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 In 1991, the Public Health Service articulated a vision for primary prevention in Strategic Plan for the Elimination of Childhood Lead Poisoning, a departure from previous federal policy focused on finding and treating lead-poisoned children. This publication detailed a 15-year strategy for primary prevention and offered a cost-benefit analysis to demonstrate the monetized benefits of this approach. A strong national effort to follow this strategy developed but was eventually abandoned.

The organized campaign against universal screening began in California, where letters questioning the reported prevalence of elevated BLL began appearing in pediatric journals and newspapers. These letters acknowledged receiving editorial assistance from Kaiser Permanente Foundation Hospitals and argued that money spent on screening, treatment and abatement would be harmful to more worthy public health efforts. The AAP president took up this attack on universal screening as well, and efforts for universal screening were gradually eroded. 

Needleman identifies racism and the belief that lead poisoning “is a product of poor mothering, not of environmental pollution” as a driving factor shaping lead detection and prevention efforts (or the lack thereof) … “this weighting of personal choice or behavior over environment is a tool used to shift responsibility away from health authorities or polluters and onto the victim” (1875).

This organizations aims to provide a support system for returning veterans, more specifically to ensure access to any type of medical support they may need and assist them in readapting to society after extended periods of time in the military.

The organization membership includes two subsets, first the organization membership includes any and all active serviceman, veterans, and limited membership for their families. The other portion of membership includes administrators, doctors, and public health workers who work to provide the services needed.

This organization does not respond to disasters, but rather provides long term assistance to members of the military and their families. The issues faced by veterans, both medical and social, are often chronic and require a lifetime of support. This is in a way a constant emergency for them and their families, and the US Department of Veteran Affairs aims to provide the necessary support.

The US Department of Veteran Affairs is constantly adjusting to new medical research to provide the most effective care possible. This shows a differing approach to emergency response which is only possible due to the long term nature of this organization, most emergency response groups focus on quick response to disasters which does not allow for the same amount of research and adaptation as the Department of Veteran Affairs.

The US government is motivated by both the social necessity of reintegrating thousands of active military servicemen every year, and the responsibility of supporting the veterans who sacrificed for this country.

The organization is fully funded by the government, which is funded itself by taxes. This in part effects their work as it creates a responsibility to be careful with funding and ensure that the care goes directly to those in need. It also requires the organization to be held accountable to the citizens who are funding their efforts.

The organization does have extensive data collected from its members on the number of veterans, what kinds of injuries they are facing, and the level of success in rehabilitation among other topics.

The US Department of Veteran Affairs does not do extensive research but instead uses the existing research and discoveries to keep up to date with medical practices.

The organization relies on all of the infrastructure and technology required to maintain a working hospital as well as advanced prosthetic equipment not often found in regular hospitals.