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Disaster medical response: maximizing your effectiveness.

In the aftermath of Hurricane Katrina, physicians and other health professionals volunteered for deployment to the affected area to provide medical services. The frustrating reality most of them encountered was the incapacity of those in charge to use the number of professional volunteers expressing interest. Untrained volunteers, though well intentioned, are often not that helpful. The immediate needs of a disaster area relate to public health and other safety issues. Until a proper infrastructure is re-established, general medical services cannot be provided. Physician services are most effectively provided in collaboration with, or as part of, an organized local response agency.

Disaster Planning↗

[Telemedicine Anáhuac. Educational system and health promotion activities].

Rural telemedicine began in the 1950s in the Papago, Arizona Reservation with the program Starphac. The Anáhuac University began the program in 2002. In the Anáhuac, the project was developed to provide specialty consultations in a virtual way to a highly marginalized population, creating clinical fields of high technology and fulfilling social obligations. The program began in Guerrero and was complemented with video conferences to an open population, courses to general physicians, continuing medical education, activities to promote health, and emergency disaster plans. From May 2002 until the end of 2004, 11,576 general consults have been provided and 2,420 specialty consults. The most frequent diagnoses in surgery were peptic ulcer disease, cholecystitis, diabetic foot and superficial venous insufficiency. The telemedicine program has allowed us to bring high specialty consults with great productivity, efficiency, less wait time and cost-benefit impact, along with a high quality of humane care. Resident physicians do their social service in a positive manner, with a permanent consultation office and a program of continuing medical education.

Education, Medical, Continuing↗

Management on tsunami causing posttraumatic stress disorder: a case report.

On December 26, 2004, tsunamis hit Southeast Asia and caused serious damage and loss of lives. In Thailand, six provinces (Ranong, Phang-Nga, Phuket, Krabi, Trang, and Satun) were impacted. The present study reports the psychiatric assessments such as Thai GHQ-60 and IES. It also reports management techniques of both cognitive behavior therapy and medication. Those were provided to a Thai female patient who was 54 years old. The patient responded to treatment quickly because of early management. The tsunami victim with Posttraumatic Stress Disorder (PTSD) is not an individual. A mass of people who faced or witnessed the tsunami are vulnerable to get PTSD any time during 6 months after trauma. These early management techniques are useful and practical for a mass of victims and survivors.

Disaster Planning↗

Report to the 58th World Health Assembly: Health Action in Relation to Crises and Disasters.

This Summary Report was prepared for Agenda item 13.3 for the meeting of the World Health Assembly convened at the World Health Organization (WHO) Headquarters in Geneva, Switzerland on 20 May 2005. It was in part, prepared from the Reports generaged by the Conference, Health Actions in Relation to Crises and Disasters, convened by the WHO in Phuket, Thailand, 04-06 May 2005.

Congresses as Topic↗

Opportunities and challenges in risk resilient recovery.

In the post-disaster context, following the initial shock of the disaster, returning lives and livelihoods to normality becomes a primary concern of the affected communities and nations. Traditionally, this has been known as recovery phase, where "normalcy" referred to the same situation as when the disaster occurred. Recovery is defined as "Decisions and actions taken after a disaster with a view to restoring or improving the pre-disaster living conditions of the stricken community, while encouraging and facilitating necessary adjustments to reduce disaster risk" (www.unisdr.org), This process of "Recovery" from the impact of disaster must be across various sectors, namely shelter, infrastructure, healthcare services, agriculture, economic and social rehabilitation. Recovery from disasters is increasingly being regarded as an opportunity to build to a higher standard of disaster resilience, preferably even integrating structural and non-structural mitigation measures for future disasters.

Delivery of Health Care↗