justice for Haiti in this rebuild process. They got huge amounts of dontions from all over the world in hopes of rebuilding the country to be better than it was. Insead, the vast majority of the money is not being spent in the right ways, and much of the spending is not being done in the most economical ways. The ways that the companies are going about rebuilding is much more wasteful than it has to be, thus using more of the money and preventing it from going as far as it could.  Additionally, the UN has created a cholera epidemic in Haiti and is not being held accountable for cleaning it up.