Skip to main content Accessibility help
×
Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-18T07:13:50.161Z Has data issue: false hasContentIssue false

1 - Disaster Research and Epidemiology

from PART I - CONCEPTUAL FRAMEWORK AND STRATEGIC OVERVIEW

Published online by Cambridge University Press:  05 August 2011

Kristi L. Koenig
Affiliation:
University of California, Irvine
Carl H. Schultz
Affiliation:
University of California, Irvine
Get access

Summary

OVERVIEW

Defining Disaster

There is no single, agreed-upon definition of disaster either within or across disciplines. Definitions used in practice and research vary widely, reflecting differing objectives and interests in regard to the causes, consequences, and processes involved in disasters. In the Preface, Koenig presents a terminology for describing disasters that focuses on the functional impact of disasters to the healthcare system. This chapter discusses research methods and findings in the context of the broader spectrum of processes involved in disasters including, but not limited to, the impact on the healthcare system, the short- and long-term effects on people's health and livelihoods, and the behaviors of individuals, groups, and organizations in relation to disasters.

Accordingly, a disaster is “any community emergency that seriously affects people's lives and property and exceeds the capacity of the community to respond effectively to the emergency.” For instance, Hurricane Katrina was a category 5 hurricane at its peak, which made landfall as a category 3 hurricane in the Gulf Coast region of the United States on August 29, 2005. Its accompanying storm surge overwhelmed the local flood protection system, flooded entire communities, led to mass evacuation, caused multiple human casualties, and significantly disrupted people's livelihoods. It overwhelmed the response capacity of the community at the individual, household, and organizational levels. Thus, studies of this disaster legitimately go beyond its impact on the healthcare system.

Type
Chapter
Information
Koenig and Schultz's Disaster Medicine
Comprehensive Principles and Practices
, pp. 3 - 20
Publisher: Cambridge University Press
Print publication year: 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Noji, E. Public health consequences of disasters. Prehosp Disaster Med. 2000;15:147–157. [see p. 148]Google Scholar
Cisin, IH, Clark, WB. The methodological challenge of disaster research. In: Baker, G, Chapman, D, eds. Man and Society in Disaster. New York: Basic Books; 1962:23–54.
Gordis, L. Epidemiology. 3rd ed. Philadelphia: Elsevier Saunders; 2004.
Stallings, RA. Methodological issues. In: Rodríguez, H, Quarantelli, EL, Dynes, RR, eds. Handbook of Disaster Research. New York: Springer; 2006:55–82.
Killian, LM. An introduction to methodological problems of field studies in disasters. In: Stallings, RA, ed. Methods of Disaster Research. www.Xlibris.com: International Research Committee on Disasters, Xlibris Corp; 2002:49–93.
Quarantelli, EL. The Disaster Research Center (DRC) field studies of organized behavior in the crisis time period of disasters. In: Stallings, RA, ed. Methods of Disaster Research. www.Xlibris.com: International Research Committee on Disasters, Xlibris Corp; 2002:94–126.
Drabek, TE. Following some dreams: Recognizing opportunities, posing interesting questions, and implementing alternative methods. In: Stallings, RA, ed. Methods of Disaster Research. www.Xlibris.com: International Research Committee on Disasters, Xlibris Corp; 2002:127–153.
Guetzkow, H. Joining field and laboratory work in disaster research. In: Baker, GW, Chapman, DW, eds. Man and Society in Disaster. New York: Basic Books; 1962:337–355.
Prince, SH. Catastrophe and social change: based upon a sociological study of the Halifax disaster (Doctoral dissertation, Columbia University, Department of Political Science, 1920, Proquest Dissertations and Theses). Proquest Dissertations and Theses, ADD 1920; 1920.Google Scholar
Scanlon, TJ. Rewriting a living legend: Researching the 1917 Halifax explosion. In: Stallings, RA, ed. Methods of Disaster Research. www.Xlibris.com: International Research Committee on Disasters, Xlibris Corp; 2002:266–301.
