disaster management and health
TRANSCRIPT
DISASTER
MANAGEMENT
Aswin.KP
K.V.No:02, Colaba.
WHAT IS A DISASTER?*A DISASTER is a natural or man-made hazard that
has come to fruition, resulting in an event of
substantial extent causing significant physical
damage or destruction, loss of life, or drastic
change to the environment.
*Disasters are seen as the consequence of
inappropriate risks. These risks are the product
of a combination of both hazard/s and
vulnerability.
*Developing countries suffer the greatest costs
when a disaster hits – more than 95 % of all deaths
caused by disasters occur in developing
countries, and losses due to natural disasters are
20 times greater (as a percentage of GDP) in
developing countries than in industrialized
countries.
DISASTER
MANAGEMENT
WHAT IS DISASTER MANAGEMENT
Disaster Management is a strategic process, and not
a tactical process, thus it usually resides at the Executive
level in an organization. It normally has no direct
power, but serves as an advisory or coordinating function
to ensure that all parts of an organization are focused on
the common goal. Effective Emergency Management relies
on a thorough integration of emergency plans at all levels
of the organization, and an understanding that the lowest
levels of the organization are responsible for managing the
emergency and getting additional resources and assistance
from the upper levels.
The most senior person in the organization administering
the program is normally called an Emergency Manager, or a
derived form based upon the term used in the field (e.g.
Business Continuity Manager).
DISASTER
MANAGEMENT
WHAT IS VULNERABILITY?
The extent to which a
community, structure, service or geographic area
is likely to be damaged or disrupted by the impact
of particular disaster hazard.
Vulnerability is the propensity of things to be
damaged by a hazard
DISASTER
MANAGEMENT
TYPES OF DISASTERS
There are two types of disasters:
Natural Disasters
Man-Made Disasters
DISASTER
MANAGEMENT
NATURAL DISASTERS
• A natural disaster is a consequence when a natural
calamity affects humans and/or the built environment.
Human vulnerability, and often a lack of
appropriate emergency management, leads to
financial, environmental, or human impact. The resulting
loss depends on the capacity of the population to support
or resist the disaster: their resilience. This understanding
is concentrated in the formulation: "disasters occur when
hazards meet vulnerability". A natural hazard will hence
never result in a natural disaster in areas without
vulnerability.
• Various disasters like earthquake, landslides, volcanic
eruptions, flood and cyclones are natural hazards that
kill thousands of people and destroy billions of dollars of
habitat and property each year. The rapid growth of the
world's population and its increased concentration often
in hazardous environment has escalated both the
frequency and severity of natural disasters.
DISASTER
MANAGEMENT
Among various naturalhazards, earthquakes, landslides, floods and cyclones are themajor disasters adversely affecting very large areas andpopulation in the Indian sub-continent. These naturaldisasters are of
(i) geophysical origin such as earthquakes, volcaniceruptions, land slides and
(ii) climatic origin such asdrought, flood, cyclone, locust, forest fire.
Though it may not be possible to control nature and to stopthe development of natural phenomena but the efforts couldbe made to avoid disasters and alleviate their effects onhuman lives, infrastructure and property. Risingfrequency, amplitude and number of natural disasters andattendant problem coupled with loss of human livesprompted the General Assembly of the United Nations toproclaim 1990s as the International Decade for NaturalDisaster Reduction (IDNDR) through a resolution 44/236 ofDecember 22, 1989 to focus on all issues related to naturaldisaster reduction. In spite of IDNDR, there had been astring of major disaster throughout the decade.Nevertheless, by establishing the rich disaster managementrelated traditions and by spreading public awareness theIDNDR provided required stimulus for disaster reduction. Itis almost impossible to prevent the occurrence of naturaldisasters and their damages.
A natural disaster is the effect
of a natural
hazard (e.g., flood, tornado,
hurricane, volcanic
eruption, earthquake, heat
wave, or landslide). It leads
to financial, environmental
or human losses. The
resulting loss depends on
the vulnerability of the
affected population to resist
the hazard, also called
their resilience.
If these disasters continue it
would be a great danger for
the earth. This
understanding is
concentrated in the
formulation: "disasters
occur when hazards
meet vulnerability."
Thus a natural hazard will not
result in a natural disaster
in areas without
vulnerability, e.g. strong
earthquakes in uninhabited
areas. The term natural has
consequently been disputed
because the events simply
are not hazards or disasters
without human
involvement.
