What is resilience when it comes to talking about communities and disasters? I discuss the emergence and importance of social vulnerability as it relates to public health preparedness, too.
Community Resilience for the Environmental Health officerDavid Eisenman
Why is community resilience important to environmental health officers in public health? What are some challenges to incorporating this approach in EH?
This document discusses the types and impacts of natural and man-made disasters, who they affect, and the roles of first responders. Disasters can be sudden, intense events that disrupt infrastructure and diminish resources for individuals, families, communities and larger regions. They pose both short and long-term health risks, especially for vulnerable groups like children and under-resourced communities. First responders come from various government and non-government organizations who work to prepare for, respond to, and aid in long-term recovery from disasters through services, assessment, referral and rebuilding coordination over time.
This document discusses building community resilience through partnerships. It outlines FEMA's Whole Community concept which aims to engage citizens in emergency planning and preparedness to increase resilience. The concept recognizes that communities have unique needs, capabilities and social networks. By understanding these factors and collaborating with existing community groups and organizations, emergency managers can better support communities to prepare for disasters and recover more quickly. However, barriers like limited funding make it challenging to implement meaningful community engagement as envisioned by the Whole Community approach.
Health and Disaster Risk- A contribution by the United Nations to the consultation leading to the third UN World Conference on Disaster Risk Reduction.
Community health nurse in disaster managementNursing Path
This document discusses the role of community health nurses in disaster management. It describes how there are two main types of disasters: natural disasters and man-made disasters. The objectives of disaster nursing are to reduce the impact on human life and health, participate in coordinated relief efforts, and initiate rehabilitation. Community health nurses play an important role in disaster preparedness, response, and recovery. Their duties include educating the community, assessing vulnerabilities, implementing disaster plans, and addressing both physical and mental health needs after a disaster occurs.
Disaster management involves preparing for, responding to, and recovering from disasters. A disaster is defined as any event that causes damage, loss of life, or deterioration of health beyond the capacity of local communities. Disaster nursing focuses on meeting physical and emotional needs resulting from disasters. Disasters can be natural or man-made, and affect communities in different ways depending on factors like speed of onset and duration. The phases of disaster management include preparedness, response, rehabilitation, and mitigation. Nurses play an important role in all phases through activities like community assessment, triage, disease surveillance, and psychological support.
The document summarizes key discussions from a roundtable meeting held by the Preparedness Leadership Council on biothreats. The meeting was timely given the recent Ebola case in Texas. Three main topics were discussed: experiences with Ebola, training/exercises, and risk communication. Key themes that emerged were that Ebola challenged assumptions, the need for more creative use of resources given funding declines, and getting back to basics in preparedness. The summary identifies gaps in federal leadership, funding, training/exercises, and communication. Recommendations are made to address these gaps through policy changes.
The document defines disasters and outlines the roles of nurses in disaster management. It discusses:
1) Definitions of disasters from WHO and the American Red Cross as unanticipated events that cause human suffering beyond local capabilities.
2) Disaster nursing is adapting nursing skills to meet physical, emotional and nursing needs after disasters.
3) The phases of disaster management include preparedness, impact, response, rehabilitation and mitigation to reduce future impacts.
4) Nurses play important roles in all phases through community assessment, triage, ongoing surveillance, health teaching and psychological support.
Community Resilience for the Environmental Health officerDavid Eisenman
Why is community resilience important to environmental health officers in public health? What are some challenges to incorporating this approach in EH?
This document discusses the types and impacts of natural and man-made disasters, who they affect, and the roles of first responders. Disasters can be sudden, intense events that disrupt infrastructure and diminish resources for individuals, families, communities and larger regions. They pose both short and long-term health risks, especially for vulnerable groups like children and under-resourced communities. First responders come from various government and non-government organizations who work to prepare for, respond to, and aid in long-term recovery from disasters through services, assessment, referral and rebuilding coordination over time.
This document discusses building community resilience through partnerships. It outlines FEMA's Whole Community concept which aims to engage citizens in emergency planning and preparedness to increase resilience. The concept recognizes that communities have unique needs, capabilities and social networks. By understanding these factors and collaborating with existing community groups and organizations, emergency managers can better support communities to prepare for disasters and recover more quickly. However, barriers like limited funding make it challenging to implement meaningful community engagement as envisioned by the Whole Community approach.
Health and Disaster Risk- A contribution by the United Nations to the consultation leading to the third UN World Conference on Disaster Risk Reduction.
Community health nurse in disaster managementNursing Path
This document discusses the role of community health nurses in disaster management. It describes how there are two main types of disasters: natural disasters and man-made disasters. The objectives of disaster nursing are to reduce the impact on human life and health, participate in coordinated relief efforts, and initiate rehabilitation. Community health nurses play an important role in disaster preparedness, response, and recovery. Their duties include educating the community, assessing vulnerabilities, implementing disaster plans, and addressing both physical and mental health needs after a disaster occurs.
Disaster management involves preparing for, responding to, and recovering from disasters. A disaster is defined as any event that causes damage, loss of life, or deterioration of health beyond the capacity of local communities. Disaster nursing focuses on meeting physical and emotional needs resulting from disasters. Disasters can be natural or man-made, and affect communities in different ways depending on factors like speed of onset and duration. The phases of disaster management include preparedness, response, rehabilitation, and mitigation. Nurses play an important role in all phases through activities like community assessment, triage, disease surveillance, and psychological support.
The document summarizes key discussions from a roundtable meeting held by the Preparedness Leadership Council on biothreats. The meeting was timely given the recent Ebola case in Texas. Three main topics were discussed: experiences with Ebola, training/exercises, and risk communication. Key themes that emerged were that Ebola challenged assumptions, the need for more creative use of resources given funding declines, and getting back to basics in preparedness. The summary identifies gaps in federal leadership, funding, training/exercises, and communication. Recommendations are made to address these gaps through policy changes.
The document defines disasters and outlines the roles of nurses in disaster management. It discusses:
1) Definitions of disasters from WHO and the American Red Cross as unanticipated events that cause human suffering beyond local capabilities.
2) Disaster nursing is adapting nursing skills to meet physical, emotional and nursing needs after disasters.
3) The phases of disaster management include preparedness, impact, response, rehabilitation and mitigation to reduce future impacts.
4) Nurses play important roles in all phases through community assessment, triage, ongoing surveillance, health teaching and psychological support.
An experience based report on occupational therapy roles in disaster risk man...Yeasir Arafat Alve
Occupational therapists played several key roles in a disaster risk management project in Bangladesh. They conducted home-based disability surveys and needs assessments to identify vulnerable people with disabilities. Therapists provided home-based therapy, family training on disaster preparedness, and fit adaptive equipment. They also advocated for accessible disaster shelters and strengthened disabled people's organizations to promote self-advocacy. The overall goals were to ensure people with disabilities could evacuate safely and engage in their communities before, during, and after disasters.
The document discusses bridging the gap between emergency preparedness and response for all communities. It notes that preparedness efforts have not accounted for varying financial resources and that minorities and those with lower incomes are more vulnerable during disasters. It argues that environmental education and preparedness programs need to consider the distinct demographic characteristics of communities to be effective and ensure social and environmental justice. The document concludes by stressing the importance of understanding coupled human-environment systems and social determinants of health to promote resilience for all.
This document provides an overview of disaster management. It defines disasters and discusses types of natural and man-made disasters. It describes the phases of disaster management including preparedness, impact, response, rehabilitation and mitigation. Key principles of disaster management are outlined. India's vulnerability to various disasters is highlighted and major past disasters in India are listed. The roles of various agencies involved in disaster management are also summarized.
The document discusses the concept of vulnerability analysis. It begins by outlining the components of risk such as magnitude, frequency, and duration of hazards. It then examines how vulnerability is socially constructed and influenced by economic, political, and cultural factors. Trends show disasters are increasing in number and cost. The document explores how vulnerability has changed from the 1950s to now due to factors like population growth, urbanization, and inequality. It provides definitions of vulnerability and discusses approaches to reducing vulnerability through community-focused, bottom-up methods. The conclusion suggests disaster risk reduction programs aim to be sustainable and integrated across all phases of the disaster cycle.
