GRF One Health Summit, Davos 2012 Health Risk Communication and Governance  Tuesday 21st February 2:45pm - 4:15pm TU 4.2: ...
New Zealand <ul><li>South Pacific nation </li></ul><ul><li>Population  4,409,224  </li></ul><ul><li>Area 270,534 km 2   </...
Canterbury  (and the West Coast) District Area (KM 2 ) Population Public Health Staff Canterbury 45,346 468,000 104 South ...
The Darfield Earthquake (7.1)   – 4 th  September 2010, 4.35am <ul><li>Time of day (0435) </li></ul><ul><li>Epicentre away...
22 nd  February 2011 12.51pm Plus more than 8000 other palpable aftershocks…
The Christchurch Earthquake <ul><li>6.3 magnitude earthquake  </li></ul><ul><li>Modified Mercalli up to 10 (2.24G Peak gro...
Immediate Local, Regional  and National   response <ul><li>Establish Emergency Operations Centres </li></ul><ul><li>USAR <...
CTV building 115/182 deaths
Lateral spreading (by the rivers)
Liquefaction damage   <ul><li>Kaiapoi  - September 2010 </li></ul>
Red zones declared uninhabitable
The Loss of Eastern Suburbs
Demolition in the city as of December 2011
Christchurch Earthquake: The Recovery <ul><li>Legislation: </li></ul><ul><ul><li>The Canterbury Earthquake Recovery Act 20...
A Structural Model  for Earthquake Recovery
Share an Idea <ul><li>Community consultation </li></ul><ul><ul><li>Online </li></ul></ul><ul><ul><li>In person </li></ul><...
Enormous Community Response
The Themes of the Public Response
The Categorization of the Public Response Complete Physical, Mental and Social Well Being? <ul><li>Green City </li></ul><u...
The Draft Christchurch Central City Plan <ul><li>Built on Intersectoral goodwill </li></ul><ul><li>Interagency collaborati...
Human ecology model of a settlement Barton H et al. Health Promot. Int. 2009;24:i91-i99 © The Author (2009). Published by ...
HPSTED <ul><li>Relationship between health and local government fostered over a Health Impact Assessment informing the Gre...
Integrated Recovery Planning Guide http://www.cph.co.nz/Files/IntegratedRecoveryGuideV2-Jun11.pdf <ul><li>He aha te mea nu...
Self care first: <ul><li>INTEGRATED RECOVERY PLANNING GUIDE </li></ul><ul><li>VERSION 2.0 ¦ JUNE 2011 </li></ul><ul><li>He...
An Indigenous Model of Health Promotion: Te Pae Mahutonga* <ul><li>Community leadership </li></ul><ul><ul><li>Ng ā  manuku...
A Thinking Tool  for Earthquake Recovery
Use of Integrated Recovery Guide <ul><li>Multi-discipline, multi-agency </li></ul><ul><li>Determinants (of health) approac...
Reflections/Conclusions <ul><li>Unprecedented opportunity to influence health determinants </li></ul><ul><li>Partnerships ...
What is recovery/resilience?
The One Health Approach <ul><li>Emergency risk management, emergency response and emergency recovery are most effective wi...
With Thanks: <ul><li>Nicola Laurie   Community & Public Health, Canterbury District Health Board </li></ul><ul><li>Karen B...
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The Integrated recovery Guide: A tool to facilitate multi-agency collaboration in disaster recovery, with a focus on the health and well being of affected communities.

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GRF One Health Summit 2012, Davos: Presentation by Alistair Ross Gordon HUMPHREY, New Zealand Ministry of Health, New Zealand

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  • First experiences – what is all this muddy sand everywhere? Everyone knows the term liquefaction now!
  • No branding. Took CEOs foreward and hid it in the back. But retained a mention of health in all policies…we want to work in this way.
  • The Integrated recovery Guide: A tool to facilitate multi-agency collaboration in disaster recovery, with a focus on the health and well being of affected communities.