A concrete example of the
division between a natural
hazard and a natural
disaster is that the 1906 San
Francisco earthquake was a
disaster, whereas
earthquakes are a hazard.
DISASTER
MANAGEMENT
NATURAL DISASTERSD
TYPES OF NATURAL DISASTERS
Avalanches:
During World War I, an estimated 40,000 to 80,000 soldiers died as
a result of avalanches during the mountain campaign in
the Alps at the Austrian-Italian front, many of which were caused
by artillery fire. D
Earthquakes
An earthquake is the result of a sudden release of energy in
the Earth's crust that creates seismic waves. At the Earth's
surface, earthquakes manifest themselves by vibration, shaking and
sometimes displacement of the ground. The vibrations may vary in
magnitude. Earthquakes are caused mostly by slippage within
geological faults, but also by other events such as volcanic
activity, landslides, mine blasts, and nuclear tests.
The underground point of origin of the earthquake is called the focus.
The point directly above the focus on the surface is called
the epicenter. Earthquakes by themselves rarely kill people or
wildlife. It is usually the secondary events that they trigger, such as
building collapse, fires, tsunamis (seismic sea waves) and
volcanoes, that are actually the human disaster.
D
Volcanic eruptions
Volcanoes can cause widespread destruction and consequent disaster
through several ways. The effects include the volcanic eruption itself
that may cause harm following the explosion of the volcano or the
fall of rock.
Second, lava may be produced during the eruption of a volcano. As it
leaves the volcano, the lava destroys many buildings and plants it
encounters.
Third, volcanic ash generally meaning the cooled ash - may form a
cloud, and settle thickly in nearby locations. When mixed with water
this forms a concrete-like material. In sufficient quantity ash may
cause roofs to collapse under its weight but even small quantities
will harm humans if inhaled.D
Floods
A flood is an overflow of an expanse of water that submerges
land. The EU Floods directive defines a flood as a temporary
covering by water of land not normally covered by water. In the
sense of "flowing water", the word may also be applied to the inflow
of the tide. Flooding may result from the volume of water within a
body of water, such as a river or lake, which overflows or breaks
levees, with the result that some of the water escapes its usual
boundaries. While the size of a lake or other body of water will vary
with seasonal changes in precipitation and snow melt, it is not a
significant flood unless such escapes of water endanger land areas
used by man like a village, city or other inhabited area. let us take an
example the thunderstorm which attacked Tamil Nadu.
D
Droughts
If a particular area has no rainfall or less rain than normal for a
long period of time is called drought. it is not only lack of rainfall
that causes drought. Hot dry winds, very high temperature and
evaporation of moisture from the ground can result in conditions
of drought. D
Tsunamis
Tsunamis are caused by undersea earthquakes. Tsunamis generally
consist of a series of waves with periods ranging from minutes to
hours, arriving in a so-called "wave train".
Wave heights of tens of metres can be generated by large events.
Although the impact of tsunamis is limited to coastal areas, their
destructive power can be enormous and they can affect entire ocean
basins.
The 2004 Indian Ocean tsunami was among the deadliest natural
disasters in human history with over 230,000 people killed in 14
countries bordering the Indian Ocean.
D
Tornadoes
A tornado is a violent, dangerous, rotating column of air that is
in contact with both the surface of the earth and
a cumulonimbus cloud or, in rare cases, the base of a cumulus
cloud.
They are often referred to as a twister or a cyclone, although
the word cyclone is used in meteorology in a wider sense, to
name any closed low pressure circulation.
Tornadoes come in many shapes and sizes, but are typically in
the form of a visible condensation funnel, whose narrow end
touches the earth and is often encircled by a cloud
of debris and dust.
D
MAN-MADE DISASTERS
Anthropogenic hazards or man-made hazards can come to
fruition in the form of a man-made disaster. In this
case, "anthropogenic" means threats having an element of human
intent, negligence, or error; or involving a failure of a man-made
system.
Airplane crashes and terrorist attacks are examples of man-made
disasters: they cause pollution, kill people, and damage property.
D
MANAGEMENT OF DISASTERS
• The local communities at the time of disaster or before thedisaster make groups for helping the people from sufferingduring the disaster.
