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Anonymous (not verified)
In response to
Lee argues that EJ practice has long stagnated over an inability to properly define the concept of disproportionate (environmental and public health) impacts, but that national conversations on system racism and the development of EJ mapping tools have improved his outlook on the potential for better application of the concept of disproportionate impact. Lee identifies mapping tools (e.g. CalEnviroScreen) as a pathway for empirically based and analytically rigorous articulation and analysis of disproportionate impacts that are linked to systemic racism. In describing the scope and nature of application of mapping tools, Baker highlights the concept of cumulative impacts (the concentration of multiple environmental, public health, and social stressors), the importance of public participation (e.g. Hoffman’s community science model), the role of redlining in creating disproportionate vulnerabilities, and the importance of integrating research into decision making processes. Baker ultimately argues that mapping tools offer a promising opportunity for integrating research into policy decision making as part of a second generation of EJ practice. Key areas that Lee identifies as important to the continued development of more effective EJ practice include: identifying good models for quantitative studies and analysis, assembling a spectrum of different integrative approaches (to fit different contexts), connecting EJ research to policy implications, and being attentive to historical contexts and processes that produce/reproduce structural inequities.

pece_annotation_1481656098

michael.lee
Annotation of
In response to

The author argues that a patient's narrative regarding his or her medical history can vary significantly and be affected by his or her culture. Cultural norms can determine how a patient presents or describes signs and symptoms or can determine the extent to which a patient is willing to share information with medical professionals.

pece_annotation_1481663643

michael.lee
Annotation of
In response to
  • "Despite the urgency and impact of violence affecting health service delivery, there is an overall lack of research that is of health-specific, publically accessible and comparable, as well as a lack of gender-disaggregated data and data on perpetrator motives."
  • "Although violence directly affecting health service delivery in complex security environments has received a great deal of media attention, there is very little publically available research, particularly peer-reviewed, original research."
  • "Key challenges in addressing violence affecting health service delivery in complex security environments include a lack of health-specific, accessible and comparable, gender-disaggregated data and sufficient data on perpetrator motives."

pece_annotation_1476143073

Anonymous (not verified)
Annotation of
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I further investigated details on the cost of a trailer home, the population changes over the past few years in New Orleans, and images of the city before and after Katrina.

pece_annotation_1474858065

michael.lee
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In response to

Dr. Knowles uses various historical reports and accounts, both official and third-party, to chart the development of disaster investigation in the United States. He cites various agencies including the National Institute of Standards and Technology and the Underwriters' Laboratory or UL, LLC. 

pece_annotation_1480291197

michael.lee
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In response to

This policy ensures that EMTs and Paramedics who transport patients to hospitals are not refused admittance or directed to other facilities due to their patients' inability to pay or other factors. While emergency departments still may declare a divert status, whereby incoming EMS units are advised that the ER is either full or unable to accept patients due to other factors, this act, and other relevant state statutes, require that hospitals still accept, treat, and stabilize any patients that are brought to their facilities.