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PubMed2003

Disasters and development in agricultural input markets: bean seed markets in Honduras after Hurricane Mitch.

The bulk of developing countries' populations and poor depend on agriculture for food and income. While rural economies and people are generally the most severely affected by natural disasters, little is known about how disasters and subsequent relief activities affect agricultural markets with differing levels of development. The article addresses this gap, drawing evidence from bean seed markets in Honduras after Hurricane Mitch. Case studies are used to address hypotheses about a disaster's effects on supply and demand in seed markets, farmers' responses and the performance of relief interventions in markets showing differing levels of development. The results show the importance of tailoring relief interventions to the markets that they will affect and to the specific effects of a disaster; the potential to use local and emerging seed distribution channels in a relief intervention; and opportunities for relief activities to strengthen community seed systems.

Agriculture↗
PubMed1994

Volcanic disaster mitigation in the Philippines: experience from Mt. Pinatubo.

Considerable progress has been made in volcanic disaster mitigation in the Philippines during the last four decades, since the devastating Hibok-Hibok eruption in 1951 and the establishment of the Commission on Volcanology (COMVOL), the forerunner of the Philippine Institute of Volcanology and Seismology (PHIVOLCS) in 1952. The management of the Pinatubo Volcano eruption crisis of 1991-92 marks the highest point in the development of volcanic disaster mitigation in the country. State-of-the-art volcano monitoring techniques and instruments were applied; the eruption was accurately predicted; hazards zonation maps were prepared and disseminated a month before the violent explosions; an alert and warning system was designed and implemented; and the disaster response machinery was mobilized on time. The unprecedented magnitude and lingering nature of the hazards, however, and their widespread, long-term impacts have sorely tested the capability of the country's volcanic disaster mitigation systems. In particular, the lahar threat has triggered controversies and put decision makers in a dilemma of choosing between adaptive versus confrontational/control approaches. At least three strategies have been articulated and adopted in varying degrees and forms: (1) the establishment of a lahar monitoring-warning-evacuation system to deal with the lahar problem on an emergency basis; (2) relocation of settlements from the hazard zones; and (3) installation of engineering countermeasures to control/divert the lahar flows and protect settlements. A combination of the three appears to be the best, but the most effective and least costly mix remains to be determined.

Disaster Planning↗
PubMed1994

Strategy and organizational disaster preparedness.

Strategy is introduced as a predictor of disaster preparedness. Tests with multiple regression show that strategy, disaster experience and capacity for disaster response are the strongest predictors of preparedness. We conclude that the measure of strategy warrants further refinement and that the study of preparedness must move from idiosyncratic, disconnected studies to a more theoretically organized set of studies that verify useful guidelines for monitoring and enhancing disaster preparedness.

Disaster Planning↗
PubMed1994

Natural disasters in the United States as release agents of oil, chemicals, or radiological materials between 1980-1989: analysis and recommendations.

Generally, hazards research and literature has treated natural and technological disasters as separate entities. This study attempts to determine how frequently interaction between these two types of disaster took place in the United States from 1980-1989. Data were collected by performing a literature review, contacting organizations and individuals active in hazards research and mitigation, and through a questionnaire sent to the emergency management agencies of all 50 states. The consensus derived from the data is that the number of incidents where natural and technological disasters interact is rising while preparations, which recognize the complications inherent in such combined events, remain cursory. There is a pressing need for states to record, and make available to managers, information regarding the number of combined natural/technological events affecting their areas. Only when such data are available will it be possible to make appropriate decisions regarding the best way to reduce the effects of a natural disaster causing a catastrophic release of hazardous materials.

Disaster Planning↗
PubMedDate not supplied

Mother nature's disasters and their health effects: a literature review.

Each year global warming and climate changes are affecting Mother Nature, causing extreme weather events to occur (Patz & Khaliq, 2002). The impact of these disasters uproots populations, causes massive infrastructure destruction, and sets the stage for an increase of population mortality and morbidity. Before, during, and after the disaster, nurses provide health care to those in need. Nurses should be aware of the anticipated diseases, traumas, and short- and long-term illnesses that occur following the different types of natural disasters. The purpose of this article is to review existing data and alert nurses to the potential threats they may face following a natural disaster.

