Emergency Response and the International Charter Space and Major Disasters

Science.gov (United States)

Jones, B.; Lamb, R.

2011-12-01

Responding to catastrophic natural disasters requires information. When the flow of information on the ground is interrupted by crises such as earthquakes, landslides, volcanoes, hurricanes, and floods, satellite imagery and aerial photographs become invaluable tools in revealing post-disaster conditions and in aiding disaster response and recovery efforts. USGS is a global clearinghouse for remotely sensed disaster imagery. It is also a source of innovative products derived from satellite imagery that can provide unique overviews as well as important details about the impacts of disasters. Repeatedly, USGS and its resources have proven their worth in assisting with disaster recovery activities in the United States and abroad. USGS has a well-established role in emergency response in the United States. It works closely with the Federal Emergency Management Agency (FEMA) by providing first responders with satellite and aerial images of disaster-impacted sites and products developed from those images. The combination of the USGS image archive, coupled with its global data transfer capability and on-site science staff, was instrumental in the USGS becoming a participating agency in the International Charter Space and Major Disasters. This participation provides the USGS with access to international members and their space agencies, to information on European and other global member methodology in disaster response, and to data from satellites operated by Charter member countries. Such access enhances the USGS' ability to respond to global emergencies and to disasters that occur in the United States (US). As one example, the Charter agencies provided imagery to the US for over 4 months in response to the Gulf oil spill. The International Charter mission is to provide a unified system of space data acquisition and delivery to those affected by natural or man-made disasters. Each member space agency has committed resources to support the provisions of the Charter and

Telemedicine and international disaster response. Medical consultation to Armenia and Russia via a Telemedicine Spacebridge.

Science.gov (United States)

Houtchens, B A; Clemmer, T P; Holloway, H C; Kiselev, A A; Logan, J S; Merrell, R C; Nicogossian, A E; Nikogossian, H A; Rayman, R B; Sarkisian, A E

1993-01-01

The Telemedicine Spacebridge, a satellite-mediated, audio-video-fax link between four United States and two Armenian and Russian medical centers, permitted remote American consultants to assist Armenian and Russian physicians in the management of medical problems following the December 1988 earthquake in Armenia and the June 1989 gas explosion near Ufa. During 12 weeks of operations, 247 Armenian and Russian and 175 American medical professionals participated in 34 half-day clinical conferences. A total of 209 patients were discussed, requiring expertise in 20 specialty areas. Telemedicine consultations resulted in altered diagnoses for 54, new diagnostic studies for 70, altered diagnostic processes for 47, and modified treatment plans for 47 of 185 Armenian patients presented. Simultaneous participation of several US medical centers was judged beneficial; quality of data transmission was judged excellent. These results suggest that interactive consultation by remote specialists can provide valuable assistance to on-site physicians and favorably influence clinical decisions in the aftermath of major disasters.

Telemedicine and international disaster response: medical consultation to Armenia and Russia via a Telemedicine Spacebridge.

Science.gov (United States)

Houtchens, B A; Clemmer, T P; Holloway, H C; Kiselev, A A; Logan, J S; Merrell, R C; Nicogossian, A E; Nikogossian, H A; Rayman, R B; Sarkisian, A E; Siegel, J H

1993-01-01

The Telemedicine Spacebridge, a satellite-mediated, audio-video-fax link between four United States and two Armenian and Russian medical centers, permitted remote American consultants to assist Armenian and Russian physicians in the management of medical problems following the December 1988 earthquake in Armenia and the June 1989 gas explosion near Ufa. During 12 weeks of operations, 247 Armenian and Russian and 175 American medical professionals participated in 34 half-day clinical conferences. A total of 209 patients were discussed, requiring expertise in 20 specialty areas. Telemedicine consultations resulted in altered diagnoses for 54, new diagnostic studies for 70, altered diagnostic processes for 47, and modified treatment plans for 47 of 185 Armenian patients presented. Simultaneous participation of several US medical centers was judged beneficial; quality of data transmission was judged excellent. These results suggest that interactive consultation by remote specialists can provide valuable assistance to on-site physicians and favorably influence clinical decisions in the aftermath of major disasters.

Measuring disaster preparedness of local emergency medical services agencies

OpenAIRE

Elliott, Ross W.

2010-01-01

CHDS State/Local Approved for public release; distribution is unlimited Emergency Medical Services (EMS) plays a key role in disaster response. Yet, determining how much preparedness is enough to achieve an acceptable level of preparedness is challenging. After conducting an extensive literature review, it is evident no nationally accepted method exists to evaluate an EMS system's level of disaster preparedness systematically. Research was conducted to define the skills and equipmen...

The Central American Network for Disaster and Health Information.

Science.gov (United States)

Arnesen, Stacey J; Cid, Victor H; Scott, John C; Perez, Ricardo; Zervaas, Dave

2007-07-01

This paper describes an international outreach program to support rebuilding Central America's health information infrastructure after several natural disasters in the region, including Hurricane Mitch in 1998 and two major earthquakes in 2001. The National Library of Medicine joined forces with the Pan American Health Organization/World Health Organization, the United Nations International Strategy for Disaster Reduction, and the Regional Center of Disaster Information for Latin America and the Caribbean (CRID) to strengthen libraries and information centers in Central America and improve the availability of and access to health and disaster information in the region by developing the Central American Network for Disaster and Health Information (CANDHI). Through CRID, the program created ten disaster health information centers in medical libraries and disaster-related organizations in six countries. This project served as a catalyst for the modernization of several medical libraries in Central America. The resulting CANDHI provides much needed electronic access to public health "gray literature" on disasters, as well as access to numerous health information resources. CANDHI members assist their institutions and countries in a variety of disaster preparedness activities through collecting and disseminating information.

2nd International Conference on Dynamics of Disasters

CERN Document Server

Nagurney, Anna; Pardalos, Panos

2016-01-01

This volume results from the “Second International Conference on Dynamics of Disasters” held in Kalamata, Greece, June 29-July 2, 2015. The conference covered particular topics involved in natural and man-made disasters such as war, chemical spills, and wildfires. Papers in this volume examine the finer points of disasters through: · Critical infrastructure protection · Resiliency · Humanitarian logistic · Relief supply chains · Cooperative game theory · Dynamical systems · Decision making under risk and uncertainty · Spread of diseases · Contagion · Funding for disaster relief · Tools for emergency preparedness · Response, and risk mitigation Multi-disciplinary theories, tools, techniques and methodologies are linked with disasters from mitigation and preparedness to response and recovery. The interdisciplinary approach to problems in economics, optimization, government, management, business, humanities, engineering, medicine, mathematics, computer science, behavioral studies, emergency servi...

Medical Requirements During a Natural Disaster: A Case Study on WhatsApp Chats Among Medical Personnel During the 2015 Nepal Earthquake.

Science.gov (United States)

Basu, Moumita; Ghosh, Saptarshi; Jana, Arnab; Bandyopadhyay, Somprakash; Singh, Ravikant

2017-12-01

The objective of this study was to explore a log of WhatsApp messages exchanged among members of the health care group Doctors For You (DFY) while they were providing medical relief in the aftermath of the Nepal earthquake in April 2015. Our motivation was to identify medical resource requirements during a disaster in order to help government agencies and other responding organizations to be better prepared in any upcoming disaster. A large set of WhatsApp (WhatsApp Inc, Mountain View, CA) messages exchanged among DFY members during the Nepal earthquake was collected and analyzed to identify the medical resource requirements during different phases of relief operations. The study revealed detailed phase-wise requirements for various types of medical resources, including medicines, medical equipment, and medical personnel. The data also reflected some of the problems faced by the medical relief workers in the earthquake-affected region. The insights from this study may help not only the Nepalese government, but also authorities in other earthquake-prone regions of the world to better prepare for similar disasters in the future. Moreover, real-time analysis of such online data during a disaster would aid decision-makers in dynamically formulating resource-mapping strategies. (Disaster Med Public Health Preparedness. 2017;11:652-655).

The academic medical centre and nongovernmental organisation partnership following a natural disaster.

Science.gov (United States)

Sarani, Babak; Mehta, Samir; Ashburn, Michael; Nakashima, Koji; Gupta, Rajan; Dombroski, Derek; Schwab, C William

2012-10-01

The global response to the 12 January 2010 earthquake in Haiti revealed the ability to mobilise medical teams quickly and effectively when academic medical centres partner non-governmental organisations (NGO) that already have a presence in a zone of devastation. Most established NGOs based in a certain region are accustomed to managing the medical conditions that are common to that area and will need additional and specialised support to treat the flux of myriad injured persons. Furthermore, an NGO with an established presence in a region prior to a disaster appears better positioned to provide sustained recovery and rehabilitation relief. Academic medical centres can supply these essential specialised resources for a prolonged time. This relationship between NGOs and academic medical centres should be further developed prior to another disaster response. This model has great potential with regard to the rapid preparation and worldwide deployment of skilled medical and surgical teams when needed following a disaster, as well as to the subsequent critical recovery phase. © 2012 The Author(s). Journal compilation © Overseas Development Institute, 2012.

International Space Station Data Collection for Disaster Response

Science.gov (United States)

Stefanov, William L.; Evans, Cynthia A.

2015-01-01

Remotely sensed data acquired by orbital sensor systems has emerged as a vital tool to identify the extent of damage resulting from a natural disaster, as well as providing near-real time mapping support to response efforts on the ground and humanitarian aid efforts. The International Space Station (ISS) is a unique terrestrial remote sensing platform for acquiring disaster response imagery. Unlike automated remote-sensing platforms it has a human crew; is equipped with both internal and externally-mounted remote sensing instruments; and has an inclined, low-Earth orbit that provides variable views and lighting (day and night) over 95 percent of the inhabited surface of the Earth. As such, it provides a useful complement to autonomous sensor systems in higher altitude polar orbits. NASA remote sensing assets on the station began collecting International Disaster Charter (IDC) response data in May 2012. The initial NASA ISS sensor systems responding to IDC activations included the ISS Agricultural Camera (ISSAC), mounted in the Window Observational Research Facility (WORF); the Crew Earth Observations (CEO) Facility, where the crew collects imagery using off-the-shelf handheld digital cameras; and the Hyperspectral Imager for the Coastal Ocean (HICO), a visible to near-infrared system mounted externally on the Japan Experiment Module Exposed Facility. The ISSAC completed its primary mission in January 2013. It was replaced by the very high resolution ISS SERVIR Environmental Research and Visualization System (ISERV) Pathfinder, a visible-wavelength digital camera, telescope, and pointing system. Since the start of IDC response in 2012 there have been 108 IDC activations; NASA sensor systems have collected data for thirty-two of these events. Of the successful data collections, eight involved two or more ISS sensor systems responding to the same event. Data has also been collected by International Partners in response to natural disasters, most notably JAXA and

International Charter `Space and Major Disasters' Collaborations

Science.gov (United States)

Jones, B. K.

2017-12-01

The International Charter aims at providing a unified system of space data acquisition and delivery to national disaster authorities of countries affected by natural or man-made disasters. Each of the sixteen Member Agencies has committed resources to support the objectives of the Charter and thus helping to mitigate the effects of disasters on human life and property, getting critical information into the hands of the disaster responders so that they can make informed decisions in the wake of a disaster. The Charter Member Agencies work together to provide remotely sensed imagery to any requesting country that is experiencing a natural or man-made disaster. The Space Agencies contribute priority satellite taskings, archive retrievals, and map production, as well as imagery of the affected areas. The imagery is provided at no cost to the affected country and is made available for the immediate response phase of the disaster. The Charter also has agreements with Sentinel Asia to submit activation requests on behalf of its 30+ member countries and the United Nations Office of Outer Space Affairs (UN OOSA) and United Nations Institute for Training and Research (UNITAR)/ United Nations Operational Satellite Applications Programme (UNOSAT) to submit activations on behalf of United Nations relief agencies such as UNICEF and UNOCHA. To further expand accessibility to the Charter Member Agency resources, the Charter has implemented the Universal Access initiative, which allows any country's disaster management authority to submit an application, attend a brief training session, and after successful completion, become an Authorized User able to submit activation requests without assistance from Member Agencies. The data provided by the Charter is used for many purposes including damage assessments, reference maps, evacuation route planning, search and rescue operations, decision maker briefings, scientific evaluations, and other response activities.

Awareness of disaster reduction frameworks and risk perception of natural disaster: a questionnaire survey among Philippine and Indonesian health care personnel and public health students.

Science.gov (United States)

Usuzawa, Motoki; O Telan, Elizabeth; Kawano, Razel; S Dizon, Carmela; Alisjahbana, Bachti; Ashino, Yugo; Egawa, Shinichi; Fukumoto, Manabu; Izumi, Takako; Ono, Yuichi; Hattori, Toshio

2014-05-01

As the impacts of natural disasters have grown more severe, the importance of education for disaster medicine gains greater recognition. We launched a project to establish an international educational program for disaster medicine. In the present study, we surveyed medical personnel and medical/public health students in the Philippines (n = 45) and Indonesia (n = 67) for their awareness of the international frameworks related to disaster medicine: the Human Security (securing individual life and health), the Sphere Project (international humanitarian response), and the Hyogo Framework for Action 2005-2015 (international strategy for disaster reduction). In both countries, more than 50% responders were aware of human security, but only 2 to 12% were aware of the latter two. The survey also contained questions about the preferred subjects in prospective educational program, and risk perception on disaster and disaster-related infections. In the Philippines, significant disasters were geophysical (31.0%), hydrological (33.3%), or meteorological (24.8%), whereas in Indonesia, geophysical (63.0%) and hydrological (25.3%) were significant. Moreover, in the Philippines, leptospirosis (27.1%), dengue (18.6%), diarrhea (15.3%), and cholera (10.2%) were recognized common disaster-related infections. In Indonesia, diarrhea (22.0%) and respiratory infection (20.3%) are major disaster-related infections. Water-related infections were the major ones in both countries, but the profiles of risk perception were different (Pearson's chi-square test, p = 1.469e-05). The responders tended to overestimate the risk of low probability and high consequence such as geophysical disaster. These results are helpful for the development of a postgraduate course for disaster medicine in Asia Pacific countries.

Disaster medicine. A guide for medical care in case of disasters. 3. rev. ed.

International Nuclear Information System (INIS)

Weidringer, J.W.

2003-01-01

This guide was first published in 1982. The 2003 edition takes account of new research, of practical experience in natural disasters, and of the organisational plans of the German civil service units. All factors are considered which are important for successful medical care in case of natural disasters, large-scale accidents, and war. Among the new issues that are considered in this volume is the new European situation with regard to national safety, the new German legislation on civil safety, the hazards of an increasingly technological society, and the options and requirements for protection of the population in case of emergencies. After the Chernobyl accident, the focus in the field of nuclear radiation has shifted to radiation protection problems. There are new chapters on stress management during and after emergency shifts which take account of the experience gained in major disasters. (orig.)

International Space Station Instmments Collect Imagery of Natural Disasters

Science.gov (United States)

Evans, C. A.; Stefanov, W. L.

2013-01-01

A new focus for utilization of the International Space Station (ISS) is conducting basic and applied research that directly benefits Earth's citizenry. In the Earth Sciences, one such activity is collecting remotely sensed imagery of disaster areas and making those data immediately available through the USGS Hazards Data Distribution System, especially in response to activations of the International Charter for Space and Major Disasters (known informally as the "International Disaster Charter", or IDC). The ISS, together with other NASA orbital sensor assets, responds to IDC activations following notification by the USGS. Most of the activations are due to natural hazard events, including large floods, impacts of tropical systems, major fires, and volcanic eruptions and earthquakes. Through the ISS Program Science Office, we coordinate with ISS instrument teams for image acquisition using several imaging systems. As of 1 August 2013, we have successfully contributed imagery data in support of 14 Disaster Charter Activations, including regions in both Haiti and the east coast of the US impacted by Hurricane Sandy; flooding events in Russia, Mozambique, India, Germany and western Africa; and forest fires in Algeria and Ecuador. ISS-based sensors contributing data include the Hyperspectral Imager for the Coastal Ocean (HICO), the ISERV (ISS SERVIR Environmental Research and Visualization System) Pathfinder camera mounted in the US Window Observational Research Facility (WORF), the ISS Agricultural Camera (ISSAC), formerly operating from the WORF, and high resolution handheld camera photography collected by crew members (Crew Earth Observations). When orbital parameters and operations support data collection, ISS-based imagery adds to the resources available to disaster response teams and contributes to the publicdomain record of these events for later analyses.

Unpredictable, unpreventable and impersonal medicine: global disaster response in the 21st century.

Science.gov (United States)

Andrews, Russell J; Quintana, Leonidas M

2015-01-01

The United Nations has recognized the devastating consequences of "unpredictable, unpreventable and impersonal" disasters-at least US $2 trillion in economic damage and more than 1.3 million lives lost from natural disasters in the last two decades alone. In many disasters (both natural and man-made) hundreds-and in major earthquakes, thousands-of lives are lost in the first days following the event because of the lack of medical/surgical facilities to treat those with potentially survivable injuries. Disasters disrupt and destroy not only medical facilities in the disaster zone but also infrastructure (roads, airports, electricity) and potentially local healthcare personnel as well. To minimize morbidity and mortality from disasters, medical treatment must begin immediately, within minutes ideally, but certainly within 24 h (not the days to weeks currently seen in medical response to disasters). This requires that all resources-medical equipment and support, and healthcare personnel-be portable and readily available; transport to the disaster site will usually require helicopters, as military medical response teams in developed countries have demonstrated. Some of the resources available and in development for immediate medical response for disasters-from portable CT scanners to telesurgical capabilities-are described. For immediate deployment, these resources-medical equipment and personnel-must be ready for deployment on a moment's notice and not require administrative approvals or bureaucratic authorizations from numerous national and international agencies, as is presently the case. Following the "trauma center/stroke center" model, disaster response incorporating "disaster response centers" would be seamlessly integrated into the ongoing daily healthcare delivery systems worldwide, from medical education and specialty training (resident/registrar) to acute and subacute intensive care to long-term rehabilitation. The benefits of such a global disaster

Psychological first aid training after Japan's triple disaster: changes in perceived self competency.

Science.gov (United States)

Semlitz, Linda; Ogiwara, Kaori; Weissbecker, Inka; Gilbert, Elizabeth; Sato, Maiko; Taniguchi, Machi; Ishii, Chikako; Sawa, Chie

2013-01-01

International Medical Corps and TELL, a local mental health non-profit organization in Japan, collaborated to develop localized Psychological First Aid (PFA) training of welfare and volunteer organizations supporting survivors of the Japan March 11, 2011 triple disaster The trainings significantly increased participants 'perceived competency in applying PFA principles and in interacting with the disaster affected populations in a safe manner The collaboration between International Medical Corps and TELL in developing, implementing and evaluating the training has potential to inform PFA activities in other disaster affected settings.

International Space Station Data Collection for Disaster Response

Science.gov (United States)

Stefanov, William L.; Evans, Cynthia A..

2014-01-01

Natural disasters - including such events as tropical storms, earthquakes, floods, volcanic eruptions, and wildfires -effect hundreds of millions of people worldwide, and also cause billions of dollars (USD) in damage to the global economy. Remotely sensed data acquired by orbital sensor systems has emerged as a vital tool to identify the extent of damage resulting from a natural disaster, as well as providing near-real time mapping support to response efforts on the ground and humanitarian aid efforts. The International Space Station (ISS) is a unique terrestrial remote sensing platform for acquiring disaster response imagery. Unlike automated remote-sensing platforms it has a human crew; is equipped with both internal and externally-mounted remote sensing instruments; and has an inclined, low-Earth orbit that provides variable views and lighting (day and night) over 95 percent of the inhabited surface of the Earth. As such, it provides a useful complement to free-flyer based, sun-synchronous sensor systems in higher altitude polar orbits. While several nations have well-developed terrestrial remote sensing programs and assets for data collection, many developing nations do not have ready access to such resources. The International Charter, Space and Major Disasters (also known as the "International Disaster Charter", or IDC; http://www.disasterscharter.org/home) addresses this disparity. It is an agreement between agencies of several countries to provide - on a best-effort basis - remotely sensed data of natural disasters to requesting countries in support of disaster response. The lead US agency for interaction with the IDC is the United States Geological Survey (USGS); when an IDC request or "activation" is received, the USGS notifies the science teams for NASA instruments with targeting information for data collection. In the case of the ISS, the Earth Sciences and Remote Sensing (ESRS) Unit, part of the Astromaterials Research and Exploration Science

Regulating the helping hand: improving legal preparedness for cross-border disaster medicine.

Science.gov (United States)

Fisher, David

2010-01-01

Medical care is a highly regulated field in nearly every country. Therefore, it is not surprising that legal issues regularly arise in cross-border disaster operations that have with the potential to profoundly impact the effectiveness of international assistance. Little attention has been paid to preparing for and addressing these kinds of issues. This paper will report on research by the International Federation of Red Cross and Red Crescent Societies (IFRC) on International Disaster Response Law, and discuss new developments in the international legal framework for addressing these issues. For seven years, the IFRC has studied legal issues in cross-border disaster assistance. Its activities have included several dozen case studies, a global survey of governments and humanitarian stakeholders, and a series of meetings and high-level conferences. The IFRC has found a consistent set of regulatory problems in major disaster relief operations related to the entry and regulation of international relief. These include some issues specific to the health field, such as the regulation of drug donations and the recognition of foreign medical qualifications. To address the gaps in domestic and international regulatory structures, the IFRC spearheaded the development of new international guidelines. The legal risks for international health providers in disaster settings are real and should be better integrated into program planning. Governments must become more proactive in ensuring that legal frameworks are flexible enough to mitigate these problems.

Review of the International Council of Nurses (ICN) Framework of Disaster Nursing Competencies.

Science.gov (United States)

Hutton, Alison; Veenema, Tener Goodwin; Gebbie, Kristine

2016-12-01

The International Council of Nurses (ICN; Geneva, Switzerland) and the World Association for Disaster and Emergency Medicine (WADEM; Madison, Wisconsin USA) joined together in 2014 to review the use of the ICN Framework of Disaster Nursing Competencies. The existing ICN Framework (version 1.10; dated 2009) formed the starting point for this review. The key target audiences for this process were members of the disaster nursing community concerned with pre-service education for professional nursing and the continuing education of practicing professional nurses. To minimize risk in the disaster nursing practice, competencies have been identified as the foundation of evidence-based practice and standard development. A Steering Committee was established by the WADEM Nursing Section to discuss how to initiate a review of the ICN Framework of Disaster Nursing Competencies. The Steering Committee then worked via email to develop a survey to send out to disaster/emergency groups that may have nurse members who work/respond in disasters. Thirty-five invitations were sent out with 20 responses (57%) received. Ninety-five percent of respondents knew of the ICN Framework of Disaster Nursing Competencies, with the majority accessing these competencies via the Internet. The majority of those who responded said that they make use of the ICN Framework of Disaster Nursing Competencies with the most common use being for educational purposes. Education was done at a local, national, and international level. The competencies were held in high esteem and valued by these organizations as the cornerstone of their disaster education, and also were used for the continued professional development of disaster nursing. However, respondents stated that five years on from their development, the competencies also should include the psychosocial elements of nurses caring for themselves and their colleagues. Additionally, further studies should explore if there are other areas related to the

IDRL in Italy: A Study on Strengthening Legal Preparedness for International Disaster Response

OpenAIRE

Gatti, Mauro

2015-01-01

This report seeks to identify the main obstacles that existing rules create for international cooperation in the event of disasters in Italy: It does so by looking to the Guidelines for the Domestic Facilitation and Regulation of International Disaster Relief and Initial Recovery Assistance (hereinafter the IDRL Guidelines) and to the EU Host Nation Support Guidelines (HNSG). The analysis seeks to point out solutions (mostly legislative ones) that may contribute to enhancing international coo...

Current status of medical training for facing chemical, biological and nuclear disasters

International Nuclear Information System (INIS)

Guerra Cepena, Eulises; Gell Labannino, Adia; Perez Perez, Aristides

2013-01-01

A descriptive, longitudinal and prospective study was conducted in 200 sixth year-medical students from the Faculty 2 of Medical University in Santiago de Cuba during 2011-2012, with the purpose of determining some of deficiencies affecting their performance during chemical, biological or nuclear disasters, for which an unstructured survey and an observation guide were applied. In the series demotivation of some students regarding the topic, poor theoretical knowledge of the topic, the ignorance of ways to access information and the little use of this topic in college scientific events were evidenced, which also involved the little systematization of the content on disasters and affected the objectives of medical training with comprehensive profile

A Strategic Look at the Federal Medical Response to Disasters

National Research Council Canada - National Science Library

Hutson, Vivian T

2007-01-01

...), which has a mission of medical response to supplement state and local healthcare resources, evacuation of patients from the disaster area, and the provision of definitive care hospital beds to care for victims...

Emergency medicine in case of disasters. Guideline for medical care in case of disasters. 4. rev. ed.; Katastrophenmedizin. Leitfaden fuer die aerztliche Versorgung im Katastrophenfall

Energy Technology Data Exchange (ETDEWEB)

NONE

2006-07-01

Medical care in case of disasters means being pressed for time, facing difficult structures and a shortage of resources while trying to attend to many injured at a time. The knowledge required must be immediately available, and this is where this book comes in handy. The guide addresses primarily doctors and medical staff. It answers medical questions, lists contacts, provides information on disaster management, and goes into legal and ethical aspects as well. (orig.)

Medical management of nuclear disaster

International Nuclear Information System (INIS)

Kinugasa, Tatsuya

1996-01-01

This report briefly describes the measures to be taken other than ordinary duties when an accident happens in nuclear facilities such as atomic power plant, reprocessing plant, etc. Such nuclear disasters are assigned into four groups; (1) accidents in industrial levels, (2) accidents in which the workers are implicated, (3) accidents of which influence to environments should be taken into consideration and (4) accidents to which measures for inhabitants should be taken. Therefore, the measures to be taken at an emergency were also grouped in the following four; (1) treatments for the accident, itself, (2) measures to minimize the effects on the environment, (3) rescues of the victims and emergency cares for them and (4) measures and medical cares to protect the inhabitants from radiation exposure. Presently, medical professionals, especially doctors, nurses etc. are not accustomed to control nuclear contaminations. Therefore, it is needed for radiological professionals to actively provide appropriate advises about the control and measurement of contamination. (M.N.)

Medical Support for Aircraft Disaster Search and Recovery Operations at Sea: the RSN Experience.

Science.gov (United States)

Teo, Kok Ann Colin; Chong, Tse Feng Gabriel; Liow, Min Han Lincoln; Tang, Kong Choong

2016-06-01

The maritime environment presents a unique set of challenges to search and recovery (SAR) operations. There is a paucity of information available to guide provision of medical support for SAR operations for aircraft disasters at sea. The Republic of Singapore Navy (RSN) took part in two such SAR operations in 2014 which showcased the value of a military organization in these operations. Key considerations in medical support for similar operations include the resultant casualty profile and challenges specific to the maritime environment, such as large distances of area of operations from land, variable sea states, and space limitations. Medical support planning can be approached using well-established disaster management life cycle phases of preparedness, mitigation, response, and recovery, which all are described in detail. This includes key areas of dedicated training and exercises, force protection, availability of air assets and chamber support, psychological care, and the forensic handling of human remains. Relevant lessons learned by RSN from the Air Asia QZ8501 search operation are also included in the description of these key areas. Teo KAC , Chong TFG , Liow MHL , Tang KC . Medical support for aircraft disaster search and recovery operations at sea: the RSN experience. Prehosp Disaster Med. 2016; 31(3):294-299.

Psychiatric and medical disorders in the after math of the uttarakhand disaster: assessment, approach, and future challenges.

Science.gov (United States)

Channaveerachari, Naveen Kumar; Raj, Aneel; Joshi, Suvarna; Paramita, Prajna; Somanathan, Revathi; Chandran, Dhanya; Kasi, Sekar; Bangalore, N Roopesh; Math, Suresh Bada

2015-01-01

To present the descriptive data on the frequency of medical and psychiatric morbidity and also to discuss various pertinent issues relevant to the disaster management, the future challenges and psychosocial needs of the 2013 floods in Uttarakhand, India. Observation was undertaken by the disaster management team of National Institute of Mental Health and Neurosciences in the worst affected four districts of Uttarakhand. Qualified psychiatrists diagnosed the patients using the International Classification of Diseases-10 criteria. Data were collected by direct observation, interview of the survivors, group sessions, individual key-informant interview, individual session, and group interventions. Patients with physical health problems formed the majority of treatment seekers (39.6%) in this report. Only about 2% had disaster induced psychiatric diagnoses. As was expected, minor mental disorders in the form of depressive disorders and anxiety disorders formed majority of the psychiatric morbidity. Substance use disorders appear to be very highly prevalent in the community; however, we were not able to assess the morbidity systematically. The mental health infrastructure and manpower is abysmally inadequate. There is an urgent need to implement the National Mental Health Program to increase the mental health infrastructure and services in the four major disaster-affected districts.

Deployment of field hospitals to disaster regions: Insights from ten medical relief operations spanning three decades.

Science.gov (United States)

Naor, Michael; Heyman, Samuel N; Bader, Tarif; Merin, Ofer

2017-01-01

The Israeli Defense Force (IDF) Medical Corps developed a model of airborne field hospital. This model was structured to deal with disaster settings, requiring self-sufficiency, innovation and flexible operative mode in the setup of large margins of uncertainty regarding the disaster environment. The current study is aimed to critically analyze the experience, gathered in ten such missions worldwide. Interviews with physicians who actively participated in the missions from 1988 until 2015 as chief medical officers combined with literature review of principal medical and auxiliary publications in order to assess and integrate information about the assembly of these missions. A body of knowledge was accumulated over the years by the IDF Medical Corps from deploying numerous relief missions to both natural (earthquake, typhoon, and tsunami), and man-made disasters, occurring in nine countries (Armenia, Rwanda, Kosovo, Turkey, India, Haiti, Japan, Philippines, and Nepal). This study shows an evolutionary pattern with improvements implemented from one mission to the other, with special adaptations (creativity and improvisation) to accommodate logistics barriers. The principals and operative function for deploying medical relief system, proposed over 20 years ago, were challenged and validated in the subsequent missions of IDF outlined in the current study. These principals, with the advantage of the military infrastructure and the expertise of drafted civilian medical professionals enable the rapid assembly and allocation of highly competent medical facilities in disaster settings. This structure model is to large extent self-sufficient with a substantial operative flexibility that permits early deployment upon request while the disaster assessment and definition of needs are preliminary.

Proceeding of the 2-nd International Conference 'Long-term Health Consequences of the Chernobyl Disaster'

International Nuclear Information System (INIS)

Nyagu, A.I.; Sushkevitch, G.N.

1998-01-01

On the second International conference 'Long-term health consequences of the Chernobyl disaster' in 1-6 June 1998 Kiev (Ukraine) the following problems were discussed: 1.Epidemiological aspects of the Chernobyl disaster; 2.Clinical and biological effects of ionizing radiation; 3.Social and psychological aftermath of the Chernobyl disaster; 4.Rehabilitation of the Chernobyl disaster survivors

Academic Responses to Fukushima Disaster.

Science.gov (United States)

Yasui, Kiyotaka; Kimura, Yuko; Kamiya, Kenji; Miyatani, Rie; Tsuyama, Naohiro; Sakai, Akira; Yoshida, Koji; Yamashita, Shunichi; Chhem, Rethy; Abdel-Wahab, May; Ohtsuru, Akira

2017-03-01

Since radiation accidents, particularly nuclear disasters, are rarer than other types of disasters, a comprehensive radiation disaster medical curriculum for them is currently unavailable. The Fukushima compound disaster has urged the establishment of a new medical curriculum in preparation for any future complex disaster. The medical education will aim to aid decision making on various health risks for workers, vulnerable people, and residents addressing each phase in the disaster. Herein, we introduce 3 novel educational programs that have been initiated to provide students, professionals, and leaders with the knowledge of and skills to elude the social consequences of complex nuclear disasters. The first program concentrates on radiation disaster medicine for medical students at the Fukushima Medical University, together with a science, technology, and society module comprising various topics, such as public risk communication, psychosocial consequences of radiation anxiety, and decision making for radiation disaster. The second program is a Phoenix Leader PhD degree at the Hiroshima University, which aims to develop future leaders who can address the associated scientific, environmental, and social issues. The third program is a Joint Graduate School of Master's degree in the Division of Disaster and Radiation Medical Sciences at the Nagasaki University and Fukushima Medical University.

Training medical staff for pediatric disaster victims: a comparison of different teaching methods.

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Behar, Solomon; Upperman, Jeffrey S; Ramirez, Marizen; Dorey, Fred; Nager, Alan

2008-01-01

The goal of this study was to assess the effectiveness of the different types of healthcare worker training in pediatric disaster medicine knowledge over time and to analyze the effects of training type on healthcare workers' attitude toward pediatric disaster medicine. Prospective randomized controlled longitudinal study. Large, urban, tertiary academic children's hospital. Physicians and nurses employed at Children's Hospital Los Angeles randomly selected from a global hospital e-mail server over a 3-week time frame were invited to participate and receive an incentive on completion. Forty-three controls and 42 intervention subjects (22 lecture + tabletop exercise, 20 lecture only) completed the study. Subjects with disaster training in the prior 6 months were excluded. Subjects underwent a didactic lecture or a combination of didactic lecture and tabletop exercise. Preintervention and postintervention testing took place using a 37-question multiple-choice test on pediatric disaster medical topics. Posttesting took place immediately after intervention and then 1, 3, and 6 months after the intervention. Subjects also were surveyed before and after intervention regarding their attitudes toward pediatric disaster medicine. (1) Scores on a 37-question knowledge test and (2) Likert scores on self-perceptions of knowledge, comfort, and interest in pediatric disaster medicine. Regardless of intervention type, participant scores on a postintervention pediatric disaster medicine tests over a 6-month period increased and remained well above pretest means for intervention and control pretest scores. There were no differences in scores comparing type of intervention. However, subjects who underwent the tabletop simulation had a better sense of knowledge and comfort with the topics compared with those who only underwent a didactic lecture. Didactic lecture and tabletop exercises both increase healthcare worker's knowledge of pediatric disaster medical topics. This knowledge

Retrospection-Simulation-Revision: Approach to the Analysis of the Composition and Characteristics of Medical Waste at a Disaster Relief Site.

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Zhang, Li; Wu, Lihua; Tian, Feng; Wang, Zheng

2016-01-01

A large amount of medical waste is produced during disaster relief, posing a potential hazard to the habitat and the environment. A comprehensive understanding of the composition and characteristics of medical waste that requires management is one of the most basic steps in the development of a plan for medical waste management. Unfortunately, limited reliable information is available in the open literature on the characteristics of the medical waste that is generated at disaster relief sites. This paper discusses the analysis of the composition and characteristics of medical waste at a disaster relief site using the retrospection-simulation-revision method. For this study, we obtained 35 medical relief records of the Wenchuan Earthquake, Sichuan, May 2008 from a field cabin hospital. We first present a retrospective analysis of the relief medical records, and then, we simulate the medical waste generated in the affected areas. We ultimately determine the composition and characteristics of medical waste in the affected areas using untreated medical waste to revise the composition of the simulated medical waste. The results from 35 cases showed that the medical waste generated from disaster relief consists of the following: plastic (43.2%), biomass (26.3%), synthetic fiber (15.3%), rubber (6.6%), liquid (6.6%), inorganic salts (0.3%) and metals (1.7%). The bulk density of medical relief waste is 249 kg/m3, and the moisture content is 44.75%. The data should be provided to assist the collection, segregation, storage, transportation, disposal and contamination control of medical waste in affected areas. In this paper, we wish to introduce this research method of restoring the medical waste generated in disaster relief to readers and researchers. In addition, we hope more disaster relief agencies will become aware of the significance of medical case recording and storing. This may be very important for the environmental evaluation of medical waste in disaster areas, as

Managing anaesthetic provision for global disasters.

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Craven, R M

2017-12-01

The numbers of people affected by large-scale disasters has increased in recent decades. Disasters produce a huge burden of surgical morbidity at a time when the affected country is least able to respond. For this reason an international disaster response is often required. For many years this disaster response was not coordinated. The response consisted of what was available not what was needed and standards of care varied widely producing a healthcare lottery for the affected population. In recent years the World Health organisation has initiated the Emergency Medical Team programme to coordinate the response to disasters and set minimum standards for responding teams. Anaesthetists have a key role to play in Level 2 Surgical Field Hospitals. The disaster context produces a number of logistical challenges that directly impact on the anaesthetist requiring adaptation of anaesthetic techniques from their everyday practice. The context in which they will be working and the wider scope of practice that will be expected from them in the field mandates that deploying anaesthetists should be trained for disaster response. There have been significant improvements in recent years in the speed of response, equipment availability, coordination and training for disasters. Future challenges include increasing local disaster response capacity, agreeing international standards for training and improving data collection to allow for future research and improvement in disaster response. The goal of this review article is to provide an understanding of the disaster context and what logistical challenges it provides. There has been a move during the last decade from a globally uncoordinated, unregulated response, with no consensus on standards, to a globally coordinated response through the World Health Organisation (WHO). A classification system for responding Emergency Medical Teams (EMTs) and a set of agreed minimum standards has been defined. This review outlines the scope of

Experience of medical service of the Armed Forces during elimination of consequences of Chernobyl's disaster

International Nuclear Information System (INIS)

Chizh, I.M.

1996-01-01

The article analyzes ten-years experience (1986-1996) of the Armed Forces medical service participation in elimination of consequences of Chernobyl's accidents. The system of medical supply created soon after accidents (management and interaction, forces and means, peculiarities of sanitary-hygienic, antiepidemic, treatment-and-prophylactic supply) has been described in breaf, its positive sides and main deficiencies and also the ways of there elimination, the place of military-medical service in modern sate system of disaster medical supply have been discussed. The results of prolonged dynamic observation of rescuers by the All-Army medical-and-dosimetric register materials, the main directions, results and prospects of scientific study about problems of radiative disaster have been analyzed. 32 refs., 4 figs., 1 tab

Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine.

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Kim, Kyeong Han; Jang, Soobin; Lee, Ju Ah; Jang, Bo-Hyoung; Go, Ho-Yeon; Park, Sunju; Jo, Hee-Guen; Lee, Myeong Soo; Ko, Seong-Gyu

2017-01-01

This study aimed to investigate medical records using traditional Korean medicine (TKM) in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM) in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone could use on-site tent without restriction and TKM treatments including herb medicine were administered individually. The total of 1,860 patients were treated during the periods except for medical assistance on the barge. Most patients were diagnosed in musculoskeletal diseases (66.4%) and respiratory diseases (7.4%) and circulatory diseases (8.4%) followed. The most frequently used herbal medicines were Shuanghe decoction (80 days), Su He Xiang Wan (288 pills), and Wuji powder (73 days). TKM in medical assistance can be helpful to rescue worker or group life people in open shelter when national disasters occur. Therefore, it is important to construct a rapid respond system using TKM resources based on experience.

Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine

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Kyeong Han Kim

2017-01-01

Full Text Available Background. This study aimed to investigate medical records using traditional Korean medicine (TKM in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. Methods. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone could use on-site tent without restriction and TKM treatments including herb medicine were administered individually. Results. The total of 1,860 patients were treated during the periods except for medical assistance on the barge. Most patients were diagnosed in musculoskeletal diseases (66.4% and respiratory diseases (7.4% and circulatory diseases (8.4% followed. The most frequently used herbal medicines were Shuanghe decoction (80 days, Su He Xiang Wan (288 pills, and Wuji powder (73 days. Conclusions. TKM in medical assistance can be helpful to rescue worker or group life people in open shelter when national disasters occur. Therefore, it is important to construct a rapid respond system using TKM resources based on experience.

Survey of preventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake: a retrospective preliminary investigation of medical institutions in Miyagi Prefecture.

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Yamanouchi, Satoshi; Sasaki, Hiroyuki; Tsuruwa, Miho; Ueki, Yuzuru; Kohayagawa, Yoshitaka; Kondo, Hisayoshi; Otomo, Yasuhiro; Koido, Yuichi; Kushimoto, Shigeki

2015-04-01

The 2011, magnitude (M) 9, Great East Japan Earthquake and massive tsunami caused widespread devastation and left approximately 18,500 people dead or missing. The incidence of preventable disaster death (PDD) during the Great East Japan Earthquake remains to be clarified; the present study investigated PDD at medical institutions in areas affected by the Great East Japan Earthquake in order to improve disaster medical systems. A total of 25 hospitals in Miyagi Prefecture (Japan) that were disaster base hospitals (DBHs), or had at least 20 patient deaths between March 11, 2011 and April 1, 2011, were selected to participate based on the results of a previous study. A database was created using the medical records of all patient deaths (n=868), and PDD was determined from discussion with 10 disaster health care professionals. A total of 102 cases of PDD were identified at the participating hospitals. The rate of PDD was higher at coastal hospitals compared to inland hospitals (62/327, 19.0% vs 40/541, 7.4%; Pdeath at medical institutions in areas affected by the Great East Japan Earthquake occurred mainly at coastal hospitals. Insufficient resources (at GHs), environmental factors (at coastal hospitals), and delayed medical intervention (at all hospitals) constituted the major potential contributing factors. Further investigation of all medical institutions in Miyagi Prefecture, including those with fewer than 20 patient deaths, is required in order to obtain a complete picture of the details of PDD at medical institutions in the disaster area.

International conference. Mental health consequences of the Chernobyl disaster: current state and future prospects

International Nuclear Information System (INIS)

Nyagu, A.I.

1995-01-01

Proceedings of the International Conference on the mental health consequences of the Chernobyl disaster: current state and future prospects was introduced.The questions connected with: 1. Mental health disorders biological basis after ionizing radiation influence; 2. Psychiatric aspects of the Chernobyl disaster; 3. Social stress following contradictory information: ways for its overcoming; 4. Rehabilitation and prophylactic measures for mental and nervous disorders. Psycho social rehabilitation of survivors; 5. Psychosomatic effects and somato-neurological consequences of the Chernobyl disaster; 6. Psychosomatic health of children and adolescents survivors of the Chernobyl disaster; 7. Brain damage as result of prenatal irradiation

Survey of Preventable Disaster Deaths at Medical Institutions in Areas Affected by the Great East Japan Earthquake: Retrospective Survey of Medical Institutions in Miyagi Prefecture.

Science.gov (United States)

Yamanouchi, Satoshi; Sasaki, Hiroyuki; Kondo, Hisayoshi; Mase, Tomohiko; Otomo, Yasuhiro; Koido, Yuichi; Kushimoto, Shigeki

2017-10-01

Introduction In 2015, the authors reported the results of a preliminary investigation of preventable disaster deaths (PDDs) at medical institutions in areas affected by the Great East Japan Earthquake (2011). This initial survey considered only disaster base hospitals (DBHs) and hospitals that had experienced at least 20 patient deaths in Miyagi Prefecture (Japan); therefore, hospitals that experienced fewer than 20 patient deaths were not investigated. This was an additional study to the previous survey to better reflect PDD at hospitals across the entire prefecture. Of the 147 hospitals in Miyagi Prefecture, the 14 DBHs and 82 non-DBHs that agreed to participate were included in an on-site survey. A database was created based on the medical records of 1,243 patient deaths that occurred between March 11, 2011 and April 1, 2011, followed by determination of their status as PDDs. A total of 125 cases of PDD were identified among the patients surveyed. The rate of PDD was significantly higher at coastal hospitals than inland hospitals (17.3% versus 6.3%; Pdisaster deaths in non-DBHs were most numerous in facilities with few general beds, especially among patients hospitalized before the disaster in hospitals with fewer than 100 beds. Categorized by area, the most frequent causes of PDD were: insufficient medical resources, disrupted lifelines, delayed medical intervention, and deteriorated environmental conditions in homes and emergency shelters in coastal areas; and were delayed medical intervention and disrupted lifelines in inland areas. Categorized by hospital function, the most frequent causes were: delayed medical intervention, deteriorated environmental conditions in homes and emergency shelters, and insufficient medical resources at DBHs; while those at non-DBHs were disrupted lifelines, insufficient medical resources, delayed medical intervention, and lack of capacity for transport within the area. Preventable disaster death at medical institutions in areas

Protocol of the project pain & disasters: assessment of critical issues and possible solutions

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Daniele Mipatrini

2016-03-01

Full Text Available Background: Disasters cause almost 100 thousand deaths and affect 200 million people every year. Operators working in disaster zones reported problems in importing medications, in particular pain killers and narcotics, in areas of disasters. The importance of ensuring access to painkillers, including major analgesics, is pinpointed by the World Health Organization which through its “Access to Controlled Medications Programme” provides normative guidance, policy analysis and training of healthcare workers on this issue. Nevertheless the little evidence available on the assessment and treatment of pain in disasters suggests that the management of pain in disaster zones may be affected by several factors mainly due to the availability of drugs, the skills of health personnel and cultural issues. Aim:The main aims of this project are: evaluating whether pain is correctly assessed and treated in disaster zones, assessing which are the main limitations to its treatment and producing suggestions and reccomandations to improve its treatment. Materials & Methods: In order to achieve our aims we will adopt a combined approach made by: A systematic review of the evidence will be conducted in the scientific databases Medline and Scopus. A review of grey literature concerning the issue on the Web pages of international organizations and NGOs working in the field of humanitarian aid. A survey among healthcare workers who took part to the international humanitarian actions. A survey among expert of the humanitarian field not necessary involved in projects on the field e.g. lawyer expert in international law, international organizations representatives working in the headquarters etc. A technical table with European experts in the field of pain treatment and/or disaster reaponse.

Disaster Metrics: A Comprehensive Framework for Disaster Evaluation Typologies.

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Wong, Diana F; Spencer, Caroline; Boyd, Lee; Burkle, Frederick M; Archer, Frank

2017-10-01

Introduction The frequency of disasters is increasing around the world with more people being at risk. There is a moral imperative to improve the way in which disaster evaluations are undertaken and reported with the aim of reducing preventable mortality and morbidity in future events. Disasters are complex events and undertaking disaster evaluations is a specialized area of study at an international level. Hypothesis/Problem While some frameworks have been developed to support consistent disaster research and evaluation, they lack validation, consistent terminology, and standards for reporting across the different phases of a disaster. There is yet to be an agreed, comprehensive framework to structure disaster evaluation typologies. The aim of this paper is to outline an evolving comprehensive framework for disaster evaluation typologies. It is anticipated that this new framework will facilitate an agreement on identifying, structuring, and relating the various evaluations found in the disaster setting with a view to better understand the process, outcomes, and impacts of the effectiveness and efficiency of interventions. Research was undertaken in two phases: (1) a scoping literature review (peer-reviewed and "grey literature") was undertaken to identify current evaluation frameworks and typologies used in the disaster setting; and (2) a structure was developed that included the range of typologies identified in Phase One and suggests possible relationships in the disaster setting. No core, unifying framework to structure disaster evaluation and research was identified in the literature. The authors propose a "Comprehensive Framework for Disaster Evaluation Typologies" that identifies, structures, and suggests relationships for the various typologies detected. The proposed Comprehensive Framework for Disaster Evaluation Typologies outlines the different typologies of disaster evaluations that were identified in this study and brings them together into a single

Experiences Providing Medical Assistance during the Sewol Ferry Disaster Using Traditional Korean Medicine

OpenAIRE

Kim, Kyeong Han; Jang, Soobin; Lee, Ju Ah; Jang, Bo-Hyoung; Go, Ho-Yeon; Park, Sunju; Jo, Hee-Guen; Lee, Myeong Soo; Ko, Seong-Gyu

2017-01-01

Background. This study aimed to investigate medical records using traditional Korean medicine (TKM) in Sewol Ferry disaster in 2014 and further explore the possible role of traditional medicine in disaster situation. Methods. After Sewol Ferry accident, 3 on-site tents for TKM assistance by the Association of Korean Medicine (AKOM) in Jindo area were installed. The AKOM mobilized volunteer TKM doctors and assistants and dispatched each on-site tent in three shifts within 24 hours. Anyone coul...

[Survey about responsiveness of third-level hospitals to a medical disaster: after the pandemic influenza in Mexico].

Science.gov (United States)

Serna-Ojeda, Juan Carlos; Castañón-González, Jorge Alberto; Macías, Alejandro E; Mansilla-Olivares, Armando; Domínguez-Cherit, Guillermo; Polanco-González, Carlos

2012-01-01

The recent pandemic influenza AH1N1 virus made it clear that planning for medical disaster response is critical. To know the responsiveness of a sample of highly specialized hospitals in Mexico to a medical disaster, with the previous pandemic influenza AH1N1 as reference. A survey was conducted among the Medical Directors of a sample of highly specialized hospitals, covering: previous experience with the pandemic influenza, space considerations, material resources, staff, logistics, and current general perspectives. Descriptive statistics were used for analysis. A 95% response was obtained from the institutions (19 hospitals). Of these, 47.4% considered that the medical institution was not ready to respond to pandemic influenza. The median surge capacity for the Intensive Care Unit beds was 30% (range 0 to 32 beds). The least reserve in medication was found in the antivirals (26.3%). Only 47.4% considered having enough intensive care nurses and 57.9% enough respiratory technicians; 42.1% would not have an easy access to resources in an emergency. Prevention is key in responsiveness to medical disasters, and therefore the basic steps for planning strategies must be considered.

Developing post-disaster physical rehabilitation: role of the World Health Organization Liaison Sub-Committee on Rehabilitation Disaster Relief of the International Society of Physical and Rehabilitation Medicine.

Science.gov (United States)

Gosney, James; Reinhardt, Jan Dietrich; Haig, Andrew J; Li, Jianan

2011-11-01

This special report presents the role of the World Health Organization (WHO) Liaison Sub-Committee on Rehabilitation Disaster Relief (CRDR) of the International Society of Physical and Rehabilitation Medicine (ISPRM) in developing an enhanced physical rehabilitation relief response to large-scale natural disasters. The CRDR has stated that disaster rehabilitation is an emerging subspecialty within physical and rehabilitation medicine (PRM). In reviewing the existing literature it was found that large natural disasters result in many survivors with disabling impairments, that these survivors may have better clinical outcomes when they are treated by PRM physicians and teams of rehabilitation professionals, that the delivery of these rehabilitation services to disaster sites is complicated, and that their absence can result in significant negative consequences for individuals, communities and society. To advance its agenda, the CRDR sponsored an inaugural Symposium on Rehabilitation Disaster Relief as a concurrent scientific session at the 2011 ISPRM 6th World Congress in San Juan, Puerto Rico. The symposium included oral and poster presentations on a range of relevant topics and concluded with an international non-governmental organization panel discussion that addressed the critical question "How can rehabilitation actors coordinate better in disaster?" Building upon the symposium, the CRDR is developing a disaster rehabilitation evidence-base, which will inform and educate the global professional rehabilitation community about needs and best practices in disaster rehabilitation. The Journal of Rehabilitation Medicine (JRM) has commissioned this special report to announce a series of papers on disaster rehabilitation from the symposium's scientific programme. Authors are invited to submit papers on the topic for inclusion in this special series. JRM also encourages expert commentary in the form of Letters to the Editor.

Proceedings of the international conference on disaster management

International Nuclear Information System (INIS)

Murthy, D.S. Ramachandra; Partheeban, P.; Asha, P.; Raju, H. Prasad

2014-01-01

Disasters disrupt progress and destroy the hard-earned fruits of painstaking developmental efforts, often pushing nations, in quest for progress, back by several decades. Efficient management of disasters, rather than mere response to their occurrence has, in recent times, received increased attention both within India and abroad. This is as much a result of the recognition of the increasing frequency and intensity of disasters as it is an acknowledgement that good governance, in a caring and civilized society, needs to deal effectively with the devastating impact of disasters. India is vulnerable, in varying degrees, to a large number of natural as well as man-made disasters. 58.6 per cent of the landmass is prone to earthquakes of moderate to very high intensity; over 40 million hectares (12 per cent of lend) is prone to floods and river erosion; of the 7,516 km long coastline, close to 5,700 km is prone to cyclones and tsunamis; 68 per cent of the cultivable area is vulnerable to drought and hilly areas are at risk from landslides and avalanches. 'Vulnerability to disasters/ emergencies of Chemical, Biological, Radiological and Nuclear (CBRN) origin also exists. Heightened vulnerabilities to disaster risks can be related to expanding population, urbanization and industrialization, development within high-risk zones, environmental degradation and climate change. The National Policy on disaster management enacted as Disaster Management Act in 2005, envisages capacity building on various aspects of disaster management at various levels. Disaster management includes measures for disaster prevention, disaster mitigation, disaster preparation, response and reconstruction. The present status and gaps in knowledge on the above topics are discussed during the conference. Papers relevant to INIS are indexed separately

Topics of Disasters in Scientific Outputs of Medical Sciences: A Cross-Sectional Study

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Zahra Aghalari

2017-01-01

Conclusion: Although, there were scientific articles dedicated to emergencies, disasters and accidents, such topics were limited. Therefore, it seems necessary to take appropriate measures aimed at greater attention to the needs of national and regional medical scientists.