Evidence Based Public Health Practices Challenges For Health Nedds Assessment...Jorge Pacheco
This document discusses challenges with conducting health needs assessments after disasters. It notes that while quick response is important, obtaining valid data through evidence-based assessments is also crucial. However, situational challenges like access issues, political pressures, and methodology limitations can hamper comprehensive assessments. As a result, assessments may focus only on acute needs and logistic-friendly areas, missing chronic and vulnerable populations. This can lead to relief interventions not fully addressing the real health problems. Thorough planning and experienced assessors are needed to minimize mistakes and ensure appropriate relief.
The disaster nursing is very important topic for staff nurse those who are posted in disaster area. the nursing staff is play important role in disaster management. these presentation is healp full for nursing role, taging, and how to management at the time of disaster.
Perceptions of Risk for Volcanic Hazards at Vesuvio and Etna, ItalyLara Mitchell
This document summarizes research on perceptions of risk from volcanic hazards at Mount Vesuvius and Mount Etna in Italy. It finds that residents near Mount Etna have an objective understanding of the risks, while those near Vesuvius demonstrate high fear but low perceptions of ability to protect themselves from an eruption. Residents near Vesuvius also showed low awareness of evacuation plans and confidence in their success. The document reviews factors that influence risk perception, such as experience with hazards, self-efficacy, sense of community, and trust in government responses.
Disasters have negatively impacted human health and development since ancient times. This document discusses disaster nursing and management. It defines disasters, their classification, and their health effects. The goals of disaster nursing are to achieve the best health outcomes and meet survivors' basic needs. Disaster management involves preparing for, responding to, and recovering from emergencies through coordinated response efforts. Triage is critical to efficiently allocate limited healthcare resources to those with the most urgent needs during mass casualty events.
Needs for Disaster Risks Reduction Education in Nigeriaiosrjce
This paper reviews disaster risk reduction and the need to involve disaster education in educational institutions
curriculum for sustainable quality education. Disaster encompass serious disruption of the functioning of society causing
wide spread human, material, economic, or environmental losses which exceeds the ability of the affected community to
cope, using its own resources. Rising concern on disaster risks in all countries is evidenced in the number of major disasters
and the amount of losses sustained there-from have been on the increase. Framework of Action (HFA) stresses the “use of
knowledge, innovation and education to build a culture of safety and resilience.” This paper advocates turning human
knowledge into local action to reduce disaster risks. The basic principles should outline the general objectives and scope of
disaster risks reduction at schools and educational materials to teach all stages of disaster risks reduction through quality
education.
This document provides an overview of a lecture on disaster nursing. It begins with introducing the speakers and objectives of the lecture. The bulk of the document then defines disasters and different types. It discusses the health impacts of various natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes. The document also covers disaster phases, the role of nursing in disasters, and argues that disaster nursing training needs to be incorporated into nursing education programs globally. It promotes using an online "Supercourse" to disseminate disaster nursing education materials worldwide.
Vulnerability is the degree to which a population, individual or organization is unable to anticipate, cope with, resist and recover from the impacts of disasters.
Environmental health in emergencies and disasters: a practical guide. (WHO, 2002)
Children, pregnant women, elderly people, malnourished people, and people who are ill or immune compromised, are particularly vulnerable when a disaster strikes, and take a relatively high share of the disease burden associated with emergencies. Poverty – and its common consequences such as malnutrition, homelessness, poor housing and destitution – is a major contributor to vulnerability.
Help to this group must be planned
The document provides information about the GRF One Health Summit 2012 conference being held in Davos, Switzerland from February 19-22, 2012. The summit will address integrating human, animal, and environmental health and their connections to food safety, agriculture, and more. Topics will include emerging diseases, climate change, and sustainable development. The goal is to foster collaboration across scientific and industry sectors to holistically manage health risks. The program will include keynote speeches, panel discussions, workshops and working groups to discuss challenges and solutions. Participants from fields like public health, food production, and more from around the world are invited to network and work on an action plan.
The document discusses the use of information and communication technologies (ICT) in managing health-related problems from pre-disaster to post-disaster. It outlines how ICT can help with risk assessment, response planning, monitoring disease patterns, and involving communities in preparedness. The focus is on how ICT can effectively coordinate response efforts and improve public health outcomes after disasters and emergencies.
This document discusses disaster nursing and disaster management. It begins by defining disasters and describing common types of natural and human-induced disasters that occur in India. It then outlines the phases of a disaster - pre-impact, impact, and post-impact - and discusses disaster nursing principles, roles and responsibilities of nurses during disasters. The document also covers disaster triage, factors affecting disasters, health effects of disasters, and the nurse's major roles in disaster management including assessing needs, prioritizing responses, and coordinating aid efforts.
This document discusses community empowerment and sustainability in disaster management. It argues that empowering local communities by training them in disaster risk reduction tools allows communities to better deal with future risks. The most effective approach involves partnership, participation, empowerment and ownership by community members. Unless disaster management efforts are sustainable at the individual and community levels and involve communities in planning and implementation, it will be difficult to reduce losses from disasters. The document reviews literature on community empowerment programs and argues that while successful initially, many lack sustainability over time due to insufficient community participation and capacity building. True sustainability requires resilient communities that can organize responses and recover efficiently from disasters.
Child and Family Impacts of the Coronavirus Syndemic: Developmental, Family, ...Université de Montréal
My presentation is part of the WASP-WPA Interorganizational Symposium for the WPA 21st Virtual World Congress of Psychiatry, Catragena, Colombia, October 16-21, 2021
Session Description
At this time, the death toll from COVID-19 is approaching 3 million people worldwide. The full toll of COVID-19 far exceeds
even this sobering number. Beyond the direct biological impacts of an infectious disease, the global impact of COVID-19 is
revealing and magnifying pre-existing fractures in our social structures. COVID-19 has led to significant differential impacts
among groups across age, health and socio-cultural variables, whether through increased direct illness morbidity and
mortality in the elderly or those with mental illness, or through indirect impacts associated with widespread societal and
health system changes, including youth impacted by confinement and social isolation impinging on development of prosocial
skills, increased caregiver and family stresses ranging from financial distress to violence, and further disenfranchisement of
already marginalized and vulnerable groups. At the same time, heightened public awareness and outcry about such
disparities has the potential to fuel new alliances, challenging and perhaps dismantling some historical stereotypes of race,
ethnicity, gender, sexual orientation, age, disability and illness. Rather than a pandemic, the global impacts reveal a
syndemic – multiple pandemics along different lines, both the viral/biological pandemic, plus a social pandemic superimposed
on pre-existing fault lines of inequity, poverty, mental illness, racism, sexism, ableism, ageism and other forms of stigma and
discrimination. This session will include discussion of the varied impacts of COVID-19 and exploration of their root causes
from a social psychiatry perspective.
This document provides an overview of disaster management and safety awareness. It defines disaster management as dealing with both natural and man-made disasters through preparedness, response, recovery, and mitigation. The document outlines the phases of disaster management and lists various hazards to safety like biological, chemical, fire, and radiation risks. It emphasizes the importance of reporting accidents and having policies to manage safety and control risks through tools like risk assessments.
Community Based Disaster Risk Management (CBDRM) Nazir Ahmed
This document discusses community-based disaster risk management through local community groups. It defines key concepts, outlines the purpose and categories of community groups, and describes the typical group cycle. It emphasizes the importance of community initiatives in disaster risk reduction and management. Successful community-based disaster management involves central roles for the community in assessing risks and developing locally appropriate solutions. Local community groups, social workers, and capacity building can strengthen community preparedness and response to disasters.
This document discusses evaluating the social and economic impact of accessible technologies in public libraries. It outlines key questions around current approaches to evaluating public library impact and how they are applied. It also discusses potential outcomes such as examples of evaluations that have demonstrated social and economic value of e-inclusion in public libraries and future trends in evaluating public services. The document then discusses different approaches to measuring return-on-investment for public libraries through evaluating costs, outputs, and outcomes.
This presentation to a Strategy Institute emergency planning conference for universities, colleges & K-12 schools highlights the importance and value of using standards such as CSA Z1600 for evaluating and developing university, college and school emergency management plans and programs.
