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"The poor are the natural constituents of public health, and physicians, as Virchow argued, are the natural attorneys of the poor."

"Because of contact with patients, physicians readily appreciate that largescale social forces—racism, gender inequality, poverty, political violence and war, and sometimes the very policies that address them—often determine who falls ill and who has access to care."

"The term “structural violence” is one way of describing social arrangements that put individuals and populations in harm's way"

This article didn't really have anything related to emergency response in it;however, I did look at how initial treatment following an exposure to HIV can decrease your chances of it taking hold in your body.

The authors support their argument by referencing a study that showed that race was associated with how quickly one received therapeutics. They also referenced that PIH was able to help in Haiti by introducing a model of care in which the patients chose someone to assist them by delivering drugs and supportive care in their home. This person would live nearby and was seen by some as a very effective way to remove barriers to care for AIDS and other chronic diseases in impoverished environments. They also say by removing issues like access to clean water that impoverished areas see, MTCT rates of HIV decreased.

The citations ranged widely. Many of the citations at the beginning of the article seemed to not be related to treatment as much as they were to social issues. There were also several articles that the authors referenced that the authors had written previously. Finally, there were also articles relating to treatment and statistics based on different treatment strategies on micro- and macro-scales. These citations show that the authors may have a decent support in social reform. I'm not sure how common it is to cite your own works as fact in academia, so I will withhold comment on that.

This article argues that when examining the spread of disease, fighting biosocial aspects are as important as fighting the biological aspects. The authors argue that structureal violence, which is introduced by inequality leads to premature death and disability. By "resocializing" we can prevent diseases such as TB and AIDS from staying diseases of the poor.

This article was published on PLOS.org and has been viewed over 96,000 times and has been cited over 175 times. An attempt to access the exact articles in which it had been cited was made, but that information was hidden behind a paywall.

Paul Farmer is the chair of the Department of GLobal Health and Social Medicine at Harvard Medical School. He is an expert in health care services and advocacy for those who are sick and in poverty. He doesn't appear to be situated in emergency response; he seems to be much more on the follow-up months or years later. Dr. Farmer has myriad publications of relevance to the Network, and his research foci are mostly regarding establishing high-quality health care in resource-poor environments. (http://ghsm.hms.harvard.edu/person/faculty/paul-farmer)

Bruce Nizeye works as the Chief of Infrastructure for PIH in Rwanda. It appears that his expertise is in physical constructs. I could not find how he was situated in emergency response, but it appears that he takes a role on the back side of disasters, much like Dr. Farmer. (http://www.pih.org/blog/the-voices-of-our-colleagues/)

Sara Stulac is an Associate Physician in the Division of Global Health Equity at BWH. She is also the Deputy Chief Medical Director for PIH. She seems to be an expert in pediatrics, specifically HIV care and prevention and oncology. Like her other authors mentioned on this page, she does not seem to be directly involved with emergency response. Her research foci are mostly not related to emergency response, but dealing with non-emergent pediatric care. (http://www.brighamandwomens.org/Departments_and_Services/medicine/servi…)

Salmaan Keshavjee is a professor at HMS and a physician at BWH. He has conducted research on post-Soviet Tajikistan's health transition and worked on an MDR-TB treatment program in Tomsk, Russia. Rather than emergency response, Dr. Keshavjee seems to be focused on epidemiology like his co-authors. He has a number of research foci including MDR-TB treatment and policy, health-sector reform in transnational societies, the role of NGOs in the formation of trans-border civil society, and "modernity, social institutions, civil society, and health in the Middle East and Central Asia. (http://ghsm.hms.harvard.edu/person/faculty/salmaan-keshavjee)

Emergency response isn't addressed in the report at all. The only area that could be claimed to be touched on is access to emergency prophylaxis for HIV by those in poor areas.

The authors pulled information from a variety of sources and tools. They pulled from information procured by their non-profit, Partners in Health as well as from other research articles. Some of them are also on the ground level, treating and interacting with patients who are symptoms of their structural violence argument. These patients are able to provide first-hand information to the authors.