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pece_annotation_1480700469

joerene.aviles

The article's main points cover the major challenges impeding research studies on violence that affects health service delivery in "complex security environments". The problem isn't lack of data regarding violence affecting health service delivery, but the lack of "health specific" and "gender-disaggregated" data, or data that's not completely tied to humanitarian aid.

The authors suggest several ways to increase research: increased collaboration between academia, NGO's, and health service organizations, inserting a research component in aid operations, and increasing funding to academic and aid organizations.

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erin_tuttle

The bibliography, and passages in the article, indicate that the author spent a considerable amount of time interviewing workers at Chernobyl during the initial disaster, workers involved in the continuing maintenance efforts, as well as doctors and policymakers involved in the health care system for those with radiation exposure.

pece_annotation_1472695678

erin_tuttle

I was interested in the accident prevention mindset that was in part responsible for poor response in past nuclear disasters, so I read a summary of “Risk Society: Towards a New Modernity” by Ulrich Beck, one of the works referenced in Schmid’s article. The summary better explained the societal mindset that a structured set of rules for accident prevention was more reliable that the educated and adaptive individual.

The point that nuclear fallout does not respect national borders was interesting, so I looked at how far fallout can spread. An understanding of how geological features such as mountains and valleys can affect the immediate fallout zone and how meteorological conditions can spread eradiated rain and wind significant distances from the site of a disaster would be important in the evacuation and clean up portions of a response to a nuclear disaster.

When discussing existing emergency response groups that dealt with nuclear disasters the IAEA was mentioned several times, so I looked into the organization and their responsibilities. Although the IEAE is often criticized for its slow response to Fukushima, I found that the organizations stated missions are to promote peaceful use of nuclear energy and safety, as well as implement safeguards meant to prevent military use of nuclear energy. While an international group that works closely with the nuclear industry it does not claim any responsibility to act as a response group to nuclear disasters.

 

pece_annotation_1473202744

erin_tuttle

The bibliography shows references to several papers by many of the same authors, showing it was produced as a continuation of previous ideas but showing new information learned through the PIH’s activities in Haiti and Rwanda. The bibliography also shows many references from the early to mid 1990’s showing similar thoughts to initial research done in Baltimore and other places with high rates of AIDS.

pece_annotation_1473624286

joerene.aviles

The main argument was that there are "biosocial phenomena" or "structural violence" that lead to the tendency for certain diseases or lack of treatment in populations, particularly those in poverty. Their three major findings were: they can make structural interventions to "decrease the extent to which social inequities become embodied as health inequities", proximal interventions can reduce premature morbidity and mortality, and structural interventions "can have an enormous impact on outcomes.