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The way that countries and the world address nuclear emergencies is addressed in this article. Currently there is no central international response resources or authority. Because of the rarity of nuclear catastrophic nuclear emergencies, there are few pockets of professionals with field experience with dealing with these types of emergencies. Japan greatly lacked the assistance of these people during this disaster. These things all contribute to a less optimal emergency response. By addressing these issues the quality of response to nuclear emergencies can be greatly increased.

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Dr. Kramer refers to various people in various medical cases but redacts their names.

The Journal of the American Medical Association and the medical community as a whole embraced “evidence based medicine” back in the 90s and claimed that individual case stories were inferior, antiquated, and a thing of the past.

Oxford University press and the New England Journal of Medicine started writing case reports embracing stories.

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    The article: “Structural Violence and Clinical Medicine” was written by Paul E Farmer, Bruce Nizeye, Sara Stulac, and Salmaan Keshavjee. Paul Farmer is an anthropologist and physician who works professionally as a humanitarian healthcare worker in impoverished nations, physician at Brigham and Women’s Hospital Division of Social Medicine and Health Inequalities, Professor at Harvard University, and cofounder of Partners In Health. Bruce Nizeye is a Director of the Program on Social and Economic Rights. Sara Stulac is a Director of Pediatric Programs at Inshuti Mu Buzima, in Rwanda, and Partners In Health’s deputy chief medical officer. Salmaan Keshavjee is also a physician at Brigham and Women’s Hospital, an instructor at Harvard’s Department of Medicine, and a specialist at Partners In Health on tuberculosis.

                It is important to understand the work of Partners in Health (PIH) is to assist underdeveloped countries build high quality healthcare systems, when talking about the authors’ work.

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1) “‘A confusion between humanitarianism and politics–two fundamentally different orders of activity – can only lead to a mutual weakening of both”.

2) “Approaching gender-based violence as a medical or health issue alters how violence is both approached and understood; that is, rather than understanding gender violence in the context of gendered relations of power, or as part of larger histories and expressions of inequality which are inseparable from histories of class or race or colonialism, this type of medicalisation transforms gender-based violence into an emergency illness, requiring immediate intervention.”

3) “Sexual violence elicited a particular form of moral outrage in the MSF report and debate; and the question was how to justify the willingness to condemn the perpetrators in cases of rape more than with other forms of violence or torture. Should women be !C 2011 Blackwell Publishing Ltd. Medicalising and Politicising Sexual Violence 259 treated as special categories of victim, who need more protection? Furthermore, are they the only ones recognised as subject to rape? Should sex and sexual violence be seen as crimes apart, or should they be equivalent to any type of harm or injury in times of war? What is the nature of gender-based violence, and how do we qualify the particular vulnerabilities to it?”

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1) Gender violence against humanitarian workers.

2) Gender violence that exists within the humanitarian organizations themselves.

3) How gender violence is interpreted and perceived by different cultures. 

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Emergency response is addressed in a variety of different ways in this article. Effectiveness of global response and policy is addressed in modularity. Long-term response vs disaster responses are considered. Effectiveness of global policy is reviewed, such as cases of culling animals and controlling disease in different countries.

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1)      How is Ebola best contained? From a report studying how Ebola was handled in Nigeria, there were several practices that were credited with its relatively quick eradication.  "The dense population and overburdened infrastructure create an environment where diseases can be easily transmitted and transmission sustained" (cdc.gov). In Nigeria, all 900 or so people who came in contact with the original patient zero were identified and monitored in isolation. The Nigerian CDC made over 18 thousand visits to screen suspected patients who would be moved to isolated treatment centers if highly suspect. Nigeria also holds a virology laboratory in Lagos University Teaching Hospital which allowed for quick and accurate testing. (http://www.livescience.com/48359-nigeria-how-ebola-was-contained.html)

2)      I also investigated the shooting of the boy who died, and why they shot him and what the circumstances were. I found that the boy, Shakie Kamara, was with a group of people trying to leave the neighborhood— against the government directive quarantine. The soldiers who fired on him and two other men were trying to prevent them from leaving. (http://www.nytimes.com/2014/08/22/world/africa/liberian-boy-dies-after-being-shot-during-clash-over-ebola-quarantine.html)

3)      The last point I investigated further was why it took international aid so long to arrive in West Africa (almost six months). The main reason for the long delay was due to logistics. Sites need to be located to store supplies and medical equipment which has to be transported to their sites in West Africa via underdeveloped roads. Just the transportation alone, mind sake organizing the manpower to run it, is an enormous task. Trying to find trucks, helicopters, and ambulances to move gear and get them in place takes time on the logistics end. "I need everything. I need it everywhere. And I need it super-fast." (http://www.bbc.com/news/world-africa-29654974)

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1) “Hailey-Means’ mental and physical health quickly deteriorated. Her treatment by guards and the intolerable conditions in solitary… led Candie to try to take her own life.”

2) “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.”