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This article has been referenced in various books about the global health and international relations. 

The main argument Knowles develops in this article is structural and engineering integrity of buildings and equipment is not always questioned until a disaster occurs and there is public outcry for regulations to be put in place. Whereas if building codes and safety equipment was being regularly tested and enforced, when disasters occured they would not be as tramatic. 

First the article makes claims to research on populations affected primarily by natural disasters such as hurricanes and how the population was selected, as in were they directly affected by the disaster, lived near the disaster, or had relations to people affected by the disaster. The article then looked at the risk factors for each population at the different parts of the disaster (pre, peri, post) and the state of individuals at each of those times; were some already struggling with depression, would employment be effected, did they have kids to care for, ect. Lastly the article discussed what interventions emergency responders can take to reduce the risk of mental illness and supported those claims with statitics from the CBT about debriefs with victims and having counselors readily available, in person or virtually.