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The Guidelines on the Incident Response System (IRS) are issued by the National Disaster Management Authority (NDMA) under Section 6 of the DM Act, 2005 for effective, efficient and comprehensive management of disasters in India. The vision is to minimize loss of life and property by strengthening and standardising the disaster response mechanism in the country. Though India has been successfully managing disasters in the past, there are still a number of shortcomings which need to be addressed. The response today has to be far more comprehensive, effective, swift and well planned based on a well conceived response mechanism. Realisation of certain shortcomings in our response system and a desire to address the critical gaps led the Government of India (GoI) to look at the world’s best practices. The GoI found that the system evolved for firefighting in California is very comprehensive and thus decided to adopt Incident Command System (ICS). In view of the provisions of the DM Act, 2005, NDMA felt that authoritative Guidelines on the subject, with necessary modifications to suit the Indian administrative setup, were essential. To meet this need, a core group of experts was constituted and four regional consultation workshops were conducted. It was ensured that representatives of the State Governments and MHA participate and their views given due consideration. Training Institutes like the LBSNAA, NIDM and various RTIs / ATIs along with National core trainers also participated. The adaptation of ICS by other countries was also examined. The draft prepared was again sent to all States, UTs and their final comments were obtained and incorporated. A comprehensive set of Guidelines has thus been prepared and is called the Incident Response System (IRS)

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India’s unique geoclimatic conditions make it vulnerable to natural disasters like flood, drought, cyclone, earthquake, and epidemics/pandemics (latest being Influenza ‘A’ or H1N1) leading to sizable number of human casualties. To elucidate the mass casualty potential of natural disasters in the last one decade, the Orissa Super Cyclone (October 1999) caused more than 9,000 deaths; the Bhuj earthquake (January 2001) resulted in 14,000 deaths while the Tsunami (December 2004) accounted for the death of nearly 15,000 victims. The dimensions of modernization and industrialization’s are manmade disasters such as road/rail/air accidents, fire, and stampede having also mass casualty potential; new dimension being Chemical, Biological, Radiological and Nuclear (CBRN) disaster occurring accidentally or caused by terrorism activities. The deaths due to manmade disasters during the period 2001–03 were nearly 12 times higher than those caused by natural calamities. Consequently, disasters result in large number of deaths, both human and animal, in a short span of time that place overwhelming stress on individuals, society and the administration with an uncommon challenge of handling large numbers of survivors seeking medical attention due to the effects of the hazard(s).

MEDICAL PREPAREDNESS ASPECTS OF DISASTERS

The preparation of national guidelines for various types of disasters, both natural and man-made constitutes an important component of the mandate entrusted to the National Disaster Management Authority under the Disaster Management Act, 2005. In recent years, biological disasters including bio terrorism have assumed serious dimensions as they pose a greater threat to health, environment and national security. The risks and vulnerabilities of our food chain and agricultural sector to agroterrorism, which involves the deliberate introduction of plant or animal pathogens with the intent of undermining socio-economic stability, are increasingly being viewed as a potential economic threat. The spectre of pandemics engulfing our subcontinent and beyond poses new challenges to the skills and capacities of the government and society. Consequently, the formulation of the national guidelines on the entire gamut of biological disasters has been one of our key thrust areas with a view to build our resilience to respond effectively to such emerging threats. The intent of these guidelines is to develop a holistic, coordinated, proactive and technology driven strategy for management of biological disasters through a culture of prevention, mitigation and preparedness to generate a prompt and effective response in the event of an emergency. The document contains comprehensive guidelines for preparedness activities, biosafety and biosecurity measures, capacity development, specialised health care and laboratory facilities, strengthening of the existing legislative/ regulatory framework, mental health support, response, rehabilitation and recovery, etc. It specifically lays down the approach for implementation of the guidelines by the central ministries/departments, states, districts and other stakeholders, in a time bound manner.

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