An experience based report on occupational therapy roles in disaster risk man...Yeasir Arafat Alve
Occupational therapists played several key roles in a disaster risk management project in Bangladesh. They conducted home-based disability surveys and needs assessments to identify vulnerable people with disabilities. Therapists provided home-based therapy, family training on disaster preparedness, and fit adaptive equipment. They also advocated for accessible disaster shelters and strengthened disabled people's organizations to promote self-advocacy. The overall goals were to ensure people with disabilities could evacuate safely and engage in their communities before, during, and after disasters.
The document discusses bridging the gap between emergency preparedness and response for all communities. It notes that preparedness efforts have not accounted for varying financial resources and that minorities and those with lower incomes are more vulnerable during disasters. It argues that environmental education and preparedness programs need to consider the distinct demographic characteristics of communities to be effective and ensure social and environmental justice. The document concludes by stressing the importance of understanding coupled human-environment systems and social determinants of health to promote resilience for all.
This document provides an overview of disaster management. It defines disasters and discusses types of natural and man-made disasters. It describes the phases of disaster management including preparedness, impact, response, rehabilitation and mitigation. Key principles of disaster management are outlined. India's vulnerability to various disasters is highlighted and major past disasters in India are listed. The roles of various agencies involved in disaster management are also summarized.
The document discusses the concept of vulnerability analysis. It begins by outlining the components of risk such as magnitude, frequency, and duration of hazards. It then examines how vulnerability is socially constructed and influenced by economic, political, and cultural factors. Trends show disasters are increasing in number and cost. The document explores how vulnerability has changed from the 1950s to now due to factors like population growth, urbanization, and inequality. It provides definitions of vulnerability and discusses approaches to reducing vulnerability through community-focused, bottom-up methods. The conclusion suggests disaster risk reduction programs aim to be sustainable and integrated across all phases of the disaster cycle.
Evidence Based Public Health Practices Challenges For Health Nedds Assessment...Jorge Pacheco
This document discusses challenges with conducting health needs assessments after disasters. It notes that while quick response is important, obtaining valid data through evidence-based assessments is also crucial. However, situational challenges like access issues, political pressures, and methodology limitations can hamper comprehensive assessments. As a result, assessments may focus only on acute needs and logistic-friendly areas, missing chronic and vulnerable populations. This can lead to relief interventions not fully addressing the real health problems. Thorough planning and experienced assessors are needed to minimize mistakes and ensure appropriate relief.
The disaster nursing is very important topic for staff nurse those who are posted in disaster area. the nursing staff is play important role in disaster management. these presentation is healp full for nursing role, taging, and how to management at the time of disaster.
Perceptions of Risk for Volcanic Hazards at Vesuvio and Etna, ItalyLara Mitchell
This document summarizes research on perceptions of risk from volcanic hazards at Mount Vesuvius and Mount Etna in Italy. It finds that residents near Mount Etna have an objective understanding of the risks, while those near Vesuvius demonstrate high fear but low perceptions of ability to protect themselves from an eruption. Residents near Vesuvius also showed low awareness of evacuation plans and confidence in their success. The document reviews factors that influence risk perception, such as experience with hazards, self-efficacy, sense of community, and trust in government responses.
Disasters have negatively impacted human health and development since ancient times. This document discusses disaster nursing and management. It defines disasters, their classification, and their health effects. The goals of disaster nursing are to achieve the best health outcomes and meet survivors' basic needs. Disaster management involves preparing for, responding to, and recovering from emergencies through coordinated response efforts. Triage is critical to efficiently allocate limited healthcare resources to those with the most urgent needs during mass casualty events.
Needs for Disaster Risks Reduction Education in Nigeriaiosrjce
This paper reviews disaster risk reduction and the need to involve disaster education in educational institutions
curriculum for sustainable quality education. Disaster encompass serious disruption of the functioning of society causing
wide spread human, material, economic, or environmental losses which exceeds the ability of the affected community to
cope, using its own resources. Rising concern on disaster risks in all countries is evidenced in the number of major disasters
and the amount of losses sustained there-from have been on the increase. Framework of Action (HFA) stresses the “use of
knowledge, innovation and education to build a culture of safety and resilience.” This paper advocates turning human
knowledge into local action to reduce disaster risks. The basic principles should outline the general objectives and scope of
disaster risks reduction at schools and educational materials to teach all stages of disaster risks reduction through quality
education.
This document provides an overview of a lecture on disaster nursing. It begins with introducing the speakers and objectives of the lecture. The bulk of the document then defines disasters and different types. It discusses the health impacts of various natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes. The document also covers disaster phases, the role of nursing in disasters, and argues that disaster nursing training needs to be incorporated into nursing education programs globally. It promotes using an online "Supercourse" to disseminate disaster nursing education materials worldwide.
Vulnerability is the degree to which a population, individual or organization is unable to anticipate, cope with, resist and recover from the impacts of disasters.
Environmental health in emergencies and disasters: a practical guide. (WHO, 2002)
Children, pregnant women, elderly people, malnourished people, and people who are ill or immune compromised, are particularly vulnerable when a disaster strikes, and take a relatively high share of the disease burden associated with emergencies. Poverty – and its common consequences such as malnutrition, homelessness, poor housing and destitution – is a major contributor to vulnerability.
Help to this group must be planned
The document provides information about the GRF One Health Summit 2012 conference being held in Davos, Switzerland from February 19-22, 2012. The summit will address integrating human, animal, and environmental health and their connections to food safety, agriculture, and more. Topics will include emerging diseases, climate change, and sustainable development. The goal is to foster collaboration across scientific and industry sectors to holistically manage health risks. The program will include keynote speeches, panel discussions, workshops and working groups to discuss challenges and solutions. Participants from fields like public health, food production, and more from around the world are invited to network and work on an action plan.
The document discusses the use of information and communication technologies (ICT) in managing health-related problems from pre-disaster to post-disaster. It outlines how ICT can help with risk assessment, response planning, monitoring disease patterns, and involving communities in preparedness. The focus is on how ICT can effectively coordinate response efforts and improve public health outcomes after disasters and emergencies.
This document discusses disaster nursing and disaster management. It begins by defining disasters and describing common types of natural and human-induced disasters that occur in India. It then outlines the phases of a disaster - pre-impact, impact, and post-impact - and discusses disaster nursing principles, roles and responsibilities of nurses during disasters. The document also covers disaster triage, factors affecting disasters, health effects of disasters, and the nurse's major roles in disaster management including assessing needs, prioritizing responses, and coordinating aid efforts.
This document discusses community empowerment and sustainability in disaster management. It argues that empowering local communities by training them in disaster risk reduction tools allows communities to better deal with future risks. The most effective approach involves partnership, participation, empowerment and ownership by community members. Unless disaster management efforts are sustainable at the individual and community levels and involve communities in planning and implementation, it will be difficult to reduce losses from disasters. The document reviews literature on community empowerment programs and argues that while successful initially, many lack sustainability over time due to insufficient community participation and capacity building. True sustainability requires resilient communities that can organize responses and recover efficiently from disasters.
Child and Family Impacts of the Coronavirus Syndemic: Developmental, Family, ...Université de Montréal
My presentation is part of the WASP-WPA Interorganizational Symposium for the WPA 21st Virtual World Congress of Psychiatry, Catragena, Colombia, October 16-21, 2021
Session Description
At this time, the death toll from COVID-19 is approaching 3 million people worldwide. The full toll of COVID-19 far exceeds
even this sobering number. Beyond the direct biological impacts of an infectious disease, the global impact of COVID-19 is
revealing and magnifying pre-existing fractures in our social structures. COVID-19 has led to significant differential impacts
among groups across age, health and socio-cultural variables, whether through increased direct illness morbidity and
mortality in the elderly or those with mental illness, or through indirect impacts associated with widespread societal and
health system changes, including youth impacted by confinement and social isolation impinging on development of prosocial
skills, increased caregiver and family stresses ranging from financial distress to violence, and further disenfranchisement of
already marginalized and vulnerable groups. At the same time, heightened public awareness and outcry about such
disparities has the potential to fuel new alliances, challenging and perhaps dismantling some historical stereotypes of race,
ethnicity, gender, sexual orientation, age, disability and illness. Rather than a pandemic, the global impacts reveal a
syndemic – multiple pandemics along different lines, both the viral/biological pandemic, plus a social pandemic superimposed
on pre-existing fault lines of inequity, poverty, mental illness, racism, sexism, ableism, ageism and other forms of stigma and
discrimination. This session will include discussion of the varied impacts of COVID-19 and exploration of their root causes
from a social psychiatry perspective.
