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pece_annotation_1479003399

erin_tuttle
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  • Throughout the article it became apparent that the individuals being interviewed were rarely prescribed medication and in some cases did not take their medication. I researched the effectiveness of epilepsy medication and severity of not treating seizures in order to better understand that specific illness.
  • The article was written using data collected in 1988. Since medical knowledge has changed dramatically since then I decided to look into the current medical situation in Turkey. Although it is challenging to find unbiased opinions it appears that even with advances in medical science, cultural traditions remain an integral part in dealing with illness in many places and needs to be understood when dealing with patients who have those beliefs.
  • A majority of the patients interviewed attribute their seizures to a traumatic moment in their past, as I was unaware that epilepsy could be triggered in such a way I looked into the causes of epilepsy. In many cases the cause cannot be identified, however there is significant evidence for epileptic fits being caused by post-traumatic stress as well as neurological trauma and even cardiac issues.

pece_annotation_1473202801

erin_tuttle
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The article focused on treatment and prevention of diseases affecting communities, however I was interested in the initial causes of these epidemics in places that were originally free of disease. I read an article “The Tipping Point” published in the New York Times that explained multiple social theories as to how epidemics begin, using Baltimore as a case study.

I looked into the stated mission and some of the work done by the Partners in Health, as they are a group that responds to epidemics. It was interesting to see that they focus not on immediate emergency response but instead on creating lasting infrastructure to gradually stop epidemics, as well as educating locals on how to react to future emergencies of the same nature.

The article mentions that clinicians are not trained to see social issues as they are so commonplace in everyday life as to become invisible, I felt that was a limited mindset and read an article written by Doctors for America. The article showed that while it is true that comparatively little time is spent on social issues during a doctor’s education, clinicians dealing directly with patients clearly recognize social conditions effecting health. The article suggests that the lack of attention on those issues in the medical field is not due to ignorance but rather the lack of an existing system through which individual doctors can report their experiences and work towards a solution.

pece_annotation_1480380395

erin_tuttle
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Emergency response is addressed in terms of post-incident humanitarian aid, dealing with how to identify and help victims of sexual violence without politicizing their situations to the point of forcing them to relive their trauma or making them feel separated from other people receiving aid.

pece_annotation_1473784686

erin_tuttle
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The article referenced many other papers that focus on the modern health threats due to scientific advancement, the spread of disease in modern society, and on the current approach to health prevention and the response to epidemics. This suggests that the paper was a culmination of ideas that did not include new research or data.

pece_annotation_1480893976

erin_tuttle
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There are seven authors on this project, all of whom are connected to research institutes or universities. The project was primarily written by individuals associated with the Stockholm International Peace Research Institute, which has a good reputation.

pece_annotation_1474748694

erin_tuttle
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The bibliography shows this article was written with a significant amount of historical research into both the incidents discussed and also the materials and technical findings of the investigations.

pece_annotation_1474993150

erin_tuttle
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  • I looked at current French visa laws which allow for a number of humanitarian requests, including family, fear of life, and medical treatment. The current protocols do still allow for easily obtainable short stay medical visas which require the medical report from a French doctor, the long term visas have a similar application but are more challenging to obtain.
  • I also researched which countries have significant numbers of tourists traveling for medical reasons, the countries in Europe, Northern America, and Asia have the most applications for medical stays in order to access otherwise unavailable treatment. There is also however significant travel to countries with less developed health infrastructure and regulation for inexpensive treatment.
  • Finally, as this article focused only on the normal application process of immigrants I looked into how the humanitarian allowances for residence in France was effected during the recent increase in refugees traveling through Europe. France is actually planning to close some refugee camps against the arguments of humanitarian groups due to strain on resources, while the government wishes to find alternative locations for the refugees they claim the camp in Calais will be closed by winter regardless.

Source: The Guardian sept. 26th 2016 edition

pece_annotation_1476122177

erin_tuttle
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  • “The response to the disaster was recognized as a bureaucratic nightmare that, regardless of the intent of the federal and state governments, appeared to homeowners as a sign of their having been abandoned.” (16)
  • “And the patterns with the family too. A family is—for as close as we—were and I mean every birthday, with a big family… And now, it’s the closeness that’s all gone. And it’s not just the distance. You can blame it on the distance, use the distance as an excuse. But even when we get together, nobody wants to stay. Everyone wants to get home.” (12)
  • “I haven’t had a mail box in three years, OK. I mean symbolically that’s it right now. I don’t even have a mailbox. You know, if you want to put it in one sentence. I am just tired of not having a mailbox, ya know, because I don’t know where I live.” (9)