Disaster Management
State Institute of Health & Family Welfare, Jaipur
Disaster
• Latin word:– Dis (Bad) Aster ( Star)• Theory of anger of God
Theory of Fury of Nature• Since not under the control of humans ‘Philosophy
of Fatalism’ changed to ‘Management of Disasters’
• Latin word:– Dis (Bad) Aster ( Star)• Theory of anger of God
Theory of Fury of Nature• Since not under the control of humans ‘Philosophy
of Fatalism’ changed to ‘Management of Disasters’
SIHFW: an ISO 9001:2008 certified Institution 2
Disaster=(Hazard + Risk)x Vulnerability
SIHFW: an ISO 9001:2008 certified Institution 3
Hazard
• Potentiality of a physical event, phenomenon orhuman activity that may cause loss of life orproperty
• Characterized by its location, intensity,frequency and probability
• Could be natural or manmade• Could be single, sequential or combined in origin
and effect
• Potentiality of a physical event, phenomenon orhuman activity that may cause loss of life orproperty
• Characterized by its location, intensity,frequency and probability
• Could be natural or manmade• Could be single, sequential or combined in origin
and effect
SIHFW: an ISO 9001:2008 certified Institution 4
Risk
• Probability of harmful consequences orexpected losses– Death , injury, property, livelihood, economic
activity disrupted or environment damage• Hazard Risk Vulnerability and Capacity
(HRVC)Analysis
• Probability of harmful consequences orexpected losses– Death , injury, property, livelihood, economic
activity disrupted or environment damage• Hazard Risk Vulnerability and Capacity
(HRVC)Analysis
SIHFW: an ISO 9001:2008 certified Institution 5
Vulnerability
• Extent to which a community can be affected bythe impact of a hazard
• Factors increasing vulnerability– Poverty, lack of information, poor living
conditions, overloaded or poorly maintainedequipments, inadequate safety precautions
• Precede disasters, contribute to their severityand impede disaster response
• Extent to which a community can be affected bythe impact of a hazard
• Factors increasing vulnerability– Poverty, lack of information, poor living
conditions, overloaded or poorly maintainedequipments, inadequate safety precautions
• Precede disasters, contribute to their severityand impede disaster response
SIHFW: an ISO 9001:2008 certified Institution 6
Thus, Disaster is ..
• Catastrophe, mishap, calamity or graveoccurrence in any area,
• Results in substantial loss of life or humansuffering or damage to, and destruction ofproperty, or damage to, or degradation ofenvironment,
• Beyond the coping capacity of the community ofthe affected area.(Source: National Disaster Act,2005).
• Catastrophe, mishap, calamity or graveoccurrence in any area,
• Results in substantial loss of life or humansuffering or damage to, and destruction ofproperty, or damage to, or degradation ofenvironment,
• Beyond the coping capacity of the community ofthe affected area.(Source: National Disaster Act,2005).
SIHFW: an ISO 9001:2008 certified Institution 7
When an Event is a Disaster:
• According to IFRC: any incident in which more
than 5 persons are killed or 100 persons are
injured is categorized as disaster
• According to IFRC: any incident in which more
than 5 persons are killed or 100 persons are
injured is categorized as disaster
SIHFW: an ISO 9001:2008 certified Institution 8
Forms of Disasters
SIHFW: an ISO 9001:2008 certified Institution 9
Some Are Slow In Onset
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Some are Rapid in Onset
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Man Plays a Role in Many
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Types of Disaster
Natural Disasters Man-Made Disasters
Sudden Impact – earthquakes, tropicalstorms, tsunamis, volcanic Eruptions,etc.
Industrial/Technological – fires,pollution, spillages, explosions etc.
Slow-Onset – drought, famine, pestinfestation, deforestation, etc.
Complex Emergencies – wars ,civil-strife, armed aggression, etc.
Epidemic Diseases – water borne, foodborne, vector borne, etc.
Others – transportations accidents,material shortages.