Fritz, CE. Disasters and mental health: therapeutic principles drawn from disaster studies. Available at: http://dspace.udel.edu:8080/dspace/handle/19716/1325. Accessed February 1, 2007. [see pp. 6–7, 9, 11]
Ikle, F. The effects of war destruction upon the ecology of cities. Soc Forces. 1951;29:283–291.Google Scholar
United States Strategic Bombing Survey. Reports. Washington, DC: Government Printing Office; 1947.
Marks, ES, Fritz, CE. Human Reactions in Disaster Situations. Vols 1–3 [unpublished report]. Chicago, IL: National Opinion Research Center, University of Chicago; 1954. AD-107 594.
Morris, CW, ed. Mind Self and Society from the Standpoint of a Social Behaviorist. Chicago: University of Chicago Press; 1932.
Cooley, CH. Social Organization. New York: Charles Scribner's Sons; 1909.
Perry, RW. What is a disaster? In: Rodríguez H, , Quarantelli, EL, Dynes, RR, eds. Handbook of Disaster Research. New York: Springer; 2006:1–15.
Turner, RH, Killian, LM. Collective Behavior. 1st ed. Englewood Cliffs, NJ: Prentice-Hall; 1957.
Perry, RW. Evacuation decision-making in natural disasters. Mass Emergencies. 1979;4:25–38.Google Scholar
Connell, R. Collective behavior in the September 11, 2001 evacuation of the World Trade Center [Preliminary Paper #313]. Newark: University of Delaware Disaster Research Center; February 1, 2007.
Kendra, J, Wachtendorf, T. Creativity in emergency response after the World Trade Center attack [Preliminary Paper #321]. Newark: University of Delaware Disaster Research Center; 2002.
Dahlhamer, JM, Tierney, KJ. Rebounding from disruptive events: business recovery following the Northridge earthquake [Preliminary Paper #292]. Newark: University of Delaware, Disaster Research Center; 1996.
Tierney, KJ. Public support and priorities for seismic rehabilitation in the East Bay region of Northern California [Preliminary Paper #296]. Newark: University of Delaware, Disaster Research Center; 2000.
Taylor, VA. The delivery of mental health services in the Xenia tornado: a collective behavior analysis of an emergent system response (Doctoral dissertation, Ohio State University, Department of Sociology, 1976, Proquest Dissertations and Theses). Proquest Dissertations and Theses, DAI-A 37/02; 1976.Google Scholar
Quarantelli, EL, Dynes, RR. Editors' introduction. Am Behavior Sci. 1973;16(3):305–311.CrossRef
Sommer, A, Mosley, WH. East Bengal cyclone of November, 1970: epidemiological approach to disaster assessment. Epidemiol Rev. 2005;27:13–20.Google Scholar
Logue, JN, Melick, ME, Hansen, H. Research issues and directions in the epidemiology of health effects of disasters. Epidemiol Rev. 1981;3:140–162. [see p. 140]Google Scholar
LeChat, MF. The epidemiology of health effects of disasters. Epidemiol Rev. 1990;12:192–198.CrossRefGoogle Scholar
Dominici, J, Levy, JI, Louis, TA. Methodological challenges and contributions in disaster epidemiology. Epidemiol Rev. 2005;27:9–12.CrossRefGoogle Scholar
Noji, EK. Disasters: introduction and state of the art. Epidemiol Rev. 2005;27:3–8.CrossRefGoogle Scholar
Bourque, LB, Siegel, JM, Kano, M, Wood, MM. Morbidity and mortality associated with disasters. In: Rodríguez H, , Quarantelli, E, Dynes, R, eds. Handbook of Disaster Research. New York: Springer; 2006:97–112.
Srikameswaran, A. Dr. Peter Safar Renowned Pitt physician called ‘father of CPR,’ [Obituary]. Pittsburgh Post-Gazette. August 5, 2003.Google Scholar
Norris, F, Galea, S, Friedman, MJ, Watson, PJ. Methods for Disaster Mental Health Research. New York: Guilford Publications; 2006.
Rodríguez H, , Quarantelli, E, Dynes, R, eds. Handbook of Disaster Research. New York: Springer; 2006.
