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1
LEARNING OBJECTIVES
2
 To define disaster
 To list out the types of disasters
 To describe the steps of disaster cycle
 To list out the health impacts of disasters
CONTENTS
 Introduction
 Definition
 Problem Statement – Global and India
 Classification & Types of Disasters
 Disaster Management
 Medical and Public Health Response
 Public Health Impact of Disaster
 Disaster Mitigation
 Disaster Preparedness
 Disaster Management in India
 DM in India – Critical Review
 References 3
4
5
Physical Vulnerability
6
Social Vulnerability
7
Economic Vulnerability
ENVIRONMENTAL VULNERABILITY
8
9
DISASTERS – GLOBAL SCENARIO
10
Floods,
Mumbai,
26 July 2005
Tsunami
26 Dec 2004
Cyclone
29 Oct 1999
Flood, Assam
& Bihar 2004
MAJOR DISASTERS
(1980-2005)
Earthquake
Uttarkashi, 20
Oct 1991
Bhuj,
Earthquake,
26 January,
2001
Avalanche
Feb 2005
Earthquake,
Latur, 30
Sept 1993
Tsunami
26 Dec 2004
Alia Cyclone
2009
Bhopal Gas
Tragedy, Dec
1984
Earthquake,
Oct, 2005
PHAILIN
Cyclone 2013
Flood,
Uttarakhand
2013
A f e w d i s a s t e r s i n
12
Meteorological
Disasters
• Floods
• Tsunami
• Cyclone
• Hurricane
• Typhoon
• Snow storm
• Blizzard
• Hail storm
Topographical
Disasters
• Earthquake
• Volcanic
Eruptions
• Landslides
and
Avalanches
• Asteroids
• Limnic
eruptions
Environmental
Disasters
• Global
warming
• El Niño-
Southern
Oscillation
• Ozone
depletion-
UVB
Radiation
• Solar flare
13
Technological
• Transport
failure
• Public place
failure
• Fire
Industrial
• Chemical
spills
• Radioactive
spills
Warfare
• War
• Terrorism
• Internal
conflicts
• Civil unrest
• CBRNE
14
HIGH POWER COMMITTEE ON DISASTER
MANAGEMENT has identified 31 various disasters
categorized into 5 major sub-groups
15
16
Integrated
Disaster
Management
Prepared-
ness
Response
Recovery
Mitigation
Activities prior to a
disaster.
• Preparedness plans
• Emergency exercises
• Training,
• Warning systems
Activities during a
disaster.
• Public warning
systems
• Emergency
operations
• Search & rescue
Activities following a
disaster.
• Temporary
housing
• Claims processing
• Grants
• Medical care
Activities that reduce
effects of disasters
• Building codes &
zoning
• Vulnerability
analyses
• Public education
17
18
RECOVERY
PHASE
RISK
REDUCTION
PHASE
IMPACT/ CONSEQUENCES OF DISASTER
19
SYMPTOMS AFTER DISASTER
Physiological
Symptoms
• Fatigue
• Shock
symptoms
• Profuse
sweating
• Fine motor
tremors
• Chills
• Teeth
grinding
• Muscle aches
• Dizziness
Cognitive
Symptoms
• Memory loss
• Distractibility
• Reduced
attention
span
• Decision
making
difficulties
• Calculation
difficulties
• Confusing
trivial with
major issues
Emotional
Symptoms
• Anxiety
• Feeling
overwhelmed
• Grief
• Identification
with victims
• Depression
• Anticipation
of harm to
self or others
• Irritability
Behavioral
Symptoms
• Insomnia
• Substance
abuse
• Gallows
humor
• Gait change
• Ritualistic
behavior
• Hyper
vigilance
Escobar J, Canino G. Somatic symptoms after a natural disaster: a prospective study. American
Journal of Psychiatry. 1992;149(7):965-967.
