I personally wouldn't say that emergency response was a factor discussed or addressed in this paper. Rather,there was a discussion about illegal immigration and public health aspects and the duty France and other countries had to those seeking residence or living in their respective countries. I think more so, public health aspects were discussed in this paper as well as social aspects of duty and justice rather than emergency response.
Liberian emergency responders are portrayed in the film as being completely overwhelmed by the situation at hand and unable to cope with the nature of the illness, people's innitial denial to the extreme communicability of the disease, and the sheer number of patients. Most predominantly, first responders are illustrated by 2 abandoned ambulances on the side of a road and by the story of a woman saying that an ambulance was called to a dying pregnant woman and they ended up leaving her on the side of the road for an ebola crew to respond to, which came too late.
This report does not specifically address disaster, however it shows a new trend in primary care medicine, taking it out of doctor's offices and hospital emergency rooms and bringing it into people's residences. Recent trends have shown massive increases in ED usage for non emergency conditions, causing a shortage in beds and resources. The communuty paramedic program has the purpose of "respond[ing] to identified health needs in underserved communities, ultimately improving the quality of life and health of rural and remote citizens and visitors." The report also cites previous community paramedic programs in Fort Worth, TX, and Nova Scotia, Canada, where the program was shown to decrease ED usage by 23% and reduce costs by over $2 million.
More scientific data and perspectives from public health officials could be used to broaden the perspective of this film and change its purpose from being an emotional film to being a more educational film.
This policy applies specifically to FFs and EMTs in the Bethel Township Fire Department who hold State of Ohio concealed carry pistol permits.
"Depression and anxiety disorders were pervasive. Many residents had regular nightmares of waking up in water. They talked about recurring “breakdowns” in which they became overcome with emotion and physically collapsed. A 2007 study showed that 20 percent of New Orleans residents were categorized as having a Katrina-related serious mental illness, and 19 percent showed signs of minimal to mild mental illness (Sastry and VanLandingham 2008; Thomas 2008). "
"The stress-inducing factors that prevailed among New Orleans residents were multiple and layered, including physical, psychological, and social displacements around house and home, work, financial security, and family security. The loss of home and jobs and, in some cases, the cost of rebuilding produced huge financial worries for residents. "
"What I experienced was coming back to the devastation of the city. No grocery stores, no cell phone service, certainly no phone service, no regular phone service. We actually had to get other cell phones. You know, it was a ghost town. I think I, probably, maybe not now, but I was in shock, you know, because I couldn’t take in the enormity of it. I wondered knowing the politics of the city, and the state, and actually the federal government, how it was ever going to be fixed. "
“Chronic disaster syndrome” thus refers in this analysis to the cluster of trauma-and posttrauma-related phenomena that are at once individual, social, and political and that are associated with disaster as simultaneously causative and experiential of a chronic condition of distress in relation to displacement. "
"Not surprisingly, residents and those still trying to return to New Orleans are asking the question: Where did all the federal money go? Residents still living out of their trailers wonder why they could not get Road Home or FEMA funds and continue to wait to find out if their rental housing will be rebuilt. "
1. "Clashes over authority among powerful institutions both public and private, comptetition among rival experts for influence, inquiry into a disaster elevated to the status of a memorial for the dead: these are the base elements of the World Trade Center investigation. And yet, even a brief historical review shows us that these elements are not unique."
2. "In this article, I will show that conflicts over authority, expertise, memory, and finally the attribution of responsibility suffuse the history of disaster in the United States."
3. "Blame, memorial, and reconstruction tend to outpace technical consensus."
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.
The article is supported through the recollection of the past decade of research on this topic of mental health effects due to disasters. First, the article delves into the PTSD and MDD mental illness association with disasters and the background of theses disorders. The authors then utilize numerous epidemiological studies that have been developed and discussed on the matter over that last 190 years. Experiences of those that are dealing with mental illnesses are also utilized as supporting evidence of the effect disasters have on mental health conditions on those effected.