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COVID 19 PLACES: ECUADOR

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This essay supports an upcoming discussion of how COVID-19 is unfolding in Ecuador and a broader discussion within the Transnational STS COVID-19 project.

Shuar Testimony

This audio was sent by Manuel Maiche, community leader of Kuamar, part of the Shuar territory in Ecuador.

Ecuador Place Essay Image

Image created with the use of a free image by Crystal Mirallegro (Unsplash website) for Ecuador's covid19 place essay

Image with rainforest trees on background

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Sara.Till

The program appears to be popular with both lawmakers and the public. Unfortunately, coverage of the organization appears to mostly come from articles about the founding physicians-- often in the form of alumni news. The foundation's home webpage does link to several outside articles and news sources involving relevant topics in prison health care. There also appears to be an on-going series in The Lancet focusing on HIV/AIDs, a main component of the Center's mission. Moreover, the Center seems to serve as a fantastic resource for the Warren Alpert Medical School students, as the school maintains a longstanding tradition of involvement in Rhode Island public health

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Sara.Till

Emily Goldmann, PhD, MPH: assistant research professor of Global Public Health at NYU College of Global Public Health. Previous research includes work within several public health consulting firms and employment in the NYC Department of Health and Mental Hygiene in the Bureau of Adult Mental Health; this work included surveillance of psychological distress, metal illness, hospitalization, and rapid assessment of mental health conditions following hurricane Sandy. 

Sandro Galea MD, MPH, DrPH: a Canadian/American board-certified emergency medicine physician and epidemiologist, Dr. Galea is the current dean of the BU School of Public Health and former chair of Epidemiology at Mailman School of Public Health (Columbia University). His research primarily centers on social production of health within urban populations, including mental health disorders such as mood-anxiety and substance abuse; extensive publications exploring health inequalities, epidemiology, and health within vulnerable populations. Dr. Galea has served on numerous boards and committees analyzing the consequences of mass traumas, including 9/11, Hurricane Katrina, and numerous international conflicts. 

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Sara.Till

1) Attawapiskat: This First Nation region is described in the article as one of the most isolate and remote. Further research indicates not only is it geographically isolated, but it lacks significant resources, resulting in a high cost of living and a scarcity in certain goods. Moreover, the region is serviced by a nursing clinic (no physicians) and a team of 8 paramedics-- truly an under-served medical region.

2) Aboriginal Healing Foundation: Our Catholic high school curriculum involved an ethics class, which debated the mistreatment aboriginals in the name of evangelicalism. I chose to research the foundation and determine what made this special-- why were they able to be cited as making such progress, despite losing funding in a few years.

3) Sheridan: A young girl who came to symbolize the suicide epidemic in Attawapiskat, she was 1 of over 100 who attempted to commit suicide within the span of 7 months. The Vice article describing her life and circumstances shows hints of an adolescent wise beyond her years, quoted as saying "if there's no resources, there's not going to be any change" in her suicide recording. 

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Sara.Till

The article focuses more on the fallacies of our current approaches to medicine. Dr. Kramer contends that the public would benefit from physicians melding their current factual approaches with anecdotal methods as well. Particularly, the field of psychiatry, which dabbles in processes of the brain not yet understood. While Dr. Kramer acknowledges it is necessary to have a well-defined approach, using "stories" allows for a more enriched judgement and remind practitioners of the vast differences in human experience.