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“There is no such thing as being “too secure.” Living with risk, by contrast, acknowledges a more complex calculus. It requires new forms of political and ethical reasoning that take into account questions that are often only implicit in discussions of biosecurity interventions.” (Lakoff 28)

“On the one hand, they examine the different political and normative frameworks through which the problem of biosecurity is approached: national defense, public health, and humanitarianism, for example. On the other hand, they examine the styles of reasoning through which uncertain threats to health are transformed into risks that can be known and acted upon” (Lakoff 12)

“These initiatives build on a growing perception among diverse actors—life scientists and public health officials, policymakers and security analysts—that new biological threats challenge existing ways of understanding and managing collective health and security. From the vantage point of such actors, the global scale of these threats crosses and confounds the boundaries of existing regulatory jurisdictions. Moreover, their pathogenicity and mutability pushes the limits of current technical capacities to detect and treat disease” (Lakoff 8)

As many of these systems are relatively new, and not particularly effective, there appears not to be other apps modeled off of these systems. The only similarities are within the apps themselves, suggesting that the company We-Consent developing many of these apps is using a similar format for each of them.

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.

The family followed during most of the film was able to get several members out of Liberia during the Ebola crisis, I was under the impression that travel across the border of affected nations was prohibited. The CDC webpage was able to confirm that travel bans were imposed to and from Guinea, Liberia, and Sierra Leone during the Ebola crisis. Travel to and from these places was only permitted for health officials and aid worked, and required a 21 day quarantine upon returning to the US. However, several cases in surrounding countries were reported and it is known that people would first travel to a different country before attempting to fly to the United States.

I was also interested in how health care workers and emergency responders kept themselves safe while working with such a dangerous virus, the CDC webpage was also able to clarify the PPE used when dealing with suspected or confirmed cases of Ebola, including gloves, gowns, respiratory protection and boots. Protocols also exist for training responders in the proper methods of donning and doffing PPE to protect themselves.

As a portion of the film focused on the public outrage concerning the quarantine, I read an article “Encouraging Compliance with Quarantine: A Proposal to Provide Job Security an Income Replacement” by Mark A. Rothstein which explains in greater detail the effectiveness but also challenges posed by a quarantine, and how this directly effects the infected and uninfected individuals inside.

This policy was created in response to attacks against non-police first responders, the effort to enable the responders to carry firearms was in part motivated by a 911 call where the caller faked a medical emergency and then took the firefighters hostage when they arrived. He later stated that he had chosen a medical emergency because he knew they wouldn’t be armed. This, and other incidents, began to affect patient care as paramedics no longer felt safe entering buildings without police.

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. 

The article mentioned a database the Times was using to track the location of firefighters throughout the incident, I looked at that system. It is not publicly available but was interesting in that it entirely depended on the news footage, personal videos and eyewitness accounts.

The article mentioned helicopters were being considered for rooftop evacuation, which surprised me due to the smoke. I looked into the visibility in the airspace directly surrounding the World Trade Center, while the smoke was so severe as to be captured by the International Space Station the wind did clear the smoke sufficiently for a clear line of sight between the helicopters and portions of the towers.

The firefighters were climbing the stairs, and reportedly would take hours to reach the top. The article also mentioned several groups of resting firefighters, so I researched the weight each firefighter would have been carrying which added up to 45 pounds of gear and at least an additional 20-30 pounds of tools.

After the Fukushima disaster, thyroid examinations were performed on residents less than 18 years of age. The first three years post disaster are noted as the "Initial phase" and act as a control. Of those tested, 113 cases were suspected of or found to have thyroid malignancies, 99 of those underwent surgery. After this, the goal became to compare and observe prevalence of thyroid cancer in this initial screen program with historical controls based off if there was a nuclear disaster or not.

For this study, the observed/expected ratio was calculated for residents less than 20 years old. Observed prevalence of cancer was calculated using numbers found in the initial thyroid screening program mentioned above. Expected prevalence was then calculated by using a life-table method utilizing national estimates of thyroid cancer incidences before the disaster. The population of Fukushima was taken into account.  A 5 year cumulative risk of thyroid cancer incidences was calculated for the year of 2010.  This 5 year risk was then converted to a 1 year cumulative risk using a method called spline smoothing. Then the age-specific prevalence of thyroid cancer was estimated by multiplying the 0 year old population by the age specific risk in 2010. 

I have done research involving cancer rates and their correlation with power plants (in my case Indian Point.) Doing that research caused me to read hundreds of studies similar to this one where estimates are made using calculations based off cancer rates before the incident and then taking them and putting them into context of a post disaster area. I wouldn't quite say that this method is new or inventive but it follows similar methodology to other studies of this same caliber, yet there are aspects that make it more unique such as converting the 5 year to 1 year cumulative risk using a spline smoothing method.