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Assessing the PM2.5 impact of biomass combustion in megacity Dhaka, Bangladesh - PubMed (nih.gov)

This article is about crop burning in Dhaka, Bangladesh and attempts to figure out if there is more or less harmful PM2.5 particulate air pollution caused by either fossil fuels or biomass, and during which season is one or the other higher in the air pollution it produces. During monsoon season, fossil fuels lead in the most PM2.5 releases at 44.3%. When it is not monsoon season and is the winter season, the percentages are way higher for PM2.5 air particulate releases at 41.4% for the remainder of the year. Across the globe, there are now people stepping up to uncover the true and real environmental and health impacts this harmful particulate byproduct causes in different parts of the world and with differring weather conditions than what we see in North Carolina. 

https://www.researchgate.net/publication/351209404_PM25_Emissions_from_…;

This study is set in South/Southeast Asia and uncovering that, when trying to count the percentages of PM2.5 put off during biomass, the true amount of emissions were being gravely undercalculated. Specifically rice straw burning becuase the amount burned varied so much because of different harvest and burning practices that it just wasn't taken into consideration. What this study does is go bottom up using these strategies: "subnational spatial database of rice-harvested area, region-specific fuel-loading factors, region, and burning-practice-specific emission and combustion factors, including literature-derived estimates of straw and stubble burned"(Lasko et al. 2021, 1). 

The most common air pollutants are called criteria pollutants and are regulated by the Clean Air Act and the EPA. These pollutants are: particles, ozone, nitrogen oxides, sulfer dioxide, carbon monoxide, and lead. The EPA have sections under the CAA that help regulate factories and air pollution in the environment. For example section 108 requires the EPA to identify the pollutants that are criteria pollutants, listed above, and determine if where they are coming from and if they "endander public health or welfare". Under section 109 the EPA had to set standards across the board for air pulltion in regard to human health and to the environemtn sperately (Christopher D. Ahlers 2016, 51-52).  There are many more sections that go into detail about what the CAA can do and what the EPA members are required to do as well. 

The article was compiled from a lot of personal stories, paired with research about culture, medicine, and beliefs.

Emergency response is not directly addressed in this article, however there is likely some emergency response occuring in the countries that are needing the humanitarian aid. Hopefully the first responders there are well trained in responding to victims of sexual assault if that is something that they see more often, if it is something that people would call an ambulance for in those areas.

""USAID has spent about $1.5 billion since the earthquake,' Johnston told Goats & Soda. 'Less than a penny of every dollar goes directly to a Haitian organization.'"

This quote shows the extreme difference in total money donated compared to the money that is being used to help Haiti directly. I was mentioned that their government is hard to trust, so outside companies tend to hold the money, but that means that they can decide how they want to spend it.

"The U.N. and its agents are "absolutely immune from suit in this Court," Oetken ruled."

This quote shows the irony of the situation, by using the word "immune" it brings light to the fact that the UN's actions had major impacts on Haiti, from with the people of Haiti are very much not "immune", as cholera affects so much of the population.

It doesn't cover many people that openly do have insurance, nor does it interview the healthcare providers outside of the ER, like the PCPs, the recovery facilities, etc.

When community factors such as transportation and insurance status were minimized as factors preventing HIV/AIDs care, the playing field was leveled within a few years. No longer were those issues much more often seen in the patients that did not survive, rather, they were seen more evenly in those that did and did not survive.

Combining clinic treatments with home-visits and prescription drug deliveries has been found to be most effective for treating all people, regardless of social factors, in places from rural Africa to Boston, MA.

Mutli-faceted approach in rural areas were most effective and able to dramatically reduce Mother-to-Infant-Transmission of HIV. This requires more resources and organization, but it takes care of the issue most efficiently in areas that are very poor and have very rudimentary infrastructure, even worse than in poor cities.

There are many citations, but the reference pages are not included, so it is not known what exactly the citations are, perhaps research papers or studies.

Many examples of responses to outbreaks are studied, and how regualtions stemmed from each outbreak, whether in animals, food industry, or vaccinations.

The school parent was interesting - explaining that the public image of resiliance was paid for by the lungs of the children being sent back into the uncleaned schools.

The person in charge of sending out the EPA press releases (and heavily editing them) had previously fought against the EPA for large companies.

The doctors eventually noticed the issues and tried to get more of the first responders evaluated and treated.

The first responders that risked their lives saving others now can't get fair treatment or benefits to help recover. They want to work but can't.

They needed to testify that they were on the scene in front of a judge to get benefits.