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pece_annotation_1474239370

ciera.williams

The rise and emergence of infectious diseases has led to a number of puclic health "scares" over the years. The creation of national and international frameworks, as well as focus groups, has brought the struggle of infectious diseases like AIDS to light. Looking at diseases with the combined inputs of governmental and philanthropic organizations has had a positive influence on the fight against them. In the realm of bioterrorism, many factors are at play. First is the terrorist act itself and the social issues that lead to a terrorist being created. Then there is themethod, which is the numerous diseases that can be weaponized. These diseases are researched at the government level as potential additions to the arsenal of weapons a country has. However, they are also used at the individual level. With highly educated individuals and any number of social ideologies, the risk for bioterrorism increases. By looking at bioterrorism through the lens of both a social expert and scientist, the roots of bioterrorism can be examined. 

The causes for these examinations are events that have had a largescale effect on multiple levels of expertise. These "focusing events" have a lot of factors and players, and thus require a lot of different views to analyze, as the article argues. 

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ciera.williams
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Emergency responders as a unique group aren't discussed or portrated in the film. However, the doctors had to take on the role of emergency responders often, while not neccesarily being emergency doctors. The question in the film became whether or not the doctors were prepared for these roles, and if they had the energy to dedicate to them. Some doctors burn out, and others thrive, but regardless they are challenged to make sacrifices that emergency responders often must decide on. 

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ciera.williams

The article uses a combination of sources, such as research, epidemiology, and "ethnograpic portrayals" by affected individuals. These are compared to form a comprehensive view of the aftermath of Katrina, and how the government was not prepared to address the large scale relief efforts neccessary. 

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ciera.williams

"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, the EMTs said in written statements submitted to the FDNY."

""Three cops began to punch the patient in the face, EMS (had) to get in the middle of it to intervene. Pt's. wounds and injuries cleaned in the (ambulance)," the report said"

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ciera.williams

The program was created in reaction to the disaster at Fukushima-Daiichi, with influence of the lessons learned post-bombing in Hiroshima. Hiroshima University specializes in radiation casualty medicine and works to improve medical care in response to nuclear emergencies. This program was specifically made to generate leaders capable of directing relief efforts while keeping the clear goal of reconstruction post-disaster. 

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ciera.williams

In Baltimore, researchers found that racism and poverty especially affected African Americans without insurance. In order to address this, they removed boundaries to care within the medical system and community so that poor patients could receive the care they needed without economic trouble. Along with this, they also established a system that relied on the community as a whole for care, taking the social stigma away from AIDS/HIV care and building ties as a whole. Within a few years, many disparities disappeared among the studied population.

Another study in rural Haiti was used to develop the PIH model of care. This model relies on an accompagnateur who is trained in drug delivery and supportive care. This allows care to be given within a village, not a clinic, and improves access to care. This model has worked to improve patient care and outcome in Haiti, Peru, and Boston.

In Rwanda, structural violence has perpetuated to transmission of disease from mother to child for decades. Access to resources such as clean water and formula, along with public health agencies promoting the merits of breastfeeding, have made it challenging to address MTCT. However, when researchers asked mothers if they would like these resources, they were eager to receive them and wanted to help in preventing further transmission. 

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ciera.williams

The data acquired in this study can be used not only for improvement in policies and training for healthcare workers, but also to examine the risk factors for the disease. One example is the age and gender disparities in those nfected. These could be explained by the typical age and gender of healthcare workers, but could also show a trend in risk when coupled with patient data. The data on the districts and their infection rates can be used to help pinpoint the origin of infection.