The Red Cross is a large national organization with fixed sets of stockpiled resources which they adapt and apply to each disaster response they face. They set up shelters, distribute emergency supply kits and provide food and medical service in the aftermath of disasters.
The arguments made in this article are largely supported by analisys of facts and statistical data provided by international humanitarian organizations such as the MSF and the World Health Organization.
Perspectives of public health officials, goverment workers (excluding the president), and international aid organizations such as doctors with out borders and the united nations (both of which are depicted), are not included in the film. More scholarly perspectives are also not included.
Thus policy is department specific, and while the article does not expressly state it, it was likely drafted and put into place by the Bethel Township Fire Department.
This arguement is supported by looking at 4 specific case histories and examining the factors contributing to the investigations in each.
1. The 1814 Burning of the Capitol Building - Investigation of the disaster conducted by one engineer, B.H. Lathobe, who was given vast resources with very few obsticles, except for financial constraits and an impatient congress, to complete his investigation and reconstruct the building.
2. 1850 Hauge St. Explosion - After a major boiler explosion in Manhattan's Lower East Side, a pannel of "jurrors" and "experts" were called together to complete investigations, bring forth the history of the fauty boiler, and place the blame for the accident in an effort to "memorialize the dead and bring them justice." Because of the way this investigation was conducted, the blame could not be accurately placed so everyone involved was blamed for the failure.
3. 1903 Iroquois Theater Fire - John Ripley Freeman, a fireproof engineering expert and factory inspector, was brought in to complete a report and provided one of the first "modern" scientific disaster investigations. He utilized a new network of investigators, engineers, insurance companies, testing labs, and inter-industry coordination that characterizes modern disaster investigation.
The report comes from the United Nations Science Committee's 60th meeting during May of 2013. It informs the general assembly of radiation effects experienced after the Fukushima nuclear disaster by both human and biological life.
The program is funded in most part by Brown University, and research funding is suplimented by various grants applied for by individual researchers.
1) Partners In Health: Mostly known for its work within Haiti and its attempts to alter WHO tuberculosis protocols, this agency appears to be spreading into other international protocols as well. It would be interesting to see what other areas and epidemics they are currently focusing on.
2) Breast feeding is cited as being a factor of mother to child (MTC) HIV/AIDs transmission. For whatever reason, there seems to be a certain fixation with the "Breast is best" ideology. I would be interested to see where and why this ideal started.
3) As is discussed in the article, the PIH model heavily relies on instituting proximal healthcare into these areas. This, within itself, seems to have a huge impact on serving needy areas. It would be interesting to see how mobile clinics and proximal care during an ongoing disaster effect patient outcomes and care.
Emily Goldmann, PhD, MPH: assistant research professor of Global Public Health at NYU College of Global Public Health. Previous research includes work within several public health consulting firms and employment in the NYC Department of Health and Mental Hygiene in the Bureau of Adult Mental Health; this work included surveillance of psychological distress, metal illness, hospitalization, and rapid assessment of mental health conditions following hurricane Sandy.
Sandro Galea MD, MPH, DrPH: a Canadian/American board-certified emergency medicine physician and epidemiologist, Dr. Galea is the current dean of the BU School of Public Health and former chair of Epidemiology at Mailman School of Public Health (Columbia University). His research primarily centers on social production of health within urban populations, including mental health disorders such as mood-anxiety and substance abuse; extensive publications exploring health inequalities, epidemiology, and health within vulnerable populations. Dr. Galea has served on numerous boards and committees analyzing the consequences of mass traumas, including 9/11, Hurricane Katrina, and numerous international conflicts.
This article focuses on "chronic disaster syndrome," a condition that arises in the aftermath of a large scale disaster where factors from the disaster lead to perminant changes in the lives of those effected. These changes include physical and mental health crises, geographic displacement, loss of life, family, community, jobs, and property, and societal instability. The causes of these conditions are not only limited to the disaster itself but they are also by the how goverments and private sector institiutions either support recovery or put up road blocks to prevent a return to normal, perpetuating the emergency into the future.