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Pollution Reporter Workflows

Carly.Rospert
Annotation of

The Pollution Reporter app allows users to: (1) make a pollution report of something they see or sense, (2) search different polluters in Chemical Valley and access data on their emissions, (3) look up health symptoms and see what chemical pollutants might be linked to these symptoms, and (4) learn about specific chemical pollutants.

The workflows are meant to provide impacted individuals access to important information that can help them link health harms to specific polluters and chemicals from the nearby Chemical Valley. The reporting workflow also allows individuals to create reports, and thus their own data, on things they see or sense that might not be captured by industry monitoring systems. In this way, workflows both streamline access to important and relevant information while also enabling the capturing of experiential data.

Pollution Reporter Data

Carly.Rospert
Annotation of

The Pollution Reporter app includes data on: (1) polluters in Chemical Valley and a list of its chemical emissions, (2) health symptoms and the chemicals that are associated with that symptom, and (3) chemical pollutants that are emitted in Chemical Valley and the associated health impacts and polluters. Users are encouraged to search within these three categories and see the interconnectedness between polluters, chemical pollutants, and health symptoms. This helps users attach responsibility for health harms to chemicals and the corporations that make them. Users are also encouraged to submit their own data through a pollution report of something they see or sense. 

The Pollution Reporter App translates and connects government, industry-reported, and peer reviewed sources of data into accessible information about the known health effects of pollutants. The creators of the app recognized the limitations to government data in that it is (1) created by Industry, (2) disconnected from the health harms that pollution causes, (3) hard to get, (4) inaccurate, tending to underreport harms, (5) out-dated, (6) and usually organized one chemical at a time, not accounting for cumulative exposure of multiple chemicals. 

Participation in Pollution Reporter

Carly.Rospert
Annotation of

The key participation that the Pollution Reporter app supports is the ability for a user to report a pollution event, spill, or leak to the Ontario Ministry of Environment, making it easier for community members to report problems to the Spill Action Centre. The app assists in making the report, which is then sent through the users own email, and allows users to share on social media or keep a record of their reports.

This  reporting workflow is one of the main features of the app (one of four) and is located in the bottom navigation bar as the report icon (next to the polluters, chemicals, and health symptoms icons). 

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Sara_Nesheiwat

The Emergency Medical Treatment and Labor Act is a law requiring that anyone coming into the emergency department will be stabilized and treated no matter what their insurance situation is. In terms of women's health, it is important to note that this means for active labors, medical treatment is necessary and required, no matter the health insurance of the patient. The purpose of this law to prevent certain patients from being turned away in an emergency situation or refused medical treatments if they are unable to pay, putting their health at risk.

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Sara_Nesheiwat

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf

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Sara_Nesheiwat

This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.

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Sara_Nesheiwat

This policy greatly helped sculpt emergency medicine and public health. By giving the right to the patient to have emergency medical treatment required without proof of insurance or payment, astronomically influenced the amount of patients being turned away and their possibilty of developing worse illnesses or dying. In a paper I read, a young doctor in the late 70s and early 80s remembers watching a woman in labor give birth in the doorway of the hospital and proceed to borht her child in the parking lot after being turned away for not having insurance. By requiring hospitals and doctors to see that all ED patients get care, no patient was at risk of dying or complicating their baby's health and birth due to a lack of insurance, ultimately increasing public health efforts. Not all hospitals turned away their patients, but enough did to make it a public health concern and get Congress involved. EMTALA changed emergency medicine protocols but also public health expectations and actions.

http://www.hhnmag.com/articles/5010-the-law-that-changed-everything-and…

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Sara_Nesheiwat

This policy was explicitly made for vulnerable populations who couldn't afford or for whatever reason did not have health insurance. The vulnerable parties that did not have health insurance were at risk of being turned away at hospitals during crucial times of need and emergency situations. This act completely absolved the worries and fears of this vulnerable population without health insurance by making it a law that these ED patients were to receive care and stabilization. This act was made for this specific vulnerable population, to prevent discrimination.