Disaster healthcare system management and crisis intervention leadership in Thailand--lessons learned from the 2004 Tsunami disaster.

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Peltz, Rami; Ashkenazi, Issac; Schwartz, Dagan; Shushan, Ofer; Nakash, Guy; Leiba, Adi; Levi, Yeheskel; Goldberg, Avishay; Bar-Dayan, Yaron

2006-01-01

Quarantelli established criteria for evaluating the effectiveness of disaster management. The objectives of this study were to analyze the response of the healthcare system to the Tsunami disaster according to the Quarantelli principles, and to validate these principles in a scenario of a disaster due to natural hazards. The Israeli Defense Forces (IDF) Home Front Command Medical Department sent a research team to study the response of the Thai medical system to the disaster. The analysis of the disaster management was based on Quarantelli's 10 criteria for evaluating the management of community disasters. Data were collected through personal and group interviews. The three most important elements for effective disaster management were: (1) the flow of information; (2) overall coordination; and (3) leadership. Although pre-event preparedness was for different and smaller scenarios, medical teams repeatedly reported a better performance in hospitals that recently conducted drills. In order to increase effectiveness, disaster management response should focus on: (1) the flow of information; (2) overall coordination; and (3) leadership.

What does nature have to do with it? Reconsidering distinctions in international disaster response frameworks in the Danube basin

Science.gov (United States)

McClain, Shanna N.; Secchi, Silvia; Bruch, Carl; Remo, Jonathan W. F.

2017-12-01

This article examines the international policy and institutional frameworks for response to natural and man-made disasters occurring in the Danube basin and the Tisza sub-basin, two transnational basins. Monitoring and response to these types of incidents have historically been managed separately. We discuss whether the policy distinctions in response to natural and man-made disasters remain functional given recent international trends toward holistic response to both kinds of disasters. We suggest that these distinctions are counterproductive, outdated, and ultimately flawed, illustrate some of the specific gaps in the Danube and the Tisza, and conclude by proposing an integrated framework for disaster response in the Danube basin and Tisza sub-basin.

What does nature have to do with it? Reconsidering distinctions in international disaster response frameworks in the Danube basin

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S. N. McClain

2017-12-01

Full Text Available This article examines the international policy and institutional frameworks for response to natural and man-made disasters occurring in the Danube basin and the Tisza sub-basin, two transnational basins. Monitoring and response to these types of incidents have historically been managed separately. We discuss whether the policy distinctions in response to natural and man-made disasters remain functional given recent international trends toward holistic response to both kinds of disasters. We suggest that these distinctions are counterproductive, outdated, and ultimately flawed, illustrate some of the specific gaps in the Danube and the Tisza, and conclude by proposing an integrated framework for disaster response in the Danube basin and Tisza sub-basin.

Comprehensive approach for probabilistic risk assessment (CAPRA): international initiative for disaster risk management effectiveness

OpenAIRE

Cardona, Omar D.; Ordaz Schroder, Mario Gustavo; Reinoso, Eduardo; Yamín, Luis; Barbat Barbat, Horia Alejandro

2010-01-01

Understanding disaster risk due to hazard events, such as earthquakes, creates powerful incentives for countries to develop planning options and tools to reduce potential damages. This has been the reason why CAPRA, the risk evaluation model described in this paper, was developed with the technical and financial support of the World Bank, the Inter-American Development Bank (IDB) and the International Strategy of United Nations for Disaster Reduction (ISDR). CAPRA is a techno-scientific metho...

Disasters And Minimum Health Standards In Disaster Response

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Sibel GOGEN

Full Text Available Millions of people are affected by natural or man made disasters all over the world. The number of people affected by disasters increase globally, due to global climate changes, increasing poverty, low life standards, inappropriate infrastructure, lack of early response systems, abuse of natural sources, and beside these, nuclear weapons, wars and conflicts, terrorist actions, migration, displacement and population movements. 95 % of life loss due to disasters are in the underdeveloped or developing countries. Turkey is a developing country, highly affected by disasters. For coping with disasters, not only national action plans, but also International Action Plans and cooperations are needed. Since all the disasters have direct and indirect effects on health, applications of minimal health standarts in disaster response, will reduce the morbidity and mortality rates. In this paper, water supplies and sanitation, vector control, waste control, burial of corpses, nutrition and minimum health standards in disaster response, are reviewed. [TAF Prev Med Bull 2004; 3(12.000: 296-306

Task force St. Bernard: operational issues and medical management of a National Guard disaster response operation.

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Bonnett, Carl J; Schock, Tony R; McVaney, Kevin E; Colwell, Christopher B; Depass, Christopher

2007-01-01

After Hurricane Katrina struck the Gulf Coast of the United States on 29 August 2005, it became obvious that the country was facing an enormous national emergency. With local resources overwhelmed, governors across the US responded by deploying thousands of National Guard soldiers and airmen. The National Guard has responded to domestic disasters due to natural hazards since its inception, but an event with the magnitude of Hurricane Katrina was unprecedented. The deployment of >900 Army National Guard soldiers to St. Bernard Parish, Louisiana in the aftermath of the Hurricane was studied to present some of the operational issues involved with providing medical support for this type of operation. In doing so, the authors attempt to address some of the larger issues of how the National Guard can be incorporated into domestic disaster response efforts. A number of unforeseen issues with regards to medical operations, medical supply, communication, preventive medicine, legal issues, and interactions with civilians were encountered and are reviewed. A better understanding of the National Guard and how it can be utilized more effectively in future disaster response operations can be developed.

Effects of natural disaster trends: a case study for expanding the pre-positioning network of CARE International.

Science.gov (United States)

Bozkurt, Melda; Duran, Serhan

2012-08-01

The increasing number of natural disasters in the last decade necessitates the increase in capacity and agility while delivering humanitarian relief. A common logistics strategy used by humanitarian organizations to respond this need is the establishment of pre-positioning warehouse networks. In the pre-positioning strategy, critical relief inventories are located near the regions at which they will be needed in advance of the onset of the disaster. Therefore, pre-positioning reduces the response time by totally or partially eliminating the procurement phase and increasing the availability of relief items just after the disaster strikes. Once the pre-positioning warehouse locations are decided and warehouses on those locations become operational, they will be in use for a long time. Therefore, the chosen locations should be robust enough to enable extensions, and to cope with changing trends in disaster types, locations and magnitudes. In this study, we analyze the effects of natural disaster trends on the expansion plan of pre-positioning warehouse network implemented by CARE International. We utilize a facility location model to identify the additional warehouse location(s) for relief items to be stored as an extension of the current warehouse network operated by CARE International, considering changing natural disaster trends observed over the past three decades.

Veterans Health Administration's Disaster Emergency Medical Personnel System (DEMPS) Training Evaluation: Potential Implications for Disaster Health Care Volunteers.

Science.gov (United States)

Schmitz, Susan; Radcliff, Tiffany A; Chu, Karen; Smith, Robert E; Dobalian, Aram

2018-02-20

The US Veterans Health Administration's Disaster Emergency Medical Personnel System (DEMPS) is a team of employee disaster response volunteers who provide clinical and non-clinical staffing assistance when local systems are overwhelmed. This study evaluated attitudes and recommendations of the DEMPS program to understand the impact of multi-modal training on volunteer perceptions. DEMPS volunteers completed an electronic survey in 2012 (n=2120). Three training modes were evaluated: online, field exercise, and face-to-face. Measures included: "Training Satisfaction," "Attitudes about Training," "Continued Engagement in DEMPS." Data were analyzed using χ2 and logistic regression. Open-ended questions were evaluated in a manner consistent with grounded theory methodology. Most respondents participated in DEMPS training (80%). Volunteers with multi-modal training who completed all 3 modes (14%) were significantly more likely to have positive attitudes about training, plan to continue as volunteers, and would recommend DEMPS to others (P-valuevolunteer engagement. A blended learning environment using multi-modal training methods, could enhance satisfaction and attitudes and possibly encourage continued engagement in DEMPS or similar programs. DEMPS training program modifications in 2015 expanded this blended learning approach through new interactive online learning opportunities. (Disaster Med Public Health Preparedness. 2018; page 1 of 8).

Health after disaster: A perspective of psychological/health reactions to disaster

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Ursula Martin

2015-12-01

Full Text Available Superstorm Sandy, which affected millions of people in 2012, was a disaster in structural, financial, medical, and emotional terms. Many survivors experienced post-storm health psychology impacts. Depression levels increased by 25%, and physician visits were elevated by a significant amount. Clearly, large-scale disasters have a profound effect on the physical and emotional health of survivors. Understanding these effects can improve future disaster relief programs and policies. Exploration of post-disaster issues can inform government entities and non-government organizations to assist communities and individuals left in the aftermath of natural disasters.

The NASA Applied Science Program Disasters Area: Disaster Applications Research and Response

Science.gov (United States)

Murray, J. J.; Lindsay, F. E.; Stough, T.; Jones, C. E.

2014-12-01

The goal of the Natural Disaster Application Area is to use NASA's capabilities in spaceborne, airborne, surface observations, higher-level derived data products, and modeling and data analysis to improve natural disaster forecasting, mitigation, and response. The Natural Disaster Application Area applies its remote sensing observations, modeling and analysis capabilities to provide hazard and disaster information where and when it is needed. Our application research activities specifically contribute to 1) Understanding the natural processes that produce hazards, 2)Developing hazard mitigation technologies, and 3)Recognizing vulnerability of interdependent critical infrastructure. The Natural Disasters Application area selects research projects through a rigorous, impartial peer-review process that address a broad spectrum of disasters which afflict populations within the United States, regionally and globally. Currently there are 19 active projects in the research portfolio which address the detection, characterization, forecasting and response to a broad range of natural disasters including earthquakes, tsunamis, volcanic eruptions and ash dispersion, wildfires, hurricanes, floods, tornado damage assessment, oil spills and disaster data mining. The Disasters team works with federal agencies to aid the government in meeting the challenges associated with natural disaster response and to transfer technologies to agencies as they become operational. Internationally, the Disasters Area also supports the Committee on Earth Observations Working Group on Disasters, and the International Charter on Space and Disasters to increase, strengthen, and coordinate contributions of NASA Earth-observing satellites and applications products to disaster risk management. The CEOS group will lead pilot efforts focused on identifying key systems to support flooding, earthquake, and volcanic events.

Psychological impact of nuclear disasters

International Nuclear Information System (INIS)

Behere, Prakash B.; Chougule, Kaveri N.; Syyed, S.

2017-01-01

There are major Nuclear Power plant disasters in world, one was Chernobyl, Ukraine 1986, and other was Fukushima, Japan 2011. There are many studies, which are evidence based to demonstrate short and long terms consequences of nuclear plant disasters. The psychological consequences of nuclear power plant disasters include depression, anxiety, posttraumatic stress disorder, and medically unexplained somatic symptoms. These effects are often long term and associated with fears about developing serious illness like cancer. Research on disasters involving radiation, particularly evidence from Chernobyl, indicates that mothers of young children and safai workers are the highest risk groups. It is important that non-mental health providers learn to recognize and manage psychological symptoms and that medical programs be designed to reduce stigma and alleviate psychological suffering by integrating psychiatric and medical treatment

[Role of pharmacists during serious natural disasters: report from Ishinomaki, the disaster-struck city].

Science.gov (United States)

Tanno, Yoshiro

2014-01-01

On August 31, 2011, five months after the Great East Japan Earthquake, Miyagi prefecture reported 9357 dead and 2288 missing citizens, whereas Ishinomaki reported 4753 dead and 1302 missing citizens. A total of 12 pharmacists in Miyagi prefecture had lost their lives. Many medical institutions at the time were rendered out of service due to damage. Ishinomaki Red Cross had to serve as headquarters of disaster medicine management for the area. The government of Miyagi and Miyagi Pharmacist Association signed a contract regarding the provision of medical and/or other related tasks. Nevertheless, the contract was not fully applied given the impact of the tsunami, which caused chaos in telecommunication, traffic, and even the functions of the government. Given the nature of the disaster, medical teams equipped only with emergency equipment could not offer appropriate response to the needs of patients with chronicle diseases. "Personal medicine logbook" and pharmacists were keys to relief works during the disaster. Pharmacists played a critical role not only for self-medication by distributing over the counter (OTC) drugs, but also in hygiene management of the shelter. Apart from the establishment of an adoptive management system for large-scale natural disasters, a coordinated system for disaster medical assistance team (DMAT), Japanese Red Cross (JRC), Self-Defense Force (SDF), and other relief work organizations was imperative.

Disaster mitigation science for Earthquakes and Tsunamis -For resilience society against natural disasters-

Science.gov (United States)

Kaneda, Y.; Takahashi, N.; Hori, T.; Kawaguchi, K.; Isouchi, C.; Fujisawa, K.

2017-12-01

Destructive natural disasters such as earthquakes and tsunamis have occurred frequently in the world. For instance, 2004 Sumatra Earthquake in Indonesia, 2008 Wenchuan Earthquake in China, 2010 Chile Earthquake and 2011 Tohoku Earthquake in Japan etc., these earthquakes generated very severe damages. For the reduction and mitigation of damages by destructive natural disasters, early detection of natural disasters and speedy and proper evacuations are indispensable. And hardware and software developments/preparations for reduction and mitigation of natural disasters are quite important. In Japan, DONET as the real time monitoring system on the ocean floor is developed and deployed around the Nankai trough seismogenic zone southwestern Japan. So, the early detection of earthquakes and tsunamis around the Nankai trough seismogenic zone will be expected by DONET. The integration of the real time data and advanced simulation researches will lead to reduce damages, however, in the resilience society, the resilience methods will be required after disasters. Actually, methods on restorations and revivals are necessary after natural disasters. We would like to propose natural disaster mitigation science for early detections, evacuations and restorations against destructive natural disasters. This means the resilience society. In natural disaster mitigation science, there are lots of research fields such as natural science, engineering, medical treatment, social science and literature/art etc. Especially, natural science, engineering and medical treatment are fundamental research fields for natural disaster mitigation, but social sciences such as sociology, geography and psychology etc. are very important research fields for restorations after natural disasters. Finally, to realize and progress disaster mitigation science, human resource cultivation is indispensable. We already carried out disaster mitigation science under `new disaster mitigation research project on Mega

Factors Associated with Discussion of Disasters by Final Year High School Students: An International Cross-sectional Survey.

Science.gov (United States)

Codreanu, Tudor A; Celenza, Antonio; Alabdulkarim, Ali A Rahman

2015-08-01

Introduction The effect on behavioral change of educational programs developed to reduce the community's disaster informational vulnerability is not known. This study describes the relationship of disaster education, age, sex, and country-specific characteristics with students discussing disasters with friends and family, a measure of proactive behavioral change in disaster preparedness. Three thousand eight hundred twenty-nine final year high school students were enrolled in an international, multi-center prospective, cross-sectional study using a pre-validated written questionnaire. In order to obtain information from different educational systems, from countries with different risk of exposure to disasters, and from countries with varied economic development status, students from Bahrain, Croatia, Cyprus, Egypt, Greece, Italy, Portugal, Romania, and Timor-Leste were surveyed. Logistic regression analyses examined the relationship between the likelihood of discussing disasters with friends and family (dependent variable) and a series of independent variables (age, gender, participation in school lessons about disasters, existence of a national disaster educational program, ability to list pertinent example of disasters, country's economic group, and disaster risk index) captured by the questionnaire or available as published data. There was no statistically significant relationship between age, awareness of one's surroundings, planning for the future, and foreseeing consequences of events with discussions about potential hazards and risks with friends and/or family. The national educational budget did not have a statistically significant influence. Participants who lived in a low disaster risk and high income Organization for Economic Co-operation and Development (OECD) country were more likely to discuss disasters. While either school lessons or a national disaster education program had a unique, significant contribution to the model, neither had a better

Innovative Methods for the Benefit of Public Health Using Space Technologies for Disaster Response.

Science.gov (United States)

Dinas, Petros C; Mueller, Christian; Clark, Nathan; Elgin, Tim; Nasseri, S Ali; Yaffe, Etai; Madry, Scott; Clark, Jonathan B; Asrar, Farhan

2015-06-01

Space applications have evolved to play a significant role in disaster relief by providing services including remote sensing imagery for mitigation and disaster damage assessments; satellite communication to provide access to medical services; positioning, navigation, and timing services; and data sharing. Common issues identified in past disaster response and relief efforts include lack of communication, delayed ordering of actions (eg, evacuations), and low levels of preparedness by authorities during and after disasters. We briefly summarize the Space for Health (S4H) Team Project, which was prepared during the Space Studies Program 2014 within the International Space University. The S4H Project aimed to improve the way space assets and experiences are used in support of public health during disaster relief efforts. We recommend an integrated solution based on nano-satellites or a balloon communication system, mobile self-contained relief units, portable medical scanning devices, and micro-unmanned vehicles that could revolutionize disaster relief and disrupt different markets. The recommended new system of coordination and communication using space assets to support public health during disaster relief efforts is feasible. Nevertheless, further actions should be taken by governments and organizations in collaboration with the private sector to design, test, and implement this system.

Determinants of intention to leave among non-medical employees after a nuclear disaster: a cross-sectional study.

Science.gov (United States)

Takeda, Saeka; Orita, Makiko; Fukushima, Yoshiko; Kudo, Takashi; Takamura, Noboru

2016-07-19

To conduct a survey among non-medical employees working at the time of the Fukushima Daiichi Nuclear Power Station accident, in order to determine the factors associated with their intentions to leave their jobs during the nuclear disaster. We asked 287 employees (166 men and 121 women) in the study. We asked about their intentions to leave their jobs after the nuclear disaster. We also asked about relevant factors, including the participants' demographic factors, living situations and working environments. We found that in employees younger than 40 (OR=4.73, 95% CI 1.74 to 12.85, p=0.002), being married (OR=3.18, 95% CI 1.03 to 9.79, p=0.044), measurements of the ambient dose rates in their homes after the accident (OR=5.32, 95% CI 1.65 to 17.14, p=0.005), anxiety about their relationships with their colleagues after the accident (OR=3.91, 95% CI 1.51 to 10.16, p=0.005) and the influence of radiation on the workplace (OR=0.33, 95% CI 0.14 to 0.80, p=0.014) were independently associated with the non-medical employees' intentions to leave their jobs after the nuclear disaster. Our results suggest the need for continuous risk communication regarding such factors and the provision of information about the health effects of radiation exposure to non-medical employees after nuclear disasters. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Natural Disasters (Environmental Health Student Portal)

Science.gov (United States)

... be prepared. Games and Activities Stop Disasters (International Strategy for Disaster Reduction) - Online game to learn how to stop various disasters ... | Accessibility Videos and Players Contact Us: tehip@teh.nlm.nih. ...

[Medical rescue of China National Earthquake Disaster Emergency Search and Rescue Team in Lushan earthquake].

Science.gov (United States)

Liu, Ya-hua; Yang, Hui-ning; Liu, Hui-liang; Wang, Fan; Hu, Li-bin; Zheng, Jing-chen

2013-05-01

To summarize and analyze the medical mission of China National Earthquake Disaster Emergency Search and Rescue Team (CNESAR) in Lushan earthquake, to promote the medical rescue effectiveness incorporated with search and rescue. Retrospective analysis of medical work data by CNESAR from April 21th, 2013 to April 27th during Lushan earthquake rescue, including the medical staff dispatch and the wounded case been treated. The reasonable medical corps was composed by 22 members, including 2 administrators, 11 doctors [covering emergency medicine, orthopedics (joints and limbs, spinal), obstetrics and gynecology, gastroenterology, cardiology, ophthalmology, anesthesiology, medical rescue, health epidemic prevention, clinical laboratory of 11 specialties], 1 ultrasound technician, 5 nurses, 1 pharmacist, 1 medical instrument engineer and 1 office worker for propaganda. There were two members having psychological consultants qualifications. The medical work were carried out in seven aspects, including medical care assurance for the CNESAR members, first aid cooperation with search and rescue on site, clinical work in refugees' camp, medical round service for scattered village people, evacuation for the wounded, mental intervention, and the sanitary and anti-epidemic work. The medical work covered 24 small towns, and medical staff established 3 medical clinics at Taiping Town, Shuangshi Town of Lushan County and Baoxing County. Medical rescue, mental intervention for the old and kids, and sanitary and anti-epidemic were performed at the above sites. The medical corps had successful evacuated 2 severe wounded patients and treated the wounded over thousands. Most of the wounded were soft tissue injuries, external injury, respiratory tract infections, diarrhea, and heat stroke. Compared with the rescue action in 2008 Wenchuan earthquake, the aggregation and departure of rescue team in Lushan earthquake, the traffic control order in disaster area, the self-aid and buddy aid

Telemedicine in trauma and disasters--from war to earthquake: are we ready?

Science.gov (United States)

Benner, T; Schachinger, U; Nerlich, M

2004-01-01

Every year many disasters cause thousands of injuries, deaths, refugees. Earthquakes and war often cause severe injuries (burns; amputations; Crush-Syndrome; gunshots; landmines; nuclear, biological or chemical warfare / hazardous material; infectious diseases; pediatric specialties). Referring to big earthquakes in the last few years up to 20.000 thousand people were killed (India 2001). 310.000 deaths were caused by war in 2001. The Mass Casualty Incident is characterized by the disbalance between victims and the normal community emergency response. Because of this a lot of different institutions and organizations are involved in coping with the disaster. This produces an extensive demand of qualified Command, Control and Communication (C3). Furthermore a lot of data has to be collected during the treatment and the injuries need special medical treatment. The use of health telematics in disaster response helps to cope with the scenario. Modern technologies provide support for building up medical aid although the normal infrastructure is destroyed. To cope with disaster scenarios there are some telematic tools which can be used: computer based Command and Control System, telemedical support, and data-resources-network/Medical Intelligence. The International Center for Telemedicine at the University of Regensburg Medical Center provides support for Health Care Professionals as a competence center for telemedicine. For the eastern part of Bavaria it develops a telemedical network with many components: The mobile emergency care system NOAH (Notfall-Organisations- und Arbeits-Hilfe) supports the Emergency Medical Service. Local Health Networks and the Clinical Network of Eastern Bavaria connect physicians and hospitals with the Regensburg Medical Center. With an online-education tool participants from all over the country can take part in trainings and courses.

Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools.

Science.gov (United States)

Ingrassia, Pier Luigi; Ragazzoni, Luca; Tengattini, Marco; Carenzo, Luca; Della Corte, Francesco

2014-10-01

In recent years, effective models of disaster medicine curricula for medical schools have been established. However, only a small percentage of medical schools worldwide have considered at least basic disaster medicine teaching in their study program. In Italy, disaster medicine has not yet been included in the medical school curriculum. Perceiving the lack of a specific course on disaster medicine, the Segretariato Italiano Studenti in Medicina (SISM) contacted the Centro di Ricerca Interdipartimentale in Medicina di Emergenza e dei Disastri ed Informatica applicata alla didattica e alla pratica Medica (CRIMEDIM) with a proposal for a nationwide program in this field. Seven modules (introduction to disaster medicine, prehospital disaster management, definition of triage, characteristics of hospital disaster plans, treatment of the health consequences of different disasters, psychosocial care, and presentation of past disasters) were developed using an e-learning platform and a 12-hour classroom session which involved problem-based learning (PBL) activities, table-top exercises, and a computerized simulation (Table 1). The modules were designed as a framework for a disaster medicine curriculum for undergraduates and covered the three main disciplines (clinical and psychosocial, public health, and emergency and risk management) of the core of "Disaster Health" according to the World Association for Disaster and Emergency Medicine (WADEM) international guidelines for disaster medicine education. From January 2011 through May 2013, 21 editions of the course were delivered to 21 different medical schools, and 524 students attended the course. The blended approach and the use of simulation tools were appreciated by all participants and successfully increased participants' knowledge of disaster medicine and basic competencies in performing mass-casualty triage. This manuscript reports on the designing process and the initial outcomes with respect to learners

Report on Disaster Medical Operations with Acupuncture/Massage Therapy after the Great East Japan Earthquake

Directory of Open Access Journals (Sweden)

Shin Takayama

2012-01-01

Full Text Available The Great East Japan Earthquake inflicted immense damage over a wide area of eastern Japan with the consequent tsunami. Department of Traditional Asian Medicine, Tohoku University, started providing medical assistance to the disaster-stricken regions mainly employing traditional Asian therapies. We visited seven evacuation centers in Miyagi and Fukushima Prefecture and provided acupuncture/massage therapy. While massage therapy was performed manually, filiform needles and press tack needles were used to administer acupuncture. In total, 553 people were treated (mean age, 54.0 years; 206 men, 347 women. Assessment by interview showed that the most common complaint was shoulder/back stiffness. The rate of therapy satisfaction was 92.3%. Many people answered that they experienced not only physical but also psychological relief. At the time of the disaster, acupuncture/massage therapy, which has both mental and physical soothing effects, may be a therapeutic approach that can be effectively used in combination with Western medical practices.

Natural Disaster as a Reason to Annul the Nuclear Liability: From National and International Law’s Perspective

International Nuclear Information System (INIS)

Taufiq, D.

2016-01-01

One serious issue that deserves more attention from Indonesia before constructing its first NPP, regarding its ''ring of fire'' geological position, is the natural disaster as a reason to annul the nuclear liability. Article 32 of Act No 10 Year 1997 on Nuclear Energy stipulates that ''nuclear installation operator shall not be responsible for the damage caused by a nuclear accident that occurred as a direct impact of a domestic or international armed conflict or natural disaster that exceeded the design limits and acceptance criteria set by the regulatory body.'' In its explanation natural disaster includes earthquakes. This article adopts the provision of article IV paragraph 3b 1963 Vienna Convention on Civil Liability for Nuclear Damage. But, in 1997 Amendment Protocol, this provision has been deleted. Natural disasters often referred to as an ''act of god'' because it occurs outside the control of the human. Nevertheless, not all natural disasters could cause the operator to annul its civil liability. The most important question is: ''has the operator taken all necessary preventive actions to prevent accidents, before and during the natural disaster?''

Maggot Debridement Therapy in Disaster Medicine.

Science.gov (United States)

Stadler, Frank; Shaban, Ramon Z; Tatham, Peter

2016-02-01

When disaster strikes, the number of patients requiring treatment can be overwhelming. In low-income countries, resources to assist the injured in a timely fashion may be limited. As a consequence, necrosis and wound infection in disaster patients is common and frequently leads to adverse health outcomes such as amputations, chronic wounds, and loss of life. In such compromised health care environments, low-tech and cheap wound care options are required that are in ready supply, easy to use, and have multiple therapeutic benefits. Maggot debridement therapy (MDT) is one such wound care option and may prove to be an invaluable tool in the treatment of wounds post-disaster. This report provides an overview of the wound burden experienced in various types of disaster, followed by a discussion of current treatment approaches, and the role MDT may play in the treatment of complex wounds in challenging health care conditions. Maggot debridement therapy removes necrotic and devitalized tissue, controls wound infection, and stimulates wound healing. These properties suggest that medicinal maggots could assist health care professionals in the debridement of disaster wounds, to control or prevent infection, and to prepare the wound bed for reconstructive surgery. Maggot debridement therapy-assisted wound care would be led by health care workers rather than physicians, which would allow the latter to focus on reconstructive and other surgical interventions. Moreover, MDT could provide a larger window for time-critical interventions, such as fasciotomies to treat compartment syndrome and amputations in case of life-threatening wound infection. There are social, medical, and logistic hurdles to overcome before MDT can become widely available in disaster medical aid. Thus, research is needed to further demonstrate the utility of MDT in Disaster Medicine. There is also a need for reliable MDT logistics and supply chain networks. Integration with other disaster management

Aspects of Global Health Issues: Diseases, Natural Disasters, and Pharmaceutical Corporations and Medical Research.

Science.gov (United States)

Brown, Geraldine

2016-01-01

Global health issues are concerns of all public health officials throughout the world. This entails reviewing aspects such as the impact of poverty and the lack of access to quality health care, ignored global killers such as Diseases (Infectious diseases-Malaria, HIV/AIDS), Natural Disasters (Earthquakes, Tsunamis, Floods, and Armed Conflict), Health in the Media, and the Involvement of Pharmaceutical Corporations and Medical Research. These issues are challenges to many needless deaths. Global initiatives are not advancing as they should, such as access to drugs and medications, which some are political.

Optimal qualifications, staffing and scope of practice for first responder nurses in disaster.

Science.gov (United States)

Yin, Huahua; He, Haiyan; Arbon, Paul; Zhu, Jingci; Tan, Jing; Zhang, Limei

2012-01-01

To explore: the selection criteria for first responder nurses during disaster; scope of practice for disaster relief nurses; appropriate nurse - medical practitioner ratio at the disaster site. Nurses are key members of disaster response medical teams. A scarcity of literature exists relating to nurses attending disasters, their qualifications, experience, scope of practice and appropriate staffing ratios. Qualitative and quantitative data were collected via survey using self-developed questionnaires. Participants were 95 medical workers, who participated in emergency rescue teams following the 2008 Wenchuan earthquake in China. A response rate of 93·7% achieved. The questionnaire included questions relating to nurses: previous experience in disaster relief; scope of practice at the disaster site; optimal ratio of medical practitioners to nurses in disaster relief teams. Following a disaster, first responder nurses considered most suitable were those with at least three years clinical experience, particularly in the emergency department or having emergency rescue skills training. The scope of practice for disaster relief nurses was different to that of nurses working in a hospital. The majority of participants reported insufficient nurses during the relief effort, concluding the optimal ratio of medical practitioner to nurse should range between 1:1-1:2 depending on the task and situation. At the scene of disaster, the preferred first responder nurses were nurses: with emergency rescue training; experienced in the emergency department; with at least three years clinical experience. The scope of practice for first responder nurses needs to be extended. Appropriate nurse - medical practitioner ratios in responding medical teams is dependant on the specific medical requirements of the disaster. The recommendations made by this study provide a guide to ensure that nurses can contribute effectively as essential members of first responder emergency disaster relief teams

Radiation accident/disaster

International Nuclear Information System (INIS)

Kida, Yoshiko; Hirohashi, Nobuyuki; Tanigawa, Koichi

2013-01-01

Described are the course of medical measures following Fukushima Daiichi Nuclear Power Plant (FNPP) Accident after the quake and tsunami (Mar. 11, 2011) and the future task for radiation accident/disaster. By the first hydrogen explosion in FNPP (Mar. 12), evacuation of residents within 20 km zone was instructed, and the primary base for measures of nuclear disaster (Off-site Center) 5 km afar from FNPP had to work as a front base because of damage of communicating ways, of saving of injured persons and of elevation of dose. On Mar. 13, the medical arrangement council consisting from stuff of Fukushima Medical University (FMU), National Institute of Radiological Sciences, Nuclear Safety Research Association and Prefectural officers was setup in residents' hall of Fukushima City, and worked for correspondence to persons injured or exposed, where communication about radiation and between related organizations was still poor. The Off-site Center's head section moved to Prefectural Office on Mar. 15 as headquarters. Early in the period, all residents evacuated from the 20 km zone, and in-hospital patients and nursed elderly were transported with vehicles, >50 persons of whom reportedly died mainly by their base diseases. The nation system of medicare for emergent exposure had consisted from the network of the primary to third facilities; there were 5 facilities in the Prefecture, 3 of which were localized at 4-9 km distance from FNPP and closed early after the Accident; and the secondary facility of FMU became responsible to all exposed persons. There was no death of workers of FNPP. Medical stuff also measured the ambient dose at various places near FNPP, having had risk of exposure. At the Accident, the important system of command, control and communication was found fragile and measures hereafter should be planned on assumption of the worst scenario of complete damage of the infrastructure and communication. It is desirable for Disaster Medical Assistance Team which

International medical cooperation project for State of Libya using international medical tourism system in Thailand

OpenAIRE

奥寺, 敬; 坂本, 美重

2013-01-01

International medical cooperation project for State of Libya is reported. The concept of this project is to treat Libyan injured people using international medical tourism system in Thailand. Management of patient, including evaluation, domestic and international transportation arrangement of hospital, is supported by Normeca International Co., Ltd, (Pattaya, Thailand). Treatment of Libyan patient in two international hospitals (Bangpakok 9 Hospital and Navamin 9 Hopsital) in Bangkok was succ...

Cooperation between National Defense Medical College and Fukushima Medical University in thyroid ultrasound examination after the Fukushima Daiichi nuclear power plant disaster

International Nuclear Information System (INIS)

Yamamoto, Yoritsuna; Fujita, Masanori; Tachibana, Shoich; Morita, Koji; Hamano, Kunihisa; Hamada, Koji; Uchida, Kosuke; Tanaka, Yuji

2013-01-01

Fukushima Daiichi Nuclear Power Plant was utterly destroyed by The Great East Japan Earthquake which happened on March 11, 2011, and followed by radioactive contamination to the surrounding areas. Based on the known radioactive iodine ("1"3"1I) which led to thyroid cancer in children after the Chernobyl nuclear power plant disaster in 1986, children living in Fukushima should be carefully observed for the development of thyroid cancer. Fukushima Prefecture and Fukushima Medical University started ''Fukushima Health Management Survey'' in May 2011, which includes screening for thyroid cancer by ultrasonography (Thyroid Ultrasound Examination). Thyroid Ultrasound Examination would cover roughly 360,000 residents aged 0 to 18 years of age at the time of the nuclear disaster. The initial screening is to be performed within the first three years after the accident, followed by complete thyroid examinations from 2014 onwards, and the residents will be monitored regularly thereafter. As Thyroid Ultrasound Examination is being mainly performed by medical staff at Fukushima Medical University, there is insufficient manpower to handle the large number of potential examinees. Thus, specialists of thyroid diseases from all over Japan have begun to support this examination. Six endocrinologists including the authors belonging to the National Defense Medical College are cooperating in part of this examination. This paper briefly reports the outline of Thyroid Ultrasound Examination and our cooperation. (author)

Himalayan/Karakoram Disaster After Disaster: The Pain Will Not Be Ending Anytime Soon

Science.gov (United States)

Kargel, J. S.; Leonard, G. J.

2013-12-01

change for some natural disasters, and little if any role in others. I select a few recent disaster examples (Attabad rockfall, Gayari avalanche, Seti River flood, and Uttarakhand floods) and summarize their relationships to geology and geomorphology, weather, climate change, habitation, and infrastructure development. Disasters are apt to increase in frequency, effects, and geographic spread due to increased habitation and infrastructure development and changing climate. Whether climate change causes glacier shrinkage or growth, glacier-related hazards are affected. Some of these disasters have international cross-cultural, political, economic, and security components and could spiral into further human catastrophes related to international tensions. Improved international cooperation could ease the chances for disasters to trigger additional unintended consequences between nations. Not all development and human uses of the Himalaya/Karakoram are unwise. Furthermore, some people committed to living in risky places have nowhere else to go. Climate change and shifting mountain processes may have winners and losers. All current and future uses of the region should be weighed against the rapidly changing climate and shifting natural hazard landscape. Acknowledgements: Support from NASA/USAID SERVIR Applied Science Team, NASA Science of Terra & Aqua, and USAID Climbers' Science.

Disaster Metrics: Evaluation of de Boer's Disaster Severity Scale (DSS) Applied to Earthquakes.

Science.gov (United States)

Bayram, Jamil D; Zuabi, Shawki; McCord, Caitlin M; Sherak, Raphael A G; Hsu, Edberdt B; Kelen, Gabor D

2015-02-01

Quantitative measurement of the medical severity following multiple-casualty events (MCEs) is an important goal in disaster medicine. In 1990, de Boer proposed a 13-point, 7-parameter scale called the Disaster Severity Scale (DSS). Parameters include cause, duration, radius, number of casualties, nature of injuries, rescue time, and effect on surrounding community. Hypothesis This study aimed to examine the reliability and dimensionality (number of salient themes) of de Boer's DSS scale through its application to 144 discrete earthquake events. A search for earthquake events was conducted via National Oceanic and Atmospheric Administration (NOAA) and US Geological Survey (USGS) databases. Two experts in the field of disaster medicine independently reviewed and assigned scores for parameters that had no data readily available (nature of injuries, rescue time, and effect on surrounding community), and differences were reconciled via consensus. Principle Component Analysis was performed using SPSS Statistics for Windows Version 22.0 (IBM Corp; Armonk, New York USA) to evaluate the reliability and dimensionality of the DSS. A total of 144 individual earthquakes from 2003 through 2013 were identified and scored. Of 13 points possible, the mean score was 6.04, the mode = 5, minimum = 4, maximum = 11, and standard deviation = 2.23. Three parameters in the DSS had zero variance (ie, the parameter received the same score in all 144 earthquakes). Because of the zero contribution to variance, these three parameters (cause, duration, and radius) were removed to run the statistical analysis. Cronbach's alpha score, a coefficient of internal consistency, for the remaining four parameters was found to be robust at 0.89. Principle Component Analysis showed uni-dimensional characteristics with only one component having an eigenvalue greater than one at 3.17. The 4-parameter DSS, however, suffered from restriction of scoring range on both parameter and scale levels. Jan de Boer

Chernobyl. Principles of international law in the context of transfrontier environmental pollution as a consequence of a technical-industrial disaster

International Nuclear Information System (INIS)

Zehetner, F.

1986-01-01

The fact that the radioactive cloud released after the MCA in the Chernobyl reactor drifted over 1.300 kilometers in the atmosphere and contaminated the air over Europe, first shown by the alarm in Sweden's nuclear power plant, turned the national Russian disaster into an international case of emergency, a ''matter of international concern'', that creates manifold problems on the level of international law. The author discusses an important aspect, the obligation to inform the other members of the international community about possible transfrontier environmental pollution. The topical case now has shown that the problem of timely, complete, and mutual information in the event of nuclear reactor accidents needs to be systematically regularized by multilateral treaties. The difficulties the Soviet authorities had to master the disaster and its consequences point to problem of whether and to what extent international organisations or states are obliged to, or entitled to, a) offer assistance unasked; b) provide assistance upon request; c) engage in remedial activities against the will of the state concerned. The Chernobyl accident has led to considerations as to extend the concept of 'ultra-hazardous activities' and related legal provisions to also include an obligation to agree upon international information and assistance for disaster control beforehand, on the grounds that such activities may involve inassessible hazards and damage. (orig./HSCH) [de

A survey of the practice of nurses' skills in Wenchuan earthquake disaster sites: implications for disaster training.

Science.gov (United States)

Yin, Huahua; He, Haiyan; Arbon, Paul; Zhu, Jingci

2011-10-01

To determine nursing skills most relevant for nurses participating in disaster response medical teams; make recommendations to enhance training of nurses who will be first responders to a disaster site; to improve the capacity of nurses to prepare and respond to severe natural disasters. Worldwide, nurses play a key role in disaster response teams at disaster sites. They are often not prepared for the challenges of dealing with mass casualties; little research exists into what basic nursing skills are required by nurses who are first responders to a disaster situation. This study assessed the most relevant disaster nursing skills of first responder nurses at the 2008 Wenchuan earthquake disaster site. Data were collected in China in 2008 using a self-designed questionnaire, with 24 participants who had been part of the medical teams that were dispatched to the disaster sites. The top three skills essential for nurses were: intravenous insertion; observation and monitoring; mass casualty triage. The three most frequently used skills were: debridement and dressing; observation and monitoring; intravenous insertion. The three skills performed most proficiently were: intravenous insertion; observation and monitoring; urethral catheterization. The top three ranking skills most important for training were: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling. The core nursing skills for disaster response training are: mass casualty transportation; emergency management; haemostasis, bandaging, fixation, manual handling; observation and monitoring; mass casualty triage; controlling specific infection; psychological crisis intervention; cardiopulmonary resuscitation; debridement and dressing; central venous catheter insertion; patient care recording. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

Proceeding of the 2-nd International Conference 'Long-term Health Consequences of the Chernobyl Disaster'; Materialy 2-j Mezhdunarodnoj konferentsii 'Otdalennye Meditsinskie posledstviya Chernobyl'skoj katastrofy'

Energy Technology Data Exchange (ETDEWEB)

Nyagu, A I; Sushkevitch, G N [eds.

1998-07-01

On the second International conference 'Long-term health consequences of the Chernobyl disaster' in 1-6 June 1998 Kiev (Ukraine) the following problems were discussed: 1.Epidemiological aspects of the Chernobyl disaster; 2.Clinical and biological effects of ionizing radiation; 3.Social and psychological aftermath of the Chernobyl disaster; 4.Rehabilitation of the Chernobyl disaster survivors.

Disaster Risk Education of Final Year High School Students Requires a Partnership with Families and Charity Organizations: An International Cross-sectional Survey.

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Codreanu, Tudor A; Celenza, Antonio; Ngo, Hanh

2016-06-01

Introduction The aim of disaster reduction education (DRE) is to achieve behavioral change. Over the past two decades, many efforts have been directed towards this goal, but educational activities have been developed based on unverified assumptions. Further, the literature has not identified any significant change towards disaster preparedness at the individual level. In addition, previous research suggests that change is dependent on multiple independent predictors. It is difficult to determine what specific actions DRE might result in; therefore, the preamble of such an action, which is to have discussions about it, has been chosen as the surrogate outcome measure for DRE success. This study describes the relationship of the perceived entity responsible for disaster education, disaster education per se, sex, and country-specific characteristics, with students discussing disasters with friends and family as a measure of proactive behavioral change in disaster preparedness. A total of 3,829 final year high school students participated in an international, multi-center prospective, cross-sectional study using a validated questionnaire. Nine countries with different levels of disaster exposure risk and economic development were surveyed. Regression analyses examined the relationship between the likelihood of discussing disasters with friends and family (dependent variable) and a series of independent variables. There was no statistically significant relationship between a single entity responsible for disaster education and discussions about potential hazards and risks with friends and/or family. While several independent predictors showed a significant main effect, DRE through school lessons in interaction with Family & Charity Organizations had the highest predictive value. Disaster reduction education might require different delivery channels and methods and should engage with the entities with which the teenagers are more likely to collaborate. Codreanu TA

The International Space Station: A Unique Platform for Remote Sensing of Natural Disasters

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Stefanov, William L.; Evans, Cynthia A.

2014-01-01

different times of the day and night. This is important for two reasons: 1) certain surface processes (i.e., development of coastal fog banks) occur at times other than local solar noon, making it difficult to collect relevant data from traditional satellite platforms, and 2) it provides opportunities for the ISS to collect data for short-duration events, such as natural disasters, that polar-orbiting satellites may miss due to their orbital dynamics - in essence, the ISS can be "in the right place at the right time" to collect data. An immediate application of ISS remote sensing data collection is that the data can be used to provide information for humanitarian aid after a natural disaster. This activity contributes directly to the station's Benefits to Humanity mission. The International Charter, Space and Major Disasters (also known as the International Disaster Charter, or IDC) is an agreement between agencies of several countries to provide - on a best-effort basis - remotely sensed data related to natural disasters to requesting countries in support of disaster response. In the United States, the lead agency for interaction with the IDC is the United States Geological Survey (USGS); when an IDC request, or activation, is received, the USGS notifies the science teams for NASA instruments with targeting information for data collection. In the case of the ISS, Earth scientists in the JSC ARES Directorate, in association with the ISS Program Science Office, coordinate targeting and data collection with the USGS. If data is collected, it is passed back to the USGS for posting on its Hazards Data Distribution System and made available for download. The ISS was added to the USGS's list of NASA remote sensing assets that could respond to IDC activations in May 2012. Initially, the NASA ISS sensor systems available to respond to IDC activations included the ISS Agricultural Camera (ISSAC), an internal multispectral visible-near infrared wavelength system mounted in the WORF

The UK medical response to the Sichuan earthquake.

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Redmond, A D; Li, J

2011-06-01

At 14:48 on 12 May 2008 an earthquake of magnitude 8.0 struck the Wenchuan area of Sichuan province, China. A decision to offer/receive UK medical assistance was agreed at a Sino/British political level and a medical team was despatched to the earthquake area. This study describes the team's experience during the immediate aftermath of the earthquake and the following 18 months, during which there have been joint developments in emergency medicine, disaster planning/preparedness and the management of spinal cord injury. The long-term disability following sudden onset natural disaster and the wider impact on healthcare delivery may prove to be a greater burden to the country than the immediate medical needs, and, accordingly, emergency international aid may need to widen its focus. Although international teams usually arrive too late to support resuscitative measures, they can respond to specific requests for specialised assistance, for example plastic and reconstructive surgery to assist with the ongoing management of complex injury, relieve those who have worked continuously through the disaster, and when required maintain routine day-to-day services while local staff continue to manage the disaster. The timing of this does not necessarily need to be immediate. To maximise its impact, the team planned from the outset to build a relationship with Chinese colleagues that would lead to a sharing of knowledge and experience that would benefit major incident responses in both countries in the future. This has been established, and the linkage of emergency humanitarian assistance to longer term development should be considered by others the next time international emergency humanitarian assistance is contemplated.

Building integrated mental health and medical programs for vulnerable populations post-disaster: connecting children and families to a medical home.

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Madrid, Paula A; Sinclair, Heidi; Bankston, Antoinette Q; Overholt, Sarah; Brito, Arturo; Domnitz, Rita; Grant, Roy

2008-01-01

Hurricane Katrina, a Category 3 hurricane, made landfall in August 2005. Approximately 1,500 deaths have been directly attributed to the hurricane, primarily in Louisiana and Mississippi. In New Orleans, Louisiana, most of the healthcare infrastructure was destroyed by flooding, and > 200,000 residents became homeless. Many of these internally displaced persons received transitional housing in trailer parks ("villages") under the auspices of the [US] Federal Emergency Management Agency (FEMA). The FEMA villages are isolated from residential communities, lack access to healthcare services, and have become unsafe environments. The trailers that house families have been found to be contaminated with formaldehyde. The Children's Health Fund, in partnership with the Mailman School of Public Health at Columbia University, began a program ("Operation Assist") to provide health and mental health services within a medical home model. This program includes the Baton Rouge Children's Health Project (BRCHP), which consists of two mobile medical units (one medical and one mental health). Licensed professionals at the FEMA villages and other isolated communities provide care on these mobile units. Medical and psychiatric diagnoses from the BRCHP are summarized and case vignettes presented. Immediately after the hurricane, prescription medications were difficult to obtain. Complaints of headache, nosebleeds, and stomachache were observed at an unusually frequent degree for young children, and were potentially attributable to formaldehyde exposure. Dermatological conditions included eczema, impetigo, methicillin-resistant staphylococcus aureus (MRSA) abscesses, and tinea corporis and capitis. These were especially difficult to treat because of unhygienic conditions in the trailers and ongoing formaldehyde exposure. Signs of pediatric under-nutrition included anemia, failure to thrive, and obesity. Utilization of initial mental health services was low due to pressing survival needs

Radiation dosimetry for medical management in nuclear/radiological disaster

International Nuclear Information System (INIS)

Narayan, Pradeep

2012-01-01

Medical Management of radiation exposed victims depends on the amount of radiation doses received in their body and individual organs. The severity of radiation sickness; and early/late biological effects of radiation can be judged on the basis of absorbed dose level of the exposed individual. Radiation Dosimetry is a scientific technique for estimating radiation doses in material and living being. It is an important task for managing radiation effects/injuries to the living being in case of radiological accidents/disasters. In such scenario occupational radiation workers as well as public in general may be exposed with ionizing radiations such as; gamma, alpha, beta and neutron. Radiation dosimetric equipment's are available for occupational radiation workers, however, public in general may not have any dosimetry system with them. Therefore, absorbed dose estimation to the public on individual basis is a challenge to the society. The ambient environment materials in close proximity to the exposed individual may be analyzed using scientific techniques to estimate their personal radiation doses. The blood sample from exposed individual can be examined in laboratory using citometry techniques for dose estimation, however these techniques are very time consuming and may not be suitable for quick radiation management. The other human biological material such as; tooth, hair, and bone etc., can be examined using Electron Spin Resonance (ESR) spectrometry techniques. This technique is very efficient and capable in measuring radiation doses of the order of 20-30 mGy in very less time typically 2-3 min. In reality, this technique is costly affair and available mostly in developed countries. Thermoluminescence (TL) technique is very versatile and cost effective for routine personal dose estimation, This technique has been found suitable for measuring TL in many accidentally exposed environmental materials. The radiation exposed natural environmental materials, such as

Validation of a Framework for Measuring Hospital Disaster Resilience Using Factor Analysis

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Shuang Zhong

2014-06-01

Full Text Available Hospital disaster resilience can be defined as “the ability of hospitals to resist, absorb, and respond to the shock of disasters while maintaining and surging essential health services, and then to recover to its original state or adapt to a new one.” This article aims to provide a framework which can be used to comprehensively measure hospital disaster resilience. An evaluation framework for assessing hospital resilience was initially proposed through a systematic literature review and Modified-Delphi consultation. Eight key domains were identified: hospital safety, command, communication and cooperation system, disaster plan, resource stockpile, staff capability, disaster training and drills, emergency services and surge capability, and recovery and adaptation. The data for this study were collected from 41 tertiary hospitals in Shandong Province in China, using a specially designed questionnaire. Factor analysis was conducted to determine the underpinning structure of the framework. It identified a four-factor structure of hospital resilience, namely, emergency medical response capability (F1, disaster management mechanisms (F2, hospital infrastructural safety (F3, and disaster resources (F4. These factors displayed good internal consistency. The overall level of hospital disaster resilience (F was calculated using the scoring model: F = 0.615F1 + 0.202F2 + 0.103F3 + 0.080F4. This validated framework provides a new way to operationalise the concept of hospital resilience, and it is also a foundation for the further development of the measurement instrument in future studies.

Spatial and temporal distribution of geophysical disasters

Directory of Open Access Journals (Sweden)

Cvetković Vladimir

2013-01-01

Full Text Available Natural disasters of all kinds (meteorological, hydrological, geophysical, climatological and biological are increasingly becoming part of everyday life of modern human. The consequences are often devastating, to the life, health and property of people, as well to the security of states and the entire international regions. In this regard, we noted the need for a comprehensive investigation of the phenomenology of natural disasters. In addition, it is particularly important to pay attention to the different factors that might correlate with each other to indicate more dubious and more original facts about their characteristics. However, as the issue of natural disasters is very wide, the subject of this paper will be forms, consequences, temporal and spatial distribution of geophysical natural disasters, while analysis of other disasters will be the subject of our future research. Using an international database on natural disasters of the centre for research on the epidemiology of disasters (CRED based in Brussels, with the support of the statistical analysis (SPSS, we tried to point out the number, trends, consequences, the spatial and temporal distribution of earthquakes, volcanic eruptions and dry mass movements in the world, from 1900 to 2013.

Identifying deficiencies in national and foreign medical team responses through expert opinion surveys: implications for education and training.

Science.gov (United States)

Djalali, Ahmadreza; Ingrassia, Pier Luigi; Corte, Francesco Della; Foletti, Marco; Gallardo, Alba Ripoll; Ragazzoni, Luca; Kaptan, Kubilay; Lupescu, Olivera; Arculeo, Chris; von Arnim, Gotz; Friedl, Tom; Ashkenazi, Michael; Heselmann, Deike; Hreckovski, Boris; Khorram-Manesh, Amir; Khorrram-Manesh, Amir; Komadina, Radko; Lechner, Kostanze; Patru, Cristina; Burkle, Frederick M; Fisher, Philipp

2014-08-01

Unacceptable practices in the delivery of international medical assistance are reported after every major international disaster; this raises concerns about the clinical competence and practice of some foreign medical teams (FMTs). The aim of this study is to explore and analyze the opinions of disaster management experts about potential deficiencies in the art and science of national and FMTs during disasters and the impact these opinions might have on competency-based education and training. This qualitative study was performed in 2013. A questionnaire-based evaluation of experts' opinions and experiences in responding to disasters was conducted. The selection of the experts was done using the purposeful sampling method, and the sample size was considered by data saturation. Content analysis was used to explore the implications of the data. This study shows that there is a lack of competency-based training for disaster responders. Developing and performing standardized training courses is influenced by shortcomings in budget, expertise, and standards. There is a lack of both coordination and integration among teams and their activities during disasters. The participants of this study emphasized problems concerning access to relevant resources during disasters. The major findings of this study suggest that teams often are not competent during the response phase because of education and training deficiencies. Foreign medical teams and medically related nongovernmental organizations (NGOs) do not always provide expected capabilities and services. Failures in leadership and in coordination among teams are also a problem. All deficiencies need to be applied to competency-based curricula.

Country logistics performance and disaster impact.

Science.gov (United States)

Vaillancourt, Alain; Haavisto, Ira

2016-04-01

The aim of this paper is to deepen the understanding of the relationship between country logistics performance and disaster impact. The relationship is analysed through correlation analysis and regression models for 117 countries for the years 2007 to 2012 with disaster impact variables from the International Disaster Database (EM-DAT) and logistics performance indicators from the World Bank. The results show a significant relationship between country logistics performance and disaster impact overall and for five out of six specific logistic performance indicators. These specific indicators were further used to explore the relationship between country logistic performance and disaster impact for three specific disaster types (epidemic, flood and storm). The findings enhance the understanding of the role of logistics in a humanitarian context with empirical evidence of the importance of country logistics performance in disaster response operations. © 2016 The Author(s). Disasters © Overseas Development Institute, 2016.

