public health role in disaster

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    de Martiwi Eka Putri

    PUBLIC HE LTH ROLE IN DIS STER

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    The Public Health Role in disaster

    mitigation, preparedness, response and

    recovery includes:

    Identifying community resources applicable to thephysical, social, and psychosocial effects of a disaster

    Identifying groups most at risk from disasters (i.e.,

    children, older adults, homeless, chronically ill,

    homebound, physically or mentally disabled) Providing disaster education both in advance of (i.e.,

    what to expect in a disaster) and after (i.e., how to

    deal with the effects) event

    Taking responsibility for the health of a communityfollowing a disaster

    Using such resources as assessment, epidemiology,

    and data analysis to make and implement

    recommendations for limiting morbidity and mortalityfollowin disaster

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    Cont

    Cooperating and collaborating with other partners to

    ensure that primary health, public health, and mentalhealth issues are adequately addressed in disasterplanning

    Preventing disease by providing health advisories on injuryprevention, food and water safety, and vector control

    Assuring that health services continue post impact,including acute, continuity of care, primary care andemergency care

    Communicating with government officials about the publichealth effects of potential disasters and provide expertassistance during and after disasters

    Developing and advocating public policies designed toreduce the public health impact of potential disasters

    Collaborating with other health and human serviceprofessionals to rigorously evaluate intervention outcome

    Reference - Public Health Management of Disasters: ThePractice Guide (Landesman, 2001)

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    DISASTER EPIDEMIOLOGY

    Disaster epidemiology is used to develop

    strategies for preventing both acute and chronic

    health events due to natural or technological

    hazards. Disaster epidemiology includes theassessment of needs; assessment of the

    availability and use of health services;

    surveillance systems for descriptive and analytic

    investigations of disease and injury; research onrisk factors contributing to disease, injury, or

    death; and information from surveillance systems

    to develop strategies to control disease.

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    DISASTER EPIDEMIOLOGY

    Initiate active health systems surveillance,including systems for monitoring deaths, illness,

    and injuries.

    Evaluate real-time data, and communicate as

    directed.

    Establish procedures. Document all response

    activities.

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    Emergency information systems

    (EIS)

    Emergency information systems (EIS) areused in disaster epidemiology to collect data

    during the impact, response, and early

    recovery stages. First, using the EIS,

    managers determine the potential public

    health outcomes for each disaster, such as

    crush injuries from earthquakes or diarrheal

    diseases from floods. Then, managers usethe EIS to collect data from on-scene sources

    (such as hospitals, first-responder units,

    pharmacies, and shelters) in order to

    determine what health strategies and assets

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