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Sara_NesheiwatA main focus of this article was the emergency response to nuclear power plant disaster at the Fukushima Daiichi power plant, or in better words, the lack there of. Points and arguments made include the fact that this won't be the last the world sees of nuclear mishap and risk and also the severe need to not only depend on accident prevention, but focus must be shifted onto being prepared during emergencies. During the essay the author point blank states that, the essay is to raise awareness on the need for the creation of an "international nuclear response team." The essay then focuses on what we can learn from the nuclear accident in Japan in order to establish better post emergency protocols and responses.
Overall, Schmid outlines the fact that changes need to be made on a global level. She illustrates where there are shortcomings in current protocols and the desperate need to establish a team that is equipped and trained to response to nuclear mishaps, such as the one seen in Japan. She also accentuates the need for this response team to be established should be fast and that we can no longer drag our feet, citing dangers seen at Fukushima, Three Mile Island and Chernobyl.
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Sara_NesheiwatColumbia University was one of the first medical schools to open a program in Narrative Medicine. This program was built within their College of Physicians and Surgeons. Rita Charon is the executive director of the program and is on the forefront of spreading the need for narrative medicine in the medical field. Colleagues of hers also believe that medicine has become too professional and clinical, and doctors focus on treating medical problems based off symptoms, not the patient. The educational program at Columbia created the opportunity to earn a Masters of Science degree in Narrative Medicine in 2009, making to one of the first programs devoted to only narrative medicine.
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Sara_NesheiwatThis article focuses on the fact that there not only biological aspects of disease and the spread of it, but also social factors that need more attention. The article cites that epidemic disease is linked with social conditions such as structural violence, education, income and more. The article addresses the fact that social conditions have an effect on disease prevention and many diseases quickly become diseases of the poor due to this. There are social conditions that effect patient's abilities to defend themselves against disease based off money, social condition, infrastructure, access to food etc. The concept of structural violence and its effects on disease spread within the poor community is discussed and analyzed. Overall, the main point to be driven home is the fact that disease spread can be decreased with the reconfiguration and addressing of social issues.
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Sara_NesheiwatMiriam Ticktin is a professor of anthropology and co-director of Zolberg Institute for Migration and Mobility. She has a PhD in social sciences from Stanford and has many recent publications, all focused around immigration and humanitarianism, mainly overseas, as well as social research in these areas.
http://www.newschool.edu/nssr/faculty/?id=4d54-6379-4e44-4d35
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Sara_NesheiwatThe American Red Cross is heavily based off team work and altruism. As stated earlier, those that respond are volunteers, they are not obligated to help but they want to. The Red Cross volunteers work together as a team for the goal of aiding and tending to those in need, to the best of their ability. Their volunteering shows they perceive disaster as an unpredictable thing, but something that other members of the community can help those devastated get through.
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Sara_NesheiwatIt is said that EMTALA doesn't apply to ambulance services, technically this would be true. Yet, EMTALA does indeed effect our patients, and anything that effects our patients can effect us and should be a concern of ours as EMS providers. If EMTs are spending time in the hospital sorting out insurance issues and payment, that is more time they are out of service. Also, if the patient's treatment time is delayed, not only will the hospital be blamed, but so will EMS. If a patient is in cardiac arrest, EMTs will not be stopping and wasting time to find out insurance and payment issues from family members, that will be the last thought on their mind. They will be transporting and attempting to stabilize the patient. EMTs and EMS will not compromise the health of a patient due to insurance or payment issues, just like hospitals are now mandated to do.
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Sara_NesheiwatThe arguments are supported by citing many studies and past experiences of organizations such as WHO and CDC. Based off the examination of current protocols of biosecurity interventions, it has been deduced that the process is still in formation and not completely settled. There are not "stable" or "clearly defined" understandings or strategies of possible interventions cited by WHO and CDC. This proving the point that there are clear actions that need to be made in terms of protocol development today.The AIDS crisis in the 80s was also used a supporting point for the argument in terms of response to emerging infectious diseases. The main focus of this was the alarm that was caused by science reports, journalists and novelists during that time. The effects this response had can be used today in the possible reformation of threat response now. The policy changes that have been seen in terms of public health and threat safety were adequately researched and discussed in this paper. Showing the need for a changing system that adapts with time and needs globally.