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ciera.williams

In the case of this study, the vulnerable population examined was healthcare workers in Sierra Leone during the outbreak. These workers were found to be at a significant level of risk for transmission for a number of reasons. These include proximity to the virus (due to the occupation), lack of training in the area of infection control, and cultural factors (such as prevalence of self-medication and home management of illness). Nurses as a whole were most affected, with over half of the infected members. 

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tamar.rogoszinski
  1. I first looked up travel to and from Liberia during the Ebola outbreak, since it had been seized. There was a ban, which has since been lifted after, but people coming to and from West Africa are still screened and recommended to visit physicians. As of mid-2015 there wa still a 21 day monitoring period needed. http://www.infectioncontroltoday.com/news/2015/05/cdc-downgrades-travel…'
  2. I was interested if there had been any progress on treatment for Ebola, but found that the main form of treatment is supportive care. Doctors are informed to provide IV fluid and ensure that the patient's immune response and other bodily functions are functioning properly. A vaccine is being worked on but has not gone through a trial to prove safety and effectiveness. https://www.cdc.gov/vhf/ebola/treatment/index.html
  3. I looked further into the vaccine being produced for Ebola. Currently, there is a combined phase 2 and phase 3 trial occurring in Sierra Leone called STRIVE (Sierra Leone Trial to Introduce a Vaccine against Ebola). The study is unblinded, so patients know whether or not they have received the vaccine. The vaccine is a rVSV-ZEBOV, or recombinant Vesicular Stomatitis Virus Zaire ebolavirus vaccine. This vaccine is also being used in phase 2 and phase 3 trials in Guinea and Liberia http://www.cdc.gov/vhf/ebola/strive/qa.html

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tamar.rogoszinski

This report includes Recommendations towards the end that provides an analysis of the data collected and ways in which these can be improved and fixed in the community. Some include that insurance companies should cover transgender-related health care, ways to end violence against this community, that medical providers should avoid bias and provide proper, equal care, and that more data needs to be collected and obtained to continue in the fight against discrimination.

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ciera.williams
Annotation of

As far as persuasive goes, the entire film was very convincing of the fact that the doctors were under-resourced and over-worked. The part where the doctors were trying to perform a surgery and didn't have the right kind of drill to relieve the pressure in the brain was pretty compelling. Here we would never consider drilling into someone's brain without the proper sterilization, apparatus, or drill, but in such a low resource clinic, its the only option. That just shows how desperate the doctors were to perform their craft andbest serve their patients. Another part that was convincing was the portion where the doctors argued about reusing gloves. It was a bit hard to understand the argument, as the concept is just baffling to me as a hcp, but the fact that they had to disagree over washing and reusing gloves is proof of their desperation.

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tamar.rogoszinski

While this policy doesn't directly address public health, it does concern the rights and protection of displaced persons. They recognize the stressful situations that refugees are in and that welfare resources will be needed to help them. They discuss housing rights and rights to public education. While these might not be medical treatments, they would help with public health and are associated with overall well-being of these refugees. 

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ciera.williams

The article explains how a team of medical staff treated (and consequently killed) a number of patients following the flooding of a hospital in New Orleans. The staff in question overdosed the patients to put them out of their pain as they saved other patients who were more likely to survive. The article calls into question the process of triage and how we go about it. Who has the authority to make these decisions, and what lines do we draw between ethics and compassion. The article provides a play-by-play of the events leading up to the flooding, and relevant policies that existed and have been created related to this incident. 

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tamar.rogoszinski

Because this is an academy, it does have tuition and fees. They are outlined as: Tuition, per credit hour: $981. Academic Support Fee, per semester: $420. Additional Fees (mandatory):$590 -- (Student Activity: $120, Health Center: $320, Reily Center: $150). Medical Insurance, per academic year: $3,030. Assuming people don't waive the medical insurance, take 16 credit hours (as is the norm for RPI), the yearly cost is: $20,156. 

The Provost's Office provides students up to $500 for travel needed to present a poster or paper at a conference. There are other opportunities to be granted money with the purpose of travel for conferences or training opportunities. 

Other than this information, I could not find who else would fund this academy. I can assume that Tulane takes on part of the burden as well as governmental agencies in their partner countries.