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pece_annotation_1473270922

maryclare.crochiere
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Paul E Farmer, Bruce Nizeye, Sara Stulac, Salmaan Keshavjee are listed as the authors of this paper. They work with the health workers  in suffering countries, like Haiti. Farmer is a co-founder of Partners in Health, as well as a physician and anthropologist. Stulac is an MD, MPH, specializing in pediatrics, and is also associated with PIH. Keshavjee is an MD, PhD, professor at Harvard of Global Health and Social Medicine. They are all professionals in the field of medicine, and through the PIH, they are well acquainted with responding to global health issues.

pece_annotation_1474159268

maryclare.crochiere
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" At just the moment when it seemed that infectious disease was about to be conquered, and that the critical health problems of the industrialized world now involved chronic disease and diseases of lifestyle, experts warned, we were witnessing a “return of the microbe.”"

" The aim of such techniques is not to manage known disease but to address vulnerabilities in health infrastructure by, for example, strengthening hospital surge capacity, stockpiling drugs, exercising response protocols, and vaccinating first responders. Approaches based on preparedness may not be guided by rigorous cost-benefit analysis. Rather, they are aimed at developing the capability to respond to various types of potentially catastrophic biological events."

"Security — the freedom from fear or risk — always suggests an absolute demand; security has, as Foucault wrote, no principle of limitation. There is no such thing as being “too secure.”51 Living with risk, by contrast, acknowledges a more complex calculus. It requires new forms of political and ethical reasoning that take into account questions that are often only implicit in discussions of biosecurity interventions."

pece_annotation_1473626917

jaostrander
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The authors used the healthcare developments of Boston, Haiti, and Rwanda where they have worked to provide access to healthcare. In Rwanda they provided easier access to HIV medications and trained neighbors or relatives of the patient on how to administer the treatments so they would not have to go to a clinic. They discussed a similar program that occurred in Haiti but for tuberculosis. In providing these treatments to people who previously could not afford them, they increased their life expectancies. In Rwanda they showed that in providing formula to mother with HIV or AIDs they were no longer transmitting the disease to their children. Previously the mothers could not purchase formula and the only way they could feed their babies was breast feeding. 

pece_annotation_1474925437

maryclare.crochiere
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The first hand interviews from first responders are compiled in a way that goes through the stories of what heppened, how health information was released and changed. The first repsonder stories are intermixed with testimonies from the EPA workers, showing differences in the science that was found and the press releases disclosing the health concerns. Many tear up upon realizing how their health will hurt their families. The doctors in the area caught onto the trends in poor health and started a monitoring program to make sure everyone got the medical screening and help they needed. The lives of all of the first responders and their families were changed drastically from their public service.

pece_annotation_1477273230

maryclare.crochiere
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This policy addresses the issue of mental health, a prominent issue in today's medicine. It helps to evaluate treatment facilities, and defines that the burden of caring for young and middle-aged people is one of the states, where as those outside of the specified age range will be covered for mental disabilities by the national government.