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By Scott G. Knowles: As part of the STL Anthropocene Field Campus the research team visited the Wood Refinery Refinery History Museum on March 9, 2019. This museum is located on the grounds of the Wood River Refinery, a Shell Oil refinery built in 1917 and today owned by Phillips 66. The site is Roxana, Illinois, just upriver from Granite City, and just over two miles from the convergence of the Mississippi and Missouri Rivers. Sitting on the actual grounds of the refinery, the museum is an invitation to think across the micro, meso, and macro scales of the Quotidian Anthropocene, in terms of geography and also in terms of time. This refinery was built at the crux of the WWI, at a time when United States petrochemical production was entering an intensive phase of production, invention, corporate structuring, and global engagement. The museum is an invitation to think across temporal scales, backwards to the start of the refinery--through the individual lives of the workers and engineers whose lives defined the refinery--and forward to indeterminate points of future memory. This photo captures a key moment in an informal interview we did with one of the history guides. He had worked in the museum for decades before retiring. He explained to us that the museum sits in the former research facility of the refinery--and the glass plat he is showing reveals a beautiful artifact, a photograph made of the complex when it was built. Our guide only showed us this collection of slides after our conversation had advanced, perhaps after he was sure we were truly interested in his story, and the deeper history of the refinery. The pride in the place, the community of workers, and the teaching ability of the museum was manifest. The research team felt impressed, but also concerned about the health impacts (and naturally the environmental impacts as well) of the refinery. There was a mismatch in the scales--the memory of the individual tied to emotions of pride and knowledge of hard work done there--and the Anthropocene, global scale of petrochemicals. How do we resolve this mismatch? The glass plate is somehow a clue.

The main findings of the article are that the relationship between natural disasters and communicable diseases is not as much due to dead bodies or high trauma as it is to population displacement and a lack of preparredness of the local governing body for the disaster and the crowding of survivors that follows a disaster as this

1: Crowding is shown to be common in displaced populations, and local overpopulation/crowding often facillitates the transmittion of disease

2: Natural disasters that do not cause a displacement of a population are rarely associated with disease outbreaks

3: There is little or no evidence that dead bodies, as some believe, pose a epidemic risk for a population of survivors after a disaster has struck

"The risk for commuicable disease transmission after disasters is associated primarily with the size and characteristics of the population displaced, specifically the proximity of safe water adn functioning latrines, the nutritional status of the displaced population, the level of immunuty to vaccine-preventable diseases..., and the access to healthcare services"

"...natural disasters (regardless of type) that do not result in population displacement are rarely associated with outbreaks"

"When death is directly due to the natural disaster, human remains do not pose a rise for outbreaks"

The main methods that the authors appear to use are reported data from disasters that have happened around the globe, including numbers and types of infections, displacement and crowding data, and knowledge of the disaster incidents examined

Emergency response is addressed in a broad sense of the major risk factors associated with a natural disaster and epidemics. The main points they make are that preparedness, with a focus on availability of safe water and primary healthcare services, along with surveillance for the beginnings of an epidemic, are necessessay for a strong response to a disaster situation   

This article has been referenced in a wide variety of emergency medicine journal articles, ranging from flood protocols, use of cell phones in disaster enviroments, earthquakes and medical complications, to the costs of disaster consequences. Many of the articles referencing this paper appear to go into greater depth for some of the epidemics and diseases that were touched on in the research article. These include hepatitis E, Leptospirosis, cholera, and tetanus.

The object of the study is the evidence in an increase of various types of epidemics (cholera, malaria, menigitis, tetnus, etc) due to displacement of a populatoin from a natural diasaster. Examples of natural disasters discussed include- hurricanes, cyclones, earthquakes and flooding. Despite popular belief (and scientific evidence) deaths due to natural diasters do not spread diasese; unless cause of widespread infection is due to contaminated water sources, malnutrition, residing in a third world country,access to healthcare and adequate bathroom facilities. These points are supported through statistics from the past twenty or more years.

The study is published under emerging infectious diseases from the CDC. The CDC publishes important information about the possibility of widespread infection (such as Zika) and offers ways to avoid outbreak and prevent further infection. The publication is very credible necause the CDC is cited by the government and on various news sources as a way of staying 'safe' from diasese.

The methodology of the study involves looking at past epidemics in the world countries and connect the dots. How did these epedemics happen? Due to a natural disaster? Okay why? Looking at factors that cause each epidemic and trying to discover a parallel. While this is not a new way of studying an issue it is an inventive way because it can be a new way to treat global epidemics: through disaster preparation.