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pece_annotation_1474835284

seanw146
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 “From the first moments to the last, however, their efforts were plagued by failures of communication, command and control.” This main point is supported in several ways. The police helicopters said that the collapse of the towers was “imminent” a full 20 minutes before the south tower fell and an hour and 29 minutes before the north tower. Most firefighters in the north tower did not even know that the south tower had fallen. Most fighter fighters did not recall ever hearing the dispatch to evacuate the north tower despite multiple broadcasts. The chain of command and orderly response also failed. First responders ignored and disobeyed orders to wait to respond until called upon. Some self-dispatched taking taxis, driving themselves, and hoping on other departments’ rigs. “Discipline Broke Down In Eagerness to Help”. The police commissioner, Bernard B. Kerik, did not even know that there were any serious communication issues between the agencies. Assistant Chief Joseph Callan ordered an evacuation of the north tower at 9:32 am, almost a full hour before it fell, but few ever received this command. These failures resulted in the needless loss of life and a response that could have been far better.

pece_annotation_1473296561

maryclare.crochiere
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" 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"

pece_annotation_1475392399

seanw146
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Hailey-Means was incarcerated at Rikers and provides an inside view of the deteriorating conditions of the facility.

Freddie McGrier talked about the extreme heat the cells faced in the warm season and the dangers to his life that he faced because of his heart condition. Johnny Perez echoed Freddie’s input. Susi Vassallo, who is professor at NY University Medical School, deemed the heat conditions a serious threat to the health of the inmates.

Omar Smith, also incarcerated at Rikers, has developed asthma during his sentence which is likely due to the poisonous gases released by the decomposing landfill under the prison.

Michael Bloomberg was Mayor of NYC during the Sandy super-storm and while he announced a plan for the evacuation of the surrounding islands there was not one for Rikers.

The New York Times is also referenced in the article for their reports on the prison’s poor welfare.  

pece_annotation_1474160389

maryclare.crochiere
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Most of the claims are based on past examples in history of response to disease outbreaks and the development of new diseases. They looked at how regualtions were developed after each one, what research showed in each case, and how people reacted to the risk or security associated with each.