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pece_annotation_1472924647

maryclare.crochiere

The main point is the lack of justice for Haiti in this rebuild process. They got huge amounts of dontions from all over the world in hopes of rebuilding the country to be better than it was. Insead, the vast majority of the money is not being spent in the right ways, and much of the spending is not being done in the most economical ways. The ways that the companies are going about rebuilding is much more wasteful than it has to be, thus using more of the money and preventing it from going as far as it could.  Additionally, the UN has created a cholera epidemic in Haiti and is not being held accountable for cleaning it up.

pece_annotation_1473296561

maryclare.crochiere

" For decades, those who study the determinants of disease have known that social or structural forces account for most epidemic disease. But truisms such as “poverty is the root cause of tuberculosis” have not led us very far. While we do not yet have a curative prescription for poverty, we do know how to cure TB."

"The debate about whether to focus on proximal versus distal interventions, or similar debates about how best to use scarce resources, is as old as medicine itself. But there is little compelling evidence that we must make such either/or choices: distal and proximal interventions are complementary, not competing"

" By insisting that our services be delivered equitably, even physicians who work on the distal interventions characteristic of clinical medicine have much to contribute to reducing the toll of structural violence"

pece_annotation_1474160389

maryclare.crochiere

Most of the claims are based on past examples in history of response to disease outbreaks and the development of new diseases. They looked at how regualtions were developed after each one, what research showed in each case, and how people reacted to the risk or security associated with each.

pece_annotation_1476149624

maryclare.crochiere

The information in this study can be used to offer help to couples after disasters, as it shows that counseling may be needed to help aleviate some of the issues at hand. While counseling may not be readily available with all of the other disaster relief that is going on, it should be reconized as something that may be necessary to help the recovery process and ensure greater safety.

pece_annotation_1477310798

maryclare.crochiere

Emergency response is discussed in the following quote:

"One such intervention, psychological debriefing or critical incident stress debriefing, was developed in the 1980s for emergency responders and has been used with other victims of trauma (46). The technique is applied within 48 h of the traumatic event, during which victims are asked to describe the event and their emotional responses to it in detail. They are also given suggestions of methods to relieve stress (12). Intervention studies, however, have found that this method does not prevent psychopathology and, by strengthening memories of the traumatic event, may impair the natural recovery process and even worsen symptoms (44). Therefore, it is no longer recommended in the immediate aftermath of traumatic event exposure (12, 49)."

This quote shows that the psychological needs of first responders are also considered, not just those of the people who were victims. It shows a weakness in the abilities to heal people afterwards, as this method is no longer recommended. Other methods are being pursued, as the first responders of the world need support and healing too.

pece_annotation_1480096990

maryclare.crochiere

The authors used a lot of quotes, from survivors, politicians, scientists, and other important figures with the situation. Based on these quotes, they did research to provide the reader with additional background information or facts regarding whatever the individual was speaking about.

pece_annotation_1480130537

maryclare.crochiere

The article shows the fact that EMTs had to step in to prevent police officers from further abusing an inmate/patient. The purpose of EMS is to take care of people that are hurt accidentally or in crimes, not to pull police officers off of patients. This article is purely factual, but shows a very poor example of police "helping" EMTs.