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Combo Disaster and Environmental Injustice

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Join us for the Disaster STS Network’s Fall 2021 virtual tour of Louisiana's Cancer Alley, a corridor of chemical plants along the Mississippi River between Baton Rouge and New Orleans with shockin

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Sara_Nesheiwat

Data for this report was collected from other sources and forms of documentation as early as the day of the event. Information and details such as population sizes, weather conditions that day, human population distribution and more were all information collected from that day of the event. Other forms of data collected, ranging over the time of the event occurring to the publication time, include factors such as the quality of the air, water, animals and living conditions surrounding the plant. Human radiation levels and infection were also gathered, radiation levels of crops and much, much more were all statistics and data collected over roughly twenty year timespan that this report covers. This is actually one of the main driving points of the report, listed in the title "twenty years of experience." It compiles 20 years of research and findings into one large report.

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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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Sara_Nesheiwat

"Data from this study provide the opportunity for addressing not only problems of medical care and public health, but for reflecting on theoretical and methodological questions central to this book as well."

"As the interviews went on, it became evident that "fainting" is a cultural category often used to describe classical tonic--clonic seizures. However, the term is associated with a more general semantic domain that includes fainting occurring in times of acute distress or in the context of a life of suffering, and is less stigmatizing than the term "epilepsy."

"Narrative theory describes two aspects of plot: plot as the underlying structure of a story, and "emplotment'' as the activity of a reader or hearer of a story who engages imaginatively in making sense of the story. Both are relevant to the analysis of illness narratives."

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Sara_Nesheiwat
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The American Red Cross has volunteers in different sectors, some are blood drive volunteers, while others are disaster volunteers or digital advocates. Disaster volunteers form action teams and respond to single-family fires, or provide food and shelter, comfort, etc to areas of major disaster, a recent example would be the fires in California. Yet they also aid areas that recently have succumbed to hurricanes and tornados. They also act as disaster preparedness presenters and educate people on how to be prepared for disaster. The American Red Cross is always hosting blood drives, yet when there is a national disaster, they hold emergency drives and increase the amount of drives they have in order to get blood for those devastated by the disaster. American Red Cross doesn't just respond to disaster and act as an emergency response force but they actively hold seminars to educate people on being both prepared and preventative. 

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Sara_Nesheiwat

EMTALA was enacted by Congress in 1986 and was part of the Consolidated Omnibus Budget Reconciliation Acts of 1985. Congress saw different cases around America where doctors were refusing medical care to patients who could not make a deposit at the time of their admittance to the ER. An example of this is a patient Eugene Barnes, who in 1985 suffered a stab wound and ultimately ended up dying because 6+ doctors refused to help him without payment or some form of compensation. This made national news and other cases began to come to light, such as at Baptist Hospital in Miami and many other areas. News outlets began to follow these cases and this caught attention of government officials. Shortly after, EMTALA was enacted.

http://www.pitt.edu/~kconover/ftp/emtala-draft.pdf