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This article argues that many of the root causes of disease are based on social inequality and structural violance, citing factors such as environmental conditions, racism, pollution, housing conditions, poverty, infrastructure, and access to food, water, and healthcare. It presents the case that if clinicians take these factors into account, programs can be put into effect which, even in the poorest of rural communities, could help to mitigate disease transmission.

"The violence broke out when the patient spit at the Emergency Service Unit officers and swore at them. The officers responded by hitting him in the face, hauling him off the stretcher to the ground and then tossing him back on the stretcher, "

"After the first round of punches, the patient was "taken off the stretcher to the ground and restrained again, pt. was thrown by ESU again on to my stretcher," the EMT wrote. "Pt. sustained injuries to face and head," the report said."

This group is a volunteer organization and is not a goverment program. Its disaster relief is based primarily on the desire of people to help others. The volunteers are not legally mandated to help, they do it because they want to.