Search

Liberian 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.

This 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. 

The article was compiled from a lot of personal stories, paired with research about culture, medicine, and beliefs.

I researched more into the use of vaccination to protect first responders, existing response structures implimented by the WHO, and the history of biological warfare. 

Many other research papers, articles, books, and sources of research were referencd in the article. The author read and studied a lot of research in various areas and covering all of the topics discussed in this paper, then strengthened ideas and concepts with enough support from hard research to write this article.

Emergency response is not directly addressed in this article, however there is likely some emergency response occuring in the countries that are needing the humanitarian aid. Hopefully the first responders there are well trained in responding to victims of sexual assault if that is something that they see more often, if it is something that people would call an ambulance for in those areas.

1. I tried to find more information on the current radio system that the FDNY and NYPD employ to see how they would facilitate interagency communication and communication with mutual aid from departments in surrounding counties.

2. I did more research into the NYPD ESU

3. I attempted to find more information on any FDNY response policies developed after 9/11/01 to limit and coordinate response to major disasters to avoid the confustion found at the WTC response.

Paul E Farmer, Bruce Nizeye, Sara Stulac, Salmaan Keshavjee are listed as the authors of this paper. They work with the health workers  in suffering countries, like Haiti. Farmer is a co-founder of Partners in Health, as well as a physician and anthropologist. Stulac is an MD, MPH, specializing in pediatrics, and is also associated with PIH. Keshavjee is an MD, PhD, professor at Harvard of Global Health and Social Medicine. They are all professionals in the field of medicine, and through the PIH, they are well acquainted with responding to global health issues.

It doesn't cover many people that openly do have insurance, nor does it interview the healthcare providers outside of the ER, like the PCPs, the recovery facilities, etc.

The arguement is supported by the use of statistics, case studies, and stories of immigrants going through the system.