Disaster Planning↗
PubMed1992

The role of the veterinarian in hurricanes and other natural disasters.

Hurricanes create a multiplicity of complicated problems and hazards ranging from outbreaks of infectious disease to animal control problems precipitated by destruction of property. A multidisciplinary response is required to solve such problems. The pool of knowledge derived from various professionals interacting with multiple levels of government agencies (federal, state, and local) will provide the expertise needed. Because the veterinarian is trained to deal with disease involving populations of animals (e.g., herds or flocks) as well as individuals, and because of his/her intensive clinical training, the veterinarian is uniquely qualified to deal with the disaster situation. The veterinarian possesses extensive knowledge in disease and disease processes and has the capability of disease and injury management in affected populations, which qualifies him/her for an essential role, with unlimited potential as a member of any disaster relief team. There is considerable potential for veterinarians to play a role in responding to natural disasters. The areas of disease control, animal care, animal control, protection of the food supply, disinfection/sterilization, and planning are all areas where veterinarians can take an active part. Inclusion of the veterinarian in the process of planning for and responding to natural disasters will yield significant public health benefits.

Animal Welfare↗
PubMed1992

The use of wide area computer networks in disaster management and the implications for hospital/medical networks.

Computer-mediated communication in various forms is already being used in all phases of disaster management--preparation, response, recovery, and long-term mitigation. However, to date wide area computer networks--particularly the Internet (the supernetwork of networks)--have been used only to a limited extent in disaster management and prevention. Some of these applications are described in this paper. Nevertheless, the high speed and ease of information transfer by computer network and the vast resources becoming available on the Internet make it inevitable that the use of computer networks to temper disasters will increase enormously in the next decade. The Internet will provide a key means through which networks initially dedicated to solely medical purposes and the individuals who use them will become involved not only in disaster response and mitigation worldwide, but in the global community and consciousness that is the Internet.

Australia↗
PubMed2006

Direct patient care during an acute disaster: chasing the will-o'-the-wisp.

Well developed disaster plans are essential in today's atmosphere of natural and man-made disasters. We describe the problems faced by a community hospital on the Mississippi Gulf Coast during and in the wake of Hurricane Katrina. Because of significant damage to surrounding health care facilities, this hospital was called upon to provide care to a large section of the affected population. In spite of a previously successful disaster plan, a number of unforeseen difficulties were encountered. These included staff shortages due to inability of relief personnel to re-enter the affected area, insufficient power generation by hospital generators, breakdown in communication, fuel shortage, limited mortuary space, and stretching of emergency room resources. These unexpected developments emphasize the importance of contingency planning as part of disaster preparedness.

Communication↗
PubMed2004

Information technology and emergency medical care during disasters.

Disaster response to mass-casualty incidents represents one of the greatest challenges to a community's emergency response system. Rescuers, field medical personnel, and regional emergency departments and hospitals must often provide care to large numbers of casualties in a setting of limited resources, inadequate communication, misinformation, damaged infrastructure, and great personal risk. Emergency care providers and incident managers attempt to procure and coordinate resources and personnel, often with inaccurate data regarding the true nature of the incident, needs, and ongoing response. In this chaotic environment, new technologies in communications, the Internet, computer miniaturization, and advanced "smart devices" have the potential to vastly improve the emergency medical response to such mass-casualty incident disasters. In particular, next-generation wireless Internet and geopositioning technologies may have the greatest impact on improving communications, information management, and overall disaster response and emergency medical care. These technologies have applications in terms of enhancing mass-casualty field care, provider safety, field incident command, resource management, informatics support, and regional emergency department and hospital care of disaster victims.

California↗
PubMed2006

Katrina, the tsunami, and point-of-care testing: optimizing rapid response diagnosis in disasters.

