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The American Red Cross is heavily based off team work and altruism. As stated earlier, those that respond are volunteers, they are not obligated to help but they want to. The Red Cross volunteers work together as a team for the goal of aiding and tending to those in need, to the best of their ability. Their volunteering shows they perceive disaster as an unpredictable thing, but something that other members of the community can help those devastated get through. 

It is said that EMTALA doesn't apply to ambulance services, technically this would be true. Yet, EMTALA does indeed effect our patients, and anything that effects our patients can effect us and should be a concern of ours as EMS providers. If EMTs are spending time in the hospital sorting out insurance issues and payment, that is more time they are out of service. Also, if the patient's treatment time is delayed, not only will the hospital be blamed, but so will EMS. If a patient is in cardiac arrest, EMTs will not be stopping and wasting time to find out insurance and payment issues from family members, that will be the last thought on their mind. They will be transporting and attempting to stabilize the patient. EMTs and EMS will not compromise the health of a patient due to insurance or payment issues, just like hospitals are now mandated to do.

After looking up the bibliography, many of the citations found were government agencies or studies performed on bioterrorism, biological weapons and disease security, all from reputable sources and agencies. This shows that a lot of work and investigation went into this paper and it is valid and accurate research. 

The data is mainly visualized in report form. There is also a section of the site where data and statistics that have been confirmed are written out separated by disease/disorder type. So in the "what we know" tab PTSD, depression, tobacco use, asthma, lung function, respiratory issues, heart disease and adolescent health are separated into different sections with confirmed disease rates, correlations and numbers listed beneath each section. The same group that runs this registry in terms of research, called the 'WTC Medical Working Group' also provides links to other current studies on the matter, some of which they have partaken in. 

"The crumbling infrastructure at Rikers leads to more than flooding. The majority of weapons found on the island (about 79 percent in 2014) are fashioned out of building materials at hand, and not smuggled in."

"In my cell, it feels like it’s 104 degrees in my cell when it’s 94 degrees outside. I feel like I’m dying in the cell. I have a heart murmur and my heart will start pumping hard. I get dizzy and get migraine headaches from the heat.”

"The landfill underneath burps methane, a noxious gas, as the garbage decomposes naturally. Less than a mile away in Queens sit five power plants that spew volatile organic compounds and nitrogen oxide, a pollutant. The Poletti power plant, infamous for being the biggest polluter in New York, sat within a mile of Rikers and operated until 2010"

The arguments were supported through providing data and statistics on the amount of those suffering still and providing background and input from numerous government agencies on the topic. Interviews with survivors were also used to support the argument and provide first person experience about the conditions in which they live and hardships they face.The interviews recount what occurred and was experienced during the disaster, as well. Ben, a 42 year old carpenter, Muriel and many others are quoted and provide testimony to the adversities they faced- physiologically, psychologically and emotionally during and post Katrina. The  article then discusses the roles government agencies have in recovery after the disaster.

This paper analyzes the effect that disaster has on the mental health of those afflicted by the disaster. The type of disaster and its effect on certain mental health afflictions is discussed. The field of disaster and this correlation with mental heath has long been in existence and under study. This paper discusses the current state of the field of disaster and mental health research. An overall summary of previous findings is discussed as well as the treatment of mental health disorders after disasters and any challenges to studying disaster related psychopathology. Limitations in current methodologies are also discussed as well as future areas of research are also discussed.

I further researched health care and illness rates in the area surrounding Chernobyl before the incident, to see if there were any very obvious differences in terms of how health care was handled. I also expanded on what was presented in the article and researched some of the major issues faced by those exposed. In addition, I researched more on the governmental influence and actions taken post Chernobyl in terms of testing of citizens as well as leaderhsip efforts. 

This article is discussed and referenced in STS based courses and emergency response seminars and planning committees. The paper is also cited in a book Edited by Richard Hindmarsh and Rebecca Priestley entitles "The Fukushima Effect."

Those that complete the course requirements and achieve all their points will graduate with an MS in Narrative Medicine.