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pece_annotation_1479071688

tamar.rogoszinski

The author is Byron Good, Ph.D. He is an American anthropologist and teaches medical anthropology at Harvard Medical School. His main focus is mental illness and the cultural meanings of it. He also explores patient narratives and the perspectives of non-Western medical knowledge and compareds different mental health systems. He has done research in Iran, Indonesia, and the US. He has several publications including papers, books, and editted volumes.

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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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tamar.rogoszinski

Brian Concannon, executive director of the Insitute of Justice and Democracy in Haiti, a nonprofit in Boston. Fights for human rights on the island of Haiti. 

Carrie Kahn, NPR. National Public Radio, news source. 

President Michel Martelly, Haitain president. 

United Nations

Nepalese soldiers - brought with them cholera to Haiti. Sent from UN.

Ban Ki-moon - U.N. Secretary-General - led plan to eradicate cholera. 

Haitain Ministries of Health and Environment - not trusted by the world to control a trust fund

Jake Johnson - Center for Economic Policy and Research - Washington 

US Government Accountability Office - pricing the cost of building new housing too high

Mission of Hope - NGO helping build houses

US Congressmen - demaing UN Secretary-General take responsibility for outbreak

US District Court Judge J. Paul Oetken - rejected class-action lawsuit that saught to compel the UN to compensate victims and fund cholera eradication

Beatrice Lindstrom - lawter at the Institute for Justice and Democracy in Haiti 

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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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tamar.rogoszinski

Emergency responders are portrayed in the film as being understaffed and overwhelmed by the outbreak. They show hospitals having to turn patients away due to being overwhelmed. They also show how Liberians were frustrated with this lack of communication between doctors and the patients. Nurses started dying from the disease, forcing hospitals to close. Responders had to deal with the community's denial of the disease, the lack of education, the rapid spread, and the number of patients. 

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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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tamar.rogoszinski

I looked up bioterrorism agents and cases in which they were used. I looked on the CDCs website where they discuss preparation and planning to review their protocol for bioterrorism. On the same website, I also looked at the information for first responders to bioterrorism.