This document provides an overview of disaster management and safety awareness. It defines disaster management as dealing with both natural and man-made disasters through preparedness, response, recovery, and mitigation. The document outlines the phases of disaster management and lists various hazards to safety like biological, chemical, fire, and radiation risks. It emphasizes the importance of reporting accidents and having policies to manage safety and control risks through tools like risk assessments.
Community Based Disaster Risk Management (CBDRM) Nazir Ahmed
This document discusses community-based disaster risk management through local community groups. It defines key concepts, outlines the purpose and categories of community groups, and describes the typical group cycle. It emphasizes the importance of community initiatives in disaster risk reduction and management. Successful community-based disaster management involves central roles for the community in assessing risks and developing locally appropriate solutions. Local community groups, social workers, and capacity building can strengthen community preparedness and response to disasters.
This document discusses evaluating the social and economic impact of accessible technologies in public libraries. It outlines key questions around current approaches to evaluating public library impact and how they are applied. It also discusses potential outcomes such as examples of evaluations that have demonstrated social and economic value of e-inclusion in public libraries and future trends in evaluating public services. The document then discusses different approaches to measuring return-on-investment for public libraries through evaluating costs, outputs, and outcomes.
This presentation to a Strategy Institute emergency planning conference for universities, colleges & K-12 schools highlights the importance and value of using standards such as CSA Z1600 for evaluating and developing university, college and school emergency management plans and programs.
This document discusses the evolution of resilience in the UK from 2004 to 2014. It outlines key frameworks for resilience, including the Civil Contingencies Act of 2004, the five Rs model of 2011, and the 2014 British Standard for organizational resilience. It also describes the government's approach to resilience, which includes identifying and assessing risks, building resilience capabilities, and evaluating performance through exercises and real-life events. Communities and infrastructure owners play a role alongside government in increasing resilience. Examples provided include the Communities Prepared Hub and winter preparedness information. The understanding of resilience has expanded to include community and infrastructure resilience based on recommendations from reports on disasters like the 2007 floods.
This document outlines the process of community-based disaster risk management (CBDRM). CBDRM aims to actively engage at-risk communities in identifying, analyzing, treating, monitoring, and evaluating disaster risks to reduce vulnerabilities and enhance capacities. The key steps in the CBDRM process include selecting communities, building rapport, participatory risk assessment and planning, establishing community disaster management organizations, community-led implementation, and participatory monitoring and evaluation. The overall goals are to reduce disaster risks and strengthen communities' ability to cope with hazards.
Design of Emergency Response Management Information Systemsglobal
DERMIS is a proposed dynamic emergency response management information system that aims to address challenges in coordinating emergency response efforts. It would utilize a transaction system integrated with a structured group communication system. Users could create and modify event templates and roles at any time to evolve the system based on needs. DERMIS could be used for all phases of emergency response as well as for training, evaluation, and recovery efforts across a variety of emergency types and organizations. The goal is a flexible system that encourages collaboration and adapts to changing situations.
The document discusses community-based disaster management. It defines disaster management as organizing resources and responsibilities for dealing with humanitarian aspects of emergencies. It emphasizes empowering local communities to analyze their risks and capacities. The community-based approach promotes bottom-up participation in planning and implementation alongside top-down support. Case studies from countries like Afghanistan and India demonstrate training community members in emergency response and earthquake-safe construction.
How communities can support and collaborate with public agencies in Disaster response. Provides an insight into our thinking about public private partnership and DR concepts
20090115
Disaster Preparedness presentation for professional care givers. Focus on Seattle area hazards: earthquakes, residental fires and severe storms, and ways to reduce risks related to them.
The document summarizes an approach called ICBRR that aims to build disaster resilient communities in Indonesia. It outlines the key features and achievements of the ICBRR program, which includes forming community teams, conducting risk assessments, developing risk reduction plans, and increasing preparedness. It also describes a process for measuring community resilience through indicators related to risk management, knowledge and education, disaster preparedness, and outcomes. The overall score of communities under the ICBRR program was 62% based on this approach to measuring resilience.
The document discusses the traditional top-down approach to disaster response versus a community-based disaster risk management (CBDRM) approach. The traditional approach treats communities as helpless victims, focuses on physical aid over organizational strengthening, and has outsiders dictate needs. The CBDRM approach emphasizes community participation, builds local capacities, involves communities in assessment and decision-making, and aims to reduce long-term vulnerabilities through preparedness.
These PowerPoint presentations are intended for use by crime prevention practitioners who bring their experience and expertise to each topic. The presentations are not intended for public use or by individuals with no training or expertise in crime prevention. Each presentation is intended to educate, increase awareness, and teach prevention strategies. Presenters must discern whether their audiences require a more basic or advanced level of information.
NCPC welcomes your input and would like your assistance in tracking the use of these topical presentations. Please email NCPC at trainings@ncpc.org with information about when and how the presentations were used. If you like, we will also place you in a database to receive updates of the PowerPoint presentations and additional training information. We encourage you to visit www.ncpc.org to find additional information on these topics. We also invite you to send in your own trainer notes, handouts, pictures, and anecdotes to share with others on www.ncpc.org.
Social Cost Benefit Analysis - SCBA - Seminar by Mohan Kumar GMohan Kumar G
This document provides an overview of social cost-benefit analysis (SCBA). It defines SCBA as a tool to evaluate projects based on their current and future social and economic impacts. The document outlines the key components of an SCBA, including identifying social costs and benefits, using shadow pricing to value hard-to-measure impacts, ranking projects, and distinguishing SCBA from traditional cost-benefit analysis. It also summarizes two common approaches to conducting SCBAs - the UNIDO and Little-Mirrlees approaches. The overall purpose of the document is to explain the objectives, methodology and importance of social cost-benefit analysis for project evaluation.
There are three main stages of disaster: preparedness, response, and recovery. Preparedness involves planning and preparation activities before a disaster. Response refers to evacuation, shelter, and care for victims during and immediately after a disaster. Recovery is the longest stage and includes reconstructing infrastructure and providing long-term support that may take weeks, months, or years.
This document provides an overview of disaster risk reduction and climate change adaptation concepts. It defines key terms like hazards, disasters, risk, vulnerability, capacity and exposure. It explains the disaster risk reduction framework including prevention and mitigation, preparedness, response, and rehabilitation and recovery. Examples of structural and non-structural mitigation measures are provided. The roles and responsibilities during preparedness, response, and rehabilitation are also summarized. Overall, the document aims to help readers understand concepts related to disaster risk management based on Philippine law and frameworks.
This document discusses social cost benefit analysis (SCBA) and the UNIDO approach to SCBA. It is divided into several sections that cover: the rationale for SCBA including market imperfections, externalities, and taxes/subsidies; the UNIDO approach and its 5 stages; calculating net benefits using shadow pricing and choosing a numeraire; the concept of tradable goods; sources of shadow prices; and treatment of taxes in the analysis. The overall document provides an overview of how to conduct SCBA according to the UNIDO methodology.
Social cost-benefit analysis (SCBA) evaluates the social impact and merits of projects and policies by calculating their total costs and benefits. SCBA assesses factors like how many people will use and benefit from a new bridge, whether its toll costs will reduce traffic, and if the overall benefits exceed the costs. It is important for governments to use SCBA rather than just considering profitability, as they must account for market failures and impacts on employment, income distribution, and the environment. SCBA helps governments approve projects that provide widespread and sustainable economic and social benefits.
This document presents a model for pooling natural disaster risks in a community through insurance. It introduces a community of identical, risk-averse agents facing correlated loss risks from catastrophic or normal disaster states. The authors develop an insurance contract model where payouts (indemnities and dividends) are contingent on the collective loss state. They aim to determine how such contracts should be designed and how much reinsurance the community should purchase, given costly reinsurance and reserves. The model considers premiums, indemnities, dividends and reserve costs to analyze optimal risk-sharing arrangements.