COMMUNICABLE DISEASES AFTER DISASTERS
21
COMMUNICABLE DISEASES AFTER
DISASTERS - CAUSES
22
1. Preexisting Diseases in the Population
COMMUNICABLE DISEASES AFTER
DISASTERS - CAUSES
23
2. Ecological Changes
COMMUNICABLE DISEASES AFTER
DISASTERS - CAUSES
24
3. Damage to Public Utilities
COMMUNICABLE DISEASES AFTER
DISASTERS - CAUSES
25
4. Population Movements
COMMUNICABLE DISEASES AFTER
DISASTERS - CAUSES
26
5. Interruption in Public Health Services
COMMUNICABLE DISEASES AFTER
DISASTERS - CAUSES
27
6. Altered Individual Resistance to diseases
DISEASES AFTER MAN MADE DISASTERS
28
OTHER PUBLIC HEALTH IMPACTS OF DISASTERS
29
PREVENTION OF COMMUNICABLE DISEASES
30
DISASTER RESPONSE
32
Red
High Priority
Yellow
Medium priority
Black
Dead or moribund
Patients
Green
Ambulatory
Patients
TRIAGE
DISASTER REHABILITATION & RECONSTRUCTION
Steps for restoration of pre disaster conditions
33
DISASTER MITIGATION
Permanent reduction of risk of a disaster, to limit
impact on human suffering and economic assets.
34
DISASTER PREPAREDNESS
 A program of long term development activities to
strengthen the overall capacity and capability of the
country to manage emergencies.
35
1)Evaluate the risk of the country or particular region to
disaster.
68%
DISASTER PREPAREDNESS
2) Adopt standards and regulation
36
DISASTER PREPAREDNESS
3) Organize communication ,information and
warning systems.
37
DISASTER PREPAREDNESS
4) Ensure coordination and response mechanism
38
DISASTER PREPAREDNESS
5) Quick Resource &
Funding availability (Eg:
Central Emergency Response
Fund)
39
DISASTER PREPAREDNESS
6) Develop public education programs
40
DISASTER PREPAREDNESS
7) Coordinate information with news media
41
DISASTER PREPAREDNESS
8) Organize Disaster Simulation exercise/ Disaster
Drills
42
High Powered Committee set up in August 1999.
Until 2001 – Responsibility with Agriculture Ministry.
Transferred to Ministry of Home Affairs in June 2002.
National Disaster Management Authority established 28th
September 2005.
Inclusion of Disaster Management in the Seventh Schedule of
the Constitution.
On 23 December, 2005, Disaster Management Act .
Disaster Management in India
Institutional Framework
Disaster Management Structure
NDMA Apex Body with Prime Minister as Chairperson.
National Executive Committee - Secretaries of 14 Ministries
and Chief of Integrated Defence Staff.
Centre Level
Central Ministries; National Disaster Management Authority,
National Institute of Disaster Management
National Disaster Response Force (NDRF).
State Level
SDMA headed by Chief Minister.
State Executive Committee (SEC).
District Level
DDMA headed by District Collector/ District Magistrate.
Interface between Govt. and Public.
44
Nodal Ministries related with Disasters
Type of Disaster Nodal Ministry
Natural- Flood, Tsunami, Cyclone,
Earthquake
Manmade-Civil unrest
Home Affairs
Drought Agriculture
Biological, Epidemics Health & Family Welfare
Chemical, Forest related Environment & Forest
Nuclear Atomic Energy
Air Accidents Civil Aviation
Railway Accidents Railway
Industrial Accidents Labour
45
Changes in Disaster Management in India
Paradigm
Shift
Response centric to Holistic &
Integrated Approach
Backed
By
Institutional
Framework
Legal Authority
Supported
By
Financial
Mechanisms
Creations of
Separate Funds
NIDM
47
Provides web based training courses. Satellite based
demonstration & Training Programme on Disaster
Management. www.onlinenidm.gov.in
NATIONAL DISASTER RESPONSE FORCE (NDRF)
 Para-military forces of India like Border Security
Force and Central Reserve Police Force
 12 Battalions with 1149 members each
48
NDRF Battalions in India
Suradevi &
Waregaon
49
International Co-operation
UN Office for Coordination of Humanitarian Affairs (UNOCHA)
for all international disaster response.
United Nations Development Programme (UNDP), for mitigation and
prevention aspects
UN Disaster Assessment and Coordination (UNDAC) System.
Streamlining Institutional Arrangements for Disaster Response.
The Asian Disaster Reduction Center in Kobe. Japan
-to enhance disaster resilience of the 30 member countries,
-to build safe communities
50
INTERNATIONAL ORGANISATIONS
WFP : The World Food Programme is the
principle supplier of relief food aid.
FAO :The Food and Agriculture
Organisation of
the UN provides early warning
of impending food crisis, and
assesses global food supply problems.
UNICEF : The United Nations Children’s
Emergency Fund
INTERNATIONAL ORGANISATIONS
IOM : The International Organisation for
Migration is an intergovernmental agency
which helps transfer refugees.