Disaster mobile health technology: lessons from Haiti.

Science.gov (United States)

Callaway, David W; Peabody, Christopher R; Hoffman, Ari; Cote, Elizabeth; Moulton, Seth; Baez, Amado Alejandro; Nathanson, Larry

2012-04-01

Mobile health (mHealth) technology can play a critical role in improving disaster victim tracking, triage, patient care, facility management, and theater-wide decision-making. To date, no disaster mHealth application provides responders with adequate capabilities to function in an austere environment. The Operational Medicine Institute (OMI) conducted a qualitative trial of a modified version of the off-the-shelf application iChart at the Fond Parisien Disaster Rescue Camp during the large-scale response to the January 12, 2010 earthquake in Haiti. The iChart mHealth system created a patient log of 617 unique entries used by on-the-ground medical providers and field hospital administrators to facilitate provider triage, improve provider handoffs, and track vulnerable populations such as unaccompanied minors, pregnant women, traumatic orthopedic injuries and specified infectious diseases. The trial demonstrated that even a non-disaster specific application with significant programmatic limitations was an improvement over existing patient tracking and facility management systems. A unified electronic medical record and patient tracking system would add significant value to first responder capabilities in the disaster response setting.

Disaster Preparedness among Health Professionals and Support Staff: What is Effective? An Integrative Literature Review.

Science.gov (United States)

Gowing, Jeremy R; Walker, Kim N; Elmer, Shandell L; Cummings, Elizabeth A

2017-06-01

Introduction It is important that health professionals and support staff are prepared for disasters to safeguard themselves and the community during disasters. There has been a significantly heightened focus on disasters since the terrorist attacks of September 11, 2001 in New York (USA); however, despite this, it is evident that health professionals and support staff may not be adequately prepared for disasters. Report An integrative literature review was performed based on a keyword search of the major health databases for primary research evaluating preparedness of health professionals and support staff. The literature was quality appraised using a mixed-methods appraisal tool (MMAT), and a thematic analysis was completed to identify current knowledge and gaps. Discussion The main themes identified were: health professionals and support staff may not be fully prepared for disasters; the most effective content and methods for disaster preparedness is unknown; and the willingness of health professionals and support staff to attend work and perform during disasters needs further evaluation. Gaps were identified to guide further research and the creation of new knowledge to best prepare for disasters. These included the need for: high-quality research to evaluate the best content and methods of disaster preparedness; inclusion of the multi-disciplinary health care team as participants; preparation for internal disasters; the development of validated competencies for preparedness; validated tools for measurement; and the importance of performance in actual disasters to evaluate preparation. The literature identified that all types of disaster preparedness activities lead to improvements in knowledge, skills, or attitude preparedness for disasters. Most studies focused on external disasters and the preparedness of medical, nursing, public health, or paramedic professionals. There needs to be a greater focus on the whole health care team, including allied health

Non-structural Components influencing Hospital Disaster Preparedness in Malaysia

Science.gov (United States)

Samsuddin, N. M.; Takim, R.; Nawawi, A. H.; Rosman, M. R.; SyedAlwee, S. N. A.

2018-04-01

Hospital disaster preparedness refers to measures taken by the hospital’s stakeholders to prepare, reduce the effects of disaster and ensure effective coordination during incident response. Among the measures, non-structural components (i.e., medical laboratory equipment & supplies; architectural; critical lifeline; external; updated building document; and equipment & furnishing) are critical towards hospital disaster preparedness. Nevertheless, over the past few years these components are badly affected due to various types of disasters. Hence, the objective of this paper is to investigate the non-structural components influencing hospital’s disaster preparedness. Cross-sectional survey was conducted among thirty-one (31) Malaysian hospital’s employees. A total of 6 main constructs with 107 non-structural components were analysed and ranked by using SPSS and Relative Importance Index (RII). The results revealed that 6 main constructs (i.e. medical laboratory equipment & supplies; architectural; critical lifeline; external; updated building document; and equipment & furnishing) are rated as ‘very critical’ by the respondents. Among others, availability of medical laboratory equipment and supplies for diagnostic and equipment was ranked first. The results could serve as indicators for the public hospitals to improve its disaster preparedness in terms of planning, organising, knowledge training, equipment, exercising, evaluating and corrective actions through non-structural components.

International collaboration in medical radiation science.

Science.gov (United States)

Denham, Gary; Allen, Carla; Platt, Jane

2016-06-01

International collaboration is recognised for enhancing the ability to approach complex problems from a variety of perspectives, increasing development of a wider range of research skills and techniques and improving publication and acceptance rates. The aim of this paper is to describe the current status of international collaboration in medical radiation science and compare this to other allied health occupations. This study utilised a content analysis approach where co-authorship of a journal article was used as a proxy for research collaboration and the papers were assigned to countries based on the corporate address given in the by-line of the publication. A convenience sample method was employed and articles published in the professional medical radiation science journals in the countries represented within our research team - Australia, the United Kingdom (UK) and the United States of America (USA) were sampled. Physiotherapy, speech pathology, occupational therapy and nursing were chosen for comparison. Rates of international collaboration in medical radiation science journals from Australia, the UK and the USA have steadily increased over the 3-year period sampled. Medical radiation science demonstrated lower average rates of international collaboration than the other allied health occupations sampled. The average rate of international collaboration in nursing was far below that of the allied health occupations sampled. Overall, the UK had the highest average rate of international collaboration, followed by Australia and the USA, the lowest. Overall, medical radiation science is lagging in international collaboration in comparison to other allied health fields.

The German emergency and disaster medicine and management system—history and present

Directory of Open Access Journals (Sweden)

Norman Hecker

2018-04-01

Full Text Available As well for optimized emergency management in individual cases as for optimized mass medicine in disaster management, the principle of the medical doctors approaching the patient directly and timely, even close to the site of the incident, is a long-standing marker for quality of care and patient survival in Germany. Professional rescue and emergency forces, including medical services, are the “Golden Standard” of emergency management systems. Regulative laws, proper organization of resources, equipment, training and adequate delivery of medical measures are key factors in systematic approaches to manage emergencies and disasters alike and thus save lives. During disasters command, communication, coordination and cooperation are essential to cope with extreme situations, even more so in a globalized world. In this article, we describe the major historical milestones, the current state of the German system in emergency and disaster management and its integration into the broader European approach. Keywords: Emergency medical systems, Disaster medicine, Public health, Germany

Andragogy and medical education: are medical students internally motivated to learn?

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Misch, Donald A

2002-01-01

Andragogy - the study of adult education - has been endorsed by many medical educators throughout North America. There remains, however, considerable controversy as to the validity and utility of adult education principles as espoused by the field's founder, Malcolm Knowles. Whatever the utility of andragogic doctrine in general education settings, there is reason to doubt its wholesale applicability to the training of medical professionals. Malcolm Knowles' last tenet of andragogy holds that adult learners are more motivated by internal than by external factors. The validity of this hypothesis in medical education is examined, and it is demonstrated that medical students' internal and external motivation are context-dependent, not easily distinguishable, and interrelate with one another in complex ways. Furthermore, the psychological motivation for medical student learning is determined by a variety of factors that range from internal to external, unconscious to conscious, and individual to societal. The andragogic hypothesis of increased internal motivation to learn on the part of adults in general, and medical trainees in particular, is rejected as simplistic, misleading, and counterproductive to developing a greater understanding of the forces that drive medical students to learn.

Complete self-sufficiency planning: designing and building disaster-ready hospitals.

Science.gov (United States)

Brands, Chad K; Hernandez, Raquel G; Stenberg, Arnold; Carnes, Gary; Ellen, Jonathan; Epstein, Michael; Strouse, Timothy

2013-01-01

The need for healthcare systems and academic medical centers to be optimally prepared in the event of a disaster is well documented. Events such as Hurricane Katrina demonstrate a major gap in disaster preparedness for at-risk medical institutions. To address this gap, we outline the components of complete self-sufficiency planning in designing and building hospitals that will function at full operational capacity in the event of a disaster. We review the processes used and outcomes achieved in building a new critical access, freestanding children's hospital in Florida. Given that hurricanes are the most frequently occurring natural disaster in Florida, the executive leadership of our hospital determined that we should be prepared for worst-case scenarios in the design and construction of a new hospital. A comprehensive vulnerability assessment was performed. A building planning process that engaged all of the stakeholders was used during the planning and design phases. Subsequent executive-level review and discussions determined that a disaster would require the services of a fully functional hospital. Lessons learned from our own institution's previous experiences and those of medical centers involved in the Hurricane Katrina disaster were informative and incorporated into an innovative set of hospital design elements used for construction of a new hospital with full operational capacity in a disaster. A freestanding children's hospital was constructed using a new framework for disaster planning and preparedness that we have termed complete self-sufficiency planning. We propose the use of complete self-sufficiency planning as a best practice for disaster preparedness in the design and construction of new hospital facilities.

Rural Community Disaster Preparedness and Risk Perception in Trujillo, Peru.

Science.gov (United States)

Stewart, Matthew; Grahmann, Bridget; Fillmore, Ariel; Benson, L Scott

2017-08-01

Introduction Disasters will continue to occur throughout the world and it is the responsibility of the government, health care systems, and communities to adequately prepare for potential catastrophic scenarios. Unfortunately, low-and-middle-income countries (LMICs) are especially vulnerable following a disaster. By understanding disaster preparedness and risk perception, interventions can be developed to improve community preparedness and avoid unnecessary mortality and morbidity following a natural disaster. Problem The purpose of this study was to assess disaster preparedness and risk perception in communities surrounding Trujillo, Peru. After designing a novel disaster preparedness and risk perception survey based on guidelines from the International Federation of Red Cross and Red Crescent Societies (IFRC; Geneva, Switzerland), investigators performed a cross-sectional survey of potentially vulnerable communities surrounding Trujillo, Peru. Data were entered and analyzed utilizing the Research Electronic Data Capture (REDCap; Harvard Catalyst; Boston, Massachusetts USA) database. A total of 230 study participants were surveyed, composed of 37% males, 63% females, with ages ranging from 18-85 years old. Those surveyed who had previously experienced a disaster (41%) had a higher perception of future disaster occurrence and potential disaster impact on their community. Overall, the study participants consistently perceived that earthquakes and infection had the highest potential impact of all disasters. Twenty-six percent of participants had an emergency supply of food, 24% had an emergency water plan, 24% had a first aid kit at home, and only 20% of the study participants had an established family evacuation plan. Natural and man-made disasters will remain a threat to the safety and health of communities in all parts of the world, especially within vulnerable communities in LMICs; however, little research has been done to identify disaster perception

Longitudinal course of disaster-related PTSD among a prospective sample of adult Chilean natural disaster survivors.

Science.gov (United States)

Fernandez, Cristina A; Vicente, Benjamin; Marshall, Brandon Dl; Koenen, Karestan C; Arheart, Kristopher L; Kohn, Robert; Saldivia, Sandra; Buka, Stephen L

2017-04-01

With an increasing number of individuals surviving natural disasters, it is crucial to understand who is most at risk for developing post-traumatic stress disorder (PTSD). The objective of this study was to prospectively examine the role that pre-existing psychopathology plays in developing PTSD after a disaster. This study uses data from a prospective 5-wave longitudinal cohort (years 2003-11) of Chilean adults from 10 health centres ( N  = 1708). At baseline, participants completed the Composite International Diagnostic Interview (CIDI), a comprehensive psychiatric diagnostic instrument. In 2010, the sixth most powerful earthquake on record struck Chile. One year later, a modified version of the PTSD module of the CIDI was administered. Marginal structural logistic regressions with inverse probability censoring weights were constructed to identify pre-disaster psychiatric predictors of post-disaster PTSD. The majority of participants were female (75.9%) and had a high-school/college education (66.9%). After controlling for pre-disaster PTSD, pre-existing dysthymia [odds ratio (OR) = 2.21; 95% confidence interval (CI) = 1.39-3.52], brief psychotic disorder (OR = 2.67; 95% CI = 1.21-5.90), anxiety disorders (not including PTSD; OR = 1.49; 95% CI = 1.27-1.76), panic disorder (OR = 2.46; 95% CI = 1.37-4.42), agoraphobia (OR = 2.23; 95% CI = 1.22-4.10), social phobia (OR = 1.86; 95% CI = 1.06-3.29), specific phobia (OR = 2.07; 95% CI = 1.50-2.86) and hypochondriasis (OR = 2.10; 95% CI = 1.05-4.18) were predictors of post-disaster PTSD. After controlling for pre-disaster anxiety disorders, dysthymia, and non-affective psychotic disorders, individuals with pre-disaster PTSD (vs those without pre-disaster PTSD) had higher odds of developing post-disaster PTSD (OR = 2.53; 95% CI = 1.37-4.65). This is the first Chilean study to demonstrate prospectively that pre-disaster psychiatric disorders

Medical students' perceptions of international accreditation.

Science.gov (United States)

Ibrahim, Halah; Abdel-Razig, Sawsan; Nair, Satish C

2015-10-11

This study aimed to explore the perceptions of medical students in a developing medical education system towards international accreditation. Applicants to an Internal Medicine residency program in an academic medical center in the United Arab Emirates (UAE) accredited by the Accreditation Council for Graduate Medical Education-International (ACGME-I) were surveyed between May and June 2014. The authors analysed responses using inductive qualitative thematic analysis to identify emergent themes. Seventy-eight of 96 applicants (81%) completed the survey. The vast majority of respondents 74 (95%) reported that ACGME-I accreditation was an important factor in selecting a residency program. Five major themes were identified, namely improving the quality of education, increasing opportunities, meeting high international standards, improving program structure, and improving patient care. Seven (10%) of respondents felt they would be in a position to pursue fellowship training or future employment in the United States upon graduation from an ACGME-I program. UAE trainees have an overwhelmingly positive perception of international accreditation, with an emphasis on improving the quality of training provided. Misperceptions, however, exist about potential opportunities available to graduates of ACGME-I programs. As more countries adopt the standards of the ACGME-I or other international accrediting bodies, it is important to recognize and foster trainee "buy-in" of educational reform initiatives.

Irish medical students’ understanding of the intern year

LENUS (Irish Health Repository)

Gouda, P,

2016-03-01

Upon completion of medical school in Ireland, graduates must make the transition to becoming interns. The transition into the intern year may be described as challenging as graduates assume clinical responsibilities. Historically, a survey of interns in 1996 found that 91% felt unprepared for their role. However, recent surveys in 2012 have demonstrated that this is changing with preparedness rates reaching 52%. This can be partially explained by multiple initiatives at the local and national level. Our study aimed evaluate medical student understanding of the intern year and associated factors. An online, cross-sectional survey was sent out to all Irish medical students in 2013 and included questions regarding their understanding of the intern year. Two thousand, two hundred and forty-eight students responded, with 1224 (55.4%) of students agreeing or strongly agreeing that they had a good understanding of what the intern year entails. This rose to 485 (73.7%) among senior medical students. Of junior medical students, 260 (42.8%) indicated they understood what the intern year, compared to 479 (48.7%) of intermediate medical students. Initiatives to continue improving preparedness for the intern year are essential in ensuring a smooth and less stressful transition into the medical workforce

Accessibility of medical and psychosocial services following disasters and other traumatic events: experiences of Deaf and hard-of-hearing individuals in Denmark.

Science.gov (United States)

Skøt, Lotte; Jeppesen, Tina; Mellentin, Angelina Isabella; Elklit, Ask

2017-12-01

This descriptive study sought to explore barriers faced by Deaf and hard-of-hearing (D/HH) individuals in Denmark when accessing medical and psychosocial services following large-scale disasters and individual traumatic experiences. Semi-structured interviews were conducted with nine D/HH individuals who had experienced at least one disaster or other traumatic event. Difficulties were encountered during interactions with first response and healthcare services, which centered on: (1) lack of Deaf awareness among professionals, (2) problems accessing interpreter services, (3) professionals relying on hearing relatives to disseminate information, and (4) professionals who were unwilling to adjust their speech or try different forms of communication. Barriers reported in relation to accessing psychosocial services included: (1) lack of all-Deaf or hard-of-hearing support groups, and (2) limited availability of crisis psychologists who are trained to service the needs of the hearing impaired. Suggestions for improvements to service provision were provided, including a list of practical recommendations for professionals. This study has identified significant gaps in post-disaster service provision for D/HH individuals. Results can inform policy makers and other authorities in the position to enhance existing services and/or develop new services for this vulnerable target population. Implications for Rehabilitation Being Deaf or hard-of-hearing compromises a person's ability to obtain and share vital information during times of disaster. Medical and psychosocial services are expected to play critical response roles in times of disaster, and, should be properly equipped to assist Deaf and hard-of-hearing (D/HH) individuals. In a relatively small sample, this study highlights barriers faced by D/HH individuals in Denmark when accessing first response, healthcare, and psychosocial services following large-scale disasters and individual traumatic events, all of which centered

Organizing the health sector for response to disasters

Directory of Open Access Journals (Sweden)

Kimberley Shoaf

2014-09-01

Full Text Available Each year millions of people around the world are affected by natural and manmade disasters. The consequences of natural disasters in terms of health are complex. Disasters directly impact the health of the population resulting in physical trauma, acute disease, and emotional trauma. Furthermore, disasters may increase the morbidity and mortality associated with chronic and infectious diseases due to the impact on the health system. The health sector must be organized for adequate preparedness, mitigation, response and recuperation from a plethora of potential disasters. This paper examines the various potential impacts of disasters on health, the components of the health sector and their roles in emergency medical care and disaster situations, as well as the coordination and organization necessary within the system to best meet the health needs of a population in the aftermath of a disaster.

The development and psychometric testing of a Disaster Response Self-Efficacy Scale among undergraduate nursing students.

Science.gov (United States)

Li, Hong-Yan; Bi, Rui-Xue; Zhong, Qing-Ling

2017-12-01

Disaster nurse education has received increasing importance in China. Knowing the abilities of disaster response in undergraduate nursing students is beneficial to promote teaching and learning. However, there are few valid and reliable tools that measure the abilities of disaster response in undergraduate nursing students. To develop a self-report scale of self-efficacy in disaster response for Chinese undergraduate nursing students and test its psychometric properties. Nursing students (N=318) from two medical colleges were chosen by purposive sampling. The Disaster Response Self-Efficacy Scale (DRSES) was developed and psychometrically tested. Reliability and content validity were studied. Construct validity was tested by exploratory and confirmatory factor analysis. Reliability was tested by internal consistency and test-retest reliability. The DRSES consisted of 3 factors and 19 items with a 5-point rating. The content validity was 0.91, Cronbach's alpha coefficient was 0.912, and the intraclass correlation coefficient for test-retest reliability was 0.953. The construct validity was good (χ 2 /df=2.440, RMSEA=0.068, NFI=0.907, CFI=0.942, IFI=0.430, pself-efficacy in disaster response for Chinese undergraduate nursing students. Copyright © 2017. Published by Elsevier Ltd.

Perceptions of disaster preparedness among older people in South Korea.

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Yoo, Myoungran; Lee, Mijung; Tullmann, Dorothy

2016-03-01

Older people are a major vulnerable population. During disasters, given their physical frailty, lower social status, loss of medications and medical care, the vulnerability of older people increases. The purpose of this study was to examine the perceptions of older people in Korea on various aspects of disaster preparedness to better understand their special needs and to facilitate appropriate disaster planning. The study was qualitative and used focus group interviews with 12 older people in one major city and one rural area of South Korea. Four themes were identified by the analysis of the interviews: defenceless state, reality of accepting limitations, strong will to live, importance of disaster preparedness governmental efforts for the older people. Findings indicated that preparation of shelters and transportation was critical to help older people survive in times of disasters and suggested that there should be active involvement of the government in terms of disaster planning, managing and preparing older people for disasters. In addition, healthy older people can be assets to disaster relief efforts by providing practical and emotional support for the most fragile older people. Older people can also provide knowledge of their special needs to the government to improve their disaster response policy. © 2015 John Wiley & Sons Ltd.

The socioeconomic impact of international aid: a qualitative study of healthcare recovery in post-earthquake Haiti and implications for future disaster relief.

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Kligerman, Maxwell; Walmer, David; Bereknyei Merrell, Sylvia

2017-05-01

We assessed healthcare provider perspectives of international aid four years after the Haiti Earthquake to better understand the impact of aid on the Haitian healthcare system and learn best practices for recovery in future disaster contexts. We conducted 22 semi-structured interviews with the directors of local, collaborative, and aid-funded healthcare facilities in Leogane, Haiti. We coded and analysed the interviews using an iterative method based on a grounded theory approach of data analysis. Healthcare providers identified positive aspects of aid, including acute emergency relief, long-term improved healthcare access, and increased ease of referrals for low-income patients. However, they also identified negative impacts of international aid, including episodes of poor quality care, internal brain drain, competition across facilities, decrease in patient flow to local facilities, and emigration of Haitian doctors to abroad. As Haiti continues to recover, it is imperative for aid institutions and local healthcare facilities to develop a more collaborative relationship to transition acute relief to sustainable capacity building. In future disaster contexts, aid institutions should specifically utilise quality of care metrics, NGO Codes of Conduct, Master Health Facility Lists, and sliding scale payment systems to improve disaster response.

Seeking health care through international medical tourism.

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Eissler, Lee Ann; Casken, John

2013-06-01

The purpose of this study was the exploration of international travel experiences for the purpose of medical or dental care from the perspective of patients from Alaska and to develop insight and understanding of the essence of the phenomenon of medical tourism. The study is conceptually oriented within a model of health-seeking behavior. Using a qualitative design, 15 Alaska medical tourists were individually interviewed. The data were analyzed using a hermeneutic process of inquiry to uncover the meaning of the experience. Six themes reflecting the experiences of Alaska medical tourists emerged: "my motivation," "I did the research," "the medical care I need," "follow-up care," "the advice I give," and "in the future." Subthemes further categorized data for increased understanding of the phenomenon. The thematic analysis provides insight into the experience and reflects a modern approach to health-seeking behavior through international medical tourism. The results of this study provide increased understanding of the experience of obtaining health care internationally from the patient perspective. Improved understanding of medical tourism provides additional information about a contemporary approach to health-seeking behavior. Results of this study will aid nursing professionals in counseling regarding medical tourism options and providing follow-up health care after medical tourism. Nurses will be able to actively participate in global health policy discussions regarding medical tourism trends. © 2013 Sigma Theta Tau International.

Rapid Health and Needs assessments after disasters: a systematic review

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Yzermans CJ

2010-06-01

Full Text Available Abstract Background Publichealth care providers, stakeholders and policy makers request a rapid insight into health status and needs of the affected population after disasters. To our knowledge, there is no standardized rapid assessment tool for European countries. The aim of this article is to describe existing tools used internationally and analyze them for the development of a workable rapid assessment. Methods A review was conducted, including original studies concerning a rapid health and/or needs assessment. The studies used were published between 1980 and 2009. The electronic databasesof Medline, Embase, SciSearch and Psychinfo were used. Results Thirty-three studies were included for this review. The majority of the studies was of US origin and in most cases related to natural disasters, especially concerning the weather. In eighteen studies an assessment was conducted using a structured questionnaire, eleven studies used registries and four used both methods. Questionnaires were primarily used to asses the health needs, while data records were used to assess the health status of disaster victims. Conclusions Methods most commonly used were face to face interviews and data extracted from existing registries. Ideally, a rapid assessment tool is needed which does not add to the burden of disaster victims. In this perspective, the use of existing medical registries in combination with a brief questionnaire in the aftermath of disasters is the most promising. Since there is an increasing need for such a tool this approach needs further examination.

Disaster Management: Mental Health Perspective.

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Math, Suresh Bada; Nirmala, Maria Christine; Moirangthem, Sydney; Kumar, Naveen C

2015-01-01

Disaster mental health is based on the principles of 'preventive medicine' This principle has necessitated a paradigm shift from relief centered post-disaster management to a holistic, multi-dimensional integrated community approach of health promotion, disaster prevention, preparedness and mitigation. This has ignited the paradigm shift from curative to preventive aspects of disaster management. This can be understood on the basis of six 'R's such as Readiness (Preparedness), Response (Immediate action), Relief (Sustained rescue work), Rehabilitation (Long term remedial measures using community resources), Recovery (Returning to normalcy) and Resilience (Fostering). Prevalence of mental health problems in disaster affected population is found to be higher by two to three times than that of the general population. Along with the diagnosable mental disorders, affected community also harbours large number of sub-syndromal symptoms. Majority of the acute phase reactions and disorders are self-limiting, whereas long-term phase disorders require assistance from mental health professionals. Role of psychotropic medication is very limited in preventing mental health morbidity. The role of cognitive behaviour therapy (CBT) in mitigating the mental health morbidity appears to be promising. Role of Psychological First Aid (PFA) and debriefing is not well-established. Disaster management is a continuous and integrated cyclical process of planning, organising, coordinating and implementing measures to prevent and to manage disaster effectively. Thus, now it is time to integrate public health principles into disaster mental health.

Medical students’ perceptions of international accreditation

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Abdel-Razig, Sawsan; Nair, Satish C

2015-01-01

Objectives This study aimed to explore the perceptions of medical students in a developing medical education system towards international accreditation. Methods Applicants to an Internal Medicine residency program in an academic medical center in the United Arab Emirates (UAE) accredited by the Accreditation Council for Graduate Medical Education-International (ACGME-I) were surveyed between May and June 2014. The authors analysed responses using inductive qualitative thematic analysis to identify emergent themes. Results Seventy-eight of 96 applicants (81%) completed the survey. The vast majority of respondents 74 (95%) reported that ACGME-I accreditation was an important factor in selecting a residency program. Five major themes were identified, namely improving the quality of education, increasing opportunities, meeting high international standards, improving program structure, and improving patient care. Seven (10%) of respondents felt they would be in a position to pursue fellowship training or future employment in the United States upon graduation from an ACGME-I program. Conclusions UAE trainees have an overwhelmingly positive perception of international accreditation, with an emphasis on improving the quality of training provided. Misperceptions, however, exist about potential opportunities available to graduates of ACGME-I programs. As more countries adopt the standards of the ACGME-I or other international accrediting bodies, it is important to recognize and foster trainee “buy-in” of educational reform initiatives. PMID:26454402

Disaster preparedness and response improvement: comparison of the 2010 Haiti earthquake-related diagnoses with baseline medical data.

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van Berlaer, Gerlant; Staes, Tom; Danschutter, Dirk; Ackermans, Ronald; Zannini, Stefano; Rossi, Gabriele; Buyl, Ronald; Gijs, Geert; Debacker, Michel; Hubloue, Ives

2017-10-01

Disaster medicine research generally lacks control groups. This study aims to describe categories of diagnoses encountered by the Belgian First Aid and Support Team after the 2010 Haiti earthquake and extract earthquake-related changes from comparison with comparable baseline data. The hypothesis is that besides earthquake-related trauma, medical problems emerge soon, questioning an appropriate composition of Foreign Medical Teams and Interagency Emergency Health Kits. Using a descriptive cohort study design, diagnoses of patients presenting to the Belgian field hospital were prospectively registered during 4 weeks after the earthquake and compared with those recorded similarly by Médecins Sans Frontières in the same area and time span in previous and later years. Of 7000 triaged postearthquake patients, 3500 were admitted, of whom 2795 were included and analysed. In the fortnight after the earthquake, 90% suffered from injury. In the following fortnight, medical diseases emerged, particularly respiratory (23%) and digestive (14%). More than 53% developed infections within 3 weeks after the event. Médecins Sans Frontières registered 6407 patients in 2009; 6033 in 2011; and 7300 in 2012. A comparison indicates that postearthquake patients suffered significantly less from violence, but more from wounds, respiratory, digestive and ophthalmological diseases. This is the first comparison of postearthquake diagnoses with baseline data. Within 2 weeks after the acute phase of an earthquake, respiratory, digestive and ophthalmological problems will emerge to the prejudice of trauma. This fact should be anticipated when composing Foreign Medical Teams and Interagency Emergency Health Kits to be sent to the disaster site.

Impact of natural disaster combined with nuclear power plant accidents on local medical services: a case study of Minamisoma Municipal General Hospital after the Great East Japan Earthquake.

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Kodama, Yuko; Oikawa, Tomoyoshi; Hayashi, Kaoru; Takano, Michiko; Nagano, Mayumi; Onoda, Katsuko; Yoshida, Toshiharu; Takada, Akemi; Hanai, Tatsuo; Shimada, Shunji; Shimada, Satoko; Nishiuchi, Yasuyuki; Onoda, Syuichi; Monma, Kazuo; Tsubokura, Masaharu; Matsumura, Tomoko; Kami, Masahiro; Kanazawa, Yukio

2014-12-01

To elucidate the impacts of nuclear plant accidents on neighboring medical centers, we investigated the operations of our hospital within the first 10 days of the Great East Japan Earthquake followed by the Fukushima Daiichi nuclear power plant accident. Data were extracted from medical records and hospital administrative records covering 11 to 20 March 2011. Factual information on the disaster was obtained from public access media. A total of 622 outpatients and 241 inpatients were treated. Outpatients included 43 injured, 6 with cardiopulmonary arrest, and 573 with chronic diseases. Among the 241 inpatients, 5 died, 137 were discharged, and the other 99 were transferred to other hospitals. No communication methods or medical or food supplies were available for 4 days after the earthquake. Hospital directors allowed employees to leave the hospital on day 4. All 39 temporary workers were evacuated immediately, and 71 of 239 full-time employees remained. These employees handled extra tasks besides patient care and patient transfer to other hospitals. Committed effective doses indicating the magnitude of health risks due to an intake of radioactive cesium into the human body were found to be minimal according to internal radiation exposure screening carried out from July to August 2011. After the disaster, hospitals located within the evacuation zone of a 30-km radius of the nuclear power plant were isolated. Maintenance of the health care system in such an event becomes difficult.

International Conference 'Fifteen Years after the Chornobyl Accident. Lessons Learned'. Abstracts Learning

International Nuclear Information System (INIS)

Anon

2001-01-01

The main aims of the conference are: for the scientific community in the most affected countries, to develop a common vision with the international scientific community with regard to the consequences of the Chornobyl disaster (in ecological, medical, social and other areas 15 years post-Chornobyl); to drawing conclusions and providing recommendations to allow decision makers at both national and international level to take further steps to mitigate the effects of the disaster. For the results of the Conference, to represent a common international understanding of the current situation resulting from the accident and the future initiatives which will be necessary to counter its effects

[One year after the Great Tohoku Disaster].

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Aoki, Masashi

2012-01-01

After the great earthquake of March 11, 2011, at least seven hospitals with 723 beds along the Miyagi Prefecture northern coastline were so devastated they could no longer function, leaving only several available hospitals. The two crucial issues thus became maintaining communications and regional transport. Phones and wireless were knocked out in most hospitals and areas. Many of the severe cases had to be brought to the Tohoku University Hospital at Sendai from the above the hospitals. Tohoku University Hospital and other medical facilities in the Tohoku district were in a terrible crisis of electricity shortage. It was a critical situation, particularly for patients with amyotrophic lateral sclerosis requiring artificial ventilation. We should hurry to submit a guideline for medical transportation for patients with neuromuscular diseases requiring artificial ventilation. We also should research the disaster medicine in the field of neurology, and prevent the neurological disease progressing after the earthquake. A large number of hospitals in coastal areas suffered devastating damage. We do not think it is feasible or even reasonable to restore such hospitals to what they were before the disaster. We started Tohoku Medical Megabank Organization as a disaster recovery model for revitalizing the areas reported to have scarce medical services. The project provides supports to local medical services, constructs a community coalition for medical information, sets up a biobank based on large-scale cohort studies, and provides educational training to produce highly specialized medical practitioners.

Approaches to Post-disaster Environmental Recovery

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Mehrdad Farrokhi

2016-01-01

Full Text Available Background: Environment and its ecosystems are affected by various natural and man-made disasters. The environmental management in disasters tries to protect ecosystems, sustain development, reduce disaster risk, and adapt to or decrease the impact of climate change. This study aimed to investigate the impact of disasters on the environment and methods of reducing these effects. Materials and Methods: This review study was conducted by searching PubMed, Google Scholar, Elsevier, UNEP, SID, and Magiran databases using keywords of “environment”, “disasters”, “recovery”, and “lessons learned” from 1999 to 2015. Results: Decrease in surface and groundwater resources, pollution of water resources, deforestation, desertification, soil erosion, air pollution and extinction of animal species are among post-disaster environmental damages. As a result of such changes in the environment and ecosystem, water shortage and drought, loss of vegetation, and food insecurity will ensue. Due to these destructive incidents, the people’s ability to provide necessary resources for living decreases and their very lives are threatened. Consequently, they are forced to immigrate to save their lives. Conclusion: Environmental recovery is one of the effective strategies for achieving sustainable development. In this regard, public and private organizations as well as international ones and people should work together. Responsible organizations, the stakeholders at different levels, and the public must be trained in this area and introduced to the latest international standards. Rules and policies should be reviewed and revised in accordance with today’s needs and international standards.

The environmental and medical geochemistry of potentially hazardous materials produced by disasters

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Plumlee, Geoffrey S.; Morman, Suzette A.; Meeker, G.P.; Hoefen, Todd M.; Hageman, Philip L.; Wolf, Ruth E.

2014-01-01

Many natural or human-caused disasters release potentially hazardous materials (HM) that may pose threats to the environment and health of exposed humans, wildlife, and livestock. This chapter summarizes the environmentally and toxicologically significant physical, mineralogical, and geochemical characteristics of materials produced by a wide variety of recent disasters, such as volcanic eruptions, hurricanes and extreme storms, spills of mining/mineral-processing wastes or coal extraction by-products, and the 2001 attacks on and collapse of the World Trade Center towers. In describing these characteristics, this chapter also illustrates the important roles that geochemists and other earth scientists can play in environmental disaster response and preparedness. In addition to characterizing in detail the physical, chemical, and microbial makeup of HM generated by the disasters, these roles also include (1) identifying and discriminating potential multiple sources of the materials; (2) monitoring, mapping, and modeling dispersal and evolution of the materials in the environment; (3) understanding how the materials are modified by environmental processes; (4) identifying key characteristics and processes that influence the materials' toxicity to exposed humans and ecosystems; (5) estimating shifts away from predisaster environmental baseline conditions; and (6) using geochemical insights learned from past disasters to help estimate, prepare for, and increase societal resilience to the environmental and related health impacts of future disasters.

Imagery for Disaster Response and Recovery

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Bethel, G. R.

2011-12-01

Exposing the remotely sensed imagery for disaster response and recovery can provide the basis for an unbiased understanding of current conditions. Having created consolidated remotely sensed and geospatial data sources documents for US and Foreign disasters over the past six years, availability and usability are continuing to evolve. By documenting all existing sources of imagery and value added products, the disaster response and recovery community can develop actionable information. The past two years have provided unique situations to use imagery including a major humanitarian disaster and response effort in Haiti, a major environmental disaster in the Gulf of Mexico, a killer tornado in Joplin Missouri and long-term flooding in the Midwest. Each disaster presents different challenges and requires different spatial resolutions, spectral properties and/or multi-temporal collections. The community of data providers continues to expand with organized actives such as the International Charter for Space and Major Disasters and acquisitions by the private sector for the public good rather than for profit. However, data licensing, the lack of cross-calibration and inconsistent georeferencing hinder optimal use. Recent pre-event imagery is a critial component to any disaster response.

Disaster Risk Management In Business Education: Setting The Tone

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JUAN PABLO SARMIENTO

Full Text Available Looking for windows of opportunity to mainstream disaster risk management within business education, in 2015, the United Nations Office for Disaster Reduction's (UNISDR Private Sector Alliance for Disaster Resilient Societies (ARISE, partnered with Florida International University's Extreme Events Institute (FIU-EEI and 12 international leading business schools. This partnership began with a call for White Papers to propose innovative approaches to integrate cutting edge disaster management content into business education programs and other academic offerings, based on seven themes or niches identified: (1 Strategic Investment and Financial Decisions; (2 Generating Business Value; (3 Sustainable Management; (4 Business Ethics and Social Responsibility; (5 Business Continuity Planning; (6 Disaster Risk Metrics; and (7 Risk Transfer. In March 2016, an international workshop was held in Toronto, Canada to present the White Papers prepared by the business schools, and discuss the most appropriate approaches for addressing the areas of: teaching and curriculum; professional development and extension programs; internships and placement; research opportunities; and partnerships and collaboration. Finally, the group proposed goals for advancing the implementation phase of the business education initiatives, and to propose mechanisms for monitoring and follow-up.

Prediction of Unmet Primary Care Needs for the Medically Vulnerable Post-Disaster: An Interrupted Time-Series Analysis of Health System Responses

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Amy B. Martin

2012-09-01

Full Text Available Disasters serve as shocks and precipitate unanticipated disturbances to the health care system. Public health surveillance is generally focused on monitoring latent health and environmental exposure effects, rather than health system performance in response to these local shocks. The following intervention study sought to determine the long-term effects of the 2005 chlorine spill in Graniteville, South Carolina on primary care access for vulnerable populations. We used an interrupted time-series approach to model monthly visits for Ambulatory Care Sensitive Conditions, an indicator of unmet primary care need, to quantify the impact of the disaster on unmet primary care need in Medicaid beneficiaries. The results showed Medicaid beneficiaries in the directly impacted service area experienced improved access to primary care in the 24 months post-disaster. We provide evidence that a health system serving the medically underserved can prove resilient and display improved adaptive capacity under adverse circumstances (i.e., technological disasters to ensure access to primary care for vulnerable sub-groups. The results suggests a new application for ambulatory care sensitive conditions as a population-based metric to advance anecdotal evidence of secondary surge and evaluate pre- and post-health system surge capacity following a disaster.

Prevention and treatment of traumatic brain injury due to rapid-onset natural disasters

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James L. Regens

2014-04-01

Full Text Available The prevention and treatment of traumatic brain injury (TBI attributable to rapid-onset natural disasters is a major challenge confronting disaster preparedness planners and emergency medical personnel responding to those incidents. The kinetic energy released by rapid-onset natural disasters such as earthquakes, hurricanes or typhoons, and tornadoes can cause mild, moderate or severe TBIs. As a result, neurotrauma is a major risk factor for mortality and morbidity outcomes within the spatial domain impacted by a rapid-onset natural disaster. This review article elucidates major challenges associated with immediate emergency medical response, long-term care, and prevention of post-event increases in pediatric TBIs because of child abuse when rapid-onset natural disasters occur.

Disaster imminent--Hurricane Hugo.

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Guynn, J B

1990-04-01

Response to a disaster situation depends upon the type of circumstances presented. In situations where the disaster is the type that affects the hospital as well as a wide surrounding area directly, the hospital and pharmacy itself may be called upon to continue functioning for some period of time without outside assistance. The ability to function for prolonged periods of time requires the staff to focus on the job at hand and the administrative staff to provide security, compassion, and flexibility. Plans for a disaster of the nature of a hurricane require that attention be paid to staffing, medication inventories, supplies, and services being rendered. Recognition of the singular position occupied by a hospital in the community and the expectations of the local population require that hospitals and the pharmacy department have the ability to respond appropriately.

Revitalising Evidence-based Policy for the Sendai Framework for Disaster Risk Reduction 2015-2030: Lessons from Existing International Science Partnerships.

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Carabine, Elizabeth

2015-04-23

The convergence of agreements on disaster risk reduction (DRR), development finance, sustainable development and climate change in 2015 presents a unique opportunity for coherence across these inter-related policy areas. At the same time, demand is growing for a more prominent and effective role for science and technology in providing evidence for policy, with the international community recognising that successful disaster risk reduction (DRR) depends on it. Reflecting this ambition, science is included as a core aspect of the Sendai Framework for Disaster Risk Reduction 2015-2030, although the ways in which this will be implemented in practice is still unclear. This paper aims to inform the implementation of international science coordination for DRR by examining a number of existing international science partnerships used across other relevant areas of policy to understand best practice, options for coordination and lessons identified. In the field of DRR, the science-policy interface needs to be strengthened in line with the best practice described in this review. An enhanced UNISDR Scientific and Technical Advisory Group will be given the mandate for to enhance the evidence base for DRR and mobilise science and technical work in coordination with a broad range of stakeholders. The structure and function of an enhanced STAG must be as open, as inclusive and as participatory as possible in order to build trust in new and existing institutions at local, national, regional and global levels. The challenge for the international community is to facilitate evidence-based policy making by formally recognising the links between DRR, development finance, sustainable development and climate change in the upcoming post-2015 agreements.

Public health protection after nuclear and radiation disasters

International Nuclear Information System (INIS)

Du Liqing; Liu Qiang; Fan Feiyue

2012-01-01

The Fukushima Daiichi nuclear disaster in Japan combined with massive earthquake and immense tsunami, Some crucial lessons were reviewed in this paper, including emergency response for natural technological disasters, international effects, public psychological health effects and communication between the government and public. (authors)

From the Mahanadi Delta to Sendai via South America: Building bridges between research, practice and international policy for disaster resilience assessments

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Fanchiotti, Margherita; Torres, Jair

2017-04-01

The concept of disaster resilience has gained momentum in recent decades and major international initiatives, such as the 2030 Agenda for Sustainable Development, the Sendai Framework for Disaster Risk Reduction 2015-2030 and the Paris Agreement, all recognise the importance of fostering community resilience to natural hazards to save lives and reduce losses. Despite significant advances in the policy settings for disaster resilience assessment, the interpretation of the concept itself and its implications for practice and policy remain clouded and more research is needed to gather evidence of what resilience means for governments and communities. This paper aims to bring together the research work the authors have conducted in the field of disaster resilience assessments at their respective institutions (University of Southampton, UK and the UME Graduate School at the Institute for Advanced Studies of Pavia, Italy) with the practical implementation projects and international policy consultations they have been involved in under UNESCO's umbrella. The main findings of a research study conducted as part of the 'Deltas, Vulnerability & Climate Change: Migration & Adaptation' (DECCMA) project to investigate the differential resilience of local communities in the Mahanadi Delta, India using a development approach will be presented. Statistical methods have been employed to identify development hotspots and have been combined with a qualitative analysis of community perceptions of development and the mutual implications of development for disaster resilience to build case studies of community resilience to inform theory, policy and practice. The authors will then discuss the practical implications of this research study for the implementation of UNESCO's 'Enhancing Natural HAzards resilience iN South America' (ENHANS) project, which seeks to train a critical mass of decision-makers, community leaders and experts on disaster risk and resilience assessments in four

An Example of City Disaster Plan in the Context of Integrated Disaster Management with Un sufficient Legal Structure

International Nuclear Information System (INIS)

Kepekci, D.

2007-01-01

Disaster management of a city, in coherent, stable and true manner, were realized by understanding and organizing of the disaster plan. When we consider the earthquake hazard of Marmara Region, it was investigated by the scientific studies how -a world city- Istanbul were effected this earthquake. When we consider the scientific data and we take a base the current legal structure of our country, the aim of the disaster plan is to provide the fist and emergency aid for the citizens when the destructive earthquake were occurred and effected the general life. This disaster plan includes base of the coordination and helping each other of the activity which all institution and organizations will do during possible disaster. The aims of making of plan is to provide the cooperation and collaboration between before the disaster and to act urgently during the disaster, and to provide the following necessary activity. This necessary activity as main headlines are; the providing of communication and transportation; regulation of traffic; rescue; emergency medical aid, to transportation patient and injured people to the hospitals; to put out fire; to provide security and public order; eating, dressing, heating and lighting studies; to provide temporary housing; the burial of dead citizens; to remove wreckage; to repair and to re-provide the electrical, water and canalization construction. In this study, it will mainly be presented Istanbul city disaster plan. Disaster plan of this city were produced by the intensive and sacrificial efforts with Turkish legal system. After that, disaster plan must updated as soon as possible. However government must regulate current legal system ( or the body of current law) related disaster plan. City disaster plan, which even construct well, include only the operations after the disaster. Before disaster, methods of preventive precaution against the disaster must add the plan with applicable legal system

Assessing Disaster Preparedness Among Select Children's Summer Camps in the United States and Canada.

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Chang, Megan; Sielaff, Alan; Bradin, Stuart; Walker, Kevin; Ambrose, Michael; Hashikawa, Andrew

2017-08-01

Children's summer camps are at risk for multiple pediatric casualties during a disaster. The degree to which summer camps have instituted disaster preparedness is unknown. We assessed disaster preparedness among selected camps nationally for a range of disasters. We partnered with a national, web-based electronic health records system to send camp leadership of 315 camp organizations a 14-question online survey of disaster preparedness. One response from each camp was selected in the following order of importance: owner, director, physician, nurse, medical technician, office staff, and other. The results were analyzed using descriptive statistics. A total of 181 camps responses were received, 169 of which were complete. Camp types were overnight (60%), day (21%), special/medical needs (14%), and other (5%). Survey respondents were directors (52%), nurses (14%), office staff (10%), physicians (5%), owners (5%), emergency medical technicians (2%), and other (12%). Almost 18% of camps were located >20 mi from a major medical center, and 36% were >5 mi from police/fire departments. Many camps were missing emergency supplies: car/booster seats for evacuation (68%), shelter (35%), vehicles for evacuation (26%), quarantine isolation areas (21%), or emergency supplies of extra water (20%) or food (17%). Plans were unavailable for the following: power outages (23%); lockdowns (15%); illness outbreaks (15%); tornadoes (11%); evacuation for fire, flood, or chemical spill (9%); and other severe weather (8%). Many camps did not have online emergency plans (53%), plans for children with special/medical needs (38%), methods to rapidly communicate information to parents (25%), or methods to identify children for evacuation/reunification with parents (40%). Respondents reported that staff participation in disaster drills varied for weather (58%), evacuations (46%), and lockdowns (36%). The majority (75%) of respondents had not collaborated with medical organizations for planning. A

Natural disasters and gender dynamics

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Roder, Giulia; Tarolli, Paolo

2016-04-01

. Men, on the other side, feel more often prepared to overcome the crises, but what emerges from the stress and the losses caused by disasters are different types of violence (self-harm and interpersonal violence). It is therefore necessary to recognize violence and mental health pathologies as part of the negative consequences that occur after natural disasters and that can be part of people's vulnerability if those events recur frequently. Living conditions, demographic, economic attributes, behaviours and beliefs reflect gender power relations in the disaster context. Failing to recognize it, may lead to inefficient community-based risk management plans. Gender dynamics in the disaster context should be the interest not only of non-governmental and/or international organizations. They should be a priority for researchers that have to contribute more in their studies to find a gendered differentiation, without limiting gender to an isolated attribute. This will help public authorities to develop sensitive management plans in order to let the disaster relief an easy process to achieve. This work will contribute to the scientific recognition of gender in the disaster management context, in order to raise further investigations on this topic. World Bank (2010) Natural Hazards, Unnatural Disasters: The Economics of Effective Prevention. The International Bank for Reconstruction and Development Reports.

Precepting at the time of a natural disaster.

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Myhre, Douglas; Bajaj, Sameer; Fehr, Lana; Kapusta, Mike; Woodley, Kristine; Nagji, Alim

2017-04-01

Natural disasters strike communities that have varied degrees of preparedness, both physical and psychological. Rural communities may be particularly vulnerable as they often do not have the infrastructure or resources to prepare in advance. The psychological impact of a natural disaster is amplified in learners who may be temporary members of the community and therefore cannot draw on personal support during the crisis. They may turn to their clinical preceptors for guidance. The Slave Lake fire (population 6782) in May 2011 and the High River flood (population 12 920) in June 2013 are examples of natural disasters that have occurred in rural Alberta, Canada. At the time of these critical incidents, three medical students and one family medicine resident from the two provincial medical schools were participating in rotations in these communities. Although disasters occur rarely, there is a need for guidelines for preceptors from the learner perspective. Accordingly, using a modified Delphi approach, we captured the experiences of learners that were then refined into two themes, each containing three recommendations: considerations for action during a natural disaster and considerations for action after the acute crisis has passed. Although disasters occur rarely, there is a need for guidelines for preceptors from the learner perspective IMPLICATIONS: Our recommendations provide suggestions for practical solutions that build on the usual expectations of mentors and may benefit the student-teacher relationship at the time of a disaster and beyond. They are meant to initiate discussion regarding further study aimed towards creating recommendations for preceptor response that may cross disciplines. © 2016 John Wiley & Sons Ltd.

Disaster medicine. Mental care

International Nuclear Information System (INIS)

Haginoya, Masato; Shimoda, Kazutaka

2012-01-01

Described are 5 essential comments of view concerning the post-disaster psychiatric care through authors' experience at the aid of the 2011 Tohoku Earthquake and Tsunami including Fukushima Daiichi Nuclear Power Plant Accident. Firstly, at the acute phase of disaster, the ensured safe place, sleep and rest are necessary as a direct aid of sufferers and their family. Insomnia is seen in many of them and can partly be a prodrome of disorders like post traumatic stress disorder (PTSD). US Psychological First Aid (PFA) is useful for a guide of the initial aid for disaster, and translated Japanese version is available free. Public anxiety as a psychological effect can be caused even out of the disaster-stricken area by such factors as on-site news reports (inducing identification), internet information, economical and social confusion, forecasted radiation hazard, etc. Cool-headed understanding is required for them and particularly for complicated radiological information. The system for psychiatric treatment is needed as exemplified by its temporary lack due to the radiation disaster near the Plant and consequent prompt dispatch of psychiatrists from Dokkyo Medical University. Survived sufferers' grief and bereavement are said to tend to last long, to be complicated and deteriorated, indicating the necessity of management of continuous mental health. Alcoholism as a result to avoid those feelings should be noted. Finally, pointed out is the mental care for supporters working for recovery from the disaster, like policeman, Self-Defense Force member, fireman, doctor, nurse, officer, volunteer and many others concerned, because PTSD prevalence is reported to amount to 12.4% of rescue and recovery workers of US World Trade Center Disaster (9.11) even 2-3 years after. (T.T.)

Enhancing Global Health Security: US Africa Command's Disaster Preparedness Program.

Science.gov (United States)

Morton Hamer, Melinda J; Reed, Paul L; Greulich, Jane D; Beadling, Charles W

2018-03-07

US Africa Command's Disaster Preparedness Program (DPP), implemented by the Center for Disaster and Humanitarian Assistance Medicine, partnered with US Government agencies and international organizations to promote stability and security on the African continent by engaging with African Partner Nations' (PN) civil and military authorities to improve disaster management capabilities. From 2008 to 2015, DPP conducted disaster preparedness and response programming with 17 PNs. DPP held a series of engagements with each, including workshops, strategic planning, developing preparedness and response plans, tabletop exercises, and prioritizing disaster management capability gaps identified through the engagements. DPP partners collected data for each PN to further capacity building efforts. Thus far, 9 countries have completed military pandemic plans, 10 have developed national pandemic influenza plans, 9 have developed military support to civil authorities plans, and 11 have developed disaster management strategic work plans. There have been 20 national exercises conducted since 2009. DPP was cited as key in implementation of Ebola response plans in PNs, facilitated development of disaster management agencies in DPP PNs, and trained nearly 800 individuals. DPP enhanced PNs' ability to prepare and respond to crises, fostering relationships between international agencies, and improving civil-military coordination through both national and regional capacity building. (Disaster Med Public Health Preparedness. 2018;page 1 of 11).

Medications and International Travel

Centers for Disease Control (CDC) Podcasts

2011-04-12

This podcast answers a listener's question about her medications and an international trip she's planning.  Created: 4/12/2011 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 4/12/2011.

The Good, The Bad and The Ugly: Disaster Risk Reduction (DRR) Versus Disaster Risk Creation (DRC).

Science.gov (United States)

Lewis, James

2012-06-21

In understanding and trying to reduce the risk from disasters, connections are often articulated amongst poverty, vulnerability, risk, and disasters. These are welcome steps, but the approach taken in top-down international documents is rarely to articulate explicitly that vulnerability accrues from a wide variety of dynamic and long-term processes. Neglecting these processes-and failing to explore their links with poverty, risk, and disasters-tends to encourage disaster risk creation. This paper identifies seven examples of on-the-ground realities of long-term vulnerability within two clusters: Endangerment: 1 Environmental degradation. 2 Discrimination. 3 Displacement. Impoverishment: 4 Self-seeking public expenditure. 5 Denial of access to resources. 6 Corruption. 7 Siphoning of public money. Examples are presented as vignettes, many contemporary and many rooted in historical contexts, to demonstrate the extent to which "vulnerability drivers" emanate from greed, the misuse of political and commercial power, mismanagement and incompetence amongst other behaviours. Moving forward to the tackling of disaster risk creation, instead of simply seeking disaster risk reduction, requires detailed investigation into these contemporary and historical realities of the causes of vulnerability. That would support the integration of disaster risk reduction within the many wider contexts that foment and perpetuate vulnerability.

