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pece_annotation_1476645776

erin_tuttle
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The US Department of Veteran Affairs is constantly adjusting to new medical research to provide the most effective care possible. This shows a differing approach to emergency response which is only possible due to the long term nature of this organization, most emergency response groups focus on quick response to disasters which does not allow for the same amount of research and adaptation as the Department of Veteran Affairs.

pece_annotation_1478380476

erin_tuttle
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  • Chernobyl was an unexpected disaster, however several more nuclear disasters have occurred since then. I looked into the safeguards that were changed after Chernobyl and if those had any part in mitigating other nuclear meltdowns. After the explosions several countries and international groups developed nuclear policies that attempted to prevent critical system failures as occurred during the test that caused the reactor to overheat, but many countries refused to adopt additional safeguards that may prevent future disasters.
  • The article described the various zones put into place to keep people away from the most radioactive areas around Chernobyl, I looked into the zones used and the determining factors in determining the sizes of each zone. The initial response determined a zone of 30km around the site, however as scientific understanding of radiation improved the zone was extended to 2600km. This shows the importance of an informed response to prevent further damage after a disaster.

Finally, I researched the effects of low dose radiation poisoning to better understand the medical care needed by those affected. Even low exposure doses can cause lasting damage to organs, or cause cancer and blood related illnesses through the effect of radiation on bone marrow. Those exposed would need frequent medical exams and treatment for the entirety of their lives.

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.