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Responding to the Boxing Day tsunami disaster in Aceh, Indonesia: Western and South Australian contributions.

OBJECTIVE: To describe the Western and South Australian response to the Boxing Day tsunami disaster in Aceh, Indonesia. METHOD: Reports from three of the responders. RESULTS: Comment has been made on organising a response, the first team to Banda Aceh, the second team to Banda Aceh, and lessons learned. CONCLUSIONS: These experiences have identified areas in which we could be better prepared for the next international disaster response.

Attitude of Health Personnel↗

Assessing emergency preparedness of families caring for young children with diabetes and other chronic illnesses.

PURPOSE: To help children with chronic illnesses and their caregivers assess emergency preparedness. CONCLUSIONS: Little work has been done to ascertain patient adherence levels to these recommendations. Additionally, little is known about the seeking patterns of healthcare providers and/or changes in interventions based on certain elements of emergency preparedness, such as the presence of medical alert identification and an emergency kit. PRACTICE IMPLICATIONS: Healthcare providers must discover their patients' level of emergency preparedness and facilitate the acquisition and implementation of elements of emergency preparedness that meet their patients' needs.

Adaptation, Psychological↗

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↗

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↗

Earthquake in Pakistan--The Renal Disaster Relief Task Force in action.

Following an earthquake, an International stream of help is launched. Teams of nephrologists, renal nurses and technicians from many European countries are ready as volunteers to come into action when needed. Basic help is necessary but what is the benefit of nephrologists and renal nurses, as the Renal Disaster Relief Task Force comes into action? The scouting team assesses the situation in the disaster area. Treatment of acute renal failure, hyperkalemia and Crush Syndrome can be life saving. The ability to accommodate dialysis treatment is investigated, in collaboration with local nephrologists. Belgian, French, Irish and Turkish colleagues who made up two teams, with Médecins sans Frontières (MsF) left for Pakistan following the devastating earthquake in October 2005. This is a report from one of the volunteers from the first team explaining the individual contribution that his mission made to the disaster.

Acute Kidney Injury↗

Social-ecological resilience to coastal disasters.

Social and ecological vulnerability to disasters and outcomes of any particular extreme event are influenced by buildup or erosion of resilience both before and after disasters occur. Resilient social-ecological systems incorporate diverse mechanisms for living with, and learning from, change and unexpected shocks. Disaster management requires multilevel governance systems that can enhance the capacity to cope with uncertainty and surprise by mobilizing diverse sources of resilience.

Adaptation, Psychological↗

Disaster management. U.S. policies pertaining to weather and climate extremes.

Climate and weather extremes--floods, drought, storms, severe weather--now have an impact on all levels of government and on the insurance industry. U.S. national policy has moved from structural approaches (building dams, levees, and irrigation ditches) to societal approaches: moving people out of hazardous areas, seeking improvements in building codes, and encouraging the use of crop and flood insurance. Federal relief assistance policies have been called into question, and renewed emphasis on personal responsibility is part of future policy.

Climate↗