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Disaster Preparedness & Mitigation in Health System


Disaster Preparedness & Mitigation in Health System Disaster Preparedness Definition: Activities designed to minimize loss of life and damage, to ... – PowerPoint PPT presentation

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Title: Disaster Preparedness & Mitigation in Health System

Disaster Preparedness Mitigationin Health
Disaster Preparedness
  • Definition
  • Activities designed to minimize
    loss of life and damage, to organize the
    temporary removal of people and property from a
    threatened location facilitate ,timely
    effective rescue, relief rehabilitation

Disaster Preparedness contd
  • National International agencies conduct
    activities like planning, organization ,training
    communicating ,educating the people to provide
    prompt and appropriate responses to prevent
    reduce adverse effects.
  • Ongoing ,multisectoral activity
  • Integral part of national system responsibility
  • Difference in developed and developing countries
    (infrastructure, resources, management capacity,
    communication logistic problem)

  • To prevent excess mortality by impact, rescue,
    relief , appropriate health care disruption .
  • To provide appropriate timely health care for
    casualities,malnutrition comm. Diseases.
  • To prevent exposure to adverse climatic
    environmental conditions.
  • To prevent long term short term disaster
    related morbidities.
  • Reestablishment of health services to or above
    the pre- disaster level.

General model of disaster preparedness plan
  • Identify the hazards and estimate their effects.
  • Assess the likely needs preliminary list, local
    capacity, quantify the needs, consider basic
  • Discuss the needs teams involved in planning
  • Determine operational procedure review
    existing priorities. --- provide frame work,
    hazard prioritization, fundamental policy set
    out, goals approve by higher authority,
    delegation of responsibility.

General model of disaster preparedness plan
  • 5. Assign the responsibility.
  • Make an inventory of local capacity available
  • 7 Review steps 2 5
  • 8. Identify critical areas-----strengthening
    monitoring plan
  • 9. Confirm priorities ---needs resources, time

General model of disaster preparedness plan
  • .
  • Finalize the plan ---easy to read, not rigid,
    standard layout
  • Practice the plan reg.reviewed , updated,
    responsible people, identify weakness.
  • Evaluate the plan ---lesson learned applied
  • Compile an information package demography,
    epidemiology, Geographic Information System (GIS)

Technical Health Program
  • Treatment of casualties
  • Pre hospital plan - search rescue of
    victims, first aid at disaster site (triage)
  • Hospital plan emergency plan, training
    information safety of pts health personnel.
  • Back up system water, power, communication,

Technical Health Program contd
  • 2. Identification of bodies coordination with
    FM, protocol for identification transport.
  • 3. Epidemiological surveillance disease control
    ---simple data collection ,warning mechanism
    with list of potential illnesses ,special
    programmes for diseases
  • Basic sanitation sanitary Engineering
    collaboration with diff.departments ,contingency

Technical Health Program contd
  • 5. Health management in shelters or temporary
    settlements---control of infectious diseases,
    vaccination of children, nutrition surveillance
  • 6. Training Health personnel public health
    management ---in service training ,professional
    staff, professional curriculum, research,
    officers ongoing information
  • 7. Logistic resources---budget, networking
  • 8. Simulation exercisesdesktop, field exercise,

Technical Health Program contd
  • Evacuation temporary transfer of population from
    areas at risk to safer location.
  • Organized e.g..
  • (tropical storm air attack,military action,
    industrial accidents)
  • Spontaneous e.g..
  • (floods,drought,chemical nuclear
  • Environmental health services --short travel
    time ,clean potable water,excreta solid waste
    rest stop knowledge
  • Disaster warning simple language ,clear exact
    nature of message.
  • Restore of radio broad casting

Health policy legislation
  • Legislation to develop preparedness response
    plan, routine, simulation assign financial
  • Coordination mechanism health disaster
    coordinator -Incharge of preparedness
  • activities ,
  • - coordinating plans with
    Government ,International agencies, NGOs
  • other dept.. water, housing power
  • -communication co
    ordination with PAHO, WHO civil protection
    agencies, emergency preparedness program.