Problems of pharmacological supply of disaster medicine

International Nuclear Information System (INIS)

Sabaev, V.V.; Il'ina, S.L.

1995-01-01

The paper reviews a number of pharmacological problems, being important for the disaster medicine, of theoretical and practical nature, the settlement of which would promote more efficient rendering emergency medical aid to the injured persons in the conditions of emergency situations and further expert medical care. On the example of radiation accidents there are studied methodical approaches to organization of drug prophylaxis and therapy of the injured persons in emergency situations. The authors have proved the necessity of arranging proper pharmacological supply of disaster medicine which is to settle the whole complex of scientific-applied and organizational questions relating to the competence of pharmacology and pharmacy. 17 refs

Mobile satellite services for public safety, disaster mitigation and disaster medicine

Science.gov (United States)

Freibaum, Jerry

1990-01-01

Between 1967 and 1987 nearly three million lives were lost and property damage of $25 to $100 billion resulted form natural disasters that adversely affected more than 829 million people. The social and economic impacts have been staggering and are expected to grow more serious as a result of changing demographic factors. The role that the Mobile Satellite Service can play in the International Decade is discussed. MSS was not available for disaster relief operations during the recent Loma Prieta/San Francisco earthquake. However, the results of a review of the performance of seven other communication services with respect to public sector operations during and shortly after the earthquake are described. The services surveyed were: public and private telephone, mobile radio telephone, noncellular mobile radio, broadcast media, CB radio, ham radio, and government and nongovernment satellite systems. The application of MSS to disaster medicine, particularly with respect to the Armenian earthquake is also discussed.

Disaster Medicine Training Through Simulations for Fourth-Year Students.

Science.gov (United States)

Cloutier, Marc G.; Cowan, Michael L.

1986-01-01

The use of a six-day multiple-simulation exercise in the military disaster medical services training program of the Uniformed Services University of the Health Sciences is described. It is the second part of a clerkship that includes a classroom/laboratory phase using a disaster problem-solving board game. (MSE)

The German emergency and disaster medicine and management system-history and present.

Science.gov (United States)

Hecker, Norman; Domres, Bernd Dieter

2018-04-01

As well for optimized emergency management in individual cases as for optimized mass medicine in disaster management, the principle of the medical doctors approaching the patient directly and timely, even close to the site of the incident, is a long-standing marker for quality of care and patient survival in Germany. Professional rescue and emergency forces, including medical services, are the "Golden Standard" of emergency management systems. Regulative laws, proper organization of resources, equipment, training and adequate delivery of medical measures are key factors in systematic approaches to manage emergencies and disasters alike and thus save lives. During disasters command, communication, coordination and cooperation are essential to cope with extreme situations, even more so in a globalized world. In this article, we describe the major historical milestones, the current state of the German system in emergency and disaster management and its integration into the broader European approach. Copyright © 2018. Production and hosting by Elsevier B.V.

Increase in the prescription rate of antidepressants after the Sewol Ferry disaster in Ansan, South Korea.

Science.gov (United States)

Han, Kyu-Man; Kim, Kyoung-Hoon; Lee, Mikyung; Lee, Sang-Min; Ko, Young-Hoon; Paik, Jong-Woo

2017-09-01

Previous pharmaco-epidemiological studies have reported increases in the prescription of psychotropic medications after a disaster, reflecting post-disaster changes in psychiatric conditions and mental health service utilization. We investigated changes in the prescription of psychotropic medications in the Danwon district of Ansan city (Ansan Danwon) compared to a control community before and after the Sewol Ferry disaster on April 16, 2014. Data was collected from the Korean Health Insurance Review and Assessment Service database. We analyzed the prescription rates of psychotropic medications including antidepressants, anxiolytics, and sedatives/hypnotics, and investigated whether the time-series pattern of monthly prescriptions per 100,000 people was different in Ansan Danwon compared to that in Cheonan city after the Sewol Ferry disaster through difference-in-differences regression analysis. Ansan Danwon showed a significantly greater increase (5.6%) in the prescription rate of antidepressants compared to Cheonan city following the Sewol Ferry disaster. There were no significant differences in changes in the prescription rates of anxiolytics or sedatives/hypnotics. In the secondary analysis, a significantly greater increase in the prescription rate of antipsychotics was observed in Ansan Danwon compared to a control community after the disaster. We could not exclude the possibility that other events influenced changes in the prescription rates of psychotropic medications during the study period. Pharmaco-epidemiological studies on psychotropic medication prescription after a disaster provide important information about population-level mental health. Our results suggest that the Sewol Ferry disaster exerted a harmful effect on the mental health status of the affected community. Copyright © 2017 Elsevier B.V. All rights reserved.

International decade for natural disaster reduction

Science.gov (United States)

Hays, W. W.

1990-01-01

Throughout history, humanity has found itself in conflict with naturally occurring events of geologic, hydrologic, and atmospheric origin. this conflict has been demonstrated repeatedly when people build urban centers at the water's edge, in or near active fault systems capable of generating earthquakes, on steep slopes, near active volcanoes, or at the urban-wilderness interface prone to wildfires. Naturally occurring, recurrent events such as floods, windstorms, tsunamis, earthquakes, landslides, volcanic eruptions, and wildfires have tested human-engineered works many times and have often found them unable to withstand the forces generated by the event. In the past 20 years, for example, events like these throughout the world have claimed more than 2.8 million lives and adversely affected 820 million people; single disasters have caused economic losses of billions of dollars. Industrialized countries like the United States and Japan have been able to absorb the socioeconomic losses of past natural disasters, but the economics of many developing countries have been devastated by losses equal to a large percentage of their gross national product. Furthermore, the magnitude of the losses is increasing at a rapid rate as the building wealth of nations is expanded to meet the needs of rapidly increasing population, often without adequate consideration of the potential threat posed by the recurrent natural hazards and without implementing effective loss-reduction measures because of lack of knowledge or lack of technical capability. 

Time for a revolution: smart energy and microgrid use in disaster response.

Science.gov (United States)

Callaway, David Wayne; Noste, Erin; McCahill, Peter Woods; Rossman, A J; Lempereur, Dominique; Kaney, Kathleen; Swanson, Doug

2014-06-01

Modern health care and disaster response are inextricably linked to high volume, reliable, quality power. Disasters place major strain on energy infrastructure in affected communities. Advances in renewable energy and microgrid technology offer the potential to improve mobile disaster medical response capabilities. However, very little is known about the energy requirements of and alternative power sources in disaster response. A gap analysis of the energy components of modern disaster response reveals multiple deficiencies. The MED-1 Green Project has been executed as a multiphase project designed to identify energy utilization inefficiencies, decrease demands on diesel generators, and employ modern energy management strategies to expand operational independence. This approach, in turn, allows for longer deployments in potentially more austere environments and minimizes the unit's environmental footprint. The ultimate goal is to serve as a proof of concept for other mobile medical units to create strategies for energy independence.

Is previous disaster experience a good predictor for disaster preparedness in extreme poverty households in remote Muslim minority based community in China?

Science.gov (United States)

Chan, Emily Y Y; Kim, Jean H; Lin, Cherry; Cheung, Eliza Y L; Lee, Polly P Y

2014-06-01

Disaster preparedness is an important preventive strategy for protecting health and mitigating adverse health effects of unforeseen disasters. A multi-site based ethnic minority project (2009-2015) is set up to examine health and disaster preparedness related issues in remote, rural, disaster prone communities in China. The primary objective of this reported study is to examine if previous disaster experience significantly increases household disaster preparedness levels in remote villages in China. A cross-sectional, household survey was conducted in January 2011 in Gansu Province, in a predominately Hui minority-based village. Factors related to disaster preparedness were explored using quantitative methods. Two focus groups were also conducted to provide additional contextual explanations to the quantitative findings of this study. The village household response rate was 62.4 % (n = 133). Although previous disaster exposure was significantly associated with perception of living in a high disaster risk area (OR = 6.16), only 10.7 % households possessed a disaster emergency kit. Of note, for households with members who had non-communicable diseases, 9.6 % had prepared extra medications to sustain clinical management of their chronic conditions. This is the first study that examined disaster preparedness in an ethnic minority population in remote communities in rural China. Our results indicate the need of disaster mitigation education to promote preparedness in remote, resource-poor communities.

Disaster countermeasures around nuclear facilities

International Nuclear Information System (INIS)

Tatsuta, Yoshinori

1982-01-01

The following matters are described. Safety regulation administration for nuclear power plants; nuclear disaster countermeasures in the United States; disaster countermeasures around nuclear facilities (a report of the ad hoc committee in Nuclear Safety Commission), including general requirements, the scope of areas to take the countermeasures, emergency environmental monitoring, guidelines for taking the countermeasures, and emergency medical treatment. In the nuclear safety administration, the system of stationing safety expert personnel on the sites of nuclear power generation and qualifying the persons in charge of reactor operation in the control room is also introduced. As for the disaster countermeasures, such as the detection of an abnormal state, the notification of the abnormality to various organs concerned, the starting of emergency environmental monitoring, the establishment of the countermeasure headquarters, and emergency measures for the local people. (Mori, K.)

International conference. Mental health consequences of the Chernobyl disaster: current state and future prospects; Mezhdunarodnaya konferentsiya `Aktual`nye i prognoziruemye narusheniya psikhicheskogo zdorov`ya posle yadernoj katastrofy v Chernobyle`

Energy Technology Data Exchange (ETDEWEB)

Nyagu, A I [eds.

1996-12-31

Proceedings of the International Conference on the mental health consequences of the Chernobyl disaster: current state and future prospects was introduced.The questions connected with: 1. Mental health disorders biological basis after ionizing radiation influence; 2. Psychiatric aspects of the Chernobyl disaster; 3. Social stress following contradictory information: ways for its overcoming; 4. Rehabilitation and prophylactic measures for mental and nervous disorders. Psycho social rehabilitation of survivors; 5. Psychosomatic effects and somato-neurological consequences of the Chernobyl disaster; 6. Psychosomatic health of children and adolescents survivors of the Chernobyl disaster; 7. Brain damage as result of prenatal irradiation.

Factors Associated with Nursing Activities in Humanitarian Aid and Disaster Relief

Science.gov (United States)

Noguchi, Norihito; Inoue, Satoshi; Shimanoe, Chisato; Shibayama, Kaoru; Shinchi, Koichi

2016-01-01

Background Although nurses play an important role in humanitarian aid and disaster relief (HA/DR), little is known about the nursing activities that are performed in HA/DR. We aimed to clarify the nursing activities performed by Japanese nurses in HA/DR and to examine the factors associated with the frequency of nursing activities. Methods A self-administered questionnaire survey was completed by 147 nurses with HA/DR experience. The survey extracted information on demographic characteristics, past experience (e.g., disaster medical training experience, HA/DR experience), circumstances surrounding their dispatched to HA/DR (e.g., team size, disaster type, post-disaster phase, mission term), and the frequency of nursing activities performed under HA/DR. The frequency of nursing activities was rated on a 5-point Likert scale. Evaluation of nursing activities was conducted based on the “nursing activity score”, which represents the frequency of each nursing activity. Factors related to the nursing activity score were evaluated by multiple logistic regression analysis. Results Nurses were involved in 27 nursing activities in HA/DR, 10 of which were performed frequently. On analysis, factors significantly associated with nursing activity score were nursing license as a registered nurse (OR 7.79, 95% CI 2.95–20.57), two or more experiences with disaster medical training (OR 2.90 95%, CI 1.12–7.49) and a post-disaster phase of three weeks or longer (OR 8.77, 95% CI 2.59–29.67). Conclusions These results will contribute to the design of evidence-based disaster medical training that improves the quality of nursing activities. PMID:26959351

Classification of Local Language Disaster Related Tweets in Micro Blogs

Directory of Open Access Journals (Sweden)

Randy Joy Magno Ventayen

2018-02-01

Full Text Available – In Southeast Asia, Philippine is one of the disaster-prone countries which was hit by typhoon Lawin (international name: Haima, and Karen (international name “Sarika” last October 2016, the two typhoon swere named as one of the strongest typhoons that hit the country and the region 1. On some numbers of tweets in social media, there are local languages posted by the local users such as Pangasinan in the Philippines. The study will be sought to answer on how to download twitter data from a specific disaster duration in the region, how to extract and identify multilingual disaster-related tweets and finally how to classify disaster and non-disaster tweets in the local language. The study of classification and extraction of disaster and emergency-related tweets is important is interesting study because the life of a person which speaks a very rare dialect is important as the same as the person speaking a major language. Based on the findings, translation of selected typhoon-related words helps to filter the multilingual tweets and classified the tweets using Naïve Bayes algorithm

The Good, The Bad and The Ugly: Disaster Risk Reduction (DRR) Versus Disaster Risk Creation (DRC)

Science.gov (United States)

Lewis, James

2012-01-01

In understanding and trying to reduce the risk from disasters, connections are often articulated amongst poverty, vulnerability, risk, and disasters. These are welcome steps, but the approach taken in top-down international documents is rarely to articulate explicitly that vulnerability accrues from a wide variety of dynamic and long-term processes. Neglecting these processes—and failing to explore their links with poverty, risk, and disasters—tends to encourage disaster risk creation. This paper identifies seven examples of on-the-ground realities of long-term vulnerability within two clusters: Endangerment: 1 Environmental degradation. 2 Discrimination. 3 Displacement. Impoverishment: 4 Self-seeking public expenditure. 5 Denial of access to resources. 6 Corruption. 7 Siphoning of public money. Examples are presented as vignettes, many contemporary and many rooted in historical contexts, to demonstrate the extent to which “vulnerability drivers” emanate from greed, the misuse of political and commercial power, mismanagement and incompetence amongst other behaviours. Moving forward to the tackling of disaster risk creation, instead of simply seeking disaster risk reduction, requires detailed investigation into these contemporary and historical realities of the causes of vulnerability. That would support the integration of disaster risk reduction within the many wider contexts that foment and perpetuate vulnerability. PMID:22919564

Real-time Forensic Disaster Analysis

Science.gov (United States)

Wenzel, F.; Daniell, J.; Khazai, B.; Mühr, B.; Kunz-Plapp, T.; Markus, M.; Vervaeck, A.

2012-04-01

The Center for Disaster Management and Risk Reduction Technology (CEDIM, www.cedim.de) - an interdisciplinary research center founded by the German Research Centre for Geoscience (GFZ) and Karlsruhe Institute of Technology (KIT) - has embarked on a new style of disaster research known as Forensic Disaster Analysis. The notion has been coined by the Integrated Research on Disaster Risk initiative (IRDR, www.irdrinternational.org) launched by ICSU in 2010. It has been defined as an approach to studying natural disasters that aims at uncovering the root causes of disasters through in-depth investigations that go beyond the reconnaissance reports and case studies typically conducted after disasters. In adopting this comprehensive understanding of disasters CEDIM adds a real-time component to the assessment and evaluation process. By comprehensive we mean that most if not all relevant aspects of disasters are considered and jointly analysed. This includes the impact (human, economy, and infrastructure), comparisons with recent historic events, social vulnerability, reconstruction and long-term impacts on livelihood issues. The forensic disaster analysis research mode is thus best characterized as "event-based research" through systematic investigation of critical issues arising after a disaster across various inter-related areas. The forensic approach requires (a) availability of global data bases regarding previous earthquake losses, socio-economic parameters, building stock information, etc.; (b) leveraging platforms such as the EERI clearing house, relief-web, and the many sources of local and international sources where information is organized; and (c) rapid access to critical information (e.g., crowd sourcing techniques) to improve our understanding of the complex dynamics of disasters. The main scientific questions being addressed are: What are critical factors that control loss of life, of infrastructure, and for economy? What are the critical interactions

Factors influencing readiness to deploy in disaster response: findings from a cross-sectional survey of the Department of Veterans Affairs Disaster Emergency Medical Personnel System.

Science.gov (United States)

Zagelbaum, Nicole K; Heslin, Kevin C; Stein, Judith A; Ruzek, Josef; Smith, Robert E; Nyugen, Tam; Dobalian, Aram

2014-07-19

The Disaster Emergency Medical Personnel System (DEMPS) program provides a system of volunteers whereby active or retired Department of Veterans Affairs (VA) personnel can register to be deployed to support other VA facilities or the nation during national emergencies or disasters. Both early and ongoing volunteer training is required to participate. This study aims to identify factors that impact willingness to deploy in the event of an emergency. This analysis was based on responses from 2,385 survey respondents (response rate, 29%). Latent variable path models were developed and tested using the EQS structural equations modeling program. Background demographic variables of education, age, minority ethnicity, and female gender were used as predictors of intervening latent variables of DEMPS Volunteer Experience, Positive Attitude about Training, and Stress. The model had acceptable fit statistics, and all three intermediate latent variables significantly predicted the outcome latent variable Readiness to Deploy. DEMPS Volunteer Experience and a Positive Attitude about Training were associated with Readiness to Deploy. Stress was associated with decreased Readiness to Deploy. Female gender was negatively correlated with Readiness to Deploy; however, there was an indirect relationship between female gender and Readiness to Deploy through Positive Attitude about Training. These findings suggest that volunteer emergency management response programs such as DEMPS should consider how best to address the factors that may make women less ready to deploy than men in order to ensure adequate gender representation among emergency responders. The findings underscore the importance of training opportunities to ensure that gender-sensitive support is a strong component of emergency response, and may apply to other emergency response programs such as the Medical Reserve Corps and the American Red Cross.

Enabling a Disaster-Resilient Workforce: Attending to Individual Stress and Collective Trauma.

Science.gov (United States)

Raveis, Victoria H; VanDevanter, Nancy; Kovner, Christine T; Gershon, Robyn

2017-11-01

Superstorm Sandy forced the evacuation and extended shutdown of New York University Langone Medical Center. This investigation explored how nurses were impacted by the disasters and how they can best be supported in their nursing responsibilities. Sequential mixed methods were used to explore the psychosocial issues nurses experienced throughout the course of this natural disaster and its lingering aftermath. In-depth interviews were conducted from April to June 2013 with a subsample of nurses who participated in the evacuation deployment (n = 16). An anonymous, Internet-based cross-sectional survey sent to all registered nurses employed at the hospital at the time of the storm explored storm impact and recovery. Between July and September 2013, 528 surveys were completed. The qualitative data revealed challenges in balancing professional obligations and personal concerns. Accounts described dealing in the immediate recovery period with unexpected job changes and resultant work uncertainty. The storm's lingering aftermath did not signify restoration of their predisaster lifestyle for some, but necessitated coping with this massive storm's long-lasting impact on their personal lives and communal loss. Nurses working under the rapidly changing, uncontrolled, and potentially dangerous circumstances of a weather-related disaster are also experiencing concerns about their families' welfare and worries about personal loss. These multiple issues increase the psychosocial toll on nurses during a disaster response and impending recovery. Awareness of concerns and competing demands nurses experience in a disaster and aftermath can inform education and services to enable nurses to perform their critical functions while minimizing risk to patients and themselves. © 2017 Sigma Theta Tau International.

Towards a national burns disaster plan | Rogers | South African ...

African Journals Online (AJOL)

The International Society for Burns Injuries (ISBI) has published guidelines for the management of multiple or mass burns casualties, and recommends that 'each country has or should have a disaster planning system that addresses its own particular needs. The need for a national burns disaster plan integrated with ...

Scoping medical tourism and international hospital accreditation growth.

Science.gov (United States)

Woodhead, Anthony

2013-01-01

Uwe Reinhardt stated that medical tourism can do to the US healthcare system what the Japanese automotive industry did to American carmakers after Japanese products developed a value for money and reliability reputation. Unlike cars, however, healthcare can seldom be test-driven. Quality is difficult to assess after an intervention (posteriori), therefore, it is frequently evaluated via accreditation before an intervention (a priori). This article aims to scope the growth in international accreditation and its relationship to medical tourism markets. Using self-reported data from Accreditation Canada, Joint Commission International (JCI) and Australian Council on Healthcare Standards (ACHS), this article examines how quickly international accreditation is increasing, where it is occurring and what providers have been accredited. Since January 2000, over 350 international hospitals have been accredited; the JCI's total nearly tripling between 2007-2011. Joint Commission International staff have conducted most international accreditation (over 90 per cent). Analysing which countries and regions where the most international accreditation has occurred indicates where the most active medical tourism markets are. However, providers will not solely be providing care for medical tourists. Accreditation will not mean that mistakes will never happen, but that accredited providers are more willing to learn from them, to varying degrees. If a provider has been accredited by a large international accreditor then patients should gain some reassurance that the care they receive is likely to be a good standard. The author questions whether commercializing international accreditation will improve quality, arguing that research is necessary to assess the accreditation of these growing markets.

Chinese disasters and just-in-time education.

Science.gov (United States)

Yang, Yingyun; Chen, Yanwen; Chotani, Rashid A; Laporte, Ronald E; Ardalan, Ali; Shubnikov, Eugene; Linkov, Fania; Huang, Jesse

2010-01-01

Just-in-time ( JIT) Educational Strategy has been applied successfully to share scientific knowledge about disasters in several countries. This strategy was introduced to China in 2008 with the hopes to quickly disseminate accurate scientific data to the population, and it was applied during the Sichuan Earthquake and Influenza A (H1N1) outbreak. Implementation of this strategy likely educated between 10,000 and 20,000,000 people. The efforts demonstrated that an effective JIT strategy impacted millions of people in China after a disaster occurs as a disaster mitigation education method. This paper describes the Chinese JIT approach, and discusses methodologies for implementing JIT lectures in the context of China's medical and public health system.

Emergency Preparedness and Disaster Response: There's An App for That.

Science.gov (United States)

Bachmann, Daniel J; Jamison, Nathan K; Martin, Andrew; Delgado, Jose; Kman, Nicholas E

2015-10-01

Smartphone applications (or apps) are becoming increasingly popular with emergency responders and health care providers, as well as the public as a whole. There are thousands of medical apps available for Smartphones and tablet computers, with more added each day. These include apps to view textbooks, guidelines, medication databases, medical calculators, and radiology images. Hypothesis/Problem With an ever expanding catalog of apps that relate to disaster medicine, it is hard for both the lay public and responders to know where to turn for effective Smartphone apps. A systematic review of these apps was conducted. A search of the Apple iTunes store (Version 12; Apple Inc.; Cupertino, California USA) was performed using the following terms obtained from the PubMed Medical Subject Headings Database: Emergency Preparedness, Emergency Responders, Disaster, Disaster Planning, Disaster Medicine, Bioterrorism, Chemical Terrorism, Hazardous Materials (HazMat), and the Federal Emergency Management Agency (FEMA). After excluding any unrelated apps, a working list of apps was formed and categorized based on topics. Apps were grouped based on applicability to responders, the lay public, or regional preparedness, and were then ranked based on iTunes user reviews, value, relevance to audience, and user interface. This search revealed 683 applications and was narrowed to 219 based on relevance to the field. After grouping the apps as described above, and subsequently ranking them, the highest quality apps were determined from each group. The Community Emergency Response Teams and FEMA had the best apps for National Disaster Medical System responders. The Centers for Disease Control and Prevention (CDC) had high-quality apps for emergency responders in a variety of fields. The National Library of Medicine's Wireless Information System for Emergency Responders (WISER) app was an excellent app for HazMat responders. The American Red Cross had the most useful apps for natural

The Effect of Start Triage Education on Knowledge and Practice of Emergency Medical Technicians in Disasters

Directory of Open Access Journals (Sweden)

Mahboub Pouraghaei

2017-06-01

Full Text Available Introduction: Pre-hospital triage is one of the most fundamental concepts in emergency management. Limited human resource changes triage to an inevitable solution in the management of disasters. The aim of this study was to evaluate the role of education of simple triage and rapid treatment (START in the knowledge and practice of Emergency Medical Service (EMS employees of Eastern Azerbaijan. Methods: This is a pre-and post-intervention study conducted on two hundred and five (205 of employees of EMS sector, in the disaster and emergency management center of Eastern Azerbaijan Province, 2015. The utilized tool is a questionnaire of the knowledge and practice of individuals regarding START triage. The questionnaire was filled by the participants pre- and post-education; thereafter the data were analyzed using SPSS 13 software. Results: The total score of the participants increased from 22.02 (4.49 to 28.54 (3.47. Moreover, the score of sections related to knowledge of the triage was a necessity and the mean score of the section related to the practice increased from 11.47 (2.15 to 13.63 (1.38, and 10.73 (3.57 to 14.93 (2.78, respectively, which were statistically significant. Conclusion: In this study, it was found that holding the educational classes of pre-hospital triage before the disasters is effective in improving the knowledge and practice of employees such as EMS technicians and this resulted to decreased error in performing this process as well as reduced overload in hospitals.

The Effect of Start Triage Education on Knowledge and Practice of Emergency Medical Technicians in Disasters.

Science.gov (United States)

Pouraghaei, Mahboub; Sadegh Tabrizi, Jaafar; Moharamzadeh, Payman; Rajaei Ghafori, Rozbeh; Rahmani, Farzad; Najafi Mirfakhraei, Baharak

2017-06-01

Introduction: Pre-hospital triage is one of the most fundamental concepts in emergency management. Limited human resource changes triage to an inevitable solution in the management of disasters. The aim of this study was to evaluate the role of education of simple triage and rapid treatment (START) in the knowledge and practice of Emergency Medical Service (EMS) employees of Eastern Azerbaijan. Methods: This is a pre-and post-intervention study conducted on two hundred and five (205) of employees of EMS sector, in the disaster and emergency management center of Eastern Azerbaijan Province, 2015. The utilized tool is a questionnaire of the knowledge and practice of individuals regarding START triage. The questionnaire was filled by the participants pre- and post-education; thereafter the data were analyzed using SPSS 13 software. Results: The total score of the participants increased from 22.02 (4.49) to 28.54 (3.47). Moreover, the score of sections related to knowledge of the triage was a necessity and the mean score of the section related to the practice increased from 11.47 (2.15) to 13.63 (1.38), and 10.73 (3.57) to 14.93 (2.78), respectively, which were statistically significant. Conclusion: In this study, it was found that holding the educational classes of pre-hospital triage before the disasters is effective in improving the knowledge and practice of employees such as EMS technicians and this resulted to decreased error in performing this process as well as reduced overload in hospitals.

The clinical application of mobile technology to disaster medicine.

Science.gov (United States)

Case, Timothy; Morrison, Cecily; Vuylsteke, Alain

2012-10-01

Mobile health care technology (mHealth) has the potential to improve communication and clinical information management in disasters. This study reviews the literature on health care and computing published in the past five years to determine the types and efficacy of mobile applications available to disaster medicine, along with lessons learned. Five types of applications are identified: (1) disaster scene management; (2) remote monitoring of casualties; (3) medical image transmission (teleradiology); (4) decision support applications; and (5) field hospital information technology (IT) systems. Most projects have not yet reached the deployment stage, but evaluation exercises show that mHealth should allow faster processing and transport of patients, improved accuracy of triage and better monitoring of unattended patients at a disaster scene. Deployments of teleradiology and field hospital IT systems to disaster zones suggest that mHealth can improve resource allocation and patient care. The key problems include suitability of equipment for use in disaster zones and providing sufficient training to ensure staff familiarity with complex equipment. Future research should focus on providing unbiased observations of the use of mHealth in disaster medicine.

Disaster Risk Reduction through school learners’ awareness and preparedness

Directory of Open Access Journals (Sweden)

Takalani S. Rambau

2012-11-01

Full Text Available In 2006, the ISDR (International Strategy for Disaster Reduction (2007 initiated a campaign called Disaster Risk Reduction Begins at School to encourage the integration of disaster risk education into school curricula in countries vulnerable to disasters. A study was initiated to determine how education, in particular curriculum development and teaching, contributes to South African learners’ hazard awareness and disaster preparedness. Mixed method research (consisting of questionnaires, interviews and document reviews was done to collect data. 150 educators from Gauteng, the Western Cape, KwaZulu-Natal, North West and the Eastern Cape completed questionnaires. Five curriculum coordinators, three disaster specialists and two disaster lecturers were interviewed to record their perspectives. The first finding of the study was that the majority of educators, disaster specialists and curriculum coordinators identified floods, fire, droughts, epidemics, road accidents and storms as the most prevalent disasters in the country. The second finding from the literature and empirical data collection revealed that South African communities, particularly people residing in informal settlements and other poor areas, are more vulnerable to disasters than their counterparts in more affluent areas. The third finding of the study was that teaching learners about hazards and disasters is vital and must be expanded.

Disaster Research

DEFF Research Database (Denmark)

Given the tendency of books on disasters to predominantly focus on strong geophysical or descriptive perspectives and in-depth accounts of particular catastrophes, Disaster Research provides a much-needed multidisciplinary perspective of the area. This book is is structured thematically around key...... approaches to disaster research from a range of different, but often complementary academic disciplines. Each chapter presents distinct approaches to disaster research that is anchored in a particular discipline; ranging from the law of disasters and disaster historiography to disaster politics...... and anthropology of disaster. The methodological and theoretical contributions underlining a specific approach to disasters are discussed and illustrative empirical cases are examined that support and further inform the proposed approach to disaster research. The book thus provides unique insights into fourteen...

Minimal Internal Radiation Exposure in Residents Living South of the Fukushima Daiichi Nuclear Power Plant Disaster.

Science.gov (United States)

Akiyama, Junichi; Kato, Shigeaki; Tsubokura, Masaharu; Mori, Jinichi; Tanimoto, Tetsuya; Abe, Koichiro; Sakai, Shuji; Hayano, Ryugo; Tokiwa, Michio; Shimmura, Hiroaki

2015-01-01

Following the Fukushima nuclear power plant disaster, assessment of internal radiation exposure was indispensable to predict radiation-related health threats to residents of neighboring areas. Although many evaluations of internal radiation in residents living north and west of the crippled Fukushima nuclear power plant are available, there is little information on residents living in areas south of the plant, which were similarly affected by radio-contamination from the disaster. To assess the internal radio-contamination in residents living in affected areas to the south of the plant or who were evacuated into Iwaki city, a whole body counter (WBC) screening program of internal radio-contamination was performed on visitors to the Jyoban hospital in Iwaki city, which experienced less contamination than southern areas adjacent to the nuclear plant. The study included 9,206 volunteer subjects, of whom 6,446 were schoolchildren aged 4-15 years. Measurements began one year after the incident and were carried out over the course of two years. Early in the screening period only two schoolchildren showed Cs-137 levels that were over the detection limit (250 Bq/body), although their Cs-134 levels were below the detection limit (220 Bq/body). Among the 2,760 adults tested, 35 (1.3%) had detectable internal radio-contamination, but only for Cs-137 (range: 250 Bq/body to 859 Bq/body), and not Cs-134. Of these 35 subjects, nearly all (34/35) showed elevated Cs-137 levels only during the first year of the screening. With the exception of potassium 40, no other radionuclides were detected during the screening period. The maximum annual effective dose calculated from the detected Cs-137 levels was 0.029 and 0.028 mSv/year for the schoolchildren and adults, respectively, which is far below the 1 mSv/year limit set by the government of Japan. Although the data for radiation exposure during the most critical first year after the incident are unavailable due to a lack of systemic

The South Dakota Model: Health Care Professions Student Disaster Preparedness and Deployment Training.

Science.gov (United States)

Owens, Matt P; Buffington, Cheri; Frost, Michael P; Waldner, Randall J

2017-12-01

The Association of American Medical Colleges recommended an increase in medical education for public health emergencies, bioterrorism, and weapons of mass destruction in 2003. The University of South Dakota Sanford School of Medicine (USD SSOM) implemented a 1-day training event to provide disaster preparedness training and deployment organization for health professions students called Disaster Training Day (DTD). Hospital staff and emergency medical services personnel provided the lecture portion of DTD using Core Disaster Life Support (CDLS; National Disaster Life Support Foundation) as the framework. Pre-test and post-test analyses were presented to the students. Small group activities covered leadership, anaphylaxis, mass fatality, points of dispensing deployment training, psychological first aid, triage, and personal protective equipment. Students were given the option to sign up for statewide deployment through the South Dakota Statewide Emergency Registry of Volunteers (SERV SD). DTD data and student satisfaction surveys from 2009 to 2016 were reviewed. Since 2004, DTD has provided disaster preparedness training to 2246 students across 13 health professions. Significant improvement was shown on CDLS post-test performance with a t-score of -14.24 and a resulting P value of training, small group sessions, and perceived self-competency relating to disaster response. SERV SD registration increased in 2015, and 77.5% of the participants registered in 2016. DTD at the USD SSOM provides for an effective 1-day disaster training course for health professions students. Resources from around the state were coordinated to provide training, liability coverage, and deployment organization for hundreds of students representing multiple health professions. (Disaster Med Public Health Preparedness. 2017;11:735-740).

Democracy, GDP, and the Impact of Natural Disasters

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van der Vink, G.; Brett, A. P.; Burgess, E.; Cecil-Cockwell, D.; Chicoine, A.; Difiore, P.; Harding, J.; Millian, C.; Olivi, E.; Piaskowy, S.; Sproat, J.; van der Hoop, H.; Walsh, P.; Warren, A.; West, L.; Wright, G.

2007-05-01

In 1998 Amartya Sen won the Nobel Prize in economics for the observation that there has never been a famine in a nation with a democratic form of government and a free press. We find that a similar relationship can be demonstrated for all natural disasters. Data from the United Nations Food Programme and the United States Office of Foreign Disaster Assistance is used to display strong correlations between the democracy index, GDP, and the humanitarian impact of natural disasters. We find that nations in which disasters have high humanitarian impact, approximated by lives lost, are also nations which are below the median per capita GDP and the median democracy level. While the response to natural disasters varies from country to country, several additional global trends are observed. Since 1964, the number of recorded natural disasters has increased by a factor of five. During this same time period the number of deaths has decreased significantly. In particular, the humanitarian impact of the 'typical' natural disaster has decreased by a factor of five. Post-disaster foreign aid is the common response from the international community when a natural disaster strikes. Our study also compares the history of foreign aid grants distributed by the US Office of Foreign Disaster Aid (OFDA) with the number of deaths worldwide from natural disasters. We find that the amount of aid given is responsive to the degree of global humanitarian impact.

802.11 Wireless Infrastructure To Enhance Medical Response to Disasters

Science.gov (United States)

Arisoylu, Mustafa; Mishra, Rajesh; Rao, Ramesh; Lenert, Leslie A.

2005-01-01

802.11 (WiFi) is a well established network communications protocol that has wide applicability in civil infrastructure. This paper describes research that explores the design of 802.11 networks enhanced to support data communications in disaster environments. The focus of these efforts is to create network infrastructure to support operations by Metropolitan Medical Response System (MMRS) units and Federally-sponsored regional teams that respond to mass casualty events caused by a terrorist attack with chemical, biological, nuclear or radiological weapons or by a hazardous materials spill. In this paper, we describe an advanced WiFi-based network architecture designed to meet the needs of MMRS operations. This architecture combines a Wireless Distribution Systems for peer-to-peer multihop connectivity between access points with flexible and shared access to multiple cellular backhauls for robust connectivity to the Internet. The architecture offers a high bandwidth data communications infrastructure that can penetrate into buildings and structures while also supporting commercial off-the-shelf end-user equipment such as PDAs. It is self-configuring and is self-healing in the event of a loss of a portion of the infrastructure. Testing of prototype units is ongoing. PMID:16778990

From fatalism to resilience: reducing disaster impacts through systematic investments.

Science.gov (United States)

Hill, Harvey; Wiener, John; Warner, Koko

2012-04-01

This paper describes a method for reducing the economic risks associated with predictable natural hazards by enhancing the resilience of national infrastructure systems. The three-step generalised framework is described along with examples. Step one establishes economic baseline growth without the disaster impact. Step two characterises economic growth constrained by a disaster. Step three assesses the economy's resilience to the disaster event when it is buffered by alternative resiliency investments. The successful outcome of step three is a disaster-resistant core of infrastructure systems and social capacity more able to maintain the national economy and development post disaster. In addition, the paper considers ways to achieve this goal in data-limited environments. The method provides a methodology to address this challenge via the integration of physical and social data of different spatial scales into macroeconomic models. This supports the disaster risk reduction objectives of governments, donor agencies, and the United Nations International Strategy for Disaster Reduction. © 2012 The Author(s). Disasters © Overseas Development Institute, 2012.

Pediatric issues in disaster management, part 2: evacuation centers and family separation/reunification.

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Mace, Sharon E; Sharieff, Ghazala; Bern, Andrew; Benjamin, Lee; Burbulys, Dave; Johnson, Ramon; Schreiber, Merritt

2010-01-01

Although children and infants are likely to be victims in a disaster and are more vulnerable in a disaster than adults, disaster planning and management has often overlooked the specific needs of pediatric patients. We discuss key components of disaster planning and management for pediatric patients including emergency medical services, hospital/facility issues, evacuation centers, family separation/reunification, children with special healthcare needs, mental health issues, and overcrowding/surge capacity. Specific policy recommendations and an appendix with detailed practical information and algorithms are included. The first part of this three part series on pediatric issues in disaster management addresses the emergency medical system from the field to the hospital and surge capacity including the impact of crowding. The second part addresses the appropriate set up and functioning of evacuation centers and family separation and reunification. The third part deals with special patient populations: the special healthcare needs patient and mental health issues.

Planning in emergencies and disasters

African Journals Online (AJOL)

surgical training - although this mainly comprises the clinical aspect of it. A disaster is a large-scale emergency and thus involves many other disciplines other than medical. In the last .... old, refugees and migrants .... Thought should be put into the preservation, dignity ... especially rescue workers and volunteers, working in.

Disaster mental health service at Fukushima after 2011 Tohoku earthquake

International Nuclear Information System (INIS)

Furuno, Taku

2013-01-01

The 2011 Tohoku earthquake was the most powerful earthquake ever to have hit Japan, which triggered the devastating tsunami sweeping through the cities, and caused the nuclear crisis in Fukushima. Due to the disaster, numerous people in Fukushima had to be in emergency evacuation, which also must have influenced people's mental states. After the earthquake, department of psychiatry, Yokohama City University School of Medicine, organized the disaster mental health service teams, and participated in psychological aid at Fukushima prefecture during March, May and June 2011. Our teams visited the shelters, schools and healthcare center, to evaluate psychological condition of the evacuees, and provide counseling to the people who had psychological problems. Many people at the disaster site who have prolonged psychological symptoms, also had some problems related to the social situations. Therefore, managing social support of evacuees is equally an important role of the disaster mental health service team as caring acute symptoms of stress and helping damaged psychiatric service network. In addition, the earthquake made the people aware of importance of sharing information in the time of disaster, especially via internet. We should take this opportunity to think more about information exchange for medical support, such as collaboration of medical teams and provision of expert knowledge to sufferers. (author)

International students in United States’ medical schools: does the medical community know they exist?

Directory of Open Access Journals (Sweden)

Jashodeep Datta

2012-06-01

Full Text Available Background: Matriculation of international students to United States’ (US medical schools has not mirrored the remarkable influx of these students to other US institutions of higher education. Methods: While these students’ numbers are on the rise, the visibility for their unique issues remains largely ignored in the medical literature. Results: These students are disadvantaged in the medical school admissions process due to financial and immigration-related concerns, and academic standards for admittance also continue to be significantly higher compared with their US-citizen peers. Furthermore, it is simply beyond the mission of many medical schools – both public and private – to support international students’ education, especially since federal, state-allocated or institutional funds are limited and these institutions have a commitment to fulfill the healthcare education needs of qualified domestic candidates. In spite of these obstacles, a select group of international students do gain admission to US medical schools and, upon graduation, are credentialed equally as their US-citizen counterparts by the Accreditation Council for Graduate Medical Education (ACGME. However, owing to their foreign citizenship, these students have visa requirements for post-graduate training that may adversely impact their candidacy for residency placement. Conclusion: By raising such issues, this article aims to increase the awareness of considerations pertinent to this unique population of medical students. The argument is also made to support continued recruitment of international students to US medical schools in spite of these impediments. In our experience, these students are not only qualified to tackle the rigors of a US medical education, but also enrich the cultural diversity of the medical student body. Moreover, these graduates could effectively complement the efforts to augment US physician workforce diversity while contributing to

Chilean geo client application for disasters

Science.gov (United States)

Suárez, Rodrigo F.; Lovison, Lucia; Potters, Martinus

2018-05-01

The global network of the Group on Earth Observation, GEO, connects all kinds of professionals from public and private institutions with data providers, sharing information to face the challenges of global changes and human development and they are creating a Global Earth Observation System of Systems (GEOSS) to connect existing data infrastructures. A GEOSS Architecture Implementation Pilot Project for Disasters in Chile (AIP-8) was created as part of a capacity building initiative and representatives of different national agencies in Chile, along with international experts, formed a GEOSS Capacity Building Working Group (Lovison et al, 2016). Consistent with the objectives of GEOSS AIP-8 Chile, we developed and implemented a prototype service based on web services, mobile applications and other communication channels, which allows connecting different sources of information, aiming to reduce population vulnerability to natural disasters such as: earthquakes, flooding, wild fires and tsunamis, which is presented here. The GEO Chile client application is a JavaScript application using GEODAB brokering services, GIS technology and disaster information provided by national and international disaster services, including public and private organizations, where cartography becomes fundamental as a tool to provide realism and ubiquity to the information. Seven hotpots are targeted: Calbuco, Copahue and Villarrica volcanoes areas, Valparaíso city, which is frequently a victim of wildfires in the zone where population meets forest and Iquique, Illapel and Talcahuano, areas frequently struck by earthquakes and tsunamis.

Community Disasters, Psychological Trauma, and Crisis Intervention.

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Boscarino, Joseph A

The current issue of International Journal of Emergency Mental Health and Human Resilience is focused on community disasters, the impact of trauma exposure, and crisis intervention. The articles incorporated include studies ranging from the World Trade Center disaster to Hurricane Sandy. These studies are related to public attitudes and beliefs about disease outbreaks, the impact of volunteerism following the World Trade Center attacks, alcohol misuse among police officers after Hurricane Katrina, posttraumatic stress disorder after Hurricane Sandy among those exposed to the Trade Center disaster, compassion fatigue and burnout among trauma workers, crisis interventions in Eastern Europe, and police officers' use of stress intervention services. While this scope is broad, it reflects the knowledge that has emerged since the Buffalo Creek and Chernobyl catastrophes, to the more recent Hurricane Katrina and Sandy disasters. Given the current threat environment, psychologists, social workers, and other providers need to be aware of these developments and be prepared to mitigate the impact of psychological trauma following community disasters, whether natural or man-made.

The challenges of disaster management in south Asian countries

International Nuclear Information System (INIS)

Qamar-ul-Islam; Anjum, G.A.; Shahzad, M.

2005-01-01

The type of this research work reflects an overview of disasters in South Asian countries. This outlines geographical aspects and institutional structures briefly in each country, and identifies gaps in disaster management regimes. Identified of these gaps is expected to give insights to the media to develop more informal disaster communications in South Asian Countries. Natural disasters have become a severe global problem. Deaths, displacements and damages resulting from natural disasters are colossal. During the 1990s global economic losses from major natural catastrophes averaged more than US $ 40 billion a year. The current Tsunami disaster has broken all previous records particularly in Indonesia, Sri Lanka and India. This paper focuses particularly on sub continental countries in the South Asian countries, how they are managed and mismanaged, and aims to provide condensed resource material on the subject. In such countries issues related to natural disasters are covered under the legal frameworks for environment, land use, water resources and human settlements. The shift from emergency management to disaster preparedness requires coordination between various government building departments and ministries and with other international organization and various community organizations. (author)

Postgraduate Medical Physics Academic Programmes. Endorsed by the International Organization for Medical Physics (IOMP)

International Nuclear Information System (INIS)

2013-01-01

The safe and effective implementation of technology in radiation medicine requires expert medical physics support. In order to fulfil their duties, medical physicists working as health professionals should demonstrate competency in their area of specialization by obtaining the appropriate educational qualification and clinical competency training in one or more aspects of medical physics. At the international level, there are very few established, accredited academic education programmes for medical physics students, and no international guidelines exist which provide the recommended requirements, outline and structure of such a programme. An increasing number of Member States with a 'critical mass' of medical physicists are seeking support to initiate their own national postgraduate education programmes. This publication, therefore, seeks to provide guidelines for the establishment of a postgraduate academic education programme in medical physics, which could also be used to achieve harmonized standards of competence worldwide. This publication was developed in support of the internationally harmonized guidelines given in IAEA Human Health Series No. 25 on the requirements for academic education and clinical training of clinically qualified medical physicists. In addition to academic education, medical physicists should obtain specialized clinical training. The IAEA has published three Training Course Series publications with accompanying handbooks, which provide guidelines and references to training material for clinical training programmes for medical physicists specializing in radiation oncology (TCS-37), diagnostic radiology (TCS-47) and nuclear medicine (TCS-50)

Complicating common ideas about medical tourism: gender, class, and globality in Yemenis' international medical travel.

Science.gov (United States)

Kangas, Beth

2011-01-01

Three cases of international medical travelers from Yemen, a capital‐poor country in the southwest corner of the Arabian Peninsula, help to counter misconceptions within discussions of medical tourism. These misconceptions include the suggestion of leisure in medical tourism, the role of gender and class, and the ease with which we dismiss the health concerns of wealthy individuals. Instead, this article proposes, we should uncover commonalities and differences within international medical travel while avoiding slipping into generalities and stereotypical portrayals.

Update on Activities of CEOS Disaster Management Support Group

Science.gov (United States)

Wood, H. M.; Lauritson, L.

The Committee on Earth Observation Satellites (CEOS) Disaster Management Support Group (DMSG) has supported natural and technological disaster management on a worldwide basis by fostering improved utilization of existing and planned Earth Observation (EO) satellite data. The DMSG has focused on developing and refining recommendations for the application of satellite data to selected hazard areas--drought, earthquake, fire, flood, ice, landslide, oil spill, and volcanic hazards. Particular emphasis was placed on working closely with space agencies, international and regional organizations, and commercial organizations on the implementation of these recommendations. The DMSG is in its last year with its primary focus on documenting its work and migrating on going activities to other fora. With over 300 participants from more than 140 organizations, the DMSG has found strong support among CEOS space agencies and the Integrated Global Observing Strategy (IGOS), as well as an enthusiastic reception from numerous international, regional, and national emergency managers, and distinct interest from the commercial sector. In addition, the group has worked to give full support to the work of the United Nations Committee on the Peaceful Uses of Outer Space (COPUOS) in pursuit of decisions taken at UNISPACE III and the United Nations International Strategy on Disaster Reduction (ISDR). In conjunction with the IGOS, several of the DMSG hazards teams (earthquake, landslide, and solid Earth dimensions of volcanoes) are joining in the effort to develop an IGOS Geohazards theme team. Cooperation efforts with organizations such as IGOS, COPUOS, and ISDR will hopefully lead to the pick up of much of the on going DMSG activities. Since the inception of this ad hoc working group and its predecessor project, the DMSG has developed and refined recommendations for the application of satellite data by bringing together experts from eight hazard areas to identify user needs, as well as

Medical students' and interns' interest in orthopedic surgery: the gender factor.

Science.gov (United States)

Schroeder, Joshua E; Zisk-Rony, Rachel Y; Liebergall, Meir; Tandeter, Howard; Kaplan, Leon; Weiss, Yoram G; Weissman, Charles

2014-01-01

There is an extremely small proportion of female medical students choosing to specialize in orthopedic surgery. The aim of the study was to assess medical students' and interns' interests and perceptions of orthopedic surgery and explore why women are not interested in orthopedic surgery. Questionnaires were distributed to final-year medical students and interns assessing their interests and perception of orthopedic surgery. Final-year medical students and interns. Responses were obtained from 317 students and 199 interns. Among the medical students, 15% were interested in orthopedic surgery, but only 2% were women. Both male and female students perceived orthopedics as an "action"-packed, procedure-based profession, providing instant gratification, time in the operating room, high income, and the option for private practice. Female medical students considered it boring. Among interns, 11% were interested in orthopedic surgery; however, only 2% were women. When compared with the interns who were not interested in orthopedic surgery, a greater number of the interns interested in orthopedic surgery rated time with family and a procedure-intensive profession as important. Female students and interns were also interested in other surgical fields. The increasing majority of women among medical students will reshape the future of physician workforce by dictating changes in workforce participation, working conditions, and intercollegial relationships. Orthopedic surgery will need to adapt to these realities. Published by Elsevier Inc.

What do They Know? Guidelines and Knowledge Translation for Foreign Health Sector Workers Following Natural Disasters.

Science.gov (United States)

Dunin-Bell, Ola

2018-04-01

Introduction The incidence of natural disasters is increasing worldwide, with countries the least well-equipped to mitigate or manage them suffering the greatest losses. Following natural disasters, ill-prepared foreign responders may become a burden to the affected population, or cause harm to those needing help. Problem The study was performed to determine if international guidelines for foreign workers in the health sector exist, and evidence of their implementation. A structured literature search was used to identify guidelines for foreign health workers (FHWs) responding to natural disasters. Analysis of semi-structured interviews of health sector responders to the 2015 Nepal earthquake was then performed, looking at preparation and field activities. No guidelines were identified to address the appropriate qualifications of, and preparations for, international individuals participating in disaster response in the health sector. Interviews indicated individuals choosing to work with experienced organizations received training prior to disaster deployment and described activities in the field consistent with general humanitarian principles. Participants in an ad hoc team (AHT) did not. In spite of need, there is a lack of published guidelines for potential international health sector responders to natural disasters. Learning about disaster response may occur only after joining a team. Dunin-Bell O . What do they know? Guidelines and knowledge translation for foreign health sector workers following natural disasters. Prehosp Disaster Med. 2018;33(2):139-146.

Ecosystem Approach To Flood Disaster Risk Reduction

Directory of Open Access Journals (Sweden)

RK Kamble

2013-12-01

Full Text Available India is one of the ten worst disaster prone countries of the world. The country is prone to disasters due to number of factors; both natural and anthropogenic, including adverse geo-climatic conditions, topographical features, environmental degradation, population growth, urbanisation, industrlisation, non-scientific development practices etc. The factors either in original or by accelerating the intensity and frequency of disasters are responsible for heavy toll of human lives and disrupting the life support systems in the country. India has 40 million hectares of the flood-prone area, on an average, flood affect an area of around 7.5 million hectares per year. Knowledge of environmental systems and processes are key factors in the management of disasters, particularly the hydro-metrological ones. Management of flood risk and disaster is a multi-dimensional affair that calls for interdisciplinary approach. Ecosystem based disaster risk reduction builds on ecosystem management principles, strategies and tools in order to maximise ecosystem services for risk reduction. This perspective takes into account the integration of social and ecological systems, placing people at the centre of decision making. The present paper has been attempted to demonstrate how ecosystem-based approach can help in flood disaster risk reduction. International Journal of Environment, Volume-2, Issue-1, Sep-Nov 2013, Pages 70-82 DOI: http://dx.doi.org/10.3126/ije.v2i1.9209

[Monitoring medication errors in an internal medicine service].

Science.gov (United States)

Smith, Ann-Loren M; Ruiz, Inés A; Jirón, Marcela A

2014-01-01

Patients admitted to internal medicine services receive multiple drugs and thus are at risk of medication errors. To determine the frequency of medication errors (ME) among patients admitted to an internal medicine service of a high complexity hospital. A prospective observational study conducted in 225 patients admitted to an internal medicine service. Each stage of drug utilization system (prescription, transcription, dispensing, preparation and administration) was directly observed by trained pharmacists not related to hospital staff during three months. ME were described and categorized according to the National Coordinating Council for Medication Error Reporting and Prevention. In each stage of medication use, the frequency of ME and their characteristics were determined. A total of 454 drugs were prescribed to the studied patients. In 138 (30,4%) indications, at least one ME occurred, involving 67 (29,8%) patients. Twenty four percent of detected ME occurred during administration, mainly due to wrong time schedules. Anticoagulants were the therapeutic group with the highest occurrence of ME. At least one ME occurred in approximately one third of patients studied, especially during the administration stage. These errors could affect the medication safety and avoid achieving therapeutic goals. Strategies to improve the quality and safe use of medications can be implemented using this information.

Simulation modelling of a patient surge in an emergency department under disaster conditions

Directory of Open Access Journals (Sweden)

Muhammet Gul

2015-10-01

Full Text Available The efficiency of emergency departments (EDs in handling patient surges during disaster times using the available resources is very important. Many EDs require additional resources to overcome the bottlenecks in emergency systems. The assumption is that EDs consider the option of temporary staff dispatching, among other options, in order to respond to an increased demand or even the hiring temporarily non-hospital medical staff. Discrete event simulation (DES, a well-known simulation method and based on the idea of process modeling, is used for establishing ED operations and management related models. In this study, a DES model is developed to investigate and analyze an ED under normal conditions and an ED in a disaster scenario which takes into consideration an increased influx of disaster victims-patients. This will allow early preparedness of emergency departments in terms of physical and human resources. The studied ED is located in an earthquake zone in Istanbul. The report on Istanbul’s disaster preparedness presented by the Japan International Cooperation Agency (JICA and Istanbul Metropolitan Municipality (IMM, asserts that the district where the ED is located is estimated to have the highest injury rate. Based on real case study information, the study aims to suggest a model on pre-planning of ED resources for disasters. The results indicate that in times of a possible disaster, when the percentage of red patient arrivals exceeds 20% of total patient arrivals, the number of red area nurses and the available space for red area patients will be insufficient for the department to operate effectively. A methodological improvement presented a different distribution function that was tested for service time of the treatment areas. The conclusion is that the Weibull distribution function used in service process of injection room fits the model better than the Gamma distribution function.

