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
These are the seven items presented in a linked framework.
Examples will be covered later.
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.
Discuss the indicators which participants have identified. Introduce these indicators of vulnerability for impact of disasters on communities.
Compare this slide to the answers given by participants.
Reiterate some of the public health consequences of disasters
Reiterate some of the public health consequences of disasters
These are the specific services that the health sector must provide in order to meet the needs
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.
Please present this slide.
Please present this slide.
Please present this slide.
Please present this slid, comparing it with the answers given by participants.
Please compare the answers on this slide with those given by participants.
Please present this slide.
Please present this slide.
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.
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