scholarly journals A Fundamental, National, Medical Disaster Management Plan: An Education-Based Model

2009 ◽  
Vol 24 (6) ◽  
pp. 565-569 ◽  
Author(s):  
Ahmadreza Djalali ◽  
Vahid Hosseinijenab ◽  
Azadeh Hasani ◽  
Kianoush Shirmardi ◽  
Maaret Castrén ◽  
...  

AbstractDuring disasters, especially following earthquakes, health systems are expected to play an essential role in reducing mortality and morbidity. The most significant naturally occurring disaster in Iran is earthquakes; they have killed <180,000 people in the last 90 years. According to the current plan in 2007, the disaster management system of Iran is composed of three main work groups: (1) Prevention and risk management, (2) Education, and (3) Operation. This organizational separation has resulted in lack of necessary training programs for experts of specialized organizations, e.g., the Ministry of Health and Medical Education (MOHME).The National Board of MOHME arranged a training program in the field of medical disaster management. A qualified training team was chosen to conduct this program in each collaborating center, based on a predefined schedule. All collaborating centers were asked to recall 5–7 experts from each member university. Working in medical disaster management field for ≤2 years was an inclusion criterion. The training programs lasted three days, consisted of all relevant aspects of medical disaster management, and were conducted over a six-month period (November 2007–April 2008). Pretest and post-tests were used to examine the participants' knowledge regarding disaster management; the mean score on the pretest was 67.1 ±11.6 and 88.1 ±6.2, respectively. All participants were asked to hold the same training course for their organizations in order to enhance knowledge of related managers, stakeholders, and workers, and build capacity at the local and provincial levels. The next step was supposed to be developing a comprehensive medical disaster management plan for the entire country. Establishing nine disaster management regional collaborating centers in the health system of Iran has provided an appropriate base for related programs to be rapidly and easily accomplished throughout the country. This tree-shaped model is recommended as a cost-benefit and rapid approach for conducting training programs and developing a disaster management plan in the health system of a developing country.

Author(s):  
Kazuki Karashima ◽  
Akira Ohgai

To minimize the damage caused by large earthquakes, mutual assistance activities between residents and rescue victims (i.e., to support residents who cannot evacuate individually) are important. To enhance these activities, the technologies and methods for creating a Community Disaster Management Plan (CDMP), based on the quantitative evaluation of mutual assistance abilities, are required. However, the lack of a method for it is a key issue. This study aims to develop a methodology of workshops for making CDMPs by using the developed support tool by the authors to explore and promote mutual assistance activities. Through the demonstration and examination of a Community Disaster Management Plan on actual districts, the findings mentioned in this article were obtained. Moreover, the usability of this method is shown. In particular, this method is effective at revising CDMPs, and raising resident awareness on the importance of mutual assistance. The suggested method can also improve the lack of techniques involved in promoting mutual assistance.


2010 ◽  
Vol 31 (6) ◽  
pp. 935-941 ◽  
Author(s):  
Yun Shan Phua ◽  
Jason D. Miller ◽  
Richard B. Wong She

2020 ◽  
Vol 4 ◽  
pp. 60 ◽  
Author(s):  
Rima Shretta ◽  
Sheetal Prakash Silal ◽  
Olivier J. Celhay ◽  
Chris Erwin Gran Mercado ◽  
Shwe Sin Kyaw ◽  
...  

Background: The Asia-Pacific region has made significant progress against malaria, reducing cases and deaths by over 50% between 2010 and 2015. These gains have been facilitated in part, by strong political and financial commitment of governments and donors. However, funding gaps and persistent health system challenges threaten further progress. Achieving the regional goal of malaria elimination by 2030 will require an intensification of efforts and a plan for sustainable financing. This article presents an investment case for malaria elimination to facilitate these efforts. Methods: A transmission model was developed to project rates of decline of Plasmodium falciparum and Plasmodium vivax malaria and the output was used to determine the cost of the interventions that would be needed for elimination by 2030. In total, 80 scenarios were modelled under various assumptions of resistance and intervention coverage. The mortality and morbidity averted were estimated and health benefits were monetized by calculating the averted cost to the health system, individual households, and society. The full-income approach was used to estimate the economic impact of lost productivity due to premature death and illness, and a return on investment was computed. Results: The study estimated that malaria elimination in the region by 2030 could be achieved at a cost of USD 29.02 billion (range: USD 23.65-36.23 billion) between 2017 and 2030. Elimination would save over 400,000 lives and avert 123 million malaria cases, translating to almost USD 90 billion in economic benefits. Discontinuing vector control interventions and reducing treatment coverage rates to 50% will result in an additional 845 million cases, 3.5 million deaths, and excess costs of USD 7 billion. Malaria elimination provides a 6:1 return on investment. Conclusion: This investment case provides compelling evidence for the benefits of continued prioritization of funding for malaria and can be used to develop an advocacy strategy.


2019 ◽  
Vol 4 (1) ◽  
pp. 11-20
Author(s):  
C. Zoramthara ◽  
Lalthakima

Sateek village is vulnerable to plenty of disasters such as earthquake, landslide, forest fire and disease outbreak. Some other features like poverty, remote area from the city, lack of hospital and other emergency services make the people of this village more vulnerable. The present study deals with the idea of community based disaster management (CBDM) and their risk assessment in Sateek village, which is located in Aibawk block of Aizawl District, Mizoram, India. The data used in this research include collection of primary data through interview, questionnaire and Secondary data. Landslide risk analysis was carried out in quantitative approach. The study seized disaster assessment, resource analysis, risk and vulnerable profile and response plan and interpretation in various disaster of Sateek village and how community based disaster management (CBDM) plan can help the people to cope with hazards.


2019 ◽  
Vol 2 (1) ◽  
pp. 35-40
Author(s):  
Daniel Ion ◽  
Dan Nicolae Păduraru ◽  
Florentina Mușat ◽  
Octavian Andronic ◽  
Alexandra Bolocan

AbstractThe clinical signs and symptoms of an acute in increase intraabdominal pressure (IAP) are subtle, especially in the conditions of the polytraumatized patient. Thus, abdominal compartment syndrome (ACS) can brutally occur and can have a major impact on the body’s main organs and systems. The purpose of our research was to identify the influence of intraabdominal pressure, intra-abdominal hypertension, and abdominal compartment syndrome, in the evolution of polytraumatized patients. Our study analyzed the patients admitted in the IIIrd Department of General Surgery of University Emergency Hospital in Bucharest between 1st of January 2010 and 31st of December 2018. The value of intraabdominal pressure, on admission, correlated with the risk of IAH/ ACS in patients with abdominal trauma - being major causes of morbidity and mortality. IAP monitoring should become a mandatory part of the management plan for patients with abdominal trauma.


2019 ◽  
pp. 199-219
Author(s):  
Mellisa Bowers ◽  
Gwen Cherne

International conflict and disaster response operations incorporate a diverse, multi-layered series of activities and actors working in the same space, and in contested environments. Differences in organizational culture, language, processes, and behavior can either inhibit or enhance understanding and cooperation. This chapter looks at how the Australian Civil-Military Centre (ACMC) has developed, facilitated, and tested education and training programs, preparedness exercises, and targeted research to enhance understanding and cooperation. These activities provide the foundation for a holistic civil-military-police lessons framework that is being developed. They provide Australian government agencies, military, police, and the aid community with a guide to successfully maintain and contribute their technical expertise and perspectives to respond to conflict and disaster management. Through the continued refinement of training programs, preparedness exercises, and targeted research, this framework looks not only at lessons collection but also at implementation of these lessons in future practice.


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