SIHFW: an ISO 9001:2008 certified Institution 13
Disaster Chain
SIHFW: an ISO 9001:2008 certified Institution14
India’s Key Vulnerabilities
• Coastal States, particularly in the east coaststates and Gujarat are vulnerable to cyclones,
• 4 crores hectare landmass is vulnerable tofloods.
• 68% of net snow area is vulnerable to drought.• 55% of total area is in Seismic Zone III-IV , and
vulnerable to earthquakes.• Sub Himalayan/ Western Ghat is vulnerable to
landslides.
• Coastal States, particularly in the east coaststates and Gujarat are vulnerable to cyclones,
• 4 crores hectare landmass is vulnerable tofloods.
• 68% of net snow area is vulnerable to drought.• 55% of total area is in Seismic Zone III-IV , and
vulnerable to earthquakes.• Sub Himalayan/ Western Ghat is vulnerable to
landslides.
SIHFW: an ISO 9001:2008 certified Institution 15
Disaster Profile- India
1994-1998 - Rs 28,678 crores 1998-2004 - Rs 47,464 crores 2005 - Rs 87,500 crores
2007 India China USNo ofSignificantdisasters
21 38 31
Victims 7.3 m 88 m 2.3 mEconomicdamages
3.3 bn US $ 13.5 bn US $ 5 bn US $
16
1994-1998 - Rs 28,678 crores 1998-2004 - Rs 47,464 crores 2005 - Rs 87,500 crores
Economicdamages
3.3 bn US $ 13.5 bn US $ 5 bn US $
SIHFW: an ISO 9001:2008 certified Institution
Source: DisasterManagement Authority
INDIAEconomic Losses due to Disasters
Losses inThousand
Crores
PERIOD
Annual- Impact on People1. Losses in lives - 4334.2. People affected - 30 Million.3. Houses lost - 2.34 Million.
50 % 139 %
Losses inThousand
Crores
Annual- Financial LossesPercentage of Central Revenue(for relief) – 12%.
311 %
SIHFW: an ISO 9001:2008 certified Institution 17
Vulnerable Group
• Elderly people
• Women
• Children
• Elderly people
• Women
• Children
SIHFW: an ISO 9001:2008 certified Institution 18
Trend of Disasters in World(2001-2010)
727799
706 743810
729 693626 597 640
500600700800900 Total no. of reported disasters
SIHFW: an ISO 9001:2008 certified Institution 19
Source : World Disaster Report-2011
0100200300400500
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
India’s Proneness to Drought
National Disaster management Authority-2010SIHFW: an ISO 9001:2008 certified Institution 20
India’s Proneness to Earthquake
National Disaster management Authority-2010
SIHFW: an ISO 9001:2008 certified Institution 21
India :
Total no. of people reportedkilled (2001-2010) 63,611
Total no. of people reportedaffected (2001-2010) 563,498,367
Total no. of people reported killed2010
2,234
Total no. of people reportedaffected 2010
4,790,863
SIHFW: an ISO 9001:2008 certified Institution 22
Source :World Disaster Report-2011
Potential Consequence of Disaster
Consequences Floods Earthquake Droughts ComplexEmergencies
Deaths Few Many Many May be many
Severe injuries Few Overwhelming Few May be manySevere injuries Few Overwhelming Few May be many
Disease outbreak Possible(waterborne)
Possible Possible (due tomalnutrition)
Common (alltypes)
Food shortages Common Rare Overwhelming Common
Massdisplacement
Common Not common Common Common
SIHFW: an ISO 9001:2008 certified Institution 23
“If sufficient number of management layers aresuperimposed on each other, it can be assuredthat disaster is not left to chance.”
Norman R Augustine
“If sufficient number of management layers aresuperimposed on each other, it can be assuredthat disaster is not left to chance.”
Norman R Augustine
SIHFW: an ISO 9001:2008 certified Institution 24
Disaster Risk Management
• Disaster management-Effective organization, direction and utilization ofavailable counter-disaster resources.
