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CITIZEN SCIENCE

Epistemic negotiation

Stakeholders (indigenous groups, activist, scientist, scholars, etc)

Scott G. Knowles: Department of History Head, Associate Professor in the Center for Science, Technology, and Society at Drexel University. Dr. Knowles specifically focuses on disaster, risk, and technological history. Multiple publications also extend into public policy, modern disaster response, and future risks.

The program appears to be popular with both lawmakers and the public. Unfortunately, coverage of the organization appears to mostly come from articles about the founding physicians-- often in the form of alumni news. The foundation's home webpage does link to several outside articles and news sources involving relevant topics in prison health care. There also appears to be an on-going series in The Lancet focusing on HIV/AIDs, a main component of the Center's mission. Moreover, the Center seems to serve as a fantastic resource for the Warren Alpert Medical School students, as the school maintains a longstanding tradition of involvement in Rhode Island public health

Emily Goldmann, PhD, MPH: assistant research professor of Global Public Health at NYU College of Global Public Health. Previous research includes work within several public health consulting firms and employment in the NYC Department of Health and Mental Hygiene in the Bureau of Adult Mental Health; this work included surveillance of psychological distress, metal illness, hospitalization, and rapid assessment of mental health conditions following hurricane Sandy. 

Sandro Galea MD, MPH, DrPH: a Canadian/American board-certified emergency medicine physician and epidemiologist, Dr. Galea is the current dean of the BU School of Public Health and former chair of Epidemiology at Mailman School of Public Health (Columbia University). His research primarily centers on social production of health within urban populations, including mental health disorders such as mood-anxiety and substance abuse; extensive publications exploring health inequalities, epidemiology, and health within vulnerable populations. Dr. Galea has served on numerous boards and committees analyzing the consequences of mass traumas, including 9/11, Hurricane Katrina, and numerous international conflicts. 

1) Attawapiskat: This First Nation region is described in the article as one of the most isolate and remote. Further research indicates not only is it geographically isolated, but it lacks significant resources, resulting in a high cost of living and a scarcity in certain goods. Moreover, the region is serviced by a nursing clinic (no physicians) and a team of 8 paramedics-- truly an under-served medical region.

2) Aboriginal Healing Foundation: Our Catholic high school curriculum involved an ethics class, which debated the mistreatment aboriginals in the name of evangelicalism. I chose to research the foundation and determine what made this special-- why were they able to be cited as making such progress, despite losing funding in a few years.

3) Sheridan: A young girl who came to symbolize the suicide epidemic in Attawapiskat, she was 1 of over 100 who attempted to commit suicide within the span of 7 months. The Vice article describing her life and circumstances shows hints of an adolescent wise beyond her years, quoted as saying "if there's no resources, there's not going to be any change" in her suicide recording. 

The article focuses more on the fallacies of our current approaches to medicine. Dr. Kramer contends that the public would benefit from physicians melding their current factual approaches with anecdotal methods as well. Particularly, the field of psychiatry, which dabbles in processes of the brain not yet understood. While Dr. Kramer acknowledges it is necessary to have a well-defined approach, using "stories" allows for a more enriched judgement and remind practitioners of the vast differences in human experience. 

As the data is from 1998, I would sincerely hope that the data has already encouraged responses. Nonetheless, at the very least, the data should be able to serve as a marker for progression in traumatic event services. While sexual assault is markedly different from other traumatic events, the data could also be extrapolated to other events with community ties. More pointedly, data from this study demonstrated where some of the gaps came between victims with the "best" service outcomes and those with the "worst". The primary difference between the "best" group and those in latter tears was in the legal system. These shortcomings appeared to emerge early on, with a discrepancy in whether their reports even made it to the desk of the prosecution from the police department. This indicates a shortcoming in the system, and a point which should be investigated to better victim outcomes moving forward. Sexual assault cases are rarely black and white, thus some detectives may be inclined to create personal judgments about the merit of a case before passing it along, thus leading to its exclusion. This is one of several differences in victim encounters leading to less desired outcomes.

This report provides a detailed analysis of international response to nuclear emergencies. In addition to reviewing historic nuclear emergencies and their responses, it examines current nuclear policies. Initial reactions to previous nuclear emergencies (Chernobyl, Three Mile Island, ect.) focused on preventing future incidents. Yet,  Dr. Schmid argues increased safety measures and rigorous regulation cannot possibly safeguard against all emergency scenarios. She emphasizes the need to create an international organization to serve as an emergent response team, and explores several candidates such as the International Atomic Energy Agency and World Association of Nuclear Operators. However, Dr. Schmid concludes none of these suggested organizations currently have the fiscal capability or internation authority to act in this role.

As I mentioned in earlier answers, at the peak of the crack-cocaine epidemic, BSVAC was founded (1988). It took outside EMS agencies an average of 30 minutes to reach patients with Bed-Stuy, a time that is far too costly for major trauma patients. This causes the current Commander (formerly referred to as Captain) "Rocky" Robinson to begin a volunteer EMS agency within the city itself. Placing the agency in the city decreased response time significantly, with BSVAC now averaging a response time of less than 4 minutes. 

Paul Farmer: American anthropologist and physician best known for his work combating tuberculosis in developing countries. Co-founder of Partners in Health, an organization dedicated to establishing and developing health care systems in under-served areas.

Bruce Nizeye: Engineer who works with Partners in Health directing the building program. Rwandese by birth and survivor of the Rwanda Genocide.

Sara Stulac: Associate physicain in Global Health Equity at Brigham and Women's hospital. Clinical Director for PIH in Rwanda

Salmaan Keehavjee: Associate professor of global health and science medicine at Harvard Medical School. Specializes in tuberculosis research and proliferation.