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pece_annotation_1478489661

Andreas_Rebmann

"Soviet scientists, too, were unprepared, but they did not admit their ignorance. In an August 1986 meeting with the International Atomic Energy Agency (IAEA), they presented a crude analysis of the distribution of radiation in the Zone of Exclusion and in the Soviet Union: "assessments were made of the actual and future radiation doses received by the populations of towns, villages, and other inhabited places. As a result of these and other measures, it proved possible to keep exposures within the estab- lished limits."

"In this daily bureaucratic instantiation of Chernobyl, tensions among zone workers, resettled individuals and families, scientists, physicians, legislators, and civil servants intensified. Together, these groups became invested in a new social and moral contract between state and civil society, a contract guaranteeing them the right to know their levels of risk and to use legal means to obtain medical care and monitoring. The suf- ferers and their administrators were also supported by the nonsuffering citizens, who paid a 12 percent tax on their salaries to support compensations. The hybrid quality of this postsocialist state and social contract comes into view."

"He told me, how- ever, that "when a crying mother comes to my laboratory and asks me, Professor Lavrov, 'tell me what's wrong with my child?' I assign her a dose and say nothing more. I double it, as much as I can." The offer of a higher dose increased the likeli- hood that the mother would be able to secure social protection on account of her potentially sick child."

pece_annotation_1480523240

tamar.rogoszinski
Annotation of

There are many people portrayed and mentioned in the film. They discuss issues within governments and insurance companies. They show patients without insurance struggling to get medication and care. As a result, they express issues with access to care and paying for hte care that they receive. They show doctors and the struggles they have with handling patients and those that come in with the ambulance. Nurses and other ER staff are shown as well. They show narratives of several patients in the waiting room and their experience once they do finally make it to a bed. All of these players have a lot of decisions to make, starting with the decision of the patient ot come to this public hospital (possibly because being turned away from others), and ending with a doctor's care and decision whether or not to release patients. 

pece_annotation_1475438303

tamar.rogoszinski

While this chapter does not discuss emergency response, its approach to discussing the public health aspects of immigrants and French policies created a discussion about how immigrants and others seeking asylum for various reasons should be treated. The focus of this chapter is more on the public health side of society and the humanitarian side of immigration.

pece_annotation_1479089050

Andreas_Rebmann

Good begins with explaining his own experiences working with patients suffering from epilepsy in Turkey, and his struggle to better understand the history of their illness

He then proceeds to give an in-detail explanation of one such patient, going into the specifics of the lack of clarity, and explaining the cultural connotation of different aspects of the patient-provided story, explaining why they might be muddled or less than accurate.

Next he looks at the work of others in the field, trying to get a better way of assessing the experiences of others and understanding their narrative without knowing everything they know.

 

pece_annotation_1480605917

tamar.rogoszinski
  1. "At the same time, academic research is often communicated in a format that fails to address the critical policy issues facing aid organizations."
  2. "Because reporting often focuses on the most serious attacks, such as kidnapping and fatalities, workshop participants stressed that incidents perceived to be less severe, such as threats and obstructions, are more likely to be underreported. For this reason it is important to better understand the impact of perceived threats."
  3. "Workshop participants also noted examples of violence linked to situations where the medical treatment provided has not met patients’ expectations or was unsatisfactory in other ways."
  4. "Although violence directly affecting health service delivery in complex security environments has received a great deal of media attention, there is very little publically available research, particularly peer-reviewed, original research. Only thirty-eight articles met the original search criteria outlined in the methods section, of which only eleven contained original research; a further citation search yielded another four original research articles. The remainder was comprised of review articles, commentaries, letters, or analysis based on secondary sources."