Presentation at 3rd GRF One Health Summit 2015 Session Keynote III

1. Division of International Cooperation for Disaster Medicine
One Health
in
SFDRR
Sendai Framework for Disaster Risk Reduction 2015-2030
Shinichi Egawa, MD, PhD, FACS
Professor
International Cooperation for Disaster Medicine
IRIDeS, Tohoku University

2. Division of International Cooperation for Disaster Medicine
No conflict of interest to declare
Shinichi Egawa

3. Division of International Cooperation for Disaster Medicine
William Edwards Deming
Statistician, writer, lecturer and consultant.
Who transduced quality management to
Japanese industry after WWII.
Deming Award in Japan is given to excellent
total quality management.
You cannot improve what
you cannot measure.
PDCA cycle (Deming Wheel)

4. Division of International Cooperation for Disaster Medicine
Sendai Framework for Disaster Risk Reduction
• Adopted by 187 member states in the 3rd World Conference for
Disaster Risk Reduction in Sendai, JAPAN.
Four Big Changes
1. Inclusive DRR with women, children,
youth, people with disability, elderly,
indigenous people at all levels.
2. Seven targets for implementation
3. Health
4. Science for DRRPresident Satomi and UN Secretary
General Ban Ki-moon
Jonathan Abrahams
WHO
UN Assistant Secretary-General for Disaster Risk Reduction
Margareta Wahlstrom

5. Division of International Cooperation for Disaster Medicine
Health in DRR framework
0 3
34
153
280
314
0
50
100
150
200
250
300
350
Yokohama
Strategy 1995
Hyogo Framework
for Action 2005
Sendai Framework
for Disaster Risk
Reduction 2015
"health"
"disaster"
Because…

6. Division of International Cooperation for Disaster Medicine
Health is imperative in DRR
• Framework and Policies
• Vulnerable Populations
• Mental Health
• Infrastructure and Resources
• Education and Training
Breakout Group and
Plenary Session
Base Camp Outreach
• Position Paper
• Publications
• AMCDRR (Bangkok)
• IDRF (Davos)
• APCDM (Tokyo)
• IRDR (Tokyo; here)
• WCDRR (Sendai)
100 health professionals

7. Division of International Cooperation for Disaster Medicine
Disaster Risk Reduction
• Know your risk
• Reduce your risk
• Prepared to act
Hazard x Vulnerability
Risk
Capacities
Hazard x Vulnerability
Capacities
RiskRisk
To reduce the disaster risk,
=

8. Division of International Cooperation for Disaster Medicine
Similarity of disease and disaster
Courtesy of
Prof. Masayuki Yamamoto
Tohoku Medical Megabank Organization
Disease
Environmental factorGenetic factor

9. Division of International Cooperation for Disaster Medicine
Similarity of disease and disaster
Vulnerability &
Capacity
Hazards
Disaster
• Life, Health
• Properties
• Family
• Community

10. Division of International Cooperation for Disaster Medicine
Strengthen of response (treatment) and preparedness (prevention)
1960
General assembly statement for rescue
earthquake in Iran, Yugoslavia, Hurricane
in Caribbean Sea
Yokohama
Strategy
1994
1989 1999
International
Decade for
Natural
Disaster
Reduction
(IDNDR)
International
Strategy for
Disaster
Reduction
OCHA
1998
Prevention
(Preparedness)
Treatment
(Response)
HumanSecurity
SadakoOgata
StateSecurity
1970
GA for more preparedness rather than response
Establishment of Disaster Relief Office

11. Division of International Cooperation for Disaster Medicine
DRR・CC・SDG closely relates with each other
DRR
SDDCC
Fund for development
Waste of fund without DRR
Development and Climate affects
each other
Change of hazard
Technology for DRR
People
centered

12. Division of International Cooperation for Disaster Medicine
Yokohama
Strategy and
Plans of
Action
Hyogo
Framework for
Action
2005-2015
1994
1989 1999
2005
International
Decade for
Natural
Disaster
Reduction
(IDNDR)
International
Strategy for
Disaster
Reduction Sendai Framework for
Disaster Risk Reduction
2015-2030
1992
2000
2015
25 Years of International Commitments to Disaster Risk Reduction
Aitsi-elmi A, Egawa S, et al.
Int J Disaster Risk Sci 2015

13. Division of International Cooperation for Disaster Medicine
Disaster Risk Reduction
• Know your risk
• Reduce your risk
• Prepared to act
Hazard x Vulnerability
Risk
Capacities
Hazard x Vulnerability
Capacities
RiskRisk
To reduce the disaster risk,
=

