Analyze

This film is designed to have an emotional appeal. Very little scientific evidance is provided, and most of what we see are images and naratives about the effects of ebola from the public's perspective. Powerful images and stories, such as the death of a pregnant women on the side of the road, the closing of hospitals, and the turning away of patients are predominantly displayed. Much of this movie is told from the perspective of a student of the University of Wisconsin, and there was a large amount of dialouge about how he tried to get his family out of the effected zone. The only notable statistics given in the film was at the end, when the number of effected and the number of deaths were compared. 

This report does not specifically address disaster, however it shows a new trend in primary care medicine, taking it out of doctor's offices and hospital emergency rooms and bringing it into people's residences. Recent trends have shown massive increases in ED usage for non emergency conditions, causing a shortage in beds and resources. The communuty paramedic program has the purpose of "respond[ing] to identified health needs in underserved communities, ultimately improving the quality of life and health of rural and remote citizens and visitors." The report also cites previous community paramedic programs in Fort Worth, TX, and Nova Scotia, Canada, where the program was shown to decrease ED usage by 23% and reduce costs by over $2 million. 

1. “A series of factors – demographic changes, economic development, global travel and commerce, and conflict – ‘have heightened the risk of disease outbreaks,’ ranging from emerging infectious diseases such as HIV/AIDS and drug resistant tuberculosis to food borne pathogens and bioterrorist attacks.”

2. “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.”

3. “There is no such thing as being “too secure.” Living with risk, by contrast, acknowledges a more complex calculus. It requires new forms of political and ethical reasoning that take into account questions that are often only implicit in discussions of biosecurity interventions.” 

The author of this article drew on first hand accounts of the WTC attacks from fire, police, and EMS personel, as well as witnesses to reconstruct the events that transpired on the morning of 9/11/01 with regards to the response. The author also conducted and cited interviews with high ranking active and retired members of the Police and Fire Departments, such as FDNY Chiefs and officers and NYPD Commissioners. Based on this, the author examines specific shortcomings, such as lack of coordination between Fire and Police, comminication barriers, and the overwhelming and uncoordinated response by both on and off-duty firefighters.

• “Sometimes the foreigner, too, is no more than his body, but this body is no longer the same: useless to the political economy, it now finds its place in a new moral economy that values suffering over labor and compassion more than rights.”
• “Deontologically, the medical officers were caught between the duties mandated to them by the public institution that employed them and those their profession required them to respect…”
• “The logic of state sovereignty in the control of immigration clearly prevailed over the universality of the principle of the right to life. The compassion protocol had met its limit.”

Data from this study could be an indicator to public health officials of a new, possibly overlooked, aspect to health in the aftermath of a major disasterm and could be used to create new programs or policies to combat this in the future.

Amerindian populations in Canada have been plauged with mental illness and suicide for many decades, and  even though there were studies done and extensive research available, there was very little done to respond to this crisis, allowing it to keep reoccuring. 

Three major ways the arguements are supported are as follows

1. Statistics and analisys of policies pertaining to the healthcare system available to the effected populaitons
2. Historical background to establish where such policies came from and how they may continue to work in the future
3. First hand accounts from both those effected by chernobyl related illness and the health care practitioners who treat them.

Emergency response is the primary concern of this article. The article is about the challenges faced in forming and maintaining an effective international response system for nuclear emergency response.

I followe up on the practice of palliative medicine, how hospital ethics boards deal with palliative care, particularly focussing on cancer and oncology departments, and the role of hospice and nursing homes in the palliative care process.