• Modern view –Pre-disaster measures to prevent or mitigatedisasters are called Risk Management.
• Disaster management-Effective organization, direction and utilization ofavailable counter-disaster resources.
• Modern view –Pre-disaster measures to prevent or mitigatedisasters are called Risk Management.
SIHFW: an ISO 9001:2008 certified Institution 25
Traditional Model-DM Cycle
• Disaster management -number of phasedsequences of action or a continuum.
• Can be represented as a cycle.
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Dis
aste
r R
isk
Man
agem
ent
Warning
Disaster
EmergencyResponse
DisasterMitigation
Disasterpreparedness
Dis
aste
r R
isk
Man
agem
ent
EmergencyResponse
Rehabilitation
Reconstruction
DisasterPrevention
DisasterMitigation
SIHFW: an ISO 9001:2008 certified Institution 27
Expand Contract Theory
• There is a series of activities that run parallel toeach other rather than as a sequence.
SIHFW: an ISO 9001:2008 certified Institution 28
Expand Contract Theory
Prevention and MitigationStrand
Preparednessstrands
DisasterPreparednessstrands Relief and
RespondStrand Relief and
RehabilitationStrand
time
SIHFW: an ISO 9001:2008 certified Institution 29
Disaster & Nodal Ministry
Disasters Ministries/Departments• Earthquakes and Tsunami MHA/Ministry of Earth Sciences/IMD
• Floods MHA/Ministry of WaterResources/CWC
• Cyclones MHA/Ministry of Earth Sciences/IMD
• Drought Ministry of Agriculture
• Biological Disasters Ministry of Health and Family Welfare
• Chemical Disasters Ministry of Environment & Forests
• Nuclear Disasters Ministry of Atomic Energy
• Air Accidents Ministry of Civil Aviation
• Railway Accidents Ministry of Railways
Disasters Ministries/Departments• Earthquakes and Tsunami MHA/Ministry of Earth Sciences/IMD
• Floods MHA/Ministry of WaterResources/CWC
• Cyclones MHA/Ministry of Earth Sciences/IMD
• Drought Ministry of Agriculture
• Biological Disasters Ministry of Health and Family Welfare
• Chemical Disasters Ministry of Environment & Forests
• Nuclear Disasters Ministry of Atomic Energy
• Air Accidents Ministry of Civil Aviation
• Railway Accidents Ministry of RailwaysSIHFW: an ISO 9001:2008 certified Institution 30
National Disaster ManagementGovt. Of Indiacabinet committee on
management ofnatural calamities High Level
Committee
cabinet committee onsecurity
NDMA
NEC
State
national planningcommission
national crisesmanagement
committee
MHAministries and
dept of Govt. ofIndia
NIDM
national disasterresponse force
National DisasterMitigation resource
centre
31
State
SDMAsSECs
DISTTsDDMAs
local authorities
Communities
MHAministries and
dept of Govt. ofIndia
armed forcescentral paramilitary
forcesNCC, civil
guard,home guard
National DisasterMitigation resource
centreministries and dept of
statesState police
State disasterresponse force
Fire servicesAcademic InstitutionScientific InstitutionsTechnical Institution
Professional bodiesNGOs
Corporate SectorSIHFW: an ISO 9001:2008 certified Institution 31
National Response Mechanism
Union Cabinet
National Crisis Management Committee Agriculture Minister
Secretary (Agriculture)Secretary (Agriculture)
State ReliefCommissioners
Central ReliefCommissioner
•Indian MeteorologicalDepartment
•Central Water Commission•Other Depts
Crisis Management Group
SIHFW: an ISO 9001:2008 certified Institution 32
SOP for Disaster Management(GOI-2010)
• Phased approach• Preparedness• Early warning• Response• Relief• Restoration
• Phased approach• Preparedness• Early warning• Response• Relief• Restoration
SIHFW: an ISO 9001:2008 certified Institution 33
Preparedness/ Mitigation
A three-pronged approach to be adopted toundertake mitigation measures:• Building mitigation measures into all
development projects.• Initiating of national level mitigation, in high
priority areas, with the help of the CentralMinistries and Departments concerned andthe States.
