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Sara.Till

Several sources are utilized in compiling Dr. Knowles' argument. Much of the historical information comes from first-hand accounts provided at the time and compiled for posterity. A good portion of information also emerges from news articles produced in the wake of the event. This includes interviews and press releases. Historical court documentation and correspondences between parties are used for depiction of events and subsequent investigations. Several aanalysis pieces by historians also appear to be used. When discussing the parallels between scenarios, Dr. Knowles relies on his own logic to fully connect the events.

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Sara.Till

The article pays tribute to the development of immigrants into French residency due to medical issues. Should an immigrant have a serious medical condition, and be unable to procure adequate medical care in their home nation, they would be given residency. This was a curious ascent for immigrants in status; the loss of immigrant workers as an integral portion of the economy had led to a general public distaste for immigration.

The very nature of the law made it very subject to individual interpretation-- creating divisions within the health care system. Fassin notes some instances where this interpretation caused the law to fail; discontinuity between medical professionals created situations where similar conditions were met with opposing decisions. Moreover, as cited by Fassin, this also led to several scenarios where doctors allowed their personal opinions on immigration to sway their decisions.

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Sara.Till

1) "Interventions in the acute phase directly following the disaster are designed to promote survivors’ safety and stability and to help them cope with their experiences (12). One such intervention, psychological debriefing or critical incident stress debriefing, was developed in the 1980s for emergency responders and has been used with other victims of trauma (46)."

2) "Exposure to potentially traumatic events is disaster-specific and often measured differently between studies, making it difficult to compare experiences and mental health consequences or to generalize findings to all disaster-affected populations (22). Additionally, most instruments that assess symptoms of mental disorder have been developed and validated in the United States (23, 48) and may lack cultural relevance and validity in areas impacted by disasters worldwide"

3) "These studies can help us understand what factors are associated with different courses of mental illness, which can help us identify the most vulnerable populations and inform tailored interventions"

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Sara.Till

Obviously, the individual testimonies hold enormous emotional power. Having a tearful mother share of her grief at losing two children, watching former marines such as Denita McCall fight for their lives against cancer, or seeing Mike Partain's massive spreadsheet of male breast cancer incidence all strike deeply. Yet, the most compelling piece was early on in the film. Ensingmer and Partain visit a cemetery near Camp Lejeune. While there, they note the sheer number of graves from between 1957-1987-- the vast majority belonging to infants and children. This, personally, was the most moving; witnessing the sheer number of lives  lost while hearing the excuses and lackluster responses of governing bodies demonstrated just how dire this situation was.

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Sara.Till

The article primarily asserts that how a patient narrates or describes their medical history is deeply rooted in their native culture. As such, physicians must be aware of how an individual's medical experiences can be altered based on this. In turn, physicians must recognize the importance of story-telling and anecdotes when receiving information directly from patients. Narratives project the patient's experience and events through their perspective, granting professionals a glimpse into their thought processes and action patterns.

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Sara.Till

The first portion of the article focuses on the shift of sexual violence from a woman's rights issue to the larger title of "gender-violence". From there, Dr. Ticktin argues the nuances of this transition necessitated medicalizing sexual violence, and turned it into a condition to be treated by tools within the humanitarian kit. Just as how we now attempt to treat polio by handing out vaccines and flyers, rape is covered by blanket protocols and procedures. In attempts to make this issue more respected, we sacrificed the nuances of care necessary for adequate treatment.

This is further exemplified in Dr. Ticktin's description of humanitarian aid-- the preservation of life itself, with disregard to the kind of life being lived. She goes on to contend that sexual violence is by its very definition a "kind" of life, thus creating an inherent conflict in the overarching goal of treating sexual violence and humanitarian interventions.

Dr. Ticktin also pays respect to the inherent difficulty in maintaining the typical principles used during humanitarian aid efforts, especially when attempting to treat gender violence. One of her primary examples is the work of MSF in the Congo Republic. During the conflict, roadblocks would be set by armed men, and thus MSF were forced to accept military escorts-- destroying the key humanitarian tenant of neutrality. Moreover, many of these militia men were perpetrators of the sexual violence, something MSF was seeking to treat. 

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Sara.Till

"Unfortunately, 'normal' in Haiti includes perpetual political turmoil... That kind of political morass is one big reason-- though by no means the only one-- why the billions in relief and recovery aid haven't been enough to rescue Haiti from the disaster that fate keeps flinging its way."

"A growing reliance on U.S. and other international contractors helps explain why the payoff of foreign aid in Haiti often seems so low."

""International companies had to fly in, rent hotels and cars, and spend USAID allowances for food and cost­of­living expenses," Johnston wrote in the Boston Review last year. So­called danger pay and hardship pay inflated salaries by more than 50 percent"

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Sara.Till

1) "On an individual level, disagreements over treatment can arise when there are competing ideas about the cause and most appropriate treatment of disease. The weak and sometimes nonfunctioning health systems that often characterize complex security environments can compound these challenges and contribute to a milieu of mistrust that sets the stage for violence against health workers, facilities and transportation"

2) "There are also often inconsistencies in the categories used to describe perpetrators e e.g. terrorist, state actors, non-state actor e and these categories have legal ramifications under both International Humanitarian Law and in national legal frameworks. Although a standardizing of terminology and scope of study would be welcome, this has proven difficult."

3) "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."

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Sara.Till

The policy was the multi-tiered approach designed by New York City officials in the event of an Ebola case. This included designation of eight hospitals as being care centers for Ebola cases, teaching non-designated hospitals or care centers how to identify Ebola candidates, communication with transportation services (both EMS and non-EMS), and running unscheduled drills to practice handling scenes with an Ebola candidate (the example given was someone falling ill in a subway car). The poly aimed to standardize the approaches and protocols used when dealing with a possible Ebola case. It focused on minimizing the excessive risk to citizens, EMS personnel, and healthcare workers in the event of a patient with Ebola. The policy also sought to train and drill these protocols, including unscheduled calls (mentioned above) and continued inspections to ensure preparedness. The obvious end goal was to minimize the possibility of wide-spread infection, either through improper handling or failed detection of an Ebola case.

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Sara.Till

1) "About 2,000 tons of asbestos and 424,000 tons of concrete were used to build the towers, and when they came crashing down they released dust laden with toxins."

2 "But as early as Sept. 13, Mrs. Whitman and the agency put out press releases saying that the air near ground zero was relatively safe and that there were "no significant levels" of asbestos dust in the air. They gave a green light for residents to return to their homes near the trade center site"