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wolmadEmergency response is not addressed in this article. It focusses on long term care and the prevention of disease on the public health level.
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wolmadLiberian emergency responders are portrayed in the film as being completely overwhelmed by the situation at hand and unable to cope with the nature of the illness, people's innitial denial to the extreme communicability of the disease, and the sheer number of patients. Most predominantly, first responders are illustrated by 2 abandoned ambulances on the side of a road and by the story of a woman saying that an ambulance was called to a dying pregnant woman and they ended up leaving her on the side of the road for an ebola crew to respond to, which came too late.
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wolmadThis report does not specifically address disaster, however it shows a new trend in primary care medicine, taking it out of doctor's offices and hospital emergency rooms and bringing it into people's residences. Recent trends have shown massive increases in ED usage for non emergency conditions, causing a shortage in beds and resources. The communuty paramedic program has the purpose of "respond[ing] to identified health needs in underserved communities, ultimately improving the quality of life and health of rural and remote citizens and visitors." The report also cites previous community paramedic programs in Fort Worth, TX, and Nova Scotia, Canada, where the program was shown to decrease ED usage by 23% and reduce costs by over $2 million.
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wolmadI researched more into the use of vaccination to protect first responders, existing response structures implimented by the WHO, and the history of biological warfare.
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Dhruv.Patelone of the main issues that presents itself when hurricanes do occur is that the drainage systems become very clogged and end up flooding the streets. In response to this, on July 1, "new state permits went into effect for the 25 municipalities, sewage treatment plants, and sewage authorities that manage systems with CSOs. In addition to the steps these entities already have taken to control overflows, they now must develop comprehensive Long-Term Control Plans." (paragraph 5) If everything is able to function properly, we will be able to unclog the drainage systems allowing for the roads to not flood and people to move around if need be.