The desirability of education in didactic skills according to medical interns.

Science.gov (United States)

Kloek, Anne T; Verbakel, Joshua R A; Bernard, Simone E; Evenboer, Januska; Hendriks, Eef J; Stam, Hanneke

2012-12-01

Since all doctors at some point in their career will be faced with their role as a teacher, it appears desirable that future doctors are educated in didactic skills. At present, however, there are no formal opportunities for developing didactic skills at the majority of Dutch medical faculties. The main question of this study is: How do medical interns perceive the quality and quantity of their education in didactic skills? The Dutch Association for Medical Interns (LOCA) ran a national survey among 1,008 medical interns that measured the interns' self-assessed needs for training in didactic skills during medical school. Almost 80 % of the respondents argue that the mastery of didactic skills composes an essential competency for doctors, with the skill of providing adequate feedback considered to be the most important didactic quality for doctors. Of the respondents, 41 % wish to be educated in didactic skills, both during their medical undergraduate degree and during their subsequent training to become a resident. Teaching while being observed and receiving feedback in this setting is regarded as a particularly valuable didactic method by 74 % of the medical interns. Of the respondents, 82 % would invest time to follow training for the development of didactic skills if it was offered. Medical interns stress the importance of doctors' didactic skills during their clinical internships. Compared with current levels, most interns desire increased attention to the formal development of didactic skills during medical school. Considering the importance of didactic skills and the need for more extensive training, the LOCA advises medical faculties to include more formal didactic training in the medical curriculum.

Science-Driven Approach to Disaster Risk and Crisis Management

Science.gov (United States)

Ismail-Zadeh, A.

2014-12-01

Disasters due to natural extreme events continue to grow in number and intensity. Disaster risk and crisis management requires long-term planning, and to undertake that planning, a science-driven approach is needed to understand and assess disaster risks and to help in impact assessment and in recovery processes after a disaster. Science is used in assessments and rapid modeling of the disaster impact, in forecasting triggered hazards and risk (e.g., a tsunami or a landslide after a large earthquake), in contacts with and medical treatment of the affected population, and in some other actions. At the stage of response to disaster, science helps to analyze routinely the disaster happened (e.g., the physical processes led to this extreme event; hidden vulnerabilities; etc.) At the stage of recovery, natural scientists improve the existing regional hazard assessments; engineers try to use new science to produce new materials and technologies to make safer houses and infrastructure. At the stage of disaster risk mitigation new scientific methods and approaches are being developed to study natural extreme events; vulnerability of society is periodically investigated, and the measures for increasing the resilience of society to extremes are developed; existing disaster management regulations are improved. At the stage of preparedness, integrated research on disaster risks should be developed to understand the roots of potential disasters. Enhanced forecasting and early warning systems are to be developed reducing predictive uncertainties, and comprehensive disaster risk assessment is to be undertaken at local, regional, national and global levels. Science education should be improved by introducing trans-disciplinary approach to disaster risks. Science can help society by improving awareness about extreme events, enhancing risk communication with policy makers, media and society, and assisting disaster risk management authorities in organization of local and regional

Living with disasters: social capital for disaster governance.

Science.gov (United States)

Melo Zurita, Maria de Lourdes; Cook, Brian; Thomsen, Dana C; Munro, Paul G; Smith, Timothy F; Gallina, John

2017-10-24

This paper explores how social networks and bonds within and across organisations shape disaster operations and strategies. Local government disaster training exercises serve as a window through which to view these relations, and 'social capital' is used as an analytic for making sense of the human relations at the core of disaster management operations. These elements help to expose and substantiate the often intangible relations that compose the culture that exists, and that is shaped by preparations for disasters. The study reveals how this social capital has been generated through personal interactions, which are shared among disaster managers across different organisations and across 'levels' within those organisations. Recognition of these 'group resources' has significant implications for disaster management in which conducive social relations have become paramount. The paper concludes that socio-cultural relations, as well as a people-centred approach to preparations, appear to be effective means of readying for, and ultimately responding to, disasters. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

Australasian disasters of national significance: an epidemiological analysis, 1900-2012.

Science.gov (United States)

Bradt, David A; Bartley, Bruce; Hibble, Belinda A; Varshney, Kavita

2015-04-01

A regional epidemiological analysis of Australasian disasters in the 20th century to present was undertaken to examine trends in disaster epidemiology; to characterise the impacts on civil society through disaster policy, practice and legislation; and to consider future potential limitations in national disaster resilience. A surveillance definition of disaster was developed conforming to the Centre for Research on the Epidemiology of Disasters (CRED) criteria (≥10 deaths, ≥100 affected, or declaration of state emergency or appeal for international assistance). The authors then applied economic and legislative inclusion criteria to identify additional disasters of national significance. The surveillance definition yielded 165 disasters in the period, from which 65 emerged as disasters of national significance. There were 38 natural disasters, 22 technological disasters, three offshore terrorist attacks and two domestic mass shootings. Geographic analysis revealed that states with major population centres experienced the vast majority of disasters of national significance. Timeline analysis revealed an increasing incidence of disasters since the 1980s, which peaked in the period 2005-2009. Recent seasonal bushfires and floods have incurred the highest death toll and economic losses in Australasian history. Reactive hazard-specific legislation emerged after all terrorist acts and after most disasters of national significance. Timeline analysis reveals an increasing incidence in natural disasters over the past 15 years, with the most lethal and costly disasters occurring in the past 3 years. Vulnerability to disaster in Australasia appears to be increasing. Reactive legislation is a recurrent feature of Australasian disaster response that suggests legislative shortsightedness and a need for comprehensive all-hazards model legislation in the future. © 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

You, too, can be an international medical traveler: Reading medical travel guidebooks

NARCIS (Netherlands)

Ormond, M.E.; Sothern, M.

2012-01-01

Drawing on literature on self-help and travel guide writing, this paper interrogates five international medical travel guidebooks aimed at encouraging American and British audiences to travel abroad to purchase medical care. These guidebooks articulate a three-step self-help “program” to produce a

Human resources issues and Australian Disaster Medical Assistance Teams: results of a national survey of team members.

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Aitken, Peter; Leggat, Peter; Harley, Hazel; Speare, Richard; Leclercq, Muriel

2012-01-01

Calls for disaster medical assistance teams (DMATs) are likely to continue in response to international disasters. As part of a national survey, this study was designed to evaluate Australian DMAT experience in relation to the human resources issues associated with deployment. Data was collected via an anonymous mailed survey distributed via State and Territory representatives on the Australian Health Protection Committee, who identified team members associated with Australian DMAT deployments from the 2004 South East Asian Tsunami disaster. The response rate for this survey was 50% (59/118). Most personnel had deployed to the Asian Tsunami affected areas with DMAT members having significant clinical and international experience. While all except one respondent stated they received a full orientation prior to deployment, only 34% of respondents (20/59) felt their role was clearly defined pre deployment. Approximately 56% (33/59) felt their actual role matched their intended role and that their clinical background was well suited to their tasks. Most respondents were prepared to be available for deployment for 1 month (34%, 20/59). The most common period of notice needed to deploy was 6-12 hours for 29% (17/59) followed by 12-24 hours for 24% (14/59). The preferred period of overseas deployment was 14-21 days (46%, 27/59) followed by 1 month (25%, 15/59) and the optimum shift period was felt to be 12 hours by 66% (39/59). The majority felt that there was both adequate pay (71%, 42/59) and adequate indemnity (66%, 39/59). Almost half (49%, 29/59) stated it was better to work with people from the same hospital and, while most felt their deployment could be easily covered by staff from their workplace (56%, 33/59) and caused an inconvenience to their colleagues (51%, 30/59), it was less likely to interrupt service delivery in their workplace (10%, 6/59) or cause an inconvenience to patients (9%, 5/59). Deployment was felt to benefit the affected community by nearly all

Emotional consequences of nuclear power plant disasters.

Science.gov (United States)

Bromet, Evelyn J

2014-02-01

The emotional consequences of nuclear power plant disasters include depression, anxiety, post-traumatic stress disorder, and medically unexplained somatic symptoms. These effects are often long term and associated with fears about developing cancer. Research on disasters involving radiation, particularly evidence from Chernobyl, indicates that mothers of young children and cleanup workers are the highest risk groups. The emotional consequences occur independently of the actual exposure received. In contrast, studies of children raised in the shadows of the Three Mile Island (TMI) and Chernobyl accidents suggest that although their self-rated health is less satisfactory than that of their peers, their emotional, academic, and psychosocial development is comparable. The importance of the psychological impact is underscored by its chronicity and by several studies showing that poor mental health is associated with physical health conditions, early mortality, disability, and overuse of medical services. Given the established increase in mental health problems following TMI and Chernobyl, it is likely that the same pattern will occur in residents and evacuees affected by the Fukushima meltdowns. Preliminary data from Fukushima indeed suggest that workers and mothers of young children are at risk of depression, anxiety, psychosomatic, and post-traumatic symptoms both as a direct result of their fears about radiation exposure and an indirect result of societal stigma. Thus, it is important that non-mental health providers learn to recognize and manage psychological symptoms and that medical programs be designed to reduce stigma and alleviate psychological suffering by integrating psychiatric and medical treatment within the walls of their clinics.Introduction of Emotional Consequences of Nuclear Power Plant Disasters (Video 2:15, http://links.lww.com/HP/A34).

International Standards for Radiation Sterilization of Medical Devices

International Nuclear Information System (INIS)

Miller, A.

2007-01-01

For a terminally sterilized medical device to be designated '' STERILE '', probability of finding the viable micro-organisms in the device shall be equal to or less than 1 x 10 -6 (EN 556-1:2001: Sterilization of medical devices - Requirements for medical devices to be designated '' STERILE '' - Part 1: Requirements for terminally sterilized medical devices). Author presents the main legal aspects of the international standards for radiation sterilization of medical devices

The Impact of Natural Disasters on Youth: A Focus on Emerging Research beyond Internalizing Disorders.

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Self-Brown, Shannon; Lai, Betty; Patterson, Alexandria; Glasheen, Theresa

2017-08-01

This paper reviews youth outcomes following exposure to natural disaster, with a focus on three relatively understudied outcomes: externalizing behavior problems, physical health, and posttraumatic growth. Recent, high-impact studies focusing on each outcome are summarized. Studies highlighted in this review utilize innovative and comprehensive approaches to improve our current understanding of youth broad-based physical and mental health outcomes beyond PTSD. The review concludes with recommendations to advance the field of youth disaster research by exploring how disasters may impact children across multiple domains, as well as using cutting edge ecobiological approaches and advanced modeling strategies to better understand how youth adjust and thrive following natural disaster.

Guidelines for the use of foreign field hospitals in the aftermath of sudden-impact disaster.

Science.gov (United States)

2003-01-01

Natural and complex disasters can cause a dramatic increase in the demand for emergency medical care. Local health services can be overwhelmed, and damage to clinics and hospitals can render them useless. Many countries maintain mobile field hospitals for defense or humanitarian purposes. Dispatching these facilities to disaster-affected countries would seem an ideal response to emergency medical needs. Unfortunately, experience has shown that in the case of natural disasters, field hospitals often have not met the expectations of recipients and donor institutions. In July 2003, the World Health Organization and Pan American Health Organization sponsored a workshop in El Salvador to discuss the pros and cons of using foreign field hospitals in the aftermath of natural disasters. These guidelines are the result of that workshop. The workshop participants identified different phases when foreign field hospitals and specialized medical personnel are most useful. They can provide advanced trauma care and life support if at the disaster site within 48 hours of the impact of an event; they would provide follow-up care for trauma victims and resumption of routine medical care in the two weeks following the event; during rehabilitation and reconstruction phases (from two months to two or more years), a field hospital might serve as a temporary replacement for damaged health facilities. These guidelines propose conditions that field hospitals and their staff should meet for each of these phases. The guidelines also outline issues that authorities in donor countries and disaster-affected countries should discuss before mobilizing a field hospital.

Onsite medical rounds and fact-finding activities conducted by Nippon Medical School in Miyagi prefecture after the Great East Japan Earthquake 2011.

Science.gov (United States)

Fuse, Akira; Igarashi, Yutaka; Tanaka, Toshihiko; Kim, Shiei; Tsujii, Atsuko; Kawai, Makoto; Yokota, Hiroyuki

2011-01-01

This report describes our onsite medical rounds and fact-finding activities conducted in the acute phase and medical relief work conducted in the subacute phase in Miyagi prefecture following the Great East Japan Earthquake and subsequent tsunami that occurred off northeastern Honshu on March 11, 2011. As part of the All-Japan Hospital Association medical team deployed to the disaster area, a Nippon Medical School team conducted fact-finding and onsite medical rounds and evaluated basic life and medical needs in the affected areas of Shiogama and Tagajo. We performed triage for more than 2,000 casualties, but in our medical rounds of hospitals, clinics, and nursing homes, we found no severely injured person but did find 1 case of hyperglycemia. We conducted medical rounds at evacuation shelters in Kesennuma City during the subacute phase of the disaster, from March 17 through June 1, as part of the Tokyo Medical Association medical teams deployed. Sixty-seven staff members (17 teams), including 46 physicians, 11 nurses, 3 pharmacists, and 1 clinical psychotherapist, joined this mission. Most patients complained of a worsening of symptoms of preexisting conditions, such as hypertension, respiratory problems, and diabetes, rather than of medical problems specifically related to the tsunami. In the acute phase of the disaster, the information infrastructure was decimated and we could not obtain enough information about conditions in the affected areas, such as how many persons were severely injured, how severely lifeline services had been damaged, and what was lacking. To start obtaining this information, we conducted medical rounds. This proved to be a good decision, as we found many injured persons in evacuation shelters without medication, communication devices, or transportation. Also, basic necessities for life, such as water and food, were lacking. We were able to evaluate these basic needs and inform local disaster headquarters of them. In Kesennuma City, we

Australasian emergency nurses' willingness to attend work in a disaster: a survey.

Science.gov (United States)

Arbon, Paul; Ranse, Jamie; Cusack, Lynette; Considine, Julie; Shaban, Ramon Z; Woodman, Richard J; Bahnisch, Laura; Kako, Mayumi; Hammad, Karen; Mitchell, Belinda

2013-05-01

The type of disaster, individual demographic factors, family factors and workplace factors, have been identified in the international, multidisciplinary literature as factors that influence a person's willingness to attend and assist in their workplace during a disaster. However, it is unknown if these factors are applicable to Australasian emergency nurses. The research aims to determine the extent to which Australasian emergency nurses are willing to attend their workplace in a disaster. This research was exploratory and descriptive study design, using online and paper based surveys as a means of data collection. Australasian emergency nurses from two Australasian emergency nursing colleges and four Australian hospitals were recruited to participate. Data analysis was conducted using both descriptive and inferential statistics. In total, 451 Australasian emergency nurses participated in this research. Participants were more willing to attend their workplace during a conventional disaster (p ≤ 0.001), if they worked full-time (p = 0.01), had received formal education pertaining to disasters (p ≤ 0.001), had a family disaster plan (p = 0.008), did not have children (p = 0.001) and worked in an environment in which they perceived their colleagues, managers and organisation to be prepared. The factors that influenced Australasian emergency nurses to attend their workplace in a disaster were similar to that described in the international multidisciplinary literature. Of particular note, improving disaster knowledge and skills, having a family disaster plan and improving the perceptions of the nurses' workplace preparedness can enhance the nurses' willingness to assist in a disaster. Copyright © 2013 College of Emergency Nursing Australasia Ltd. Published by Elsevier Ltd. All rights reserved.

Emergency surgery data and documentation reporting forms for sudden-onset humanitarian crises, natural disasters and the existing burden of surgical disease.

Science.gov (United States)

Burkle, Frederick M; Nickerson, Jason W; von Schreeb, Johan; Redmond, Anthony D; McQueen, Kelly A; Norton, Ian; Roy, Nobhojit

2012-12-01

Following large-scale disasters and major complex emergencies, especially in resource-poor settings, emergency surgery is practiced by Foreign Medical Teams (FMTs) sent by governmental and non-governmental organizations (NGOs). These surgical experiences have not yielded an appropriate standardized collection of data and reporting to meet standards required by national authorities, the World Health Organization, and the Inter-Agency Standing Committee's Global Health Cluster. Utilizing the 2011 International Data Collection guidelines for surgery initiated by Médecins Sans Frontières, the authors of this paper developed an individual patient-centric form and an International Standard Reporting Template for Surgical Care to record data for victims of a disaster as well as the co-existing burden of surgical disease within the affected community. The data includes surgical patient outcomes and perioperative mortality, along with referrals for rehabilitation, mental health and psychosocial care. The purpose of the standard data format is fourfold: (1) to ensure that all surgical providers, especially from indigenous first responder teams and others performing emergency surgery, from national and international (Foreign) medical teams, contribute relevant and purposeful reporting; (2) to provide universally acceptable forms that meet the minimal needs of both national authorities and the Health Cluster; (3) to increase transparency and accountability, contributing to improved humanitarian coordination; and (4) to facilitate a comprehensive review of services provided to those affected by the crisis.

Three-Dimensional Maps for Disaster Management

Science.gov (United States)

Bandrova, T.; Zlatanova, S.; Konecny, M.

2012-07-01

Geo-information techniques have proven their usefulness for the purposes of early warning and emergency response. These techniques enable us to generate extensive geo-information to make informed decisions in response to natural disasters that lead to better protection of citizens, reduce damage to property, improve the monitoring of these disasters, and facilitate estimates of the damages and losses resulting from them. The maintenance and accessibility of spatial information has improved enormously with the development of spatial data infrastructures (SDIs), especially with second-generation SDIs, in which the original product-based SDI was improved to a process-based SDI. Through the use of SDIs, geo-information is made available to local, national and international organisations in regions affected by natural disasters as well as to volunteers serving in these areas. Volunteer-based systems for information collection (e.g., Ushahidi) have been created worldwide. However, the use of 3D maps is still limited. This paper discusses the applicability of 3D geo-information to disaster management. We discuss some important aspects of maps for disaster management, such as user-centred maps, the necessary components for 3D maps, symbols, and colour schemas. In addition, digital representations are evaluated with respect to their visual controls, i.e., their usefulness for the navigation and exploration of the information. Our recommendations are based on responses from a variety of users of these technologies, including children, geospecialists and disaster managers from different countries.

Department of Defense Road Ahead for Humanitarian Assistance / Disaster Relief

Science.gov (United States)

2011-03-25

response to the flood in Pakistan: "According to the [National Disaster Management Authority] NDMA , unusually heavy rainfall and flooding in late July...Widespread flooding affected 82 ofPakistan’s 122 districts, according to the NDMA . As a result, more than 12 million people required humanitarian...MAGTF Marine Air Ground Task Force MEDCAPS Medical Civic Assistance Programs MEU Marine Expeditionary Unit NDMA National Disaster Management

Disaster preparation in kidney transplant recipients: a questionnaire-based cohort study from a large United States transplant center
.

Science.gov (United States)

Sharief, Shimi; Freitas, Daniel; Adey, Deborah; Wiley, James

2018-04-01

Few quantitative assessments have assessed disaster preparation in kidney transplant patients. This is a survey-based assessment of disaster preparedness of 200 patients at the University of California San Francisco, USA. Patients answered questionnaires assessing their level of preparedness as well as barriers to preparation. Preparedness was scored based on response to 7 questions. Univariate analyses compared participant characteristics extracted from the medical chart against three tertiles of preparedness: low (scores 0 - 2), medium (scores 3 - 4), and high (scores 5 - 7). California counties were coded and mapped by average preparedness scores. Only 30% of patients were highly prepared for disasters. Participants were prepared with available medication for 2 weeks (78.5%) and least prepared in having a medical ID bracelet (13%). Significant minorities of patients (40% of patients or more) were unprepared with lists of medications, important phone numbers and disaster kits. Preparedness was not associated with demographic and clinical characteristics. Monterey County was the most prepared of the 31 California counties sampled (score of 4.25 out of 7). All patients should be educated regarding disaster preparation. County and medical services should collaborate to address specialized populations in general preparedness planning.
.

Literature Review: Herbal Medicine Treatment after Large-Scale Disasters.

Science.gov (United States)

Takayama, Shin; Kaneko, Soichiro; Numata, Takehiro; Kamiya, Tetsuharu; Arita, Ryutaro; Saito, Natsumi; Kikuchi, Akiko; Ohsawa, Minoru; Kohayagawa, Yoshitaka; Ishii, Tadashi

2017-01-01

Large-scale natural disasters, such as earthquakes, tsunamis, volcanic eruptions, and typhoons, occur worldwide. After the Great East Japan earthquake and tsunami, our medical support operation's experiences suggested that traditional medicine might be useful for treating the various symptoms of the survivors. However, little information is available regarding herbal medicine treatment in such situations. Considering that further disasters will occur, we performed a literature review and summarized the traditional medicine approaches for treatment after large-scale disasters. We searched PubMed and Cochrane Library for articles written in English, and Ichushi for those written in Japanese. Articles published before 31 March 2016 were included. Keywords "disaster" and "herbal medicine" were used in our search. Among studies involving herbal medicine after a disaster, we found two randomized controlled trials investigating post-traumatic stress disorder (PTSD), three retrospective investigations of trauma or common diseases, and seven case series or case reports of dizziness, pain, and psychosomatic symptoms. In conclusion, herbal medicine has been used to treat trauma, PTSD, and other symptoms after disasters. However, few articles have been published, likely due to the difficulty in designing high quality studies in such situations. Further study will be needed to clarify the usefulness of herbal medicine after disasters.

An Exploratory Qualitative Inquiry of Key Indicators on IT Disaster Recovery Planning

Science.gov (United States)

Gardner, Brian

2016-01-01

Disaster recovery planning is a crucial component to maintaining a business's economic stability. However, it is unclear how key performance indicators (KPIs) are perceived in the emergency medical service (EMS) industry during the disaster recover planning process. The problem addressed in this study was to understand KPIs and their components.…

Social epidemics in the aftermath of disasters.

NARCIS (Netherlands)

IJzermans, C.J.

2002-01-01

Issue/problem: After disasters, terrorist attacks and wars social epidemics of medically unexplained physical symptoms/syndromes (ups) are often seen. In modern times people feel more vulnerable and especially under pressure of those incidents, everyday symptoms are interpreted as disease and

Remittances as aid following major sudden-onset natural disasters.

Science.gov (United States)

Bragg, Catherine; Gibson, Glenn; King, Haleigh; Lefler, Ashley A; Ntoubandi, Faustin

2018-01-01

There is a general assumption, based on macroeconomic studies, that remittances will rise following major sudden-onset natural disasters. This is confirmed by a few assessments involving country-specific research, and usually short-term data. This study, questioning conventional wisdom, reviewed and graphed annual and quarterly remittance flows using International Monetary Fund and World Bank data from 2000-14 for 12 countries that confronted 18 major natural disasters. It found that, regardless of event type, annual remittances rose steadily from 2000-14 except for after the 2008-09 financial crisis. Post disaster, there was a quarterly increase in the majority of cases (confirming previous research) but there was seldom an annual increase in the year of the disaster greater than the average annual increase in 2000-14. It appears that remittance senders rush to provide assistance after a natural disaster, but since their own financial situation has not changed, the immediate increase is compensated by a later decrease. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

Measuring vulnerability to disaster displacement

Science.gov (United States)

Brink, Susan A.; Khazai, Bijan; Power, Christopher; Wenzel, Friedemann

2015-04-01

aggregate these ideas into a framework of disaster displacement vulnerability that distinguishes between three main aspects of disaster displacement. Disaster displacement can be considered in terms of the number of displaced people and the length of that displacement. However, the literature emphasizes that the severity of disaster displacement can not be measured completely in quantitative terms. Thus, we include a measure representing people who are trapped and unable to leave their homes due to mobility, resources or for other reasons. Finally the third main aspect considers the difficulties that are associated with displacement and reflects the difference between the experiences of those who are displaced into safe and supportive environments as compared to those whose only alternate shelter is dangerous and inadequate for their needs. Finally, we apply the framework to demonstrate a methodology to estimate vulnerability to disaster displacement. Using data from the Global Earthquake Model (GEM) Social and Economic Vulnerability sub-National Database, we generate an index to measure the vulnerability of Japanese prefectures to the dimensions of displacement included in the framework. References Yonitani, M. (2014). Global Estimates 2014: People displaced by disasters. http://www.internal-displacement.org/publications/2014/global-estimates-2014-people-displaced-by-disasters/

To enhance effectiveness of response to emergency situations following earthquakes, tsunamis, and nuclear disasters

International Nuclear Information System (INIS)

Shimada, Jiro; Tase, Choichiro; Tsukada, Yasuhiko; Hasegawa, Arifumi; Ikegami, Yukihiro; Iida, Hiroshi

2013-01-01

From the immediate aftermath of the 2011 Tohoku earthquake and tsunami and the ensuing Fukushima Daiichi nuclear disaster. Fukushima Medical University Hospital urgently needed to operate as both a core disaster hospital and a secondary radiation emergency hospital. The disaster drills and emergency simulation training that had been undertaken to prepare for such a scenario proved to be immensely helpful. However, due to the fact that the disaster caused much more damage than expected putting that preparation perfectly into practice was impossible. In any disaster, it is important to collect human intelligence. Therefore, simulating the collection of human intelligence is necessary in order to supplement drills and training and improve rapid response following a disaster. (author)

The Australian Natural Disaster Resilience Index

Science.gov (United States)

Thoms, Martin

2016-04-01

The Australian Natural Disaster Resilience Index Martin Thoms, Melissa Parsons, Phil Morley Bushfire and Natural Hazards Cooperative Research Centre, Geography and Planning, University of New England, Armidale NSW 2351, Australia. Natural hazard management policy directions in Australia - and indeed internationally - are increasingly being aligned to ideas of resilience. Resilience to natural hazards is the ability of individuals and communities to cope with disturbance and adversity and to maintain adaptive behaviour. Operationalizing the measurement and assessment of disaster resilience is often undertaken using a composite index, but this exercise is yet to be undertaken in Australia. The Australian Natural Disaster Resilience Index is a top-down, national scale assessment of the resilience of communities to natural hazards. Resilience is assessed based on two sets of capacities: coping and adaptive capacities. Coping capacity relates to the factors influencing the ability of a community to prepare for, absorb and recover from a natural hazard event. Adaptive capacity relates to the arrangements and processes that enable adjustment through learning, adaptation and transformation. Indicators are derived under themes of social character, economic capital, infrastructure and planning, emergency services, community capital, information and engagement and governance/leadership/policy, using existing data sets (e.g. census data) or evaluation of policy and procedure (e.g. disaster management planning). A composite index of disaster resilience is then computed for each spatial division, giving national scale coverage. The results of the Australian Natural Disaster Resilience Index will be reported in a State of Disaster Resilience report, due in 2018. The index is co-designed with emergency service agencies, and will support policy development, planning, community engagement and emergency management.

Limited internal radiation exposure associated with resettlements to a radiation-contaminated homeland after the Fukushima Daiichi nuclear disaster.

Directory of Open Access Journals (Sweden)

Masaharu Tsubokura

Full Text Available Resettlement to their radiation-contaminated hometown could be an option for people displaced at the time of a nuclear disaster; however, little information is available on the safety implications of these resettlement programs. Kawauchi village, located 12-30 km southwest of the Fukushima Daiichi nuclear power plant, was one of the 11 municipalities where mandatory evacuation was ordered by the central government. This village was also the first municipality to organize the return of the villagers. To assess the validity of the Kawauchi villagers' resettlement program, the levels of internal Cesium (Cs exposures were comparatively measured in returnees, commuters, and non-returnees among the Kawauchi villagers using a whole body counter. Of 149 individuals, 5 villagers had traceable levels of Cs exposure; the median detected level was 333 Bq/body (range, 309-1050 Bq/kg, and 5.3 Bq/kg (range, 5.1-18.2 Bq/kg. Median annual effective doses of villagers with traceable Cs were 1.1 x 10(-2 mSv/y (range, 1.0 x 10(-2-4.1 x 10(-2 mSv/y. Although returnees had higher chances of consuming locally produced vegetables, Cochran-Mantel-Haenszel test showed that their level of internal radiation exposure was not significantly higher than that in the other 2 groups (p=0.643. The present findings in Kawauchi village imply that it is possible to maintain internal radiation exposure at very low levels even in a highly radiation-contaminated region at the time of a nuclear disaster. Moreover, the risks for internal radiation exposure could be limited with a strict food control intervention after resettlement to the radiation-contaminated village. It is crucial to establish an adequate number of radio-contaminated testing sites within the village, to provide immediate test result feedback to the villagers, and to provide education regarding the importance of re-testing in reducing the risk of high internal radiation exposure.

Indispensable disaster countermeasures and resiliency in the age of complex disasters

International Nuclear Information System (INIS)

Hirose, Hirotada

2012-01-01

We live in the age of complex disasters. One disaster brings about new disaster in succession like dominoes. Disaster chain does not always stand in a line and propagate in two-dimensional extend to focus on social fragility. Later disaster would cause larger damages. The East Japan disaster was a typical complex one derived from hazards of earthquakes, tsunamis and reactor accidents, which would have significant effects on Japanese society for the future. Disaster countermeasures and resilience were important especially for 'slow onset type disaster' such as tsunami or reactor accident, which had lead-time to cause damage after initiation of hazard. Hazard simulation was beneficial for disaster countermores but not well developed to use for hazard prediction. It would be wrong and eventually lose public's trust to appear safe in uncertain state of disaster not so as to cause panic to the society. When facing a danger, people enter a 'normal bias' state and fail to adequately prepare for a disaster. People could not respond without imagination of disaster. It was highly important for coping with a disaster to perceive a hazard definitely in the age of complex disasters. (T. Tanaka)

3D GEO-INFORMATION REQUIREMENTS FOR DISASTER AND EMERGENCY MANAGEMENT

Directory of Open Access Journals (Sweden)

E. Demir Ozbek

2016-06-01

Full Text Available A conceptual approach is proposed to define 3D geo-information requirement for different types of disasters. This approach includes components such as Disaster Type-Sector-Actor-Process-Activity-Task-Data. According to disaster types processes, activities, tasks, sectors, and responsible and operational actors are derived. Based on the tasks, the needed level of detail for 3D geo-information model is determined. The levels of detail are compliant with the 3D international standard CityGML. After a brief introduction on the disaster phases and geo-information requirement for actors to perform the tasks, the paper discusses the current situation of disaster and emergency management in Turkey and elaborates on components of conceptual approach. This paper discusses the 3D geo-information requirements for the tasks to be used in the framework of 3D geo-information model for Disaster and Emergency Management System in Turkey. The framework is demonstrated for an industrial fire case in Turkey.

Cuban internationalism - an alternative form of globalization.

Science.gov (United States)

Castro, Maria; Melluish, Steve; Lorenzo, Alexis

2014-10-01

This paper looks at how the principles of internationalism have been integral to the Cuban healthcare system and to Cuba's cooperation and medical support in other countries around the world. The paper details the range and scope of Cuban health internationalism and the principles that underpin the Cuban approach of long-term collaboration, humane care, contextualization, trans-disciplinarity, respect for collective/historical memory and an ethical stance. The paper details the role of Cuban psychologists who have contributed to disaster relief work and gives an example of the Cuban approach in relation to Haiti following the earthquake in 2010.

A comparative study in disaster planning in selected countries

Directory of Open Access Journals (Sweden)

Mahmode M

2007-11-01

Full Text Available Background: Assessment of different strategic in disaster planning in selected countries. According to the international report indicating that IRAN is among the seven countries most susceptible to disaster, experiencing 31 known disasters out of 40 in the world, occurrence of 1536 moderate to severe earthquake, during 1370-80 and 712 other disasters at the same period it seems necessary to design a disaster plan."nMethods: This research is a comparative-descriptive and case based study in which the researcher used random sampling process in selecting the statistical society from both developed and developing countries. In this goal oriented research the necessary information are extracted from valid global reports, articles and many questionnaires which were subjected to scientific analysis."nResults: Studying different countries (which includes: Canada, Japan, India, USA, Turkey, Pakistan and Iran shows that there is a direct relationship between the level of countries development and their success in disaster planning and management (including preventive measures and confrontation. In most of the studied countries, decentralized planning caused many professional planners participate in different levels of disaster management which ultimately led to development of efficient and realistic plans which in turn decreased the catastrophic effects of disasters dramatically. The results of the aforementioned countries showed that a balanced approach to disaster plan with investment in prophylactic area is very important."nConclusion: As our country uses a centralized strategy for disaster management which has proven its ineffectiveness, the researcher suggests that we should change our approach in disaster management and let our planners participate from all levels include: provincial, rural and etc. This will led to a reality based planning and using all potential capacities in disaster management. According to this study it will be possible to use

International Conference Medical Radiations

International Nuclear Information System (INIS)

2010-01-01

Full text : The second edition of the international conference Medical radiation : research and applications which took place in Marrakech (Morocco) from 7 to 9 April 2010, was designed to bring together researchers and physicians from different countries who dedicated their talents and time to this endeavour. The conference's program defined goals were is to identify the most reliable techniques among the several tested so far and to establish the most practical standardized methodologies, taking into account such recent technological development in radiation medical research. The scientific objectives of this conference are as follows : present the state of the art of the various topics of the congress, give a progress report on the impact of the interaction of the various scientific and technical disciplinary fields (Medicine, Biology, Mathematics, Physics,..) on the applications of radiations in medicine, promote the interdisciplinary efforts of research among researchers, present new technologies and research and development tasks prepared in the field of medical radiations, contribute to the emergence of new ideas of research and development of new collaborations [fr

Coordinating International Response to Emergencies

International Nuclear Information System (INIS)

Bice, S. D.

2007-01-01

Pandemic disease, natural disasters and terrorism can affect thousands of people in a relatively short period of time anywhere in the world. Our recent international experience with hurricanes, earthquakes, tsunamis and infectious diseases (AIDS, TB and highly pathogenic avian influenza) show us that we must respond with a coordinated approach or we will fail the very people we intend to help. Nations from around the world are often eager to send assistance to the site of a disaster, but coordinating the incoming aid is more often flawed and imprecise than it must be in order to save lives and mitigate suffering. How can any one country, suffering from a horrendous calamity coordinate the incoming aid from around the world? Can any one agency hope to coordinate the myriad nation's response let alone that of the hundreds of non-governmental organizations? Currently, the answer is sadly, no. The purpose of this presentation is not to recommend one over the many international bodies which claim to oversee humanitarian assistance; the purpose of this presentation is to discuss the elements of only one aspect of the overall response effort: public health and medical response coordination. Public health response is of course different than a purely medical response. Traditionally, in a natural disaster, immediate public health concerns center around water, sewerage/waste disposal, potential for disease outbreaks, etc, whereas medical response concentrates on triage, saving those who can be saved, patching up the injured, and to a lesser extent, primary care to the survivors. In order to avoid political controversy, this presentation will use the example of Hurricane Iniki in Hawaii, September 1992, to illustrate key concepts. The State of Hawaii is no stranger to natural disasters. Their emergency response mechanisms are well honed, exercised and quite capable. However, the local community leaders on Kauai Island went thru each of the following phases before they

[Disaster nursing and primary school teachers' disaster-related healthcare knowledge and skills].

Science.gov (United States)

Lai, Fu-Chih; Lei, Hsin-Min; Fang, Chao-Ming; Chen, Jiun-Jung; Chen, Bor-An

2012-06-01

The World Bank has ranked Taiwan as the 5th highest risk country in the world in terms of full-spectrum disaster risk. With volatile social, economic, and geologic environments and the real threat of typhoons, earthquakes, and nuclear disasters, the government has made a public appeal to raise awareness and reduce the impact of disasters. Disasters not only devastate property and the ecology, but also cause striking and long-lasting impacts on life and health. Thus, healthcare preparation and capabilities are critical to reducing their impact. Relevant disaster studies indicate children as a particularly vulnerable group during a disaster due to elevated risks of physical injury, infectious disease, malnutrition, and post-traumatic stress disorder. Primary school teachers are frontline educators, responders, and rehabilitators, respectively, prior to, during, and after disasters. The disaster prevention project implemented by the Taiwan Ministry of Education provides national guidelines for disaster prevention and education. However, within these guidelines, the focus of elementary school disaster prevention education is on disaster prevention and mitigation. Little guidance or focus has been given to disaster nursing response protocols necessary to handle issues such as post-disaster infectious diseases, chronic disease management, and psychological health and rehabilitation. Disaster nursing can strengthen the disaster healthcare response capabilities of school teachers, school nurses, and children as well as facilitate effective cooperation among communities, disaster relief institutes, and schools. Disaster nursing can also provide healthcare knowledge essential to increase disaster awareness, preparation, response, and rehabilitation. Implementing proper disaster nursing response protocols in Taiwan's education system is critical to enhancing disaster preparedness in Taiwan.

International Symposium on Biomedical Engineering and Medical Physics

CERN Document Server

Katashev, Alexei; Lancere, Linda

2013-01-01

This volume presents the proceedings of the International Symposium on Biomedical Engineering and Medical Physics and is dedicated to the 150 anniversary of the Riga Technical University, Latvia. The content includes various hot topics in biomedical engineering and medical physics.

Students' response to disaster: a lesson for health care professional schools.

Science.gov (United States)

Reyes, Humberto

2010-11-16

The response of medical students, young physicians, and other health professionals to the February 2010 earthquake and tsunami in Chile provides important lessons about health care delivery during disasters and about the development of professionalism. Tertiary and secondary care of victims of these disasters was possible because local and national resources were available and field hospitals provided by Chile's armed forces and foreign countries replaced damaged hospitals. However, primary care of persons living on the outskirts of towns and in small villages and coves that were destroyed and isolated by the disaster required the involvement of volunteer groups that were largely composed of students and other young members of the health professions, all of whom were motivated by solidarity, compassion, and social commitment. This experience, similar to previous catastrophes in Chile and elsewhere, reinforces that medical and other health professional schools must instill in graduates an understanding that the privileges of being a health professional come with responsibilities to society. Beyond providing high-quality scientific and technological education, curricula in these schools should include training that enables graduates to meaningfully contribute in the setting of unexpected disasters and that nurtures a sense of responsibility to do so.

Assessment of disaster preparedness among emergency departments in Italian hospitals: a cautious warning for disaster risk reduction and management capacity.

Science.gov (United States)

Paganini, Matteo; Borrelli, Francesco; Cattani, Jonathan; Ragazzoni, Luca; Djalali, Ahmadreza; Carenzo, Luca; Della Corte, Francesco; Burkle, Frederick M Jr; Ingrassia, Pier Luigi

2016-08-15

Since the 1990s, Italian hospitals are required to comply with emergency disaster plans known as Emergency Plan for Massive Influx of Casualties. While various studies reveal that hospitals overall suffer from an insufficient preparedness level, the aim of this study was to better determine the preparedness level of Emergency Departments of Italian hospitals by assessing the knowledge-base of emergency physicians regarding basic disaster planning and procedures. A prospective observational study utilized a convenience sample of Italian Emergency Departments identified from the Italian Ministry of Health website. Anonymous telephone interviews were conducted of medical consultants in charge at the time in the respective Emergency Departments, and were structured in 3 parts: (1) general data and demographics, (2) the current disaster plan and (3) protocols and actions of the disaster plan. Eighty-five Emergency Departments met inclusion criteria, and 69 (81 %) agreed to undergo the interview. Only 45 % of participants declared to know what an Emergency Plan for Massive Influx of Casualties is, 41 % believed to know who has the authority to activate the plan, 38 % knew who is in charge of intra-hospital operations. In Part 3 physicians revealed a worrisome inconsistency in critical content knowledge of their answers. Results demonstrate a poor knowledge-base of basic hospital disaster planning concepts by Italian Emergency Department physicians-on-duty. These findings should alert authorities to enhance staff disaster preparedness education, training and follow-up to ensure that these plans are known to all who have responsibility for disaster risk reduction and management capacity.

Medical countermeasure for Tokyo Electric Power Co. Fukushima Nuclear Power Plant accident

International Nuclear Information System (INIS)

Kondo, Hisayoshi

2013-01-01

DMAT (Disaster Medical Assistance Team) is a group of professional medical personnel organized to provide rapid-response medical care at the emergent stage of disasters. At the accident of Fukushima Daiichi Nuclear Power Plant, medical response was difficult because many infrastructures were destroyed. Under this situation, emergent medical treatment for heavy irradiation or contamination, cares for habitants and transportation of patients were conducted. Through these activities, it is suggested that rapid response for the radiation exposure should be definitely include in the medical system for usual disasters. (J.P.N.)

Facilitators and Barriers to Preparedness Partnerships: A Veterans Affairs Medical Center Perspective.

Science.gov (United States)

Schmitz, Susan; Wyte-Lake, Tamar; Dobalian, Aram

2017-09-13

This study sought to understand facilitators and barriers faced by local US Department of Veterans Affairs Medical Center (VAMC) emergency managers (EMs) when collaborating with non-VA entities. Twelve EMs participated in semi-structured interviews lasting 60 to 90 minutes discussing their collaboration with non-VAMC organizations. Sections of the interview transcripts concerning facilitators and barriers to collaboration were coded and analyzed. Common themes were organized into 2 categories: (1) internal (ie, factors affecting collaboration from within VAMCs or by VA policy) and (2) external (ie, interagency or interpersonal factors). Respondents reported a range of facilitators and barriers to collaboration with community-based agencies. Internal factors facilitating collaboration included items such as leadership support. An internal barrier example included lack of clarity surrounding the VAMC's role in community disaster response. External factors noted as facilitators included a shared goal across organizations while a noted barrier was a perception that potential partners viewed a VAMC partnership with skepticism. Federal institutions are important partners for the success of community disaster preparedness and response. Understanding the barriers that VAMCs confront, as well as potential facilitators to collaboration, should enhance the development of VAMC-community partnerships and improve community health resilience. (Disaster Med Public Health Preparedness. 2017; page 1 of 6).

Contagion Effect of Natural Disaster and Financial Crisis Events on International Stock Markets

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Kuo-Jung Lee

2018-03-01

Full Text Available In the contemporary world bustling with global trade, a natural disaster or financial crisis in one country (or region can cause substantial economic losses and turbulence in the local financial markets, which may then affect the economic activities and financial assets of other countries (or regions. This study focuses on the major natural disasters that occurred worldwide during the last decade, especially those in the Asia–Pacific region, and the economic effects of global financial crises. The heteroscedasticity bias correlation coefficient method and exponential general autoregressive conditional heteroscedasticity model are employed to compare the contagion effect in the stock markets of the initiating country on other countries, determining whether economically devastating factors have contagion or spillover effects on other countries. The empirical results indicate that among all the natural disasters considered, the 2008 Sichuan Earthquake in China caused the most substantial contagion effect in the stock markets of neighboring Asian countries. Regarding financial crises, the financial tsunami triggered by the secondary mortgage fallout in the United States generated the strongest contagion effect on the stock markets of developing and emerging economies. When building a diversified global investment portfolio, investors should be aware of the risks of major natural disasters and financial incidents.

Ethical and legal challenges associated with disaster nursing.

Science.gov (United States)

Aliakbari, Fatemeh; Hammad, Karen; Bahrami, Masoud; Aein, Fereshteh

2015-06-01

In disaster situations, nurses may face new and unfamiliar ethical and legal challenges not common in their everyday practice. The aim of this study was to explore Iranian nurses' experience of disaster response and their perception of the competencies required by nurses in this environment. This article discusses the findings of a descriptive study conducted in Iran in 2012. This research was conducted in Iran in 2012. Participants included 35 nurses who had experience in healthcare delivery following a disaster event in the past 10 years, either in a hospital or out-of-hospital context. This research study was approved by the Ethics Committee of the Isfahan University of Medical Sciences. From this study, five themes emerged as areas that nurses require competence in to work effectively in the disaster setting. This article focusses on one theme, the ethical and legal issues that arise during disaster response. Within the theme of ethical and legal issues, two sub-themes emerged. (1) Professional ethics explores professional responsibility of nurses as well as sense of ethical obligation. (2) Adherence to law refers to nurses' familiarity with and observation of legal requirements. This article adds to a growing pool of literature which explores the role of nurses in disasters. The findings of this study emphasize the need for nurses working in the disaster setting to be aware of professional responsibilities and familiar with legal requirements and the challenges related to observing ethical responsibilities. In highlighting these issues, this article may provide a useful starting point for the development of an educational framework for preparing nurses and other health professionals to work in the disaster setting. © The Author(s) 2014.

Nurses’ Competencies in Disaster Nursing: Implications for Curriculum Development and Public Health

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Loke, Alice Yuen; Fung, Olivia Wai Man

2014-01-01

The purpose of this study was to explore Hong Kong nurses’ perceptions of competencies required for disaster nursing. Focus group interviews and written inquiry were adopted to solicit nurses’ perceived required competencies for disaster care. A total of 15 nurses were interviewed and 30 nurses completed the written inquiry on their perceived competencies related to disaster nursing. The International Council for Nurses’ (ICN) framework of disaster nursing competencies, consisting of four themes and ten domains, was used to tabulate the perceived competencies for disaster nursing reported by nurses. The most mentioned required competencies were related to disaster response; with the ethical and legal competencies for disaster nursing were mostly neglected by nurses in Hong Kong. With the complexity nature of disasters, special competencies are required if nurses are to deal with adverse happenings in their serving community. Nurses’ perceived disaster nursing competencies reported by nurses were grossly inadequate, demonstrating the needs to develop a comprehensive curriculum for public health. The establishment of a set of tailor-made disaster nursing core competencies for the community they served is the first step in preparing nurses to deal with disastrous situations for the health of the public. PMID:24658409

Protecting health from climate change: Preparedness of medical interns

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Majra Jai

2009-01-01

Full Text Available Context : Climate change is a significant and emerging threat to public health and to meet the challenge, health systems require qualified staff. Aims : To study the preparedness of medical interns to meet the challenge of protecting health from climate change. Settings and Design: Medical colleges in a coastal town. Cross-sectional study. Materials and Methods: A proportionate number of medical interns from five medical colleges were included in the study. Level of awareness was used as a criterion to judge the preparedness. A self-administered, pretested, open-ended questionnaire was used. Responses were evaluated and graded. Statistical Analysis Used: Proportions, percentage, Chi-test. Results : About 90% of the medical interns were aware of the climate change and human activities that were playing a major role. Ninety-four percent were aware of the direct health impacts due to higher temperature and depletion in ozone concentration, and about 78% of the respondents were aware about the change in frequency / distribution of vector-borne diseases, water borne / related diseases, malnutrition, and health impact of population displacement. Knowledge regarding health protection was limited to mitigation of climate change and training / education. Options like adaptation, establishing / strengthening climate and disease surveillance systems, and health action in emergency were known to only nine (7%, eight (6%, and 17 (13%, respectively. Collegewise difference was statistically insignificant. Extra / co-curricular activities were the major source of knowledge. Conclusions : Majority of medical interns were aware of the causes and health impacts of climate change, but their knowledge regarding health protection measures was limited.

The World Trade Center Attack Disaster preparedness: health care is ready, but is the bureaucracy?

Science.gov (United States)

Mattox, Kenneth

2001-01-01

When a disaster occurs, it is for governments to provide the leadership, civil defense, security, evacuation, and public welfare. The medical aspects of a disaster account for less than 10% of resource and personnel expenditure. Hospitals and health care provider teams respond to unexpected occurrences such as explosions, earthquakes, floods, fires, war, or the outbreak of an infectious epidemic. In some geographic locations where natural disasters are common, such as earthquakes in Japan, such disaster practice drills are common. In other locations, disaster drills become pro forma and have no similarity to real or even projected and predicted disasters. The World Trade Center disaster on 11 September 2001 provides new information, and points out new threats, new information systems, new communication opportunities, and new detection methodologies. It is time for leaders of medicine to re-examine their approaches to disaster preparedness. PMID:11737919

Nuclear disasters: current plans and future directions for oncologists.

Science.gov (United States)

Goffman, Thomas E

2008-01-01

To show that there is a significant role for oncologists in the event of a terrorist nuclear disaster. Professionals need data on current political issues regarding a nuclear attack already put in place by the administration and the military. Review of what actually occurs during a fission bomb's explosion helps to point out what medical care will be most needed. The author contends that those trained in the oncologies could play a major part. Modern-day America. Potential civilian survivors. Large gaps noted in statewide disaster plans in the public domain. Oncologists must get involved now in disaster planning; statewide plans are necessary throughout the nation; the public needs to know the basics of what to do in the advent of a nuclear bomb explosion.

Business continuity after catastrophic medical events: the Joplin medical business continuity report.

Science.gov (United States)

Carlton, Paul K; Bringle, Dottie

2012-01-01

On May 22, 2011, The St Johns Mercy Medical Center in Joplin, MO, was destroyed by an F-5 tornado. There were 183 patients in the building at that time in this 367-bed Medical Center. The preparation and response were superbly done and resulted in many lives saved. This report is focused on the reconstitution phase of this disaster response, which includes how to restore business continuity. As 95 percent of our medical capacity resides in the private sector in the United States, we must have a proper plan for how to restore business continuity or face the reality of the medical business failing and not providing critical medical services to the community. A tornado in 2007 destroyed a medical center in Sumter County, GA, and it took more than 365 days to restore business continuity at a cost of $18M. The plan executed by the Mercy Medical System after the disaster in Joplin restored business continuity in 88 days and cost a total of $6.6M, with all assets being reusable. The recommendation from these lessons learned is that every county, state, and Federal Emergency Management Agency region has a plan on the shelf to restore business continuity and the means to be able to do so. The hard work that the State of Missouri and the Mercy Medical System did after this disaster can serve as a model for the nation in how to quickly recover from any loss of medical capability.

Proceedings of IDMP 2013: first international day of medical physics

International Nuclear Information System (INIS)

Marinello, Ginette; Mazal, Alejandro; Francois, P.; Fournier-Bidoz, N.; Belshi, R.; Dutreix, M.; Heinrich, S.; Wessels, C.; Fourquet, A.; Aubert, Bernard; Le Du, Dominique; Lisbona, Albert; Dedieu, Veronique; Makovicka, Libor; Taisant, Daniel; Metayer, Yann; Roue, Amelie; Besbes, Mounir; Van Dyk, Jake; Hammadi, Akli; Meghzifene, Ahmed; Nuesslin, Fridtjof; Pipman, Yakov; Keller, Marc; Cheung, Kin Yin; Meghzifene, Ahmed; ); Maria del Rosario Perez; Buvat, Irene; Rosenwald, Jean-Claude; Cosset, Jean-Marc; Dutreix, Andree

2013-11-01

November 7 was the birth day of Marie Curie and was chosen by the International Organisation of Medical Physics (IOMP) to celebrate his 50 years of existence at the Institut Curie, the exact place of Marie Curie's lab. The aim of this conference day was to promote medical physics and to give grounds for common reflection about international cooperation, the medical physicist profession, medical physics teaching and research. The conference was jointly organised by the French Society of Medical Physics and the Paris area medical centres specialised in cancer and in the training of medical physicists. This document brings together the presentations (slides) presented during the conference and dealing with: 1 - 26 years of French-Chinese cooperation in radiotherapy and medical radio-physics (G. Marinello); 2 - Activities conducted by Medical Physicists Without Borders (PMSF, Daniel Taisant); 3 - Cooperation in response to MAE and IAEA request (Y. Metayer); 4 - Teaching in France provided to foreigners by the National Institute for Nuclear Sciences and Technologies (INSTN, A. Roue); 5 - Radiation oncology and medical physics in Tunisia (M. Besbes); 6 - Medical physics education and training in the Global village: issues, strategies and experiences (J. Van Dyk); 7 - CEA/INSTN participation to training courses abroad (A. Hammadi); 8 - Medical physics to the benefit of patients: the role of IAEA (A. Meghzifene); 9 - Actions, results and perspectives of national and international organisations directly involved in medical physics and oncology (F. Nuesslin); 10 - The AAPM's Cooperation in Medical Physics with Low and Middle Income Countries: Actions, Achievements and Future Prospects (Y. Pipman); 11 - Alliance of African and Mediterranean French Speaking leagues against cancer (ALIAM, M.R. Keller); 12 - Opening talk for the first international day of medical physics (F. Nuesslin); 13 - IAEA support 14 - Marie Curie's contribution to medical physics (J.C. Rosenwald); 15

Response capabilities of the National Guard: a focus on domestic disaster medical response.

