The document outlines various guidelines related to disaster management and public health preparedness from organizations such as WHO, CDC, UNICEF, and the American Academy of Pediatrics. Key aspects include the International Health Regulations for disease control, the Epidemic Intelligence Service for outbreak investigation, and the need for effective infant and young child feeding practices during emergencies. It emphasizes the importance of preparedness, response plans, and cooperation among stakeholders to protect public health during crises.

1. GOVERNEMT COLLEGE OF NURSING
RAJNANDGAON
SUBJECT: NURSING MANAGEMENT
DISASTER MANAGEMENT
SUBMITTED TO
DR. MRS. UMA SHENDEY
PROFESSOR
DEPARTMENT OF CHILD HEALTH NURSING
GOVERNMENT COLLEGE OF NURSING
RAJNANDGAON (C.G.)
SUBMITTED BY
MRS. CHANDRIKA SAHU
M.Sc. NURSING 2ND
YEAR
GOVERNMENT COLLEGE OF
NURSING RAJNANDGAON
(C.G.)

2. GUIDELINES
1. WHO's "International Health Regulations" (2005).
2. CDC's "Epidemic Intelligence Service" guidelines.
3. WHO's "Epidemic Preparedness and Response"
guidelines.
4. UNICEF's "Infant and Young Child Feeding in
Emergencies" guidelines.
5. American Academy of Pediatrics' "Disaster
Preparedness" guidelines

3. WHO's INTERNATIONAL HELTH
REGULATION (IHR)2005
 The International Health Regulations (IHR)
are a legally binding instrument that sets out
the rules and procedures for responding to
public health emergencies of international
concern. Adopted by the World Health
Organization (WHO) in 2005,

4. The IHR AIM
1. Prevent and control the spread of diseases
across borders
2. Promote global health security.
3. Strengthen international public health
infrastructure.

5. Con….
 Key aspects of the IHR include:
1. Reporting requirements: Countries must
report certain public health events to WHO.
2. Risk assessment: WHO assesses the risk
of international spread and declares Public
Health Emergencies of International
Concern (PHEICs).

6. Con…
1. Core capacities: Countries must develop
and maintain core capacities for surveillance,
detection and response.
2. Collaboration and information sharing:
Countries must collaborate and share
information to respond to public health
threats..

7. Con…
The IHR have been invoked during several
global health crises, including the COVID-19
pandemic, SARS, and Ebola outbreaks. They
play a crucial role in coordinating
international responses to public health
emergencies.

8. IHR IMPLEMENTATION
Meeting the requirements in the IHR is a
challenge that requires time, commitment and
the willingness to change. The IHR require that
all countries have the ability to do the following:
 Detect: Make sure surveillance systems can
detect acute public health events in a timely
matter.

9. Con…
 Assess and report: To assess public health events and
report to WHO through their National IHR Focal Point
those that may constitute a public health emergency of
international concern.
 Respond: Respond to public health risks and emergencies.
 The goal of country implementation is to limit the spread of
health risks to neighboring countries and to prevent
unwarranted travel and trade restrictions.

10. CDC'S "EPIDEMIC INTELLIGENCE SERVICE"
GUIDELINES
The Epidemic Intelligence Service (EIS) is a program within the
Centers for Disease Control and Prevention (CDC) that focuses on
disease detection, investigation, and control. The EIS guidelines
provide a framework for investigating and responding to public
health outbreaks and emergencies. Here are some key aspects of the
EIS guidelines:
 Investigation protocol: Standardized procedures for
investigating outbreaks, including data collection, hypothesis
generation, and testing.

11. Con…
 Disease surveillance: Guidelines for monitoring
and tracking disease trends, including case definitions
and reporting requirements.
 Outbreak response: Protocols for responding to
outbreaks, including risk assessment, containment
strategies, and communication plans.
 Data analysis: Guidelines for analyzing data to
identify trends, risk factors, and transmission patterns.

12. Con…
 Collaboration and communication: Emphasis
on collaboration with local, state, and international
partners, as well as clear communication with
stakeholders and the public.
 Training and mentorship: Ongoing training and
mentorship for EIS officers to develop expertise in
epidemiology and outbreak investigation.

13. Con…
 The EIS guidelines are used by CDC
investigators, as well as state and local
health departments, to respond to a wide
range of public health threats, including
infectious diseases, environmental health
hazards, and bioterrorism threats.

