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Management  of  Health & Medical Issues  in  Disasters Dr S.J.Gandhi Deputy Director (Epidemic) Commissioerate Of Health Services, Gandhinagar
Seven Fundamental Terms in Risk Management A Logical Framework of Terminology Hazard Any potential threat to public safety and / or public health Risks The  potential  consequences of hazard interacting with community Emergency Any actual threat to public safety and / or public health Vulnerabilities Factors which determine the type and severity of those consequences Disaster A  civil emergency  in which the humanitarian needs are beyond local capacity to meet those needs i.e. the response and recovery operation must be managed at the national and/or international level   Readiness for Response A determinant of the severity and manageability of those consequences Community is people, property, services, livelihoods and environment i.e. the elements exposed to hazards
Definitions ,[object Object],[object Object],[object Object],[object Object]
Hazards ,[object Object],[object Object],[object Object],[object Object],[object Object]
A Community Consists of 5  Elements: ,[object Object],[object Object],[object Object],[object Object],[object Object]
COMMUNITY RISKS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vulnerabilities ,[object Object],[object Object],[object Object]
Indicators of Vulnerabilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indicators of Vulnerabilities (for people) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Critical Services – Basic Needs and Lifelines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consequences ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Public Health Consequences of Disasters ,[object Object],[object Object],[object Object],[object Object],[object Object]
Public Health Consequences of Disasters - cont.   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Health Services in Emergencies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Challenges in Health Emergency Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Challenges in Health Emergency Management ,[object Object],[object Object],[object Object],[object Object]
Challenges in Health Emergency Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HEALTH ISSUES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SOCIAL ISSUES ,[object Object],[object Object]
ADMINISTRATIVE  PROBLEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADMINISTRATIVE  PROBLEMS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATIENT CARE DIFFICULTIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATIENT CARE DIFFICULTIES ,[object Object],[object Object]
INFORMATION MANGEMENT ,[object Object],[object Object],[object Object]
Rapid Assessment- Team composition ,[object Object],[object Object],[object Object],[object Object]
SPHERE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Humanitarian Charter ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General Principles  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hygiene Promotion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Water Supply ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Water Supply…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Water Supply…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Water Supply…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Excreta Disposal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Excreta Disposal….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Excreta Disposal…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Solid Waste Disposal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Solid Waste Management….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Solid Waste Disposal… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drainage Facilities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Drainage Facilities…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health System in Disasters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Systems in Disasters…… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Systems in Disasters…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health System in Disasters….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Services in Disasters…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control of Communicable Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control of communicable diseases…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control of Communicable Diseases….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is a Rapid Health Assessment? ,[object Object],[object Object]
Objectives of Rapid Health Assessments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Objectives of Rapid Health Assessments ,[object Object],[object Object],[object Object],[object Object],[object Object]
Questions Answered by a  Rapid Health Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Purpose of Health Assessments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rapid Health Assessment: Common Mistakes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rapid Health Assessment - Common Mistakes ,[object Object]
What is Available in the EHA Webpage?
Recap: the Purpose of Assessments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Health Needs Assessments (DANA, RHA) Reporting + Surveillance Hospitals cough + fever Clinics and Health Centers diarrhea + fever Laboratories headache + fever PHC Programmes: rash + fever nutrition myalgia + fever IMCI - epi, ari, cdd etc other fever water and sanitation malnutrition <5s vector control trauma, disability MCH, safe motherhood DEP, VBD, VPD, DPHS, PUCD ? workload ? investigation expected needs unexpected needs ? enough supplies ? new supplies ? enough staff ? new staff ? referral system working ? new referral system institution focus disease focus are we meeting the needs? daily daily
RAPID HEALTH ASSESSMENT FORMATS
 
 
 
 
 
 
 
 
 
 
 
 
 
 
FINAL REPORT
 
 
 
 
Rehabilitation Aspects in Disasters-PHEMAP Dr. S. J. Gandhi Deputy Director (Epidemic) Commissioner ate of Health Services Gandhinagar
THANK YOU...