Science.gov (United States)

Bochicchio, Daniel

2010-01-01

The National Guard has a 373-year history of responding to the nation's call to duty for service both at home and abroad (The National Guard Bureau Web site: Available at http://www.ngb.army.mil/default. aspx.). The National Guard (NG) is a constitutionally unique organization (United States Constitution, US Government Printing Office Web site: Available at http://www.gpoaccess.gov/constitution/index.html.). Today's Guard conducts domestic disaster response and civilian assistance missions on a daily basis. Yet, the NG's role, mission, and capabilities are not well-known or understood. The National Response Framework (NRF) places significant responsibility on the local and state disaster planners (Department of Homeland Security: National Response Framework. US Department of Homeland Security, Washington, DC, January 2008). The public health professionals are an integral component of the disaster planning community. It is critical that the public health community be knowledgeable of types and capabilities of all the response assets at their disposal.

HIGH RISK ZONES ON FLOODS AND LANDSLIDES DISASTERS IN RWANDA

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Nsengiyumva J.ean Baptiste

2014-01-01

Full Text Available Disaster risk management as an issue at stake worldwide shifts its emphases from post disaster to pre-disaster phases. Management activities required in pre-disaster phases, such as risk assessment, hazard identification, preparedness or preventive and mitigation measures needs detailed information about hazard characteristics, social, economic, structural vulnerability and capacity. That information is not usually available in many different countries, as it is the case in Rwanda. Based on the international experiences and practices, knowledge of disaster prone areas can be assumed as an alternative for detailed information acquisition, thus contributing to effective disaster risk management. Identification of disaster higher risk zones on floods and landslides, can lead to better understanding of disaster risk and putting in place measures for risk reduction. Consequently, as Rwanda is prone to natural hazards with lack of adequate information that is essential for effective disaster risk management, due to limited scientific researches; this study aims to address that gap. The results revealed that some areas of the North-Western parts of Rwanda are highly prone to floods and landslides, namely Burera, Musanze, Rulindo, Nyabihu, Ngororero and Rubavu Districts. This is aggravated by some triggering factors such as steep slopes, soil types, heavy rains, landuse Practices and others. Intensity and frequency of disaster events vary from district to district and this geographical dispersal confirms the non-spatial clustering (as confirmed by Moran’s I analysis of risks due to uneven level of Disaster vulnerabilities, coping capacities and available hazards whereby lack of normal distribution of hazards all over all Districts.

Sentinel Asia step 2 utilization for disaster management in Malaysia

International Nuclear Information System (INIS)

Moslin, S I; Wahap, N A; Han, O W

2014-01-01

With the installation of Wideband InterNetworking engineering test and Demonstration Satellite (WINDS) communication system in the National Space Centre, Banting; officially Malaysia is one of the twelve Sentinel Asia Step2 System Regional Servers in the Asia Pacific region. The system will be dedicated to receive and deliver images of disaster struck areas observed by Asia Pacific earth observation satellites by request of the Sentinel Asia members via WINDS satellite or 'Kizuna'. Sentinel Asia is an initiative of collaboration between space agencies and disaster management agencies, applying remote sensing and web-GIS technologies to assist disaster management in Asia Pacific. When a disaster occurred, participating members will make an Emergency Observation Request (EOR) to the Asian Disaster Reduction Centre (ADRC). Subsequently, the Data Provider Node (DPN) will execute the emergency observation using the participating earth observation satellites. The requested images then will be processed and analysed and later it will be uploaded on the Sentinel Asia website to be utilised for disaster management and mitigation by the requestor and any other international agencies related to the disaster. Although the occurrences of large scale natural disasters are statistically seldom in Malaysia, but we can never be sure with the unpredictable earth climate nowadays. This paper will demonstrate the advantage of using Sentinel Asia Step2 for local disaster management. Case study will be from the recent local disaster occurrences. In addition, this paper also will recommend a local disaster management support system by using the Sentinel Asia Step2 facilities in ANGKASA

disaster preparedness in secondary schools in ruiru division ...

African Journals Online (AJOL)

2014-11-11

Nov 11, 2014 ... EAsT AFRICAN MEDICAL JOURNAL. November 2014 ... Results: The respondents did not know how to use the first aid kit elements ( = 835.263, p = 0.000, df =1). ... A good disaster and emergency response is merely an ...

Children with Disabilities in Disability-Inclusive Disaster Risk Reduction: Focussing on School Settings

Science.gov (United States)

Ronoh, Steve; Gaillard, J. C.; Marlowe, Jay

2017-01-01

Every year, worldwide, disasters affect approximately seven million children with disabilities, highlighting their potential vulnerability. Although there is a growing move internationally to promote the rights of children with disabilities, they still receive little attention from disaster risk reduction (DRR) researchers and policy makers. They…

Investigation for integration of the German Public Health Service in catastrophe and disaster prevention programs in Germany

International Nuclear Information System (INIS)

Pfenninger, E.; Koenig, S.; Himmelseher, S.

2004-01-01

This research project aimed at investigating the integration of the GPHS into the plans for civil defence and protection as well as catastrophe prevention of the Federal Republic of Germany. Following a comprehensive analysis of the current situation, potential proposals for an improved integrative approach will be presented. In view of the lack of topics relevant for medical care in disaster medicine in educational curricula and training programs for medical students and postgraduate board programs for public health physicians, a working group of the Civil Protection Board of the German Federal Ministry of the Interior already complained in their 'Report on execution of legal rules for protection and rescue of human life as well as restitution of public health after disaster' in 1999, that the integration of the GPHS into catastrophe and disaster prevention programs has insufficiently been solved. On a point-by-point approach, our project analysed the following issues: - Legislative acts for integration of the German Public Health Service into medical care in catastrophes and disasters to protect the civilian population of Germany and their implementation and execution. - Administrative rules and directives on state and district levels that show relationship to integration of the German Public Health Service into preparedness programs for catastrophe prevention and management and their implementation and execution. - Education and postgraduate training options for physicians and non-physician employees of the German Public health Service to prepare for medical care in catastrophes and disasters. - State of knowledge and experience of the German Public Health Service personnel in emergency and disaster medicine. - Evaluation of the German administrative catastrophe prevention authorities with regard to their integration of the German Public Health Service into preparedness programs for catastrophe prevention and management. - Development of a concept to remedy the

Source of learning basic clinical skills by medical interns Tehran University of Medical Sciences

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Meshkani Z

2004-07-01

Full Text Available Background: Effective clinical teaching is a major objective in general practitioner’s education at medical schools. Purpose: To identify the sources of clinical skills learning that medical student experience Methods: In this cross sectional study, interns of Tehran medical university who spent at least 12 months of their internship answered a questionnaire on the sources of clinical skills training. Chi2 test was used to examine the association of source of learning and students,’ specification such as sex, score of pre –internship exam, and marital status. Results: All 250 interns who were eligible participated. Over all 46.60% interns learned their clinical skills from residents or clinical teachers, 29.61% observed others performing the procedures, 16.25 learned the skills from hospital staff or nurses, 7.54% practiced their knowledge when confronted to an emergency situation Conclusion: Our results warrant a more attentive approach to clinical skills (specially procedural skills training Key words: LEARNING RESOURCES

Study of the Status of Physicians-Patient Communication among Medical Interns

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Sa’eedeh Farajzadeh

2009-02-01

Full Text Available Background and purpose: Proper communication between a physician and a patient is the key to diagnosis and management of diseases.Communication skills are essential for gathering information from patients, enhancing patients trust on physicians, relaxing them and managing them .The main purpose of this study was to determine the states of communication skills of medical interns to communicate with patients.Method: In this cross sectional study, communication skills of 72 medical interns of Kerman Medical University was assessed based on a checklist completed with direct observation and a questionnaire completed through interview with patients.The checklist included two parts: the first part for individual characteristics and the second part for 24 specifications related to initiation of an interview, conducting an interview and completion of aninterview.Another questionnaire with a similar structure was developed to gather patients’ comments about communication of medical interns with them.Results: Communication skills of medical interns were weak in 29.3%, moderate in 85.4% and good in 15.9% of interns. An agreement between observed communication skills and patients’ survey results about greeting, asking patients’ names and calling them by their names, acceptable physicians’ appearance, listening to patients’ words, friendly doctor- patient encounter, empathizing with patients (0.37, 0.26, 0.22.0.41and 0.44 respectively was seen. Results of individual variables show that relationship between age of patient and his or her opinion about communication was significant.Based on patient’s survey, the communication score given to the student increases with age of the patient.Conclusion: The study shows deficits in doctor-patient communication of medical interns in history taking. Given the importance of communication skills, the necessity to teach them in clinical skill centers before real contact with patients is obvious

Practitioner Perspectives on a Disaster Management Architecture

Science.gov (United States)

Moe, K.; Evans, J. D.

2012-12-01

The Committee on Earth Observing Satellites (CEOS) Working Group on Information Systems and Services (WGISS) is constructing a high-level reference model for the use of satellites, sensors, models, and associated data products from many different global data and service providers in disaster response and risk assessment. To help streamline broad, effective access to satellite information, the reference model provides structured, shared, holistic views of distributed systems and services - in effect, a common vocabulary describing the system-of-systems building blocks and how they are composed for disaster management. These views are being inferred from real-world experience, by documenting and analyzing how practitioners have gone about using or providing satellite data to manage real disaster events or to assess or mitigate hazard risks. Crucial findings and insights come from case studies of three kinds of experience: - Disaster response and recovery (such as the 2008 Sichuan/Wenchuan earthquake in China; and the 2011 Tohoku earthquake and tsunami in Japan); - Technology pilot projects (such as NASA's Flood Sensor Web pilot in Namibia, or the interagency Virtual Mission Operation Center); - Information brokers (such as the International Charter: Space and Major Disasters, or the U.K.-based Disaster Management Constellation). Each of these experiences sheds light on the scope and stakeholders of disaster management; the information requirements for various disaster types and phases; and the services needed for effective access to information by a variety of users. They also highlight needs and gaps in the supply of satellite information for disaster management. One need stands out: rapid and effective access to complex data from multiple sources, across inter-organizational boundaries. This is the near-real-time challenge writ large: gaining access to satellite data resources from multiple organizationally distant and geographically disperse sources, to meet an

Exploration of the perceptions of emergency physicians and interns regarding the medical documentation practices of interns.

Science.gov (United States)

Isoardi, Jonathon; Spencer, Lyndall; Sinnott, Michael; Nicholls, Kim; O'Connor, Angela; Jones, Fleur

2013-08-01

The primary objective of the present study was to learn the factors that influence the documentation practices of ED interns. A second objective was to identify the expectations of emergency physicians (EPs) towards the medical record documentation of ED interns. A qualitative design was adopted using semi-structured interviews in convenience samples drawn from both groups. Eighteen interviews were conducted with intern volunteers and 10 with EP volunteers. One (5%) intern and two (20%) EPs had received medical documentation training. Factors that encouraged interns' documentation included: patient acuity (the more critical the condition, the more comprehensive the documentation) and the support of senior colleagues. Inhibiting factors included uncertainty about how much to write, and the shift being worked (interns indicated they wrote less at night). Factors of consequence to senior personnel included the apparent reluctance of interns to document management plans. They noted that interns frequently confine their notes to assessment, investigations and treatments, whereas EPs preferred records that demonstrated intern thought processes and included such matters as future actions to follow immediate treatment. A positive theme that emerged included the high level of support interns received from their senior colleagues. Another theme, the influence of patient acuity, held both positive and negative implications for intern writing practices. The lack of formal training is an impediment to the production of useful medical records by ED interns. One solution proposed by both interns and senior personnel was the introduction of the subject into intern education programmes. © 2013 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

Cloud Standby: Disaster Recovery of Distributed Systems in the Cloud

OpenAIRE

Lenk , Alexander; Tai , Stefan

2014-01-01

International audience; Disaster recovery planning and securing business processes against outtakes have been essential parts of running a company for decades. As IT systems became more important, and especially since more and more revenue is generated over the Internet, securing the IT systems that support the business processes against outages is essential. Using fully operational standby sites with periodically updated standby systems is a well-known approach to prepare against disasters. ...

Why are older peoples' health needs forgotten post-natural disaster relief in developing countries? A healthcare provider survey of 2005 Kashmir, Pakistan earthquake.

Science.gov (United States)

Chan, Emily Ying Yang

2009-01-01

Although older people may be recognized as a vulnerable group post-natural disasters, their particular needs are rarely met by the providers of emergency services. Studies about older people's health needs post disasters in the South East Asia Tsunami, Kashmir, Pakistan, China, and United States has revealed the lack of concern for older people's health needs. Recent study of older people's health needs post the Kashmir Pakistan earthquake (2005) found older peoples' health needs were masked within the general population. This survey study examines the providers' perceptions of older people's vulnerabilities post-2005 Pakistan earthquake. It aims to understand the awareness of geriatric issues and issues related to current service provision/planning for older people's health needs post disasters. Specifically, service delivery patterns will be compared among different relief agencies. Cross-sectional, structured stakeholder interviews were conducted within a 2 weeks period in February 2006, 4 months post-earthquake in Pakistan-administrated Kashmir. Health/medical relief agencies of three different types of organizational nature: international nongovernmental organization (INGO), national organization, and local/community group were solicited to participate in the study. Descriptive analysis was conducted. Important issues identified include the need to sensitize relief and health workers about older people's health needs post disaster the development of relevant clinical guidelines for chronic disease management postdisaster in developing countries and the advocacy of building in geriatric related components in natural disaster medical relief programs. To effectively address the vulnerability of older people, it is important for governments, relief agencies, and local partners to include and address these issues during their relief operations and policy planning.

[Similarities between disaster areas and developing countries in terms of the lack of facilities for clinical examinations].

Science.gov (United States)

Suganami, Shigeru

2012-03-01

From the experience of more than 130 emergency medical relief missions in over 50 countries/areas, the AMDA would like to propose a system of mobile clinical examinations to prepare for possible natural disasters in Japan. Such a system will require the development of vehicles equipped with a full range of laboratory equipment, which I believe will become a public property in the world, and contribute to the enhancement of medical services in disaster areas as well as in areas with less developed medical technologies. AMDA's recent medical relief activities include the support of the victims of the earthquakes in Haiti (2010) and Turkey (2011), and the flood in Thailand (2012). In these countries, the AMDA faced the lack of a clinical examination system which resulted in a huge number of patients who could not receive proper treatment after injury, or those who suffered from infectious diseases. Domestically, when the AMDA sent medical teams to the affected areas of the Great East Japan Earthquake and tsunami (2011), their activities took place mainly in evacuation shelters, where survivors needed treatment for chronic diseases and preventive care. All of these experiences highlight the importance of clinical examination in disaster areas, as well as in developing countries/areas similarly lacking basic medical services. The Japanese Society of Laboratory Medicine will surely play an important role in the development of the proposed system of mobile clinical examinations. The AMDA would like to collaborate with the JSLM in emergency relief activities and medical aid projects in areas affected by disasters or lack basic medical services.

Hospitals Capability in Response to Disasters Considering Surge Capacity Approach

Directory of Open Access Journals (Sweden)

Gholamreza Khademipour

2016-01-01

Full Text Available Background: The man-made and natural disasters have adverse effects with sound, apparent, and unknown consequences. Among various components of disaster management in health sector, the most important role is performed by health-treatment systems, especially hospitals. Therefore, the present study aimed to evaluate the surge capacity of hospitals of Kerman Province in disaster in 2015. Materials and Methods: This is a quantitative study, conducted on private, military, and medical sciences hospitals of Kerman Province. The sampling method was total count and data collection for the research was done by questionnaire. The first section of the questionnaire included demographic information of the studied hospitals and second part examined the hospital capacity in response to disasters in 4 fields of equipment, physical space, human resources, and applied programs. The extracted data were analyzed by descriptive statistics. Results: The mean capability of implementing the surge capacity programs by hospitals of Kerman Province in disasters and in 4 fields of equipment, physical space, human resources, and applied programs was evaluated as 7.33% (weak. The surge capacity capability of state hospitals in disasters was computed as 8% and compared to private hospitals (6.07% had a more suitable condition. Conclusion: Based on the results of study and significance of preparedness of hospitals in response to disasters, it is proposed that managers of studied hospitals take measures to promote the hospital response capacity to disasters based on 4 components of increasing hospital capacity.

Promoting Disaster Science and Disaster Science Communities as Part of Sound Disaster Preparedness

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McNutt, M. K.

2015-12-01

During disasters, effectively engaging the vast expertise of the academic community can help responders make timely and critical decisions. A barrier to such engagement, however, is the cultural gap between reward systems in academia and in the disaster response community. Responders often are focused on ending the emergency quickly with minimal damage. Academic scientists often need to produce peer reviewed publications to justify their use of time and money. Each community is used to speaking to different audiences, and delivering answers on their own time scales. One approach to bridge this divide is to foster a cohesive community of interdisciplinary disaster scientists: researchers who focus on crises that severely and negatively disrupt the environment or threaten human health, and are able to apply scientific methods in a timely manner to understand how to prevent, mitigate, respond to, or recover from such events. Once organized, a disaster science community could develop its own unique culture. It is well known in the disaster response community that all the preparation that takes place before an event ever occurs is what truly makes the difference in reducing response time, improving coordination, and ultimately reducing impacts. In the same vein, disaster scientists would benefit from consistently interacting with the response community. The advantage of building a community for all disasters, rather than for just one type, is that it will help researchers maintain momentum between emergencies, which may be decades or more apart. Every disaster poses similar challenges: Knowing when to speak to the press and what to say; how to get rapid, actionable peer review; how to keep proprietary industry information confidential; how to develop "no regrets" actions; and how to communicate with decision makers and the public. During the Deepwater Horizonspill, I personally worked with members of the academic research community who cared not whether they got a peer

Development of procedure for emergency response in the case of combined disaster

International Nuclear Information System (INIS)

2012-01-01

It has been discussed that there were many differences to international standards and the delay for prior planning implementation of nuclear emergency preparedness. Based on this points, since fiscal year 2011, the framework for execution of the precautionary action etc. in consideration of the international standard to the Guide 'Emergency Preparedness for Nuclear Facilities' has been implemented by NSC (Nuclear Safety Commission) of Japan. On the other hand, it was clarified that there would be many problems for decision making strategies of protective actions at the nuclear disaster (combined disaster) when the natural disasters such as earthquakes and tsunamis, the flood, the heavy snow, and the large-scale fire, etc. occurred, and implementation of criteria and procedure for protective action execution through the experience with protective actions after the East Japan large-scale earthquake. The problem arrangements and data preparations to develop the emergency protective action procedure for the emergency preparedness manuals corresponding to the combined disasters are scheduled to be executed in this study for three years from the fiscal year 2011 based on the experience and the finding in the East Japan large-scale earthquake. Development and verification of the method of Evacuation Time Estimate (ETE) at the combined disaster are executed in this year. (author)

Towards a politics of disaster response: presidential disaster instructions in China, 1998-2012.

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Tao, Peng; Chen, Chunliang

2018-04-01

China's disaster management system contains no law-based presidential disaster declarations; however, the national leader's instructions (pishi in Chinese) play a similar role to disaster declarations, which increase the intensity of disaster relief. This raises the question of what affects presidential disaster instructions within an authoritarian regime. This research shows that China's disaster politics depend on a crisis threshold system for operation and that the public and social features of disasters are at the core of this system. China's political cycle has no significant impact on disaster politics. A change in the emergency management system has a significant bearing on presidential disaster instructions, reflecting the strong influence of the concept of rule of law and benefiting the sustainable development of the emergency management system. In terms of disaster politics research, unlocking the black box of China's disaster politics and increasing the number of comparative political studies will benefit the development of empirical and theoretical study. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

International medical students and migration: the missing dimension in Australian workforce planning?

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Hawthorne, Lesleyanne; Hamilton, Jan

2010-09-06

To investigate the potential contribution of international medical students at Australian universities to the Australian medical workforce. A prospective survey in 2006-2007 of 619 international medical students in their final 2 years of undergraduate- and graduate-entry medical courses across eight Australian universities, followed by a 2009 survey of 88 international medical graduates of the University of Melbourne (most of whom were respondents of the earlier survey), assessing the correlation between students' intended place of internship and their actual place of internship. The survey respondents' preferred internship location; the proportion of respondents who intended to remain in practice in Australia long term; and correlation between respondents' intended internship locations and actual placements in their first postgraduate year. Of the 619 international medical students surveyed in 2006, 358 (58%) responded. Most planned to undertake Australian internships and seek permanent-resident status, although a third were undecided about their long-term plans. Nationality was a highly significant variable. Most preferred city rather than regional or rural training locations and expressed interest in migrating to Australia. The 2009 survey of the University of Melbourne's 2008 medical graduates showed a high correlation between students' plans in their last two years of study and outcomes in their first postgraduate year, with 73% accepting Victorian internships for 2009. International medical students studying at Australian universities represent a substantial and highly acceptable medical workforce resource for Australia. Their requirement for internships needs to be considered in, and should influence, infrastructure planning.

Development of national standardized all-hazard disaster core competencies for acute care physicians, nurses, and EMS professionals.

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Schultz, Carl H; Koenig, Kristi L; Whiteside, Mary; Murray, Rick

2012-03-01

The training of medical personnel to provide care for disaster victims is a priority for the physician community, the federal government, and society as a whole. Course development for such training guided by well-accepted standardized core competencies is lacking, however. This project identified a set of core competencies and performance objectives based on the knowledge, skills, and attitudes required by the specific target audience (emergency department nurses, emergency physicians, and out-of-hospital emergency medical services personnel) to ensure they can treat the injuries and illnesses experienced by victims of disasters regardless of cause. The core competencies provide a blueprint for the development or refinement of disaster training courses. This expert consensus project, supported by a grant from the Robert Wood Johnson Foundation, incorporated an all-hazard, comprehensive emergency management approach addressing every type of disaster to minimize the effect on the public's health. An instructional systems design process was used to guide the development of audience-appropriate competencies and performance objectives. Participants, representing multiple academic and provider organizations, used a modified Delphi approach to achieve consensus on recommendations. A framework of 19 content categories (domains), 19 core competencies, and more than 90 performance objectives was developed for acute medical care personnel to address the requirements of effective all-hazards disaster response. Creating disaster curricula and training based on the core competencies and performance objectives identified in this article will ensure that acute medical care personnel are prepared to treat patients and address associated ramifications/consequences during any catastrophic event. Copyright © 2012 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

Re-establishing clean water in a disaster.

Science.gov (United States)

Fournier, Chris

2011-09-01

When a disaster occurs, water systems can be overwhelmed with sediment, chemicals, microbes, and other harmful organisms. Dialysis clinics need to have disaster management plans and protocols in place to meet the demands of any situation. During emergency events, such as large widespread natural disasters, it is necessary to have the support of outside resources to keep the clinic operating or to aid in returning it to service as quickly and as safely as possible. Before proceeding with any medical treatments that use water, such as dialysis, facilities should address five different response actions to establish the safety and effectiveness of their water system. Test the water quality prior to treating patients. Make sure the system is working properly by performing critical water tests. Compare all results with pre-disaster data to help spot any warning signs. Inspect the water system, including all connections, timers, and settings. Consider contacting your water treatment vendor for additional verification and support. Be sure to closely monitor the water system equipment; make sure it is not overwhelmed by staying in touch with local water authorities. They may "shock" their distribution system to regain compliance. Make every effort to conserve water during this time. Change the water system. If the central water system has been compromised, consider using portable RO units or portable exchange DI tanks. Finally, moving your patients to another facility may be the only alternative, so work with other local facilities unaffected by the disaster.

Politics and Graduate Medical Education in Internal Medicine: A Dynamic Landscape.

Science.gov (United States)

Wardrop, Richard M; Berkowitz, Lee R

2017-02-01

The promotion of change and growth within medical education is oftentimes the result of a complex mix of societal, cultural and economic forces. Graduate medical education in internal medicine is not immune to these forces. Several entities and organizations can be identified as having a major influence on internal medicine training and graduate medical education as a whole. We have reviewed how this is effectively accomplished through these entities and organizations. The result is a constantly changing and dynamic landscape for internal medicine training. Copyright © 2017 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

Post Disaster Assessment with Decision Support System

Directory of Open Access Journals (Sweden)

May Florence J. Franco

2016-05-01

Full Text Available The study aimed to develop an online system that would expedite the response of agencies after disaster strikes; generate a list of the kinds and volume of relief aids needed per family affected for a fair, precise and timely distribution; implement community-based ICT by remotely gathering all the necessary data needed for disaster assessment; and adhere to ISO 9126 standards. The system was designed to calculate the effects of disaster in human lives and economy. Integrated into the system were Goggle Maps, Mines and GeoSciences Bureau Hazard Maps, SMS sending features, best passable routes calculations, and decision support on the needs that has to be addressed. The system was made live at pdrrmcguimaras.herokuapp.com to allow remote data entry. The functionality and usability of the system were evaluated by 19 potential users by computing for the arithmetic Mean and Standard Deviation of the survey. The result showed that most of them strongly agreed that the system is acceptable based on these criteria. A group of IT experts also evaluated the system’s conformance to ISO 9126 standards using the same method. The result showed that majority of them strongly agreed that the system conforms to this international standard. The system is seen as a valuable tool for the Provincial Disaster Risk Reduction Management Council (PDRRMC and the National Disaster Risk Reduction Management Council (NDRRMC for it could help expedite the assessment of the effects of disasters and the formulation of response plans and strategies.

Earth Remote Sensing for Weather Forecasting and Disaster Applications

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Molthan, Andrew; Bell, Jordan; Case, Jonathan; Cole, Tony; Elmer, Nicholas; McGrath, Kevin; Schultz, Lori; Zavodsky, Brad

2016-01-01

NASA's constellation of current missions provide several opportunities to apply satellite remote sensing observations to weather forecasting and disaster response applications. Examples include: Using NASA's Terra and Aqua MODIS, and the NASA/NOAA Suomi-NPP VIIRS missions to prepare weather forecasters for capabilities of GOES-R; Incorporating other NASA remote sensing assets for improving aspects of numerical weather prediction; Using NASA, NOAA, and international partner resources (e.g. ESA/Sentinel Series); and commercial platforms (high-res, or UAV) to support disaster mapping.

Ethiopian disaster management and its troubled history

African Journals Online (AJOL)

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conflicts and traffic accidents) to which citizens are vulnerable. More generally, there has ..... included establishment of a network of relationships with regional entities, international .... disseminating early warning data/information have also been established in all .... A big national conference deliberated on national disaster ...

Are Women in Turkey Both Risks and Resources in Disaster Management?

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Işık, Özden; Özer, Naşide; Sayın, Nurdan; Mishal, Afet; Gündoğdu, Oğuz; Özçep, Ferhat

2015-01-01

From a global perspective, the universality of gender-related societal issues is particularly significant. Although gender inequality is considered a sociological problem, the large number of female victims in disasters warrants an assessment of disaster management sciences. In this article, related concepts are discussed based on their relevance sociologically and in disaster management to develop a common terminology and examine this complex topic, which is rooted in different social profiles and anthropological heterogeneity throughout the world. A brief history is discussed, and significant examples are provided from different disasters in Turkey to illustrate why a woman-oriented approach should be adopted when evaluating concepts of gender inequality. Observations of disasters have shown that it is important to apply international standards (humanitarian charter and minimum disaster response standards), especially during periods of response and rehabilitation. Relevant factors related to gender should be included in these standards, such as women’s health and hygiene, which will be discussed in more detail. A woman-based approach is designed in relation to two aspects: risks and resources. Thus, gender-sensitive methods of mitigating and preventing disasters are provided. The main purpose of the article is to contribute to the development of a universal culture that prioritizes gender in disaster management. PMID:26016435

Impact of the Great East Japan Earthquake and tsunami on health, medical care and public health systems in Iwate Prefecture, Japan, 2011.

Science.gov (United States)

Nohara, Masaru

2011-10-01

The Great East Japan Earthquake was one of the largest earthquakes ever recorded in global history. The damage was spread over a wide area, with the worst-hit areas being Iwate, Miyagi and Fukushima prefectures. In this paper we report on the damage and the impact of the damage to describe the health consequences among disaster victims in Iwate Prefecture. In Iwate Prefecture the tsunami claimed 4659 lives, with 1633 people missing. In addition to electricity, water and gas being cut off following the disaster, communication functions were paralysed and there was a lack of gasoline. Medical and public health teams from Iwate Prefecture and around the country, including many different specialists, engaged in a variety of public health activities mainly at evacuation centres, including medical and mental health care and activities to prevent infectious diseases. Given the many fatalities, there were relatively few patients who required medical treatment for major injuries. However, there were significant medical needs in the subacute and chronic phases of care in evacuation centres, with great demand for medical treatment and public health assistance, measures to counteract infection and mental health care. By referring to past experiences of national and international large-scale disasters, it was possible to respond effectively to the health-related challenges. However, there are still challenges concerning how to share information and coordinate overall activities among multiple public health response teams. Further examination will be required to ensure better preparedness in response to future disasters.

International student exchange and the medical curriculum: evaluation of a medical sciences translational physiology course in Brazil.

Science.gov (United States)

Morris, Mariana; Jones, T David; Rocha, Maria Jose Alves; Fazan, Rubens; Chapleau, Mark W; Salgado, Helio C; Johnson, Alan Kim; Irigoyen, Maria Claudia; Michelini, Lisete C; Goldstein, David L

2006-09-01

The objective of the present study was to conduct a short-term international course on translational physiology for medical students from Wright State University and the University of Iowa. The goals were to 1) provide students with an exposure to the academic, cultural, and medical environments in Brazil; 2) promote awareness of the global medical community; and 3) provide an academic course focused on translational physiology. An evaluation of the students was conducted to determine whether such a short-term course might be useful in the medical curriculum. The 2-wk course was held in the summer of 2005 at the University of São Paulo School of Medicine in Ribeirão Preto, Brazil, for 23 American students. The program included presentations of basic and clinical topics, meetings with medical students, and clinical presentations. The program finished with student attendance at a scientific meeting sponsored by the Brazilian Society of Hypertension. Student surveys evaluated issues related to perceived treatment, Brazilian medical school environment, culture and personal attributes, and career aspirations. The international Medical Sciences Translational Physiology course for medical students provided a brief, but intense, experience. It gave students a picture of the medical environment in Brazil and an appreciation for the differences and similarities in cultures. Most students reported that it was a positive experience that would be beneficial to their careers. In conclusion, a short-term international course provides an efficient means for medical students to experience aspects of global medical science.

Natural hazard events and social capital: the social impact of natural disasters.

Science.gov (United States)

Albrecht, Frederike

2018-04-01

This study investigates if and to what extent natural disasters affect social capital. Twelve different events in Europe are examined in a quantitative analysis, using data derived from the European Social Survey and the EM-DAT International Disaster Database. The study uses social trust as an indicator of social capital and offers evidence that a change in social trust is a possible occurrence during or after a disaster, but that it is not an inevitable consequence of it. The results reveal that social trust decreases after a disaster with a death toll of at least nine. Changes in social capital, therefore, are found to be more probable as the severity of the event increases. National, rather than regional, disasters lead more frequently to significant shifts in social trust. This evaluation of 12 separate cases pinpoints several disasters that have had an effect on social trust, but it does not identify any general patterns, underlining the significance of contextual dependency. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

Katrina's Legacy: Processes for Patient Disaster Preparation Have Improved but Important Gaps Remain.

Science.gov (United States)

Icenogle, Marjorie; Eastburn, Sasha; Arrieta, Martha

2016-11-01

Ensuring continuity of care for patients with chronic illness, who are elderly or indigent presents unique challenges after disasters; this population has fewer financial resources, is less likely to evacuate, has limited access to recovery resources and is significantly dependent on charitable and government-funded institutions for care. This study expands a previous investigation of the extent to which healthcare providers in coastal Mississippi and Alabama have made changes to facilitate continued care to these populations after disasters. Key informants representing healthcare and social services organizations serving health-disparate residents of the Mississippi and Alabama Gulf Coast were interviewed regarding disaster preparation planning for the period of 2009-2012. Interview transcripts were qualitatively coded and analyzed for emerging themes using ATLAS.ti software. Participant organizations have implemented changes to ensure continuity of care for patients with chronic illness in case of disasters. Changes include patient assistance with predisaster preparation and training; evacuation planning and assistance; support to find resources in evacuation destinations; equipping patients with prescription information, diagnoses, treatment plans and advance medications when a disaster is imminent; multiple methods for patients to communicate with providers and more mandated medical needs shelters. Patients whose chronic conditions were diagnosed post-Katrina are more likely to underestimate the need to prepare. Further, patients' lack of compliance tends to increase as time passes from disasters. Although changes were implemented, results indicate that these may be inadequate to completely address patient needs. Thus, additional efforts may be needed, underscoring the complexity of adequate disaster preparation among disparate populations. Copyright © 2016 Southern Society for Clinical Investigation. Published by Elsevier Inc. All rights reserved.

Defining and identifying concepts of medication literacy: An international perspective.

Science.gov (United States)

Pouliot, Annie; Vaillancourt, Régis; Stacey, Danielle; Suter, Philippe

2017-11-08

Multiple concepts to define health literacy in the context of medication use exist, such as medication literacy, pharmacotherapy literacy, pharmacy health literacy; however, no studies have looked at consensus among experts internationally. A Delphi process was used to achieve consensus on the statements about medication literacy. Experts for the Delphi were selected from a review of the literature and suggestions from an international survey conducted with members of the International Pharmaceutical Federation on medication literacy. The preliminary Delphi questionnaire was built using the statements about medication literacy found in the scientific literature. Responses and comments were analyzed using a pre-established method and communicated to the experts after each round of Delphi. Statements with an agreement of at least 80% were accepted and used to develop a definition of medication literacy. The Delphi process started with 21 experts and included 4 rounds. Overall, 30 statements regarding medication literacy were accepted and divided into 4 clusters representing: (1) type of information necessary for optimal and safe use of medication, (2) skills and abilities, (3) format of information, and (4) outcomes. These statements were used to propose 2 different definitions of medication literacy. One of the definitions was preferred by 75% of the expert panel, which provided further comments for improvements. Of the 11 experts who answered the final questionnaire, nine strongly agreed with the refined definition. Medication literacy is the degree to which individuals can obtain, comprehend, communicate, calculate and process patient-specific information about their medications to make informed medication and health decisions in order to safely and effectively use their medications, regardless of the mode by which the content is delivered (e.g. written, oral and visual). Future studies should focus on how this definition can be operationalized to support the role

An Approach to Establishing International Quality Standards for Medical Travel

Directory of Open Access Journals (Sweden)

Ondřej eKácha

2016-03-01

Full Text Available Traveling abroad to receive a non-elective treatment is expanding each year. Such rising popularity of medical travel and the absence of clear minimum quality requirements in this area urgently calls for setting international standards to ensure good practice and patient safety. The aim of this study is to identify the key domains in medical travel where such quality standards should be established. Drawing from the evidence-based OECD framework and an extensive literature review, this study proposes three critical areas for international quality standards in medical travel: minimum standards of health care facilities and third-party agencies, financial responsibility and patient-centeredness. Several cultural challenges are subsequently introduced that may pose a barrier to the development of the guidelines and should be additionally taken into consideration. Establishing international quality standards in medical travel enhances the benefits to patients and providers, which is urgently needed given the rapid growth in this industry.

Three typical examples of activation of the international charter space and major disasters

Science.gov (United States)

Bessis, J.; Bequignon, J.; Mahmood, A.

The purpose of the International Charter is to provide a unified system of space data acquisition and delivery for users affected by disasters, to promote co - operation between space agencies and space system operators and to allow participation in the organisation of emergency assistance or subsequent operations. The Charter which is officially in operation since November 1, 2000 was signed on June 20, 2000 by CNES (1) and ESA (2) and enlarged later on with the membership of the CSA (3) in October 2000 and of the NOAA (4) and the ISRO (5), both in September 2001. All Partner agencies undertake to co-operate on a voluntary basis with no exchange of funds between them in the event of a major natural or man-induced disaster. This paper, after a brief description of the Charter organisation and of its implementation procedures, addresses three typical cases of Charter activation and the lessons learned to date. The first example will deal with the major earthquakes in January and February 2001 in El Salvador for the benefit of the Salvadorian National Register Centre, the second concerning flooding in the North East of France early 2002 with quick delivery of flood maps to the French Civil Protection Authority and the last one will focus on the Nyiragongo volcanic eruption near the town of Goma in the Democratic Republic of Congo. It will include feedback from the Authorised Users concerning the usefulness of the Charter and the suggested improvements in terms of response time, sensors capability and resolution, delivered products (scale and ease of operational utilisation) and adapted scenarios.(1) Centre National d'Etudes Spatiales, (2) European Space Agency, (3) Canadian Space Agency, (4) National Oceanic and Atmospheric Administration , (5) Indian Space Research Organisation

Disaster Recovery Framework for Commercial Banks in Sri Lanka

Directory of Open Access Journals (Sweden)

Mueen Uddin

2016-03-01

Full Text Available The banking sector is the backbone of the entire financial economy of a country. In today’s globalized world, most organizations use online transaction processing systems for transferring money and doing business. Natural or man-made disasters can lead to data loss which in turn can cause millions of dollars of money lost. This study focuses on disaster recovery practices in commercial banks in Sri Lanka. From our preliminary findings, it was concluded that commercial banks only have ad-hoc disaster recovery standards and practices, as there is no standard framework available. Fourteen (14 banks were selected for data collection and relevant authorities were interviewed. The results were translated as qualitative observations to understand the best practices. Similarly, international standards, compliance requirements of the central bank, and existing researches were used to develop a disaster recovery practice framework. The proposed framework was then validated for its efficiency and usefulness among commercial banks and found to be acceptable by the banking industry.  

World Federation for Medical Education Policy on international recognition of medical schools' programme.

Science.gov (United States)

Karle, Hans

2008-12-01

The increasing globalisation of medicine, as manifested in the migration rate of medical doctors and in the growth of cross-border education providers, has inflicted a wave of quality assurance efforts in medical education, and underlined the need for definition of standards and for introduction of effective and transparent accreditation systems. In 2004, reflecting the importance of the interface between medical education and the healthcare delivery sector, a World Health Organization (WHO)/World Federation for Medical Education (WFME) Strategic Partnership to improve medical education was formed. In 2005, the partnership published Guidelines for Accreditation of Basic Medical Education. The WHO/WFME Guidelines recommend the establishment of proper accreditation systems that are effective, independent, transparent and based on medical education-specific criteria. An important prerequisite for this development was the WFME Global Standards programme, initiated in 1997 and widely endorsed. The standards are now being used in all 6 WHO/WFME regions as a basis for quality improvement of medical education throughout its continuum and as a template for national and regional accreditation standards. Promotion of national accreditation systems will have a pivotal influence on future international appraisal of medical education. Information about accreditation status - the agencies involved and the criteria and procedure used - will be an essential component of new Global Directories of Health Professions Educational Institutions. According to an agreement between the WHO and the University of Copenhagen (UC), these Directories (the Avicenna Directories) will be developed and published by the UC with the assistance of the WFME, starting with renewal of the WHO World Directory of Medical Schools, and sequentially expanding to cover educational institutions for other health professions. The Directories will be a foundation for international meta-recognition ("accrediting the

51st and 52nd annual meeting of the Protection Committee of the Federal Ministry of Internal Affairs. Lectures

International Nuclear Information System (INIS)

2005-01-01

This volume summarizes the presentations of both yearly meetings 2002 and 2003. The presentations 2002 cover the following subjects: disaster defence concept of the Land Hesse from a medical perspective, integration of the public health service into the field of catastrophic medical supply, reaction in case of anthrax incidents, pharmaceutical residues in sewage plants, waters and drinking water, international emergency case exercise '' JINEX 1'', provision of information in case of a catastrophe. The presentations 2003 cover the following subjects: joint procedures in order to improve the cooperation in the field of civil defence and the alarm and information centre of the European Committee, perspectives for the integration of the public health service into the field of catastrophic medical supply, threat of biological and chemical substances, increase of the defence readiness in the field of disaster defence. (uke) [de

Conceptualizing Cold Disasters

DEFF Research Database (Denmark)

Lauta, Kristian Cedervall; Dahlberg, Rasmus; Vendelø, Morten Thanning

2017-01-01

In the present article, we explore in more depth the particular circumstances and characteristics of governing what we call ‘cold disasters’, and thereby, the paper sets out to investigate how disasters in cold contexts distinguish themselves from other disasters, and what the implications hereof...... are for the conceptualization and governance of cold disasters. Hence, the paper can also be viewed as a response to Alexander’s (2012a) recent call for new theory in the field of disaster risk reduction. The article is structured in four overall parts. The first part, Cold Context, provides an overview of the specific...... conditions in a cold context, exemplified by the Arctic, and zooms in on Greenland to provide more specific background for the paper. The second part, Disasters in Cold Contexts, discusses “cold disasters” in relation to disaster theory, in order to, elucidate how cold disasters challenge existing...

Disaster in Crisis

DEFF Research Database (Denmark)

Illner, Peer

initiatives and bottom-up organising as the preferred method to combat disaster. Once construed as strictly a responsibility of the state, the mitigation and management of disasters has shifted since the 1970s into a matter for civil society: a shift which has been heralded as progressive, democratic...... the banner of disaster. Focussing on the modifications to disaster management in the United States between 1970 and 2012, I show how the inclusion of civil society in the provision of aid services was accompanied by a structural withdrawal of the state from disaster relief and other welfare services. I...... contextualise this withdrawal in the US government’s general turn to austerity in response to the economic crisis of the 1970s. My account couples the notion of disaster with that of economic crisis on the one hand and structural violence on the other to examine disasters as a specific problem for social...

Lessons Learned from Oily Pelicans? A Comparative Policy Paper on Maritime Oil Spill Disasters

International Nuclear Information System (INIS)

Rogers, Ariel

2010-01-01

Turn on the news or open the paper and sure enough there will be mention of the disastrous oil spill in the Gulf of Mexico. Although it has retreated from the big headlines, the disaster still looms large as people deal with the aftermath of the BP catastrophe. The Deepwater Horizon disaster has put offshore drilling and emergency oil spill response on the forefront of everyone's minds in the International community. Maritime oil disasters, no matter how you look at them, affect everyone. Their oily consequences create a ripple effect in which not only does the industry suffer and those who must daily deal with the pollution, but governments and policy makers must attempt to draw policy conclusions and find ways in which to limit such events in the future. Blame gets passed around like a virus and in the meantime cleanup efforts experience varying degrees of success. People lose hope and trust as the oil companies and government officials scramble to cover all their bases and seek to assure that this disaster won't happen again. But what makes a disaster like Deepwater Horizon an exception and what makes it a more fundamental problem that needs to be addressed globally? This event that has drawn so much attention internationally is not the first maritime oil disaster nor, unfortunately, will it be the last. The ultimate goal is that the international community learns from these events and does all in its power to ensure that future oil disasters will not reach this level of severity. Many people wonder how such a disaster could occur and why it was 'allowed' to happen. The purpose of this brief note is to shed light on maritime oil disasters by examining five such cases starting in the late 1970's until today. Since there is absolutely no way to paint disasters in black and white terms, the intent of this research is to put oil disasters into a historical context, to compare them, and to see if we are learning lessons from past oil disasters. The paper will look at

The response to September 11: a disaster case study.

Science.gov (United States)

Crane, Michael A; Levy-Carrick, Nomi C; Crowley, Laura; Barnhart, Stephanie; Dudas, Melissa; Onuoha, Uchechukwu; Globina, Yelena; Haile, Winta; Shukla, Gauri; Ozbay, Fatih

2014-01-01

The response to 9/11 continues into its 14th year. The World Trade Center Health Program (WTCHP), a long-term monitoring and treatment program now funded by the Zadroga Act of 2010, includes >60,000 World Trade Center (WTC) disaster responders and community members ("survivors"). The aim of this review is to identify several elements that have had a critical impact on the evolution of the WTC response and, directly or indirectly, the health of the WTC-exposed population. It further explores post-disaster monitoring efforts, recent scientific findings from the WTCHP, and some implications of this experience for ongoing and future environmental disaster response. Transparency and responsiveness, site safety and worker training, assessment of acute and chronic exposure, and development of clinical expertise are interconnected elements determining efficacy of disaster response. Even in a relatively well-resourced environment, challenges regarding allocation of appropriate attention to vulnerable populations and integration of treatment response to significant medical and mental health comorbidities remain areas of ongoing programmatic development. Copyright © 2014 Icahn School of Medicine at Mount Sinai. All rights reserved.

[A history of internal medicine: medical specialization: as old as antiquity].

Science.gov (United States)

Echenberg, Donald

2007-11-28

This article presents a short review of the history of medical specialization and the evolution of internal medicine within the last two centuries. Medical specialization, far from being a recent phenomenon, existed in the Hellenistic world and in Rome. The development of specialization during the latter part of the 19th century and early 20th century is credited to the rapid expansion of medical knowledge which made it impossible for a single doctor to encompass all the different spheres of the profession. The term innere medizin or internal medicine was adopted from German terminology in the 1880's. The Canadian society of internal medicine was formed in 1983 and its main goal is to promote a broad perspective of medical care and to master the complexity in medicine through a generalist approach.

The Chennai floods of 2015: urgent need for ethical disaster management guidelines.

Science.gov (United States)

Mariaselvam, Suresh; Gopichandran, Vijayaprasad

2016-01-01

India has suffered several natural disasters in recent years. The super cyclone of Orissa in 1999 and the tsunami on the southeastern coast in 2004, both led to major developments in disaster management abilities in the country. Almost a decade after the last major disaster that hit south India, the recent floods in Chennai in 2015 brought to the fore a whole set of ethical considerations. There were issues of inequity in the relief and response activities, conflicts and lack of coordination between the government and non-government relief and response, more emphasis on short-term relief activities rather than rehabilitation and reconstruction, and lack of crisis standards of care in medical services. This paper highlights these ethical issues and the need for ethical guidelines and an ethical oversight mechanism for disaster management and response.

Understanding European education landscape on natural disasters - a textbook research

Science.gov (United States)

Komac, B.; Zorn, M.; Ciglič, R.; Steinführer, A.

2012-04-01

The importance of natural-disaster education for social preparedness is presented. Increasing damage caused by natural disasters around the globe draws attention to the fact that even developed societies must adapt to natural processes. Natural-disaster education is a component part of any education strategy for a sustainably oriented society. The purpose of this article is to present the role of formal education in natural disasters in Europe. To ensure a uniform overview, the study used secondary-school geography textbooks from the collection at the Georg Eckert Institute for International Textbook Research in Braunschweig, Germany. Altogether, nearly 190 textbooks from 35 European countries were examined. The greatest focus on natural disasters can be found in textbooks published in western Europe (3.8% of pages describing natural disasters), and the smallest in those published in eastern Europe (0.7%). A share of textbook pages exceeding three percent describing natural disasters can also be found in northern Europe (3.6%) and southeast Europe, including Turkey (3.4%). The shares in central and southern Europe exceed two percent (i.e., 2.8% and 2.3%, respectively). The types and specific examples of natural disasters most commonly covered in textbooks as well as the type of natural disasters presented in textbooks according to the number of casualties and the damage caused were analyzed. The results show that the majority of European (secondary-school) education systems are poorly developed in terms of natural-disaster education. If education is perceived as part of natural-disaster management and governance, greater attention should clearly be dedicated to this activity. In addition to formal education, informal education also raises a series of questions connected with the importance of this type of education. Special attention was drawn to the importance of knowledge that locals have about their region because this aspect of education is important in both

Disaster management and mitigation: the telecommunications infrastructure.

Science.gov (United States)

Patricelli, Frédéric; Beakley, James E; Carnevale, Angelo; Tarabochia, Marcello; von Lubitz, Dag K J E

2009-03-01

Among the most typical consequences of disasters is the near or complete collapse of terrestrial telecommunications infrastructures (especially the distribution network--the 'last mile') and their concomitant unavailability to the rescuers and the higher echelons of mitigation teams. Even when such damage does not take place, the communications overload/congestion resulting from significantly elevated traffic generated by affected residents can be highly disturbing. The paper proposes innovative remedies to the telecommunications difficulties in disaster struck regions. The offered solutions are network-centric operations-cap able, and can be employed in management of disasters of any magnitude (local to national or international). Their implementation provide ground rescue teams (such as law enforcement, firemen, healthcare personnel, civilian authorities) with tactical connectivity among themselves, and, through the Next Generation Network backbone, ensure the essential bidirectional free flow of information and distribution of Actionable Knowledge among ground units, command/control centres, and civilian and military agencies participating in the rescue effort.

Radiocesium contamination and estimated internal exposure doses in edible wild plants in Kawauchi Village following the Fukushima nuclear disaster.

Directory of Open Access Journals (Sweden)

Rimi Tsuchiya

Full Text Available Kawauchi Village, in Fukushima Prefecture, is located within a 30-km radius of the nuclear disaster site of the Fukushima Daiichi Nuclear Power Plant (FDNPP. "Sansai" (edible wild plants in this village have been evaluated by gamma spectrometry after the residents had returned to their homes, to determine the residents' risk of internal exposure to artificial radionuclides due to consumption of these plants. The concentrations of radiocesium (cesium-134 and cesium-137 were measured in all 364 samples collected in spring 2015. Overall, 34 (9.3% samples exceeded the regulatory limit of 100 Bq/kg established by Japanese guidelines, 80 (22.0% samples registered between 100 Bq/kg and 20 Bq/kg, and 250 (68.7% registered below 20 Bq/kg (the detection limit. The internal effective doses from edible wild plants were sufficiently low (less than 1 mSv/y, at 3.5±1.2 μSv/y for males and 3.2±0.9 μSv/y for females (2.7±1.5 μSv/y for children and 3.7±0.7 μSv/y for adults in 2015. Thus, the potential internal exposure doses due to consumption of these edible wild plants were below the applicable radiological standard limits for foods. However, high radiocesium levels were confirmed in specific species, such as Eleutherococcus sciadophylloides ("Koshiabura" and Osmunda japonica (Asian royal fern, "Zenmai". Consequently, a need still might exist for long-term follow-up such as environmental monitoring, physical and mental support to avoid unnecessary radiation exposure and to remove anxiety about adverse health effects due to radiation. The customs of residents, especially the "satoyama" (countryside culture of ingesting "sansai," also require consideration in the further reconstruction of areas such as Kawauchi Village that were affected by the nuclear disaster.

Interns as teachers of medical students: a pilot programme.

LENUS (Irish Health Repository)

Dunne, B

2012-01-31

BACKGROUND: In recent years, rising numbers of medical students and an increasingly demanding clinical workload has put pressures on the educational systems for medical students in the hospital. Bedside teaching remains central to education, but tutorial delivery by registrars, tutors and consultants has proven to be increasingly difficult with the greater numbers of students now in the undergraduate system. AIMS: We have performed a pilot study to determine the feasibility of developing a Junior Tutor Programme, to assist in the delivery of tutorials to undergraduate medical students. METHODS: This was designed and delivered by interns under the supervision of the academic staff in the Departments of Medicine and Surgery in Connolly Hospital. The programme was evaluated by a questionnaire filled in by the students anonymously. RESULTS: A supervised programme of tutorials delivered by interns is a potentially useful way to ensure delivery of clinical teaching to undergraduate medical students.

Chinese nurses' relief experiences following two earthquakes: implications for disaster education and policy development.

Science.gov (United States)

Wenji, Zhou; Turale, Sue; Stone, Teresa E; Petrini, Marcia A

2015-01-01

Disasters require well trained nurses but disaster nursing education is very limited in China and evidence is urgently required for future planning and implementation of specialized disaster education. This describes the themes arising from narratives of Chinese registered nurses who worked in disaster relief after two major earthquakes. In-depth interviews were held with 12 registered nurses from Hubei Province. Riessman's narrative inquiry method was used to develop individual stories and themes, and socio-cultural theory informed this study. Five themes emerged: unbeatable challenges; qualities of a disaster nurse; mental health and trauma; poor disaster planning and co-ordination; and urgently needed disaster education. Participants were challenged by rudimentary living conditions, a lack of medical equipment, earthquake aftershocks, and cultural differences in the people they cared for. Participants placed importance on the development of teamwork abilities, critical thinking skills, management abilities of nurses in disasters, and the urgency to build a better disaster response system in China in which professional nurses could more actively contribute their skills and knowledge. Our findings concur with previous research and emphasize the urgency for health leaders across China to develop and implement disaster nursing education policies and programs. Copyright © 2014 Elsevier Ltd. All rights reserved.

The Tsunami's CSR Effect: MNEs and Philanthropic Responses to the Disaster

NARCIS (Netherlands)

Whiteman, G.; Muller, A.R.; van der Voort, J.; van Wijk, J.; Meijs, L.; Pique, C.

2005-01-01

'This paper contributes to the literature on CSR and International Business by linking firm internationalization to corporate philanthropy. Considering the 2004 Tsunami disaster as a highly relevant case of an international societal issue, we analyze the characteristics of the corporate response to

Settlement preferences in the disaster-prone areas of Brantas River

Science.gov (United States)

Hariyani, S.