14. WHO'S "EPIDEMIC PREPAREDNESS AND RESPONSE"
GUIDELINES
The World Health Organization's (WHO) "Epidemic
Preparedness and Response" guidelines provide a
framework for countries to prepare for and respond to
epidemics.
Key aspects include:
 Risk assessment: Identifying and evaluating potential
health threats.
 Surveillance: Establishing systems to detect and
monitor health events.

15. Con…
 Preparedness planning: Developing plans,
protocols, and infrastructure for rapid
response.
 Outbreak detection and notification:
Quickly identifying and reporting outbreaks.
 Response operations: Coordinating
response efforts, including contact tracing,
vaccination, and containment measures.

16. Con…
 Communication and coordination: Ensuring
clear communication and collaboration among
stakeholders.
 Logistics and supply management: Managing
resources, equipment, and supplies.
 Workforce development: Building capacity and
training healthcare workers.

17. Con…
 Community engagement: Educating and engaging
communities in prevention and response efforts.
 Monitoring and evaluation: Continuously assessing
and improving preparedness and response efforts.
These guidelines help countries develop robust systems
to prevent, detect and respond to epidemics,
ultimately protecting public health and reducing the
impact of outbreaks.

18. UNICEF’S INFANT AND YOUNG CHILD FEEDING IN
EMERGENCIES GUIDELINES
 UNICEF's "Infant and Young Child Feeding in Emergencies"
guidelines provide critical guidance on how to support
optimal infant and young child feeding practices during
emergencies.
Key Principles:
1. Breastfeeding is the best option for infants under 6
months.
2. Complementary foods should be introduced at 6 months,
while continuing breastfeeding.

19. Emergency Response
1. Assess the situation and identify feeding needs.
2. Support breastfeeding and provide lactation
support.
3. Provide safe and nutritious complementary
foods.
4. Ensure access to clean water and sanitation.
5. Monitor and respond to malnutrition.

20. Specific Guidance
1. For 0-6 months: Promote exclusive
breastfeeding.
2. For 6-24 months: Support continued
breastfeeding and introduce complementary
foods.
3. For children with severe acute
malnutrition: Provide therapeutic milks and
foods.

21. Programmatic Actions
1. Establish a coordination mechanism for infant
and young child feeding.
2. Provide training and capacity-building for health
workers.
3. Ensure availability of essential supplies (e.g.,
breast milk substitutes, complementary foods).
4. Support community-based initiatives and
mother-to-mother support groups.

22. Monitoring and Evaluation
1. Track feeding practices and malnutrition rates.
2. Monitor program coverage and quality.
3. Evaluate program effectiveness and adapt
strategies as needed.
These guidelines aim to ensure that infants and
young children receive optimal nutrition during
emergencies, reducing the risk of malnutrition,
illness, and death.

23. AMERICAN ACADEMY OF PEDIATRICS
(AAP)DISASTER PREPAREDNESS GUIDELINES
The American Academy of Pediatrics (AAP)
provides guidelines for disaster preparedness
to ensure the health and safety of children.
Here are some key points:

24. Preparation
1. Create a family emergency plan.
2. Identify safe zones and evacuation routes.
3. Stock an emergency kit with essential
supplies (e.g., food, water, first aid).
4. Stay informed about weather and
emergency alerts.

25. Children's Needs
1. Consider children's unique needs (e.g.,
diapers, formula, medications).
2. Ensure access to essential medications and
equipment (e.g., inhalers, wheelchairs).
3. Plan for children's emotional and
psychological support.

26. Evacuation and Shelter
1. Identify safe evacuation routes and
shelters.
2. Ensure children's safety during transport
(e.g., car seats, seatbelts).
3. Provide comfort items (e.g., favorite
toys, blankets).

27. Health and Hygiene
1. Ensure access to clean water, sanitation,
and hygiene facilities.
2. Provide first aid and basic medical care.
3. Manage chronic conditions (e.g., diabetes,
asthma).

28. Communication
1. Stay informed through reliable sources
(e.g., news, emergency alerts).
2. Establish a communication plan for
separated family members.
3. Provide emotional support and
reassurance.

29. Pediatric-Specific Considerations
1. Newborn care (e.g., breastfeeding
support, warm clothing).
2. Child development and disability
considerations.
3. Pediatric mental health support.

30. THANK YOU