Analyze

WHAT (& WHAT FOR): Lead is a metal often found in pipes, and in old paint (before it was banned in paint in the late 1970s). Before 1996, lead also found in vehicle fuel resulting in  soil contamination in many communities from both paint dust and vehicle pollution. 

HEALTH IMPACT: Lead is a neurotoxin and is known to have no safe blood lead level in children. 

Has been linked to:

1. Brain swelling, anemia, seizures, renal failure, reduced IQ, and ADHD

2. Damages brain development in children

3. Connected to behavioral problems like aggression and bullying, and internalizing problems such as depression and anxiety 

LOCAL IMPACT: Recent research in Santa Ana has shown that there is a disproportionately impact of solid lead contamination crisis on lower income, people of color communities. 

POSSIBLE RESPONSES: There are many ways to respond to lead contamination:

1. Providing special health care for children with high blood lead levels, and investigating possible sources of lead exposure in homes, daycares and school, playground, etc.

2. Implement strict housing policies where landlord and city housing officials are required to have lead inspections of homes for lead paint hazards (especially in low income, people of color communities)

3. Requiring a minimum reduction standard for lead paint in older homes 

4. Requiring blood lead level test as part of the routine check up for children (extremely important for children in low-income housing)

WHAT (& WHAT FOR): PFOAS are a group of large manufactured chemicals that are widely used in various everyday items. Often used in waterproof items and nonstick pans among other products.  They are used in a number of industrial processes. Improper disposal of the chemicals from industrial manufacturing has resulted in PFAS seeping down into the ground and into the water supply.  These chemicals are known to be forever chemicals that  do not degrade in the environment. 

HEALTH IMPACT: PFAS are known to be forever chemicals that cause weakened immune systems, increased cholesterol level, increased risk of testicular and kidney cancers, and decreased vaccine response in children. EPA has concluded that exposure to PFOA and PFOS over certain levels may result in developmental effects to fetuses during pregnancy (low birth weight) or breastfed infants (accelerated puberty, skeletal variations). 

LOCAL IMPACT: Both the State Water Board and the Santa Ana Water Board have initiated investigations. The PFAS investigation done by State of California Regional Water Quality Control Board reveals results that show PFAS concentrations above the current Notification Levels for drinking water. Santa Ana Water Board staff is currently working to identify potential sources of the contamination in the groundwater. 

POSSIBLE RESPONSES: 

1. Conduct wellhead treatment to treat PFAS impacted drinking water to levels below state-established PFOA/PFOS notification levels.

2.  Obtain a more comprehensive monitoring information on potential sources of PFAS

3. Set Effluent guidelines, develop analytical methods and issue water quality criteria for PFAS

WHAT (& WHAT FOR): Lead is a metal often found in pipes, and in old paint (before it was banned in paint in the late 1970s). Before 1996, lead also found in vehicle fuel resulting in  soil contamination in many communities from both paint dust and vehicle pollution. 

HEALTH IMPACT: Lead is a neurotoxin and is known to have no safe blood lead level in children. 

Has been linked to:

1. Brain swelling, anemia, seizures, renal failure, reduced IQ, and ADHD

2. Damages brain development in children

3. Connected to behavioral problems like aggression and bullying, and internalizing problems such as depression and anxiety 

LOCAL IMPACT: Recent research in Santa Ana has shown that there is a disproportionately impact of solid lead contamination crisis on lower income, people of color communities. 

POSSIBLE RESPONSES: There are many ways to respond to lead contamination:

1. Providing special health care for children with high blood lead levels, and investigating possible sources of lead exposure in homes, daycares and school, playground, etc.

2. Implement strict housing policies where landlord and city housing officials are required to have lead inspections of homes for lead paint hazards (especially in low income, people of color communities)

3. Requiring a minimum reduction standard for lead paint in older homes 

4. Requiring blood lead level test as part of the routine check up for children (extremely important for children in low-income housing)

The main argument is that previous disasters involving burning buildings in US history and the subsequent investigations affected emergency response, policy making, and disaster investigation today. These past events can be applied to the 9/11 terrorist attack and investigation of the buildings afterward.

1. “Chronic disaster syndrome” thus refers in this analysis to the cluster of trauma-and posttrauma-related phenomena that are at once individual, social, and political and that are associated with disaster as simultaneously causative and experiential of a chronic condition of distress in relation to displacement.

2. Most efforts to rebuild health care facilities focused on emergency care, routine care, and surgical services rather than psychiatry.

3. For many people, the idea that they had to stay in a state of heightened response to the pending “crisis”—a state they had already been in for over two years—produced huge anxiety and exhaustion.

4. Instead, the notion that New Orleanians themselves were a threat to public or national security circulated and became a rationale for the efforts the government did take to effect change in New Orleans. This change, in effect, targeted the poor. The poor, it seems, were to be evicted from New Orleans as a way to “clean up” the city and help it recover once and for all.

1. Arguably, the new Ukrainian accounting of the Cherobyl unknown was part and parcel of the government's strategies for "knowledge-based" governance and social mobilization. In 1991 and in its first set of laws, the new parliament denounced the Soviet management of Chemobyl as "an act of genocide."

2. On the one hand, the Ukrainian government rejected Western neoliberal prescriptions to downsize its social welfare domain; on the other hand, it presented itself as informed by the principles of a moder risk society. On the one hand, these Chernobyl laws allowed for unprecedented civic organizing; on the other hand, they became distinct venues of corruption through which informal practices of providing or selling access to state privileges and protections (blat) expanded.

3. Government-operated radiation research clinics and non- governmental organizations mediate an informal economy of illness and claims to a "biological citizenship"-a demand for, but limited access to, a form of social welfare based on medical, scientific, and legal criteria that recognize injury and compensate for it.

Overall the film included the most important perspectives; doctors, patients, and the family of the patients. I think the perspective of nurses or caregivers that aren't family would've been helpful though, as they would care for the patient most often and also feel grief from losing them. 

The author of the article seemed to conduct their research from NPR reporters in Haiti, interviews with various organizations (U.N, Center for Economic Policy and Research, and the Institute for Justice and Democracy in Haiti), and other reports (one from the  U.S. Government Accountability Office was referenced). 

MSF published this report a year after the largest Ebola outbreak that happened in West Africa in 2014.

The author is Didier Fassin, a French sociologist and anthropologist who was trained as a physician in internal medicine. He developed the field of critical moral anthropology and currently does research on punishment, asylum, and inequality. This research looks at the social and political forces that affect public health trends, so is not directly involved in emergency response.