IRP : The International Recovery Platform
serve as a catalyst for the development of
tools, resources, and capacity for disaster
recovery.
NGOS
IFRC : International Federation of Red Cross and
Red Crescent Societies
 Pivotal roles in responding to emergencies
CARE : The Cooperative for Assistance and Relief
Everywhere is a humanitarian organisation fighting
global poverty .
 It also delivers emergency aid to survivors of war
and natural disasters, and helps people rebuild their
lives.
Disaster Reduction Day
NIDM observes "Disaster Reduction Day" on the
Second Wednesday of October.
UN General Assembly in 2009, designated October 13
as International Day for Disaster Reduction.
2016 Theme: “Live to Tell: Raising Awareness,
Reducing Mortality”
2013 WHD Theme: “Living with Disability and
Disasters”
54
CRITICAL REVIEW OF DM IN INDIA
 Preparedness and Mitigation very often ignored.
 Lack of integrated efforts to collect and compile data and
local knowledge on disaster history and traditional
response patterns
 Need for standardized efforts in compiling and
interpreting geo-spatial data, satellite imagery
 Absence of a national, state and district level directory of
experts and inventory of resources.
 Lack of adequate emergency medicine, critical care
medicine, first aid facilities.
55
REFERENCES
1. WHO | Communicable diseases following natural disasters [Internet].
Who.int. 2017 [cited 7 March 2017]. Available from:
http://www.who.int/diseasecontrol_emergencies/publications/who_cds_ntd_dce_2006.4/en/
2. Wallace N. Wallace/Maxcy-Rosenau-Last Public Health & Preventive
medicine. 15th ed. New York: McGraw-Hill Medical; 2008.
3. K Park. Park’s Text book of Preventive and Social Medicine,23rd Edition
2015, Bhanot Publications, Jabalpur,India.
4. DISASTER MANAGEMENT ACT, 2005 - National Disaster Management
Authority [Internet]. Ndma.gov.in. 2017 [cited 7 March 2017]. Available
from: http://www.ndma.gov.in/en/disaster.html
5. National Disaster Management Guidelines, Preparation of State Disaster
Management Plans [Internet]. NDMA; 2007 [cited 7 March 2017].
Available from: http://www.adrc.asia/documents/dm_information/india_plan02.pdf
6. Escobar J, Canino G. Somatic symptoms after a natural disaster: a
prospective study. American Journal of Psychiatry. 1992;149(7):965-967.
56
THANK YOU
57

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Types and Impacts of Disasters

  • 1. 1
  • 2. LEARNING OBJECTIVES 2  To define disaster  To list out the types of disasters  To describe the steps of disaster cycle  To list out the health impacts of disasters
  • 3. CONTENTS  Introduction  Definition  Problem Statement – Global and India  Classification & Types of Disasters  Disaster Management  Medical and Public Health Response  Public Health Impact of Disaster  Disaster Mitigation  Disaster Preparedness  Disaster Management in India  DM in India – Critical Review  References 3
  • 4. 4
  • 9. 9
  • 10. DISASTERS – GLOBAL SCENARIO 10
  • 11. Floods, Mumbai, 26 July 2005 Tsunami 26 Dec 2004 Cyclone 29 Oct 1999 Flood, Assam & Bihar 2004 MAJOR DISASTERS (1980-2005) Earthquake Uttarkashi, 20 Oct 1991 Bhuj, Earthquake, 26 January, 2001 Avalanche Feb 2005 Earthquake, Latur, 30 Sept 1993 Tsunami 26 Dec 2004 Alia Cyclone 2009 Bhopal Gas Tragedy, Dec 1984 Earthquake, Oct, 2005 PHAILIN Cyclone 2013 Flood, Uttarakhand 2013 A f e w d i s a s t e r s i n
  • 12. 12
  • 13. Meteorological Disasters • Floods • Tsunami • Cyclone • Hurricane • Typhoon • Snow storm • Blizzard • Hail storm Topographical Disasters • Earthquake • Volcanic Eruptions • Landslides and Avalanches • Asteroids • Limnic eruptions Environmental Disasters • Global warming • El Niño- Southern Oscillation • Ozone depletion- UVB Radiation • Solar flare 13
  • 14. Technological • Transport failure • Public place failure • Fire Industrial • Chemical spills • Radioactive spills Warfare • War • Terrorism • Internal conflicts • Civil unrest • CBRNE 14
  • 15. HIGH POWER COMMITTEE ON DISASTER MANAGEMENT has identified 31 various disasters categorized into 5 major sub-groups 15
  • 16. 16
