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Lee argues that EJ practice has long stagnated over an inability to properly define the concept of disproportionate (environmental and public health) impacts, but that national conversations on system racism and the development of EJ mapping tools have improved his outlook on the potential for better application of the concept of disproportionate impact. Lee identifies mapping tools (e.g. CalEnviroScreen) as a pathway for empirically based and analytically rigorous articulation and analysis of disproportionate impacts that are linked to systemic racism. In describing the scope and nature of application of mapping tools, Baker highlights the concept of cumulative impacts (the concentration of multiple environmental, public health, and social stressors), the importance of public participation (e.g. Hoffman’s community science model), the role of redlining in creating disproportionate vulnerabilities, and the importance of integrating research into decision making processes. Baker ultimately argues that mapping tools offer a promising opportunity for integrating research into policy decision making as part of a second generation of EJ practice. Key areas that Lee identifies as important to the continued development of more effective EJ practice include: identifying good models for quantitative studies and analysis, assembling a spectrum of different integrative approaches (to fit different contexts), connecting EJ research to policy implications, and being attentive to historical contexts and processes that produce/reproduce structural inequities.

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Sara.Till

As the data is from 1998, I would sincerely hope that the data has already encouraged responses. Nonetheless, at the very least, the data should be able to serve as a marker for progression in traumatic event services. While sexual assault is markedly different from other traumatic events, the data could also be extrapolated to other events with community ties. More pointedly, data from this study demonstrated where some of the gaps came between victims with the "best" service outcomes and those with the "worst". The primary difference between the "best" group and those in latter tears was in the legal system. These shortcomings appeared to emerge early on, with a discrepancy in whether their reports even made it to the desk of the prosecution from the police department. This indicates a shortcoming in the system, and a point which should be investigated to better victim outcomes moving forward. Sexual assault cases are rarely black and white, thus some detectives may be inclined to create personal judgments about the merit of a case before passing it along, thus leading to its exclusion. This is one of several differences in victim encounters leading to less desired outcomes.

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Sara.Till

This report provides a detailed analysis of international response to nuclear emergencies. In addition to reviewing historic nuclear emergencies and their responses, it examines current nuclear policies. Initial reactions to previous nuclear emergencies (Chernobyl, Three Mile Island, ect.) focused on preventing future incidents. Yet,  Dr. Schmid argues increased safety measures and rigorous regulation cannot possibly safeguard against all emergency scenarios. She emphasizes the need to create an international organization to serve as an emergent response team, and explores several candidates such as the International Atomic Energy Agency and World Association of Nuclear Operators. However, Dr. Schmid concludes none of these suggested organizations currently have the fiscal capability or internation authority to act in this role.

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Sara.Till

As I mentioned in earlier answers, at the peak of the crack-cocaine epidemic, BSVAC was founded (1988). It took outside EMS agencies an average of 30 minutes to reach patients with Bed-Stuy, a time that is far too costly for major trauma patients. This causes the current Commander (formerly referred to as Captain) "Rocky" Robinson to begin a volunteer EMS agency within the city itself. Placing the agency in the city decreased response time significantly, with BSVAC now averaging a response time of less than 4 minutes. 

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Sara.Till

Paul Farmer: American anthropologist and physician best known for his work combating tuberculosis in developing countries. Co-founder of Partners in Health, an organization dedicated to establishing and developing health care systems in under-served areas.

Bruce Nizeye: Engineer who works with Partners in Health directing the building program. Rwandese by birth and survivor of the Rwanda Genocide.

Sara Stulac: Associate physicain in Global Health Equity at Brigham and Women's hospital. Clinical Director for PIH in Rwanda

Salmaan Keehavjee: Associate professor of global health and science medicine at Harvard Medical School. Specializes in tuberculosis research and proliferation.

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Sara.Till

The policy specifically includes elements directed specifically at first responders. This includes testing of various scenarios that contain possible Ebola cases. One of the main highlights of the taped press conference seemed to be communication between main health centers deemed fit to treat Ebola and urgent care/transporting facilities. This includes knowledge of first responders about which of these facilities can handle Ebola cases and how to treat a scene with a possible Ebola patient.

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Sara.Till

Scott G. Knowles: Department of History Head, Associate Professor in the Center for Science, Technology, and Society at Drexel University. Dr. Knowles specifically focuses on disaster, risk, and technological history. Multiple publications also extend into public policy, modern disaster response, and future risks.

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Sara.Till

The program appears to be popular with both lawmakers and the public. Unfortunately, coverage of the organization appears to mostly come from articles about the founding physicians-- often in the form of alumni news. The foundation's home webpage does link to several outside articles and news sources involving relevant topics in prison health care. There also appears to be an on-going series in The Lancet focusing on HIV/AIDs, a main component of the Center's mission. Moreover, the Center seems to serve as a fantastic resource for the Warren Alpert Medical School students, as the school maintains a longstanding tradition of involvement in Rhode Island public health

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Sara.Till

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.