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pece_annotation_1473633855

seanw146

                This study was published by the CDC under “Emerging Infectious Diseases”. Emerging Infectious Diseases, focuses on both identifying these emerging threats and disseminating information to its readers. The CDC earns a high respect from healthcare professionals. 

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Sara_Nesheiwat

By the public, it is regarded as a prestigious academic program that enables and creates an environment in which students can become leaders in their respective DRL careers. DRLA is also mentioned in the news alongside headlines including the USAID office of Foreign Disaster Assistance as well as Rwanda assistance and in high regards with the FEMA Chief of staff. It is clear that this program is intermingled with many governmental agencies and is regarded highly by them, as well as the public for its humanitarian efforts and abilities to produce excellent leaders in the DRL fields. It is very clear that this program is highly regarded academically, professionally and socially by the public as well. 

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seanw146

The main narrative of the film “In the Shadow of Ebola” is to show the impact from the top to bottom of the disease and the response to that disease. This includes international decisions affecting the nation of Liberia, the national government’s actions affecting the local communities and families there. Disease awareness and infrastructure are the main focus.

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Sara_Nesheiwat

This is seen as a good start to a major problem that needs far more assistance and advancement. People cite that meeting eligibility requirements are very hard and there are people that make more money than allowed to qualify, but still cannot afford mental health treatment. This policy is appreciated in a certain capacity, yet it is very apparent that people want more and think more help is needed. Of course, you will always have an opposing side when it comes to politics and there are people who think this is the perfect amount of assistance and nothing else is needed. 

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Sara_Nesheiwat

After the Fukushima disaster, thyroid examinations were performed on residents less than 18 years of age. The first three years post disaster are noted as the "Initial phase" and act as a control. Of those tested, 113 cases were suspected of or found to have thyroid malignancies, 99 of those underwent surgery. After this, the goal became to compare and observe prevalence of thyroid cancer in this initial screen program with historical controls based off if there was a nuclear disaster or not.

For this study, the observed/expected ratio was calculated for residents less than 20 years old. Observed prevalence of cancer was calculated using numbers found in the initial thyroid screening program mentioned above. Expected prevalence was then calculated by using a life-table method utilizing national estimates of thyroid cancer incidences before the disaster. The population of Fukushima was taken into account.  A 5 year cumulative risk of thyroid cancer incidences was calculated for the year of 2010.  This 5 year risk was then converted to a 1 year cumulative risk using a method called spline smoothing. Then the age-specific prevalence of thyroid cancer was estimated by multiplying the 0 year old population by the age specific risk in 2010. 

I have done research involving cancer rates and their correlation with power plants (in my case Indian Point.) Doing that research caused me to read hundreds of studies similar to this one where estimates are made using calculations based off cancer rates before the incident and then taking them and putting them into context of a post disaster area. I wouldn't quite say that this method is new or inventive but it follows similar methodology to other studies of this same caliber, yet there are aspects that make it more unique such as converting the 5 year to 1 year cumulative risk using a spline smoothing method. 

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seanw146

                This article focuses on the importance of good command systems like NIMS, the vital role of communication within and inter agency, and the necessity for good planning and fixing issues that are found beforehand. The issues described in support of the main point of the article, show how the failure of command, communication, and planning resulting in hundreds of civilians and first responders needlessly dying. Because of other's poor performace and preparation, others had to pay the ultimate price.