• Encouraging and assisting State levelmitigation projects.
A three-pronged approach to be adopted toundertake mitigation measures:• Building mitigation measures into all
development projects.• Initiating of national level mitigation, in high
priority areas, with the help of the CentralMinistries and Departments concerned andthe States.
• Encouraging and assisting State levelmitigation projects.
SIHFW: an ISO 9001:2008 certified Institution 34
Training, Simulation and MockDrills
• Efficacy of plans and Standard OperatingProcedures (SOPs) - tested and refined throughtraining, seminars and mock drills.
• The NDMA - assist the states/UTs in these areasand conduct mock drills in different parts of thecountry.
• Efficacy of plans and Standard OperatingProcedures (SOPs) - tested and refined throughtraining, seminars and mock drills.
• The NDMA - assist the states/UTs in these areasand conduct mock drills in different parts of thecountry.
SIHFW: an ISO 9001:2008 certified Institution 35
Community Preparedness• The greatest number of lives can be saved
during the first few hours following a disaster,before help from the outside arrives.
• If a community is in a state of preparedness -reduce the impact of the disaster.
• Multi-sectoral activity for sustainable results.
• The greatest number of lives can be savedduring the first few hours following a disaster,before help from the outside arrives.
• If a community is in a state of preparedness -reduce the impact of the disaster.
• Multi-sectoral activity for sustainable results.
SIHFW: an ISO 9001:2008 certified Institution 36
Early Warning• The nodal agencies, for specific natural
disasters, will identify technological gaps andformulate projects for their upgradation.
• All States should provide to IndiaMeteorological Department –
required infrastructure for upgradation/ establishmentof meteorological observation systems.
• The nodal agencies, for specific naturaldisasters, will identify technological gaps andformulate projects for their upgradation.
• All States should provide to IndiaMeteorological Department –
required infrastructure for upgradation/ establishmentof meteorological observation systems.
SIHFW: an ISO 9001:2008 certified Institution 37
Response
• The existing and the new institutionalarrangements need to ensure anintegrated, synergized and proactive approachin dealing with any disaster.
SIHFW: an ISO 9001:2008 certified Institution 38
Role of National ExecutiveCommittee (NEC)
• Disaster specific guidelines will be formulated byNDMA, NEC.
• Give directions to the concerned Ministries/Departments of the Govt. of India/StateGovernments –
Regarding measures to be taken by them inresponse to any specific threatening disastersituation or disaster.
• NEC will coordinate response in the event of anythreatening disaster situation or disaster.
• Disaster specific guidelines will be formulated byNDMA, NEC.
• Give directions to the concerned Ministries/Departments of the Govt. of India/StateGovernments –
Regarding measures to be taken by them inresponse to any specific threatening disastersituation or disaster.
• NEC will coordinate response in the event of anythreatening disaster situation or disaster.
