Search

The article primarily asserts that how a patient narrates or describes their medical history is deeply rooted in their native culture. As such, physicians must be aware of how an individual's medical experiences can be altered based on this. In turn, physicians must recognize the importance of story-telling and anecdotes when receiving information directly from patients. Narratives project the patient's experience and events through their perspective, granting professionals a glimpse into their thought processes and action patterns.

Several historical examples are used including the burning of the US Capital in 1814, the Hague St. explosion in 1850, and the Iroquois theater fire in 1903. The article uses examples that were in the public awareness at the time of the disaster in order to exemplify the many agents pressuring investigators to make a rapid and acceptable decision including the public, the government, and the businesses effected.

Sonja D. Schmid, Ph.D., works as an assistant professor of STS (science and technology studies) at Virginia Tech. Her expertise includes history of technology, social studies of risk, and energy policy with a concentration on nuclear industry and proliferation. Dr. Schmid appears to have an extensive list of publications following the Fukushima incident, including a book on the development of the Soviet Nuclear industry (MIT 2015). 

The first portion of the article focuses on the shift of sexual violence from a woman's rights issue to the larger title of "gender-violence". From there, Dr. Ticktin argues the nuances of this transition necessitated medicalizing sexual violence, and turned it into a condition to be treated by tools within the humanitarian kit. Just as how we now attempt to treat polio by handing out vaccines and flyers, rape is covered by blanket protocols and procedures. In attempts to make this issue more respected, we sacrificed the nuances of care necessary for adequate treatment.

This is further exemplified in Dr. Ticktin's description of humanitarian aid-- the preservation of life itself, with disregard to the kind of life being lived. She goes on to contend that sexual violence is by its very definition a "kind" of life, thus creating an inherent conflict in the overarching goal of treating sexual violence and humanitarian interventions.

Dr. Ticktin also pays respect to the inherent difficulty in maintaining the typical principles used during humanitarian aid efforts, especially when attempting to treat gender violence. One of her primary examples is the work of MSF in the Congo Republic. During the conflict, roadblocks would be set by armed men, and thus MSF were forced to accept military escorts-- destroying the key humanitarian tenant of neutrality. Moreover, many of these militia men were perpetrators of the sexual violence, something MSF was seeking to treat. 

The article does not address emergency response, rather it dealt with public health and the government’s responsibility for the health of immigrants. A significant part of public health is the allocation and availability of resources, which differs based on country. The argument made is that the available medical resources in France should be used to assist those who do not have access in their countries. Unfortunately, there remains the responsibility to the citizens of France to provide access to any and all resources necessary for their health which necessitates denying treatment to some immigrants. The issues faced by the government and public health interests is how to balance those moral obligations, which is discussed in the article.

1) Haitian government instability: Despite some knowledge of the Dominican Republic, I hadn't fully grasped the political instability in Haiti. This is an important factor when looking at disaster relief as political climate can often dictate how well or poorly aid is received.

2) USAID: I've chosen to delve into more about the USAID, including what countries are currently being given aid and how, including Haiti.

3) UN Peacekeeping units: obviously, a force meant to be helpful and to bring the world a little closer. Yet, the article seems to indicate peacekeeping forces can do more harm than good; I'm curious to see if this is a common theme, and if so, why this continues to occur.

As an ambulatory agency, BSVAC obviously utilizes the typical EMS technologies, such as oxygen, BVM, ambulance, pulse oximetry, ect. However, it should be noted at the time of publication (2014), an article by the New York Times describing BSVAC's economic struggles, only 1 of the 6 functional rigs could be used due to lack of funding. At the time of the article, this rig had broken down-- and only through the volunteer maintenance by an EMT student's father had it been returned to commission. This leads me to believe that well BSVAC has all the available technologies, these may be dated or somewhat worn in nature.

Vincanne Adams is an anthropologist, and former director of Medical Anthropology with UC Berkeley. Diana English is a Clinical Assistant Professor at Stanford Hospital and Clinics. Taslim van Hattum is a well-known researcher focused on public health, she currently works as Director of Behavioral Health Integration for the Louisiana Public Health Institute.

While there was criticism of the policy (see the Washington Post's rebuttal), the policy appeared to be well received until implementation of quarantine for returning health care workers. This, and the backlash, caused the policy to be revised and invited confusion about guidelines. Leaders may have lost political points by staying firm with their guidelines, but chose to revoke their initial decisions-- leading to confusion and worry in the general population.