2018-01-01

Kota Lama is one of the urban villages in Malang city that has settlements along the Brantas River. Kota Lama experienced three landslides and flooding in 2015 and one in 2016. Those disasters caused the community to take action of post-disaster recovery, yet the people still choose to remain living in Kota Lama. Therefore, the study aims at determining the preferences of the citizens living in disaster-prone areas in Brantas River. The research used a factor analysis of 12 variables: 1) neighbourhood situation, 2) air condition, 3) relations between neighbours, 4) security, 5) location, 6) customs, 7) ethnic diversity, 8) the presence of social groups, 9) the community’s customs and habits, 10) proximity to the economic facilities, 11) adequate educational facilities, and 12) adequate medical/health facilities. The results show that two factors have been formed, namely Factor 1 (access) comprising variables of neighbourhood situation, air condition, relations between neighbours, location, ethnic diversity, the presence of a social group, supporting positive habits at home, close to the economic facilities, educational facilities, as well as medical facilities, and Factor 2 (assurance) consisting of customs and security.

Recovery and resilience after a nuclear power plant disaster: a medical decision model for managing an effective, timely, and balanced response.

Science.gov (United States)

Coleman, C Norman; Blumenthal, Daniel J; Casto, Charles A; Alfant, Michael; Simon, Steven L; Remick, Alan L; Gepford, Heather J; Bowman, Thomas; Telfer, Jana L; Blumenthal, Pamela M; Noska, Michael A

2013-04-01

Resilience after a nuclear power plant or other radiation emergency requires response and recovery activities that are appropriately safe, timely, effective, and well organized. Timely informed decisions must be made, and the logic behind them communicated during the evolution of the incident before the final outcome is known. Based on our experiences in Tokyo responding to the Fukushima Daiichi nuclear power plant crisis, we propose a real-time, medical decision model by which to make key health-related decisions that are central drivers to the overall incident management. Using this approach, on-site decision makers empowered to make interim decisions can act without undue delay using readily available and high-level scientific, medical, communication, and policy expertise. Ongoing assessment, consultation, and adaption to the changing conditions and additional information are additional key features. Given the central role of health and medical issues in all disasters, we propose that this medical decision model, which is compatible with the existing US National Response Framework structure, be considered for effective management of complex, large-scale, and large-consequence incidents.

Pediatric disaster response in developed countries: ten guiding principles.

Science.gov (United States)

Brandenburg, Mark A; Arneson, Wendy L

2007-01-01

Mass casualty incidents and large-scale disasters involving children are likely to overwhelm a regional disaster response system. Children have unique vulnerabilities that require special considerations when developing pediatric response systems. Although medical and trauma strategies exist for the evaluation and treatment of children on a daily basis, the application of these strategies under conditions of resource-constrained triage and treatment have rarely been evaluated. A recent report, however, by the Institute of Medicine did conclude that on a day-to-day basis the U.S. healthcare system does not adequately provide emergency medical services for children. The variability, scale, and uncertainty of disasters call for a set of guiding principles rather than rigid protocols when developing pediatric response plans. The authors propose the following guiding principles in addressing the well-recognized, unique vulnerabilities of children: (1) terrorism prevention and preparedness, (2) all-hazards preparedness, (3) postdisaster disease and injury prevention, (4) nutrition and hydration, (5) equipment and supplies, (6) pharmacology, (7) mental health, (8) identification and reunification of displaced children, (9) day care and school, and (10) perinatology. It is hoped that the 10 guiding principles discussed in this article will serve as a basic framework for developing pediatric response plans and teams in developed countries.

International cooperation for disaster management -- Romanian-American experience in the achievement of a joint exercise using decision support tools for radiological emergency

International Nuclear Information System (INIS)

Qualls, J.R.; Botirca, R.; Gabor, A.; Miron, A.

1995-01-01

International coordination and cooperation is rewarding but at the same time very challenging. This paper will discuss the Romanian perspective on technology transfer, its problems and its advantages. Further, the discussion will take place in the context of preparing for an international conference while at the same time exchanging civil defense expertise. The American perspective on the same subject will also be presented with healthy doses of mutual explanations. The final portion of the paper will present the joint lessons learned from the newly created interfaces and what it holds for the future. The paper aims to present the Romanian and American experts' opinion about the demonstration of using computer technology for helping the international cooperation in the field of disaster management

Exploring Perception and Use of Everyday Language and Medical Terminology among International Medical Graduates in a Medical ESP Course in Australia

Science.gov (United States)

Dahm, Maria R.

2011-01-01

Language and communication skills are among the greatest challenges that non-native-English speaking international medical graduates (IMGs) face in English medical consultations. Especially when patients use unfamiliar everyday expressions or attach different meanings to medical terminology, the communicative burden on doctor-patient communication…

Appropriate Natural Disaster Handling Policy To Guarantee Effectiveness Of Post-Disaster Assistance

Directory of Open Access Journals (Sweden)

Widyawati Boediningsih

2017-09-01

Full Text Available Indonesia is a very rich country fascinating the beauty of the panoramic so attract much foreign tourists to come and see its beauty. Furthermore Indonesia is a country that often experience natural disasters ranging from floods mount erupted until to Tsunami Indonesia Located in a geographical location that is prone to disaster. Disasters can be caused by both natural and behavioral factors that are not responsible for utilizing and managing natural resources and the environment. In some areas of Indonesia disasters examples that hit the country. So far there are available disaster management regulation tools namely Law Number 24 Year 2007 which provides disaster management framework Pre-disaster comprehend emergency response and post-disaster. Although the law has outlined comprehensive disaster management provisions so far is still focused on the emergency response period. Further actions such as mitigation rehabilitation and reconstruction appear not to be a top priority of disaster management activities. Other issues that are still scattered are coordination rescue aid appropriateness of assistance and distribution spread evenly. Institutional On the mandate of Law 242007 also institutional had been formed National Disaster Management Agency BNPB at the local level throughout and Indonesia.BNPB also set up a technically existing technical unit UPTD of 12 units. A BNPB Institution supported by trained human resources HR trained to be deployed to even the most difficult terrain.

MO-D-16A-01: International Day of Medical Physics

International Nuclear Information System (INIS)

Cheung, K; Damilakis, J

2014-01-01

International Organization for Medical Physics (IOMP) which represents medical physicists in more than 80 countries decided to celebrate 7th November, birth date of the Polish and naturalized-French physicist Marie Sklodowska-Curie, as International Day of Medical Physics (IDMP). The main purpose of the initiative is to raise the visibility and awareness of medical physicist in the global community, to introduce ourselves to the general public, and bring a message to the community that a group of health professionals, the medical physicists are there to help the patients and other health professionals. First celebration was done in 2013 and now IDMP will be celebrated every year. The theme of IDMP will be different each year. The theme for 2013 was ‘Radiation exposure from medical procedures, ask the Medical Physicist’. The inaugural event was celebrated in 23 countries and the amount of attention gained was remarkable. Main IDMP events were held in Poland, birthplace of Marie Curie, and France, workplace of Marie Curie. This year IOMP celebrates the 2nd IDMP and theme will be ‘Looking into the body-Advancement in Imaging through Medical Physics’ to draw attention to the profound contributions Medical Physics has made to the use of ionizing and non-ionizing radiation for the imaging of human body. A number of countries have informed about events that they are going to organize on IDMP. This gives wide attention to medical physics globally. AAPM is a major and important member of IOMP. It is hoped that AAPM will join in organizing activities. Learning Objectives: To learn about International Day of Medical Physics To become familiar with how first IDMP was celebrated in 2013 and learning achieved To understand on future plans for IDMPs

MO-D-16A-01: International Day of Medical Physics

Energy Technology Data Exchange (ETDEWEB)

Cheung, K [Hong Kong Sanatorium ' Hospital, Happy Valley (Hong Kong); Damilakis, J [University of Crete, Crete, CRETE (Greece)

2014-06-15

International Organization for Medical Physics (IOMP) which represents medical physicists in more than 80 countries decided to celebrate 7th November, birth date of the Polish and naturalized-French physicist Marie Sklodowska-Curie, as International Day of Medical Physics (IDMP). The main purpose of the initiative is to raise the visibility and awareness of medical physicist in the global community, to introduce ourselves to the general public, and bring a message to the community that a group of health professionals, the medical physicists are there to help the patients and other health professionals. First celebration was done in 2013 and now IDMP will be celebrated every year. The theme of IDMP will be different each year. The theme for 2013 was ‘Radiation exposure from medical procedures, ask the Medical Physicist’. The inaugural event was celebrated in 23 countries and the amount of attention gained was remarkable. Main IDMP events were held in Poland, birthplace of Marie Curie, and France, workplace of Marie Curie. This year IOMP celebrates the 2nd IDMP and theme will be ‘Looking into the body-Advancement in Imaging through Medical Physics’ to draw attention to the profound contributions Medical Physics has made to the use of ionizing and non-ionizing radiation for the imaging of human body. A number of countries have informed about events that they are going to organize on IDMP. This gives wide attention to medical physics globally. AAPM is a major and important member of IOMP. It is hoped that AAPM will join in organizing activities. Learning Objectives: To learn about International Day of Medical Physics To become familiar with how first IDMP was celebrated in 2013 and learning achieved To understand on future plans for IDMPs.

Basic Disaster Life Support (BDLS) Training Improves First Responder Confidence to Face Mass-Casualty Incidents in Thailand.

Science.gov (United States)

Kuhls, Deborah A; Chestovich, Paul J; Coule, Phillip; Carrison, Dale M; Chua, Charleston M; Wora-Urai, Nopadol; Kanchanarin, Tavatchai

2017-10-01

Medical response to mass-casualty incidents (MCIs) requires specialized training and preparation. Basic Disaster Life Support (BDLS) is a course designed to prepare health care workers for a MCI. The purpose of this study was to evaluate the confidence of health care professionals in Thailand to face a MCI after participating in a BDLS course. Basic Disaster Life Support was taught to health care professionals in Thailand in July 2008. Demographics and medical experience were recorded, and participants rated their confidence before and after the course using a five-point Likert scale in 11 pertinent MCI categories. Survey results were compiled and compared with PBasic Disaster Life Support significantly improves confidence to respond to MCI situations, but nurses and active duty military benefit the most from the course. Future courses should focus on these groups to prepare for MCIs. Kuhls DA , Chestovich PJ , Coule P , Carrison DM , Chua CM , Wora-Urai N , Kanchanarin T . Basic Disaster Life Support (BDLS) training improves first responder confidence to face mass-casualty incidents in Thailand. Prehosp Disaster Med. 2017;32(5):492-500 .

Human rights and the requirement for international medical aid.

Science.gov (United States)

Tolchin, Benjamin

2008-08-01

Every year approximately 18 million people die prematurely from treatable medical conditions including infectious diseases and nutritional deficiencies. The deaths occur primarily amongst the poorest citizens of poor developing nations. Various groups and individuals have advanced plans for major international medical aid to avert many of these unnecessary deaths. For example, the World Health Organization's Commission on Macroeconomics and Health estimated that eight million premature deaths could be prevented annually by interventions costing roughly US$57 bn per year. This essay advances an argument that human rights require high-income nations to provide such aid. The essay briefly examines John Rawls' obligations of justice and the reasons that their applicability to cases of international medical aid remains controversial. Regardless, the essay argues that purely humanitarian obligations bind the governments and citizens of high-income liberal democracies at a minimum to provide major medical aid to avert premature deaths in poor nations. In refusing to undertake such medical relief efforts, developed nations fail to adequately protect a fundamental human right to life.

[Disaster relief through inter-professional collaboration --from the standpoint of a dietitian].

Science.gov (United States)

Inamura, Yukiko

2013-01-01

The present study examined disaster relief efforts by registered and other dietitians following the Great East Japan Earthquake to identify related problems. Based on this, the study discussed what is required to develop a "disaster relief system through inter-professional collaboration" to cope with unanticipated disasters. On March 15, 2011, the Japan Dietetic Association (JDA) independently established the "Great East Japan Earthquake relief emergency headquarters". The association along with these volunteers was committed to the establishment of a system for disaster relief activities with the support of Iwate, Miyagi, and Fukushima Prefectures: the number of registered volunteers was 978; a total of 1,588 dietitians were dispatched; and 602 became involved in relief work in the disaster-stricken areas. Registered and other dietitians dispatched for disaster relief provided support and home care for evacuation centers, elderly facilities, and temporary housing, including dietary and nutrition advice and consultation, in cooperation and collaboration with administrative dietitians in disaster areas, registered and other dietitians of disaster headquarters in disaster-stricken prefectures, the Primary Care for All Teams (PCAT) of the Japan Primary Care Association, disaster medical assistance teams (DMATs), and volunteer groups. Through the course of the relief activities, the following problems were identified: difficulties in responding to varying needs in different phases, nutritional measures (population-based and high-risk approaches), nutritional disparities among evacuation centers, necessity of a section to collect ever-changing information on disaster areas in a comprehensive manner, importance of working cooperatively to establish a support system, and differences in volunteers' support skills. To facilitate disaster relief through inter-professional collaboration, it is necessary for many different organizations to understand each other's capabilities

Medical leadership and management: An international revolution

Directory of Open Access Journals (Sweden)

Alex Till

2015-01-01

Full Text Available Medical leadership and management are increasingly receiving widespread attention internationally. Significant focus has been paid as to the style of leadership within healthcare and how to develop both leadership and management skills and competencies (the two are inseparable yet distinct throughout the careers of all healthcare professionals. This article discusses how leadership and management development is being considered internationally, both at an organisational and personal level, helpful models and frameworks and challenges and opportunities.

The impact of disasters on small business disaster planning: a case study.

Science.gov (United States)

Flynn, David T

2007-12-01

A major flood in 1997 forced the evacuation of Grand Forks, North Dakota and caused damage of USD 1 billion. Despite this recent disaster there is only marginal evidence of an increase in disaster recovery planning by businesses that experienced the flood. This finding is consistent with the results of other business-related disaster research. Statistical tests of survey results from 2003 indicate that there is a significantly higher rate of disaster recovery planning in businesses started since the 1997 flood than in businesses started before the flood and still in business. Such an outcome indicates a need for public policy actions emphasizing the importance of disaster planning. Improved disaster planning is an aid to business recovery and the results demonstrate the need for more widespread efforts to improve disaster recovery planning on the part of smaller businesses, even in areas that have recently experienced disasters.

Natural disasters in African countries: what can we learn about them?

Directory of Open Access Journals (Sweden)

M T Lukamba

2010-03-01

Full Text Available Problems posed by disasters have become increasingly important for all African governments. Every year a variety of disas ters occurs in Sub-Saharan Africa and these are becoming more prevalent. This article presents an analysis of statistical surveys for natural disasters in different regions of Africa over a 30-year period from 1974 to 2003. It shows that disaster frequency is increasing on the continent. The investigation of the data demonstrates that the East Africa region is under the greatest threat from natural disasters. In 2008, climatological disasters, notably droughts, claimed many victims in the eastern part of Africa, with more than one third of the population affected in Djibouti, Eritrea, and Somalia. The region has experienced the highest recorded number of disaster events for the past 30 years, followed by the West Africa region. The Southern Africa region is placed third as far as the frequency of disaster events in sub-Saharan Africa is concerned. The least disaster prone region is central Africa. The observations made in this analysis relate to the economic losses in different regions from the impact of natural disasters. In some instances, recovery from economic loss could not be recouped because of stunted growth and other internal problems in these countries. In addition, this article suggests some strategies to mitigate the problem of natural hazards in sub-Saharan Africa. Keywords: Flood; drought; volcanic eruptions; political governance; climate change; specialised capabilities

Global or local construction materials for post-disaster reconstruction? Sustainability assessment of 20 post-disaster shelter designs

Directory of Open Access Journals (Sweden)

E. Zea Escamilla

2015-09-01

Full Text Available This data article presents the life cycle inventories of 20 transitional shelter solutions. The data was gathered from the reports 8 shelter designs [1]; 10 post-disaster shelter designs [2]; the environmental impact of brick production outside of Europe [3]; and the optimization of bamboo-based post-disaster housing units for tropical and subtropical regions using LCA methodologies [4]. These reports include bill of quantities, plans, performance analysis, and lifespan of the studied shelters. The data from these reports was used to develop the Life Cycle Inventories (LCI. All the amounts were converted from their original units (length, volume and amount into mass (kg units and the transport distance into ton×km. These LCIs represent the production phases of each shelter and the transportation distances for the construction materials. Two types of distances were included, local (road and international (freight ship, which were estimated based on the area of the country of study. Furthermore, the digital visualization of the shelters is presented for each of the 20 designs. Moreover, this data article presents a summary of the results for the categories Environment, Cost and Risk and the contribution to the environmental impact from the different building components of each shelter. These results are related to the article “Global or local construction materials for post-disaster reconstruction? Sustainability assessment of 20 post-disaster shelter designs”[5

Global or local construction materials for post-disaster reconstruction? Sustainability assessment of 20 post-disaster shelter designs.

Science.gov (United States)

Zea Escamilla, E; Habert, G

2015-09-01

This data article presents the life cycle inventories of 20 transitional shelter solutions. The data was gathered from the reports 8 shelter designs [1]; 10 post-disaster shelter designs [2]; the environmental impact of brick production outside of Europe [3]; and the optimization of bamboo-based post-disaster housing units for tropical and subtropical regions using LCA methodologies [4]. These reports include bill of quantities, plans, performance analysis, and lifespan of the studied shelters. The data from these reports was used to develop the Life Cycle Inventories (LCI). All the amounts were converted from their original units (length, volume and amount) into mass (kg) units and the transport distance into ton×km. These LCIs represent the production phases of each shelter and the transportation distances for the construction materials. Two types of distances were included, local (road) and international (freight ship), which were estimated based on the area of the country of study. Furthermore, the digital visualization of the shelters is presented for each of the 20 designs. Moreover, this data article presents a summary of the results for the categories Environment, Cost and Risk and the contribution to the environmental impact from the different building components of each shelter. These results are related to the article "Global or local construction materials for post-disaster reconstruction? Sustainability assessment of 20 post-disaster shelter designs"[5].

Reduction of high levels of internal radio-contamination by dietary intervention in residents of areas affected by the Fukushima Daiichi nuclear plant disaster: a case series.

Directory of Open Access Journals (Sweden)

Masaharu Tsubokura

Full Text Available Maintaining low levels of chronic internal contamination among residents in radiation-contaminated areas after a nuclear disaster is a great public health concern. However, the efficacy of reduction measures for individual internal contamination remains unknown. To reduce high levels of internal radiation exposure in a group of individuals exposed through environmental sources, we performed careful dietary intervention with identification of suspected contaminated foods, as part of mass voluntary radiation contamination screenings and counseling program in Minamisoma Municipal General Hospital and Hirata Central Hospital. From a total of 30,622 study participants, only 9 residents displayed internal cesium-137 (Cs-137 levels of more than 50 Bq/kg. The median level of internal Cs-137 contamination in these residents at the initial screening was 4,830 Bq/body (range: 2,130-15,918 Bq/body and 69.6 Bq/kg (range: 50.7-216.3 Bq/kg. All these residents with high levels of internal contamination consumed homegrown produce without radiation inspection, and often collected mushrooms in the wild or cultivated them on bed-logs in their homes. They were advised to consume distributed food mainly and to refrain from consuming potentially contaminated foods without radiation inspection and local produces under shipment restrictions such as mushrooms, mountain vegetables, and meat of wild life. A few months after the intervention, re-examination of Cs levels revealed remarkable reduction of internal contamination in all residents. Although the levels of internal radiation exposure appear to be minimal amongst most residents in Fukushima, a subset of the population, who unknowingly consumed highly contaminated foodstuffs, experienced high levels of internal contamination. There seem to be similarities in dietary preferences amongst residents with high internal contamination levels, and intervention based on pre- and post-test counseling and dietary advice from

Medical students and interns' knowledge about and attitude towards homosexuality.

Science.gov (United States)

Banwari, G; Mistry, K; Soni, A; Parikh, N; Gandhi, H

2015-01-01

Medical professionals' attitude towards homosexuals affects health care offered to such patients with a different sexual orientation. There is absence of literature that explores the attitudes of Indian medical students or physicians towards homosexuality. This study aimed to evaluate Indian medical students and interns' knowledge about homosexuality and attitude towards homosexuals. After IEC approval and written informed consent, a cross-sectional study was conducted on a purposive sample of undergraduate medical students and interns studying in one Indian medical college. The response rate was 80.5%. Only completely and validly filled responses (N = 244) were analyzed. The participants filled the Sex Education and Knowledge about Homosexuality Questionnaire (SEKHQ) and the Attitudes towards Homosexuals Questionnaire (AHQ). SEKHQ consisted of 32 statements with response chosen from 'true', 'false', or 'don't know'. AHQ consisted of 20 statements scorable on a 5-point Likert scale. Multiple linear regression was used to find the predictors of knowledge and attitude. Medical students and interns had inadequate knowledge about homosexuality, although they endorsed a neutral stance insofar as their attitude towards homosexuals is concerned. Females had more positive attitudes towards homosexuals. Knowledge emerged as the most significant predictor of attitude; those having higher knowledge had more positive attitudes. Enhancing knowledge of medical students by incorporation of homosexuality related health issues in the curriculum could help reduce prejudice towards the sexual minority and thus impact their future clinical practice.

Psychotropic medication use among adolescent disaster survivors: a prospective cohort study.

NARCIS (Netherlands)

Dorn, T.; Yzermans, C.J.; Kerssens, J.J.; Veen, P.M.H. ten

2004-01-01

Background: We study the health consequences of a fire disaster which took place on January 1st, 2001, in Volendam, the Netherlands. The fire occurred in a discotheque where about 300 youngsters were celebrating new year’ eve. 14 youngsters were killed and about 200 injured. Next to the threat,to

Family emergency plan and preparedness among medical practitioners in Zaria, Nigeria.

Science.gov (United States)

Makama, Jerry Godfrey; Joshua, Istifanus Anekoson; Makama, Elizabeth Jerry

There has been an increase in the incidence of disasters in many parts of the world. Similarly, Nigeria has witnessed a recent increase of man-made disaster events such as plane crash, fire incidents, flood, and building collapse, including bomb blast orchestrated by terrorists that often create emergency situations. Therefore, the aim of the study was to evaluate family emergency plan and preparedness among medical practitioners in Zaria. This was a cross-sectional descriptive study (May-July, 2013) of medical practitioners in Zaria, Nigeria. The structured questionnaire sought the socio-demographic features of the respondents, the availability of emergency gate(s) in the house, education of safety measures within and outside the house, well-known located shut-off devices for gases, electricity, and water in the house, and written document/policy in the event of disaster. Also, planned orientations/drills/sensitizations, whether there is contact information of family members and supporting agencies. Majority of the respondents were male 56 (80.0 percent) and fall within the age group of 46-50 years (20.0 percent). Only 8.6 percent admitted having an unwritten policy on emergency management in their houses. Similarly, only 8.6 percent do create time to teach their family members on emergency management. Only 27 (38.6 percent) had emergency supplies kits and among this group, water appears to be the most essential component that the respondents had paid attention to, leaving out special items. The communication plans of respondents to likely supportive services/agencies during disaster showed that majority had contact address or have affirmative plans for hospital and ambulance services than for radio and television stations. Family emergency plans and preparedness among medical practitioners in Zaria are extremely low. There is a gap between knowledge of what need to be done to enhance preparedness and internalizing preparedness recommendations in the study area.

On-call duty effects on sleep-state physiological stability in male medical interns.

Directory of Open Access Journals (Sweden)

Yu-Hsuan Lin

Full Text Available BACKGROUND: On-call duty among medical interns is characterized by sleep deprivation and stressful working conditions, both of which alter cardiac autonomic modulation. We hypothesized that sleep stability decreased in medical interns during on-call duty. We used cardiopulmonary-coupling (CPC analysis to test our hypothesis. METHODS: We used electrocardiogram (ECG-based CPC analysis to quantify physiological parameters of sleep stability in 13 medical interns during on-call and on-call duty-free periods. There were ten 33.5-h on-call duty shifts per month for interns, each followed by 2 on-call duty-free days, over 3 months. Measurements during sleep were collected before, during, and after an on-call shift. Measurements were repeated 3 months later during an on-call duty-free period. RESULTS: The medical interns had significantly reduced stable sleep, and displayed increased latency to the first epoch of stable sleep during the on-call night shift, compared to the pre-call and on-call duty-free nights. Interns also had significantly increased rapid-eye-movement (REM sleep during the on-call night shift, compared to the pre-call and on-call duty-free nights. CONCLUSION: Medical interns suffer disrupted sleep stability and continuity during on-call night shifts. The ECG-based CPC analysis provides a straightforward means to quantify sleep quality and stability in medical staff performing shift work under stressful conditions.

Risk and Disaster Management: From Planning and Expertise to Smart, Intelligent, and Adaptive Systems.

Science.gov (United States)

Benis, Arriel; Notea, Amos; Barkan, Refael

2018-01-01

"Disaster" means some surprising and misfortunate event. Its definition is broad and relates to complex environments. Medical Informatics approaches, methodologies and systems are used as a part of Disaster and Emergency Management systems. At the Holon Institute of Technology - HIT, Israel, in 2016 a National R&D Center: AFRAN was established to study the disaster's reduction aspects. The Center's designation is to investigate and produce new approaches, methodologies and to offer recommendations in the fields of disaster mitigation, preparedness, response and recovery and to disseminate disaster's knowledge. Adjoint to the Center a "Smart, Intelligent, and Adaptive Systems" laboratory (SIAS) was established with the goal to study the applications of Information and Communication Technologies (ICT) and Artificial Intelligence (AI) to Risk and Disaster Management (RDM). In this paper, we are redefining the concept of Disaster, pointing-out how ICT, AI, in the Big Data era, are central players in the RDM game. In addition we show the merit of the Center and lab combination to the benefit of the performed research projects.

WiFi RFID demonstration for resource tracking in a statewide disaster drill.

Science.gov (United States)

Cole, Stacey L; Siddiqui, Javeed; Harry, David J; Sandrock, Christian E

2011-01-01

To investigate the capabilities of Radio Frequency Identification (RFID) tracking of patients and medical equipment during a simulated disaster response scenario. RFID infrastructure was deployed at two small rural hospitals, in one large academic medical center and in two vehicles. Several item types from the mutual aid equipment list were selected for tracking during the demonstration. A central database server was installed at the UC Davis Medical Center (UCDMC) that collected RFID information from all constituent sites. The system was tested during a statewide disaster drill. During the drill, volunteers at UCDMC were selected to locate assets using the traditional method of locating resources and then using the RFID system. This study demonstrated the effectiveness of RFID infrastructure in real-time resource identification and tracking. Volunteers at UCDMC were able to locate assets substantially faster using RFID, demonstrating that real-time geolocation can be substantially more efficient and accurate than traditional manual methods. A mobile, Global Positioning System (GPS)-enabled RFID system was installed in a pediatric ambulance and connected to the central RFID database via secure cellular communication. This system is unique in that it provides for seamless region-wide tracking that adaptively uses and seamlessly integrates both outdoor cellular-based mobile tracking and indoor WiFi-based tracking. RFID tracking can provide a real-time picture of the medical situation across medical facilities and other critical locations, leading to a more coordinated deployment of resources. The RFID system deployed during this study demonstrated the potential to improve the ability to locate and track victims, healthcare professionals, and medical equipment during a region-wide disaster.

A EUROPEAN FRAMEWORK FOR RECORDING AND SHARING DISASTER DAMAGE AND LOSS DATA

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C. Corbane

2015-08-01

Full Text Available The recently adopted ‘Sendai Framework for Action on Disaster Risk Reduction 2015-2030’ sets the goals to reduce loss of life, livelihood and critical infrastructure through enhanced national planning and international cooperation. The new Framework is expected to enhance global, regional and national efforts for building resilience to disasters, across the entire disaster management cycle (prevention, preparedness, response and early recovery. Improved monitoring and accountability frameworks, relying on harmonized disaster loss data will be required for meeting the targets and for capturing the levels of progress across different scales of governance. To overcome the problems of heterogeneous disaster data and terminologies, guidelines for reporting disaster damage and losses in a structured manner will be necessary to help national and regional bodies compile this information. In the European Union, the Member States and the European Commission worked together on the establishment of guidelines for recording and sharing disaster damage and loss data as a first step towards the development of operational indicators to translate the Sendai Framework into action. This paper describes the progress to date in setting a common framework for recording disaster damage and loss data in the European Union and identifies the challenges ahead.

Victimization of people by natural disasters: Spatial and temporal distribution of consequences

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Mijalković Saša

2014-01-01

Full Text Available This paper is a descriptive statistical analysis of geospatial and temporal distributions of victimized people (killed, injured, affected and damage with specific reference to geophysical, meteorological, climatological, biological and hydrological disasters that have occurred in the world of from 1900 to 2013 year. In addition, people affected by the various natural disasters could be classified as invisible victims as they are not recognized as victims either by the state or society, and consequently they do not receive adequate protection, assistance and support. Statistical research was conducted on data from the international database of the Centre for Research on Disaster Epidemiology Disaster (CRED in Brussels. Temporal analysis examined the distribution and effects of natural disasters on people, at intervals of ten years. The same methodology was adopted for analyses of geospatial distribution of victimized people because of natural disasters by continent. The aim of the research is to determine the geospatial and temporal distribution of victimization of people with natural disasters in the world geospace in the period from 1900 to 2013. The survey results clearly indicate an increase in the number and severity of the consequences of natural disasters. [Projekat Ministarstva nauke Republike Srbije, br. 179044: Razvoj metodologije evidentiranja kriminaliteta kao osnova kreiranja efikasnih mera za njegovo suzbijanje i prevenciju

Health facilities safety in natural disasters: experiences and challenges from South East Europe.

Science.gov (United States)

Radovic, Vesela; Vitale, Ksenija; Tchounwou, Paul B

2012-05-01

The United Nations named 2010 as a year of natural disasters, and launched a worldwide campaign to improve the safety of schools and hospitals from natural disasters. In the region of South East Europe, Croatia and Serbia have suffered the greatest impacts of natural disasters on their communities and health facilities. In this paper the disaster management approaches of the two countries are compared, with a special emphasis on the existing technological and legislative systems for safety and protection of health facilities and people. Strategic measures that should be taken in future to provide better safety for health facilities and populations, based on the best practices and positive experiences in other countries are recommended. Due to the expected consequences of global climate change in the region and the increased different environmental risks both countries need to refine their disaster preparedness strategies. Also, in the South East Europe, the effects of a natural disaster are amplified in the health sector due to its critical medical infrastructure. Therefore, the principles of environmental security should be implemented in public health policies in the described region, along with principles of disaster management through regional collaborations.

Health Facilities Safety in Natural Disasters: Experiences and Challenges from South East Europe

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Vesela Radovic

2012-05-01

Full Text Available The United Nations named 2010 as a year of natural disasters, and launched a worldwide campaign to improve the safety of schools and hospitals from natural disasters. In the region of South East Europe, Croatia and Serbia have suffered the greatest impacts of natural disasters on their communities and health facilities. In this paper the disaster management approaches of the two countries are compared, with a special emphasis on the existing technological and legislative systems for safety and protection of health facilities and people. Strategic measures that should be taken in future to provide better safety for health facilities and populations, based on the best practices and positive experiences in other countries are recommended. Due to the expected consequences of global climate change in the region and the increased different environmental risks both countries need to refine their disaster preparedness strategies. Also, in the South East Europe, the effects of a natural disaster are amplified in the health sector due to its critical medical infrastructure. Therefore, the principles of environmental security should be implemented in public health policies in the described region, along with principles of disaster management through regional collaborations.

HAZARD ASSESSMENT OF LANDSLIDE DISASTER IN FUJIAN PROVINCE BASED ON FUZZY MATHEMATICS

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J. M. Wang

2018-04-01

Full Text Available Landslide disasters are the most frequent geological disasters in Fujian Province. They are also the type of geological disasters that cause the most serious economic and population losses each year. This study uses the fuzzy mathematics method to carry on the hazard assessment of landslide disaster in Fujian Province, in order to explore the mechanism of the landslide disaster, and provides the reference for the construction land expansion in Fujian Province. The calculation results show that landslide disasters in Fujian Province have a high correlation with external forces, that is, long-term precipitation and short-term strong precipitation are likely to trigger landslide disasters. Among the internal stress factors, the correlation between the occurrence of landslides and slopes is the highest, and the probability of landslides occurs in areas with steep slopes. The evaluation results show that the areas with high landslide hazards are mainly distributed in the central region of Fujian Province. From the remote sensing images, it can be seen that most of the dangerous areas are in rapidly developing cities, and their vegetation coverage is relatively low, and the environment is greatly affected by humans.

Hazard Assessment of Landslide Disaster in Fujian Province Based on Fuzzy Mathematics

Science.gov (United States)

Wang, J. M.; Gong, A. D.; Chen, Y. L.; Li, J.; Zeng, T. T.

2018-04-01

Landslide disasters are the most frequent geological disasters in Fujian Province. They are also the type of geological disasters that cause the most serious economic and population losses each year. This study uses the fuzzy mathematics method to carry on the hazard assessment of landslide disaster in Fujian Province, in order to explore the mechanism of the landslide disaster, and provides the reference for the construction land expansion in Fujian Province. The calculation results show that landslide disasters in Fujian Province have a high correlation with external forces, that is, long-term precipitation and short-term strong precipitation are likely to trigger landslide disasters. Among the internal stress factors, the correlation between the occurrence of landslides and slopes is the highest, and the probability of landslides occurs in areas with steep slopes. The evaluation results show that the areas with high landslide hazards are mainly distributed in the central region of Fujian Province. From the remote sensing images, it can be seen that most of the dangerous areas are in rapidly developing cities, and their vegetation coverage is relatively low, and the environment is greatly affected by humans.

Recommendations of the International Medical Informatics Association (IMIA) on Education in Health and Medical Informatics

Czech Academy of Sciences Publication Activity Database

Arokiasamy, J.; Ball, M.; Barnett, D.; Bearman, M.; Bemmel van, J.; Douglas, J.; Fisher, P.; Garrie, R.; Gatewood, L.; Goossen, W.; Grant, A.; Hales, J.; Hasman, A.; Haux, R.; Hovenga, E.; Johns, M.; Knaup, P.; Leven, F. J.; Lorenzi, N.; Murray, P.; Neame, R.; Protti, D.; Power, M.; Richard, J.; Schuster, E.; Swinkels, W.; Yang, J.; Zelmer, L.; Zvárová, Jana

2001-01-01

Roč. 40, č. 5 (2001), s. 267-277 ISSN 0026-1270 Institutional research plan: AV0Z1030915 Keywords : health informatics * medical informatics * education * recommendations * International Medical Informatics Association * IMIA Subject RIV: BB - Applied Statistics, Operational Research Impact factor: 1.254, year: 2001

What has been brought to residents and communities by the nuclear power plant accident? Special and serious disaster relief procedure modification after the 2011 Tohoku earthquake and tsunami in Fukushima

International Nuclear Information System (INIS)

Ishikawa, Kazunobu

2012-01-01

After the catastrophic 2011 Tohoku earthquake and tsunami which struck cities and towns on the Japanese Pacific coast, Fukushima has been the focus of special and serious disaster relief procedures modification regarding nuclear power plant accidents. To date, the Japanese government has repeatedly issued evacuation orders to more than 100,000 residents. Huge numbers of refugees are still uncertain if they can return home and re-cultivate their farm land. Ambiguous public announcements concerning the radiation risks seem to have aggravated feelings of insecurity, fear and the desire to escape, both at home and abroad. This disaster has seriously undermined trust internationally and locally in Fukushima. Harmful rumors added further difficulties. In response to this disaster, local government, medical institutions, care facilities, police, emergency services and the self-defense forces continue to put their utmost effort into reconstruction. This seismic disaster has reminded us that supplies of water, electricity, gas, gasoline and telephone communication facilities are essential prerequisites for reconstruction and daily life. Disaster and radiation medical association teams actively participated in the rescue efforts, and a number of organized medical teams cared for about 15,000 refugees in 100 shelters. We also visited homebound patients, who were unable to evacuate from the 20-30 km inner evacuation area. In this relief role, we need to consider the following; (1) professionals, both healthcare and nuclear engineers, must always be prepared for unexpected circumstances, (2) the daily organic cooperation of individuals and units is closely linked to readiness against sudden risks, and (3) appropriate accountability is essential to assuage the fears of residents and refugees. A sincere learning process may benefit those innocent refugees who may be forced to abandon their homes permanently. (author)

Towards novel community-based collaborative disaster management approaches in the new information environment: An NGO perspective

NARCIS (Netherlands)

Homberg, M.J.C. van den; Neef, R.M.

2015-01-01

Large scale natural and man-made disasters are complex events involving many stakeholders. Despite the structures the national and international humanitarian system provide, still many collaboration and information gaps between stakeholders, levels of operations and phases in the disaster management

Towards novel community-based collaborative disaster management approaches in the new information environment: An NGO perspective

NARCIS (Netherlands)

Homberg, M.J.C. van den; Neef, R.M.

2014-01-01

Large scale natural and man-made disasters are complex events involving many stakeholders. Despite the structures the national and international humanitarian system provide, still many collaboration and information gaps between stakeholders, levels of operations and phases in the disaster management

A Bibliometric Profile of Disaster Medicine Research from 2008 to 2017: A Scientometric Analysis.

Science.gov (United States)

Zhou, Liang; Zhang, Ping; Zhang, Zhigang; Fan, Lidong; Tang, Shuo; Hu, Kunpeng; Xiao, Nan; Li, Shuguang

2018-05-02

ABSTRACTThis study analyzed and assessed publication trends in articles on "disaster medicine," using scientometric analysis. Data were obtained from the Web of Science Core Collection (WoSCC) of Thomson Reuters on March 27, 2017. A total of 564 publications on disaster medicine were identified. There was a mild increase in the number of articles on disaster medicine from 2008 (n=55) to 2016 (n=83). Disaster Medicine and Public Health Preparedness published the most articles, the majority of articles were published in the United States, and the leading institute was Tohoku University. F. Della Corte, M. D. Christian, and P. L. Ingrassia were the top authors on the topic, and the field of public health generated the most publications. Terms analysis indicated that emergency medicine, public health, disaster preparedness, natural disasters, medicine, and management were the research hotspots, whereas Hurricane Katrina, mechanical ventilation, occupational medicine, intensive care, and European journals represented the frontiers of disaster medicine research. Overall, our analysis revealed that disaster medicine studies are closely related to other medical fields and provides researchers and policy-makers in this area with new insight into the hotspots and dynamic directions. (Disaster Med Public Health Preparedness. 2018;page 1 of 8).

The evolution of global disaster risk assessments: from hazard to global change

Science.gov (United States)

Peduzzi, Pascal

2013-04-01

The perception of disaster risk as a dynamic process interlinked with global change is a fairly recent concept. It gradually emerged as an evolution from new scientific theories, currents of thinking and lessons learned from large disasters since the 1970s. The interest was further heighten, in the mid-1980s, by the Chernobyl nuclear accident and the discovery of the ozone layer hole, both bringing awareness that dangerous hazards can generate global impacts. The creation of the UN International Decade for Natural Disaster Reduction (IDNDR) and the publication of the first IPCC report in 1990 reinforced the interest for global risk assessment. First global risk models including hazard, exposure and vulnerability components were available since mid-2000s. Since then increased computation power and more refined datasets resolution, led to more numerous and sophisticated global risk models. This article presents a recent history of global disaster risk models, the current status of researches for the Global Assessment Report on Disaster Risk Reduction (GAR 2013) and future challenges and limitations for the development of next generation global disaster risk models.

International travel as medical research: architecture and the modern hospital.

Science.gov (United States)

Logan, Cameron; Willis, Julie

2010-01-01

The design and development of the modern hospital in Australia had a profound impact on medical practice and research at a variety of levels. Between the late 1920s and the 1950s hospital architects, administrators, and politicians travelled widely in order to review the latest international developments in the hospital field They were motivated by Australia's geographic isolation and a growing concern with how to govern the population at the level of physical health. While not 'medical research' in the conventional sense of the term, this travel was a powerful generator of medical thinking in Australia and has left a rich archival legacy. This paper draws on that archive to demonstrate the ways in which architectural research and international networks of hospital specialists profoundly shaped the provision of medical infrastructure in Australia.

The Tsunami’s CSR Effect: MNEs and Philanthropic Responses to the Disaster

NARCIS (Netherlands)

G.M. Whiteman (Gail); A.R. Muller (Allan); J. van der Voort (Judith); J.C.A.C. van Wijk (Jeroen); L.C.P.M. Meijs (Lucas); C. Piqué

2005-01-01

textabstractThis paper contributes to the literature on CSR and International Business by linking firm internationalization to corporate philanthropy. Considering the 2004 Tsunami disaster as a highly relevant case of an international societal issue, we analyze the characteristics of the corporate

Impact of the Great East Japan Earthquake and tsunami on health, medical care and public health systems in Iwate Prefecture, Japan, 2011

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Masaru Nohara

2011-12-01

Full Text Available Problem: The Great East Japan Earthquake was one of the largest earthquakes ever recorded in global history. The damage was spread over a wide area, with the worst-hit areas being Iwate, Miyagi and Fukushima prefectures. In this paper we report on the damage and the impact of the damage to describe the health consequences among disaster victims in Iwate Prefecture.Context: In Iwate Prefecture the tsunami claimed 4659 lives, with 1633 people missing. In addition to electricity, water and gas being cut off following the disaster, communication functions were paralysed and there was a lack of gasoline.Action: Medical and public health teams from Iwate Prefecture and around the country, including many different specialists, engaged in a variety of public health activities mainly at evacuation centres, including medical and mental health care and activities to prevent infectious diseases.Outcome: Given the many fatalities, there were relatively few patients who required medical treatment for major injuries. However, there were significant medical needs in the subacute and chronic phases of care in evacuation centres, with great demand for medical treatment and public health assistance, measures to counteract infection and mental health care.Discussion: By referring to past experiences of national and international large-scale disasters, it was possible to respond effectively to the health-related challenges. However, there are still challenges concerning how to share information and coordinate overall activities among multiple public health response teams. Further examination will be required to ensure better preparedness in response to future disasters.

International medical students--a survey of perceived challenges and established support services at medical faculties.

Science.gov (United States)

Huhn, D; Junne, F; Zipfel, S; Duelli, R; Resch, F; Herzog, W; Nikendei, C

2015-01-01

Medical students with a non-German background face several challenges during their studies. Besides support given by foreign student offices further specific projects for international students have been developed and are offered by medical faculties. However, so far, neither a systematic survey of the faculties' perceived problems nor of the offered support exists. All study deaneries of medical faculties in Germany were contacted between April and October 2013 and asked for their participation in a telephone interview. Interview partners were asked about 1.) The percentage of non-German students at the medical faculty; 2.) The perceived difficulties and problems of foreign students; 3.) The offers for non-German students; and 4.) The specification of further possibilities of support. Given information was noted, frequencies counted and results interpreted via frequency analysis. Only 39% of the medical faculties could give detailed information about the percentage of non-German students. They reported an average share of 3.9% of students with an EU migration background and 4.9% with a non-EU background. Most frequently cited offers are student conducted tutorials, language courses and tandem-programs. The most frequently reported problem by far is the perceived lack of language skills of foreign students at the beginning of their studies. Suggested solutions are mainly the development of tutorials and the improvement of German medical terminology. Offers of support provided by medical faculties for foreign students vary greatly in type and extent. Support offered is seen to be insufficient in coping with the needs of the international students in many cases. Hence, a better coverage of international students as well as further research efforts to the specific needs and the effectiveness of applied interventions seem to be essential.

Accessing VA Healthcare During Large-Scale Natural Disasters.

Science.gov (United States)

Der-Martirosian, Claudia; Pinnock, Laura; Dobalian, Aram

2017-01-01

Natural disasters can lead to the closure of medical facilities including the Veterans Affairs (VA), thus impacting access to healthcare for U.S. military veteran VA users. We examined the characteristics of VA patients who reported having difficulty accessing care if their usual source of VA care was closed because of natural disasters. A total of 2,264 veteran VA users living in the U.S. northeast region participated in a 2015 cross-sectional representative survey. The study used VA administrative data in a complex stratified survey design with a multimode approach. A total of 36% of veteran VA users reported having difficulty accessing care elsewhere, negatively impacting the functionally impaired and lower income VA patients.

Performance of International Medical Students In psychosocial medicine.

Science.gov (United States)

Huhn, D; Lauter, J; Roesch Ely, D; Koch, E; Möltner, A; Herzog, W; Resch, F; Herpertz, S C; Nikendei, C

2017-07-10

Particularly at the beginning of their studies, international medical students face a number of language-related, social and intercultural challenges. Thus, they perform poorer than their local counterparts in written and oral examinations as well as in Objective Structured Clinical Examinations (OSCEs) in the fields of internal medicine and surgery. It is still unknown how international students perform in an OSCE in the field of psychosocial medicine compared to their local fellow students. All students (N = 1033) taking the OSCE in the field of psychosocial medicine and an accompanying written examination in their eighth or ninth semester between 2012 and 2015 were included in the analysis. The OSCE consisted of four different stations, in which students had to perform and manage a patient encounter with simulated patients suffering from 1) post-traumatic stress disorder, 2) schizophrenia, 3) borderline personality disorder and 4) either suicidal tendency or dementia. Students were evaluated by trained lecturers using global checklists assessing specific professional domains, namely building a relationship with the patient, conversational skills, anamnesis, as well as psychopathological findings and decision-making. International medical students scored significantly poorer than their local peers (p International students showed poorer results in clinical-practical exams in the field of psychosocial medicine, with conversational skills yielding the poorest scores. However, regarding factual and practical knowledge examined via a multiple-choice test, no differences emerged between international and local students. These findings have decisive implications for relationship building in the doctor-patient relationship.

Disaster Governance for Community Resilience in Coastal Towns: Chilean Case Studies

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Paula Villagra

2017-09-01

Full Text Available This study aimed to further our understanding of a characteristic of Community Resilience known as Disaster Governance. Three attributes of Disaster Governance—redundancy, diversity, and overlap—were studied in four coastal towns in southern Chile that are at risk of tsunamis. Overall, we explored how different spatial structures of human settlements influence Disaster Governance. Using the Projective Mapping Technique, the distribution of emergency institutions (N = 32 and uses given to specific sites (e.g., for refuge, sanitary purposes and medical attention were mapped. Content and GIS analyses (Directional Distribution and Kernel Density Index were used to explore the dispersion and concentration of institutions and uses in each town. Disaster Governance was found to be highly influenced by decisions taken during regional, urban, and emergency planning. Governance is better in towns of higher order in the communal hierarchical structure. Most of the emergency institutions were found to be located in central and urban areas, which, in turn, assures more redundancy, overlap, and diversity in governance in the event of a tsunami. Lack of flexibility of emergency plans also limits governance in rural and indigenous areas. While the spatial relationships found in this study indicate that urban sectors have better Disaster Governance than rural and indigenous sectors, the influence of resource availability after tsunamis, the role and responsibility of different levels of governments, and the politics of disaster also play an important role in Disaster Governance for determining Community Resilience. These findings shed light on emergency planning and aspects of the Disaster Management cycle.

Disaster Governance for Community Resilience in Coastal Towns: Chilean Case Studies.

Science.gov (United States)

Villagra, Paula; Quintana, Carolina

2017-09-14

This study aimed to further our understanding of a characteristic of Community Resilience known as Disaster Governance. Three attributes of Disaster Governance-redundancy, diversity, and overlap-were studied in four coastal towns in southern Chile that are at risk of tsunamis. Overall, we explored how different spatial structures of human settlements influence Disaster Governance. Using the Projective Mapping Technique, the distribution of emergency institutions (N = 32) and uses given to specific sites (e.g., for refuge, sanitary purposes and medical attention) were mapped. Content and GIS analyses (Directional Distribution and Kernel Density Index) were used to explore the dispersion and concentration of institutions and uses in each town. Disaster Governance was found to be highly influenced by decisions taken during regional, urban, and emergency planning. Governance is better in towns of higher order in the communal hierarchical structure. Most of the emergency institutions were found to be located in central and urban areas, which, in turn, assures more redundancy, overlap, and diversity in governance in the event of a tsunami. Lack of flexibility of emergency plans also limits governance in rural and indigenous areas. While the spatial relationships found in this study indicate that urban sectors have better Disaster Governance than rural and indigenous sectors, the influence of resource availability after tsunamis, the role and responsibility of different levels of governments, and the politics of disaster also play an important role in Disaster Governance for determining Community Resilience. These findings shed light on emergency planning and aspects of the Disaster Management cycle.

Disaster Risk Management - The Kenyan Challenges

Science.gov (United States)

Nabutola, W.

2009-04-01

Keywords: natural disasters; man-made disasters; terrorist attacks; land slides; disaster policies and legislations; fire; earthquakes; hurricanes; soil erosion; disaster research policy; Preamble: "Risk does not begin and end on the floor of the New York Stock Exchange. The vastness of the subject matter is daunting. Risk touches on the most profound aspects of psychology, mathematics, statistics and history. The literature is monumental; each day's headlines bring many new items of interest. But I know we are not unique, everywhere in the world risks abound." "AGAINST THE GODS the remarkable story of risk" by Peter L. Bernstein, 1998 The real challenge is what can we, as a nation do to avert, prevent them, or in the unfortunate event that they occur, how can we mitigate their impact on the economy? Introductory remarks: Disaster in Kenya, as indeed anywhere else, is not one of those happenings we can wish away. It can strike anywhere any time. Some of it is man-made but most of it is natural. The natural are sometimes induced by man in one way or another. For example, when we harvest trees without replacing them, this diminishes the forest cover and can lead to soil erosion, whose advanced form is land slides. Either way disasters in their different forms and sizes present challenges to the way we live our lives or not, perhaps, even how we die. Disasters in our country have reached crisis stage. ‘In Chinese language, crisis means danger, but it also means opportunity' Les Brown, motivational speaker in "the power of a larger vision" Why I am interested Whereas Kenya experiences man made and natural disasters, there are more sinister challenges of the man-made variety. These loom on the horizon and, from time to time raise their ugly heads, taking many Kenyan lives in their wake, and property destroyed. These are post election violence and terrorist attacks, both related to politics, internal and external. In January 2008, soon after presidential and national

Disaster Risk Management - The Kenyan Challenge

Science.gov (United States)

Nabutola, W.; Scheer, S.

2009-04-01

Keywords: natural disasters; man-made disasters; terrorist attacks; land slides; disaster policies and legislations; fire; earthquakes; hurricanes; soil erosion; disaster research policy; Preamble: "Risk does not begin and end on the floor of the New York Stock Exchange. The vastness of the subject matter is daunting. Risk touches on the most profound aspects of psychology, mathematics, statistics and history. The literature is monumental; each day's headlines bring many new items of interest. But I know we are not unique, everywhere in the world risks abound." "AGAINST THE GODS the remarkable story of risk" by Peter L. Bernstein, 1998 The real challenge is what can we, as a nation do to avert, prevent them, or in the unfortunate event that they occur, how can we mitigate their impact on the economy? Introductory remarks: Disaster in Kenya, as indeed anywhere else, is not one of those happenings we can wish away. It can strike anywhere any time. Some of it is man-made but most of it is natural. The natural are sometimes induced by man in one way or another. For example, when we harvest trees without replacing them, this diminishes the forest cover and can lead to soil erosion, whose advanced form is land slides. Either way disasters in their different forms and sizes present challenges to the way we live our lives or not, perhaps, even how we die. Disasters in our country have reached crisis stage. ‘In Chinese language, crisis means danger, but it also means opportunity' Les Brown, motivational speaker in "the power of a larger vision" Why I am interested Whereas Kenya experiences man made and natural disasters, there are more sinister challenges of the man-made variety. These loom on the horizon and, from time to time raise their ugly heads, taking many Kenyan lives in their wake, and property destroyed. These are post election violence and terrorist attacks, both related to politics, internal and external. In January 2008, soon after presidential and national

Handbook. Disaster Response Staff Officer’s Handbook: Observations, Insights, and Lessons

Science.gov (United States)

2010-12-01

military specialists trained in foreign animal disease diagnosis, epidemiology, microbiology, immunology, entomology , pathology, and public health... Forensic dental pathology. • Forensic anthropology methods. 93 DISASTER RESPONSE • Processing. • Preparation. • Disposition of remains. DMORTs are...OPEO). Teams are composed of funeral directors, medical examiners, coroners, pathologists, forensic anthropologists, medical records technicians and

Equal, global, local: discourses in Taiwan's international medical graduate debate.