Stallings, RA, ed. Methods of Disaster Research. www.Xlibris.com: International Research Committee on Disasters, Xlibris Corp; 2002.
Kelsey, JL, Whittemore, AS, Evans, AS, Thompson, WD. Methods in Observational Epidemiology. 2nd ed. New York: Oxford University Press; 1996.
Peek-Asa C, , Kraus, JF, Bourque, LB, Vimalachandra, D, Yu, J, Abrams, J. Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. Intl J Epidemiol. 1998;27:459–465.CrossRefGoogle Scholar
Nguyen, LH, Shen, H, Ershoff, D, Afifi, AA, Bourque, LB. Exploring the causal relationship between exposure to the 1994 Northridge earthquake and pre- and post-earthquake preparedness activities. Earthquake Spectra. 2006;22(3):569–587.CrossRefGoogle Scholar
Tierney, KJ, Lindell, MK, Perry, RW. Facing the Unexpected: Disaster Preparedness and Response in the United States. Washington, DC: Joseph Henry Press; 2001.
,National Research Council. Facing Hazards and Disasters: Understanding Human Dimensions. Washington, DC: The National Academies Press; 2006.
Bourque, LB, Shoaf, KI, Nguyen, LH. Survey research. In: Stallings, RA, ed. Methods of Disaster Research. www.Xlibris.com: International Research Committee on Disasters, Xlibris Corp; 2002:157–193.
Last, JM. A Dictionary of Epidemiology. 4th ed. Oxford: Oxford University Press; 2001.
Basoglu, M, Salcioglu, E, Livanou, M, Kalender, D, Acar, G. Single-session behavioral treatment of earthquake-related posttraumatic stress disorder: a randomized waiting list controlled trial. J Trauma Stress. 2005;18(1):1–11.CrossRefGoogle Scholar
Cook, TD, Campbell, DT. Quasi-experimentation: Design and Analysis Issues for Field Settings. Boston: Houghton Mifflin; 1979.
Campbell, DT, Stanley, JC. Experimental and Quasi-experimental Designs for Research. Boston: Houghton Mifflin; 1963.
Rothman, KJ, Greenland, S. Modern Epidemiology. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 1998:68.
Mileti, DS, Fitzpatrick, C. The causal sequence of risk communication in the Parkfield earthquake prediction experiment. Risk Analysis. 1992;12(3):393–400.CrossRefGoogle Scholar
Smith, SK. Demography of disaster: population estimates after Hurricane Andrew. Pop Res Policy Rev. 1996;15:459–477.Google Scholar
Smith, SK, McCarty, C. Demographic effects of natural disasters: a case study of Hurricane Andrew. Demography. 1996;33(2):265–275.CrossRefGoogle Scholar
,Centers for Disease Control and Prevention. Norovirus outbreak among evacuees from Hurricane Katrina – Houston, Texas, September 2005. MMWR. 2005;54(40):1016–1018.Google Scholar
Aneshensel, CS. Theory-based Data Analysis for the Social Sciences. Thousand Oaks, CA: Pine Forge Press; 2002.
Armenian, HK, Melkonian, AK, Hovanesian, AP. Long term mortality and morbidity related to degree of damage following the 1988 earthquake in Armenia. Am J Epidemiol. 1998;148:1077–1084.CrossRefGoogle Scholar
Kessler, RC. Mental illness and suicidality after hurricane Katrina. Bull World Health Organ. 2006:1–21.Google Scholar
Siegel, JM, Shoaf, KI, Afifi, AA, Bourque, LB. Surviving two disasters: does reaction to the first predict response to the second? Environ Behavior. 2003;35(5):637–654.CrossRefGoogle Scholar
Drabek, TE, Haas, JE. Realism in laboratory simulation: myth or method? Soc Forces. 1967;45:337–346.Google Scholar
Drabek, TE, Haas, JE. Laboratory simulation of organizational stress. Am Sociol Rev. 1969;34:223–238.CrossRefGoogle Scholar
Form, WH, Nosow, S. Community in Disaster. New York: Harper; 1958.
