The authors, Vicanne Adams, Taslim Van Hattum, and Diana English work at the University of California San Francisco in the department of anthropology, history, and social medicine. The department’s research includes aspects of global health, social theory, critical medical anthropology, and disaster recovery.
There have been 28 citations at this time, most concerning the concept of biosecurity. Many of them also focus on elements of governing bodies and their respective management of risks and emergency plans.
The overarching goal of the report appears to be an overarching analysis of the current systems in place to address and research mental health outcomes in disaster events. The article firstly presents comorbidities known to predispose individuals to development of mental illness.This would be in the hands of the response team to recognize that a certain population may be more predisposed to developing PTSD from the event-- such as children or females, who have shown increased levels of PTSD and MDD. Recognizing that students from an all-girl's K-12 School who have just come from, say, a forest fire will be more likely to develop mental health complications after the disaster than a population of older, male welders will help streamline appropriate responses.
Secondly, by exploring and recognizing these factors (pre, peri, post), emergency responses can help prepare and minimize mental health effects. For example, by implementing PFA in all government agencies, this help mitigate the traumatic effects of experiencing a disaster; PFA includes three distinct goals in treating these patients, including limiting stress reactions and regaining feelings of control.
Thirdly, while studying mental health in the wake of disasters is crucial to ensuring successful and adequate interventions, there are four major challenges, all discussed in the report (defining target population, obtaining representative sample, implementing an appropriate study design, and measuring key constructs). The authors contend that for future research, several key changes can be made to benefit overall research outcomes. These include widening the scope of psycho-pathological inquiry from to include other disorders such as GAD and panic disorder, the time ranges studied (with higher emphasis on pre/peri factors to help tailor interventions), other factors that create predisposition, and further intervention implementation.
Emily Goldman is an epidemiologist at NYU College of Global Public Health. She has an extensive background in public health. Sandro Galea is an epidemiologist and physician from Columbia University. He also serves on the NYC councils of Hygene and Public Health
Many of the sources cited in the bibliography seem to be from various news sources. This includes New York Times, New York Daily Tribune, Chicago Daily Tribune, and Chicago Chronicle, to name a few. There are also several historical reports or accounts of the events described by Dr. Knowles. This indicates a focus on primary literature and sources when describing the historical disasters. There also appear to be several transcripts of federal agency or committee interactions and reports.
The major stakeholders are those exposed to the contaminated water (and subsequently suffer from cancer and other major illnesses) and the Marine Corps. Unfortunately, the Marine Corps and other government agencies show fairly limited attempts to aid those fighting for information about Camp Lejeune. Moreover, several meetings within Washington DC reveal the nature of policy making; how special interest groups often overshadow the common welfare of the public. Jerry Ensingmer and his counterparts often deal with the harsh realities of fighting giants with slingshots, and often have to choose between family and trying to help those also effected by the contaminated water. There are many questions raised about how much governing bodies actually care about soldiers, and how deep the "semper fi" motto actually goes.
I looked further into Canada's health system, the Indian Act, and indigenous population centers in canada.
The web platform appears to be a space to compile stories and information from Hurricanes Katrina and Sandy. The primary goal seems to be informing the public about the hurricanes, specifically the aftermath in the days and months following the flooding. It serves as a method of remembrance for what occurred (the flooding, death toll, lack of appropriate and timely response, the struggles of survivors) and as a way to warn that these problems will continue to occur in the future. In the last few days, Hurricane Matthew ravaged the Caribbean, South Carolina, Georgia, and Florida. It will take weeks to return power to all who have lost it, and exact damage tolls will take months to compile. Although each time, with each pass of destruction, our responses seem to be improving, the disasters continue to accumulate-- despite warnings such as this site.
Byron Good, Ph.D., is a professor of Medical Anthropology at Harvard Medical School. His primary area of research is mental illness and how social perceptions evolves around these issues, in terms of both treatment and social acceptance. Dr. Good has several works on these issues, including several that explore the perspective of bio-medicine in non-western medical knowledge, the cultural meaning of mental illness, and patient narrative during illness. His publications including several papers, books, and edited volumes; he is regarded as a major contributor to the field of psychological anthropology.
"Front Line" emergency response is not directly discussed in this article, however long term public health response in a broader sense is referenced extensively, and how the new dependant populations were dealt with was one of the major points of analisys of this article.