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This article argues that many of the root causes of disease are based on social inequality and structural violance, citing factors such as environmental conditions, racism, pollution, housing conditions, poverty, infrastructure, and access to food, water, and healthcare. It presents the case that if clinicians take these factors into account, programs can be put into effect which, even in the poorest of rural communities, could help to mitigate disease transmission.

"The violence broke out when the patient spit at the Emergency Service Unit officers and swore at them. The officers responded by hitting him in the face, hauling him off the stretcher to the ground and then tossing him back on the stretcher, "

"After the first round of punches, the patient was "taken off the stretcher to the ground and restrained again, pt. was thrown by ESU again on to my stretcher," the EMT wrote. "Pt. sustained injuries to face and head," the report said."

This group is a volunteer organization and is not a goverment program. Its disaster relief is based primarily on the desire of people to help others. The volunteers are not legally mandated to help, they do it because they want to.

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. 

While "front line" emergency response is not directly addressed in the article, it does discuss the motivation and sociopolitical background for emergency response from the public health perpsective at great length. The article looks at nationalism and the self interest of countries in epidemic scenarios and other international public health crises, and discusses how emergency response to a public health crisis and eradicating diseases within the borders of one country is not the best plan of action, but is the one most friequently taken under current international protocols.

The article focuses on rebuilding more resilliently, 

"At the forefront of this work is NJIT’s Center for Resilient Design, housed at the university’s College of Architecture and Design. Established immediately post-Sandy, the Center conducts research and serves as a clearinghouse for expertise, ready-to-build designs, case studies and best practices. The Center is accessed by state and local leaders, business owners and residents living in areas especially vulnerable to flooding and storms."