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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_Nesheiwat

This policy greatly helped sculpt emergency medicine and public health. By giving the right to the patient to have emergency medical treatment required without proof of insurance or payment, astronomically influenced the amount of patients being turned away and their possibilty of developing worse illnesses or dying. In a paper I read, a young doctor in the late 70s and early 80s remembers watching a woman in labor give birth in the doorway of the hospital and proceed to borht her child in the parking lot after being turned away for not having insurance. By requiring hospitals and doctors to see that all ED patients get care, no patient was at risk of dying or complicating their baby's health and birth due to a lack of insurance, ultimately increasing public health efforts. Not all hospitals turned away their patients, but enough did to make it a public health concern and get Congress involved. EMTALA changed emergency medicine protocols but also public health expectations and actions.

http://www.hhnmag.com/articles/5010-the-law-that-changed-everything-and…

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Sara_Nesheiwat

-I looked up UN response efforts in Liberia during the time of this outbreak. Doing this, I was able to learn about the process that was taken in an attempt to decrease the transmission of the disease. I also learned about specific numbers in terms of confirmed cases as well as deaths. The UN was mentioned but not explicitly talked about in the film, so I wanted to further my understanding of the actions and role they played during this outbreak. 

http://ebolaresponse.un.org/liberia

-I wanted to research the general healthcare in Libera and see if there is a lack in healthcare in this area, which may have aided in the severe devastation caused by the outbreak. As mentioned, the civil war really effected many outcomes of the country, one of them being healthcare. Communicable diseases were a factor that was already a topic of concern in this area before the outbreak of Ebola. Currently healthcare in Libera is being reformed, yet after reading this report, it is easy to see why the government and public health workers struggled so much to contain this outbreak.

https://csis-prod.s3.amazonaws.com/s3fs-public/legacy_files/files/publi…

-I wanted to learn more about the Ebola virus in general but also learn more about the diagnosis and the symptoms that those infected would display. I also wanted to learn more about the progression of the virus after being infected as well as the incubation period. I researched the virus on the World Health Organization website. Here I was able to find all this information out from the virus' origin to the diagnoses process and symptoms.

http://www.who.int/mediacentre/factsheets/fs103/en/

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Sara_Nesheiwat

This paper has been cited and discussed in 7 different articles according to Google Scholar. Many of the papers it has been cited in have to do with the effects of social media on opinions of opioid use, gun violence, vaccination rates and more. The papers all have to do with public perception and education on certain topics, very similar to this study.

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Sara_Nesheiwat

Emergency response is addressed in terms of post disaster investigations rather than immediate on scene response. The political and social analysis of these city areas, as well as the social aspects of the disasters are analyzed. Discussing why the events occurred, how to prevent them, as well as the political aspects such as power and public factors are also discussed. Investigations mainly showed that more needed to be done in terms of preventatives and safety that could have possibly minimized the amount of disaster in some of the situations. 

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Sara_Nesheiwat

This article discusses the French laws and their effect on immigration and healthcare. The laws around the retention of illegal immigrants in France to get treated for their illnesses are discussed. Policies are also discussed in comparison with America and other western nations. The law that is behind this was published in June 1997 by Jean-Pierre Chevenementthe. The public health aspects as well a immigrant rights are also discussed. 

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Sara_Nesheiwat

This program, as mentioned earlier is set in Tulane University in New Orleans yet has a lot of global outreach. This program's website has a map showing their direct partners all over the world on the front page. Partners include, Tulane University, RAND Gulf States Policy Institute, Louisiana State University,University of South Alabama, Louisiana Public Health Institute, Benadir University, Catholic Relief Services, dozens of colleges and programs in Africa such as the University of Zimbabwe as well as the Kinshasa School of Public Health, other partners includes UNICEF-Mali and others in Asia, such as Moi University and the Asian Disaster Preparedness Center. Needless to say these are just  few of the many partners this program based out of Tulane has all over the world.

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Sara_Nesheiwat

It was harder to find this information, but from what I gathered, the concept of national health insurance first became a topic of discussion during the Truman administration. From 1958 to 1964, controversies rose and a bill was drafted, specifically by who is unknown, but the signing of the act was part of Johnson's Great Society. Though names are not listed, it is said that those who previously worked on the King-Anderson Bill drafted this current Medicaid policy and that Wilbur Cohen, Assistant Secretary for Legislation of the Department of Health, Education and Welfare, really pushed for this Medicare bill.  

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Sara_Nesheiwat

Adriana Petryna has a PhD in Anthropology from UC Berkeley and teaches courses in this field at UPenn. She specializes in globalization and public health as well as medical anthropology. Her interests lie in Europe and the US, mainly the Chernobyl disaster. She centers her work on public and private forms of scientific knowledge production. She is very interested in the way science and technology play a role in the context of crisis.