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"Health care service delivery may be challenging in the post-disaster environment and often requires coordination and cooperation among levels of government, health services programs, schools, media, and community organizations  "

"The first challenge lies in identifying the correct sampling frame, which generally comprises all persons affected by the disaster. The sampling frame may be even more difficult to identify in natural disasters, when the geographic area of impact is larger and less defined."

"The second challenge lies in finding potential participants and completing interviews. Widespread displacement and communication breakdown may make it difficult to reach per- sons who have experienced the disaster, and if they can be reached, they may be consumed with recovery efforts and may not agree to participate in research .  "

"Psychological first aid (PFA) has become the preferred post-disaster intervention, with three goals: Secure survivors’ safety and basic necessities (e.g., food, medical supplies, shelter), which promotes adaptive coping and problem solving; reduce acute stress by addressing post-disaster stressors and providing strategies that may limit stress reactions; and help victims obtain additional resources that may help them cope and regain feelings of control.  "

I read up on what constitutes people who can classify as peri-disaster personnel, I found the concept interesting and didn't realize there was a specific name to classify those people, I always wondered about the people who were indirectly effected by a disaster or partially effected due to proximity. I also researched comorbidity and common forms of mental illness that arise in post disaster survivors. 

The article is supported through the recollection of the past decade of research on this topic of mental health effects due to disasters. First, the article delves into the PTSD and MDD mental illness association with disasters and the background of theses disorders. The authors then utilize numerous epidemiological studies that have been developed and discussed on the matter over that last 190 years. Experiences of those that are dealing with mental illnesses are also utilized as supporting evidence of the effect disasters have on mental health conditions on those effected.

The bibliography shows that there was an extensive amount of research done and that this article truly doesn't encompass most of the findings on this topic. There are studies dated back to the 40s as well as published by world renown experts on the study of disaster and its effects on mental health. There is also a great array of different types of publication types as well. The bibliography clearly shows an intense amount of work that went into putting this research article together. 

This paper analyzes the effect that disaster has on the mental health of those afflicted by the disaster. The type of disaster and its effect on certain mental health afflictions is discussed. The field of disaster and this correlation with mental heath has long been in existence and under study. This paper discusses the current state of the field of disaster and mental health research. An overall summary of previous findings is discussed as well as the treatment of mental health disorders after disasters and any challenges to studying disaster related psychopathology. Limitations in current methodologies are also discussed as well as future areas of research are also discussed.

Google Scholar shows that this article has been cited in more than 40 different works. All have to do with global health due and epidimology. Some of the papers it has been cited in include:

The geography of post-disaster mental health: spatial patterning of psychological vulnerability and resilience factors in New York City after Hurricane Sandy

Life course epidemiology of trauma and related psychopathology in civilian populations

Volunteerism and well-being in the context of the World Trade Center terrorist attacks

Harmful Workplace Experiences and Women's Occupational Well-Being A Meta-Analysis

The authors are Emily Goldmann and Sandro Galea. Emily Goldmann is a PhD, MPH, and assistant research professor of global public health at the College of Global Public Health at NYU. Her work focuses on social and environmental determinants of mental health consequences of health events such as strokes. She has an interest in epidemiology and she studied economics and Mandarin as an undergraduate at Columbia University and got her Masters and PhD in epidemiology from University of Michigan.

Sandor Galea is an MD, MPH and DrPHD. He is the Dean at Boston University School of Public Health. He has worked at the University of Michigan and New York Academy of Medicine. His works centers around the social production of health of urban populations and he focuses on the causes of brain disorders. Both very public health oriented. 

The correlations between mental health disorders and EMS is discussed since those in emergency response are more open to suffer form mental disorders in the midst of disasters. Aside form that the focus was more on how to better study vulnerable populations who have experienced trauma, such as EMS.

The data used to support the argument includes numerous publications by other authors providing information on the correlation between mental health and disasters. Background information on different disorders is also provided as well as interviews and case studies from patients and doctor as well as experts on the topic.