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In this case, the hazard is distributed differently in the sense of geography because areas near the Eastern shore have had much greater damage rather than ones far away from the Eastern shore.

Three quotes that support this are

“Numerous case studies have document that meaningfully engaging lay communities in decisions traditionally made by scientific and technical elites can enable greater vigilance and raise confidence about individual emergency prepardeness.” (Schmid 196)

“So far, the nuclear industry has almost exclusively focused on accident prevention.” … “nuclear emergency preparedness and response has hardly gained traction.” (Schmid 200)

“They created an organization, Spetsatom” … “and with defining generalizable strategies about how to respond to a possible future nuclear emergency” (Schmid 200)

One of the main arguments in this publication is that the spread of illness is often determined by social forces. For example, impoverished individuals may be more susceptible to illness because they cannot afford the proper treatment, not because they are more likely to contract the illness. This is described as structural violence: socio-structural factors that prevent people from achieving their full potential, e.g. receiving medical care.

The report has been cited by many other articles and reports including ones published by the NIH