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pece_annotation_1476122211

erin_tuttle
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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.

pece_annotation_1473000117

Andreas_Rebmann
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"This realization (of having to face Nuclear disasters) marks a major shift in our thinking about nuclear risk, away from accident prevention, and toward accident mitigation and more rigorous emergency preparedness."

"Severe nuclear accidents may thus require international instiutions to coordinate their mitigation."

"...the 'culture of control' (that is, attempts to regulate every last action of the operating staff) is too rigid to account for all imaginable situations... it would appear to be in the interest of voerall nuclear safety to log and learn from these incidents, rather than conceal them."

pece_annotation_1476641935

erin_tuttle
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  • “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)

pece_annotation_1473603815

Andreas_Rebmann
Annotation of
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“Despite these facts, the risk for outbreaks after disasters is frequently exaggerated by both health offi cials and the media. Imminent threats of epidemics remain a recurring theme of media reports from areas recently affected by disasters, despite attempts to dispel these myths.”

“The risk for communicable disease transmission after disasters is associated primarily with the size and characteristics of the population displaced, specifi cally the proximity of safe water and functioning latrines, the nutritional status of the displaced population, the level of immunity to vaccine-preventable diseases such as measles, and the access to healthcare services” 

“Disaster-related deaths are overwhelmingly caused by the initial traumatic impact of the event. Disaster-preparedness plans, appropriately focused on trauma and mass casualty management, should also take into account the health needs of the surviving disaster-affected populations.” 

pece_annotation_1480605982

Andreas_Rebmann
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"The violence broke out when the patient spit at the Emergency Service Unit officers and swore at them. The officers responded by hitting him in the face, hauling him off the stretcher to the ground and then tossing him back on the stretcher, the EMTs said in written statements submitted to the FDNY."

"An FDNY spokesman confirmed there was a notification from the agency to the NYPD. The NYPD said the 67th Precinct incident is being investigated by the Internal Affairs Bureau."

pece_annotation_1476645924

erin_tuttle
Annotation of
In response to

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.

pece_annotation_1474149950

Andreas_Rebmann
Annotation of
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It was a new way of addressing disaster in 1971 when it was founded. 

“It’s simple really: go where the patients are. It seems obvious, but at the time it was a revolutionary concept because borders got in the way. It’s no coincidence that we called it ‘Médecins Sans Frontières.’”