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C-Urge - iniciatives

helbohm
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C-Urge project is a doctoral network set up to research and better understand the complexity of climate and enviromental change, that is happening on global, as well as on a local scale. 

Through various research approaches set in various countries, we aim to highlight the notion of urgency and need to enrich the debate around the topic of environemtal change, that is both fast, and subtle and poses a serious challenge for the future.   

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Sara.Till
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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).

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Sara.Till
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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.

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joerene.aviles
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Bruze Nizeye and Sara Stulac both work with Partners in Health (founded by Paul Farmer) while Salmaan Keshavjee is a physician and researcher whose expertise is in multi-drug resistant tuberculosis and global health. Farmer's and Keshavjee's anthropological research in particular is important to emergency response because it would allow for improved preparation of treatment to those communities. Their work in seeing the social causes of health epidemics would also allow for better prevention of disasters. 

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Sara.Till
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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. 

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joerene.aviles
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1. Multi-drug resistant HIV and impact to treatments and research

2. Rudolph Virchow and his work in public health

3. "In the two rural districts of Rwanda in which the PIH model was introduced in May 2005, an estimated 60 percent of inhabitants are refugees, returning exiles, or recent settlers; not a single physician was present to serve 350,000 people." -looked up how this came to be; was there any healthcare available to them at all?

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Sara.Till
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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.

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joerene.aviles

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Sara.Till
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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. 

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joerene.aviles
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The author is Didier Fassin, a French sociologist and anthropologist who was trained as a physician in internal medicine. He developed the field of critical moral anthropology and currently does research on punishment, asylum, and inequality. This research looks at the social and political forces that affect public health trends, so is not directly involved in emergency response.