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The purpose of the article is to underscore the difficulties and importance of post-disaster research investigation into why exactly the structural collapse of the towers happened. Dr. Knowles does this by looking into the cause, investigation, and aftermath of several historical building catastrophes in the US.   These cases have reveal how politics, public, and private entities contributed to the disasters and what tends to happen in the aftermath. In the case of the World Trade Center, Dr. Knowles identifies the main reasons for the structures failing and how other sky scrapers are susceptible to the same attack. 

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The main argument of the article is “Chronic disaster syndrome” stems from three problems: first the long-term effects of personal trauma, second the disruption of the smooth functioning of their way of life, and third the permanent displacement of depressed populations from the social landscape.

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Some works that referenced or discussed the article include: “Test for Athlete Citizenship: Regulating Doping and Sex in Sports”, “Reimaging (Bio)Medicalization, Pharmaceuticals and Genetics: Old Critiques and New Engagements”, “Depression in Japan: Psychiatric Cures for a Society in Distress”, “Sociological Reflections on the Neurosciences”, and “Posthumanism”. According to Google Scholar there are eighty-five other articles that reference “Biological Citizenship: The Science and Politics of Chernobyl-Exposed Populations”.

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The author uses a wide variety of news and journal sources to make their point. Everything from the New York Times to East Asian Science. It also cites many volumes on disaster preparedness. For example, “The Chernobyl Accident: a Case Study in International Law Regulation State Responsibility for Transboundary”. The sources tell me that the article was developed around the news at the time and works that dealt with handling of disasters from the past. For me, this furthers the case that the author is making: that the way we have been doing things in the past is not working.

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1)            Factors affecting disease (HIV/AIDS) outcome in different biosocial settings are radically different despite similar, established “risk-factors” in lifestyles/behaviors for individuals. This is because biosocial factors play an important role that is far often overlooked by current medical systems and policies.

 

2)            mother-to-child transmission (MTCT) of HIV, antiretroviral therapy (ART) and infant formula (preventing pediatric aids transmission through mother). MTCT of HIV is driven through universal breastfeeding being mainly pushed by the existing medical structures of the local and international healthcare policy makers. They claimed that the difficulty giving access to infant formula in rural areas and stigma around signing up for an HIV project doomed it to failure; however the projects in Rwanda and Haiti proved otherwise, when the structural “violence” was addressed. This was done mainly by giving both distal and proximal support and care as well as addressing the other social-economic barriers to good medical care in these communities.

 

3)            When locals, who are much more aware of the areas biosocial setting, implications and problems, are utilized in the medical system, the results are multifold. Proximal care provided by an accompagnateur not only reduces barriers to care such as traveling to a hospital for basic medicine, but also creates jobs that contribute to raising the quality of life which is another major factor when examining structural “violence”.