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Anonymous (not verified)
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Lee argues that EJ practice has long stagnated over an inability to properly define the concept of disproportionate (environmental and public health) impacts, but that national conversations on system racism and the development of EJ mapping tools have improved his outlook on the potential for better application of the concept of disproportionate impact. Lee identifies mapping tools (e.g. CalEnviroScreen) as a pathway for empirically based and analytically rigorous articulation and analysis of disproportionate impacts that are linked to systemic racism. In describing the scope and nature of application of mapping tools, Baker highlights the concept of cumulative impacts (the concentration of multiple environmental, public health, and social stressors), the importance of public participation (e.g. Hoffman’s community science model), the role of redlining in creating disproportionate vulnerabilities, and the importance of integrating research into decision making processes. Baker ultimately argues that mapping tools offer a promising opportunity for integrating research into policy decision making as part of a second generation of EJ practice. Key areas that Lee identifies as important to the continued development of more effective EJ practice include: identifying good models for quantitative studies and analysis, assembling a spectrum of different integrative approaches (to fit different contexts), connecting EJ research to policy implications, and being attentive to historical contexts and processes that produce/reproduce structural inequities.

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wolmad
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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.

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wolmad
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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. 

pece_annotation_1474491559

wolmad
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1. I tried to find more information on the current radio system that the FDNY and NYPD employ to see how they would facilitate interagency communication and communication with mutual aid from departments in surrounding counties.

2. I did more research into the NYPD ESU

3. I attempted to find more information on any FDNY response policies developed after 9/11/01 to limit and coordinate response to major disasters to avoid the confustion found at the WTC response.

pece_annotation_1478457660

wolmad
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Three major ways the arguements are supported are as follows

  1. Statistics and analisys of policies pertaining to the healthcare system available to the effected populaitons
  2. Historical background to establish where such policies came from and how they may continue to work in the future
  3. First hand accounts from both those effected by chernobyl related illness and the health care practitioners who treat them.