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Operations of transnational companies are affecting marginalized communities across the globe. As Kaswan had highlighted through examples of Union Carbide’s pesticide plant in India, as well as pollution associated with oil companies in Latin America, the implications of distributive environmental justice in such contexts are apparent yet difficult to address. Across international boundaries law enforcement becomes increasingly difficult, which is at the heart of the problem of my research topic. 

“The “right” scale will depend upon the nature of the harm being analyzed and purpose for which information is being gathered.” (Kaswan, p 29)

“Numerous studies, at a multiplicity of scales, analyze the distribution of a wide variety of land uses, as well as risk: what exposures, with what consequences, do people experience?” (Kaswan, p 33). 

This text builds on concepts of equality, bases for deviating from the core idea of equality, and the multiple contexts that define and shape distributive justice. Kaswan additionally advances the distributive environmental justice by outlining the different contexts, including historical land use patterns, government regulations, infrastructure, and enforcement and the implications that each of these dimensions have on contributing to distributive injustice. 

The main narrative of this text builds on foundational ideas on equality and extrapolates it further to establish how distributive environmental justice, its ideas and articulations, as well as its operationalization, has taken shape throughout the years. To outline these points, Kaswan outlines different cases of environmental disaster, and subsequent government responses, to showcase how government institutions have both upheld and endeavored to address distributive environmental inequality in the past decades.

The policy was the multi-tiered approach designed by New York City officials in the event of an Ebola case. This included designation of eight hospitals as being care centers for Ebola cases, teaching non-designated hospitals or care centers how to identify Ebola candidates, communication with transportation services (both EMS and non-EMS), and running unscheduled drills to practice handling scenes with an Ebola candidate (the example given was someone falling ill in a subway car). The poly aimed to standardize the approaches and protocols used when dealing with a possible Ebola case. It focused on minimizing the excessive risk to citizens, EMS personnel, and healthcare workers in the event of a patient with Ebola. The policy also sought to train and drill these protocols, including unscheduled calls (mentioned above) and continued inspections to ensure preparedness. The obvious end goal was to minimize the possibility of wide-spread infection, either through improper handling or failed detection of an Ebola case.

Several leaders from various New York State agencies convened to outline plans for this policy. This included Governor Andrew M Cuomo, State Health Commissioner Dr. Howard Zucker, State Police Superintendent Joseph D'Amico, Port Authority Executive Director Pat Foye, and representatives from health care centers and agencies around the state.

The policy applies to New York state citizens, health care workers, EMS personnel, and leadership within health care centers. Additionally, the policy has parts that effect transportation agencies and their employees. In many ways, due to Ebola's nature and the nature of New York as a major metropolitan area, these policies will also have a global effect.

As described by Governor Cuomo, Dallas was the first major US city to see an Ebola case. This, in turn, allowed New York leadership to have some semblance of what methods did or did not work when trying to contain the disease. Moreover, the policy was implemented in response to the major Ebola outbreaks occurring at this time. This included those within Africa, Europe, and cases seen in Dallas. Moreover, the policy follows the city's "Safe-than-sorry" methodology discussed by Governor Cuomo; he, along with other state and city leaders, believed assuming an Ebola outbreak would occur within the state would give them the best chance of mitigating its effects and minimizing disease spread.

The Ebola outbreak is, by its very definition, a matter of public health. The outbreak presented a danger to the global health community and resulting policies dealing with this epidemic were public health policies. That being said, the policy in place mostly served as a protocol mostly for agencies of New York in the event the epidemic spread. It focused on standardizing the practices of health, transport, and government agencies in the event of an outbreak; it did not focus on individuals already effected with the disease, but more so on preventing the spread of the epidemic.