SIHFW: an ISO 9001:2008 certified Institution 39
State Response Mechanism (Rajasthan)Disaster Management Authority• Headed by Chief Minister• Consist of following members
1. Minister, Finance2. Minister, Water Resources3. Minister, Rural Development4. Minister, Health5. Minister, Urban Development6. Minister, Home7. Minister, Agriculture8. Minister, Science & Technology9. Minister, Revenue10.Minister, Transport11.Minister, Planning12.Chief Secretary13.Addl. Chief Secretary, Development14.Secretary, DM&R (Member Secretary)
Disaster Management Authority• Headed by Chief Minister• Consist of following members
1. Minister, Finance2. Minister, Water Resources3. Minister, Rural Development4. Minister, Health5. Minister, Urban Development6. Minister, Home7. Minister, Agriculture8. Minister, Science & Technology9. Minister, Revenue10.Minister, Transport11.Minister, Planning12.Chief Secretary13.Addl. Chief Secretary, Development14.Secretary, DM&R (Member Secretary)
SIHFW: an ISO 9001:2008 certified Institution 40
Disaster Management Committee –Executive Committee
Headed by Chief Secretary,Secretaries of the Department as members:-• Addl. Chief Secretary, Development• Home• Finance• Energy• Public Works• Urban Development• Medical & Health• Public Health and Engineering & Ground Water• Secretary to Chief Minister• Secretary, Irrigation
Headed by Chief Secretary,Secretaries of the Department as members:-• Addl. Chief Secretary, Development• Home• Finance• Energy• Public Works• Urban Development• Medical & Health• Public Health and Engineering & Ground Water• Secretary to Chief Minister• Secretary, Irrigation
SIHFW: an ISO 9001:2008 certified Institution 41
Disaster Management Committee –Executive Committee
• Secretary, Agriculture• Secretary, Animal Husbandry• Secretary, DM&R (Member Secretary)• Any of the following members may be asked to attend
the meeting as and when required by the Chairman:• Station Commander, Army and its nominee• General Manager, Railway• Director General of Police• Director General, Civil Defense• Director HCM RIPA• In charge, Centre for Disaster Management• BSNL
• Secretary, Agriculture• Secretary, Animal Husbandry• Secretary, DM&R (Member Secretary)• Any of the following members may be asked to attend
the meeting as and when required by the Chairman:• Station Commander, Army and its nominee• General Manager, Railway• Director General of Police• Director General, Civil Defense• Director HCM RIPA• In charge, Centre for Disaster Management• BSNL
SIHFW: an ISO 9001:2008 certified Institution 42
State Disaster Management Plan
• Under supervision of the Chief Secretaryprepared by each Nodal Department.
• Plan include aspects of mitigation, preparednessand response.
• Annual updation of the plan is institutionalized atthe state level by all departments.
• Under supervision of the Chief Secretaryprepared by each Nodal Department.
• Plan include aspects of mitigation, preparednessand response.
• Annual updation of the plan is institutionalized atthe state level by all departments.
SIHFW: an ISO 9001:2008 certified Institution 43
Prevention
• The existing Town & Country Planning Act,Industrial Master Plan and Land use ZoningNorms evaluated to make amendments todecrease our vulnerability.
• To ensure safe planning enforcement,Department of Disaster Management is amember of all the regulatory bodies in theState.
• The existing Town & Country Planning Act,Industrial Master Plan and Land use ZoningNorms evaluated to make amendments todecrease our vulnerability.
• To ensure safe planning enforcement,Department of Disaster Management is amember of all the regulatory bodies in theState.
SIHFW: an ISO 9001:2008 certified Institution 44
Mitigation
• All State Plan Schemes will have mitigation interms of their reference and Department ofDisaster Management will be consulted beforeall plan schemes are formulated andimplemented.
• All State Plan Schemes will have mitigation interms of their reference and Department ofDisaster Management will be consulted beforeall plan schemes are formulated andimplemented.
SIHFW: an ISO 9001:2008 certified Institution 45
Preparedness and Response
• The Department shall prescribe the frequency ofupdation of the plans and also the frequency ofdrills to be organized to rehearse the plan fromtime to time.
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Relief and Recovery
• The Department is Nodal agency foradministration of relief and recovery programsincluding management of Calamity Relief Fund.
SIHFW: an ISO 9001:2008 certified Institution 47
District Level Response MechanismDistrict Disaster Management Authority headed byCollector.Members• Zila Panchayat• Zila Parishad• Different line departments• NGOs• District Red Cross and others• Function : for coordinating all disaster management
activities at the district level.• In times of disasters, Distt. Collector constitutes a District
Relief Committee to oversee management of relief
District Disaster Management Authority headed byCollector.Members• Zila Panchayat• Zila Parishad• Different line departments• NGOs• District Red Cross and others• Function : for coordinating all disaster management
activities at the district level.• In times of disasters, Distt. Collector constitutes a District
Relief Committee to oversee management of reliefSIHFW: an ISO 9001:2008 certified Institution 48
Urban Areas• Disasters -managed by Municipal Commissioner
and Chief Executive Officer under the overallsupervision of District Collector.
