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pece_annotation_1473296561

maryclare.crochiere

" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."

"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"

" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"

pece_annotation_1474854069

michael.lee

The author primarily discusses the disaster investigation surrounding the aftermath of the 9/11 World Trade Center disaster. Dr. Knowles presents the investigation as having been marred by jurisdictional conflicts, clashes of authority among powerful institutions, competition among experts, and political pressure from both the public and the government. He argues that this phenomenon is not unique to the World Trade Center collapse but has occurred throughout every major disaster investigation in the United States, including the burning of the US Capitol Building in 1814, the Hague Street boiler explosion and building collapse in New York in 1850, and the Iroquois Theater Fire in Chicago in 1903. He argues that disaster investigation is not the "dispassionate, scientific verdict of causality and blame" but is instead a "hard-fought contest to define the moment in politics and society, in technology and culture."

pece_annotation_1474160389

maryclare.crochiere

Most of the claims are based on past examples in history of response to disease outbreaks and the development of new diseases. They looked at how regualtions were developed after each one, what research showed in each case, and how people reacted to the risk or security associated with each.

pece_annotation_1481640058

michael.lee

The authors primarily rely on anecdotal evidence provided through interviews and testimonies presented by disaster survivors. They supplement this anecdotal evidence with data from analysis of the socioeconomic conditions following a disaster and from analysis of the mental health disorders suffered by patients who were affected by the disaster. 

pece_annotation_1475803109

maryclare.crochiere

Vincanne Adams is a professor at UCSF School of Medicine. She has her PhD and experience in anthropology. Taslim Van Hattum is the maternal and child health portfolio director at The Louisiana Public Health Institute. Diana English is a Clinical Assistant Professor and specializes in OB/GYN and gynecologic oncology.