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Emergency response is discussed in the context of a world post- Fukushima and the lessons learned from the incident. The article brings to discussion the pros and cons of an international nuclear emergency response team, which currently is non-existent. The paradigm has long been to focus on accident avoidance and regulation to prevent such disasters. The author cites several existing agencies (internationally) and the Nuclear Regulatory Comission as possible sources of knowledge and resources for the development of an internationally united response team, specializing in nuclear disaster relief.

They also emphasize the need for an interdisciplinary effort in creating and maintaining such a team. Researchers, operators, and policy-makers alike have a stake in the success of relief efforts, and thus should all be involved in creating the team. And not only does the effort have to be multidiscplinary, but international, which brings about questions of funding, protocols, and jurisdiction. Also, who will join, and where will they receive the necessary training needed for specific response? These are all challenges that need to be addressed prior to the creation of the team. 

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“Today I announced $5 billion in funds to rebuild New Jersey and New York and here at NJIT tonight are the most remarkable design minds in the world,” said Donovan. “I spoke to President Obama for an hour about this design competition and he said this is exactly what the nation needs -- designers collaborating with government officials and residents affected by the storm. That’s the best way to rebuild and it’s our goal at HUD.”

Earlier in the day, the 10 design teams presented as many as five ideas to a jury assembled by Rebuild by Design, a Hurricane Sandy Rebuilding Task Force allied with HUD. The teams had three months to research their design ideas.  Early next month, the jury will select one idea -- the best idea -- from each team. The teams will focus on refining those ideas and the competition will continue into 2014, when HUD will decide which team or teams to fund.   "

"James Giresi, one of the students, said that Theodore’s class gave him the opportunity to get hands-on, real-life experience.  His team visited the Jersey shore several times, studying the ecology of the lowlands and the highlands, as well as the demographics of the residents living along the coast. After they gathered their research, they shared their findings with Theodore and the Dutch experts on her team"

Participants receive a PhD upon successful completion of the program.

The American Red Cross is an organization that seeks to alleviate human suffering at the hands of emergencies by utilizing volunteerism. The organization focuses on domestic disaster response and support for the responders to those disasters, such as the armed forces.

The article highlights public health security and "biosecurity" in the context of large scale efforts/interventions in response to public health threats. Various frameworks have been proposed and implemented to analyze and respond to the new range of pathogenic threats. These take form as research groups, global health initiatives, legislation and emergency preparedness plans. The article proposes looking at biosecurity with an STS multidisciplinary approach (though not explicitly stated as such) and has separated biosecurity into four unique domains. These are emerging infection disease, bioterrorism, cutting-edge life-sciences, and food safety. These all overlap throughout the article. The article further highlights the faults of the "public health" approach and emphasized the trend towards a preparadness model.

The article cites the merits and failures of the investigations following three disasters. These are the burning of the Capitol Building in 1814, a boiler explosion in 1850, and the Iroquois Theater Fire of 1903.

The author cites a number of cases in which the law proved difficult to enforce. One example is seen when looking at the difference in residency application acceptance rates between different locales/prefects. The much larger and metropolitan areas would accept down to 47% of the applications, indicating a possibly fair division of candidates reviewed. Other more rural areas would accept over 90% of the applications, showing almost no distiguishment between ailments. The question becomes whether this is reflective on the doctors' judgements of "serious ailment" given location, the political beliefs of the prefect, or simply the lack of caring whether someone emmigrates or not. Another example of the flaws in this law is highlighted by a personal anecdote from a patient. The patient was given a diagnosis when originially coming to France on a personal visa. They were told their condition was quite serious and would require ongoing care. However, when the doctor who diagnosed him was asked to sign for evaluation for the residency permit, the doctor changed his diagnosis to something much less serious. The political thought behind the poicy came into play and interrupted the normal proceedings, tearing doctors between their obligations to the law (and only allow exceptional cases) and to medicine (and err on the side of caution).  

The author also highlights the development of this law and its effects in three stages. Pre-1990: Serious illness was a factor in residency completely at the discretion of local government. Immigrants were seen as workers and they served that purpose only. If a worker was sick, they were of no use to society. 1990-1998: Illness was more often factored into the decision making process, but those allowed to stay received no paid employment or social wellfare benefits. Post 1998: Written into law, ill immigrants were allowed to stay with the opportunity for pay and legal status in France.