The report comes within a much larger book edited by Richard Hindmarsh focused on the Fukushima nuclear disaster. The book as whole explores social, environmental, and political issues in the aftermath of the incident. It appears to be available at multiple collegiate libraries including Boston College, Williams College, Harvard University, MIT, and Cornell University.
BSVAC was founded during the height of the crack-cocaine epidemic, when gang and drug violence were rampant throughout the city. While violence has decreased in Bed-Struy, felony assaults as of 2013 stood at around 5.9/1000, well over double the NY city-wide rate of 2.4/1000. This is an area rife with poverty, with median income of about $19,000 and a population heavily dominated by non-white individuals (latino, african-american, multi-race, ect.). Hence, the organization has been heavily molded by this urban, highly volatile environment. The vast majority of BSVAC personnel are of color and outreach is primarily aimed at keeping non-white youth away from street or drug life. The heavy emphasis on gun and drug violence in the area shapes the call volume and type, with shooting and stabbing wounds being a regular occurrence. The agency, for the most part, is a trauma-based service. Thus, their responses to calls would be different than an ambulance without this lengthy history and experience. Moreover, BSVAC has played a role in volunteering and responding to large-scale disasters, such as 9/11, Hurricane Katrina, and Haiti. As members are highly experienced in high volumes of large traumatic injuries, they are well-equipped to handle larger emergencies (similar to the ER physicians in County Hospital of LA or the trauma surgeons in Cook County outside Chicago).
The report quite clearly details the need to change our approaches to healthcare and epidemic emergencies. Currently, we seem to address these events in a singular method, and are unwilling to alter this approach. This is partially due to the narrow scope of patient care; for the most part, administering care to patients follows a standard guideline that does not seek to reach beyond that singular case. It is beyond the scope of a practitioner to attempt to mitigate socioeconomic discrepancies within their clinics alone. However, as Farmer and his colleagues argue, broadening this standard is necessary to combat illness. Biosocial factors, not just medicinal factors, need to be tackled in order to fully combat disease.
The article seems to be primarily composed of thoughts from the author supported by evidence from historical, well-known occurrences. Moreover, both authors seem to have personal research in the fields identified here, making many of their arguments based on field experiences. There are cited reports and publications, but there does not appear to be an associated "Works Cited" page provided.
This article particularly focuses on analysis in the aftermath of emergencies. Specifically, in the investigative processes of structural disasters. It highlights the awkward melding of various agencies in the face of public demand for answers. More than anything, it presents this instability in the investigative processes surrounding many emergencies; understanding the logistics of a building's collapse or how a fire rapidly spread only furthers comprehension of the disaster as a whole. Moreover, findings from this analysis could provide strategies for avoiding future emergencies of a similar nature. The article opens investigations for scrutiny, asking why such an integral part of the post-disaster process often gets swept aside.
The chapter appears to be a compilation of accounts of immigrant medical treatments and overviews of the historical context behind several key situations. There is no bibliography, making it difficult to discern where these accounts came from. I can only assume most of this historical context came from Fissan's peers or other peer-reviewed works-- potentially another anthropological book.
1) "It's a community that's all too aware that declaring a crisis doesn't actually mean anything significant will change...Within the last 12 months, there have been multiple "crisis" states declared in Indigenous communities across the country, including even the entire territory of Nunavut—where 84 percent of the population are Inuit."
2) " "What do you find 20 years ago? The same conversations we are having now about suicide. The same conversations we are having now about the lack of mental health. The same conversations that we are having around socio economic development," Tait told VICE."
3) "One of the reasons Canada conveniently forgets the multiple recommendations and reports around youth suicide and mental health is that when it comes to Indigenous peoples they are considered "the other" "
The author is Adriana Petryna, a professor of Anthropology at the University of Pennsylvania. In addition to her work as at the University, Dr. Petryna has written several books and articles focusing on the effects of cultural and political forces on science and medicine. Other interests include social studies of science and technology, globalization of health, medical anthropology, and anthropological methods
This chapter from the work "Medicine, Rationality, and Experience: an anthropological perspective" seems to most frequently appear on websites for various Universities and Colleges. Moreover, the work as a whole seems to have been cited several times by subsequent reports further defining patient narration and medical relations.
Dr. Ticktin states in her introduction the report came about through both her personal experience with humanitarian efforts & sexual violence treatment and through supplemental studies. Her bibliography reflects this, and includes multiple studies/reports from humanitarian organizations. Additionally, she utilized multiple independent media sources discussing sexual violence in conflicts, the targeting of female populations, and humanitarian efforts within this realm. The bibliography also includes a multitude of research articles from various human rights journals and publications pertaining to female rights during conflicts.