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The policy was created in 1988; it was created to support previous legislation, such as the Disaster Relief Act of 1970, which was amended in 1974 by President Nixon. 

The policy was created in in 1999 after concerns brought up by the Team Leader of the Chemical Weapons Improved Response Team (CWIRT), U.S. Army Soldier and Biological Chemical Command over whether first responders to WMD (weapons of mass destruction) incidents were liable for pollution and other environmental consequences of their decontamination/ life-saving efforts.

The article's main points cover the major challenges impeding research studies on violence that affects health service delivery in "complex security environments". The problem isn't lack of data regarding violence affecting health service delivery, but the lack of "health specific" and "gender-disaggregated" data, or data that's not completely tied to humanitarian aid.

The authors suggest several ways to increase research: increased collaboration between academia, NGO's, and health service organizations, inserting a research component in aid operations, and increasing funding to academic and aid organizations.

The main argument was that there are "biosocial phenomena" or "structural violence" that lead to the tendency for certain diseases or lack of treatment in populations, particularly those in poverty. Their three major findings were: they can make structural interventions to "decrease the extent to which social inequities become embodied as health inequities", proximal interventions can reduce premature morbidity and mortality, and structural interventions "can have an enormous impact on outcomes.