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“This is a book about work. Really hard work. I’m always glad when people raise a fist against the injustices of systems, including pollution and its sciences. But I’d much prefer people pick up a shovel—or a microscope—with the other hand and get to work. Pollution Is Colonialism is designed to show how scientists and others are already working in an anticolonial way. We always already are in L/land relations, and they come out in our methods. Time to start.”

Excerpt From: Max Liboiron. “Pollution Is Colonialism.” (ebook, p. 67).

This report was published by the Minnesota Department of Human Services. 

This is a legislative report produced by Department of Human Services following up on SF 119, an act creating a new certification for Community Paramedics. 

In 2011, the Minnesota Legislature passed and Governor Dayton signed SF 119, creating a new certification for Community Paramedics. The law included language directing the Department of Human Services to create this report.

This report outlines specified services and payment rates for these services to be performed by community paramedics. The contents of this report are the result of extensive research and consultation with a workgroup conveined by the DHS consisting of representatives of emergency medical service providers, physicians, public health nurses, community health workers, and local public health agencies.

The DHS embarked on the process of researching, collecting, and compiling data for this report durring the summer and fall of 2011.

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. 

This report has a massive implication for technical professionals in the medical field, creating an entirely new certification for health care practitioners to hold and work with. 

From the information provided and resources available I was unable to determing if this report has been used elsewhere.