  • 17. Integrated Disaster Management Prepared- ness Response Recovery Mitigation Activities prior to a disaster. • Preparedness plans • Emergency exercises • Training, • Warning systems Activities during a disaster. • Public warning systems • Emergency operations • Search & rescue Activities following a disaster. • Temporary housing • Claims processing • Grants • Medical care Activities that reduce effects of disasters • Building codes & zoning • Vulnerability analyses • Public education 17
  • 19. IMPACT/ CONSEQUENCES OF DISASTER 19
  • 20. SYMPTOMS AFTER DISASTER Physiological Symptoms • Fatigue • Shock symptoms • Profuse sweating • Fine motor tremors • Chills • Teeth grinding • Muscle aches • Dizziness Cognitive Symptoms • Memory loss • Distractibility • Reduced attention span • Decision making difficulties • Calculation difficulties • Confusing trivial with major issues Emotional Symptoms • Anxiety • Feeling overwhelmed • Grief • Identification with victims • Depression • Anticipation of harm to self or others • Irritability Behavioral Symptoms • Insomnia • Substance abuse • Gallows humor • Gait change • Ritualistic behavior • Hyper vigilance Escobar J, Canino G. Somatic symptoms after a natural disaster: a prospective study. American Journal of Psychiatry. 1992;149(7):965-967.
  • 22. COMMUNICABLE DISEASES AFTER DISASTERS - CAUSES 22 1. Preexisting Diseases in the Population
  • 23. COMMUNICABLE DISEASES AFTER DISASTERS - CAUSES 23 2. Ecological Changes
  • 24. COMMUNICABLE DISEASES AFTER DISASTERS - CAUSES 24 3. Damage to Public Utilities
  • 25. COMMUNICABLE DISEASES AFTER DISASTERS - CAUSES 25 4. Population Movements
  • 26. COMMUNICABLE DISEASES AFTER DISASTERS - CAUSES 26 5. Interruption in Public Health Services
  • 27. COMMUNICABLE DISEASES AFTER DISASTERS - CAUSES 27 6. Altered Individual Resistance to diseases
  • 28. DISEASES AFTER MAN MADE DISASTERS 28
  • 29. OTHER PUBLIC HEALTH IMPACTS OF DISASTERS 29
  • 32. 32 Red High Priority Yellow Medium priority Black Dead or moribund Patients Green Ambulatory Patients TRIAGE
  • 33. DISASTER REHABILITATION & RECONSTRUCTION Steps for restoration of pre disaster conditions 33
  • 34. DISASTER MITIGATION Permanent reduction of risk of a disaster, to limit impact on human suffering and economic assets. 34
  • 35. DISASTER PREPAREDNESS  A program of long term development activities to strengthen the overall capacity and capability of the country to manage emergencies. 35 1)Evaluate the risk of the country or particular region to disaster. 68%
  • 36. DISASTER PREPAREDNESS 2) Adopt standards and regulation 36
  • 37. DISASTER PREPAREDNESS 3) Organize communication ,information and warning systems. 37
  • 38. DISASTER PREPAREDNESS 4) Ensure coordination and response mechanism 38
  • 39. DISASTER PREPAREDNESS 5) Quick Resource & Funding availability (Eg: Central Emergency Response Fund) 39
  • 40. DISASTER PREPAREDNESS 6) Develop public education programs 40
  • 41. DISASTER PREPAREDNESS 7) Coordinate information with news media 41
  • 42. DISASTER PREPAREDNESS 8) Organize Disaster Simulation exercise/ Disaster Drills 42
  • 43. High Powered Committee set up in August 1999. Until 2001 – Responsibility with Agriculture Ministry. Transferred to Ministry of Home Affairs in June 2002. National Disaster Management Authority established 28th September 2005. Inclusion of Disaster Management in the Seventh Schedule of the Constitution. On 23 December, 2005, Disaster Management Act . Disaster Management in India
  • 44. Institutional Framework Disaster Management Structure NDMA Apex Body with Prime Minister as Chairperson. National Executive Committee - Secretaries of 14 Ministries and Chief of Integrated Defence Staff. Centre Level Central Ministries; National Disaster Management Authority, National Institute of Disaster Management National Disaster Response Force (NDRF). State Level SDMA headed by Chief Minister. State Executive Committee (SEC). District Level DDMA headed by District Collector/ District Magistrate. Interface between Govt. and Public. 44
