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In an article written in August 2022 details the complaints of residents of Duplin County and the Environmental Justice Community Action Network in response to a general permit for hog farms in Eastern North Carolina that would pollute the ground and water by relaxing regulations on farms with varying numbers of livestock. A quote from Sheri White-Williamson, cofounder of the Community Action Network, says, 

“A general permit is a one-size fits all system, regardless of the number of animals you have,” she said. “That doesn’t seem to make good environmental sense. At the very minimum we would like to see the denitrification system that has shown to be better for taking care of the toxins that come out of this process. Unfortunately, that hasn’t happened.”

Local groups urge the DEQ to set regulations on a case by case basis depending on the size of biogas operations and should require cleaner systems and ways of getting rid of waste.

The article is linked here:https://coastalreview.org/2022/08/groups-challenge-ncs-biogas-general-p…

I further researched health care and illness rates in the area surrounding Chernobyl before the incident, to see if there were any very obvious differences in terms of how health care was handled. I also expanded on what was presented in the article and researched some of the major issues faced by those exposed. In addition, I researched more on the governmental influence and actions taken post Chernobyl in terms of testing of citizens as well as leaderhsip efforts. 

This article is discussed and referenced in STS based courses and emergency response seminars and planning committees. The paper is also cited in a book Edited by Richard Hindmarsh and Rebecca Priestley entitles "The Fukushima Effect."

Those that complete the course requirements and achieve all their points will graduate with an MS in Narrative Medicine. 

Paul Farmer cites this paper in some of his other studies and articles written after this. The article has also been cited in a book entitled "Social Medicine in the 21st Century" by Samuel Barrack. This article has also been cited in: 

https://dash.harvard.edu/bitstream/handle/1/10612556/3585352.pdf;sequen…

http://opensample.info/blindness-survey-methods-response-from-sudan-stu…;

Humanitarian aid is not directly a form of emergency response in a sense of EMS, but it does give help and attention to those in areas of need, and often times, forms of aid are medically related. Though emergency response isn't directly addressed in this paper, humanitarian aid is a form of a response to an emergency situation. This paper focuses more on the analysis of humanitarian efforts to those that at one time may have needed emergency response in the moment due to violent act. Yet the paper focuses on the social aspects of humanitarianism and its tie to gender based violence, not EMS or emergency response.

There were numerous people invested in this situation and effected by the repercussions of it. The main focus is on the citizens of Liberia. The film shows their account of what happened, in terms of the severe amount of deaths and deplorable conditions in which they lived in. There was a complete lack of health care and public health or awareness, as well as resources such as food and supplies. Citizens were at first not taking the situation as seriously as it should have been, not heeding the warnings from doctors, convinced the government was exaggerating. Yet, once the turmoil and panic of officials was displayed, citizens soon began to worry. There were issues and decisions made involving protecting themselves from the disease as well as their families. Those infected also faced many issues. There was a complete lack of resources for those separated from the population due to infection. There were scarce amounts of food, water, supplies and medical attention. Fear, death and disease spread fast throughout the population. Decisions about not only quarantine and families had to be made, but also decision of whether leaving the country was a good choice, as seen by the main family in the documentary. Other stakeholders include health care officials as well as government employees. There were many decisions made by them in terms of allocating resources, as well as informing citizens about the situation. 

There are numerous methods utilized to support the claims in this paper. Research workshops were analyzed and discussed and the conclusions and discussions of experts were examine and presented. There was also an ample amount of expert interviews that were discussed and analyzed. The authors' expert opinions as well as analysis of current data can be seen throughout the paper, but also an analysis of the lack of health specific data. 

After looking up the bibliography, many of the citations found were government agencies or studies performed on bioterrorism, biological weapons and disease security, all from reputable sources and agencies. This shows that a lot of work and investigation went into this paper and it is valid and accurate research.