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Disaster preparedness in health care.

Natural disasters frequently cause major problems which affect a population's health and hinder a nation's socioeconomic development by draining its scarce financial resources in an effort to repair damages. For example, the tsunami disaster in the Indian Ocean is one of the worst natural disasters in modern times. Well over 200,000 people died and more than 1.5 million people lost their homes and often their livelihoods. Losses are estimated to total more than US dollar 7 billion. Private assets, including housing and business equipment, account for the largest share of the losses. In the largest countries, the impact on GDP is likely to be minimal, but the damage in the affected areas is extreme. Poor people were disproportionately affected. A country's health systems and public health infrastructure must be organised and ready to act in disaster situations as well as under normal conditions and must be cognisant of the type of measures to be taken in event of a disaster. These will differ according to the severity of the disaster's impact on the national health system.

Delivery of Health Care↗

Flood management under climatic variability and its future perspective in Japan.

Devastating magnitudes of flood disasters have been occurring in various areas of Japan, and their impact has been increasing in recent years. Looking ahead, it is foreseen that rainfall and its patterns will be altered due to the climate change accompanied by global warming, and there is concern that the intensity and frequency of flood disasters might be exacerbated. This paper aims to introduce flood characteristics and management policies in Japan that have been undertaken for a long time in order to mitigate these recurrent flood disasters. It also highlights extremely devastating floods in some areas that occurred under recent climate variability, and to address the progress in the assessment of hydro-meteorological tendencies and in the promotion of dialogue among climatologists and hydrologists. Lastly, a new initiative to establish an intemational centre on water-related hazards and its risk management is presented.

Climate↗

[Six nurses at Gonaives].

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Attitude of Health Personnel↗

HIPAA: a few years later.

This article addresses the impact of the Health Insurance Portability and Accountability Act (HIPAA) several years after implementation. The rationale for HIPAA and a clarification of key terms, including covered entities, personal health information, and designated record sets, is reviewed. The impact of HIPAA at work, including increased cost and the complexities of educating employees and patients is assessed. Implications for homeland security, disaster planning, unique patient identifiers, the compilation of personal health records, and research are discussed.

Attitude of Health Personnel↗

After the flood: surviving Hurricane Juan.

Capital Health is the largest integrated academic health district in Atlantic Canada. It provides tertiary health services to Atlantic Canadians and to 40 per cent of Nova Scotia's population. Capital Health consists of nine facilities, one of which is the Queen Elizabeth II Health Sciences Centre. The QEII is the largest adult academic health centre in Atlantic Canada, occupying 10 buildings on two sites. It employs 8500 staff and has 1075 beds. The QEII was created in 1996 with the merger of the Victoria General (VG), Halifax Infirmary (HI), Abbie J. Lane Memorial, Camp Hill Veterans' Memorial, Nova Scotia Rehabilitation Centre and the Nova Scotia Cancer Centre. There are 33 operating rooms at the HI and VG sites; together about 29,000 operations are performed there each year. The two hospitals are located about five city blocks away from each other. This article discusses how the two facilities coped after the devastation of Hurricane Juan in September 2003.

Academic Medical Centers↗

Hurricane Katrina response and guidance for health-care providers, relief workers, and shelter operators.

Hurricane Katrina struck the coastal areas of Alabama, Florida, Louisiana, and Mississippi on August 29, 2005, causing substantial numbers of deaths among both humans and animals, infrastructure damage, and flooding. Affected areas continue to experience shortages of essential services, including electricity, potable water, food, and fuel; damage to health-care and public health systems; and disrupted communications. CDC/ATSDR, local and state health departments, other federal agencies, and other partners are supporting public health and medical-care functions for persons in affected areas and those displaced as a result of the hurricane.

Disaster Planning↗

Counting the dead.

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Computer Simulation↗