This document discusses disaster management and the role of nurses. It defines disasters as events that cause damage, disruption, and human suffering beyond local capabilities. Disasters can be natural or man-made. The document outlines the phases of disaster management including preparedness, impact, response, rehabilitation, and mitigation. It describes the roles of nurses in preparedness such as maintaining records of vulnerable groups, in response such as triage and surveillance, and in recovery including health teaching and psychological support. Overall, the document provides an overview of disaster management and emphasizes the importance of nurses' involvement throughout the entire disaster cycle.
This document defines disasters and outlines the key aspects of disaster management. It defines disasters as events that cause damage and loss of life beyond what a community can handle alone. Disasters can be natural or man-made. The phases of disaster management are preparedness, impact, response, rehabilitation and mitigation. Nurses play important roles in all phases through community assessment, triage, ongoing surveillance, health teaching and psychological support.
This document defines disasters and outlines the key aspects of disaster management. It defines disasters as events that cause damage and loss of life beyond what a community can handle alone. Disasters can be natural or man-made. The phases of disaster management are preparedness, impact, response, rehabilitation, and mitigation. Nurses play important roles in all phases through community assessment, triage, ongoing health surveillance, and providing psychological support.
A mass casualty incident is defined as an event which generates more patients at one time than locally available resources can manage using routine procedures. It requires exceptional emergency arrangements and additional or extraordinary assistance.
Preparing for Disasters - Are You Ready.pptxAlvin Sy
Virginia C. Ducusin is a nurse who works in the emergency department at UP PGH. Her document discusses the roles and responsibilities of nurses during disasters and emergencies. It defines key terms like disasters, emergencies, and disaster nursing. It also outlines the four phases of emergency management: preparation, mitigation, response, and recovery. Finally, it discusses the International Council of Nurses' efforts to support nurses' roles in disaster preparedness, response, and recovery.
A disaster can be defined as any occurrence that cause damage, ecological disruption, loss of human life, deterioration of health and health services on a scale, sufficient to warrant an extraordinary response from outside the affected community or area.
This document provides background information on disasters and the role of nurses in disaster response. It discusses how disasters have increased globally in recent decades, particularly impacting developing nations. Nurses are often first responders during disasters and play vital roles in areas like triage, care provision, and counseling. However, nurses need disaster-specific competencies to effectively respond. The International Council of Nurses aims to clarify the disaster nursing role and support training through a new framework of competencies described in this document.
This document provides an overview of emergency response to natural disasters since 9/11. It discusses key aspects of the disaster management cycle including preparation, mitigation, response, recovery and prevention. Specific natural disasters like floods, winds and earthquakes are examined. Injury patterns from collapsed buildings, winds and flooding are defined. The importance of preparation, having an incident command system and surge capacity plan are emphasized.
This document summarizes a seminar on disaster nursing. It defines key terms like disaster, discusses different types of disasters and levels of disasters. It explains the phases of a disaster including pre-impact, impact and post-impact phases. It also discusses disaster management cycle including mitigation, preparedness, response, recovery and evaluation/development. Additionally, it covers disaster triage, roles of nursing in disaster management and challenges faced by nurses in disaster situations. The overall seminar aimed to help students understand concepts of disaster nursing and management of disasters.
Disaster management involves preparedness, response, recovery and mitigation of natural and man-made disasters. It aims to reduce human suffering during disasters through organized efforts. Disaster management has several phases including pre-impact preparation, emergency response during impact, and post-impact recovery. Nurses play an important role in disaster management by assisting communities before, during and after disasters through activities like preparedness drills, disease surveillance, psychological support, and health education.
The document defines disaster management as dealing with and avoiding both natural and man-made disasters through preparedness, rebuilding after disasters occur, and supporting society. It discusses the phases of disaster management including preparedness, disaster impact, response, rehabilitation, and mitigation. It also outlines the roles of nurses in disaster preparedness through community involvement, response such as triage and ongoing surveillance, and recovery including health teaching and psychological support.
A briefing for Public Health teams on a public mental health approach resilience, trauma and coping beyond the pandemic, and addressing the needs of communities and workplaces
Senaida Muric Class, This week we will evaluate the e.docxbagotjesusa
Senaida Muric
Class,
This week we will evaluate the effectiveness of the process of primary care management for behavioral reactions during a weapons of mass destruction (WMD) incident in the United States. The course of behavioral reactions to an attack involving WMD is predictable (Lacy & Benedek, 2003, p. 394). When in groups, people may experience “mass panic, acute outbreaks of medically unexplained symptoms, and chronic cases of medically unexplained physical symptoms”, while individuals may experience “psychiatric disorders such as posttraumatic stress disorder” (Lacy & Benedek, 2003, p. 394). However, each behavioral reaction to WMD attacks, whether in groups or individual responses, have been studied for the appropriate primary care management. The U.S. continues to improve upon primary care management preparedness in the case of a WMD attack. I believe the U.S. is somewhat prepared for primary care management during a WMD incident; however, some improvements could be made.
In situations of mass panic, it is difficult to train individuals to react rationally, such as not becoming paralyzed or socially unorganized; however, primary care providers (PCPs) anticipate mass panic as “a common problem after a devastating attack” (Lacy & Benedek, 2003, p. 395). As suggested, providing accurate knowledge to the public regarding the attack is the best way to reduce mass panic (Lacy & Benedek, 2003, p. 395). Unfortunately, the other option is to provide advanced training and disaster simulation to the public, which, in my opinion, is nearly impossible to do. The U.S. government and PCPs cannot provide the public advanced training and disaster simulation exercises for every possible situation that may occur. Instead, mass media communication is used to educate the public and “promoting responsible behaviors” (Lacy & Benedek, 2003, p. 395). In the case of WMD related attacks, PCPs are prepared to “mitigate barriers” and respond to “psychosocial consequences” (Eisenman et al., 2005, p. 772). “Since the September 11, 2001, and subsequent anthrax attacks, substantial federal funds have been devoted to improving the health care system's capacity to detect and respond to a chemical, biologic, radiologic, or nuclear (CBRN) weapon attack” (Eisenman et al., 2005, p. 772). PCPs are prepared to triage patients to provide the best primary care management possible. Unfortunately, people become noncompliant with public health recommendations. In the 2001 anthrax attack, 30,000 people were offered the prophylactic antibiotics, because it is known that unexposed patients “may present with somatic symptoms mimicking exposure symptoms” (Eisenman et al., 2005, p. 773).
Some of the improvements that need to be made would help PCPs overcome barriers in delivering mental health care in a CBRN event. “Leaders in primary care should improve linkages with local, state, and federal mental health and public health agencies” (Eisenman et al., 2005, p. 773).
The Psychological Impact Of Disaster On Emergency Responsedrenholm
The document discusses the psychological impact of disasters on emergency response workers, victims, and communities. It notes that disasters can cause both short and long-term mental health consequences. Emergency response workers face serious physical and psychological risks from exposure to trauma at disaster sites. Victims and communities are also affected by disasters and experience stress, grief, and potentially conditions like post-traumatic stress disorder. The document recommends implementing psychological first aid and promoting resiliency through empowering communities to aid recovery.
The document provides guidance for creating an evacuation plan for a school in the event of an earthquake. It outlines that the Disaster Management team was asked by the school president to create an evacuation plan that includes the necessary information like what to do before, during, and after an earthquake. The plan needs to include content, organization, visual appeal, evacuation routes, and emergency response steps.
A disaster is a sudden, calamitous event that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using its own resources.
This document discusses various topics related to emergency management and disaster response planning, including:
1) Definitions of key terms in emergency management and an overview of the typical phases of emergency management - response, recovery, mitigation and preparedness.
2) Examples of different types of natural and human-caused hazards that require emergency planning, such as diseases, floods, hurricanes, and technological or industrial accidents.
3) The importance of developing comprehensive emergency plans and establishing relationships between organizations and jurisdictions to coordinate response efforts. Preparedness is critical to build disaster-resistant communities.
An overview of natural hazards, focusing on tectonic and early warning systmes; leans very heavily on the article: "Global early warning systems for natural
hazards: systematic and people-centred
By Re?d Basher*"i
This document is a lecture on disaster nursing that covers several key topics:
1. It defines disasters and discusses different types including natural disasters like hurricanes, tornadoes, floods, earthquakes, and volcanoes.
