This study addresses vulnerable populations by identifying the factors are that make one vulnerable. These factors are: loss of shelter, location of housing, access to clean water and sanitation, disruption to utilities, environmental changes, population displacement, health services, and response systems.
1) Attawapiskat: This First Nation region is described in the article as one of the most isolate and remote. Further research indicates not only is it geographically isolated, but it lacks significant resources, resulting in a high cost of living and a scarcity in certain goods. Moreover, the region is serviced by a nursing clinic (no physicians) and a team of 8 paramedics-- truly an under-served medical region.
2) Aboriginal Healing Foundation: Our Catholic high school curriculum involved an ethics class, which debated the mistreatment aboriginals in the name of evangelicalism. I chose to research the foundation and determine what made this special-- why were they able to be cited as making such progress, despite losing funding in a few years.
3) Sheridan: A young girl who came to symbolize the suicide epidemic in Attawapiskat, she was 1 of over 100 who attempted to commit suicide within the span of 7 months. The Vice article describing her life and circumstances shows hints of an adolescent wise beyond her years, quoted as saying "if there's no resources, there's not going to be any change" in her suicide recording.
I found the part where the healthcare worker relates to the difficulty of his position most compelling and persuasive. A man on the burial team talks about some of the challenges he faced. He says that they are in denial about the disease. For example, a man’s wife died from the disease. They took the body and marked the room with the health tattoo, do not enter and barricaded the door. A health team was tasked to disinfect the building but the moment they left the husband bust the door down and went inside. He died as well. “You see the challenges? You tell people, don’t do this, they pass behind you go do it, don’t do this, they say we are eating free money, the government is lying”.
I was probably influenced by the fact that I am a healthcare worker and while not the same situation, I can relate to his dilemma.
The article specifically highlights the failure to utilize all the resources given to Haiti after the earthquake. It specifically focuses on how monetary donations have been improperly managed, and how several mitigating factors forced this money to be basically wasted. Moreover, it explores why donors are now hesitant to invest in combating the newest plight (cholera) and why UN peacekeeping forces hurt more than helped recovery efforts.
The article focuses more on the fallacies of our current approaches to medicine. Dr. Kramer contends that the public would benefit from physicians melding their current factual approaches with anecdotal methods as well. Particularly, the field of psychiatry, which dabbles in processes of the brain not yet understood. While Dr. Kramer acknowledges it is necessary to have a well-defined approach, using "stories" allows for a more enriched judgement and remind practitioners of the vast differences in human experience.
Dr. Knowles points out the structural failures of the World Trade Center due to steel beams and poor fireproofing material. Dr. Knowles connects the burning of the Capitol Building in 1814, the 1850 Hague Street boiler explosion in NYC, and Chicago’s Iroquois Theater Fire of 1903 to convey the different aspects of a structural disaster. The Capital Building focused on the investigation, the importance of the sentimental value of the building, and rebuild it as well as the difficulties involved with doing so. The Hague Street Explosion investigation attempted to pinpoint the root cause of the disaster, but after thorough investigation there were many failures at many different levels which led to the ultimate failure. The Iroquois theater fire revealed issues with public policy, regulation compliance, and public perception in addition to its investigation.
The Ebola outbreak is, by its very definition, a matter of public health. The outbreak presented a danger to the global health community and resulting policies dealing with this epidemic were public health policies. That being said, the policy in place mostly served as a protocol mostly for agencies of New York in the event the epidemic spread. It focused on standardizing the practices of health, transport, and government agencies in the event of an outbreak; it did not focus on individuals already effected with the disease, but more so on preventing the spread of the epidemic.
As the data is from 1998, I would sincerely hope that the data has already encouraged responses. Nonetheless, at the very least, the data should be able to serve as a marker for progression in traumatic event services. While sexual assault is markedly different from other traumatic events, the data could also be extrapolated to other events with community ties. More pointedly, data from this study demonstrated where some of the gaps came between victims with the "best" service outcomes and those with the "worst". The primary difference between the "best" group and those in latter tears was in the legal system. These shortcomings appeared to emerge early on, with a discrepancy in whether their reports even made it to the desk of the prosecution from the police department. This indicates a shortcoming in the system, and a point which should be investigated to better victim outcomes moving forward. Sexual assault cases are rarely black and white, thus some detectives may be inclined to create personal judgments about the merit of a case before passing it along, thus leading to its exclusion. This is one of several differences in victim encounters leading to less desired outcomes.
1) “The logic of state soverignty in the control of migration clearly prevailed over the universality of the principle of the right to life.”
2) “By analogy with the therapeutic mesasures applied at the end of life for patients suffering from illness deemed incurable, we can describe the measures and procedures devised to allow foreign patients without residence rights to stay in France, receive treatment, and have their living costs paid, as a compassion protocol.”
3) “Precisely because he or she is illegally resident, the sick immigrant may undertake medical tests or seek treatment under a different name, so that the cost of treatment is coverd, or simply to avoid being denounced and deported.”
The article's primary focus is the failure of a government agency in the wake of the 9/11. The EPA's inadequate response to air pollution and subsequent public misguidance led to a multitude of public health issues. While the article does not explicitly detail the issues stated in this lawsuit, it does mention the EPA's failure to properly formulate and enact a plan to clean up materials released into the air.