Your SlideShare is downloading. ×

Case stories for health risk assessment

391

Published on

for

for

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
391
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
1
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. 2003: In the month of September 8 blocks of Malda district, including Ratua andHarishchandrapur got flooded due to a breach in the embankment of Fulahar river. Since otherplaces were closer to highway, attention of government and other NGOs was on them. One mid-level local NGO was asked to help in Ratua because that was more affected thanHarischandrapur. The NGO worked for more than one month, providing food, clothes, temporaryshelter and medical assistance. In all places relief operations were withdrawn by 15 October. On24th of October the Sub-Divisional Officer (SDO) called the head of the NGO that helped inRatua to come and help in Harishchandrapur as 92 people had died of diarrhea in the last 7 days!The NGO had already gone through fatigue due to the recently concluded flood relief. Also, theNGO did not have its previous presence in the area. But, after several requests, and by whendeath toll went up to 98, the NGO sent two health workers and 5 volunteers along with some IECmaterials, medicines and ORS to support the government. What the NGO saw was more than 60- 100 people lying in pool of faeces in the three health centers (that had a capacity of 5 – 10persons each) that were poorly manned. There were families in which everyone had beeninfected, and no one to support one another, with families lying on filth with no medical care andnot able to go to health centers. Each day 400 – 600 new cases were being reported in the healthcenters alone.The NGO organized awareness campaigns through loud speaker about usage of water, hand-washing, safe disposal of faeces, preparation & use of ORS, with mainly pictorial posters. Thelocal cycle vans and laud speakers were hired along with local volunteers for movement ofhealth workers in motorcycles, to reach far off villages for emergency medical care. In another10 days, the diarrhea level dropped to controllable level of only 30 – 50 cases per day. Total of109 persons had died in the enteric diseases although no one had lost life in the flood. In 15 daysthe emergency response was withdrawn and the [NGO continued to work in the block for nextthree years to improve the health and development indicators.]Question:1. List all the risks in the event. Separate Health related risks and other risks.2. What went wrong? Discuss in the group.3. Mark each risk in the given graph based on their suspected IMPACT Level and Probabilitylevel (Write Health risks in black color and other risks in red/blue color for easy understanding)2011: In the month of August 7 blocks of Malda district, including Ratua and Harishchandrapurgot flooded due to a breach in the embankment of Fulahar river. The District Addl. DistrictCollector who was in-charge of relief operations was formerly (in 2003) the SDO of the sub-division in which Ratua and Harishchandrapur are located. He called Mr. Puthumai on 20 Augwhen the flood level had risen and nearly the entire block of Ratua was under water after a majorbreach in Fulahar river. Indeed the flood situation was worse than the previous major flood in2003. Within 24 hours a coordination meeting was held in Ratua and Harishchandrapur, so thatFood support, temporary shelter support and medical assistance were coordinated. Unicef
  • 2. supported through additional temporary shelter provision, ORS packets and water containers. Arapid assessment report was filed after a joint assessment of CKS, Unicef consultant andgovernment officials. Accordingly CKS was asked to coordinate local water and sanitationrelated issues. There were nearly 11,000 people in 32 camps. From day two, works on cleaningof water sources started. At the block level information was shared on daily basis. Area forcleaning of water sources was divided between PHED, CKS and one other local NGO. Localclubs provided 10 volunteers who were trained in water purification and IEC materials. Schoolsand health centers were used for information dissemination on hygiene practices. On daily basisdata from all health centers was analysed, and extension health camps were organized forsymptomatic response. In another 10 days Unicef asked Oxfam to support the areas withadditional Non-Food Items and strengthen WASH related interventions. When relief wasofficially withdrawn on 30 Sept, there were total of 9 deaths, (drowning and snake bite cases) inboth the blocks put together. Not a single death was reported due to any enteric disease, which isin stark contrast to 2003, when 38 people had died in Ratua due to drowning, snake bite etc in amuch smaller flood, and 109 persons in Harischandrapur due to diarrhea.Question:1. List all the risks in the event. Separate Health related risks and other risks.2. What went well? Discuss in the group.3. Mark each risk in the given graph based on their suspected IMPACT Level and Probabilitylevel (Write Healtr risks in black color and other risks in red/blue color for easy understanding)

×