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“More than 20 years ago, social scientists Harry Otway and Brian Wayne cautioned that accident prevention (safer designs, better operator training, etc. , but even more so emergency planning, faced significant economic and managerial hurdles.”(p199)

“Nuclear accidents have tended to trigger organizational reform with regard to nuclear emergency response, but not on an international level. In considering this problematic ground, where might we start to develop a global approach to nuclear disaster mitigation?”(p200)

“The specific kinds of highly specialized knowledge involved with operation nuclear reactors however may not be accessible to broad public debate to the same degree as, for example, evacuation policies. But in the interest of sustainable, socially legitimate solutions, arguably decisions about even the technical responses to disasters should not be left to scientists and engineers alone, whether they are based within the nuclear industry, a regulatory bod, or a nongovernmental organization.”(p196)

“For all its undeniable flaws, the nuclear industry worked for several decades- in Japan and elsewhere. That is also the truly frightening realization after Fukushima: this disaster was not ‘waiting to happen’, but occurred in a system that had been functioning reasonable well for quite some time.”(p198)

“…The Way Forward is embedded in a technocratic rationality that seeks an effective ‘technical fix’ for reducing the risk of a nuclear disaster to manageable proportions. That misses the less tangible social expertise and improvisational skills inevitable involved in any successful disaster response.” (p206)

Emergency response is addressed in terms of both long term response and future emergency prevention. The method used by the PIH in both Haiti and Rwanda were implemented in response to high rates of disease in those places, showing that an emergency can occur gradually and the response may require creating a permanent system. Prevention is also discussed as a portion of emergency response, that it is important not only to deal with emergencies as they occur but also to identify the causes and change the system to prevent the same emergency in the future.

The film shows the challenging decisions that have to be made by doctors, patients, and family members. Although in the end the decision to continue fighting a terminal illness rests with the patient, their doctors have the enormous responsibility of providing honest medical opinions in a way that allows patients to understand their illness and make educated decisions. The film showed how challenging that is for doctors when their instincts are to keep fighting until the end, to give their patients hope even when a treatment has a slim chance of working and could make the patient sicker.

The American Red Cross uses the gold-standard products for most of its research and service. For disaster response, the ARC utilizes the good-will of its volunteers to address needs such as shelter, food, and health services. On the local level, chapters of the ARC have disaster action teams that respond to smaller emergencies and provide transition services to the victims of such emergencies. They also have a larger wokforce of volunteers to pull from and use for support services. 

The primary method of supporting the main argument is a series of historical examples including policies such as those created by the World Health Organization, outbreaks including AIDS, and previous attempts to provide health security such as the Smallpox Caccination Program. The use of these examples highlights the changing nature of health problems and how that effects the type health security. Specific dates and data from the examples is included, which allows for a more detailed analysis to support the main argument. 

• The article referenced the Congo Republic’s Civil War as an incident responsible for a significant amount of sexual violence, I looked into the conditions there for non-military citizens in order to better understand the significance of government in public health.
• While looking into the history of Congo the issues of neutrality for organizations such as the Red Cross, the idea being that if humanitarian aid organizations do not provide an advantage for either side of a conflict they will be allowed to provide aid to more individuals. This has proven quite effective but does often mean that aid workers are left mostly undefended in areas of conflict as neither side will protect them from the other.
• Finally, I looked into the statistics of rape worldwide which showed not only that rape is still highly prevalent in all cultures but also that the reporting rates for rape are inaccurate in many countries without significant health infrastructure or a government interest in preventing or aiding survivors of sexual violence. 

The authors are Stephen Collier, PhD and Andrew Lakoff, PhD. Dr, Collier is an associate professor of international affairs at UC Berkeley. He is an anthropologist by training, and focuses his research on a variety of political schools of thought and their applications. Dr, Lakoff is an associate professor of sociology and focuses his research globalization, biomedical innovation and the history of human sciences.

• “Despite the urgency and impact of violence affecting health service delivery, there is an overall lack of research that is of health-specific, publically accessible and comparable, as well as a lack of gender-disaggregated data and data on perpetrator motives.”
• “Conclusions on violence in the healthcare setting are limited and it is difficult to examine whether or not certain sectors of aid work, such as health, are more dangerous than others. This has consequences for analyzing the drivers of violence. Within humanitarian communities and the media, and, to a lesser extent, within some sectors of academia, portrayals of violence directly affecting health service delivery in complex security environments often accentuate nebulous, macro-level factors such as the ‘shrinking humanitarian space,’”
• “increased collaboration in data collection and data sharing is essential, both between academics, human rights NGOs and organizations delivering health services and among representatives of the latter group. As part of this, aid organizations could do more to make their anonymized data public in order to support global responses on prevention and accountability”