Schultz, CH, Koenig, KL, Lewis, RJ. Implications of hospital evacuation after the Northridge, California, Earthquake. N Engl J Med. 2003;348(14):1349–1355.CrossRefGoogle Scholar
Beckett, M, Da Vanzo, J, Sastry, N, Panis, C, Peterson, C. The quality of retrospective data: an examination of long-term recall in a developing country. J Hum Resources. 2001;36(3):593–625.CrossRefGoogle Scholar
Norris, FH, Kaniasty, K. Reliability of delayed self-reports in disaster research. J Trauma Stress. 1992;5(4):575–588.CrossRefGoogle Scholar
Curtin, R, Presser, S, Singer, E. Changes in telephone survey nonresponse over the past quarter century. Public Opin Q. 2005; 69:87–98.CrossRefGoogle Scholar
Tashakkori, A, Creswell, JW. The new era of mixed methods [Editorial]. J Mixed Meth Res. 2007;1:3–7.CrossRefGoogle Scholar
,Multihazard Mitigation Council. Natural Hazard Mitigation Saves: An Independent Study to Assess the Future Savings from Mitigation Activities. Washington, DC: National Institute of Building Sciences; 2005.
Dash, N. The use of geographic information systems in disaster research. In: Stallings, RA, ed. Methods of Disaster Research. www.Xlibris.com: International Research Committee on Disasters, Xlibris Corp; 2002:320–333.
Thomas, DSK, Kivanç E, , Kemeç, S. The role of geographic information systems/remote sensing in disaster management. In: Rodríguez H, , Quarantelli, E, Dynes, R, eds. Handbook of Disaster Research. New York: Springer; 2006:83–96.
Moore, DA, Carpenter, TE. Spatial analytical methods and geographic information systems: use in health research and epidemiology. Epidemiol Rev. 1999;21(2):143–161.CrossRefGoogle Scholar
Rushton, G. Public health, GIS, and spatial analytic tools. Ann Rev Public Health. 2003;24:43–56.CrossRefGoogle Scholar
Malilay, J, Flanders, WD, Brogan, D. A modified cluster-sampling method for post-disaster rapid assessment of needs. Bull World Health Organ. 1996;74(4):399–405.Google Scholar
,Centers for Disease Control and Prevention. Rapid community needs assessment after hurricane Katrina–Hancock County, Mississippi, September 14–15, 2005. MMWR. 2006;55(09):234–236.Google Scholar
Peek-Asa C, , Ramirez, M, Seligson, HA, Shoaf, KI. Seismic, structural, and individual factors associated with earthquake-related injury. Injury Prevent. 2003;9:62–66.CrossRefGoogle Scholar
Curtis, AJ, Mills, JQ, Leitner, M. Spatial confidentiality and GIS: Re-engineering mortality locations from published maps about Hurricane Katrina. Intl J Health Geographics. 5; 2006.Google Scholar
Cutter, SL, Boruff, BJ, Shirley, WL. Social vulnerability to environmental hazards. Soc Sci Q. 2003;84(2):242–261.CrossRefGoogle Scholar
Fleischman, AR, Collogan, L, Tuma, F. Ethical issues in disaster research. In: Norris, FH, Galea, S, Friedman, MJ, Watson, PJ, eds. Methods for Disaster Mental Health Research. New York: Guilford; 2006.
Collogan, LK, Tuma, F, Dolan-Sewell R, , Borja, S, Fleischman, AR. Ethical issues pertaining to research in the aftermath of disaster. J Trauma Stress. 2004;17(5):363–372.CrossRefGoogle Scholar
Dilley, M, Boudreau, TE. Coming to terms with vulnerability: a critique of the food security definition. Food Policy. 2001;26(2001):229–247.CrossRefGoogle Scholar
Maskrey, A. Disaster Mitigation: A Community Based Approach. Oxford, UK: Oxfam; 1989.
Wisner, B, Blaikie, P, Cannon, T, Davis, I. At Risk: Natural Hazards, People's Vulnerability, and Disasters. 2nd ed. London: Routledge; 2004:11.