We assessed how point-of-care testing (POCT), diagnostic testing at or near the site of patient care, can optimize diagnosis, triage, and patient monitoring during disasters. We surveyed 4 primary care units (PCUs) and 10 hospitals in provinces hit hardest by the tsunami in Thailand and 22 hospitals in Katrina-affected areas. We assessed POCT, critical care testing, critical values notification, demographics, and disaster responses. Limited availability and poor organization severely limited POCT use. The tsunami impacted 48 PCUs plus island and province hospitals, which lacked adequate diagnostic instruments. Sudden overload of critical victims and transportation failures caused excessive mortality. In New Orleans, LA, flooding hindered rescue teams that could have been POCT-equipped. US sea, land, and airborne rescue brought POCT instruments closer to flooded areas. Katrina demonstrated POCT value in disaster responses. We recommend handheld POCT, airborne critical care testing, and disaster-specific mobile medical units in small-world networks worldwide.

Diagnosis↗
PubMed2006

The pediatrician and disaster preparedness.

For decades, emergency planning for natural disasters, public health emergencies, workplace accidents, and other calamities has been the responsibility of government agencies on all levels and certain nongovernment organizations such as the American Red Cross. In the case of terrorism, however, entirely new approaches to emergency planning are under development for a variety of reasons. Terrorism preparedness is a highly specific component of general emergency preparedness. In addition to the unique pediatric issues involved in general emergency preparedness, terrorism preparedness must consider several additional issues, including the unique vulnerabilities of children to various agents as well as the limited availability of age- and weight-appropriate antidotes and treatments. Although children may respond more rapidly to therapeutic intervention, they are at the same time more susceptible to various agents and conditions and more likely to deteriorate if they are not monitored carefully. This article is designed to provide an overview of key issues for the pediatrician with respect to disaster, terrorism, and public health emergency preparedness. It is not intended to be a complete compendium of didactic content but rather offers an approach to what pediatricians need to know and how pediatricians must lend their expertise to enhance preparedness in every community. To become fully and optimally prepared, pediatricians need to become familiar with these key areas of emergency preparedness: unique aspects of children related to terrorism and other disasters; terrorism preparedness; mental health vulnerabilities and development of resiliency; managing family concerns about terrorism and disaster preparedness; office-based preparedness; hospital preparedness; community, government, and public health preparedness; and advocating for children and families in preparedness planning.

Bioterrorism↗
PubMed1997

Aged citizens in the warning phase of disasters: re-examining the evidence.

While there is a strong consistent empirical literature on older citizens in the recovery period of disasters, there is much less research on how the elderly respond to disaster warnings. Furthermore, there are conflicting findings among these studies, some characterizing the elderly as noncompliant and less likely to cooperate with authorities, while others find the elderly no less responsive than other age groups. The current article reviews the literature in this area and tries to sort out conflicting findings in terms of the timing of the research and methodological considerations. Data are analyzed from nine disasters-representing flood events, volcanic eruptions, and hazardous materials emergencies-which show citizens over sixty-five years old no less likely to comply with disaster warnings.

Adaptation, Psychological↗
PubMedDate not supplied

Responding to international disasters.

Large-scale disasters attract broad coverage by the media and images of death and destruction circulate worldwide in minutes. This prompts the authorities in disaster-stricken areas to request external medical teams, and well-intentioned countries and aid organisations dispatch them to offer care for the victims (World Health Organization/Pan American Health Organization (WHO/PAHO) 2004a). This article provides information on disaster management for those with an interest in responding to international disasters such as the Indian Ocean tsunami in December 2004.

Delivery of Health Care↗
PubMed1993

Special report. Dealing with disasters: what hospitals learned from recent crises.

In times of crisis, hospitals are relied on to provide simultaneous emergency treatment to a large number of victims of natural disasters, accidents, or other traumatic events. Sometimes the hospital itself faces a crisis situation. Hospital officials recognize that the only way to continue providing patients with the best care possible in dire circumstances is through the activation of an effective disaster plan. "Disaster planning is something that cannot be planned enough," says Louis Gasbarro, president of the International Association for Healthcare Security and Safety (IAHSS) and security and safety director at Tampa General Hospital, Tampa, FL. "There's no such thing as over-planning or over-drilling. You must have a written plan known by all people, all departments, all personnel in the building. Everyone has to know their role." This special report will look at several events that brought an influx of patients to hospitals around the country, the disaster plans that were implemented, and what hospital officials learned from those experiences.

