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pece_annotation_1473907571

ciera.williams

This study examined the risk of acquiring Ebola Virus Disease (EVD) by healthcare workers in the setting of general hospitals and isolation units. By looking retrospectively at the Ebola Outbreak in Sierra Leone, the relative levels of risk to healthcare workers were computed and compared. The reasoning for these levels was also examined through interviews of surviving workers and the families/associates/colleagues of the deceased workers. The interviews reviewed common actions (and lack there of) for affected workers. This revealed certain themes that should be visited when reveising/creating hospital infection prevention and control policies.

pece_annotation_1475352842

ciera.williams
Annotation of

The film provided general facts about MSF and the conditions in Lieria and the Congo, but no detailed medical statisitics. There wasn't any comparison of the issues in this mission versus those on other missions. The film could have included more on the factors that contribute to the diseases themselves, rather than the barriers to treating them. The film also needed more on the exact amounts of supplies that were given relative to what one would have in a clinic elsewhere. 

pece_annotation_1475971672

ciera.williams

In the aftermath of the hurricane, numerous issues arose for the evacuated citizens of New Orleans.First, the immediate affects of lack of access were apparent, such as lack of schooling, pharmacies, and employment. Then psychological affects appeared as people were told they couldn't return home, even if they were minimally damaged. The combined affects of the physical and mental conditions, combined with the lack of physicians and psychiatrists, led to a massive instability in the people. 

The government further exacerbated this instability by providing limited resources and shelter for victims. More exactly, the resources and shelter were unevenly distributed to the victims, favoring white mid- to upper-class citizens. The funds that otherwise should have gone to essential care facilities and housing, were unseen by the people. Promises of finanicial aid were never fulfilled, and no legislation (such as that in the wake of 9/11) was passed to support victims.

This leads to the creation of "disaster capitalsim" in which private companies benefit from the disaster and state-of-emergency, raising prices and suspending insurance policies. Poor government oversight of the private sector created deficiencies and health crises. 

The article concludes by suggesting the response to Katrina be examined to prevent the same mistakes from occuring in the future. However, there is a lack of optimism, as the system of response is ingrained into American Society. 

pece_annotation_1481686092

ciera.williams
Annotation of

If this policy gains support, it can spread to other agencies and allow for many people to be armed on medical scenes. This can negatively affect the image of EMS, as people are already upset with the police. All it takes is one bad incident, and suddenly all EMTs will be painted negatively. Its a slippery slope. 

pece_annotation_1473043717

ciera.williams

The program is divided into three sub-programs: Radiation Disaster Medicine, Radioactivity Environmental Protection, and Radioactivity Social Recovery. The Radiation Disaster Medicine course is a four year PhD program, for those who already have professional degrees (medicine, pharmacy, dentistry, etc.) and master’s degrees (medical physics). The Radioactivity Environmental Protection course is a five year program for students who have completed a bachelors or masters in a related field. The Radioactivity Social Recovery course is a five year program for students with a bachelors or master’s. The curriculum is broken down into common subjects, specialized subjects, fieldwork, and internships. 

pece_annotation_1473909621

ciera.williams

At least one further study has been conducted using this data. A more focussed paper on the Kenema District in Sierra Leone was written, addressing the staggering number of cases with infected healthcare workers. The paper is titled "Facors Underlying Ebola Virus Infection Among healthcare Workers, Kenema, Sierra Leone, 2014-2015."  The paper reached similar conlusions as the original one, with a need for better practices in infection control and prevention.