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Sara.TillThis article undertakes reviewing the current approaches to handling mental health in the wake of disasters. It particularly focuses of the current methodologies of research utilized, past methodologies/findings, and how these effect today's approaches to treatment of mental disorders during emergency response. The article begins by discussing the major psychopathology found in populations effected by disasters, including mood disorders such as PTSD and MDD. Other disorders, such as substance abuse and outside symptomologies, are also discussed-- but these first two seem to be the major players addressed here. The work then describes how current comorbidities exist, and how these manifest as pre-disaster risk factors (for example, female disaster survivors are generally more likely to have adverse psychological outcomes, such as PTSD or MDD). Other factors include age, socioeconomic status, and basal trait-level anxiety/depressive symptoms. The report also speaks to during disaster and post-disaster factors as well, as these both have been shown to indicate increased likelihood of developing mental health disorders from a disaster event. Finally, the report delves into current interventions utilized during all three of these time periods (pre, peri, and post), and how these may amplify or diminish the mental health effects of a disaster event. Unfortunately, the paper gives very general guidelines, such as discouraging building in vulnerable locations or testing responses in communities even before disasters occur. For post-disaster preventative measures, however, the report included several key notations-- including implementation of stress debriefings for disaster survivors, and usage of PFA (psychological first aid) to prevent adverse mental health outcomes.
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Sara.TillThe documentary follows Ensingmer during his searches for information and during the government hearing regarding the water contamination. This includes multiple interviews with former residents of the base, including former marines who are currently undergoing treatment for cancer and other illnesses caused by VOM's. The film mainly includes input from these residents; while it does provide some information through texts during pauses in the film, it does not provide exact numerical data, and mostly provides emotional appeals. The film also follow those effected as they attempt to collect information about all of those exposed to the contaminated water, including a spreadsheet of former male residents diagnosed with breast cancer.
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Sara.TillUnfortunately, this article does not describe a disaster situation, thus this question is not answerable.
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Sara.TillThis study appears to be through the University of Illinois at Chicago. The vast majority of secondary institution-based studies come from federal grants, usually through National Health Institute or through a specific government agency interested in that topic.
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Sara.Till"The deputy chief of Russia's nuclear operator, Rosatom's Nikolai Spassky, suggested that international law should force countries operation nuclear plants to abide by international safety standards. This proposal amounts to a recognition of the international character of the nuclear energy industry, but it remains unclear as to who would enforce such rules and how-- as of this writing, no international agency has such powers." Schmid, 199
"What knowledge should nuclear safety be based upon, where the science is still contested? And how useful is the notion of transparency in a context where the operation of nuclear power plants is considered an "inalienable right", as the text of probably today's single most important nuclear treaty states (IAEA 1970)? Nuclear specialists around the world are still discussing the existing emergency response organizations and the reasons they ultimately failed." Schmid, 200
"Anthropologists who have studied nuclear workplaces consistently find that the 'culture of control' (that is, attempts to regulate every last action of the operating staff) is too rigid to account for all imaginable situations." Schmid, 201
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Sara.TillThis group has yet to produce a published report; however, they openly provide data about their response time-- which averages less than 4 minutes. This is a significant decrease from outside ambulatory agencies. Additionally, state statistics can be extrapolated to the group, such as noting that the vast majority of homicides still occur with Bed-Stuy, leading to their approximately 100 calls per month.
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Sara.TillOften considered a "social disease" HIV/AIDS can be linked to certain social groups and subsequent behaviors within these groups. Taking this a step further, poor prognosis in treatment can be linked to social stratification. In the early 90's in Baltimore, a study was performed that linked race to reception of timely medical intervention. Modifications to the programs, such as removing insurance status as a determining factor for care, drastically reduced racially-biased outcomes. In the Rwandan campaign, Partners in Health instituted proximal care to rural regions-- the areas where care was most significantly lacking. This, in turn, can greatly mitigate the effects of social violence. Moreover, structural interventions (such as changing the accepted and prescribed practices of international bodies) can greatly reduce the effects of disease within a population. This includes such things as when and how drugs are administered, who is receiving medications, and changing conventional practices proven to enhance the spread of disease.
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Sara.TillThe article primarily argues that, although there are interventions and steps in place, "biosecurity" is not currently a viable or stable entity. The four main areas stated in this article (emerging infectious disease, bioterrorism, cutting-edge life sciences, and food safety) are not formerly understood or controlled enough to make a feasible and honest plan that ensures safety. While steps can be taken and measures used, the dynamic nature of these fields and the human condition prevents us from establishing a truly flawless safety net at this time. One only has to look at the re-emergence of previously extinct diseases such as measles, the prevalence of pertussis, or the assertion of chemotherapy's deadliness to see we do not have a full handle on any of these fields.
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Sara.TillDr Knowles examines three historical structural disasters: the burning of the Capital Building (1814), the Hague Street boiler explosion (1850), and the Chicago Iroquois Theater fire (1903). The Capital Building burning (henceforth noted as CBB), and the subsequent investigation by engineer Benjamin Latrobe provided numerous insights into the disaster. These are discussed, but Dr. Knowles pays particular attention to the major scrutiny endured by Latrobe. As a major player during the planning and building of the Capital Building, the CBB was painted as his failure (despite indications otherwise). More than anything, the report highlights Latrobe's inability to prevent and evaluate disaster; although an employee directly of the president and senate, he was powerless to enact change. Similarly, the Hague street boiler seemed to be fraught with issues. Yet, those who came to present in the ensuing investigation had no true standing to alter future events. It again follows this pattern of disaster, difficult investigation, and minimal substantial response by those in power. The Iroquois Theater Fire investigation seemed to finally deviate from this norm. Multiple fire experts, engineers, and public officials involved themselves in the case. However, ultimately, the investigation's findings were not put to use. Some advances occurred, yet so many other technical progressions were ignored.