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Combo Disaster and Environmental Injustice

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Join us for the Disaster STS Network’s Fall 2021 virtual tour of Louisiana's Cancer Alley, a corridor of chemical plants along the Mississippi River between Baton Rouge and New Orleans with shockin

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Sara_Nesheiwat
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This article focuses on the fact that there not only biological aspects of disease and the spread of it, but also social factors that need more attention. The article cites that epidemic disease is linked with social conditions such as structural violence, education, income and more. The article addresses the fact that social conditions have an effect on disease prevention and many diseases quickly become diseases of the poor due to this. There are social conditions that effect patient's abilities to defend themselves against disease based off money, social condition, infrastructure, access to food etc. The concept of structural violence and its effects on disease spread within the poor community is discussed and analyzed. Overall, the main point to be driven home is the fact that disease spread can be decreased with the reconfiguration and addressing of social issues. 

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Sara_Nesheiwat
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Miriam Ticktin is a professor of anthropology and co-director of Zolberg Institute for Migration and Mobility. She has a PhD in social sciences from Stanford and has many recent publications, all focused around immigration and humanitarianism, mainly overseas, as well as social research in these areas.

http://www.newschool.edu/nssr/faculty/?id=4d54-6379-4e44-4d35

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Sara_Nesheiwat
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The American Red Cross is heavily based off team work and altruism. As stated earlier, those that respond are volunteers, they are not obligated to help but they want to. The Red Cross volunteers work together as a team for the goal of aiding and tending to those in need, to the best of their ability. Their volunteering shows they perceive disaster as an unpredictable thing, but something that other members of the community can help those devastated get through. 

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Sara_Nesheiwat
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It is said that EMTALA doesn't apply to ambulance services, technically this would be true. Yet, EMTALA does indeed effect our patients, and anything that effects our patients can effect us and should be a concern of ours as EMS providers. If EMTs are spending time in the hospital sorting out insurance issues and payment, that is more time they are out of service. Also, if the patient's treatment time is delayed, not only will the hospital be blamed, but so will EMS. If a patient is in cardiac arrest, EMTs will not be stopping and wasting time to find out insurance and payment issues from family members, that will be the last thought on their mind. They will be transporting and attempting to stabilize the patient. EMTs and EMS will not compromise the health of a patient due to insurance or payment issues, just like hospitals are now mandated to do.

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Sara_Nesheiwat
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The arguments are supported by citing many studies and past experiences of organizations such as WHO and CDC. Based off the examination of current protocols of biosecurity interventions, it has been deduced that the process is still in formation and not completely settled. There are not "stable" or "clearly defined" understandings or strategies of possible interventions cited by WHO and CDC. This proving the point that there are clear actions that need to be made in terms of protocol development today.The AIDS crisis in the 80s was also used a supporting point for the argument in terms of response to emerging infectious diseases. The main focus of this was the alarm that was caused by science reports, journalists and novelists during that time. The effects this response had can be used today in the possible reformation of threat response now. The policy changes that have been seen in terms of public health and threat safety  were adequately researched and discussed in this paper. Showing the need for a changing system that adapts with time and needs globally.