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pece_annotation_1480865427

Sara.Till

BSVAC was founded during the height of the crack-cocaine epidemic, when gang and drug violence were rampant throughout the city. While violence has decreased in Bed-Struy, felony assaults as of 2013 stood at around 5.9/1000, well over double the NY city-wide rate of 2.4/1000. This is an area rife with poverty, with median income of about $19,000 and a population heavily dominated by non-white individuals (latino, african-american, multi-race, ect.). Hence, the organization has been heavily molded by this urban, highly volatile environment. The vast majority of BSVAC personnel are of color and outreach is primarily aimed at keeping non-white youth away from street or drug life. The heavy emphasis on gun and drug violence in the area shapes the call volume and type, with shooting and stabbing wounds being a regular occurrence. The agency, for the most part, is a trauma-based service. Thus, their responses to calls would be different than an ambulance without this lengthy history and experience. Moreover, BSVAC has played a role in volunteering and responding to large-scale disasters, such as 9/11, Hurricane Katrina, and Haiti. As members are highly experienced in high volumes of large traumatic injuries, they are well-equipped to handle larger emergencies (similar to the ER physicians in County Hospital of LA or the trauma surgeons in Cook County outside Chicago).

pece_annotation_1473114443

maryclare.crochiere

I further researched the reliability of some of the funds that were donated to in the months after the disaster. The FBI issued warnings to those donating to be sure they were giving money to a reliable fund, as there was a lot of fraud taking place. With so much money being donated internationally in a short period of time, it was likely easy for such to occur, and that also took away from the amount of aid Haiti received.

I also looked into the improvements in the country over the first few years since the earthquake. The people of Haiti were cited as having a strong desire to help rebuild, they just needed to be shown how. http://www.nbc29.com/story/20596283/haiti-sees-improvements-since-earth…

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maryclare.crochiere
Annotation of

I looked up the rates of hospital bankruptcy/closing, the results looked to be interesting. The article (http://www.healthcarefinancenews.com/news/hospital-bankruptcies-result-…) makes it seem avoidable, if the warnings are taken seriously in the years leading up to the crisis. "What they found was that filing hospitals tended to be smaller, not part of a health system and were more likely to be in the Northeast or West Coast. Many factors were involved, including poor financial management, changes in payer mix, reimbursement reductions, overzealous construction and purchasing of physician practices, decrease in volume and demographic shifts that were the impetus for filing."

I also looked up ER wait time statistics, by state, over the course of several years, etc. (https://projects.propublica.org/emergency/) Very interesting!

pece_annotation_1473623301

Sara.Till

The article specifically highlights the failure to utilize all the resources given to Haiti after the earthquake. It specifically focuses on how monetary donations have been improperly managed, and how several mitigating factors forced this money to be basically wasted. Moreover, it explores why donors are now hesitant to invest in combating the newest plight (cholera) and why UN peacekeeping forces hurt more than helped recovery efforts.

pece_annotation_1474847625

maryclare.crochiere

"History shows that, with time, a given community of engineers and scientists has generally proven able to explain the technical particulars of a structural collapse. Yet, the demands placed in an investigation have as much, or more, to do with defining the dominant investigator and quickly addressing the fears and anger of the press, government, and an outraged public than they do with discovering the defiinintive technical truths of a catastrophic event."

"Steam power...utterly transformed American economic and social life in the 19th century. With this promising technology, though, arrived a whole series of risks, catastrophic boiler explosions being the most dramatic, and the deadliest."

pece_annotation_1474219809

Sara.Till

The Ebola outbreak is, by its very definition, a matter of public health. The outbreak presented a danger to the global health community and resulting policies dealing with this epidemic were public health policies. That being said, the policy in place mostly served as a protocol mostly for agencies of New York in the event the epidemic spread. It focused on standardizing the practices of health, transport, and government agencies in the event of an outbreak; it did not focus on individuals already effected with the disease, but more so on preventing the spread of the epidemic. 

pece_annotation_1474550873

Sara.Till

The article's primary focus is the failure of a government agency in the wake of the 9/11. The EPA's inadequate response to air pollution and subsequent public misguidance led to a multitude of public health issues. While the article does not explicitly detail the issues stated in this lawsuit, it does mention the EPA's failure to properly formulate and enact a plan to clean up materials released into the air.

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maryclare.crochiere

Many studies look at intimate partner voilence (IPV), but only two previous studies look at it specifically related to a natural disaster, so this research is inventive in that way. It uses data from a larger study of the area that was hit by Katrina. The data was obtained through interviews, and in the period of time 6 months before Katrina to 6 months after, measures of psychological and physical IPV are analyzed. These measures were also compared to a scale of how stressful the individual's life had been in that time frame, which was reached based on answers to questions about how Katrina affected the individual.

pece_annotation_1475423201

Sara.Till

The program does not appear to have any length or requirements for members of its faculty. As a medical center, obviously those providing patient care need to be licensed medical professionals; however, there does not seem to be a written time commitment or contract for these individuals. Much of the Center's work revolves around on-going studies focusing on providing basic health care and interventions to incarcerated populations. This research is then presented by the Center in several ways: panel discussions, peer-reviewed articles, lobbying of policy makers, documentary films, interviews, ect.