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.
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.
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.
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.
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.
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.
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.
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.
This program is located within an institution, Columbia University's Medical Center and College of Physicians and Surgeons.
The authors support their argument many ways, one being how that the rates of HIV/AIDS are so positively linked and correlated with social arrangements that it is often referred to as social disease. HIV commonly effects those that are poor and disease rates are fueled by gender inequality, racism and poverty. The article discusses how structural violence has influenced HIV progression. The article cites that structural violence influences diagnosis rates, staging and treatment. The also article references a study done in Baltimore which reports racism and poverty forms of structural violence and the effects on excess mortality among African Americans without insurance- ultimately showing they were more likely to to be susceptible. The authors also used other historical data and research to support heir claims. Efforts through Partners in Health were made to prevent the spread and transmission of diseases in Haiti. The efforts made in Haiti and Rwanda were cited, both the positives and negatives. The article also discusses ways to incorporate more interventions to help eliminate any social influences of disease.