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EiJ Concept: Median Income

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This essay explains the concept of "median income" and provides resources for teaching it in various contexts.

Mutual Aid/Best Practices vs Local Practices

_jzhao

This image reminds me of how mutual aid and communities keep each other fed, and safe, and how local practices are actually best practices. My own research, although not immediatley related to the specific public health concern of COVID, will focus on Indigenous food soverignty, particularly the right and autonomy to ferment and distribute alcohol (紅糯米酒) within the Amis community, and their current fight with the local health department on declaring whether or not their alcohol is "safe" for public consumption and distribution.

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Sara.Till

Didier Fassian is a french anthropologist and sociologist with extensive global field work. He currently teaches as a professor in the School of Social Science in the Institute for Advanced Study. Fassin, although trained as an internal medicine specialist, focuses the vast body of his publication and research focuses on the intersection of the State, justice, and humanitarianism.

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Sara.Till

Emily Goldmann, PhD, MPH: current assistant research professor at NYU College of Global Public Health, Dr. Goldmann researches environmental and social determinants of mental health conditions. Formerly employed by NYC department of Health and mental Hygiene in the Bureau of mental Health, Dr. Goldmann focused on surveillance of psychological distress, serious mental illness, and psychiatric hospitalization of New Yorkers following Hurricane Sandy.

Sandro Galea, MD, MPH : a canadian/american board-certified emergency physician, Dr. Galea is currently the Dean of BU School of Public Health and former Chair of the Department of Epidemiology of Columbia University's Mailman School of Global Public Health. His particular research includes social production of health within urban populations, and especially notes psychological and mental health disorder prevalence within vulnerable populations, including mood-anxiety disorders and substance abuse. He also has participated in multiple committees and boards analyzing effects of mass trauma in the wake of international conflicts and disasters such as Hurricane Katrina, Iraq/Afghani wars, 9/11, and sub-Saharan Africa  conflicts.

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Sara.Till

The film centers around Camp Lejuene, a Marine Corps base in Jacksonville, North Carolina. The camp experienced contaminated water from about 1957 to 1987; the wells contained 240-300 times the allowed amount of volatile organic materials. The film follows the struggles of individuals who lived in Camp Lejuene during this time to receive information, compensation, and recognition for what they experienced. While many individuals are interviewed and discussed, the film specifically focuses on Jerry Ensminger, a former Marine Corps Master Sgt. for almost 25 years. Ensminger lost his daughter, Janie, to pediatric leukemia while living on the base. He is one of many parents and former residents who were directly effected by the contaminated water. The VOM's in the water included TCE, PCE, and benzene, all known to cause cancer and childhood defects.  

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Sara.Till

1) Current criteria surrounding clinical depression: While most of us hold an idea of what depression is, physicians have been given the task of specifically categorizing this nuanced disease. Also called "major depression", clinical depression is the prolonged sensation of low mood during almost all times/activities. These sensations must be present for at least 2 weeks and be persistent across daily activity in order to be considered major depression

2) CBT: Cognitive behavioral therapy is the current widely used model for psychosocial intervention. It focuses on the patient developing coping strategies to aid in emotional regulation, curb unhelpful cognitive patterns, and seek personal solutions

3) Vignette: Never heard of this word before. The term originally referred to small, pleasing sketches, views, engravings, photographs, or illustrations. However, the term is used here to describe a story of patient care. The quick snap-shot is a far-cry from the typical encyclopedia given to health care providers about a patient; it acts as a small, short tale depiction of the scenario, the intervention used, and the outcome. 

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Sara.Till

Individuals who have been involved in a traumatic event are considered a vulnerable population, especially those who have been involved in something like a sexual assault. Those who have been victimized often have very little knowledge of the services available to them or the nuances of the systems with which them must interface. Thus, these individuals (after coming off a severe emotional and physical trauma), must then navigate a complex system that often feels biased towards the accused. This report summarizes their experiences and the shortcomings of this system. 

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Sara.Till

1) Fukushima's nuclear safe guards followed the current accepted nuclear regulations. In addition to having back-up generators and short-term batteries to support the reactors during power failure, ownership had extensive emergency plans for tsunamis. These were executed and creative solutions were utilized with necessary. This then begs the question as to how such a well-prepared facility experience massive devastation.

2) Japan is known to be a first-world nation constantly innovating and exploring new technology, with an advanced economy and high emphasis on education. Dr. Schmid refers to members of the Japanese government as "scientifically trained, technologically savvy elites." While Dr. Schmid acknowledges nuclear energy to still be a murku field, Japanese officials represent the individuals most capable of making informed, knowledgeable decisions about nuclear facilities. This only further emphasizes her assertion that a set, elite organization needs to be created to handle nuclear emergencies.

3) While several organizations exist to discuss nuclear power on an international level, there is no entity which serves as a governing body over nuclear facilities. Nuclear emergencies very quickly spread from single-nation disasters to international events. Although there are many internationally recognized policies and guidelines, there is no body to ensure these are followed. Moreover, no single nation or organization at the present time has the fiscal capabilities or specialized knowledge to aid during nuclear disasters. 

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Sara.Till

Currently, BSVAC survives on state and community funding. However, as recently as 2014 the agency was being funded by the Commander's pension and funds from re-mortgaging his home. At present time, BSVAC has also received a check from Councilman Cornegy for their timely, professional response to violent crimes involving police officers and for general service to the community. As it stands, BSVAC runs on a budget of approximately 250,000 per year, mostly through donations and legislative grants. 

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Sara.Till

When administering healthcare or combating epidemics, there's often an unaddressed social factor. Far more often, the focus remains on the scientific and biological aspects of the disease without delving into the social circumstances surrounding its prevalence. Healthcare typically narrows the scope to just medical intervention, instead of looking at the overarching conditions. Farmer and his colleagues give several examples of successful bio-social interventions; these methods allow physicians and healthcare workers to successfully treat patients in all aspects of the disease. Moreover, they contend that treating epidemics in this way helps to prevent the manifestation of social inequalities in healthcare.