2. It outlines the phases of disasters from mitigation to preparedness to response to recovery.
3. It emphasizes the important role that nurses can play in disasters but notes they often receive little training. The lecture aims to educate nursing students on disaster nursing concepts.
4. It discusses strategies like effective communication, establishing registries, and training programs to better prepare nurses for disaster response roles.
1) A disaster is defined as a serious disruption to a community caused by hazardous events that lead to human, material, economic, and environmental losses and impacts.
2) Disaster risk is determined by the potential loss caused by an interaction between hazards, exposure, vulnerability, and capacity.
3) Disaster risk drivers like climate change, poverty, and rapid urbanization can promote or increase disaster risk by weakening resilience and amplifying the potential impacts of hazards.
Disasters do not kill randomly, and being prepared is less about stockpiling supplies and more about building community resilience. The document discusses how national emergency response plans often overlook the needs of vulnerable groups like the chronically ill, and how restrictive prescription benefits make it difficult for individuals to stockpile their own medicines. It argues we should move from focusing solely on individual preparedness to building social connections and support networks to help communities withstand and recover from disasters.
PTSD for Primary Care Providers under the new DSMDavid Eisenman
This document summarizes a presentation on posttraumatic stress disorder (PTSD) given by Dr. David Eisenman. Some key points:
- Around 55% of US adults experience a traumatic event in their lifetime, but only 8-20% of those exposed develop PTSD depending on gender and type of trauma.
- PTSD is characterized by intrusive memories, avoidance, negative alterations in mood/cognition, and hyperarousal. The DSM-5 made some changes to these criteria.
- PTSD commonly co-occurs with depression, substance abuse, and physical symptoms. It is important to assess for these comorbidities.
- First-line treatment involves SSRIs or SNRIs. Psych
This document discusses four theories of disasters: as acts of God or fate, acts of nature, the intersection of nature and society, and as avoidable human creations that highlight societal injustices. It also addresses the growing risk of disasters worldwide and what can be done to build more disaster-resilient communities. Some solutions proposed are adopting a systems perspective, accepting responsibility for hazards, challenging traditional planning models, rejecting short-term thinking, accounting for social forces, embracing sustainable development, fostering local community resilience, and addressing how to establish resilience as a core community value.
This document discusses the effects of disasters on primary care providers (PCPs) and their patients. It notes that disasters can cause supply and demand shocks that strain PCP resources. Surveys found that 35-40% of family physicians are unsure about their ability to respond effectively to natural disasters. Disasters can lead to both physical and mental health consequences for communities. They disproportionately impact vulnerable groups like the disabled, elderly, children and low-income families. The document argues that PCPs have an important role in preventing, treating and alleviating health issues caused by disasters through preparedness, psychological first aid skills, identifying at-risk patients, and coordinating resources.
Disparities exist in household disaster preparedness between English and non-English speaking households. According to a study from 2006-2010, English speaking households were more prepared with emergency supplies like water, food, and medications compared to Spanish and Asian language households. Public health officials should address these disparities by improving communication to non-English speakers about the importance of emergency preparedness.
This document outlines steps for diagnostic thinking and using likelihood ratios to determine the post-test probability of a disorder. It discusses using pre-test probability, the ruling-in and ruling-out power of tests based on their likelihood ratios, and how to determine new post-test probability. Likelihood ratios between 2-5 are minimally to moderately powerful, while above 10 are highly powerful, and can add or subtract 15-45% to the pre-test probability depending on the test result.
The document summarizes a qualitative study examining factors that influenced evacuation decisions among low-income, urban residents in New Orleans during Hurricane Katrina. Through interviews with 58 evacuees, several major themes emerged as influencing evacuation, including issues with transportation, lack of shelter options, financial constraints, health problems, trust in official warnings, risk perception, and social networks. Obligations to extended family networks, especially frail elderly family members, prevented some from evacuating. The findings highlight the complex, socially embedded nature of evacuation decision-making.
The document discusses barriers to integrating behavioral health and primary care. Some key barriers include different conceptual models between primary care and specialty mental health care, lack of provider time and training, and organizational and financial barriers between practices. Steps to improve care include adopting a problem-focused approach in primary care, clarifying roles and responsibilities between primary care physicians and behavioral health specialists, and facilitating better communication and coordination between providers.
This document discusses research on disparities in disaster preparedness and lessons learned. It describes a framework for identifying, understanding, and reducing preparedness disparities. It also summarizes a study on evacuation decision making among low-income urban minorities during Hurricane Katrina, finding that social networks influenced decisions both positively and negatively. Finally, it outlines a culturally-targeted community-based program called PREP to promote preparedness among low-income Latinos in Los Angeles.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
1. COMMUNITY DISASTER RESILIENCE
AND THE PUBLIC’S HEALTH
David P. Eisenman, MD MSHS
UCLA Associate Professor of Medicine and Public Health
Director, UCLA Center for Public Health and Disasters
Preparedness Science Officer, LACDPH
Natural Scientist, RAND
USC Masters in Global Health, Summer 2013
Contact: deisenman@mednet.ucla.edu
2.
3.
4.
5.
6. Topics for the SeminarTopics for the Seminar
The growing role of public health in disasters in the
U.S.
The current paradigm of community resilience and
how it differs from prior paradigms.
Real-life examples of public health and healthcare
interventions in improving resilience.
7.
8. Disasters as Acts of GodDisasters as Acts of God
or Fateor Fate
(dis, astro)—roughly, “formed on a
star.”
“Acts of God”
9. Disasters as Acts of Nature.Disasters as Acts of Nature.
Lisbon 1755
– Effected everyone
so how could it be
act of God?
Root cause is
extremes of nature
– “Natural disaster”
First modern
disaster
10. Disaster as Intersection ofDisaster as Intersection of
Nature and SocietyNature and Society
Carr, (1930): failure of society’s
protections is required in disaster
– Thus, man-made
– “So long as the ship rides out the storm, so long
as the city resists the earth-shocks, so long as the
levees hold, there is no disaster. It is the collapse
of the cultural protections that constitutes the
disaster proper.”
11. Disaster as Avoidable Human
Creation that Highlights
Societal Injustices & Social
Vulnerability
Not enough that there is a human component.
Now see victims of larger social forces.
Focus on the vulnerability of people.
– People who experience disaster are victims of
social forces/powerful interests who have
created the conditions for their hazard
vulnerability
Viewing as amoral the scientific (traditional)
approaches.
– Searching for blame.
12. Disaster as Highlighting Societal
Injustices & Social Vulnerability
Cannono: “disasters
are not ‘natural’ (not
even sudden ones)
because hazards
affect people
differently within
societies and may
have very different
impacts on different
societies. . .”
13. Public Health changed after 2001…Public Health changed after 2001…
Anthrax attacks put public
health on the “front line of the
battle for national security”
Public health infrastructure
found lacking
New mission: preventing,
preparing for, and responding
to any act of bioterrorism or
public health emergency.
14. Federal investments led to improved
public health preparedness
Strategic National Stockpile
Laboratory Response Network
Workforce improvements
Biowatch/Bioshield
Mass casualty care
15.
16.
17. Problem: Isolated elderly in heat waves
Research Need: “evaluating heat response plans, focusing
on environmental risk factors, identification of high-risk
populations, effective communications strategies, and
rigorous methods for evaluating effectiveness on the local
level.”
19. Social Vulnerability
The differential susceptibility of social
groups to the impacts of hazards, as well as
their abilities to adequately respond to and
recover from hazards.
– Poverty
– Senior adults
– Physical disability
– Children
22. The UN Hyogo Framework treats human actionsThe UN Hyogo Framework treats human actions
and vulnerabilities as the main cause of disasters.and vulnerabilities as the main cause of disasters.
Reducing human vulnerability is a key aspect
of reducing disaster (and climate change) risk.
25. – At-risk populations are
disproportionately harmed
–Children
–Older Adults
–Racial/ethnic minorities
–Chronic illness/Disability
– Communities left out of
communication planning
Lessons of Katrina
and Sandy
26. – Large hospitals evacuated
– Effect on residents with
functional needs
– Long term psychological
consequences
Lessons of Katrina
and Sandy
28. •Programa para Responder a Emergencias con Preparación.
