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This was created post-Katrina as a result of failures in disaster leadership. They saw that there as a lack of an organization that focused on leadership and resiliency in producing effective programs or outcomes, which makes DRLS so unique. 

There are four regions of microbial threats that the paper focuses on: emerging infectious disease; bioterrorism; life sciences; and food safety.

Huge increases on spending in the US on biodefense from millions to billions of dollars

Very general emergency response plans have weaknesses in that they are so quickly applied to any situation without considering what a specific region needs, has, or lacks.

• "For far too long Inuit have been taking their lives or attempting to take their lives. In fact, Inuit have the highest suicide rates in the world"
• "...if these statistics were reflected in the general population, there would be an uproar and lasting change."
• "A focus on mental health, to me, is of the construct of Western European psychological thinking which I think will try to hem the matter into a very small area of inquiry when in fact the discussion has to be much more broadly based."

The real threats of air quality were covered up due to politics and other reasons, wanting to get america back to work. Instead, the reports were edited and people were sent back into the dirty air to clean up the scene or back to office jobs in the area, with contaminated air surrounding everything. Decontanimation efforts did not start until very late in the process. Bush did not wear a mask and the workers were told they didn't need to, so they didn't. As a result, there were severe health problems afterwards.

From the reviews in the iTunes App Store, it appears that healthcare providers do use the app. One review says that it is useful for working in lab or class settings as well. 

Interviews were conducted with inmates and politicians.

This study has been cited in several other articles and studies that look at disaster and intimate partner violence. Some focus on specific areas such as costal regions, others bring in other factors such as depression.

This article focuses more on public health concerns, rather than EMS response. She analyzes sociopolitical factors that affected the response post-Chernobyl and the impacts that had on people's lives and the healthcare they received as a result.