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pece_annotation_1475374712

ciera.williams
Annotation of

I was unable to find the number of currently active field missions for MSF, but I found information on the process of working for MSF. Each year they send about 2500 international aid workers (not just doctors) to many countries. These people are put alongside locally hired medical personnel to complete the missions. The process for becoming a volunteer is a bit long, with lots of requirements. Candidates need experience in their discipline, experience in management/ teaching, language skills, and previous experience in a humanitarian environment. From the film, it didn't seem that all the doctors had this experience, namely Davinder. MSF also likes that candidates have profficieny in French.

While looking at the FAQs on the US website, I found an interesting portion regarding care facilities and missions in Gaza, the West Bank, and Jerusalem. The MSF has a section defending their care in that area, but it is posed in the form of questions like "Why are you taking sides? You seem biased" or "Why are you getting involved in this but choose to stay neutral in other conflicts around the world?" It just strikes me as strangely unprofessional to have it phrased that way. The answers also seem very defensive in a reactionary manner. I just honestly thought it could have been phrased better or not included at all. It is information that maybe a few people might find useful, but would be better placed in a press release or answered by a recruiter.

I also learned that, interestingly enough, 90 percent of the medical professionals are local rather than international. They are trained by the international staff so as to provide a continuity of care. The film didn't really portray that fact, and made it seem like the clinic would have nearly no staff once the international doctors left.

pece_annotation_1478495321

Andreas_Rebmann

This is a Liability policy related to First Responders' that aims to enable first responders to aid peoples during the effects of a biological or chemical hazard without delay by allowing for first responders to ignore potential contamination spread in order to prevent loss of life. Once the situation is stabalized the previous protocols become active again in order to protect the environment and community.

pece_annotation_1479089438

Andreas_Rebmann

Readers, however, often used the books for a different purpose:
identifying depression. Regularly, I received — and still receive — phone calls: “My
husband is just like — ” one or another figure from a clinical example.

HERE is where I want to venture a radical statement about the worth of
anecdote. Beyond its roles as illustration, affirmation, hypothesis­builder and lowlevel
guidance for practice, storytelling can act as a modest counterbalance to a
straitened understanding of evidence.

pece_annotation_1477278646

ciera.williams

The article is largely a review/update on the state of the research being done into disaster-related mental health conditions. Thus all the support for the arguments is research based rather than example based. The author backs up their definition of disasters in three categories: natural, human-made nonintentional, and human-made intentional. These criteria affect the outcomes for the psyches of the victims, with the human-made disasters carrying more weight, particularily the intentional ones. 

PTSD has been continually supported in literature, and the author simply recites sources of research dating back to the Vietnam War. The WHO has since devleoped more detailed planning tools and treatment tools for victims of trauma. 

The authors also cite multiple levels of research into the risk factors for multiple mental health issues, regardless of and related to specific disasters. 

pece_annotation_1473603864

Andreas_Rebmann

The article emphasizes the need for a disaster-preparedness plan, with pre-existing infrastructure to address trauma and mass casualty management, as well as long-term sources of clean water and waste disposal. Assured primary healthcare and wide-spread vaccination usage help with these efforts.

Post-disaster, there will need to be intervention to ensure that these standards are being met, as well as surveillance for communicable diseases.