Mitigation and prevention
  • Definition
  • These are actions aimed at
    reducing or eliminating the impact of future
    hazard events by avoiding hazard or strengthening
    resistance to it.

  • Reduce vulnerability of the system
  • e.g. improving enforcing building codes
  • Reduce magnitude of hazard.
  • e.g. diverting flow of river

Vulnerability and capacity assessment
  • Definition
  • It is the degree to which population,
    individual, or organization is unable to
    anticipate, cope with resist recover from the
    impact of disaster .(Blaikie 1994)
  • Risk ,threat assessment
  • To identify hazard their possible effects,
    capacity to prevent respond
  • Develop strategies
  • Emergency prevention mitigation preparedness
  • Rapid, relevant emergency response
  • Gaps in resources

Vulnerability reduction
Steps in VCA
  • Determine aim, objectives, scope context of VCA
  • Formation of planning group .
  • Hazard identification description.
  • A community environmental description
  • Determining effects community vulnerability
  • Hazard prioritization
  • Recommendation for action
  • Documentation of results decision

Mitigation Programme
  • Identify areas exposed to natural hazards with
    help of specialists.
  • Coordinate the work of multidisplinary teams in
    developing design building codes.
  • Include disaster mitigation in health sector
  • Identify the priority hospitals critical
    health facilities -----current building standards

Mitigation Programme
  • Ensure disaster mitigation measures in maintains
    plan, structural modification functional
  • Inform sensitize train those personnel
    involved in planning, administration, operation,
    maintenance .
  • Include disaster mitigation in the curricula of
    professional training institution related to
    construction, maintenance, administration,
    financing planning health facility

Disaster Mitigation
  • Health facilities loss of life, hospital
  • Structural
  • Non- structural
  • Administrative /organizational
  • 2.Drinking water supply ,sewage system.
  • 3. Mitigation to reduce community vulnerability.

Disaster mitigation in health system
  • Structural vulnerability part of building
    required for support (foundation, columns, beams,
    diaphragm supporting walls )
  • Non-structural vulnerability
  • Joined to building structure e.g. window,
    door, roof
  • Building functionality e. g. plumbing,
    air-conditioning, power, water, communication.
  • Items located with in building e.g. medical,
    furniture, mechanical equipments

Disaster mitigation in health system contd
  • 3.Administrative organizational vulnerability
  • Physical design external site, internal ,
    distribution of space, access route.
  • Physical functional relationship with diff.
    sectors e.g. hiring, maintenance, supply.
  • Administrative operational facility disaster
    management, simulation exercises

Mitigation measures
  • Start with low cost measures e.g. Non structural
  • Implement mitigation at National, local level
    discussion with all parties (client, owner,
    finance officer technical personnel)
  • Measures 4-8 of total hospital costfailure of

Disaster mitigation in water supply sewage
  • Water supply sewage system vulnerable
  • Outbreak of communicable disease sanitation
    deteriorates. e.g. Mexico city in1985
  • Strategies to quickly effectively restore
  • Hazard analysis by team focus on operation
    maintenance, administration impact on service.
  • Mitigation measures in master plan.
  • Measures retrofitting ,replacement, repair,
  • Back up equipments relocation of components
    (rigid joints, flexible pipes).

Mitigation to reduce to community vulnerability
  • Reduce risk of communicable diseases.
  • Improve general health status of population
  • Water sanitation projects organized by self
    help basis e.g. community based organization
  • Local emergency planning in disaster
  • Public education
  • Discussion with water vendors
  • Intervention by Government municipal
    authorities in industrial plant contamination

  • Natural disasters protecting public health WHO
  • Principals of disaster mitigation in health
    facility PAHO publication.
  • Environmental health in emergencies disaster.
  • Text book of PARK
  • Indian journal of public health Jan-march 1992

Thank you
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