This article has been referenced in several other works concerning the Fukushima plant disaster, such as “The Fukushima Effect: Traversing a New Geopolitical Terrain” by Hindmarch and Priestley, where it was quoted for its opinion that an international group would be needed to overcome bias that may be present in national regulatory agencies.
Emergency response is not addressed in this article however it does provide emergency responders with insight into the stories those suffering from illness will have to explain their suffering. As emergency responders will often be working in societies and cultures very different form their own in the case of disaster response, it is important to understand that what may seem like fiction in a story cannot be dismissed without considering the deeper cultural significance of those elaborations.
Emergency response is addressed in terms of both long term response and future emergency prevention. The method used by the PIH in both Haiti and Rwanda were implemented in response to high rates of disease in those places, showing that an emergency can occur gradually and the response may require creating a permanent system. Prevention is also discussed as a portion of emergency response, that it is important not only to deal with emergencies as they occur but also to identify the causes and change the system to prevent the same emergency in the future.
The author supports the main argument with detailed analysis of the actions of humanitarian aid groups, a brief history of the changing public and legal perceptions of domestic abuse and sexual violence, and reports by the media and humanitarian aid organizations. The use of public opinion as well as the legal aspect of political change highlights the necessity for the public to drive change in social issues such as sexual violence in order to have practices become political action.
The primary method of supporting the main argument is a series of historical examples including policies such as those created by the World Health Organization, outbreaks including AIDS, and previous attempts to provide health security such as the Smallpox Caccination Program. The use of these examples highlights the changing nature of health problems and how that effects the type health security. Specific dates and data from the examples is included, which allows for a more detailed analysis to support the main argument.
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Several historical examples are used including the burning of the US Capital in 1814, the Hague St. explosion in 1850, and the Iroquois theater fire in 1903. The article uses examples that were in the public awareness at the time of the disaster in order to exemplify the many agents pressuring investigators to make a rapid and acceptable decision including the public, the government, and the businesses effected.
The article does not address emergency response, rather it dealt with public health and the government’s responsibility for the health of immigrants. A significant part of public health is the allocation and availability of resources, which differs based on country. The argument made is that the available medical resources in France should be used to assist those who do not have access in their countries. Unfortunately, there remains the responsibility to the citizens of France to provide access to any and all resources necessary for their health which necessitates denying treatment to some immigrants. The issues faced by the government and public health interests is how to balance those moral obligations, which is discussed in the article.
Vincanne Adams is an anthropologist, and former director of Medical Anthropology with UC Berkeley. Diana English is a Clinical Assistant Professor at Stanford Hospital and Clinics. Taslim van Hattum is a well-known researcher focused on public health, she currently works as Director of Behavioral Health Integration for the Louisiana Public Health Institute.
The policy mainly effects first responders while responding to an emergency. The chain of command detailed places organizations under an interagency task force to ensure that resources are distributed to all areas in need. This would affect first responders who travel to the site of a disaster as part of immediate post-incident response.