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This article does not address emergency response.

I read up on what constitutes people who can classify as peri-disaster personnel, I found the concept interesting and didn't realize there was a specific name to classify those people, I always wondered about the people who were indirectly effected by a disaster or partially effected due to proximity. I also researched comorbidity and common forms of mental illness that arise in post disaster survivors. 

The article discusses the cares and the decisions made in regards to patient care at a hospital during hurricane Katrina. A team of doctors decided to euthanize several patients who were suffering and likely would not receive care or live much longer anyway. While, the team of medical professionals made this choice morally and to relieve the patients of their suffering they are still subject to malpractice claims and breaking protocol. The article suggests a disconnect between those working in the field alongside patients and those making rules and regulations. 

This article focuses in on the cutural beliefs that influence how a patient may interpret and relay the "narrartive" of their disease. The article shows a connection  between the physical impact of a disease on a patient, how the disease is percieved in their culture, and how they describe the disease and seek treatment for it.

The report shows that there are obvious measures of fallout and exposure due to the disaster. The numbers show a clear effect of the disaster on the environment, animals and humans surrounding the area. Due to this, this puts technical professionals in a position in where they must take obvious precautions, and proceed with this data ethically and attempt to combat it and increase the preservation of the environment as well as areas and people surrounding the area of disaster. Professionals now must with this data and these findings apply their degrees and background to help improve the conditions ad fallout. They now have a duty in their respective fields to work with these findings and use them to better the situation to the best of their abilities. 

Technical professionals can use this data to perhaps launch other studies to analyze the true effects of the disaster in Japan on thyroid cancer rates in adjacent areas. This study and data finings from this can be used to show the need for further studies on the matter in order to determine the correlation between cancer rates and the disaster. The study overall shows that there were high screening rates for thyroid cancer after the disaster, yet attributes it to the possibility of over diagnosis. This study can open the doors for numerous more studies on this matter. This study can also be used down the road as a reference for anyone who wishes to study the degree of fallout and cancer rates caused by a nuclear disaster. Methods used in this study can be modeled down the road for other disasters, with adjustments accounting for the possibility of over diagnosis. 

The article uses the example of the shift of sexual vilonce from a women's right issue to a broader issue of gender violence, a description of humanitarian aid and a treating sexual violence, and the use of specific humanitarian aid efforts and the principles that guide these efforts to support he main argument. 

There was no emergency response addressed in this article directly. Yet, I believe patient narrative and the understanding of the connection between cultural stigmas or background and patient narrative is so imperative for EMS and other healthcare providers. It is crucial for emergency responders to understand possible cultural influences on patients and how that might effect their perception of their illness or how they reflect what they are experiencing to you as the their health care provider. 

According to the history page of American Red Cross, the organization began in 1882. In the 23 years following that, the organization aided in disaster relief efforts with the US Army during the Spanish American War. Not until prior to WW1 was the first water safety, first aid and health program introduced by the organization, where they first expanded their efforts and scope of what they can offer. What truly motivated the way and thinking of disaster relief was the outbreak of war America had. The organization grew tremendously because of war. In the 4 years between 1914 an 1918, chapters of American Red Cross went from 107 to 3,864- which is astonishing. Membership also grew from 17,000 to 20 million in that time. With this large jump of people and chapters came a large growth in funding and material to cover programs, hospitals, nurses, etc to aid refugees and American and Allied forces. Then in 1918, influenza pandemic struck and American Red Cross was able to help combat that and in the process took on more nurses to do so. This trend of growth is seen during times of war, or devastation such as the Great Depression, Mississippi River flood and WW2. Ultimately, what motivated the growth and disaster response was the need for it. As need increased for care during times of war, devastation or disease, American Red Cross grew, due to those in support of troops overseas, volunteering time and money, which allowed for the organization to grow and gain the moment needed to combat epidemics and eventually natural disasters.