  • 45. Nodal Ministries related with Disasters Type of Disaster Nodal Ministry Natural- Flood, Tsunami, Cyclone, Earthquake Manmade-Civil unrest Home Affairs Drought Agriculture Biological, Epidemics Health & Family Welfare Chemical, Forest related Environment & Forest Nuclear Atomic Energy Air Accidents Civil Aviation Railway Accidents Railway Industrial Accidents Labour 45
  • 46. Changes in Disaster Management in India Paradigm Shift Response centric to Holistic & Integrated Approach Backed By Institutional Framework Legal Authority Supported By Financial Mechanisms Creations of Separate Funds
  • 47. NIDM 47 Provides web based training courses. Satellite based demonstration & Training Programme on Disaster Management. www.onlinenidm.gov.in
  • 48. NATIONAL DISASTER RESPONSE FORCE (NDRF)  Para-military forces of India like Border Security Force and Central Reserve Police Force  12 Battalions with 1149 members each 48
  • 49. NDRF Battalions in India Suradevi & Waregaon 49
  • 50. International Co-operation UN Office for Coordination of Humanitarian Affairs (UNOCHA) for all international disaster response. United Nations Development Programme (UNDP), for mitigation and prevention aspects UN Disaster Assessment and Coordination (UNDAC) System. Streamlining Institutional Arrangements for Disaster Response. The Asian Disaster Reduction Center in Kobe. Japan -to enhance disaster resilience of the 30 member countries, -to build safe communities 50
  • 51. INTERNATIONAL ORGANISATIONS WFP : The World Food Programme is the principle supplier of relief food aid. FAO :The Food and Agriculture Organisation of the UN provides early warning of impending food crisis, and assesses global food supply problems. UNICEF : The United Nations Children’s Emergency Fund
  • 52. INTERNATIONAL ORGANISATIONS IOM : The International Organisation for Migration is an intergovernmental agency which helps transfer refugees. IRP : The International Recovery Platform serve as a catalyst for the development of tools, resources, and capacity for disaster recovery.
  • 53. NGOS IFRC : International Federation of Red Cross and Red Crescent Societies  Pivotal roles in responding to emergencies CARE : The Cooperative for Assistance and Relief Everywhere is a humanitarian organisation fighting global poverty .  It also delivers emergency aid to survivors of war and natural disasters, and helps people rebuild their lives.
  • 54. Disaster Reduction Day NIDM observes "Disaster Reduction Day" on the Second Wednesday of October. UN General Assembly in 2009, designated October 13 as International Day for Disaster Reduction. 2016 Theme: “Live to Tell: Raising Awareness, Reducing Mortality” 2013 WHD Theme: “Living with Disability and Disasters” 54
  • 55. CRITICAL REVIEW OF DM IN INDIA  Preparedness and Mitigation very often ignored.  Lack of integrated efforts to collect and compile data and local knowledge on disaster history and traditional response patterns  Need for standardized efforts in compiling and interpreting geo-spatial data, satellite imagery  Absence of a national, state and district level directory of experts and inventory of resources.  Lack of adequate emergency medicine, critical care medicine, first aid facilities. 55
  • 56. REFERENCES 1. WHO | Communicable diseases following natural disasters [Internet]. Who.int. 2017 [cited 7 March 2017]. Available from: http://www.who.int/diseasecontrol_emergencies/publications/who_cds_ntd_dce_2006.4/en/ 2. Wallace N. Wallace/Maxcy-Rosenau-Last Public Health & Preventive medicine. 15th ed. New York: McGraw-Hill Medical; 2008. 3. K Park. Park’s Text book of Preventive and Social Medicine,23rd Edition 2015, Bhanot Publications, Jabalpur,India. 4. DISASTER MANAGEMENT ACT, 2005 - National Disaster Management Authority [Internet]. Ndma.gov.in. 2017 [cited 7 March 2017]. Available from: http://www.ndma.gov.in/en/disaster.html 5. National Disaster Management Guidelines, Preparation of State Disaster Management Plans [Internet]. NDMA; 2007 [cited 7 March 2017]. Available from: http://www.adrc.asia/documents/dm_information/india_plan02.pdf 6. Escobar J, Canino G. Somatic symptoms after a natural disaster: a prospective study. American Journal of Psychiatry. 1992;149(7):965-967. 56