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pece_annotation_1473575632

Sara_Nesheiwat
Annotation of

According to the history page of American Red Cross, the organization began in 1882. In the 23 years following that, the organization aided in disaster relief efforts with the US Army during the Spanish American War. Not until prior to WW1 was the first water safety, first aid and health program introduced by the organization, where they first expanded their efforts and scope of what they can offer. What truly motivated the way and thinking of disaster relief was the outbreak of war America had. The organization grew tremendously because of war. In the 4 years between 1914 an 1918, chapters of American Red Cross went from 107 to 3,864- which is astonishing. Membership also grew from 17,000 to 20 million in that time. With this large jump of people and chapters came a large growth in funding and material to cover programs, hospitals, nurses, etc to aid refugees and American and Allied forces. Then in 1918, influenza pandemic struck and American Red Cross was able to help combat that and in the process took on more nurses to do so. This trend of growth is seen during times of war, or devastation such as the Great Depression, Mississippi River flood and WW2. Ultimately, what motivated the growth and disaster response was the need for it. As need increased for care during times of war, devastation or disease, American Red Cross grew, due to those in support of troops overseas, volunteering time and money, which allowed for the organization to grow and gain the moment needed to combat epidemics and eventually natural disasters.

pece_annotation_1480143817

Sara_Nesheiwat

This was touched upon a little in a previous question. Many cases of patient dumping were popping up around America. Patients in need  of emergency medical care were being cast aside, ignored and delayed due to their inability to pay. In addition to the stab patient, Eugene Barnes that sparked this law, there were dozens of other cases where patients needed to be transferred to larger hospitals but the hospital refused to take patients without insurance, so the patients died. There were cases of people being asked right before surgery for a deposit, and being unable to pay were discharged with no surgery. There was also a very high rate of dead babies that were arising due to the fact that mothers in labor were being turned away because the patient was uninsured. It was then realized by the government that there were no legal duties for a hospital to treat people who are in emergency situations but cannot pay, only ethical and moral duties, which apparently weren't enough in some cases. This led to the birth of the EMTALA, requiring medical attention to all ED patients as well as transfers if needed to stabilize, including mothers in labor.

pece_annotation_1474155850

Sara_Nesheiwat

The film points out that there is a clear need for more public health infrastructure. Procedures to combat outbreak should be enacted but also increasing the education of the masses on disease spread and how to act preventatively, as well as effectively. 

pece_annotation_1480823167

Sara_Nesheiwat

The methods utilized in this paper are not necessarily new or inventive, yet this doesn't detract from its effectiveness. The data used for this study was collected from surveys of 1,569 people and the data was then analyzed using statistical methods of logistic regression.

pece_annotation_1474775697

Sara_Nesheiwat

There was very detailed recounting of investigations of three historical cases. The similarities between those cases and the World Trade Center investigations were then compared. Methods used include data collection, analysis and comparison. The author utilizes expert testimony and cites documents and the media often as well.

pece_annotation_1475341148

Sara_Nesheiwat

The author, Didier Fassin is an anthropologist and sociologist who works overseas in Sengal, Ecuador, South Africa, and France. He is a physician and has a background in public health and global health as well. He is a professor of social science at the Institute for advanced Study in Princeton, New Jersey. He has focused on the AIDS epidemic as well as humanitarian efforts.  

https://www.ias.edu/scholars/fassin

https://www.sss.ias.edu/faculty/fassin

pece_annotation_1476039830

Sara_Nesheiwat

On the website, it mentions that the program was started and located in Tulane due to actions that occurred post- Katrina in New Orleans. The program began due to "failures in disaster leadership" after Katrina. Tulane University was chosen due to the fact that it has exemplified such resiliency and leadership after Hurricane Katrina and portrays and provides an excellent setting for a program such as this. 

pece_annotation_1477239753

Sara_Nesheiwat

This policy was established in 1965 and set down protocols for the Medicaid program. The medicaid program provides funding for medical and health related services to people who have a limited income. This policy specifically denotes what defines an institution, determining whether or not an institution is IMD and other aspect such as ages, costs and the definition of IMD are also set forth. Ultimately proving to set parameters and expectancies to those people and institutions that find themselves operating within this policy or referencing it. 

pece_annotation_1477264905

Sara_Nesheiwat

I read up on what constitutes people who can classify as peri-disaster personnel, I found the concept interesting and didn't realize there was a specific name to classify those people, I always wondered about the people who were indirectly effected by a disaster or partially effected due to proximity. I also researched comorbidity and common forms of mental illness that arise in post disaster survivors. 

pece_annotation_1472872309

Sara_Nesheiwat

The article is supported through the use of numerous examples and educated points made by the author. First, the author supports her arguments by going through the events that transpired that day at the Fukushima Daiichi plant. She uses the details of the events in Japan to support her argument that a global emergency nuclear response team is necessary. Schmid also cites other areas in the world where this was an issue and protocols were not clear. Ultimately which caused the incidences at Three Mile Island and Chernobyl, all of which would have benefited from a response team equipped and specially trained to deal with this type of situation. The author cites that incidences at Three Mile Island and Chernobyl were the result of systems that were too complex, tightly coupled  and technical, ultimately not allowing broad policy changes when needed. The author also cites that this occurred in one of the world's most advanced areas in the world, both technologically and economically. She states that having scientists and the elite left to make decisions about responses to disasters alone further proves her point and supports her arguments. She also notes that current organizations have little international authority and often suffer when attempting to include or talk to the public in terms of these situation which doesn't allow for full integration with the public. She notes the importance of this integration, but also that world leaders are attempting to do so and see how beneficial this is. She compared the way previous situations similar to that in Japan was handled and she mapped out new regulations that arose based off each of those incidences in order to see what can further be implemented as a blanket response globally for all nations in a situation like this.