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The system relies on its developers, as mentioned, for support and information. They are also responsible with creating updated versions in order to provide better functionality, but also keep the information up-to-date and accurate. 

Schmid works to analyze the course of events that occured at Fukushima as well as outline what a nuclear emergency response group needs in order to be successful. She specifically addresses the knowledge and expertise that would be necessary. She also highlights the lack of international authority and the implications that holds. 

The program is divided into three sub-programs: Radiation Disaster Medicine, Radioactivity Environmental Protection, and Radioactivity Social Recovery. The Radiation Disaster Medicine course is a four year PhD program, for those who already have professional degrees (medicine, pharmacy, dentistry, etc.) and master’s degrees (medical physics). The Radioactivity Environmental Protection course is a five year program for students who have completed a bachelors or masters in a related field. The Radioactivity Social Recovery course is a five year program for students with a bachelors or master’s. The curriculum is broken down into common subjects, specialized subjects, fieldwork, and internships. 

This study would be useful because it shows the prevalence of overdiagnosis. It shows that while the nuclear disaster did cause an increase in the observed thyroid cancers, this was well above the expected number of cases. While they did not present the dangerous implications of overdiagnosis, this is something that could be researched further. It can be considered a good thing that these cases were found through the Program put in place, but can also cause harm if unnecessary radiation was administered.

The author used research from specific projects in different areas and compared them to come to a conclusion. They also used a number of articles and research papers to further support their work.

Several references are written by authors of this article, showing their expertise in the subject and the extension of previous thought. Their work with the PIH is the continuation with references used from studies mentioned in the paper. 

At least one further study has been conducted using this data. A more focussed paper on the Kenema District in Sierra Leone was written, addressing the staggering number of cases with infected healthcare workers. The paper is titled "Facors Underlying Ebola Virus Infection Among healthcare Workers, Kenema, Sierra Leone, 2014-2015."  The paper reached similar conlusions as the original one, with a need for better practices in infection control and prevention. 

1. "“In the globalized world of the 21st century,” it argued, simply stopping disease at national borders is not adequate. Nor is it sufficient to respond to diseases after they have become established in a population. Rather, it is necessary to prepare for unknown outbreaks in advance"
2. “World health is indivisible, [and] we cannot satisfy our most parochial needs without attending to the health conditions of all the globe.”
3. "This tension relates to a difference in aims but also in forms of intervention: emergency response is acute, short-term, focused on alleviating what is conceived as a temporally circumscribed event; whereas “social” interventions—such as those associated with development policy—focus on transforming political-economic structures over the long term. Thus, in global health initiatives we find a contrast between possible modalities of intervention that parallels the one already described in U.S.–based biosecurity efforts: between acute emergency measures on the one hand and long-term approaches to health and welfare on the other."
4. "Although there is a great sense of urgency to address contemporary biosecurity problems— and while impressive resources have been mobilized to do so — there is no consensus about how to conceptualize these threats, nor about what the most appropriate measures are to deal with them."

1. "The sufferers and their administrators were also supported by the nonsuffering citizens, who paid a 12 percent tax on their salaries to support compensations"
2. "Today, approximately 8.9 percent of Ukraine is considered contaminated."
3. "When I returned in 2000 to Kyiv to conduct further research, I discovered that cur- rent democratic politicians, many of whom drafted the original compensation laws as sovereignty-minded nationalists, now saw the Cherobyl compensation system as a dire mistake that has "accidentally" reproduced a socialist-like population."
4. "Specific cases illustrate how these economic and state processes, combined with the technical dynamics already described, have laid the groundwork for such "counter- politics."29 Citizens have come to depend on obtainable technologies and legal proce- dures to gain political recognition and admission to some form of welfare inclusion."