This article used data from Baltimore about AIDS care, and the authors' research in Rwanda, discussing results from the Partners in Health structural interventions and comparing them to produce their claims.
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?
This article used data from Baltimore about AIDS care, and the authors' research in Rwanda, discussing results from the Partners in Health structural interventions and comparing them to produce their claims.
Looking on Google, this article has been referenced by a University of Washington anthropology professor (http://www.washington.edu/omad/ctcenter/projects-common-book/mountains-…) and in the book "Viral Mothers: Breastfeeding in the Age of HIV/AIDS".
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.
The argument is supported by findings from other research articles for HIV trends in impoverished populations in Baltimore in the 1990s, Partners in Health research in Rwanda and Haiti, and analyses of PIH's structural interventions (in "The Lessons of Baltimore, Haiti, and Rwanda" section).
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.
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.
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.
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.