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The main point of the article is to show the ethical and enviromental danger inmates face on Riker Island. This is supported by the description heat emergencies that are risking lives of inmates, air pollution in the facility due to methane gas that is being produced by the landfill it was built on, and the shifting in the ground that is leading to cracking, subjecting facilities to flooding during extreme weather.

Emergency response is one of the main ideas of this article. Schmid expresses the importance of emergency response to nuclear disaster in that prevention can only go so far and in the specific case of nuclear disaster the cause is often unpredictable and unavoidable (natural cause ie. Hurricanes, tsunami). Without an appropriate emergency response system in place nuclear disasters will continue to cause significant environmental damages, infrastructure damages, and harm citizens. 

This article is referenced in various other papers concerning cultural factors in patient treatment. 

Paul Farmer is an American physician and anthropologist who is known for providing appropriate healthcare in under developed regions and developing countries. Farmer is situated in emergency response in that he is a physician providing care to those in need and works toward ensuring that people will have access to healthcare despite socioeconomic conditions. Bruce Nizeye works alongside Farmer and specializes in TB infection control in Rwanda. Sara Stulac is a physician who specializes in women’s and children’s healthcare. Her focus has included pediatric HIV prevention and treatment, malnutrition care, inpatient pediatrics and neonatology, and pediatric oncology and other non-communicable disease treatment. Salmaan Keshavjee is a physician who specializes in multi-drug resistant tuberculosis and in providing access to healthcare in poverty stricken regions.