Skip to main content

Search

pece_annotation_1478380458

erin_tuttle

The bibliography, and passages in the article, indicate that the author spent a considerable amount of time interviewing workers at Chernobyl during the initial disaster, workers involved in the continuing maintenance efforts, as well as doctors and policymakers involved in the health care system for those with radiation exposure.

pece_annotation_1477249975

Sara.Till

1) "Interventions in the acute phase directly following the disaster are designed to promote survivors’ safety and stability and to help them cope with their experiences (12). 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)."

2) "Exposure to potentially traumatic events is disaster-specific and often measured differently between studies, making it difficult to compare experiences and mental health consequences or to generalize findings to all disaster-affected populations (22). Additionally, most instruments that assess symptoms of mental disorder have been developed and validated in the United States (23, 48) and may lack cultural relevance and validity in areas impacted by disasters worldwide"

3) "These studies can help us understand what factors are associated with different courses of mental illness, which can help us identify the most vulnerable populations and inform tailored interventions"

pece_annotation_1472695678

erin_tuttle

I was interested in the accident prevention mindset that was in part responsible for poor response in past nuclear disasters, so I read a summary of “Risk Society: Towards a New Modernity” by Ulrich Beck, one of the works referenced in Schmid’s article. The summary better explained the societal mindset that a structured set of rules for accident prevention was more reliable that the educated and adaptive individual.

The point that nuclear fallout does not respect national borders was interesting, so I looked at how far fallout can spread. An understanding of how geological features such as mountains and valleys can affect the immediate fallout zone and how meteorological conditions can spread eradiated rain and wind significant distances from the site of a disaster would be important in the evacuation and clean up portions of a response to a nuclear disaster.

When discussing existing emergency response groups that dealt with nuclear disasters the IAEA was mentioned several times, so I looked into the organization and their responsibilities. Although the IEAE is often criticized for its slow response to Fukushima, I found that the organizations stated missions are to promote peaceful use of nuclear energy and safety, as well as implement safeguards meant to prevent military use of nuclear energy. While an international group that works closely with the nuclear industry it does not claim any responsibility to act as a response group to nuclear disasters.

 

pece_annotation_1478465593

Sara.Till

Obviously, the individual testimonies hold enormous emotional power. Having a tearful mother share of her grief at losing two children, watching former marines such as Denita McCall fight for their lives against cancer, or seeing Mike Partain's massive spreadsheet of male breast cancer incidence all strike deeply. Yet, the most compelling piece was early on in the film. Ensingmer and Partain visit a cemetery near Camp Lejeune. While there, they note the sheer number of graves from between 1957-1987-- the vast majority belonging to infants and children. This, personally, was the most moving; witnessing the sheer number of lives  lost while hearing the excuses and lackluster responses of governing bodies demonstrated just how dire this situation was.

pece_annotation_1473202744

erin_tuttle

The bibliography shows references to several papers by many of the same authors, showing it was produced as a continuation of previous ideas but showing new information learned through the PIH’s activities in Haiti and Rwanda. The bibliography also shows many references from the early to mid 1990’s showing similar thoughts to initial research done in Baltimore and other places with high rates of AIDS.

pece_annotation_1478996107

Sara.Till

The article primarily asserts that how a patient narrates or describes their medical history is deeply rooted in their native culture. As such, physicians must be aware of how an individual's medical experiences can be altered based on this. In turn, physicians must recognize the importance of story-telling and anecdotes when receiving information directly from patients. Narratives project the patient's experience and events through their perspective, granting professionals a glimpse into their thought processes and action patterns.