•A culturally targeted educational intervention to promote
disaster preparedness among low income Latinos, using
community based participatory research (CBPR) methods
•UCLA, Coalition for Community Health (CCH), Los
Angeles County Department of Public Health
29. U.S. Latinos suffer disproportionately
from disasters...
Yet are still among least prepared
Few culturally tailored programs
– Review of 301 web-sites providing
preparedness information found that half
did not address racial/ethnic minorities.
– Federal agencies provided “literal
translations of English-language materials,
with variable consideration of accuracy and
cultural acceptability.”
30. Promotores
Community health promoters =
Local lay community residents
trained in basic health
promotion skills working with
fellow community members
who are under-served by the
health care system.
Use their cultural knowledge,
social networks, and
leadership role in the
community to model behavior,
overcome barriers, and create
31. Promotores
Provide connections between
community and health care
system including informal
counseling, service assistance,
education.
Improved health care access,
prenatal care, health
behaviors.
Not previously used in disaster
preparedness
35. Disasters are primary care
emergencies
Demand shocks: increased injury,
chronic illness exacerbation, mental
distress
– 5 of the top 6 conditions treated after
Katrina were chronic disease
exacerbations
Supply shocks: diminished staff
levels, staff capacity, damaged
buildings and supplies
36. Heart Attacks, Strokes IncreasedHeart Attacks, Strokes Increased
after Japan’s 2011 Earthquakeafter Japan’s 2011 Earthquake
and Tsunamiand Tsunami
Heart failure, unstable angina,
MI, stroke, cardiac arrest,
pneumonia
Heart failure and pneumonia
remained elevated for 6 weeks
– Disrupted medications may have
played a role
-Shimokawa, 2012, European Society of Cardiology 2012;
http://www.nlm.nih.gov/medlineplus/news/fullstory_128794.html
37.
38. Preparing the chronically ill is an
urgent issue
15% of LAC adults (est 1,085,000) use a chronic
disease medication.
National stockpiles and emergency response plans
focus on acute medical and pharmaceutical needs.
No planning for the prescription drug needs of
communities sheltering in place or evacuating
39.
40. Carameli, K. A., Eisenman, D. P., Blevins, J., d’Angona, B., & Glik, D. C. Disaster Medicine and Public Health
Preparedness, 2010
Stockpiling medicines is another
challenge for public health
41. Disparities in Medication SupplyDisparities in Medication Supply
Percentage of participants reporting household disaster or emergency
preparedness, by preparedness measure and language used in the
interview — Behavioral Risk Factor Surveillance System, 14 states, 2006–
2010
90.6%
51.7%
48. Resilience is people!
National Academy of Sciences 2012 report focuses on
physical infrastructure, insurance, risk prediction
Daniel Aldrich, “Building Resilience” highlights role of
human resilience and social capital in recovery and argues
that it trumps amount of infrastructure damage and amount
of aid received.
Paradigm shift in public health emergency preparedness in
emphasizing community strengths as well as simply
describing vulnerabilities
65. What is Community
Resilience (CR)?
In times of need, individuals and
communities volunteer and spontaneously
help each other
“Ordinary skills in extraordinary
circumstances.”
Community strengths and assets are
critical to recovery. CR is about looking at
existing resources and relationships and
strengthening them.
CR is a community’s ability to build
capacities to rebound from an
emergency/disaster event
67. Public is an “asset” not something to be
commanded and controlled
Community engagement.
Social capital and social networks.
“We” vs “Me”
68.
69. How is
Community Resilience
different?
The Traditional Emergency
Preparedness Approach
1. Focuses on individual households and
response readiness
2. Emphasizes the role of government in
the initial response
3. Promotes the need for emergency
supplies and emergency plans
69
70. How is this different?
The Community Resilience Approach
1.Emphasizes community members working
together to plan, respond and recover
2.Promotes the inclusion of diverse sectors
3.Uses collaboration and community
engagement for planning, preparedness and
response activities
70
71. Involvement and Integration of CBOs and FBOs Enhance Both
Response and Long-Term Recovery
• Provide manpower and
other resources
– Information and
referral
– Direct services (e.g.,
case management,
food)
– Financial support
National strategies recognize need for greater CBO/FBO
participation in disaster planning, response and recovery
Examples from across the
United States:
• Using promotoras to
educate on disasters in
Los Angeles
• Connecting residents to
social and mental health
services after Hurricane
Katrina in New Orleans
72. National Health Security Strategy
2 Goals
Build community
resilience
Strengthen and sustain
health and emergency
response systems
10 Strategic Objectives
1. Foster informed,
empowered individuals
and communities
2. Develop and maintain the
necessary workforce
3. Ensure situational
awareness
10 Strategic Objectives
4. Foster integrated, scalable health
care delivery systems
5. Ensure timely and effective
communications
6. Promote and effective
countermeasures enterprise
7. Ensure prevention or mitigation of
environmental and emerging
threats
8. Incorporate post-incident health
recovery into planning
9. Work with cross boarder and
global partners
10. Ensure that all systems are based
on best available science,
evaluation, and quality
improvement methods
73. CDC’s Public Health and Emergency
Preparedness Standards
A great step forward in 2011
Important first attempt to define and
measure community preparedness/resilience
building and community recovery
Successes & challenges: 11 Sectors defined,
preliminary approach to quantify (median
number of sectors “touched”); community
engagement in planning
73
74. CDC Capabilities for CommunityCDC Capabilities for Community
PreparednessPreparedness
Four functions
– Determine risks to the health of a jurisdiction
– Build community partnerships to support health
preparedness
– Engage with community organizations to foster
public health, medical, and mental/behavioral
health social networks
– Coordinate training to ensure community
engagement in preparedness efforts
75. CDC Capabilities for CommunityCDC Capabilities for Community
RecoveryRecovery
Three Functions:
– Identify and monitor public health, medical and
mental/behavioral health systems recovery
needs
– Coordinate community public health, medical
and mental/behavioral health system recovery
operations
– Implement corrective actions to mitigate
damages from future incidents
76. 11 Community Sectors
1. Business
2. Community leadership
3. Cultural and faith-based groups and
organizations
4. Emergency management
5. Healthcare
6. Social services
7. Housing and sheltering
8. Media
9. Mental/behavioral health
10. State office of aging or its equivalent
11. Education and childcare settings
76Centers for Disease Control and Prevention. Public Health Preparedness Capabilities: National Standards for State and Local Planning.
March 2011.
80. Community Resilience ToolkitCommunity Resilience Toolkit
ModulesModules
1. Intro to Community
Resilience and Hazard
Prioritization
2. Community
Engagement and
Leadership
3. Community Mapping
4. Psychological First Aid
5. Community
Preparedness
Coordinator Training
6. Community Forum
Planning
–80
89. Challenges
Conveying the message about CR
Leadership development to
embrace CR
Building the capacity of
CBOs/FBOs to be effective
partners in building CR
How do we build CR?
How do we measure our impact?
90. David P. Eisenman, MD, MSHSDavid P. Eisenman, MD, MSHS
deisenman@mednet.ucla.edudeisenman@mednet.ucla.edu
310-794-2452310-794-2452
Editor's Notes
In August 2011 a magnitude 5.9 earthquake struck the northeast coast. Business Insider magazine caught how the quake sent people to twitter to blast out their 140 character witticisms in a piece they titled "The Best Tweets about the D.C. Earthquake". Along with millions in damages there was alot of facebook and twitter activityes.
This last one on cannabilism plays on a common theme in disasters: their penchant for antisocial behavior and individuals relying on their survivor skills.
[ask the students their opinion on these various ways of perceiving
disasters and then ask – does it matter?]
apathetic political atmosphere
leads to adjustments, improvements, solutions we choose if are going to act
e.g. view of disasters as social phenomena allows such happenings to be incorporated as a part of the nation’s development process. Disaster planning is not primarily the search for the implementation of technological solutions.
Disastro=disaster Bc Resulting from unfavorable alignment of the stars and planets.
“Act of God” `---- Earliest (and continuing) usage = divine retribution for human misdeeds and failings
[So what are the implications of this?]
