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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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erin_tuttle

The educational program in Haiti organized by Handicap International aims to train citizens of Haiti for careers as rehabilitation technicians and orthopedic technicians. The program is designed to provide a recognized degree allowing graduates to work as technicians under the supervision of physical therapists and orthopedic doctors. 

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erin_tuttle

The article mentioned a proposed framework for health threats of security created by the World Health Organization, I did some research on the organization in order to understand their approach to emergency response as outlined the their Health Emergencies Program.

Recent developments in life sciences and bioengineering were cited several times throughout the article as having the potential to be a health risk. I looked at the headline research being done in those areas to better understand how health risks may be changing.

The article mentioned an unsuccessful vaccination program meant to prevent a smallpox outbreak, I looked into the history of that as a way of considering the preventative aspects of disaster response.

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erin_tuttle

The article highlights large gaps in existing research concerning violence against health care workers in environments were the political and cultural atmosphere affects security in complex and unstudied ways. The article argues that the lack of research is partly due to discrepancies between public opinion, government opinion, and academic review makes understanding the causes of violence and risks to health workers challenging. The article suggests that an effort on the part of aid organizations to make their data easily accessible along with greater funding and academic interest the motives behind violence against health workers could be better understood.

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erin_tuttle

“the demands placed on an investigation have as much, or more, to do with defining the dominant investigator and quickly addressing the fears and anger of the press, government, and an outraged public than they do with discovering the definitive technical truths of a catastrophic event.” (Knowles 11)

“The Hague Street inquest featured many experts, none with the authority to effect real change. The result was a blanket of blame that covered everyone” (Knowles 19)

“With the exception of federal oversight, Iroqouis set the tone for investigations of modern disasters from the Baltimore Conflagration (1904) to the world Trade Center collapse.” (Knowles 24)

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erin_tuttle

The article provides statistics of approved applications based on the medical reason for the application and the department the application was processed at based on location, to show how different acceptance rates are. The article also provides many stories of applications, invoking an emotional response that allows the reader to sympathize with the personal challenge that faces medical officers and government officials making the discussions that may dramatically affect the health and wellbeing of individuals.

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erin_tuttle
Annotation of

This system would definitely be difficult to use directly in the field as it does require steady internet connection to allow for collaboration between users. Another likely problem would be collaboration between users who speak a different language, although the publishing aspect of the app, and adaptable software downloads allow for multiple languages. Integrating numerical data between users who’s primary languages differ creates technical challenges that could range from complete field incompatibility to something as simple as interpreting a comma as thousands rather than a decimal point.

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erin_tuttle

The Stafford Act was significantly criticized by the public, primarily for the fact that while the act set up legal systems allowing the government to provide housing and medical services to displaced citizens it did not require the government to do so. There was also concern that the policy created too many restrictions and limitations for FEMA which would slow the response time to an emergency.