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pece_annotation_1473610787

Zackery.White

1. The study in Baltimore showed that with a reduction in the influence of socio-economic factors in patients receiving health care services. The studies showed that with their increased awareness and effort the socioeconomic disparities largely vanished. Unfortunately this is also underscored by the emergence of HIV which is resistant to multiple drugs. 

2. The use of the PIH model in Haiti was shown to have positive results there, so much so that it was adapted in Rwanda. The greater challenges faced by this group is water quality and gender inequality.

3. Another way the argument is supported is by discussing the ways that clinicians can help to intervene in structural violence. 

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Sara.Till

1) Haitian government instability: Despite some knowledge of the Dominican Republic, I hadn't fully grasped the political instability in Haiti. This is an important factor when looking at disaster relief as political climate can often dictate how well or poorly aid is received.

2) USAID: I've chosen to delve into more about the USAID, including what countries are currently being given aid and how, including Haiti.

3) UN Peacekeeping units: obviously, a force meant to be helpful and to bring the world a little closer. Yet, the article seems to indicate peacekeeping forces can do more harm than good; I'm curious to see if this is a common theme, and if so, why this continues to occur.

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Sara.Till

Emergency response itself is not particularly addressed; the article, instead, focuses on the humanitarian efforts that typically spawn from multi-week and month long conflicts. These are not necessarily the first-line individuals, but rather the workers (such as MSF) which come in to provide aid in the middle, late, or final stages of a conflict. The report delves into the responsibilities and hurdles of dealing with sexual violence in humanitarian efforts, which includes both emergent and non-emergent care.  

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Zackery.White

"Over the past 10 years, MSF has provided medical care to approximately almost 118,000 victims of sexual violence. Integrating related care into MSF general assistance to populations affected by crisis and conflicts has presented a considerable institutional struggle and continues to be a challenge. Tensions regarding the role of MSF in the care to victims of sexual violence and when facing the multiple challenges inherent in dealing with this crime persist. An overview of MSF experience and related reflection aims to share with the reader on one hand the complexity of the issue, and on the other hand the need to continue fighting for the provision of adequate medical care for victims of sexual violence, which after all and despite the limits, is feasible."

MSF is stricken by the intensely difficult task of helping with sexual violence. Not only do they have to deal with supporting the 118,000 people physically, but they help emotionally as well. Another aspect which contributes to the problem is the vast differences in gender equality throughout the world.  

pece_annotation_1474220787

Sara.Till

While there was criticism of the policy (see the Washington Post's rebuttal), the policy appeared to be well received until implementation of quarantine for returning health care workers. This, and the backlash, caused the policy to be revised and invited confusion about guidelines. Leaders may have lost political points by staying firm with their guidelines, but chose to revoke their initial decisions-- leading to confusion and worry in the general population. 

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Sara.Till

This article examines the gaps in research concerning health care workers in "complex security environments". These work areas contain some sort of conflict, poverty or environmental issues, particularly those that are humanitarian or crisis settings, and are characterized by civil unrest. This, in turn, leads to an involvement of aid personnel-- this report primarily focuses on violence towards health care workers within these settings and the lack of information on this issue. It pays particular attention to discrepancies between peer-reviewed, academic research and general media commentary or articles.  

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Zackery.White
Annotation of

Hailey-Means’ mental and physical health quickly deteriorated. Her treatment by guards and the intolerable conditions in solitary confinement — complete isolation, extreme temperatures, polluted air, the stink of the landfill — led Candie to try to take her own life.

What they’re calling for instead is a divestment from mass incarceration, along with an end to bail, and an investment in health care, living wage jobs, and mental health treatment that would lead to safer communities.