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pece_annotation_1473114320

Sara.Till
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In response to

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.

pece_annotation_1480865427

Sara.Till
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In response to

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_1473631003

Sara.Till
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In response to

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.

pece_annotation_1473109448

jaostrander
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 “safety sometimes gets pitted against profitability”

“Consequently, we see a trend where mitigating the consequences of a nuclear disaster is also increasingly being regarded as an international task.”

“We need to create a credible organization-one that combines the legitimacy of the United Nations agency and the executive vigor of an industry group.”

pece_annotation_1481652640

jaostrander
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"Overall, it is important to understand the perspectives of per- petrators in order to find solutions that enable effective delivery of health services "

"But more significantly, in addition to revealing the reproduction of inequality, the fissures rendered visible by the entry of gender-based violence into humanitarian missions force an engagement with new forms of the political. Humanitarianism’s mission has expanded so that it now occupies a dominant place in the global political arena – whether humanitarians asked for this or not"

"Key challenges in addressing violence affecting health service delivery in complex security environments include a lack of health- specific, accessible and comparable, gender-disaggregated data and sufficient data on perpetrator motives. "

pece_annotation_1474230429

Sara.Till
Annotation of
In response to

The article seems to be primarily composed of thoughts from the author supported by evidence from historical, well-known occurrences. Moreover, both authors seem to have personal research in the fields identified here, making many of their arguments based on field experiences. There are cited reports and publications, but there does not appear to be an associated "Works Cited" page provided.