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I teach anthropology and environmental studies at Haveford College, just outside of Philly. Currently, I'm holed up in a cabin in the Adirondacks in upstate New York with several family members, including my spouse and 4 year old daughter and 3 dogs. I started working on disasters by accident, when one day in 2001 I was walking to class at NYU and saw the World Trade Center buildings on flames. I have known Kim for a few year and I contacted her to connect with folks around Covid-19 and its imacts.

I'm particularly intersted in issues of communal grief, mourning, and bereavement. Also, I'm interested in the religious response to Covid-19.

1) The article begins by articulating the four domains that "biosecurity" supposedly encompasses. Yet, even just by looking at these four domains with a basic knowledge of current events, one can understand these are all far from having any sense of stability. Just recently, more reports emerged of use of chlorine gas and other agents against citizens in Syria. Reluctance to vaccination has led to a re-emergence of measles and pertussis across the US. 

2) Increase awareness and attention does not always result in cooperative and cohesive actions. While there may be movement to address certain issues, this does not always encompass details of how to attack certain public concerns. One of the main examples cited in the article was a small pox scenario termed "Dark Winter". Here, officials struggled to gauge the possibility of a small pox bioterrorism attack with the cost and effect of the small pox vaccine-- which can result in death. The conflicting results of the scenario between healthcare personnel "on the ground", government officials, and the CDC's difficulty in gauging a credible threat level led to a dismissal of the program.

3) Many of the approaches by global agencies touted as medical agencies primarily center on emergency response protocols. This modality prepares them for quick, short responses to emergency problems, while neglecting long-term intervention. The article argues this approach is preferred because of the galvanizing, global responses emergencies have-- they garner attention and resources quickly, while long-term problems do not. Additionally, short-term presence is far easier to prepare for than implementing long-term solutions to medical scenarios. 

Emergency response isn't addressed in the report at all. The only area that could be claimed to be touched on is access to emergency prophylaxis for HIV by those in poor areas.

Several sources are utilized in compiling Dr. Knowles' argument. Much of the historical information comes from first-hand accounts provided at the time and compiled for posterity. A good portion of information also emerges from news articles produced in the wake of the event. This includes interviews and press releases. Historical court documentation and correspondences between parties are used for depiction of events and subsequent investigations. Several aanalysis pieces by historians also appear to be used. When discussing the parallels between scenarios, Dr. Knowles relies on his own logic to fully connect the events.

This article seemed like an introduction to a book and didn't really present any susbstative arguments. It mostly talked about how large organizations like WHO function and what some of their protocols are. It also discussed how infections and diseases can spread differently in the current era versus how they used to be spread.

The article pays tribute to the development of immigrants into French residency due to medical issues. Should an immigrant have a serious medical condition, and be unable to procure adequate medical care in their home nation, they would be given residency. This was a curious ascent for immigrants in status; the loss of immigrant workers as an integral portion of the economy had led to a general public distaste for immigration.

The very nature of the law made it very subject to individual interpretation-- creating divisions within the health care system. Fassin notes some instances where this interpretation caused the law to fail; discontinuity between medical professionals created situations where similar conditions were met with opposing decisions. Moreover, as cited by Fassin, this also led to several scenarios where doctors allowed their personal opinions on immigration to sway their decisions.

MSF relies upon what ever technology and infrastructure they can afford to send to a certain area. Becuase they avoid using facilities that the host country has, they are able to establish their own infrastructure in an area. Additionally, certain areas may be greatly helped by some types of medical technology while others aren't. They rely upon doctors being able to make due in difficult environments as well.

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"

CEHC offers Undergraduate majors and minors and a Graduate certificate. The major requires 39 credits, or 13 courses, to complete. Students must select a concentration from Emergency Preparedness, Homeland Security, and Cybersecurity. There are 9 core courses and the remaining 4 are in the concentration. The minor requires a student to take 6 classes in the college. The graduate course of study is divided into tracks in which students take courses.

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.