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maryclare.crochiereThe article was compiled from a lot of personal stories, paired with research about culture, medicine, and beliefs.
The article was compiled from a lot of personal stories, paired with research about culture, medicine, and beliefs.
The article cites various studies and uses the experiences of organizations in order to help plan for the future. The authors use the WHO and the CDC as these examples of experience. They draw upon the AIDS crisis as an example of global outreach and of a public health crisis. Innovation in science is discussed and ongoing research experiments. DOTS (Directly-Observed Treatment, Short Term) program is discussed as well and its shortcomings in dealing with TB.
They also use many examples of situations in which violence against humanitarian workers and facilities occurred.
Emergency response is not directly addressed in this article, however there is likely some emergency response occuring in the countries that are needing the humanitarian aid. Hopefully the first responders there are well trained in responding to victims of sexual assault if that is something that they see more often, if it is something that people would call an ambulance for in those areas.
They stress the importance of recordkeeping and how that has the ability to change the future outcomes of safety. I would imagine they stress it so intensely due to issues they had in the past. They also have the challenge of dealing with public sectors and workforces not in their jurisdiction. While they are helpful for those they cover, those they do not provide concern in that they can't protect the workers and avoid accidents and emergencies.
The main point is the lack of justice for Haiti in this rebuild process. They got huge amounts of dontions from all over the world in hopes of rebuilding the country to be better than it was. Insead, the vast majority of the money is not being spent in the right ways, and much of the spending is not being done in the most economical ways. The ways that the companies are going about rebuilding is much more wasteful than it has to be, thus using more of the money and preventing it from going as far as it could. Additionally, the UN has created a cholera epidemic in Haiti and is not being held accountable for cleaning it up.
It doesn't cover many people that openly do have insurance, nor does it interview the healthcare providers outside of the ER, like the PCPs, the recovery facilities, etc.
I can't find anything about how it was received back in the day, but with the current refugee problem facing the world, there is dispute about how to treat refugees and other immigration issues. Rhetoric used to describe refugees - especially those from Syria - has caused a lot of xenophobia around the world and various problems regarding immigration.
" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."
"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"
" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"
It's targeted to individuals who want to become leaders in times of disaster. Because this program targets the role and development of leadership and resilience as a means of producing adequate and effective outcomes, this program targets students who have high integrity and leadership skills.