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The organization has workers that live in the various communities to increase trust with the native people, and show them that the nurses and midwives are there to help and save lives, not take over. They do home visits since travel is hard in many of the areas, and they do routine check ups to make sure that clean water and living conditions are aiding recovery processes apporopriately.

There are four regions of microbial threats that the paper focuses on: emerging infectious disease; bioterrorism; life sciences; and food safety.

Huge increases on spending in the US on biodefense from millions to billions of dollars

Very general emergency response plans have weaknesses in that they are so quickly applied to any situation without considering what a specific region needs, has, or lacks.

The real threats of air quality were covered up due to politics and other reasons, wanting to get america back to work. Instead, the reports were edited and people were sent back into the dirty air to clean up the scene or back to office jobs in the area, with contaminated air surrounding everything. Decontanimation efforts did not start until very late in the process. Bush did not wear a mask and the workers were told they didn't need to, so they didn't. As a result, there were severe health problems afterwards.

Interviews were conducted with inmates and politicians.

It was created to further outline the uses and resposibilities of medicaid, specifically with IMDs. It places more responsibility on the states for middle-aged people in need of this type of care, rather than the federal government. These changes and specifications occurred throughout the 1970's and 80's, when mental health was becoming more of an understood issue, and treatment of those with mental diseases was being improved.