"The outside world's response to Haiti's continuing cholera epidemic offers a revealing window on this disheartening dynamic"
"The source [of cholera] is clear to public health experts: Cholera was brought to Haiti by Nepalese soldiers quartered in a United Nations peacekeeping camp that spilled its waste into a tributary of the Artibonite."
"The UN has, thus far, refused to acknowledge responsibility for the cholera catastrophe"
This article was primarily supported by it's cited work. It combined and summarized many research reports and other articles. They broke it down into sections that flowed in a reasonable manner and supported each statement with a reference number.
The author uses MSF essays and statistics. She also uses information from the WHO and other analysis frome xperts in the field to help frame her argument.
The main focus of this film is highlighting the need for proper public health infrastructure as a way to contain the spread of disease.
"Among inhabitants of Kyiv and other urban centers, there is a growing consensus that the invalids are "parasites of the state, dam aging the economy, not paying taxes." Many youths who had been evacuated from the zone do not want to be associated with groups of sufferers as this association makes it more difficult for them to find employment.
"Another administrator who authenticated com pensation claims told me illnesses had become a form of currency. "There are a lot of people out of work," he said. "People don't have enough money to eat. The state doesn't give medicines for free anymore. Drug stores are commercialized." He likened his work to that of a bank. "The diagnosis we write is money.""
"Symon Lavrov, was well-regarded internationally for having developed computerized fallout models and calculating population-wide doses in the post-Soviet period. 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 likelihood that the mother would be able to secure social protection on account of her potentially sick child.""
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.
Emergency response is discussed a lot in this paper with respect to a global level of care. They analyze the current protocols in place that would create a global response and investigate their effectiveness. The need for a more concrete protocol is discussed as most countries exhibit nationalism and self interest that would inhibit them from helping others.
Stories are important in medicine. Numbers are important too, but sometimes the stories can tell particular cases of success, where numbers would brush over or fail to show the significance. Stories can tell much more than numbers sometimes, and that must be regocnized and appreciated. Especially in specialties where it is hard to always measure data, quotes, stories, and recollections can be more accurate.