Seen as ‘just the way things are’, accept it and move on, fatalism (so why try to do anything to mitigate or prepare)
Notice sometime how officials use the terms ‘acts of God,’ ‘forces of nature’ and ‘freak events’ ---this distances themselves and their organizations from any complicity and responsibility
The Great Lisbon earthquake of 1755 = catastrophic disaster. With 80% of the buildings destroyed and 40,000 persons dead, the leading families, the rich, pious suffered as much from the 8.5- 9.0 catastrophic earthquake, fires and tsunami that pretty much destroyed Lisbon. So Act of God seems not possible.
First look for causes in the earth itself. Seen as physical agents---root cause is extremes of nature.
[Implications?]
So, Now the belief was that disasters are Acts of Nature and that they affect persons randomly. Disasters are simply bad “stuff that happens” – get used to it . Thus, just as in the “disaster as an agent of the Fates” or “God,” disaster as “an agent of Nature” is susceptible to fatalism – “being in the wrong place at the wrong time.”
The supernatural is replaced by the natural….hence “natural disaster”.
In the 1930s begins recognition that it takes the failure of society’s protections to be a disaster. Disasters are simply the collapse of cultural protections; thus, they are principally man-made. Carr: So long as the ship rides out the storm, so long as the city resists the earth-shocks, so long as the levees hold, there is no disaster. It is the collapse of the cultural protections that constitutes the disaster proper.”
Not enough that there is a human component. Now see victims of larger social forces. Sees blame.
Moral stance vs amoral traditional science approach
The fact is that some groups ARE more at risk of harm than others; they are more vulnerable in disasters. One understanding now in the disaster field is tthat people and communities are not equally likely to be harmed by a hazard such as an earthquake or hurricane.
[WHAT DO YOU THINK OF THIS VIEW?]
[CAN YOU THINK OF WHO IS MORE VULNERABLE? WHY?]
Implication: It is no longer merely a matter of building to specific standards or of disallowing development in hazardous areas. . . . They are not likely to have much impact until such problems as poverty, land and income distribution and equity issues are resolved.”
The 2001 anthrax attack was a wake up call for public health as public health was found to have limited laboratory capacity, little or no computer or internet access, little understanding of its role in such national security events, how to communicate with the public about disasters
When the CDC introduced this campaign I think it surprised people. One reason is that public health has not been traditionally associated with getting people prepared for disasters. How have we gotten to the place where public health, once known for its focus on local infectious disease outbreaks and providing health services to underserved communities, is using zombies to promote disaster preparedness?
Hurricane Katrina demonstrated the inequalities that occur during disasters.
A large segment of American society lives without the social and economic resources to protect themselves during disasters.
Certain groups are more likely to be harmed during a disaster e.g., elderly were over-represented among the fatalities.
Disparities in storm damage disproportionately affected the vulnerable of New Orleans:
Damaged areas were 75% African American compared to 46% in undamaged areas; damaged areas 46% renters compared to 31% in undamaged communities.
Hurricane Katrina and then again Superstorm Sandy demonstrated that certain groups are more vulnerable, that is more likely to be harmed during a disaster e.g., the elderly were over-represented among the fatalities in both events.
And we understand why this is in general.
Older adults are of course more likely to be socially isolated or have health and functional limitations that impair their ability to prepare, rapidly evacuate, or put them at greater risk from lost services such as power.
Hurricane Katrina and then again Superstorm Sandy demonstrated that certain groups are more vulnerable, that is more likely to be harmed during a disaster e.g., the elderly were over-represented among the fatalities in both events.
And we understand why this is in general.
Older adults are of course more likely to be socially isolated or have health and functional limitations that impair their ability to prepare, rapidly evacuate, or put them at greater risk from lost services such as power.
In fact, disasters are primary care emergencies too. Katrina demonstrated for health professionals what we had previously warned against: the number of people who needed chronic disease medications taxed medical response efforts.
>25% in one survey reported chronic illness exacerbation (MMWR 55(02);38-41). Over 70% of Hurricane Katrina survivors who had a chronic disease before the hurricane experienced unavailability of their prescription medicine after the hurricane. In another study, 68% of all medications dispensed to Gulf Coast evacuees were for treatment of chronic diseases; 39% were cardiovascular medications. In a study done after Charley 2004 33% of households with a chronic illness reported illness condition worsened (MMWR 53(36);837-840)
*
A recent abstract from the European Cardiology Society illustrates this issue further. After Japan’s 2011 earthquake and tsunami heart failure, unstable angina, MI, stroke, pneumonias and cardiac arrests all increased. More to our point, heart failure and pneumonia remained elevated in incidence for a full 6 weeks after the disaster struck.
Dr. Hiroaki Shimokawa, one of the authors of the study says that factors such as drug discontinuation, excessive salt intake from preserved food, and mental and physical stresses over the 6 week period likely contributed to the sustained increase in heart failure cases.
The cardiac arrest rate returned to levels seen in previous years two weeks after the earthquake, whereas the heart failure rate remained elevated
On a routine day, the prescription drug care industry is a complex, interdependent system that relies on insurers to authorize benefits, providers to write prescriptions, pharmacists to fill and carry medications, wholesalers to deliver supplies, and consumers to navigate this process
During a disaster failures may occur in a process that depends upon electronic, telephone, and delivery/transportation systems to work effectively.
Response plans often focus on acute medical and pharmaceutical needs. Without planning for chronic disease medications:
Morbidities
Medical response efforts may be taxed.
Systems are needed for patients with stable medication regimens to acquire and maintain personal stockpiles.
At minimum: 7-day supply
Preferred: 15- to 30-day supply
Respondents who requested that the survey be conducted in Spanish were less likely to have a 3-day supply of medications than those administered the survey in English (Spanish, 51.7%; English, 90.6%),
Put disaster preparedness literature in your waiting room.
Shakeout is based on principles of individual preparedness + internet/media.
The next Disaster Myth is that nothing we do to prepare matters since the government will help us. Though this belief has diminished greatly since Hurricane Katrina, still some people believe that the local responders will be able to help them and that local responders will be helped by state and federal government in the first days after a disaster. But, for decades emergency managers and public health have urged citizens to plan on being self sufficient for three days or longer after a disaster. In a major disaster local responders will not be able to respond to everyone's rescue, food, shelter and medical care needs. Emergency response from outside the area may take days to get to your neighborhood.
RESILIENT Communities NOT PREPARED INDIVIDUALS ARE WHAT WE NEED MOST. Studies show that friends and neighbors who are in the disaster with you are your key to survival in the first few days right after a disaster. Remember, in a disaster There just aren’t enough rescue personnel, firefighters, and so forth to help us all. So you will help yourself and the people around you. And the people around you will help you, too. In the first few days, they are the ones who will conduct rescues, provide first aid, transport to the hospital, provide food, water and shelter.
Neighbors and bystanders may be more helpful than what we anything we buy. communities with more history of cooperation, greater trust of neighbors, volunteerism and participation in local events and festivals recover faster and more completely. He shows that stronger bonds between neighbors and better and quicker recovery from a disaster.
So let’s look at Sandy.
Hipsters snorkeled in Brooklyn
Phones needed to be charged
And those with power came to the rescue
There were bikes that charged phones
And even fire
Doctors offered their services for free
People opened their homes
Restaurants gave away free food
People showed their spirit
Moving from Me to We. This idea is at the heart of what we is called "community disaster resilience" and there is a national consensus behind this idea (HSS 2009; NHSS 2010). Community disaster resilience is really a sea change in how we see community and their role. Now we see the public as an asset and not something to command and control. Enhancing resilience means enhancing people power.
“That kind of spirit of resilience and strength, but most importantly looking out for one another, that’s why we always bounce back from these kind of disasters.” Barak Obama.
Instead of urging us all to stockpile and look after ourselves we should be urging knowing your neighbors, block parties and fairs to build neighborhood connections. We could be encouraging greater involvement and responsibility for local decisions. We could be actively promoting civic engagement.
The strategic objectives are supported by 50 operational capabilities which promote the ability of individuals, communities, and governments to prevent, protect against, respond to, and recover from threats to the Nation’s health and well-being.
1. These two capabilities work in line with what we’re already doing.
2. But mandate us to approach the community in our work.