Morrow, BH. Identifying and mapping community vulnerability. Disasters. 1999;23(1):1–18.CrossRefGoogle Scholar
Anderson, MB, Woodrow, PJ. Rising from the Ashes: Development Strategies in Times of Disaster. Boulder, CO: Lynne Rienner Publishers; 1998.
Aysan, YF. Keynote paper: Vulnerability assessment. In: Merriman, PA, Browitt, CWA, eds. Natural Disasters: Protecting Vulnerable Communities. London: Thomas Telford; 1993:1–14.
Cardona, OD. The need for rethinking the concepts of vulnerability and risk from a holistic perspective: a necessary review and criticism for effective risk management. In: Bankoff, G, Frerks, G, Hilhorst, D, eds. Mapping Vulnerability: Disasters, Development and People. London: Earthscan; 2004:37–51.
Horlick-Jones T, , Jones, DKC. Communicating risks to reduce vulnerability. In: Merriman, PA, Browitt, CWA, eds. Natural Disasters: Protecting Vulnerable Communities. London: Thomas Telford; 1993:25–37.
McEntire, DA. Tenets of vulnerability: An assessment of a fundamental disaster concept. J Emerg Manage. 2004;2(2):23–29.Google Scholar
Cannon, T. A hazard need not a disaster make: vulnerability and the causes of ‘natural’ disasters. In: Merriman, PA, Browitt, CWA, eds. Natural Disasters: Protecting Vulnerable Communities. London: Thomas Telford; 1993:92–105.
Ezra, M, Kiros, G-E. Household vulnerability to food crisis and mortality in the drought-prone areas of northern Ethiopia. J Biosoc Sci. 2000;32:395–409.CrossRefGoogle Scholar
Morgan, O. Infectious disease risks from dead bodies following natural disasters. Pan Am J Public Health. 2004;15(5):307–312.CrossRefGoogle Scholar
McEntire, DA. Triggering agents, vulnerabilities and disaster reduction: towards a holistic paradigm. Disaster Prevent Manage. 2001;10(3):189–196.CrossRefGoogle Scholar
Heijmans, A. From vulnerability to empowerment. In: Bankoff, G, Frerks, G, Hilhorst, D, eds. Mapping Vulnerability: Disasters, Development, and People. London: Earthscan; 2004:115–128.
Jaspars, S, Shoham, J. Targeting the vulnerable: a review of the necessity and feasibility of targeting vulnerable households. Disasters. 1999;23(4):359–372.CrossRefGoogle Scholar
Gerrity, E, Flynn, BW. Mental health consequences of disasters. In: Noji, EK, ed. The Public Health Consequences of Disasters. Cary, NC: Oxford University Press; 1997:101–121.
Bourque, LB, Siegel, JM, Kano, M, Wood, MM. Weathering the storm: the impact of hurricanes on physical and mental health. Ann Am Acad Politic Soc Sci. 2006;604(1):129–151.CrossRefGoogle Scholar
Bravo, M, Rubio-Stipec M, , Canino, GJ, Woodbury, MA, Ribera, JC. The psychological sequelae of disaster stress prospectively and retrospectively evaluated. Am J Community Psychol. 1990;18(5):661–680.CrossRefGoogle Scholar
Lindell, MK, Prater, CS. Assessing community impacts of natural disasters. Natural Hazards Rev. 2003;4(4):176–185.CrossRefGoogle Scholar
Thompson, MP, Norris, FH, Hanacek, B. Age differences in the psychological consequences of Hurricane Hugo. Psychol Aging. 1993;8(4):606–616.CrossRefGoogle Scholar
Norris, FH, Friedman, MJ, Watson, PJ, Byrne, CM, Diaz, E, Kaniasty, K. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981–2001. Psychiatry. 2002;65(3):207–239.CrossRefGoogle Scholar
Louisiana Family Assistance Center. Reuniting the families of Katrina and Rita: final report of the Louisiana Family Assistance Center. Available at: http://www.dhh.louisiana.gov/offices/publications/pubs-303/Full%20Report.pdf. Accessed November 2, 2008.
