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pece_annotation_1473625831

joerene.aviles

Emergency response isn't explicitly addressed in the article, but in order to incorporate structural interventions into public health, emergency response would have to be improved as well. As the article states, there are many "diseases of poverty" and medical emergencies would be more common in those populations. Noting these trends can streamline medical response and help with providing education/ resources to prevent emergencies.

pece_annotation_1473634380

joerene.aviles

1. Multi-drug resistant HIV and impact to treatments and research

2. Rudolph Virchow and his work in public health

3. "In the two rural districts of Rwanda in which the PIH model was introduced in May 2005, an estimated 60 percent of inhabitants are refugees, returning exiles, or recent settlers; not a single physician was present to serve 350,000 people." -looked up how this came to be; was there any healthcare available to them at all?

pece_annotation_1473624574

joerene.aviles

While the practical yield of such circumscribed inquiry has been enormous, exclusive focus on molecular­level phenomena has contributed to the increasing “desocialization” of scientific inquiry: a tendency to ask only biological questions about what are in fact biosocial phenomena [1].

What would happen if race and insurance status no longer determined who had access to the standard of care?

Sometimes public health crises, such as the AIDS pandemic in Africa, can lead to bold and specific interventions, such as the campaign to provide AIDS prevention and care as a public good [54].

In this struggle, equity in healthcare is our responsibility.

pece_annotation_1473624286

joerene.aviles

The main argument was that there are "biosocial phenomena" or "structural violence" that lead to the tendency for certain diseases or lack of treatment in populations, particularly those in poverty. Their three major findings were: they can make structural interventions to "decrease the extent to which social inequities become embodied as health inequities", proximal interventions can reduce premature morbidity and mortality, and structural interventions "can have an enormous impact on outcomes.

pece_annotation_1473626291

joerene.aviles

Almost all of the references cited in the bibliography were taken from Google Scholar, implying that the authors used this database to collaborate on the article through the internet. Many of the articles cited were from Paul Farmer's own works, so he also seems like the main contributor to the article.  

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joerene.aviles

Bruze Nizeye and Sara Stulac both work with Partners in Health (founded by Paul Farmer) while Salmaan Keshavjee is a physician and researcher whose expertise is in multi-drug resistant tuberculosis and global health. Farmer's and Keshavjee's anthropological research in particular is important to emergency response because it would allow for improved preparation of treatment to those communities. Their work in seeing the social causes of health epidemics would also allow for better prevention of disasters.