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pece_annotation_1477278646

ciera.williams

The article is largely a review/update on the state of the research being done into disaster-related mental health conditions. Thus all the support for the arguments is research based rather than example based. The author backs up their definition of disasters in three categories: natural, human-made nonintentional, and human-made intentional. These criteria affect the outcomes for the psyches of the victims, with the human-made disasters carrying more weight, particularily the intentional ones. 

PTSD has been continually supported in literature, and the author simply recites sources of research dating back to the Vietnam War. The WHO has since devleoped more detailed planning tools and treatment tools for victims of trauma. 

The authors also cite multiple levels of research into the risk factors for multiple mental health issues, regardless of and related to specific disasters. 

pece_annotation_1473044161

ciera.williams

The shift in thought from prevention to response is well supported as a necessary move. This can obviously be seen by the occurrence of these accidents despite adequate regulation. Nuclear energy is a promising, but dangerous thing, and can quickly become disastrous despite efforts to maintain control. This was seen in the accident at Fukushima, following the earthquake and resulting tsunami in the region. Despite preparation for such an event and the existence of backup generators and batteries, responders were rendered useless in the efforts as they could not access the area. This is where the need for a prepared system of nuclear response is needed. Historically, such emergency response groups have been poorly resourced and short-lived, such as the Soviet Spetsatom developed after the Chernobyl disaster in 1986. This group, which focused on preserving lessons learned and developing response systems, was absorbed by a larger ministry with the goal of integrated disaster response.

Additionally, the author cites a number of factors that played a role in creating the Fukushima-Daiichi disaster, such as “environmental, social, and technical systems” that, due to their complexity and separate protocol, resulted in lack or preparedness for the disaster. Following the disaster, the response efforts were delayed by this lack of preparation, and the media called out TEPCO and the Japanese government for this. STS analysis is important in this aftermath as much as in the creation of the initial plan. By utilizing an interdisciplinary approach, the media (and the people) can be heard and used to reform existing policies, or create new ones. This establishes a continuously evolving system of response that can adapt and take into account many different view of disaster relief. 

pece_annotation_1475351568

ciera.williams
Annotation of

The film largely plays on emotional appeals and drama. By documenting the interviews of the doctors, which often are about the other doctors, the viewers see just how hard it is to detach ones self from their work. There is a scene in which the doctors talk about how, despite all the issues they face in the medical setting, everything at the end of the day is about personal relationships. It even briefly touches on sex between the medical staff and how that contributes to the care given. Since the film is based on personal interviews, little to no scientific information is given about the disease and injuries seen; its all based on personal opinion. 

pece_annotation_1475352842

ciera.williams
Annotation of

The film provided general facts about MSF and the conditions in Lieria and the Congo, but no detailed medical statisitics. There wasn't any comparison of the issues in this mission versus those on other missions. The film could have included more on the factors that contribute to the diseases themselves, rather than the barriers to treating them. The film also needed more on the exact amounts of supplies that were given relative to what one would have in a clinic elsewhere. 

pece_annotation_1475971672

ciera.williams

In the aftermath of the hurricane, numerous issues arose for the evacuated citizens of New Orleans.First, the immediate affects of lack of access were apparent, such as lack of schooling, pharmacies, and employment. Then psychological affects appeared as people were told they couldn't return home, even if they were minimally damaged. The combined affects of the physical and mental conditions, combined with the lack of physicians and psychiatrists, led to a massive instability in the people. 

The government further exacerbated this instability by providing limited resources and shelter for victims. More exactly, the resources and shelter were unevenly distributed to the victims, favoring white mid- to upper-class citizens. The funds that otherwise should have gone to essential care facilities and housing, were unseen by the people. Promises of finanicial aid were never fulfilled, and no legislation (such as that in the wake of 9/11) was passed to support victims.

This leads to the creation of "disaster capitalsim" in which private companies benefit from the disaster and state-of-emergency, raising prices and suspending insurance policies. Poor government oversight of the private sector created deficiencies and health crises. 

The article concludes by suggesting the response to Katrina be examined to prevent the same mistakes from occuring in the future. However, there is a lack of optimism, as the system of response is ingrained into American Society.