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Emergency response was completely lacking in man power and containment efforts. There wasn't much structure to the efforts taken by emergency response in terms of containment and education of the public. There were far too many of those in need and way too few emergency response teams. Hospitals closed due to lack of personnel as well as doctors getting infected themselves. People were dying left and right and being left on the side of the street. Responders weren't able to get to people in time in some cases. Locals began to take out aggressions and frustrations on emergency responders, despite them working at full capacity. The lack of man power, communication and education lead to the emergency response being sub par in this situation. 

Emergency response isn’t directly addressed in this article. Yet, conditions and forms of violence that are discussed in the article that emergency responders have been documented with facing, clearly effect the way they work and respond to calls. Though emergency response isn’t directly addressed, this article is very relevant to emergency responders since its implications can highly effect the work of EMS and other medical care providers.

I researched current protocols and strategies in place in terms of biosafety. I also researched current microbial threats in terms of organisms and the ways in which we have currently developed to help prevent those specific forms of bioterrorism. I also read up on past bioterrorism events and the effects it had on global protocols as well as the development of emergency response. 

The first point that peaked my interest is when Dr. Nicky Sheats brought up the real world example of a powerplant that was placed in the Ironbound District. It's an example of how government standards don't reflect or align with individual standards. I thought this was interesting to see how the people didn't have their due justice in deciding to have a polluting plant in their neighborhood. The other fact that caught my eye is that Newark zoning laws, previous to being updated in 2012, had been grandfathered in since 1954. This goes to show the complete lack of awareness for public health that has resided in New Jersey's History. The last point that truly shaped this article is how steps were being taken to prevent environmental justice issues. Commercial and Industrial developers have to go through the following process when proposing for a building: "

1. Reference the city’s ERI and prepare a checklist of pollutants
2. Submit checklist and development application to the city
3. Checklist goes to the Environmental Commission
4. Checklist goes to the Planning or Zoning Board (where appropriate)

The public has full access to this checklist to weigh in on it and make their voices heard." 

This site runs like any run of the mill website. If there are any issues or questions about the website there is contact information provided to seek assistance with the site or ask questions regarding the information. 

By phone: 866-692-9827
By email: wtchr@health.nyc.gov
By fax: 347-396-2893
By mail: WTC Health Registry
New York City Department of Health and Mental Hygiene
42-09 28th Street, CN 6W
Queens, NY 11101-4132

The way in which the research was done is what made this an interesting read and peaked my interest in this article. Primary sources of information are quoted and interviewed. The conditions and treatment of inmates were documented and revealed by residents both past and present of Rikers, who have first hand insight into what it was like being detained there. Inmate testimony, as well as facts and statistics about the deteriorating facilities, pollution and poor conditions there were also provided. This information was supplied by numerous different organizations as well as studies and articles and then complied into this article. 

"Depression and anxiety disorders were pervasive. Many residents had regular nightmares of waking up in water. They talked about recurring “breakdowns” in which they became overcome with emotion and physically collapsed. A 2007 study showed that 20 percent of New Orleans residents were categorized as having a Katrina-related serious mental illness, and 19 percent showed signs of minimal to mild mental illness (Sastry and VanLandingham 2008; Thomas 2008).  "

"The stress-inducing factors that prevailed among New Orleans residents were multiple and layered, including physical, psychological, and social displacements around house and home, work, financial security, and family security. The loss of home and jobs and, in some cases, the cost of rebuilding produced huge financial worries for residents. "

"What I experienced was coming back to the devastation of the city. No grocery stores, no cell phone service, certainly no phone service, no regular phone service. We actually had to get other cell phones. You know, it was a ghost town. I think I, probably, maybe not now, but I was in shock, you know, because I couldn’t take in the enormity of it. I wondered knowing the politics of the city, and the state, and actually the federal government, how it was ever going to be fixed.  "

“Chronic disaster syndrome” thus refers in this analysis to the cluster of trauma-and posttrauma-related phenomena that are at once individual, social, and political and that are associated with disaster as simultaneously causative and experiential of a chronic condition of distress in relation to displacement.  "

"Not surprisingly, residents and those still trying to return to New Orleans are asking the question: Where did all the federal money go? Residents still living out of their trailers wonder why they could not get Road Home or FEMA funds and continue to wait to find out if their rental housing will be rebuilt.  "

The article is supported through the recollection of the past decade of research on this topic of mental health effects due to disasters. First, the article delves into the PTSD and MDD mental illness association with disasters and the background of theses disorders. The authors then utilize numerous epidemiological studies that have been developed and discussed on the matter over that last 190 years. Experiences of those that are dealing with mental illnesses are also utilized as supporting evidence of the effect disasters have on mental health conditions on those effected.

This was published by the International Atomic Energy Agency and is published as a part of the Radiological Assessment Reports Series.

Based off the references, it is clear that a very extensive amount of research was done with well over ~70 references. Based off the bibliography, a lot of data was collected from articles and reports on nuclear safety efforts. Also many of the references analyzed historical events and past nuclear disasters and emergency response regulations. The bibliography, which includes some of her other works shows she is an expert in the field and cited other experts as well.