The policy and much current conversation stems from gun control laws, increasing violence against law/fire/ems in the media, and an increasingly large population of volatile persons. EMS do not always feel safe on scene, even when it appears otherwise.
The program is located at the Hiroshima university campus. It involves common coursework for all tracks of the program (at the Hiroshima Phoenix Training Center), specialized courses in different professional subjects, fieldwork in Fukushima, and internships with a Japanese company and an international organization.
The article discusses why, despite overwhelming amounts of foreign aid money and five years, Haiti still mimcs a disaster zone. Thousands of Haitians still live in tents and temporary housing, cholera is still raging, and rebuilding projects have stalled. The article questions why Haiti is just barely staggering back to "normal" after being given such tremendous resources. It goes on to discuss how several factors curb Haitian progress, including political turmoil and economic discord. Generally, the consensus remains (internationally) that the Haitian government cannot be entrusted money to fix these issues and must be led through the process by outside agencies. Additionally, malpractices by UN peackeeping troops have only addded to the list of problems (aka reintroducing cholera) and soured relations between Haiti and the UN.
It is not addressed, but public health and the system of healthcare as a whole is discussed.
The policy applies to New York state citizens, health care workers, EMS personnel, and leadership within health care centers. Additionally, the policy has parts that effect transportation agencies and their employees. In many ways, due to Ebola's nature and the nature of New York as a major metropolitan area, these policies will also have a global effect.
The study was published in BMC Infectious Diseases, a peer-reviewed journal on the prevention, diagnoisis, and management of infectious disease. The journal seems to be genrally well respected.
The article debriefs a ruling by Federal District Court Judge Deborah A. Batts on a class action lawsuit against the EPA. It details the claims made by the plantiffs' surrounding EPA officials' misconduct after 9/11. Specifically cited are Christie Whitman, who chaired the EPA during the attacks, and several other EPA officials.
Following the attacks on 9/11/2001, a number of health issues arose in the population of residents and workers present. Dust and other toxins inhaled from the rubble created a number of respiratory issues. The need for monitoring of these, and other, health conditions is what lead to the need for such a policy. Without the policy in place, victims would need to fund their own healthcare, and with the large number of affected people, the price would be more or less ridiculous to force on people.
As mentioned previously, the program began as an elaboration on the clinical work down by Brown's Warren Alpert Medical School. The school and its associated teaching hospitals have been providing care for incarcerated populations in Rhode Island since the early 1990's. The Center is located in Miriam and serves inmate populations in Rhode Island's state prison, ACI (Adult Correctional Institution). It has been used to model similar fledgling projects in San Diego, Philadelphia, and Maryland.
The film gave a lot of instances where the providers were more or less just having fun. For example, nearly every interview invoved the guys sitting down and drinking a beer while joking. While this proved their humanity, it also showed that the doctors spent much of their free time having fun rather than getting sleep. I would assume that they weren't drinkng while still "on call" or planning on giving care, and thus had the time to get proper rest. The amount of luxury afforded to the doctors after the trip also was a bit less compelling. At the end, the doctors were swimming at a nice pool and just relaxing, which is understandable for destressing. But it also seemed to take away some perspective. These doctors go on about how little resources they have to give and how the wish they could stay on their mission, but immediately turn back to luxury. Its just a bit hypocritical. And I understand that they cannot directly contribute to the people they care for in terms of wealth, but I found it was a bit unnecessary to include in the film.