Accidents↗
PubMed1994

Disaster preparedness. Ready for earth, air, fire and water (and who knows what else)?

Already the 1990s might be described as a decade of disasters: From the devastation of hurricanes on the East Coast to the havoc of floods in the Midwest to the destruction of earthquakes and civil unrest on the West Coast, the past few years clearly show that disasters can strike anywhere--and at any time. For health facilities caught in the middle of these crises, emergency preparedness means much more than just meeting the basic requirements of the Joint Commission on Accreditation of Healthcare Organizations or complying with state and local regulations. Rather, for most health facilities, preparing for disasters is an integral part of ensuring that they can continue to provide adequate, high-quality patient care under almost any circumstances. This report, the first in a series of articles, examines how health facility managers coped once they found themselves in the midst of major disasters, what lessons they learned about emergency preparedness as a result of their experiences, and what others can learn from these difficult situations.

California↗
PubMedDate not supplied

Current extent of disasters in Africa.

The people oFf Africa are exposed to a wide range of disasters that seriously have aggravated the Continent's economic situation. Economic losses and human sufferings from drought, desertification, locust infestation, infectious diseases, epidemics, and armed conflicts are the dominant disasters that the people in the African countries face, and they have rendered the population utterly vulnerable. Disasters have aggravated Africa's economic situation. The cumulative effect of disasters include loss of property, injury, death, mounting food import bills, health hazards, environmental degradation, backward economic development, displaced people, refugees, and nutritional deficiency. Today, 175 million Africans out of a total population of 744 million people (23.5%) are suffering from chronic hunger; this is an increase of 50% from 25 years ago. In many African countries, up to half of the population suffers from absolute poverty. It is projected that Africa will be the only Continent to continue with the current level of poverty for another decade.

Africa↗
PubMed2001

Hospitals and disasters: how they fared; what they learned.

Disasters happen, be they nature-driven like a tornado, hurricane, or ice storm; accidents like plane crashes or train wrecks; or failures or defects in critical power systems. When they do take place and your hospital is called on to respond, a well-thought-out disaster plan, augmented by regular drills, can save the day. But, as we have reported in our coverage of many major disasters over the years, no plan covers all eventualities and there is always some unforeseen challenge that has to be overcome and incorporated into future plans. In this report, we'll give details of how hospitals and their security officials responded to an external disaster and an internal situation that was potentially disastrous, and what these real-life events taught them.

Disaster Planning↗
PubMedDate not supplied

Sentinel markers for industrial disasters.

Workers, managers, and occupational health and safety inspectors can be trained to detect or recognize and promote action to correct sentinel markers for industrial disasters. A sentinel marker is defined as a pre-disaster warning sign of impending failure in prevention. Administrative sentinel markers are: a weak occupational health and safety program; lack of spontaneous access to top management; failure to accept responsibility for subcontractors; the absence of written disaster plans and drills for emergency response in the factory and the adjacent community; noninvestigation of prodromal leaks, exposures, spills or injuries; punishment of "troublesome" individuals reporting such prodromal events; nonuse or misuse of data on illness, injury and absenteeism; and suboptimal work conditions and supervision of shift workers. Information sentinel markers include absence of worker and community right-to-know programs, nonuse of data on earlier mishaps from similar technologies, and failure to provide toxicologic data to hospitals in the pre-disaster phase. Technological sentinel markers are: absence of fail-safe controls, interlocks and automated alarm systems driven by real-time monitoring. Transportation sentinel markers include suboptimal vehicle standards, and drink, drugs and fatigue in drivers. Preventive programs based on identification of all sentinel markers by workers are suggested to be more effective than selective action based on risk assessment analysis.

Accidents, Occupational↗