Search

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. 

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.

Paul Farmer cites this paper in some of his other studies and articles written after this. The article has also been cited in a book entitled "Social Medicine in the 21st Century" by Samuel Barrack. This article has also been cited in: 

https://dash.harvard.edu/bitstream/handle/1/10612556/3585352.pdf;sequen…

http://opensample.info/blindness-survey-methods-response-from-sudan-stu…;

Humanitarian aid is not directly a form of emergency response in a sense of EMS, but it does give help and attention to those in areas of need, and often times, forms of aid are medically related. Though emergency response isn't directly addressed in this paper, humanitarian aid is a form of a response to an emergency situation. This paper focuses more on the analysis of humanitarian efforts to those that at one time may have needed emergency response in the moment due to violent act. Yet the paper focuses on the social aspects of humanitarianism and its tie to gender based violence, not EMS or emergency response.

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. 

There were numerous people invested in this situation and effected by the repercussions of it. The main focus is on the citizens of Liberia. The film shows their account of what happened, in terms of the severe amount of deaths and deplorable conditions in which they lived in. There was a complete lack of health care and public health or awareness, as well as resources such as food and supplies. Citizens were at first not taking the situation as seriously as it should have been, not heeding the warnings from doctors, convinced the government was exaggerating. Yet, once the turmoil and panic of officials was displayed, citizens soon began to worry. There were issues and decisions made involving protecting themselves from the disease as well as their families. Those infected also faced many issues. There was a complete lack of resources for those separated from the population due to infection. There were scarce amounts of food, water, supplies and medical attention. Fear, death and disease spread fast throughout the population. Decisions about not only quarantine and families had to be made, but also decision of whether leaving the country was a good choice, as seen by the main family in the documentary. Other stakeholders include health care officials as well as government employees. There were many decisions made by them in terms of allocating resources, as well as informing citizens about the situation. 

There are numerous methods utilized to support the claims in this paper. Research workshops were analyzed and discussed and the conclusions and discussions of experts were examine and presented. There was also an ample amount of expert interviews that were discussed and analyzed. The authors' expert opinions as well as analysis of current data can be seen throughout the paper, but also an analysis of the lack of health specific data. 

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.