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CITIZEN SCIENCE

Epistemic negotiation

Stakeholders (indigenous groups, activist, scientist, scholars, etc)

• "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."
• "Despite the overwhelming need for mental health services, few residents were able to access mental health support for their symptoms, simply because health care facilities and health care personnel were so scarce. Most health personnel were themselves experiencing the trauma of displacement, and few clinical facilities survived the disaster."
• "Families had to find a place to live, a way to replace lost income, a place for their children to go to school, a way to obtain their prescription medications and telephones, a way to pay mounting unpaid bills for homes they no longer inhabited. Without their personal documents, they had to try to track insurance policies, if they had them, bank accounts, and health records, to begin the slow process of accessing government or insurance funds to help pay for their displacement and their hoped-for recovery."

The Cold War was a principal motivating factor for the IPPNW who aims to abolish nuclear weapons and thereby prevent nuclear war and destruction.

The authors present the issues surrounding increasing violence against healthcare professionals, especially in regions where the geopolitical or socioeconomic conditions have created environments with lack of security. One major issue cited is the lack of ongoing research into these issues.

The Burning of the US Capitol Building, 1814. From the very beginnings of its contruction, the US Capitol Building was plagued by conflict between the chief engineer Benjamin Henry Latrobe, who desired a durable and fireproof design, and Congress, which pushed for rapid completion of the building with limited expense. The result was a mixed contruction, with parts of the building constructed to withstand a major fire and others constructed with lumber. Following the fire, Latrobe conducted a relatively thorough investigation, revealing the various points of failure and recontructing the timeline of the disaster. However, as far as the public was concerned, the disaster was the result of diplomatic and military failures, rather than any engineering failures. 

The Hague Street Explosion, 1850. Steam power was widely used in the United States, but safety protocols and standards were not widespread nor maintained by any particular agency. The exact nature and cause of the boiler explosion at Hague Street was widely debated by various experts, engineers, and laypersons. The federal government scrambled to enact new laws regarding boiler inspection and safety with little effect in reducing boiler-related disasters, while city officials instead chose to remember the disaster through a fund-raising campaign for the victims' families. 

The Iroquois Theater Fire in Chicago, 1903. The disaster called into question the integrity of the building code system in the city of Chicago and caused widespread debate regarding who should be responsible for enforcing building codes. The disaster resulted in a rapid expansion of fire code and fire safety standards and the creation of a network of investigators, comprised of engineers, insurance agencies, testing labs, and fire officials. However, the pressure for such action and progress soon declined as the government, press, and public moved on from the disaster. 

This policy affects all patients, or potential patients, in the United States and further affects all hospitals and care providers. It ensures that all patients suffering from emergency medical condition(s) are provided the appropriate medical care regardless of their initial ability to pay. Furthermore, it requires that hospitals, their emergency departments, and their staff must treat and stabilize these patients prior to transferring to another facility. 

In addition to coordinating the various local, state, and federal resources in the response efforts to a disaster, FEMA provides various resources to emergency response organizations including education and funding.

As previously stated, the author relies on anecdotal evidence provided by patient interviews and the observations made by the author. In addition, the author presents statistical data on patients in the regions referenced in the article.