The film addresses the general public, as it does not include significant amounts of scientific information that would require prior knowledge. The nature of the film however does aim toward a mature audience, as the film advises viewer discretion due to graphic images.
I looked into the aid organization Medicins Sans Frontieres and the incident mentioned in the article where the organization was forced to abandon their operations in Somalia. The multiple mentions of a lack of data available on violence against aid workers led me to research the Aid Worker Security Database in order to better understand the system for which data was organized. Finally, I was surprised by the mention of government supported violence against aid workers and decided to look into that. There was a significant amount of news concerning government plots and political violence but very little appeared to be reliable or could be corroborated.
Emergency response is not specifically addressed in the article. However, medical professional-patient relations are a key component of emergency response; as such, Dr. Good's assertions surrounding patient narrative should be taken into consideration in emergency situations. He notes that the methodology and cultural nuances of narration can provide a cornucopia of information that would otherwise be ignored.
Research for this article comprised of interviews and recorded statements of dozens of police and fire personnel present at the towers and other officials who were tasked with investigating the response.
The report comes within a much larger book edited by Richard Hindmarsh focused on the Fukushima nuclear disaster. The book as whole explores social, environmental, and political issues in the aftermath of the incident. It appears to be available at multiple collegiate libraries including Boston College, Williams College, Harvard University, MIT, and Cornell University.
This report has been cited by 22 other works-- including articles, books, reports, reviews, and studies. This includes several these, book chapters, and dissertations. It appears mostly in anthropological and STSS works, indicating it has yet to move from these social sciences into the realms of policy.
The development of Twine was funded primarily through donations from individual investors interested in the data sharing aspects of the software and humanitarian aid organizations who benefit from the accessible data.
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.
1) "On an individual level, disagreements over treatment can arise when there are competing ideas about the cause and most appropriate treatment of disease. The weak and sometimes nonfunctioning health systems that often characterize complex security environments can compound these challenges and contribute to a milieu of mistrust that sets the stage for violence against health workers, facilities and transportation"
2) "There are also often inconsistencies in the categories used to describe perpetrators e e.g. terrorist, state actors, non-state actor e and these categories have legal ramifications under both International Humanitarian Law and in national legal frameworks. Although a standardizing of terminology and scope of study would be welcome, this has proven difficult."
3) "Although violence directly affecting health service delivery in complex security environments has received a great deal of media attention, there is very little publically available research, particularly peer-reviewed, original research. Only thirty-eight articles met the original search criteria outlined in the methods section, of which only eleven contained original research; a further citation search yielded another four original research articles."
The article has been referenced in several other published works that look at hurricane Katrina and the long term effects, including Aging Disaster: Mortality, Vulnerability, and Long-Term Recovery Among Katrina Survivors, on which Vincanne Adams and Taslim van Hattum both worked.