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The logistics of food supply following radioactive fallout.

Discussions at the national level about critical infrastructure and its vulnerability are more common now following the events of September 11. The National Emergency Supply Agency organised a training exercise to test the logistics of food supply following passage of a plume containing radioactive material over a district in Finland. This short paper summarises the problems that had to be faced and suggests a way forward for improving emergency preparedness in this area.

Animals↗

Pregnancy and childbirth care following conflict and displacement: care for refugee women in low-resource settings.

Women in developing countries experience the same problems during pregnancy and childbirth and die of the same complications, regardless of whether they live in stable situations or in situations of conflict and displacement. They need services and/or care during pregnancy and childbirth wherever they are and in whatever circumstances prevail. This article provides an overview of the Safe Motherhood Initiative, including the recent directions taken to prevent maternal and neonatal mortality and morbidity. In addition, pregnancy and childbirth care in complex humanitarian emergencies is examined, highlighting the experiences in refugee settings. In some of these settings, pregnancy outcomes have been better than in host or home countries. The challenge remains to ensure that good-quality pregnancy and childbirth care, in line with the global standards set for achieving safe motherhood, is consistently available and accessible to women affected by complex humanitarian emergencies.

Developing Countries↗

Status of women and infants in complex humanitarian emergencies.

Women and children bear the greatest burden in the midst of war and long-term disasters. Complex humanitarian emergencies are characterized by social disruption, armed conflict, population displacement, collapse of public health infrastructure, and food shortages. Humanitarian assistance for refugees and internally displaced populations requires particular attention to the common issues affecting morbidity and mortality in women and infants. Gender-based violence and reproductive health concerns are discussed within the context of populations affected by conflict and forced migration. Recommendations for midwives and women's health care providers engaging in care for women and children in complex humanitarian emergencies are discussed.

Developing Countries↗

Blankets for babies.

Explore the source record for details and available documents.

Bedding and Linens↗

Nonfatal injuries following Hurricane Katrina--New Orleans, Louisiana, 2005.

UNLABELLED: The Journal of Safety Research has partnered with the National Center for Injury Prevention and Control at the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia, USA, to briefly report on some of the latest findings in the research community. This report is the fourth edition in a series of CDC articles. BACKGROUND: An active injury and illness surveillance system was established by the Centers for Disease Control and Prevention (CDC) along with the Louisiana Department of Health and Hospitals (LDHH) in the aftermath of Hurricane Katrina in functioning hospitals and medical clinics. RESULTS: The surveillance system recorded 7,543 nonfatal injuries among residents and relief workers between September 8-October 14, 2005. The leading mechanisms of injury identified in both groups were fall and cut/stab/pierce, with a greater proportion of residents compared to relief workers injured during the repopulation period. Clean-up was the most common activity at the time of injury for both groups. CONCLUSION: Injuries documented through this system underscore the need for surveillance of exposed populations to determine the injury burden and initiate injury prevention activities and health communication campaigns.

Adolescent↗

Supporting disaster healthcare professionals: a practical and virtual approach.

In this paper, we report on a questionnaire undertaken to evaluate an innovative programme of education for healthcare professionals in the field of aid and disaster healthcare that has been delivered by a partnership of three Higher Education Institutions (HEIs) across Europe since 1999. The development of this programme was a direct response to the stated needs of Non Government Organisations (NGOs) and military healthcare professionals as well as those aspiring to enter this complex area of healthcare. The aim of the project was to evaluate whether the programme was meeting the needs of students and to elicit what improvements could be made to the programme in order to enhance the learning experience. A questionnaire was developed to gather data across seven areas. It was subsequently analysed using the report and statistics features available within WebCT's Quiz/Questionnaire tool, in addition to the spreadsheet software MS Excel. The results of the questionnaire confirm that the programme, while successful in many ways, needs to be modified on a regular basis to reflect relevant worldwide changes and would benefit greatly from increased interaction between faculty and students.

Adult↗

International disaster mental health.

This article distills key issues and controversies in the field of international disaster mental health. It offers perspectives from cross-cultural research and describes current controversies, including the appropriateness of bringing to bear Western structures of mental health and psychiatric diagnosis to non-Western settings. It reports early lessons learned from the field regarding what might best constitute assistance within a foreign culture and where to place emphasis. It recommends becoming involved within the relief establishment.

Culture↗

Humanitarian military medical mission in a postconflict environment: lessons from Cambodia.

In the aftermath of a genocidal civil war, the Government of Cambodia is left with major deficiencies in its healthcare system. This article recounts a military medical mission to Cambodia; the authors describe the objectives of the mission and provide a summary of the lessons learned. Specific areas of concern include healthcare infrastructure, logistics, standards of care, social traditions, organizational issues and potential problems in civil-military collaboration. This report is offered as a heuristic device to illuminate some of the issues that can mediate the success of military medical missions in postconflict environments.

Altruism↗

The devastation of Bam: an overview of health issues 1 month after the earthquake.

The appalling earthquake in the ancient city of Bam on December 27th 2003 was one of the worst disasters since the last century in Iran. Further to the chilling statistics of human loss, essential services including water supply, power, telephone, health care services, main roads, and the city's only airport were crippled. From the 'public health' and 'health emergency' perspectives, the initial priorities were to minimise avoidable further mortality and morbidity. This required prompt evacuation of the injured, defining catchment areas, establishment of efficient systems for disease control, organising a disaster management plan, out patient management, co-ordination of international aid, and re-organising the current PHC network in the district. The second stage, each department planning health delivery for the subsequent year, was rapidly initiated. This paper discusses these strategies, which were designed specifically for Bam but are likely useful in similar situations.

Disasters↗

Mental and social health in disasters: relating qualitative social science research and the Sphere standard.

Increasingly, social scientists interested in mental and social health conduct qualitative research to chronicle the experiences of and humanitarian responses to disaster We reviewed the qualitative social science research literature in relation to a significant policy document, the Sphere Handbook, which includes a minimum standard in disaster response addressing "mental and social aspects of health", involving 12 interventions indicators. The reviewed literature in general supports the relevance of the Sphere social health intervention indicators. However, social scientists' chronicles of the diversity and complexity of communities and responses to disaster illustrate that these social interventions cannot be assumed helpful in all settings and times. With respect to Sphere mental health intervention indicators, the research largely ignores the existence and well-being of persons with pre-existing, severe mental disorders in disasters, whose well-being is addressed by the relevant Sphere standard. Instead, many social scientists focus on and question the relevance of posttraumatic stress disorder-focused interventions, which are common after some disasters and which are not specifically covered by the Sphere standard. Overall, social scientists appear to call for a social response that more actively engages the political, social, and economic causes of suffering, and that recognizes the social complexities and flux that accompany disaster. By relating social science research to the Sphere standard for mental and social health, this review informs and illustrates the standard and identifies areas of needed research.

Altruism↗

Caring for non-combatants, refugees, and detainees.

The recently reported abuses at Abu Ghraib prison have brought the issue of medical care for displaced persons (DPs) to greater prominence. Natural disasters in the United States (eg, Hurricane Katrina) and elsewhere also require significant medical resources in situations that lack basic infrastructure. Intimate knowledge of the basic tenets of international law is crucial to the care of DPsin any capacity. This article provides an introduction to the Geneva Conventions and the medical and administrative issues that form a framework on which to base DP care.

Codes of Ethics↗