• It will be responsible for putting in place techno-legal regime and its compliance, awarenessraising.
• Disasters -managed by Municipal Commissionerand Chief Executive Officer under the overallsupervision of District Collector.
• It will be responsible for putting in place techno-legal regime and its compliance, awarenessraising.
SIHFW: an ISO 9001:2008 certified Institution 49
Blocks and Tehsil Level
• Block and Tehsil level Disaster ManagementCommittees -headed by SDO and tehsildars asthe case may be.
• The Committee will look into all the aspects ofdisaster management including mitigationpreparedness, response and relief.
• Block and Tehsil level Disaster ManagementCommittees -headed by SDO and tehsildars asthe case may be.
• The Committee will look into all the aspects ofdisaster management including mitigationpreparedness, response and relief.
SIHFW: an ISO 9001:2008 certified Institution 50
Panchayat Level
• The Panchayat will also constitute a PanchayatDisaster Management Team consisting ofofficials and non-officials and organize trainingfor them to be able to discharge their dutiesproperly.
• The Panchayat will also constitute a PanchayatDisaster Management Team consisting ofofficials and non-officials and organize trainingfor them to be able to discharge their dutiesproperly.
SIHFW: an ISO 9001:2008 certified Institution 51
Village Level
• The Disaster Management Committee of avillage led by gram sabha.
• This Committee responsible for awarenessgeneration,– warning dissemination,– community preparedness plan,– adoption of safe housing practices and– organizing and cooperating relief in post disaster
situations.
• The Disaster Management Committee of avillage led by gram sabha.
• This Committee responsible for awarenessgeneration,– warning dissemination,– community preparedness plan,– adoption of safe housing practices and– organizing and cooperating relief in post disaster
situations.
SIHFW: an ISO 9001:2008 certified Institution 52
• Research in areas affected by earthquakes
indicates that single parent families, women,
handicapped people, children and the aged are
particularly vulnerable social groups.
• Research in areas affected by earthquakes
indicates that single parent families, women,
handicapped people, children and the aged are
particularly vulnerable social groups.
SIHFW: an ISO 9001:2008 certified Institution 53
Disaster Management in Health Sector
• The Emergency Medical Relief Division of theDirectorate General of Health Services in theMinistry of Health and Family Welfare (MoHFW)is the technical unit meant for the managementof crisis situations.
• The Emergency Medical Relief Division of theDirectorate General of Health Services in theMinistry of Health and Family Welfare (MoHFW)is the technical unit meant for the managementof crisis situations.
SIHFW: an ISO 9001:2008 certified Institution 54
Role of Epidemiology in Disasters
• Identify major health problems• Determine extent of disease• Identify causes of disease and risk factors• Prioritize health interventions• Monitor health trends• Evaluate impact of health programs
• Identify major health problems• Determine extent of disease• Identify causes of disease and risk factors• Prioritize health interventions• Monitor health trends• Evaluate impact of health programs
SIHFW: an ISO 9001:2008 certified Institution 55
Reasons of Health Related Problems
• Population density• Population displacement• Disruption of pre-existing sanitary services• Disruption of normal public health programs
• Population density• Population displacement• Disruption of pre-existing sanitary services• Disruption of normal public health programs
SIHFW: an ISO 9001:2008 certified Institution 56
Displacement and Displaced Persons
Displacement of population due to:• Escape the effects of conflict and violence• Find food, water, shelter• Seek protection from persecution• Escape the devastation of an environmental
disaster.
Displacement of population due to:• Escape the effects of conflict and violence• Find food, water, shelter• Seek protection from persecution• Escape the devastation of an environmental
disaster.