    1. 1. GRF One Health Summit, Davos 2012 Health Risk Communication and Governance Tuesday 21st February 2:45pm - 4:15pm TU 4.2: The Integrated Recovery Guide: A tool to facilitate multi-agency collaboration in disaster recovery, with a focus on the health and well-being of affected communities. Alistair Humphrey 1 , Anna Stevenson, Lee Tuki 1 Medical Officer of Health for Canterbury, New Zealand Ministry of Health [email_address]
    2. 2. New Zealand <ul><li>South Pacific nation </li></ul><ul><li>Population 4,409,224 </li></ul><ul><li>Area 270,534 km 2 </li></ul>
    3. 3. Canterbury (and the West Coast) District Area (KM 2 ) Population Public Health Staff Canterbury 45,346 468,000 104 South Canterbury 13,623 54,000 25 West Coast 23,000 31,000 15
    4. 4. The Darfield Earthquake (7.1) – 4 th September 2010, 4.35am <ul><li>Time of day (0435) </li></ul><ul><li>Epicentre away from city </li></ul><ul><li>Rigorous building codes adhered to </li></ul>Why no deaths?
    5. 5. 22 nd February 2011 12.51pm Plus more than 8000 other palpable aftershocks…
    6. 6. The Christchurch Earthquake <ul><li>6.3 magnitude earthquake </li></ul><ul><li>Modified Mercalli up to 10 (2.24G Peak ground acceleration) </li></ul><ul><li>182 Confirmed fatalities (2 later) </li></ul><ul><li>12 amputees among other trauma </li></ul><ul><li>1368 residential properties “red stickered” </li></ul><ul><li>1359 Commercial properties red stickered (including public health unit) </li></ul><ul><li>90,000 people displaced initially </li></ul><ul><li>55,000 people not working from city </li></ul><ul><li>Extensive damage to infrastructure: </li></ul><ul><ul><li>Power (generally not phones) </li></ul></ul><ul><ul><li>Roads </li></ul></ul><ul><ul><li>Bridges </li></ul></ul><ul><ul><li>Reticulation system </li></ul></ul><ul><ul><li>Sewerage </li></ul></ul>
    7. 7. Immediate Local, Regional and National response <ul><li>Establish Emergency Operations Centres </li></ul><ul><li>USAR </li></ul><ul><li>Building inspection </li></ul><ul><li>Establish electricity </li></ul><ul><li>Cordon/security </li></ul><ul><li>Welfare centres </li></ul><ul><li>Boil water notice </li></ul><ul><li>Water tankers </li></ul><ul><li>Portaloos </li></ul>National civil defence emergency declared on 23 rd Feb 2011
    8. 8. CTV building 115/182 deaths
    9. 9. Lateral spreading (by the rivers)
    10. 10. Liquefaction damage <ul><li>Kaiapoi - September 2010 </li></ul>
    11. 11. Red zones declared uninhabitable
    12. 12. The Loss of Eastern Suburbs
    13. 13. Demolition in the city as of December 2011
    14. 14. Christchurch Earthquake: The Recovery <ul><li>Legislation: </li></ul><ul><ul><li>The Canterbury Earthquake Recovery Act 2011 </li></ul></ul><ul><li>Administration: </li></ul><ul><ul><li>The Canterbury Earthquake Recovery Authority </li></ul></ul><ul><li>Consultation: </li></ul><ul><ul><li>Share an idea </li></ul></ul><ul><li>Collaboration: </li></ul><ul><ul><li>The Integrated Recovery Planning Guide </li></ul></ul>
    15. 15. A Structural Model for Earthquake Recovery
    16. 16. Share an Idea <ul><li>Community consultation </li></ul><ul><ul><li>Online </li></ul></ul><ul><ul><li>In person </li></ul></ul><ul><ul><li>Organised by </li></ul></ul><ul><ul><li>Christchurch City Council </li></ul></ul><ul><li>106,000 ideas </li></ul>
    17. 17. Enormous Community Response
    18. 18. The Themes of the Public Response
    19. 19. The Categorization of the Public Response Complete Physical, Mental and Social Well Being? <ul><li>Green City </li></ul><ul><ul><li>Clean air, water </li></ul></ul><ul><ul><li>Gardens and parks </li></ul></ul><ul><li>Transport choice </li></ul><ul><ul><li>Bicycles and walkways </li></ul></ul><ul><ul><li>Public transport </li></ul></ul><ul><li>City life </li></ul><ul><ul><li>Active and healthy </li></ul></ul><ul><li>Distinctive city </li></ul><ul><ul><li>Culture </li></ul></ul><ul><ul><li>Low rise </li></ul></ul><ul><li>Market city </li></ul><ul><ul><li>Business, broadband </li></ul></ul>
    20. 20. The Draft Christchurch Central City Plan <ul><li>Built on Intersectoral goodwill </li></ul><ul><li>Interagency collaboration to avoid &quot;silo-ing&quot; </li></ul><ul><li>Health is everybody's business </li></ul>