• These groups include First Aid group, Health group, Foodand Welfare group, Federal Emergency Management Agency(FEMA) etc. They all are well trained by some localcommunity members.
• All the groups are sent for helping any other localcommunity that is suffering from a disaster. They also askpeople to move from the area affected from disaster to someother safe regions.
• They are given shelter and every possible facilities by thoselocal management communities. Some agencies also providemaps of potential disaster sites.
• Today, Government is also making effort to provide goodfacilities during the disaster.
• In Indian rural areas, the community (group of families) arechoosing a leader and developing their Disaster managementskills to protect themselves and other local communities aswell.
D
DISASTER MITIGATION
• To reduce the impact of disasters by adopting suitable disaster mitigationstrategies. Disaster mitigation mainly addresses the following:
• minimize the potential risks by developing disaster early warning strategies
• prepare and implement developmental plans to provide resilience to suchdisasters,
• mobilize resources including communication and tele-medicinal services
• to help in rehabilitation and post-disaster reduction.
• Disaster management, on the other hand involves:
• pre-disaster planning, preparedness, monitoring including relief managementcapability
• prediction and early warning
• damage assessment and relief management.
• Expanding on the above steps:
1. Preparedness:
• A set of warning systems should be thought of, so that people are warned to takesafety measures. Thus, more loss of life and property can be avoided. The warningsystems may include: radio, television, loudspeakers, personal messages, beatingof drums, bells, etc.
• The people must be educated to cope with a disaster. They should be taught tokeep a survival kit.
• On the practical side, mock drill training and practice should be undertaken. D
• Emergency contact and operation centres should be opened.
• Help the injured and the needy.
• Involve local people at all levels of activities.
• Temporary shelters should be provided for the affected.
• Medical camps should be set up.
• Rescue teams should be deployed to look for those who are
missing.
2. Rehabilitation:
• Essential services such as providing drinking
water, transport, electricity, etc., should be restored.
• The people should be taught hot to follow healthy and safety
measures.
• The victims should be provided with temporary
accomadation, financial assistance and employment
opportunities.
• Those who have lost their family members should be
consoled.
• If there is a danger of epidemics, vaccination programme
should be undertaken.
D
3. Prevention:
• The land use has to be so planned as to reduce the loss of life and
property.
• Buildings should not be constructed in risk zones.
• Mobilizing support of different co-ordinating agencies such as
the local government, voluntary organisation, the insurance
companies, etc., to ensure co-ordination at the time of a disaster.
• All buildings should be earthquake and landslide resistant.
• The local community should be involved in making and
implementing safety norms.
• Disaster reduction is a systematic work which involves with
different regions, different professions and different scientific
fields, and has become an important measure for human and
nature sustainable development.
• For surviving in and after a disaster, people should carry a
survival kit which contains the following supplies: 1. First aid
kit. 2. Essential medicines. 3. Water - at least 9 litres per person
for 3 days. 4. Food - enough for three days. 5. A torch and a radio.
6. Personal hygiene items like toothbrush, soap, etc. 7. Baby and
pet supplies, toilet paper, etc.
D
Preparedness
• Preparedness is a continuous cycle ofplanning, managing, organizing, training, equipping, exercising, creating, evaluating, monitoring and improving activitiesto ensure effective coordination and the enhancement ofcapabilities of concerned organizations to prevent, protectagainst, respond to, recover from, create resources andmitigate the effects of natural disasters, acts ofterrorism, and other man-made disasters
D
• Personal preparedness focuses on preparing equipment andprocedures for use when a disaster occurs, i.e., planning.Preparedness measures can take many forms including theconstruction of shelters, installation of warning devices, creation ofback-up life-line services (e.g., power, water, sewage), andrehearsing evacuation plans.
• Two simple measures can help prepare the individual for sitting outthe event or evacuating, as necessary. For evacuation, a disastersupplies kit may be prepared and for sheltering purposes astockpile of supplies may be created. The preparation of a survivalkit such as a "72-hour kit", is often advocated by authorities. Thesekits may include food, medicine, flashlights, candles and money.Also, putting valuable items in safe area is also recommended.
D
72 HOUR KIT
• The Federal Emergency Management Agency (FEMA), recommends
the following for a disaster preparedness kit: one gallon of water
per person per day for three days, non-perishable food for each
person for three days, battery powered or hand crank radio and
extra batteries, flashlights for each person and extra batteries, first
aid kit, whistle, filter mask or a cotton t-shirt for each
person, moist towlettes, garbage bags, and plastic ties, wrench or
pliers, manual can opener, plastic sheeting and duct tape, important
family documents, daily prescription medicine, other things include
diapers/formula for babies and special need items.
