This is a Liability policy related to First Responders' that aims to enable first responders to aid peoples during the effects of a biological or chemical hazard without delay by allowing for first responders to ignore potential contamination spread in order to prevent loss of life. Once the situation is stabalized the previous protocols become active again in order to protect the environment and community.
1) PFA: the article currently contends that most governmental agencies use this 3-pronged approach to mitigate effects after a disaster. I'd be interested in learning which agencies do not use this approach and what their alternative strategies may be.
2) Resilience: this is a term specifically described in the article, detailing the phenomena of how some individuals manage to survive horrific disasters but are devoid of psychological symptoms after. As a relatively new concept, not much is understood at this time. However, much of PTSD, MDD, and other post-traumatic mood disorders focus on traits predisposing an individual to develop the disorder-- I'd be intrigued to know what traits (if any) predisposed resilience.
3) Cocoanut Grove night club fire: a disaster event I had never heard of, was the deadliest nightclub fire in American history. Almost 500 perished, and hundreds more were injured. This, apparently, led to a huge tightening of fire and safety protocols throughout the US
In this article emergency response was looked at in a very broad way, with planning for having teams, organization, and training. Logistics weren't fleshed out, but the call for a team was there. It was also potentially difficult due to internationalization of the team.
Readers, however, often used the books for a different purpose:
identifying depression. Regularly, I received — and still receive — phone calls: “My
husband is just like — ” one or another figure from a clinical example.
HERE is where I want to venture a radical statement about the worth of
anecdote. Beyond its roles as illustration, affirmation, hypothesisbuilder and lowlevel
guidance for practice, storytelling can act as a modest counterbalance to a
straitened understanding of evidence.
1) Janey Ensminger Act: the act, finally passed in August of 2012, provides health care to veterans and family members who were exposed to contaminated water while in residence at Camp Lejeune. The bill specifically lists illnesses linked to the chemicals found in the water supply, thus does not extend unlimited coverage to all former residents. Moreover, those who receive care under the bill must have resided at Camp Lejeune for 30 days or more.
2)The Few, The Proud, The Forgotten: a website created in order to inform Marine/Navy personnel, dependents, and civilian residents of Camp Lejeune exposure. The website also seeks to help these individuals understand their rights under the legislation and as victims. It also provides an illness registration and photo gallery, demonstrating itself to be a page dedicated to informing all aspects of these incidents.
3) TCE: as a former organic chemistry TA and student, the chemical nature of TCE and other VOC's intrigues me. As a student of physiology, it's important to understand how certain chemical properties can effect the body; particularly in regard to pathologies that could arise from exposure. As a halocarbon, the compound demonstrates relative stability and has many industrial uses; however, this stability causes difficulty in disposing, as they do not readily degrade in typical environments, leading to accumulation. Moreover, TCE has specifically been shown to work as a central nervous system depressor. Its interaction with electrical regulation of nervous cells (and thus, action potential propagation) causes a general anesthesia effect-- leading to depressed functioning of the CNS and, in high enough doses, suppression of cardiac and respiratory function. It should also be noted that the cardiovascular system primarily operates under electrical control as well, resulting in a possible link between TCE exposure and arrhythmia
The article emphasizes the need for a disaster-preparedness plan, with pre-existing infrastructure to address trauma and mass casualty management, as well as long-term sources of clean water and waste disposal. Assured primary healthcare and wide-spread vaccination usage help with these efforts.
Post-disaster, there will need to be intervention to ensure that these standards are being met, as well as surveillance for communicable diseases.
The main point was to report on the incidient which occured in NY, and it was supported by quotes from a run sheet made by the EMTs as well as a statement from the FDNY.
Emergency response is not specifically addressed in the article. However, medical professional-patient relations are a key component of emergency response; as such, Dr. Good's assertions surrounding patient narrative should be taken into consideration in emergency situations. He notes that the methodology and cultural nuances of narration can provide a cornucopia of information that would otherwise be ignored.
Through grants and individual donations. Honestly I have no idea, I tried searching their financial documents but it didn't really tell me anything. They don't publish who donates to them.
Citigroup - investment banking and finanacial services corporation
'Warburg Pincus, Kohlberg Kravis Roberts & Company, and other major private equity firms'
Oaktree - asset management firm