14. Division of International Cooperation for Disaster Medicine
SFDRR now includes Health
34 Words of “health”
• disasters losses with a significant economic, social, health, cultural and
environmental impact
• their livelihoods, health, cultural heritage
• social, health, cultural and educational resilience of person
• more explicit focus on people and their health and livelihoods
• food security, health and safety
• strengthening of economic, social, health and environmental resilience
• health and safety standards
• environment, agriculture, health, food and nutrition
• access to basic health care services, including maternal, newborn and child
health, sexual and reproductive health,
• Enhance cooperation between health authorities and other relevant
stakeholders to strengthen country capacity for disaster risk management for
health, the implementation of the International Health Regulations (2005) and
the building of resilient health systems;
• social, health and economic well-being

15. Division of International Cooperation for Disaster Medicine
Health in SFDRR
Target (d)
Substantially reduce disaster damage to critical infrastructure and disruption of basic
services, among them health and educational facilities, including through developing
their resilience by 2030.
Local Level
– (i) Enhance the resilience of national health systems, including by integrating
disaster risk management into primary, secondary and tertiary health care,
especially at the local level; developing the capacity of health workers in
understanding disaster risk and applying and implementing disaster risk
reduction approaches in health work; and promoting and enhancing the training
capacities in the field of disaster medicine; and supporting and training
community health groups in disaster risk reduction approaches in health
programmes, in collaboration with other sectors, as well as in the implementation
of the International Health Regulations (2005) of the World Health Organization;
Global and Regional Level
– Enhance recovery schemes to provide psychosocial support and mental health
services for all people in need

16. Division of International Cooperation for Disaster Medicine
Change the concept of Risk Reduction
Top 3 priorities for communities (UN Survey)
1. A good education
2. Better healthcare
3. An honest and responsive government
Needs
Quality
of Life
Injury
Illness
disability
Better access
Safe Hospital
Safe School
Hazard-proof
Structure
Early Warning
Mental and
Physical
Resilient
Community
Effective
Response
Communication Funding and
Development
Paradigm Shift
Climate Change
Rapid urbanization
Poverty
Lack of resource
Loss of biodiversity
Change of Risk

17. Division of International Cooperation for Disaster Medicine
Health in evaluation and reviewing process
• Preparatory Committees (2013-2014)
• Technical meetings and network development
Member
States
UN-
ISDR
Stake
holders
• Donors
• Private Sectors
• Academia
• People with disability
• Women
• Children and Youth
• Responders?

18. Division of International Cooperation for Disaster Medicine
Human Security in Disaster
Clusters
Better access
(Accessibility)
Safe Hospital
Education
Early
Warning
Mental and
Physical
Health
Effective Response
Communication
Funding
WASH
Logistics
Shelter
(Housing)
Early Recovery
Food
Security
Protection
Hazard-proof Structure
Safe School
People-centered approach is important
Health

19. Division of International Cooperation for Disaster Medicine
Sustainable Development Goals
Goal 3: Ensure healthy lives and promote well-being for all at all ages
One Health
Is
Related with all other goals.

20. Division of International Cooperation for Disaster Medicine
One Health Professionals
Setting the scene:
How can we improve (measure) one-health in DRR?
We have to better understand and collaborate with other clusters as one-health
professionals
Measurement of health in DRR/SDG/CC is necessary to improve.
General Human
Health Professionals
Disaster
Medicine
Other Clusters
?
???
???
Mental Health
Professionals

21. Division of International Cooperation for Disaster Medicine
3rd
WCDRR
Sendai
Sendai
20152014 2016 2017
5th IRDC
Davos
6th IDRC
Davos
4th
WCDRR
2030
Continuous collaboration and coordination for DRR
3rd One
Health
Summit
Davos
4th One
Health
Summit
Davos
HFA
MDG
CC
SFDRR
SDG
CC

22. Division of International Cooperation for Disaster Medicine
Session Structure
Haorile Chagan-Yasutan (10 min) IRIDeS, Tohoku University, Japan
One health and disaster related infectious disease
Ayato Takada (15 min) Hokkaido University Research Center for Zoonosis Control, Japan
Ebolavirus: Ecology and antiviral strategies.
Keiichi Ishii (15 min) Graduate School of Agricultural Science, Tohoku University
Nuclear disaster and a weakened resilience - Reconstructing agriculture with aged
farmers –
Osamu Murao (15 min) IRIDeS, Tohoku University, Japan
”City” as a living environment from a viewpoint of disaster management.
Yuichi Ono (15 min) IRIDeS, Tohoku University, Japan
Global Centre for Disaster Statistics