Hilhorst, D. Complexity and diversity: Unlocking social domains of disaster. In: Bankoff, G, Frerks, G, Hilhorst, D, eds. Mapping Vulnerability: Disasters, Development, and People. London: Earthscan; 2004:52–66.
Oliver-Smith, A. Global changes and the definition of disaster. In: Quarantelli, EL, ed. What is a Disaster? Perspectives on the Question. New York: Routledge; 1998:177–194.
Bates, FL, Pelanda, C. An ecological approach to disasters. In: Dynes, RR, Tierney, KJ, eds. Disasters, Collective Behavior, and Social Organization. Cranbury, NJ: Associated University Presses; 1994:145–159.
Oliver-Smith, A. Theorizing vulnerability in a globalized world: a political ecological perspective. In: Bankoff, G, Frerks, G, Hilhorst, D, eds. Mapping Vulnerability: Disasters, Development and People. London: Earthscan; 2004:10–24.
Kano, M. Characteristics of earthquake-related injuries treated in emergency departments following the 2001 Nisqually earthquake in Washington. J Emerg Manage. 2005;3(1):33–45.Google Scholar
Noji, E. Public health consequences of disasters. Second Annual John C. Cutler Global Lecture and Award. Available at: http://www.yalenewhavenhealth.org/emergency/2005CONGRESS/NojiKN.pdf. Accessed November 2, 2008.
Norris, FH, Friedman, MJ, Watson, PJ. 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health literature. Psychiatry. 2002;65(3):240–260.CrossRefGoogle Scholar
Vlahov, D, Galea, S, Resnick, H, et al. Increased use of cigarettes, alcohol, and marijuana among Manhattan, New York, residents after the September 11th terrorist attacks. Am J Epidemiol. 2002;155(11):988–996.CrossRefGoogle Scholar
Briere, J, Elliott, D. Prevalence, characteristics, and long-term sequelae of natural disaster exposure in the general population. J Trauma Stress. 2000;13:661–679.CrossRefGoogle Scholar
Combs, DL, Quenemoen, , Parrish, RG, Davis, JH. Assessing disaster-attributed mortality: development and application of a definition and classification matrix. Intl J Epidemiol. 1999;28:1124–1129 (:1123).Google Scholar
Scanlon, TJ. Disaster's little known pioneer: Canada's Samuel Henry Prince. Intl J Mass Emerg Disasters. 1988;6(3):213–232.Google Scholar
,U.S. Strategic Bombing Survey. The Effects of Bombing on Health and Medical care in Germany. Washington, DC: U.S. Government Printing Office; 1945.
,U.S. Strategic Bombing Survey. The Effects of Bombing on German Morale. (Vols. I and II). Washington, DC: U.S. Government Printing Office; 1947.
,U.S. Strategic Bombing Survey. The Effects of Strategic Bombing on Japanese Morale. Washington, DC: U.S. Government Printing Office; 1947.
Fritz, CE, Marks, ES. The NORC studies of human behavior in disaster. J Soc Issues. 1954;10:26–41.CrossRefGoogle Scholar
Chapman, DW. Issue editor introduction. Journal of Social Issues, Human Behavior in Disaster: A New Field of Social Research. 1954;10:2–4.Google Scholar
Moore, HE. Tornadoes over Texas. Austin: University of Texas Press; 1958.
Williams, HB. Fewer disasters, better studied. Journal of Social Issues, Human Behavior in Disaster: A New Field of Social Research. 1954;10:5–11.Google Scholar
,Committee on Disaster Research in the Social Sciences: Future Challenges and Opportunities, Division on Earth and Life Studies, National Research Council. Facing Hazards and Disasters, Understanding Human Dimensions. Washington, DC: The National Academies Press; 2006.
,Health Disaster Management: Guidelines for evaluation and research in the Utstein style. Prehosp Disaster Med. 2003 17:Suppl 3.
Bey, T, Weizsaecker, E, Koenig, KL. Global warming: polar bears and people – implications for public health preparedness and disaster medicine: a call to action. Prehosp Disaster Med. 2008;23(2):101–102.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×