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Emergency response is addressed both in short term, through the interviews with survivors about their escape from the floodwaters and transport out of the city, as well as the lasting effects of the program and response efforts. The immediate response was not as effective as it could have been, in great part the collaborative efforts of communities rather than response groups. The delay in the arrival of response groups such as the National Guard and the Red Cross was in part due to a lack of communication, after the hurricane a significant amount of damage was done to the infrastructure of the city, creating difficulties for the rest of the country to know how serious the flooding was when the levees broke. This delayed the response and likely was responsible for the loss of many lives and continued traumatic experiences of many survivors. The following years showed an immediate lack of interest by the nation once the initial disaster was over. The article highlights this problem with emergency response, that rebuilding after a disaster can be even more challenging then the initial response and requires continued support for those effected.

• “interest in how disasters could influence communities and result in large-scale effects, as well as interest in the mental and physical health consequences of different types of disasters, the influence of context on risk to mental health, and the distinct needs of different types of disaster victims.” (170)
• “Consistent with life-course epidemiologic perspectives (37), characteristics or experiences of individuals before, during, and after a disaster may influence mental health outcomes and interact to produce psychopathology.” (174)
• “The key functions of pre-disaster preparation efforts are to prevent or minimize exposure to potentially traumatic disaster-related events and reduce likelihood of additional post-disaster stressors, which are both associated with post-disaster mental disorders. Local governments and communities can reduce the likelihood and severity of disaster exposure” (176)

One specific challenge found by this organization is that not all veterans want their help in dealing with the stress experienced upon returning to civilian life. Although the support is available there is no way for the organization to force anyone to accept their help, which is a big concern for the organization.

The author Sonja D. Schmid is an assistant professor at Virginia Tech, she has expertise in the history of national energy policies looking at the risk associated with the nuclear industry. She has written several papers on the Soviet nuclear industry as well as policies and political controversies surrounding the nuclear industry and its potential military uses.