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Manag. of health & medical issues in disasters modified14 03-2009

  • 1. Management of Health & Medical Issues in Disasters Dr S.J.Gandhi Deputy Director (Epidemic) Commissioerate Of Health Services, Gandhinagar
  • 2. Seven Fundamental Terms in Risk Management A Logical Framework of Terminology Hazard Any potential threat to public safety and / or public health Risks The potential consequences of hazard interacting with community Emergency Any actual threat to public safety and / or public health Vulnerabilities Factors which determine the type and severity of those consequences Disaster A civil emergency in which the humanitarian needs are beyond local capacity to meet those needs i.e. the response and recovery operation must be managed at the national and/or international level Readiness for Response A determinant of the severity and manageability of those consequences Community is people, property, services, livelihoods and environment i.e. the elements exposed to hazards
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.  
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
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  • 35.
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  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61. What is Available in the EHA Webpage?
  • 62.
  • 63. Health Needs Assessments (DANA, RHA) Reporting + Surveillance Hospitals cough + fever Clinics and Health Centers diarrhea + fever Laboratories headache + fever PHC Programmes: rash + fever nutrition myalgia + fever IMCI - epi, ari, cdd etc other fever water and sanitation malnutrition <5s vector control trauma, disability MCH, safe motherhood DEP, VBD, VPD, DPHS, PUCD ? workload ? investigation expected needs unexpected needs ? enough supplies ? new supplies ? enough staff ? new staff ? referral system working ? new referral system institution focus disease focus are we meeting the needs? daily daily
  • 65.  
  • 66.  
  • 67.  
  • 68.  
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  • 83.  
  • 84. Rehabilitation Aspects in Disasters-PHEMAP Dr. S. J. Gandhi Deputy Director (Epidemic) Commissioner ate of Health Services Gandhinagar

Hinweis der Redaktion

  1. These are the seven items presented in a linked framework.
  2. Examples will be covered later.
  3. Community risks are a function of the relationship between hazards, vulnerabilities and capacities. The health consequences are the result of this interaction. Capacity refers to the capacity to reduce hazards, reduce vulnerability and the capacity to respond and recover from emergencies and disasters. This equation is only representative – it is not a straightforward mathematical formula. If hazards increase, the risk increases. If vulnerability increases, the risk increases. If capacity decreases, the risk increases. To reduce risk, we need to reduce hazards, reduce vulnerability, and increase capacities - therefore risk is lower.
  4. Discuss the indicators which participants have identified. Introduce these indicators of vulnerability for impact of disasters on communities.
  5. Compare this slide to the answers given by participants.
  6. Reiterate some of the public health consequences of disasters
  7. Reiterate some of the public health consequences of disasters
  8. These are the specific services that the health sector must provide in order to meet the needs
  9. Please present the WHO’s definition of a Rapid Health Assessment. At the onset of a crisis, a Rapid Health Assessment is used to recognise and quantify the emergency and to readjust strategies and plans accordingly. Once a programme of assistance is under way, periodic assessments will assist evaluation of the effectiveness of response and recovery. Highlight the difference between a post-disaster RHA and a Health Assessment in ‘normal’ conditions: RHA is driven by time constraints; the aim is to provide accurate rather than precise and extremely detailed information about the damage and the needs of the population, in order to meet these needs and restore their lifelines as quick as possible.
  10. Please present this slide.
  11. Please present this slide.
  12. Please present this slide.
  13. Please present this slid, comparing it with the answers given by participants.
  14. Please compare the answers on this slide with those given by participants.
  15. Please present this slide.
  16. Please present this slide.
  17. A detailed discussion of assessment criteria for a variety of specific health scenarios can be found in the WHO publication, “Rapid Assessment Protocols”, published 2000 in 10 parts.
  18. Linking DANA to programme reporting and monitoring PUCD = potentially unstable chronic diseases e.g. diabetes, asthma, renal failure etc. – these also need attention in disasters