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1. "“In the globalized world of the 21st century,” it argued, simply stopping disease at national borders is not adequate. Nor is it sufficient to respond to diseases after they have become established in a population. Rather, it is necessary to prepare for unknown outbreaks in advance"
2. “World health is indivisible, [and] we cannot satisfy our most parochial needs without attending to the health conditions of all the globe.”
3. "This tension relates to a difference in aims but also in forms of intervention: emergency response is acute, short-term, focused on alleviating what is conceived as a temporally circumscribed event; whereas “social” interventions—such as those associated with development policy—focus on transforming political-economic structures over the long term. Thus, in global health initiatives we find a contrast between possible modalities of intervention that parallels the one already described in U.S.–based biosecurity efforts: between acute emergency measures on the one hand and long-term approaches to health and welfare on the other."
4. "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."

The authors discuss that there is little information regarding this topic because there is a lack of research. This is pointed out by the fact that they could only find 38 articles that related to this topic. They also point out that there is an urgency for an analysis regarding the impact of this violence on the facilities, organizations, and on the populations that benefitted from the humanitarian presence. 

The author of this article is Scott G. Knowles, the Department Head for the History Deparment Center for Science, Technology and Society. He has a PhD from Johns Hopkins. He focuses on risk and disaster, with particular interests in modern cities, technology, and public policy. He's released several books on the topic. He has a hefty resume with various publications and activity on research boards, showing his vast knowledge on these topics. 

I think the main takeaway for first responders would be to treat these refugees as if they were anyone else. They should be treated fairly and favorably and should not be discriminated against when it comes to emergency care.