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pece_annotation_1477278646

ciera.williams

The article is largely a review/update on the state of the research being done into disaster-related mental health conditions. Thus all the support for the arguments is research based rather than example based. The author backs up their definition of disasters in three categories: natural, human-made nonintentional, and human-made intentional. These criteria affect the outcomes for the psyches of the victims, with the human-made disasters carrying more weight, particularily the intentional ones. 

PTSD has been continually supported in literature, and the author simply recites sources of research dating back to the Vietnam War. The WHO has since devleoped more detailed planning tools and treatment tools for victims of trauma. 

The authors also cite multiple levels of research into the risk factors for multiple mental health issues, regardless of and related to specific disasters. 

pece_annotation_1476642064

erin_tuttle
  • I was interested in the portion of the article that referred to the initial scientific understanding of post-traumatic stress after the Vietnam War, so I looked into the early reports on PTSD to see how far the science has come since then.
  • The article extensively referenced Hurricane Ike which I was unfamiliar with, researching the storm gave me better idea of the type of trauma that many of the survivors experienced due to the massive amount of damage that occurred.
  • The article suggested that properly stoked and manned shelters for evacuated residents would be very important in preventing trauma, so I looked into the existing infrastructure in high risk locations. The government maintains stockpiles of supplies around the country and most communities have designated shelters, however there is not a single existing plan for how a community could safely evacuate the entire population.

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erin_tuttle

The article focuses on the inherent necessity for emergency response to include community education, risk assessment, and premade policies that designate decision making authority in the event of a disaster, while also acknowledging the inherent unpredictability of emergencies that require flexible response plans. Emphasis is placed on the need for rapid response, and the importance of safeguarding expertise through training and records. 

pece_annotation_1473044161

ciera.williams

The shift in thought from prevention to response is well supported as a necessary move. This can obviously be seen by the occurrence of these accidents despite adequate regulation. Nuclear energy is a promising, but dangerous thing, and can quickly become disastrous despite efforts to maintain control. This was seen in the accident at Fukushima, following the earthquake and resulting tsunami in the region. Despite preparation for such an event and the existence of backup generators and batteries, responders were rendered useless in the efforts as they could not access the area. This is where the need for a prepared system of nuclear response is needed. Historically, such emergency response groups have been poorly resourced and short-lived, such as the Soviet Spetsatom developed after the Chernobyl disaster in 1986. This group, which focused on preserving lessons learned and developing response systems, was absorbed by a larger ministry with the goal of integrated disaster response.

Additionally, the author cites a number of factors that played a role in creating the Fukushima-Daiichi disaster, such as “environmental, social, and technical systems” that, due to their complexity and separate protocol, resulted in lack or preparedness for the disaster. Following the disaster, the response efforts were delayed by this lack of preparation, and the media called out TEPCO and the Japanese government for this. STS analysis is important in this aftermath as much as in the creation of the initial plan. By utilizing an interdisciplinary approach, the media (and the people) can be heard and used to reform existing policies, or create new ones. This establishes a continuously evolving system of response that can adapt and take into account many different view of disaster relief. 

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erin_tuttle

Data collected from a study done in Baltimore in the 1990’s, including statistics and observations is used to support the main argument. The methods used in Haiti and Rwanda as well as the results from implementing those methods are also used as examples for the claim that social conditions greatly impact disease susceptibility.