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pece_annotation_1474144990

wolmad

1. “A series of factors – demographic changes, economic development, global travel and commerce, and conflict – ‘have heightened the risk of disease outbreaks,’ ranging from emerging infectious diseases such as HIV/AIDS and drug resistant tuberculosis to food borne pathogens and bioterrorist attacks.”

2. “Although there is a great sense of urgency to address contemporary biosecurity problems— and while impressive resources have been mobilized to do so — there is no consensus about how to conceptualize these threats, nor about what the most appropriate measures are to deal with them.”

3. “There is no such thing as being “too secure.” Living with risk, by contrast, acknowledges a more complex calculus. It requires new forms of political and ethical reasoning that take into account questions that are often only implicit in discussions of biosecurity interventions.” 

pece_annotation_1472664522

maryclare.crochiere

Emergency response is the main idea in this article, but specifically that related to nuclear emergencies. An interesting point was made about the confidentiality of the plants and their "trade secrets" of sorts. While being transparent is helpful for safety reasons, it also reduced the profitability of the company, since other companies would be able to use their ideas. EMS knows a lot about respecting privacy through HIPPA, however it is also important to know the layout of important or potentially hazardous buildings within a response district. This would be a necessary compromise to make between the nuclear emergency response team and the nuclear leaders.

pece_annotation_1474490809

wolmad

“A six­month examination by The Times found that the rescuers' ability to save themselves and others was hobbled by technical difficulties, a history of tribal feuding and management lapses that have been part of the emergency response culture in New York City and other regions for years.”

''It's a disgrace,'' he said. ''The police are talking to each other. It's a no­brainer: Get us what they're using. We send people to the moon, and you mean to tell me a firefighter can't talk to a guy two floors above him?''

pece_annotation_1473268031

maryclare.crochiere
Annotation of

The Partners in Health are working on expanding surgery centers across the world, as described on their website: "'Essential surgical procedures rank among the most cost-effective of all health interventions,' finds the World Bank.". They have surgical centers, clinics, and other facilities for healthcare, but also help to better all of the infrastructure in the communities they aid, to reduce the spread of diseases.

pece_annotation_1477310454

maryclare.crochiere

" we aim to provide an overall picture of what we have learned from decades of research on the presentation, burden, correlates, and treatment of mental disorder following disasters. We also describe challenges to studyingdisaster-relatedpsychopathologyandlimitationsinourcurrentmethodologiesandoffer directions for future research."

"Childrenexposedtodisastersareparticularlyvulnerabletopsychologicalproblems,mostcommonly symptoms of anxiety (e.g., PTSD, panic, phobias) and depression but also acute stress reactionsandadjustmentdisorder(27).Elevatedvulnerabilityamongchildrenmaybeafunctionof their being less equipped to cope with what they have experienced (49)."

"Psychological first aid (PFA) has become the preferred post-disaster intervention, with three goals: Secure survivors’ safety and basic necessities (e.g., food, medical supplies, shelter), which promotes adaptive coping and problem solving; reduce acute stress by addressing post-disaster stressors and providing strategies that may limit stress reactions; and help victims obtain additional resources that may help them cope and regain feelings of control"

pece_annotation_1475248916

wolmad

The article supports its arguments in two main ways, by providing statistics and case stories. Statistics pertaining to medical based residence applications are separated by location, rationale, and department they were processed by in order to demonstrate varied acceptance rates. Case stories are used to show the process, the hurdles faced by applicants, and the effect that this policy has on the health of applicants.