    21. 21. Human ecology model of a settlement Barton H et al. Health Promot. Int. 2009;24:i91-i99 © The Author (2009). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
    22. 22. HPSTED <ul><li>Relationship between health and local government fostered over a Health Impact Assessment informing the Greater Christchurch Urban Development Strategy (UDS) </li></ul><ul><li>HPSTED describes the relationship between health, sustainability and urban design </li></ul><ul><li>A modified &quot;manual&quot; from HPSTED was developed to assist with earthquake recovery by local government and public health staff </li></ul>
    23. 23. Integrated Recovery Planning Guide http://www.cph.co.nz/Files/IntegratedRecoveryGuideV2-Jun11.pdf <ul><li>He aha te mea nui o te ao? </li></ul><ul><li>What is the most important thing </li></ul><ul><li>in the world? </li></ul><ul><li>He tangata! He tangata! He tangata! </li></ul><ul><li>It is people! It is people! It is people! </li></ul>
    24. 24. Self care first: <ul><li>INTEGRATED RECOVERY PLANNING GUIDE </li></ul><ul><li>VERSION 2.0 ¦ JUNE 2011 </li></ul><ul><li>Help yourself </li></ul><ul><li>to help others </li></ul><ul><ul><li>Take time to talk </li></ul></ul><ul><ul><ul><li>spend time with family and friends </li></ul></ul></ul><ul><ul><li>Eat well </li></ul></ul><ul><ul><li>Make time to exercise and to rest </li></ul></ul><ul><ul><li>Get sufficient sleep </li></ul></ul><ul><ul><li>Plan for some fun and laughter </li></ul></ul><ul><li>We hope this Guide will make a positive difference for you, your recovery work and ultimately for the wider community. </li></ul><ul><li>What you are doing is important and will make </li></ul><ul><li>a difference. </li></ul><ul><li>From the outset, do look after yourself, so that you </li></ul><ul><li>can help others: </li></ul><ul><ul><li>Take time to talk – spend time with </li></ul></ul><ul><ul><li>family and friends </li></ul></ul><ul><ul><li>Eat well </li></ul></ul><ul><ul><li>Make time to exercise and to rest </li></ul></ul><ul><ul><li>Get sufficient sleep </li></ul></ul><ul><ul><li>Plan for some fun and laughter </li></ul></ul>ISBN 978-0-9582578-2-4
    25. 25. An Indigenous Model of Health Promotion: Te Pae Mahutonga* <ul><li>Community leadership </li></ul><ul><ul><li>Ng ā manukura </li></ul></ul><ul><li>Environmental protection </li></ul><ul><ul><li>Waiora </li></ul></ul><ul><li>Community & culture </li></ul><ul><ul><li>Mauriora </li></ul></ul><ul><li>Healthy lifestyles </li></ul><ul><ul><li>Toiora </li></ul></ul><ul><li>Participation in society </li></ul><ul><ul><li>Te Oranga </li></ul></ul><ul><li>Community ownership </li></ul><ul><ul><li>Te Mana Whakahaere </li></ul></ul>* Professor Sir Mason Durie ‘Te Pae Mahutonga: a model for Mäori health promotion’, Health Promotion Forum of New Zealand Newsletter 49, 2-5 December 1999
    26. 26. A Thinking Tool for Earthquake Recovery
    27. 27. Use of Integrated Recovery Guide <ul><li>Multi-discipline, multi-agency </li></ul><ul><li>Determinants (of health) approach </li></ul><ul><li>Central City Plan – and other projects </li></ul><ul><li>Health as a focus of everyone's work </li></ul>
    28. 28. Reflections/Conclusions <ul><li>Unprecedented opportunity to influence health determinants </li></ul><ul><li>Partnerships are central to success </li></ul><ul><li>Health is central not only to planning & response, but also to recovery </li></ul>
    29. 29. What is recovery/resilience?
    30. 30. The One Health Approach <ul><li>Emergency risk management, emergency response and emergency recovery are most effective with the engagement of all agencies and the communities these agencies serve. </li></ul>
    31. 31. With Thanks: <ul><li>Nicola Laurie Community & Public Health, Canterbury District Health Board </li></ul><ul><li>Karen Banwell Christchurch City council </li></ul><ul><li>Adair Bruorton Christchurch City Council </li></ul>http://www.cph.co.nz/Files/IntegratedRecoveryGuideV2-Jun11.pdf

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