SIHFW: an ISO 9001:2008 certified Institution 57
Impact of DisplacementEffect of Displacement on displacedpersons
Effects of displacement on the host population
· Loss of livelihood/increased poverty· Hunger, malnutrition, and starvation· Lack of shelter· Lack of heating and cooking fuels· Lack of potable water· Spread of communicable diseases· Overcrowding· Loss of land tenure· Long-term psychosocial trauma· Breakdown of traditions, commonvalues and norms· “Community” functioning isdisrupted
Initially· Competition for essential resources and services· Food shortages and increases in food prices· Reduced wages· Impeded transportation and/or movement in thearea· Civil unrest· Interruption of local commerce due to blackmarket economies· Increased pollution due to overburdened waterand sanitation systems· Spread of communicable diseases· Overcrowding· Long-term psychosocial traumaLater· Local commerce increases and booms
· Loss of livelihood/increased poverty· Hunger, malnutrition, and starvation· Lack of shelter· Lack of heating and cooking fuels· Lack of potable water· Spread of communicable diseases· Overcrowding· Loss of land tenure· Long-term psychosocial trauma· Breakdown of traditions, commonvalues and norms· “Community” functioning isdisrupted
Initially· Competition for essential resources and services· Food shortages and increases in food prices· Reduced wages· Impeded transportation and/or movement in thearea· Civil unrest· Interruption of local commerce due to blackmarket economies· Increased pollution due to overburdened waterand sanitation systems· Spread of communicable diseases· Overcrowding· Long-term psychosocial traumaLater· Local commerce increases and booms
SIHFW: an ISO 9001:2008 certified Institution 58
Disaster and Health
• Injuries from the event• Environmental exposure after the event :
Sanitation options, personalhygiene, water supply etc.
• Malnutrition after the event• Mental health consequences :
“Disaster syndrome”• Communicable disease outbreaks• Excess Non communicable disease mortality
• Injuries from the event• Environmental exposure after the event :
Sanitation options, personalhygiene, water supply etc.
• Malnutrition after the event• Mental health consequences :
“Disaster syndrome”• Communicable disease outbreaks• Excess Non communicable disease mortality
SIHFW: an ISO 9001:2008 certified Institution 59
Communicable Disease Outbreaks
Limited evidence that they pose a major risk; butmay occur due to• Ecologic changes• Population density changes• Population displacement• Disorganized health services• Interruption of health services
Limited evidence that they pose a major risk; butmay occur due to• Ecologic changes• Population density changes• Population displacement• Disorganized health services• Interruption of health services
SIHFW: an ISO 9001:2008 certified Institution 60
Mental HealthStressful Event
Normal MentalHealth Status
ProtectiveFactor
StressorsProtective
Factor
ProtectiveFactorStressors
Stressors
Mental HealthServices
SIHFW: an ISO 9001:2008 certified Institution 61
Likely Relative Impact of HealthMeasures On A Community
Dis
ease
Bur
den
Curative care onlySafe water + enough food
Above + sanitation ,shelter
Above +preventive healthpublic health
SIHFW: an ISO 9001:2008 certifiedInstitution
62
Dis
ease
Bur
den
Time (months)
Curative care onlySafe water + enough food
Above + sanitation ,shelter
Above +preventive healthpublic health
SIHFW: an ISO 9001:2008 certified Institution 62
Health Alert Network
• A nationwide integrated information andcommunication system managed by Center fordisease control and prevention (CDC), is usedas a platform for distributing healthalerts, prevention guidelines and otherinformation.
• A nationwide integrated information andcommunication system managed by Center fordisease control and prevention (CDC), is usedas a platform for distributing healthalerts, prevention guidelines and otherinformation.
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Should Disaster Strike ...
SIHFW: an ISO 9001:2008 certified Institution 64
THANK YOU
For more details log on towww. sihfwrajasthan.com
orcontact : Director-SIHFW on
For more details log on towww. sihfwrajasthan.com
orcontact : Director-SIHFW on
[email protected]: an ISO 9001:2008 certified Institution 65