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Ho, Ming-Jung; Shaw, Kevin; Liu, Tzu-Hung; Norris, Jessie; Chiu, Yu-Ting

2015-01-01

With the globalisation of medicine, the role of international medical graduates (IMGs) has expanded. Nonetheless, the experiences of native-born IMGs remain under-researched. In Taiwan, public controversy has unfolded around IMGs educated in Poland, calling into question the meaning(s) of equality in policy and medicine. In focusing on the return of IMGs to their countries of origin, this study adds to the growing literature concerning equality and globalisation in medical education. The primary research aim was to analyse how stakeholders in the IMG debate use equality in their arguments. The authors set out to frame the dispute within the recent history of Taiwanese medical governance. An overarching objective was to contribute a critical, historical view of how discourses of globalisation and equality construct different policy approaches to international medical education. The authors performed a critical discourse analysis of a public policy dispute in Taiwan, assembling an archive from online interactions, government reports and news articles. Coding focused on stakeholders' uses of equality to generate broader discourses. International and domestic Taiwanese students conceived of equality differently, referencing both 'equality of opportunity' and 'equality of outcome' within localisation and globalisation frameworks, respectively. The dominance of localisation discourse is reflected in hostile online rhetoric towards Poland-educated IMGs. Rhetorical disagreements over equality in medical education trace shifting state policies, from earlier attempts to remove barriers for IMGs to the present-day push to regulate IMGs for acculturation and quality assurance. The global Internet had a double-sided influence, facilitating both democratic political mobilization and the spread of hate speech. The policy debate in Taiwan mirrors discourses in Canada, where IMGs are likewise conceived either as globally competent physicians or as lacking in merit and technical

An international basic science and clinical research summer program for medical students.

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Ramjiawan, Bram; Pierce, Grant N; Anindo, Mohammad Iffat Kabir; Alkukhun, Abedalrazaq; Alshammari, Abdullah; Chamsi, Ahmad Talal; Abousaleh, Mohannad; Alkhani, Anas; Ganguly, Pallab K

2012-03-01

An important part of training the next generation of physicians is ensuring that they are exposed to the integral role that research plays in improving medical treatment. However, medical students often do not have sufficient time to be trained to carry out any projects in biomedical and clinical research. Many medical students also fail to understand and grasp translational research as an important concept today. In addition, since medical training is often an international affair whereby a medical student/resident/fellow will likely train in many different countries during his/her early training years, it is important to provide a learning environment whereby a young medical student experiences the unique challenges and value of an international educational experience. This article describes a program that bridges the gap between the basic and clinical research concepts in a unique international educational experience. After completing two semester curricula at Alfaisal University in Riyadh, Kingdom of Saudi Arabia, six medical students undertook a summer program at St. Boniface Hospital Research Centre, in Winnipeg, MB, Canada. The program lasted for 2 mo and addressed advanced training in basic science research topics in medicine such as cell isolation, functional assessment, and molecular techniques of analysis and manipulation as well as sessions on the conduct of clinical research trials, ethics, and intellectual property management. Programs such as these are essential to provide a base from which medical students can decide if research is an attractive career choice for them during their clinical practice in subsequent years. An innovative international summer research course for medical students is necessary to cater to the needs of the medical students in the 21st century.

Proposing a Framework for Mobile Applications in Disaster Health Learning.

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Liu, Alexander G; Altman, Brian A; Schor, Kenneth; Strauss-Riggs, Kandra; Thomas, Tracy N; Sager, Catherine; Leander-Griffith, Michelle; Harp, Victoria

2017-08-01

Mobile applications, or apps, have gained widespread use with the advent of modern smartphone technologies. Previous research has been conducted in the use of mobile devices for learning. However, there is decidedly less research into the use of mobile apps for health learning (eg, patient self-monitoring, medical student learning). This deficiency in research on using apps in a learning context is especially severe in the disaster health field. The objectives of this article were to provide an overview of the current state of disaster health apps being used for learning, to situate the use of apps in a health learning context, and to adapt a learning framework for the use of mobile apps in the disaster health field. A systematic literature review was conducted by using the PRISMA checklist, and peer-reviewed articles found through the PubMed and CINAHL databases were examined. This resulted in 107 nonduplicative articles, which underwent a 3-phase review, culminating in a final selection of 17 articles. While several learning models were identified, none were sufficient as an app learning framework for the field. Therefore, we propose a learning framework to inform the use of mobile apps in disaster health learning. (Disaster Med Public Health Preparedness. 2017;11:487-495).

International medical law and its impact on the ukrainian health care legislation.

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Pashkov, Vitalii; Udovyka, Larysa; Dichko, Hanna

2018-01-01

Introduction: The Ukrainian state has an urgent necessity of rapid search for essentially new legal and organizational forms of the healthcare system, reform of the legal regulation of healthcare services provision. In the context of European integration, the advancement of the medical industry reform is closely related to consideration of international standards and norms of health care. The aim: To study the impact of international medical law on the Ukrainian health care legislation. Materials and methods: International and Ukrainian regulations and documents on health care were used in the research. System and structural, functional and legal comparative methods as well as systematization, analysis and synthesis were determinative in the research process. Review: Systematization of international documents on health care was made. The major problems in the Ukrainian health care legislation were determined in terms of their conformity with the international legislative norms. The expediency of the Medical Code adoption was grounded and its structure was defined. Conclusions: Most health care international acts are ratified by Ukraine and their provisions are implemented in the legislation. Simultaneously, there is a row of problems, which hinder the Ukrainian health care development and place obstacles in the way of European integration. To remove these obstacles, it is expedient to create a codified act - the Medical Code, which would systematize the provisions of the current medical laws and regulations and fill in the existing gaps in the legal regulation of health care.

Needs for disaster medicine: lessons from the field of the Great East Japan Earthquake.

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Ushizawa, Hiroto; Foxwell, Alice Ruth; Bice, Steven; Matsui, Tamano; Ueki, Yutaka; Tosaka, Naoki; Shoko, Tomohisa; Aiboshi, Junichi; Otomo, Yasuhiro

2013-01-01

The Great East Japan Earthquake, which occurred in Tohoku, Japan on 11 March 2011, was followed by a devastating tsunami and damage to nuclear power plants that resulted in radiation leakage. The medical care, equipment and communication needs of four Disaster Medical Assistance Teams (DMAT) during four missions are discussed. DMATs are medically trained mobile teams used in the acute phase of disasters. The DMATs conducted four missions in devastated areas from the day of the earthquake to day 10. The first and second missions were to triage, resuscitate and treat trauma victims in Tokyo and Miyagi, respectively. The third mission was to conduct emergency medicine and primary care in Iwate. The fourth was to assist with the evacuation and screening of inpatients with radiation exposure in Fukushima. Triage, resuscitation and trauma expertise and equipment were required in Missions 1 and 2. Emergency medicine in hospitals and primary care in first-aid stations and evacuation areas were required for Mission 3. In Mission 4, the DMAT assisted with evacuation by ambulances and buses and screened people for radiation exposure. Only land phones and transceivers were available for Missions 1 to 3 although they were ineffective for urgent purposes. These DMAT missions showed that there are new needs for DMATs in primary care, radiation screening and evacuation after the acute phase of a disaster. Alternative methods for communication infrastructure post-disaster need to be investigated with telecommunication experts.

Needs for disaster medicine: lessons from the field of the Great East Japan Earthquake

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Tomohisa Shoko

2013-01-01

Full Text Available Problem: The Great East Japan Earthquake, which occurred in Tohoku, Japan on 11 March 2011, was followed by a devastating tsunami and damage to nuclear power plants that resulted in radiation leakage. Context: The medical care, equipment and communication needs of four Disaster Medical Assistance Teams (DMAT during four missions are discussed. DMATs are medically trained mobile teams used in the acute phase of disasters. Action: The DMATs conducted four missions in devastated areas from the day of the earthquake to day 10. The first and second missions were to triage, resuscitate and treat trauma victims in Tokyo and Miyagi, respectively. The third mission was to conduct emergency medicine and primary care in Iwate. The fourth was to assist with the evacuation and screening of inpatients with radiation exposure in Fukushima. Outcome: Triage, resuscitation and trauma expertise and equipment were required in Missions 1 and 2. Emergency medicine in hospitals and primary care in first-aid stations and evacuation areas were required for Mission 3. In Mission 4, the DMAT assisted with evacuation by ambulances and buses and screened people for radiation exposure. Only land phones and transceivers were available for Missions 1 to 3 although they were ineffective for urgent purposes. Discussion: These DMAT missions showed that there are new needs for DMATs in primary care, radiation screening and evacuation after the acute phase of a disaster. Alternative methods for communication infrastructure post-disaster need to be investigated with telecommunication experts.

Humanitarian assistance and disaster relief: changing the face of defense.

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Laraby, Patrick R; Bourdeaux, Margaret; Casscells, S Ward; Smith, David J; Lawry, Lynn

2009-01-01

The US Department of Defense (DOD) is evolving to meet new security challenges in the twenty-first century. Today's challenges result from growing political, environmental, and economic instability in important areas of the globe that threaten national and global security. Immediate outreach to foreign nations in times of violent instability or natural disaster fosters security and stability both for the affected country and for the United States. Foreign humanitarian assistance (FHA) is a rapidly evolving military mission that addresses conflict prevention, conflict, postconflict, and natural disasters. With DOD's extensive global medical resources, it is often uniquely qualified to execute a critical role in relief and/or public health efforts. When and how the American military will act in FHA and disaster relief is a still evolving doctrine with three issues deserving particular attention: aligning operations with host government leadership, preserving humanitarian space, and tailoring the US military's unique resources to the specific political and medical situation at hand. The DOD's response to a large-scale earthquake in Peru suggests useful approaches to these three issues, provides a template for future FHA mission, and points to strategic decisions and operational capabilities that need further development to establish the FHA mission firmly within DOD's repertoire of security engagement activities.

Preparing for Disaster: Taking the Lead

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Colber, Judith

2008-01-01

In this article, Irwin Redlener, director of the National Center for Disaster Preparedness describes disasters in relation to five phases that may serve as a helpful framework for planning disaster response: (1) before the disaster (pre-disaster); (2) during the disaster (intra-disaster); (3) immediately after the disaster (immediate…

Emergency Management for Disasters in Malaysian Hotel Industry

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AlBattat Ahmad Rasmi

2014-01-01

Full Text Available This paper aims to identify major emergencies that have the potential to place Malaysian hotels in emergency and disaster situations; investigate how hotels were prepared for emergencies, how they manage and overcome emergencies when occurred; and limitations and factors influencing successful emergency planning and adoption emergency management in Malaysian hotels. Face-to-face interview with managers from three, four and five star hotels from different backgrounds: local; regional; and International in Kuala Lumpur, Subang, and Putrajaya are undertaken. The result revealed that Malaysian hotels are exposed to a wide range of natural and man-made disasters. Malaysian hotels lack proactive emergency planning and a lot of constraints which impede successful emergency planning for disasters in the hotel industry in Malaysia, with emphasizing on the relevant authority’s role to demonstrate emergency management to hotels convincing them to adopt such practices, so they can be able to cope with emergencies effectively.

Space systems for disaster warning, response, and recovery

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Madry, Scott

2015-01-01

This SpringerBrief provides a general overview of the role of satellite applications for disaster mitigation, warning, planning, recovery and response. It covers both the overall role and perspective of the emergency management community as well as the various space applications that support their work. Key insights are provided as to how satellite telecommunications, remote sensing, navigation systems, GIS, and the emerging domain of social media are utilized in the context of emergency management needs and requirements. These systems are now critical in addressing major man-made and natural disasters. International policy and treaties are covered along with various case studies from around the world. These case studies indicate vital lessons that have been learned about how to use space systems more effectively in addressing the so-called “Disaster Cycle.” This book is appropriate for practicing emergency managers, Emergency Management (EM) courses, as well as for those involved in various space applica...

International Medical Collaboration: Lessons from Cuba

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Castelló González, Mauro; Pons Vásquez, Reinaldo; Rodriguez Bencomo, David; Choonara, Imti

2016-01-01

Over 50,000 Cuban health professionals are currently working overseas in 67 different countries. They work in conjunction with local health professionals. The majority work in primary care in deprived areas. The aim is to reduce morbidity and mortality but also improve health in the long term by training local health professionals, and building both institutions and a structure to deliver health care alongside educating the local population. Cuba is a small, middle-income country. It has, however, made a significant international contribution in relation to medical collaboration. Cuba’s international collaboration is based on the principles of social justice and equity for all. It has set an example for other countries to emulate. PMID:27763571

International Medical Collaboration: Lessons from Cuba

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Mauro Castelló González

2016-10-01

Full Text Available Over 50,000 Cuban health professionals are currently working overseas in 67 different countries. They work in conjunction with local health professionals. The majority work in primary care in deprived areas. The aim is to reduce morbidity and mortality but also improve health in the long term by training local health professionals, and building both institutions and a structure to deliver health care alongside educating the local population. Cuba is a small, middle-income country. It has, however, made a significant international contribution in relation to medical collaboration. Cuba’s international collaboration is based on the principles of social justice and equity for all. It has set an example for other countries to emulate.

Natural disasters and the lung.

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Robinson, Bruce; Alatas, Mohammad Fahmi; Robertson, Andrew; Steer, Henry

2011-04-01

As the world population expands, an increasing number of people are living in areas which may be threatened by natural disasters. Most of these major natural disasters occur in the Asian region. Pulmonary complications are common following natural disasters and can result from direct insults to the lung or may be indirect, secondary to overcrowding and the collapse in infrastructure and health-care systems which often occur in the aftermath of a disaster. Delivery of health care in disaster situations is challenging and anticipation of the types of clinical and public health problems faced in disaster situations is crucial when preparing disaster responses. In this article we review the pulmonary effects of natural disasters in the immediate setting and in the post-disaster aftermath and we discuss how this could inform planning for future disasters. © 2011 The Authors. Respirology © 2011 Asian Pacific Society of Respirology.

Disaster waste management in Italy: Analysis of recent case studies.

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Gabrielli, Francesco; Amato, Alessia; Balducci, Susanna; Magi Galluzzi, Lorenzo; Beolchini, Francesca

2018-01-01

The geomorphology of the Italian territory causes the incidence of many disasters like earthquakes and floods, with the consequent production of large volumes of waste. The management of such huge flows, produced in a very short time, may have a high impact on the whole emergency response. Moreover, historical data related to disaster waste management are often not easily accessible; on the other hand, the availability of data concerning previous events could support the emergency managers, that have to take a decision in a very short time. In this context, the present paper analyses four relevant recent case studies in Italy, dealing with disaster waste management after geologic and hydrologic natural events. Significant differences have been observed in the quantity and types of generated wastes, and, also, in the management approach. Such differences are mainly associated with the kind of disaster (i.e. earthquake vs. flood), to the geographical location (i.e. internal vs. coastal area), to the urbanisation level (i.e. industrial vs. urban). The study allowed the identification of both strengths and weaknesses of the applied waste management strategies, that represent "lessons to learn" for future scenarios. Even though it deals with Italian case studies, this manuscript may have a high impact also at international level, making available for the first-time emergency waste management data, that are considered an indispensable support for decision makers. Copyright © 2017 Elsevier Ltd. All rights reserved.

Preventing disasters: public health vulnerability reduction as a sustainable adaptation to climate change.

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Keim, Mark E

2011-06-01

Global warming could increase the number and severity of extreme weather events. These events are often known to result in public health disasters, but we can lessen the effects of these disasters. By addressing the factors that cause changes in climate, we can mitigate the effects of climate change. By addressing the factors that make society vulnerable to the effects of climate, we can adapt to climate change. To adapt to climate change, a comprehensive approach to disaster risk reduction has been proposed. By reducing human vulnerability to disasters, we can lessen--and at times even prevent--their impact. Human vulnerability is a complex phenomenon that comprises social, economic, health, and cultural factors. Because public health is uniquely placed at the community level, it has the opportunity to lessen human vulnerability to climate-related disasters. At the national and international level, a supportive policy environment can enable local adaptation to disaster events. The purpose of this article is to introduce the basic concept of disaster risk reduction so that it can be applied to preventing and mitigating the negative effects of climate change and to examine the role of community-focused public health as a means for lessening human vulnerability and, as a result, the overall risk of climate-related disasters.

The system was blinking red: Awareness Contexts and Disasters

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Vivian B. Martin

2015-12-01

Full Text Available The awareness context has been a source of inspiration for grounded theories for more than 50 years; yet little has been done to extend the theory beyond nursing and the medical field, and a few works on identity. This paper extends the awareness context by examining its role in several high-profile disasters, natural and man-made, where gaining a clear sense of what was going on was often blocked by poor information flow and general communication failures, interpersonal and technological. Selective coding and the introduction of new concepts after analyzing hundreds of pages of documents issued by special commissions in the aftermath of the 9/11 attacks, Hurricane Katrina, the Deepwater Horizon oil spill in the Gulf, and the Sago Mine Disaster not only explain various processes around awareness in the midst of crisis, but also illuminate pre-crisis patterns that, if attended, could have mitigated the impact of the disasters.

Merging Remote Sensing and Socioeconomic Data to Improve Disaster Risk Assessment

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Yetman, G.; Chen, R. S.; Huyck, C. K.

2015-12-01

Natural disasters disproportionately impact developing country economies while also impacting business operations for multi-national corporations that rely on supplies and manufacturing in affected areas. Understanding natural hazard risk is only a first step towards preparedness and mitigation—data on facilities, transportation, critical infrastructure, and populations that may be exposed to disasters is required to plan for events and properly assess risks. Detailed exposure data can be used in models to predict casualty rates, aggregate estimates of building damage or destruction, impacts on business operations, and the scale of recovery efforts required. These model outputs are useful for disaster preparedness planning by national and international organizations, as well as for corporations and the reinsurance industry seeking to better understand their risk exposure. Many of these data are lacking for developing countries. Rapid assessment in areas with minimal data for disaster modeling is possible by combing remote sensing data, sample data on construction methods, facility and critical infrastructure data, and economic and demographic census information. This presentation focuses on the methods used to fuse the physical and socioeconomic data by presenting the results from two projects. The first project seeks to improve earthquake risk assessments in Asia using for the reinsurance industry, while the second project builds an integrated exposure database across five countries in Africa for use by international development organizations.

Can Disaster Risk Education Reduce the Impacts of Recurring Disasters on Developing Societies?

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Baytiyeh, Hoda

2018-01-01

The impacts of recurring disasters on vulnerable urban societies have been tragic in terms of destruction and fatalities. However, disaster risk education that promotes risk mitigation and disaster preparedness has been shown to be effective in minimizing the impacts of recurring disasters on urban societies. Although the recent integration of…

The Activities of UN Specialized Agencies in the Area of Disaster Relief of Population and Territories against Disasters in the beginning of the XXI century

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Aleksey Vladimirovich Kuvshinov

2016-12-01

Full Text Available The article deals with the analysis of the structure and main directions of the activities of UN specialized agencies as well as other international organizations and entities such as ICDO aimed at the organization of the measures for disaster relief and civil defence. The urgency of the article is in the fact that it is for the first time in Russian academic literature devoted to this topic with the specific examples of conducting of such measures. The main conclusions of the article stresses that the specialized U.N. agencies and other international and national entities have already demonstrated the urgent nature and efficiency of providing disaster relief to affected countries and population in the beginning of the XXI century but they should upgrade their potential in that regard in the coming years.

FEMA Disaster Declarations Summary

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Department of Homeland Security — The FEMA Disaster Declarations Summary is a summarized dataset describing all federally declared disasters, starting with the first disaster declaration in 1953,...

Hydroxocobalamin: improved public health readiness for cyanide disasters.

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Sauer, S W; Keim, M E

2001-06-01

The United States is under the constant threat of a mass casualty cyanide disaster from industrial accidents, hazardous material transportation incidents, and deliberate terrorist attacks. The current readiness for cyanide disaster by the emergency medical system in the United States is abysmal. We, as a nation, are simply not prepared for a significant cyanide-related event. The standard of care for cyanide intoxication is the cyanide antidote kit, which is based on the use of nitrites to induce methemoglobinemia. This kit is both expensive and ill suited for out-of-hospital use. It also has its own inherent toxicity that prevents rapid administration. Furthermore, our hospitals frequently fail to stock this life-saving antidote or decline to stock more than one. Hydroxocobalamin is well recognized as an efficacious, safe, and easily administered cyanide antidote. Because of its extremely low adverse effect profile, it is ideal for out-of-hospital use in suspected cyanide intoxication. To effectively prepare for a cyanide disaster, the United States must investigate, adopt, manufacture, and stockpile hydroxocobalamin to prevent needless morbidity and mortality.

Implications of the Fukushima Nuclear Disaster: Man-Made Hazards, Vulnerability Factors, and Risk to Environmental Health.

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Eddy, Christopher; Sase, Eriko

2015-01-01

The objective of this article was to examine the environmental health implications of the 2011 Fukushima nuclear disaster from an all-hazards perspective. The authors performed a literature review that included Japanese and international nuclear guidance and policy, scientific papers, and reports on the Chernobyl and Three Mile Island disasters while also considering all-hazards preparedness rubrics in the U.S. The examination of the literature resulted in the following: a) the authors' "All-Hazards Planning Reference Model" that distinguishes three planning categories-Disaster Trigger Event, Man-Made Hazards, and Vulnerability Factors; b) the generalization of their model to other countries; and c) advocacy for environmental health end fate to be considered in planning phases to minimize risk to environmental health. This article discusses inconsistencies in disaster planning and nomenclature existing in the studied materials and international guidance and proposes new opportunity for developing predisaster risk assessment, risk communication, and prevention capacity building.

Awareness regarding the systemic effects of periodontal disease among medical interns in India

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Arpita Gur

2011-01-01

Full Text Available Background: Medical curriculum does not provide required space for oral health; hence, many medical interns are unfamiliar with the oral cavity and oral health research. Aims: To study the level of awareness regarding systemic effects of periodontal disease among medical interns. Settings and design: A cross-sectional qualitative study recruiting medical interns from two medical institutions affiliated to two different universities in Southern India. Materials and Methods: Study was carried out in two medical institutions affiliated to two different universities in Southern India. A total of 143 interns participated in the study. Each participant was given a self-administered, pre-tested, multiple choice question-type questionnaire to solve on the spot. In order to summarise the awareness level, respondents were graded on a five-level scale as poor, fair, good, very good, and excellent. Statistical analysis used: Percentages, proportions. Results: A total of 67 respondents (47% had fair; 60(42%, poor; and 18(11%, good level of awareness regarding the systemic effects of periodontal disease. Only 23(16%, 17(12%, 12(8%, 6(4% and 4(3% respondents were aware that the periodontal disease may be the possible risk factor for coronary heart disease, cerebral infarction, diabetes mellitus, hospital-acquired pneumonia, and preterm labour (low birth-weight infants, respectively. Only 12 respondents (8% would seek dentist′s opinion for all patients with systemic diseases related to dental disease. Conclusions: Medical interns had inadequate awareness regarding the systemic effects of periodontal disease. Therefore, an integrated teaching of medical and dental sciences is recommended.

The role of obstetrics and gynecology national societies during natural disasters.

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Lalonde, André; Adrien, Lauré

2015-07-01

When a natural disaster occurs, such as an earthquake, floods, or a tsunami, the international response is quick. However, there is no organized strategy in place to address obstetric and gynecological (ob/gyn) emergencies. International organizations and national ob/gyn societies do not have an organized plan and rely on the good will of volunteers. Too often, local specialists are ignored and are not involved in the response. The massive earthquake in Haiti in 2010 exemplifies the lack of coordinated response involving national organizations following the disaster. The Society of Obstetricians and Gynaecologists of Canada (SOGC) engaged rapidly with Haitian colleagues in response to the obstetric and gynecological emergencies. An active strategy is proposed. Copyright © 2015. Published by Elsevier Ireland Ltd.

How assessment and evaluation is interlinked with disaster governance? A case of the Tohoku Disaster

International Nuclear Information System (INIS)

Shimizu, Mika

2014-01-01

The linkage of governance, disaster management and policy are not well established both in terms of conceptual basis and practices and require more in-depth analysis for better disaster management and governance (disaster governance). The weak linkage may prevent effective disaster management. The 2011 Tohoku Disaster posed many governance-related challenges, including processes or institutions of disaster management or decision-making. Especially, the analysis of the challenges turns out that many of core problems are interlinked with assessment and evaluation. The research problems the paper addresses are two-fold given the existing studies and practices: First, there is few conceptual foundation for linking disaster management and governance especially in light of assessment and evaluation. Second, while assessment or evaluation lends to be taken for panted at practices, few analytical research or discussions exist about how it is interlinked with disaster governance. This paper aims at filling in the above gap and attempts to elucidate analytically the linkage of assessment and evaluation with disaster governance through a case of the 2011 Tohoku Disaster in Japan for better disaster governance and actionable policies. (author)

After Fukushima? On the educational and learning theoretical reflection of nuclear disasters. International perspectives

International Nuclear Information System (INIS)

Wigger, Lothar; Buenger, Carsten

2017-01-01

The book on the educational and learning theoretical reflection of nuclear disasters as a consequence of Fukushima includes contributions on the following issues: pedagogical approach: children write on Fukushima, description of the reality as pedagogical challenge; lessons learned on the nuclear technology - perspectives and limits of pedagogical evaluation: moral education - Japanese teaching materials, educational challenges at the universities with respect to nuclear technology and technology impact assessment; education and technology - questions concerning the pedagogical responsibility: considerations on the responsibility of scientists, on the discrepancy between technology and education, disempowerment of the public by structural corruption - nuclear disaster and post-democratic tendencies in Japan.

Special populations: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.

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Dries, David; Reed, Mary Jane; Kissoon, Niranjan; Christian, Michael D; Dichter, Jeffrey R; Devereaux, Asha V; Upperman, Jeffrey S

2014-10-01

Past disasters have highlighted the need to prepare for subsets of critically ill, medically fragile patients. These special patient populations require focused disaster planning that will address their medical needs throughout the event to prevent clinical deterioration. The suggestions in this article are important for all who are involved in large-scale disasters or pandemics with multiple critically ill or injured patients, including frontline clinicians, hospital administrators, and public health or government officials. Key questions regarding the care of critically ill or injured special populations during disasters or pandemics were identified, and a systematic literature review (1985-2013) was performed. No studies of sufficient quality were identified. Therefore, the panel developed expert opinion-based suggestions using a modified Delphi process. The panel did not include pediatrics as a separate special population because pediatrics issues are embedded in each consensus document. Fourteen suggestions were formulated regarding the care of critically ill and injured patients from special populations during pandemics and disasters. The suggestions cover the following areas: defining special populations for mass critical care, special population planning, planning for access to regionalized service for special populations, triage and resource allocation of special populations, therapeutic considerations, and crisis standards of care for special populations. Chronically ill, technologically dependent, and complex critically ill patients present a unique challenge to preparing and implementing mass critical care. There are, however, unique opportunities to engage patients, primary physicians, advocacy groups, and professional organizations to lessen the impact of disaster on these special populations.

The implementation of local wisdom in reducing natural disaster risk: a case study from West Sumatera

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Zulfadrim, Z.; Toyoda, Y.; Kanegae, H.

2018-01-01

The purpose of this paper is to introduce some local wisdoms in West Sumatra and propose their challenges that modern values have degraded its knowledge. In a contemporary context, traditional stories (written and oral stories) still relevant to be used and internalized in disaster risk reduction. Traditional knowledge or local wisdom is a system of knowledge derived from long experienced process in the past, adopted and handed over to next generation through evolutionary process. Indigenous or traditional knowledge can be practiced in understanding the nature of natural disaster, to propose the best action in mitigation, to respond in emergency phase, and to suggest more option for recovery process based on previous experience. The paper based on four weeks field research in west Sumatra which is known with their natural hazards due to its geographical location. In the beginning, this paper discusses the nature of local wisdom and how it can be matched in disaster management, then continues to the specific case how the traditional stories in West Sumatera can be internalized and integrated with contemporary disaster risk reduction. This paper proves that local wisdom can be useful as an effective instrument to deal with natural disaster or natural hazard.

Making short-term international medical volunteer placements work: a qualitative study.

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Elnawawy, Omnia; Lee, Andrew C K; Pohl, Gerda

2014-06-01

International medical volunteering has grown in recent decades. It has the potential to benefit and harm the volunteer and host countries; but there is a paucity of literature on the impacts of international medical volunteering and a need to find ways to optimise the benefits of such placements. In this study, one example of international medical volunteering was examined involving British GPs on short-term placements in Nepal. The intention was to explore the expectations and experiences of the local health workers, volunteers, and host organisation to try and understand what makes volunteer placements work. Qualitative study of key informant interviews. Stakeholders of a short-term international medical volunteer (IMV) placement programme in Nepal. Key informant interviews were carried out via face-to-face or telephone/internet interviews with five previous volunteers, three representatives from a non-governmental organisation providing placements, and five local health workers in Nepal who had had contact with the IMVs. Interviews were recorded, transcribed, and analysed using standard thematic framework approaches. All the stakeholders had their own specific motives for participating in the IMV programme. The relationship between volunteers and the Nepalese health workers was complex and characterised by discrepant and occasionally unrealistic expectations. Managing these different expectations was challenging. Contextual issues and cultural differences are important considerations in medical volunteer programmes, and this study highlights the importance of robust preparation pre-placement for the volunteer and host to ensure positive outcomes. © British Journal of General Practice 2014.

The Canada-Guyana medical education partnership: using videoconferencing to supplement post-graduate medical education among internal medicine trainees

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William Stokes

2017-04-01

Conclusion: The formation of a resident-led, videoconference teaching series is a mutually beneficial partnership for Canadian and Guyanese medical residents and fosters international collaboration in medical education.

International medical students – a survey of perceived challenges and established support services at medical faculties

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Huhn, D.

2015-02-01

Full Text Available Introduction: Medical students with a non-German background face several challenges during their studies. Besides support given by foreign student offices further specific projects for international students have been developed and are offered by medical faculties. However, so far, neither a systematic survey of the faculties’ perceived problems nor of the offered support exists.Method: All study deaneries of medical faculties in Germany were contacted between April and October 2013 and asked for their participation in a telephone interview. Interview partners were asked about 1. The percentage of non-German students at the medical faculty; 2. The perceived difficulties and problems of foreign students; 3. The offers for non-German students; and 4. The specification of further possibilities of support. Given information was noted, frequencies counted and results interpreted via frequency analysis.Results: Only 39% of the medical faculties could give detailed information about the percentage of non-German students. They reported an average share of 3.9% of students with an EU migration background and 4.9% with a non-EU background. Most frequently cited offers are student conducted tutorials, language courses and tandem-programs. The most frequently reported problem by far is the perceived lack of language skills of foreign students at the beginning of their studies. Suggested solutions are mainly the development of tutorials and the improvement of German medical terminology.Discussion: Offers of support provided by medical faculties for foreign students vary greatly in type and extent. Support offered is seen to be insufficient in coping with the needs of the international students in many cases. Hence, a better coverage of international students as well as further research efforts to the specific needs and the effectiveness of applied interventions seem to be essential.

International medical students – a survey of perceived challenges and established support services at medical faculties

Science.gov (United States)

Huhn, D.; Junne, F.; Zipfel, S.; Duelli, R.; Resch, F.; Herzog, W.; Nikendei, C.

2015-01-01

Introduction: Medical students with a non-German background face several challenges during their studies. Besides support given by foreign student offices further specific projects for international students have been developed and are offered by medical faculties. However, so far, neither a systematic survey of the faculties’ perceived problems nor of the offered support exists. Method: All study deaneries of medical faculties in Germany were contacted between April and October 2013 and asked for their participation in a telephone interview. Interview partners were asked about 1.) The percentage of non-German students at the medical faculty; 2.) The perceived difficulties and problems of foreign students; 3.) The offers for non-German students; and 4.) The specification of further possibilities of support. Given information was noted, frequencies counted and results interpreted via frequency analysis. Results: Only 39% of the medical faculties could give detailed information about the percentage of non-German students. They reported an average share of 3.9% of students with an EU migration background and 4.9% with a non-EU background. Most frequently cited offers are student conducted tutorials, language courses and tandem-programs. The most frequently reported problem by far is the perceived lack of language skills of foreign students at the beginning of their studies. Suggested solutions are mainly the development of tutorials and the improvement of German medical terminology. Discussion: Offers of support provided by medical faculties for foreign students vary greatly in type and extent. Support offered is seen to be insufficient in coping with the needs of the international students in many cases. Hence, a better coverage of international students as well as further research efforts to the specific needs and the effectiveness of applied interventions seem to be essential. PMID:25699112

Increasing the provision of mental health care for vulnerable, disaster-affected people in Bangladesh

Science.gov (United States)

2014-01-01

Background Bangladesh has the highest natural disaster mortality rate in the world, with over half a million people lost to disaster events since 1970. Most of these people have died during floods or cyclones, both of which are likely to become more frequent due to global climate change. To date, the government’s post-disaster response strategy has focused, increasingly effectively, on the physical needs of survivors, through the provision of shelter, food and medical care. However, the serious and widespread mental health consequences of natural disasters in Bangladesh have not yet received the attention that they deserve. This Debate article proposes a practical model that will facilitate the provision of comprehensive and effective post-disaster mental health services for vulnerable Bangladeshis on a sustainable basis. Discussion A series of socially determined factors render the women and the poor of Bangladesh particularly vulnerable to dying in natural disasters; and, for those who survive, to suffering from some sort of disaster-related mental health illness. For women, this is largely due to the enforced gender separation, or purdah, that they endure; while for the poor, it is the fact that they are, by definition, only able to afford to live in the most climatically dangerous, and under-served parts of the country. Although the disasters themselves are brought by nature, therefore, social determinants increase the vulnerability of particular groups to mental illness as a result of them. While deeply entrenched, these determinants are at least partially amenable to change through policy and action. Summary In response to the 2004 Indian Ocean tsunami, the World Health Organisation developed a framework for providing mental health and psychosocial support after major disasters, which, we argue, could be adapted to Bangladeshi post-cyclone and post-flood contexts. The framework is community-based, it includes both medical and non-clinical components, and it

Communications infrastructure requirements for telemedicine/telehealth in the context of planning for and responding to natural disasters: Considering the need for shared regional networks

Science.gov (United States)

Scott, John Carver

1991-01-01

During the course of recent years the frequency and magnitude of major disasters - of natural, technological, or ecological origin - have made the world community dramatically aware of the immense losses of human life and economic resources that are caused regularly by such calamities. Particularly hard hit are developing countries, for whom the magnitude of disasters frequently outstrips the ability of the society to cope with them. In many cases this situation can be prevented, and the recent trend in disaster management has been to emphasize the importance of preparedness and mitigation as a means of prevention. In cases of disaster, a system is needed to respond to relief requirements, particularly the delivery of medical care. There is no generic telecommunications infrastructure appropriate for the variety of applications in medical care and disaster management. The need to integrate telemedicine/telehealth into shared regional disaster management telecommunications networks is discussed. Focus is on the development of infrastructure designed to serve the needs of disaster prone regions of the developing world.

A novel method for improving chest tube insertion skills among medical interns

Science.gov (United States)

Tatli, Ozgur; Turkmen, Suha; Imamoglu, Melih; Karaca, Yunus; Cicek, Mustafa; Yadigaroglu, Metin; Bayrak, Selen T.; Asik, Olgun; Topbas, Murat; Turedi, Suleyman

2017-01-01

Objectives: To develop a low-cost biomaterial-covered chest tube simulation model and assess its possible usefulness for developing the chest tube insertion skills among medical interns. Methods: This mannequin-based interventional study was performed in a University hospital setting. We included 63 physicians performing emergency medicine internship at the Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey, between January 2015 and March 2015. A dummy was prepared for training simulation using a display mannequin. Medical interns received instruction concerning pneumothorax and the chest tube procedure. A total of 63 medical interns participating in this interventional study were asked to insert a chest tube in a biomaterial-covered mannequin. A senior trainee scored their performance using a check list and the mean of the total scores was calculated (21 items; total score, 42). Results: The mean procedural score was 40.9 ± 1.3 of a possible 42. The maximum score of 42 was achieved by 39.7% of the medical interns, while another 33.3% achieved a score of 41. Of the participants, 85% succeeded in inserting the tube via an appropriate technique, achieving a score of 40 or more. Conclusion: Our results indicated that this model could be useful for effective training of medical interns for chest tube insertion, which is an important skill in emergency medicine. This biomaterial-covered model is inexpensive and its use can potentially be widened to improve training methods without significant financial demand. PMID:28917064

A Qualitative Study of Paramedic Duty to Treat During Disaster Response.

Science.gov (United States)

Smith, Erin; Burkle, Frederick; Gebbie, Kristine; Ford, David; Bensimon, Cécile

2018-04-10

Disasters place unprecedented demands on emergency medical services and can test paramedics personal commitment as health care professionals. Despite this challenge, guidelines and codes of ethics are largely silent on the issue, providing little to no guidance on what is expected of paramedics or how they ought to approach their duty to treat in the face of risk. The objective of this research is to explore how paramedics view their duty to treat during disasters. The authors employed qualitative methods to gather Australian paramedic perspectives. Our findings suggest that paramedic decisions around duty to treat will largely depend on individual perception of risk and competing obligations. A code of ethics for paramedics would be useful, but ultimately each paramedic will interpret these suggested guidelines based on individual values and the situational context. Coming to an understanding of the legal issues involved and the ethical-social expectations in advance of a disaster may assist paramedics to respond willingly and appropriately. (Disaster Med Public Health Preparedness. 2018;page 1 of 6).

Social media and disasters: a functional framework for social media use in disaster planning, response, and research.

Science.gov (United States)

Houston, J Brian; Hawthorne, Joshua; Perreault, Mildred F; Park, Eun Hae; Goldstein Hode, Marlo; Halliwell, Michael R; Turner McGowen, Sarah E; Davis, Rachel; Vaid, Shivani; McElderry, Jonathan A; Griffith, Stanford A

2015-01-01

A comprehensive review of online, official, and scientific literature was carried out in 2012-13 to develop a framework of disaster social media. This framework can be used to facilitate the creation of disaster social media tools, the formulation of disaster social media implementation processes, and the scientific study of disaster social media effects. Disaster social media users in the framework include communities, government, individuals, organisations, and media outlets. Fifteen distinct disaster social media uses were identified, ranging from preparing and receiving disaster preparedness information and warnings and signalling and detecting disasters prior to an event to (re)connecting community members following a disaster. The framework illustrates that a variety of entities may utilise and produce disaster social media content. Consequently, disaster social media use can be conceptualised as occurring at a number of levels, even within the same disaster. Suggestions are provided on how the proposed framework can inform future disaster social media development and research. © 2014 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

Parallel structures for disaster risk reduction and climate change adaptation in Southern Africa

Directory of Open Access Journals (Sweden)

Per Becker

2013-01-01

Full Text Available During the last decade, the interest of the international community in the concepts of disaster risk reduction and climate change adaptation has been growing immensely. Even though an increasing number of scholars seem to view these concepts as two sides of the same coin (at least when not considering the potentially positive effects of climate change, in practice the two concepts have developed in parallel rather than in an integrated manner when it comes to policy, rhetoric and funding opportunities amongst international organisations and donors. This study investigates the extent of the creation of parallel structures for disaster risk reduction and climate change adaptation in the Southern African Development Community (SADC region. The chosen methodology for the study is a comparative case study and the data are collected through focus groups and content analysis of documentary sources, as well as interviews with key informants. The results indicate that parallel structures for disaster risk reduction and climate change adaptation have been established in all but one of the studied countries. The qualitative interviews performed in some of the countries indicate that stakeholders in disaster risk reduction view this duplication of structures as unfortunate, inefficient and a fertile setup for conflict over resources for the implementation of similar activities. Additional research is called for in order to study the concrete effects of having these parallel structures as a foundation for advocacy for more efficient future disaster risk reduction and climate change adaptation.

Discrimination against international medical graduates in the United States residency program selection process.

Science.gov (United States)

Desbiens, Norman A; Vidaillet, Humberto J

2010-01-25

Available evidence suggests that international medical graduates have improved the availability of U.S. health care while maintaining academic standards. We wondered whether studies had been conducted to address how international graduates were treated in the post-graduate selection process compared to U.S. graduates. We conducted a Medline search for research on the selection process. Two studies provide strong evidence that psychiatry and family practice programs respond to identical requests for applications at least 80% more often for U.S. medical graduates than for international graduates. In a third study, a survey of surgical program directors, over 70% perceived that there was discrimination against international graduates in the selection process. There is sufficient evidence to support action against discrimination in the selection process. Medical organizations should publish explicit proscriptions of discrimination against international medical graduates (as the American Psychiatric Association has done) and promote them in diversity statements. They should develop uniform and transparent policies for program directors to use to select applicants that minimize the possibility of non-academic discrimination, and the accreditation organization should monitor whether it is occurring. Whether there should be protectionism for U.S. graduates or whether post-graduate medical education should be an unfettered meritocracy needs to be openly discussed by medicine and society.

Internal Medicine Residents Do Not Accurately Assess Their Medical Knowledge

Science.gov (United States)

Jones, Roger; Panda, Mukta; Desbiens, Norman

2008-01-01

Background: Medical knowledge is essential for appropriate patient care; however, the accuracy of internal medicine (IM) residents' assessment of their medical knowledge is unknown. Methods: IM residents predicted their overall percentile performance 1 week (on average) before and after taking the in-training exam (ITE), an objective and well…

Impact of the 2011 Revolution on Hospital Disaster Preparedness in Yemen.

Science.gov (United States)

Aladhrai, Saleem Ahmed; Djalali, Ahmadreza; Della Corte, Francesco; Alsabri, Mohammed; El-Bakri, Nahid Karrar; Ingrassia, Pier Luigi

2015-08-01

Hospitals are expected to serve the medical needs of casualties in the face of a disaster or other crisis, including man-made conflicts. The aim of this study was to evaluate the impact of the 2011 Yemeni revolution on hospital disaster preparedness in the capital city of Sana'a. The study was conducted in September 2011 and 2013. For evaluation purposes, the hospital emergency response checklist published by the World Health Organization (WHO) was used. Additional information was also obtained to determine what steps were being taken by hospital authorities to improve hospital preparedness. The study selected 11 hospitals. At the time of the first evaluation, 7 hospitals were rated "unacceptable" for level of preparedness and 4 were rated "insufficient," receiving a WHO checklist rating of 10 to 98. At the second evaluation, 5 hospitals were rated "unacceptable," 3 "insufficient," and 1 "effective," receiving a rating of 9 to 134. Unfortunately, this study shows that between 2011 and 2013, no significant progress was made in hospital disaster preparedness in Sana'a. In a disaster-prone country like Yemen, the current situation calls for drastic improvement. Health system authorities must take responsibility for issuing strategic plans as well as standards, guidelines, and procedures to improve hospital disaster preparedness.

Critical care management of major disasters: a practical guide to disaster preparation in the intensive care unit.

Science.gov (United States)

Corcoran, Shawn P; Niven, Alexander S; Reese, Jason M

2012-02-01

Recent events and regulatory mandates have underlined the importance of medical planning and preparedness for catastrophic events. The purpose of this review is to provide a brief summary of current commonly identified threats, an overview of mass critical care management, and a discussion of resource allocation to provide the intensive care unit (ICU) director with a practical guide to help prepare and coordinate the activities of the multidisciplinary critical care team in the event of a disaster.

Nurses' requirements for relief and casualty support in disasters: a qualitative study.

Science.gov (United States)

Nekooei Moghaddam, Mahmoud; Saeed, Sara; Khanjani, Narges; Arab, Mansour

2014-04-01

Nurses are among the most important groups engaged in casualty support, regardless of the cause, and they are one of the largest care groups involved in disasters. Consequently, these workers should gain proper support and skills to enable effective, timely, responsible and ethical emergency responses. In this study, we investigated the needs of nurses for proper casualty support in disasters, to facilitate better planning for disaster management. This was a qualitative content analysis study. Interviews were performed with 23 nurses, at educational hospitals and the Faculty of Nursing at Kerman Medical University, who had a minimum of five years working experience and assisted in an earthquake disaster. Intensity and snowball sampling were performed. Data was collected through semi-structured interviews. Interviews were transcribed and coded into main themes and subthemes. Four major themes emerged from the data; 1) psychological support, 2) appropriate clinical skills education, 3) appropriate disaster management, supervision and programming, and 4) the establishment of ready for action groups and emergency sites. The participants' comments highlighted the necessity of training nurses for special skills including emotion management, triage and crush syndrome, and to support nurses' families, provide security, and act according to predefined programs in disasters. There are a wide range of requirements for disaster aid. Proper aid worker selection, frequent and continuous administration of workshops and drills, and cooperation and alignment of different governmental and private organizations are among the suggested initiatives.

77 FR 52379 - Disaster Declaration #13239 and #13240; OHIO Disaster # H-00030

Science.gov (United States)

2012-08-29

... SMALL BUSINESS ADMINISTRATION Disaster Declaration 13239 and 13240; OHIO Disaster H-00030 AGENCY... declaration of a major disaster for Public Assistance Only for the State of OHIO (FEMA-4077- DR), dated 08/20..., Perry, Pickaway, Pike, Putnam, Shelby, Van Wert, Washington. The Interest Rates are: Percent For...

Disaster mental health

DEFF Research Database (Denmark)

Henderson, Silja; Berliner, Peter; Elsass, Peter

2015-01-01

In this chapter we focus on disaster mental health, particularly theoretical and research-based implications for intervention. The field of disaster mental health research is vast and impossible to cover in a single chapter, but we will visit central research, concepts, and understandings within...... disaster mental health and intervention, and refer to further literature where meaningful. We conclude the chapter with recommendations for further research....

Disaster Preparedness Among University Students in Guangzhou, China: Assessment of Status and Demand for Disaster Education.

Science.gov (United States)

Tan, Yibing; Liao, Xiaolan; Su, Haihao; Li, Chun; Xiang, Jiagen; Dong, Zhaoyang

2017-06-01

This study had 2 aims. First, we evaluated the current levels of disaster preparedness among university students in southern China. Second, we assessed students' demands for future disaster education. In addition, we examined the influence of demographic factors on current disaster preparedness status and demand. A cross-sectional design was used. The data were collected from 1893 students in 10 universities in the Guangzhou Higher Education Mega (GHEM) center. A self-administered questionnaire developed for this study was administered to assess the current status and demand for disaster education. The results are based on 1764 valid questionnaires. Among the participants, 77.8% reported having had disaster education experiences before, 85.5% indicated their desire for a systematic disaster course, and 75.4% expressed their willingness to take such a course upon its availability. The total mean score for demand for disaster course content (5-point Likert scale) was 4.17±0.84, with items relating to rescue skills given the highest scores. These results suggested that students had high desires for disaster preparedness knowledge, especially knowledge concerning rescue skills. We observed significant differences in disaster education experiences between male and female students and across programs, school years, and home locations. Furthermore, we observed significant differences in demand for disaster course content between male and female students and across universities, student programs, years of school, and students' majors. A systematic disaster course focused on rescue skills is needed by all types of universities. To improve the disaster education system in universities, disaster drills should be performed on a semester basis as a refresher and to enhance disaster preparedness. The government and universities should support building a simulated disaster rescue center and recruit faculty from the emergency department, especially those who have had disaster

Climate Change, Disaster and Sentiment Analysis over Social Media Mining

Science.gov (United States)

Lee, J.; McCusker, J. P.; McGuinness, D. L.

2012-12-01

Accelerated climate change causes disasters and disrupts people living all over the globe. Disruptive climate events are often reflected in expressed sentiments of the people affected. Monitoring changes in these sentiments during and after disasters can reveal relationships between climate change and mental health. We developed a semantic web tool that uses linked data principles and semantic web technologies to integrate data from multiple sources and analyze them together. We are converting statistical data on climate change and disaster records obtained from the World Bank data catalog and the International Disaster Database into a Resource Description Framework (RDF) representation that was annotated with the RDF Data Cube vocabulary. We compare these data with a dataset of tweets that mention terms from the Emotion Ontology to get a sense of how disasters can impact the affected populations. This dataset is being gathered using an infrastructure we developed that extracts term uses in Twitter with controlled vocabularies. This data was also converted to RDF structure so that statistical data on the climate change and disasters is analyzed together with sentiment data. To visualize and explore relationship of the multiple data across the dimensions of time and location, we use the qb.js framework. We are using this approach to investigate the social and emotional impact of climate change. We hope that this will demonstrate the use of social media data as a valuable source of understanding on global climate change.

Neoliberal governance and International medical travel in Malaysia

NARCIS (Netherlands)

Ormond, M.E.

2013-01-01

International medical travel (IMT), people crossing national borders in the pursuit of healthcare, has become a growing phenomenon. With many of the countries currently being promoted as IMT destinations located in the ‘developing’ world, IMT poses a significant challenge to popular assumptions

Medical measures in case of nuclear power plant accidents

International Nuclear Information System (INIS)

1986-01-01

The Laender governments of the Federal Republic of Germany are of the opinion that within the framework of precautionary disaster control, plans have to be set up dealing with nuclear disasters that seem improbable but cannot be completely excluded. Accordingly, recommendations presented by the Federal Government and the Laender governments have been combined into a framework disaster control scheme where the competencies for activities and measures lie with the several Laender governments, as given by the Basic Law. A further recommendation deals with the medical care and service in case of a nuclear disaster, and the practical guide presented here is intended to give the information and instructions needed in order to comply with the legal framework. A working group has been set up in order to work out the rules and facts for optimum medical care. The activities are planned to be based on an emergency station responsible for medical examination, treatment, and transfer of victims. The practical guide has been discussed by the 'Committee for disaster control in the vicinity of nuclear installations' of the SSK, has been approved of by the supreme Land authorities of the Laender concerned, and has been passed by the SSK at its 63rd meeting. With 5 figs., 6 tabs [de

The New Aphrodite school on Disasters Food and Poverty organized by CIMA Research Foundation and University of Genova

Science.gov (United States)

Boni, G.

2009-04-01

CIMA is a Research Foundation which aim is to advance science and engineering in environmentally related fields, focusing on public health and safety, civil protection and the preservation of terrestrial and water-related ecosystems. This aim is accomplished through scientific research, technology transfer and high level training services. Here we present the "New Aphrodite school on Disasters Food and Poverty" jointly managed by CIMA Foundation, and the University of Genova. The school is organized to provide to international students, professionals and government officials, mainly from poor or developing countries, formation for the management, prediction and prevention of natural and man made disasters. The expertise of the teachers, mainly CIMA's researchers, comes from a long term support of CIMA Foundation to the Italian Civil Protection in developing the advanced national system for risk prediction, prevention and management. The school is organized in two levels. The first level includes an international master of science degree in "Environmental Engineering: Sustainable Development and Risk Management", which classes are given in English, and a master for professional and government officials in "Disasters, food and poverty". The second level includes an international Ph.D. programme in "Information sciences and technologies for system monitoring and environmental risk management". Short training courses for international government official are periodically organized. At present the school is organizing short courses for officials of Civil Protections of Venezuela, Barbados and Mozambique. The philosophy underlying the teaching activities is to promote a multi-disciplinary approach to disaster mitigation, prevention and prediction. Special focus is on the potential of high-tech low-cost technologies for rapid communication and disaster monitoring, such as satellite based technologies. Such technologies are seen as the best way to support the development

Better resilience to disasters and improved livelihoods on South ...

International Development Research Centre (IDRC) Digital Library (Canada)

2016-04-29

Apr 29, 2016 ... Research supported by IDRC and the former Canadian International Development Agency (now part of Global Affairs Canada) has increased the resilience of poor coastal communities in India and Sri Lanka to natural disasters and improved livelihoods. Carried out by the MS Swaminathan Research ...

Disaster Coverage Predication for the Emerging Tethered Balloon Technology: Capability for Preparedness, Detection, Mitigation, and Response.

Science.gov (United States)

Alsamhi, Saeed H; Samar Ansari, Mohd; Rajput, Navin S

2018-04-01

A disaster is a consequence of natural hazards and terrorist acts, which have significant potential to disrupt the entire wireless communication infrastructure. Therefore, the essential rescue squads and recovery operations during a catastrophic event will be severely debilitated. To provide efficient communication services, and to reduce casualty mortality and morbidity during the catastrophic events, we proposed the Tethered Balloon technology for disaster preparedness, detection, mitigation, and recovery assessment. The proposed Tethered Balloon is applicable to any type of disaster except for storms. The Tethered Balloon is being actively researched and developed as a simple solution to improve the performance of rescues, facilities, and services of emergency medical communication in the disaster area. The most important requirement for rescue and relief teams during or after the disaster is a high quality of service of delivery communication services to save people's lives. Using our proposed technology, we report that the Tethered Balloon has a large disaster coverage area. Therefore, the rescue and research teams are given higher priority, and their performance significantly improved in the particular coverage area. Tethered Balloon features made it suitable for disaster preparedness, mitigation, and recovery. The performance of rescue and relief teams was effective and efficient before and after the disaster as well as can be continued to coordinate the relief teams until disaster recovery. (Disaster Med Public Health Preparedness. 2018;12:222-231).

Efforts made for health and medical care by International Atomic Energy Agency

International Nuclear Information System (INIS)

Watanabe, Naoyuki