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The main arguement of this article is that a large number of factors, such as demographic changes, economic development, gobal travel and commerce and conflict have heightened the risk of international disease outbreaks and international organizations like the WHO and national public health organizations are struggling to develop and adopt new and innovative protocols to cope with new threats.

This article is entirely about the shortcomings of emergency response, and how the history and traditions of the FDNY and NYPD got in the way of an effective response, resulting in communication barriers, an uncoordinated response, unknown and unaccounted responders, and even possibly avoidable deaths. Public health was not explicitly mentioned, as this article focused more on the efficacy of the multi-agency response itself.

"Hurricane Irene marches north, leaving at least 8 people dead and close to 2 million without power in the states it has already hit. Tonight it bore down on millions more from the Delmarva peninsula to the Jersey Shore and the New York metropolitan area."

"More than a million residents and visitors of the Jersey Shore have been evacuated, though a stubborn 600 people, many of them senior citizens, remain in high rise buildings on a barrier island in Atlantic City, according to New Jersey Gov. Chris Christie. Even before the core of the hurricane reached the area Sunday, Christie said winds could reach up to 75 mph at the upper floors of some of the buildings."

"New York Gov. Andrew Cuomo ordered 2,000 National Guard troops deployed to Long Island, New York City, and the Hudson Valley area to help with the storm. Troops will help staff shelters, control evacuation routes, monitor flood threats at the World Trade Center site and work with the Metropolitan Transportation Authority to secure railways and train tunnels."

"Defense Secretary Leon Panetta has issued a prepare-to-deploy order for 6,500 active duty troops from all the services to support hurricane relief efforts if necessary."

The distribution of scarce resources, specifically with healthcare, is a struggle faced by all institutions and how it is acted upon is heavily dependent on the culture and values of the people making the allocations. In France, a relatively wealthy country with a high standard of medical care available, the government has elected to make advanced medical care available to people who would not be able to obtain it in their respective countries of origin by granting them residence rights on a health basis. The article discusses the social factors behind this, the adaptation of the policy over time to meet new demands, and how a balance between ethical and moral obligations, overall public health interests, and equal opportunity of immigrants applying was developed.