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pece_annotation_1480892747

Sara.Till

1) Definition of humanitarian crisis: This article denotes a multitude of situations, all of which seem to have a drastic effect on human health and well-being. That being said, some crisis or armed conflicts are not deemed a humanitarian crisis. According to several sources, the definition is incredibly subjective, and must be event(s) which harm the health, safety, or well-being of a community or large group of people.

2) Humanitarian worker protections: At this time, there does not seem to be a true movement to legally prosecute those who harm humanitarian or aid workers. However, within the Geneva Convention and later Protocols, there are legal protections for non-combatants during armed conflicts; this is in addition to a UN Security Council Resolution (1502) which gives greater protection to aid workers, classifying attacks on them as a war crime.

3) Non-combatants: This is where definitions of humanitarian aid workers and their protections under both the Geneva Convention and UN Resolution fall apart. The current climate and disregard for international sanctions has left many aid workers at the mercy of those who do not recognize the UN or global entities. As such, they are faced with the choice to remain non-combatants (those who do not carry or use a weapon during a conflict) and most likely be harmed; or to carry defensive arms and proclaim themselves a combatant, and thus be a target. Hence, the difficulty in being a health care worker in an age of general militarization. This is also a topic heavily discussed in the book Trauma by Dr. James Cole. As a member of the special operations, Dr. Cole was always well within danger; he discusses the choice to carry or not carry a weapon, and how discharging the weapon (even in self-defense) changes the nature of the health care provider and their position in an armed conflict. 

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ciera.williams
Annotation of

There have been a number of controversial events and policies that have affected ARC policy. One of the most notable ones is the controversy in blood donation from gay men. The FDA requires that no blood can be taken from a man who has had sex with anohter man since 1977. The ARC petitioned the FDA in 2006 for the removal of the policy, though nothing has been done to address it yet. 

pece_annotation_1474231692

Sara.Till

This article seems to focus more on the overarching theme of global medicine. This does include aspects of emergency response (such as discussing how various agencies respond to emergencies or how they formulate protocols) as biosecurity seeks to minimize or eradicate health emergencies. However, as the article contends, biosecurity is not a functional ideal at this time; it primarily contends that our current models of biosecurity are undermined by several factors, leaving them as simply emergency responses.

pece_annotation_1474239906

ciera.williams

The artice cites WHO preparadness plans and Doctors without Borders as sources of policy on emergency response, in the context of global health. With the rise in infectious disease, there is a risk for "global threat" that is not directly targeted at a group, but rather engineered through social and economic factors. This means that emrgency preparadness is key. However, the article metions the use of Emergency repsonse as a bit of a cop-out. It is much easier to plan for the worst than prevent it from happening. The author states "... measures focused on mitigating potential emergencies are easier to implement rhan longer-term structural interventions." 

pece_annotation_1474767016

Sara.Till

This article seems to be primarily cited by other articles concerning historical disasters. It appears, for the most part, to be very under-cited by the research community. This may be due to its nature as a primarily historical analysis of a very under represented issue. Many competing articles seem to focus on more substantial issues with direct effects on communities or directly point out failures that led to significant reduction in response capability. As argued in the article, it can be very difficult to press issues without public encouragement for the topic. 

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ciera.williams
Annotation of

The film would have the most impact on the general population, like something that would be played on a news channel before prime time. The level of emotional appeal and interpersonal drama is enough to keep anyone intersted for the length of the film. The film does however paint the experience in a negative light, which could discourage professionals from pursuin mission worlk. Thats why the general population would be most receptive to the struggles. Its easy for them to say "I would do something like that if...." without having the ability to do anything. 

pece_annotation_1475466534

Sara.Till

1) Jean-Pierre Chevenement:  a key player in passing this immigration legislation, the leader has since stepped away from the political scene after running for the presidency in 2002. As the sitting minister, Mr. Chevenement has been described as a key member of the left; I'd be intrigued to see what other pieces of legislation he has worked on

2) Didier Fassin: Dr. Fassin, a reigning expert in french state anthropology, appears to bring an element of medical background to his analysis. Obviously, he seems to be a well-respected member of the anthropological community-- where and what other projects he has on-going would be interesting 

3) French healthcare: this type of legislation obviously puts a tremendous amount of strain on the general healthcare; depending on the system utilized by the French state, this could have a detrimental effect on the quality and timing of care delivered. 

pece_annotation_1475970787

ciera.williams

“In particular, the syndrome articulates the powerful way in which displacement is simultaneously recognized as a cause, symptom, and, ultimately, false cure for disasters. Chronic disaster syndrome represents the health outcome of life in an ongoing state of “disaster” or “emergency” (Agamben 1998; Fassin and Vasquez 2005) that, as in this case, is perpetuated by industries of “disaster” capitalism (Klein 2007; Klinenberg and Frank 2005). The total collapse of infrastructure and social services initiated by storm and floods produced what Naomi Klein calls the perfect conditions of “shock”—a collapse so severe as to authorize a new government arrangement in which the state contracts with private firms to provide services it previously provided”

“One of the recurring themes that we heard from those who were still displaced in trailers or temporary living situations (e.g., with relatives), but more so from those who had returned and were, in a few cases, back in their homes, was that, even if the neighborhoods were being rebuilt, people had lost so much that nothing would never be the same.”

“We were, like I said, we were close. No more. Not anymore. And some of it too is that we got away from one another and we realized how little we got in common. Or else the storm took it away. I don’t know which it is, you know. Cause I’m an analyzing person and I’ll try to figure it all out sooner or later. But it’s either we just really don’t have anything to talk about anymore, or we never did, and we just thought we did. It’s weird. …”

“This chain of events prompted residents to say things like: “We all asked, ‘Who was meaner: Katrina, Rita or FEMA? And everybody’s pointing at FEMA.’ Which is worse— Katrina, Rita or FEMA? FEMA””

“Katrina offered an opportunity for disaster capitalism to become entrenched, supported fully by the U.S. government. But the failure of an effective recovery in New Orleans has created yet another kind of “disaster”—the ongoing disaster. New Orleans offers an example of the perpetuation of a “state of emergency” that was initiated by Katrina but has been sustained by ongoing politicoeconomic machinery—a machinery that ultimately needs to “have a disaster” to justify its existence.”

“Hurricane Katrina was an “event” disaster that mobilized a “state of emergency,” which subsequently led to the authorization of a military response to an “ongoing” disaster that the failure of bureaucratic machinery helped to prolong. The “state” was erased as a functioning buffer for the poorest sectors of the socioeconomic hierarchy, and in its place a “free market” in private-sector development contracts emerged. Just as those citizens who were living paycheck to paycheck or welfare check to welfare check were evicted first by the forces of nature and then by the force of the unfettered free market authorized by the “emergency,” so too were the social programs, previously offered by the government to provide safety nets to these populations, eviscerated”

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Sara.Till

While emergency response is not addressed as an overarching theme, this report focuses on the nuances of mental health within emergency response. A key, but often forgotten aspect of emergency response, the report seeks to better focus the treatment and study of mental health after an emergency. The report discusses how to better study mental illness in populations who have experienced trauma, which will further enable effective treatments. It also discusses a few interventions currently shown to help mitigate PTSD, MDD, and other disorders after a disaster event.

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ciera.williams

The World Health Assembly adopted resolution WHA65.4 on the global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level. This resolution called for the creation of a plan detailing services, legislation, strategies and programmes provided for the purpose of treating mental health conditions.