• Typically a three day supply of food and water is the minimum
recommendation, having a larger supply means longer survival
(Federal Emergency Management Agency [FEMA), n.d.).
• Small comfort items can be added like a few toys for children, a
candy bar, or a book to read.
D
4 phases in emergency treatment
D
RESPONSE TO DISASTERS
• The response phase includes the mobilization of thenecessary emergency services and first responders in the disaster area.This is likely to include a first wave of core emergency services, such asfire-fighters, police and ambulance crews.
• When conducted as a military operation, it is termed Disaster ReliefOperation (DRO) and can be a follow-up to a Non-combatant evacuationoperation (NEO). They may be supported by a number of secondaryemergency services, such as specialist rescue teams.
• A well rehearsed emergency plan developed as part of the preparednessphase enables efficient coordination of rescue. Where required, searchand rescue efforts commence at an early stage.
• Depending on injuries sustained by the victim, outside temperature, andvictim access to air and water, the vast majority of those affected by adisaster will die within 72 hours after impact.
D
• The response phase of an emergency may commence with search andrescue but in all cases the focus will quickly turn to fulfilling the basichumanitarian needs of the affected population. This assistance may beprovided by national or international agencies and organisations.
• Effective coordination of disaster assistance is often crucial, particularlywhen many organizations respond and local emergency managementagency (LEMA) capacity has been exceeded by the demand or diminishedby the disaster itself.
• Organizational response to any significant disaster – natural or terrorist-borne – is based on existing emergency management organizationalsystems and processes: the Federal Response Plan (FRP) and the IncidentCommand System (ICS). These systems are solidified through theprinciples of Unified Command (UC) and Mutual Aid (MA)
• There is a need for both discipline (structure, doctrine, process) andagility (creativity, improvisation, adaptability) in responding to adisaster There is also the need to on-board and build an effectiveleadership team quickly to coordinate and manage efforts as they growbeyond first responders.
• The leader and team must formulate and implement adisciplined, iterative set of response plans, allowing initial coordinatedresponses that are vaguely right, adapting to new information andchanges in circumstances as they arise.
D
Health disasters causing during
Natural Disasters
Epidemics
An epidemic is an outbreak of a contractible disease that
spreads through a human population. A pandemic is an epidemic whose
spread is global. There have been many epidemics throughout
history, such as the Black Death. In the last hundred years, significant
pandemics include:
¤ The 1918 Spanish flu pandemic, killing an estimated 50 million people
worldwide
¤ The 1957-58 Asian flu pandemic, which killed an estimated 1 million
people
¤ The 1968-69 Hong Kong water flu pandemic
¤ The 2002-3 SARS pandemic
¤ The AIDS pandemic, beginning in 1959
¤ The H1N1 Influenza (Swine Flu) Pandemic 2009-2010
¤ Other diseases that spread more slowly, but are still considered to be
global health emergencies by the WHO, include:
¤ XDR TB, a strain of tuberculosis that is extensively resistant to drug
treatments
¤ Malaria, which kills an estimated 1.6 million people each year
¤ Ebola hemorrhagic fever, which has claimed hundreds of victims in
Africa in several outbreaks
Some common diseases causing
During Natural Disasters
Diarrheal disease
Cholera
Malaria
Dengue
Leptospirosis
Hepatitis A and E
Measles
Acute respiratory infections(ARI)
Tetanus
Dead bodies and the risk of
communicable diseasesDeaths associated with natural disasters are
overwhelmingly caused by blunt trauma,
crush-related injuries or drowning. The sudden presence of large
numbers of dead bodies
in the disaster-affected area can fuel fears of outbreaks . There is
no evidence that
dead bodies pose a risk of epidemics following natural disasters .
When death is directly due to the natural disaster, human
remains do not pose a risk for
outbreaks; the source of infection is more likely to be the
survivors than those killed by
the natural disaster . Even when death is directly due to
communicable diseases,
pathogenic organisms do not survive long in the human body
following death . Dead
bodies pose health risks only in a few situations requiring
specific precautions, such as
deaths from cholera or hemorrhagic fevers .