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CITIZEN SCIENCE

Epistemic negotiation

Stakeholders (indigenous groups, activist, scientist, scholars, etc)

Three major ways the arguements are supported are as follows

1. Statistics and analisys of policies pertaining to the healthcare system available to the effected populaitons
2. Historical background to establish where such policies came from and how they may continue to work in the future
3. First hand accounts from both those effected by chernobyl related illness and the health care practitioners who treat them.

I followed up on this article by reading more about the Fukushima disaster, and I looked further into existing regulatory bodies such as the IAEA and and the Nuclear Energy Institute.

I followe up on the practice of palliative medicine, how hospital ethics boards deal with palliative care, particularly focussing on cancer and oncology departments, and the role of hospice and nursing homes in the palliative care process.

Emergency response is not addressed in this article. It focusses on long term care and the prevention of disease on the public health level.

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. 

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. 

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.