42 CFR 38.3 - Assistance; procedures, limitations.

Code of Federal Regulations, 2010 CFR

2010-10-01

... EXAMINATIONS DISASTER ASSISTANCE FOR CRISIS COUNSELING AND TRAINING § 38.3 Assistance; procedures, limitations... disaster victims who may need professional mental health crisis counseling services and of the number of... of providing professional mental health crisis counseling to disaster victims or training of disaster...

42 CFR 38.3 - Assistance; procedures, limitations.

Code of Federal Regulations, 2012 CFR

2012-10-01

... EXAMINATIONS DISASTER ASSISTANCE FOR CRISIS COUNSELING AND TRAINING § 38.3 Assistance; procedures, limitations... disaster victims who may need professional mental health crisis counseling services and of the number of... of providing professional mental health crisis counseling to disaster victims or training of disaster...

42 CFR 38.3 - Assistance; procedures, limitations.

Code of Federal Regulations, 2011 CFR

2011-10-01

... EXAMINATIONS DISASTER ASSISTANCE FOR CRISIS COUNSELING AND TRAINING § 38.3 Assistance; procedures, limitations... disaster victims who may need professional mental health crisis counseling services and of the number of... of providing professional mental health crisis counseling to disaster victims or training of disaster...

Risk Management and Disaster Recovery in Public Libraries in South Australia: A Pilot Study

ERIC Educational Resources Information Center

Velasquez, Diane L.; Evans, Nina; Kaeding, Joanne

2016-01-01

Introduction: This paper reports the findings of a study of risk management in public libraries. The focus of the research was to determine whether the libraries had a risk management and disaster plan for major disasters. Method: A qualitative study was done to investigate risk management and disaster recovery in public libraries in South…

Introduction and use of video-assisted endoscopic thyroidectomy for patients in Belarus affected by the Chernobyl nuclear disaster.

PubMed

Igarashi, Takehito; Shimizu, Kazuo; Yakubouski, Siarhei; Akasu, Haruki; Okamura, Ritsuko; Sugitani, Iwao; Jikuzono, Tomoo; Danilova, Larisa

2013-11-01

We developed video-assisted neck surgery (VANS) - a feasible, simple, and safe endoscopic thyroid procedure with cosmetic benefits - in 1998. To date, we have performed this procedure 633 times. We have also introduced the VANS method in Belarus, a country that was left contaminated by the Chernobyl nuclear disaster. From a mass screening, nine Belarusian patients, including two with papillary carcinoma of the thyroid, were selected to undergo an operation using the VANS method, performed by a single surgeon (author Shimizu). We compared indicating factors for minimally invasive surgery, specifically the operating time and blood loss, between the Belarusian cases and the 33 most recent cases performed at our institute in Tokyo. The procedures in Belarus were performed under very different working conditions than in Japan. However, operating time and blood loss improved for the Belarusian cases as the surgeon gained experience in this environment; all the cosmetic outcomes were excellent. Subsequently, over a 2-year period, surgeons in Belarus performed the VANS method, with modification, for 29 cases of thyroid tumor. The VANS method is easily learned by inexperienced surgeons without major technical problems. © 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

75 FR 38673 - Federal Acquisition Regulation; Federal Acquisition Circular 2005-43; Introduction

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-02

... Web site at http://www.fema.gov/business/contractor.shtm . The Registry covers domestic disaster and... Analyst I Government Property.... 2008-011 Parnell II......... Registry of Disaster 2008-035 Gary Response...--Registry of Disaster Response Contractors (FAR Case 2008-035) This final rule adopts, without change, the...

Surgical Care Required for Populations Affected by Climate-related Natural Disasters: A Global Estimation.

PubMed

Lee, Eugenia E; Stewart, Barclay; Zha, Yuanting A; Groen, Thomas A; Burkle, Frederick M; Kushner, Adam L

2016-08-10

Climate extremes will increase the frequency and severity of natural disasters worldwide.  Climate-related natural disasters were anticipated to affect 375 million people in 2015, more than 50% greater than the yearly average in the previous decade. To inform surgical assistance preparedness, we estimated the number of surgical procedures needed.   The numbers of people affected by climate-related disasters from 2004 to 2014 were obtained from the Centre for Research of the Epidemiology of Disasters database. Using 5,000 procedures per 100,000 persons as the minimum, baseline estimates were calculated. A linear regression of the number of surgical procedures performed annually and the estimated number of surgical procedures required for climate-related natural disasters was performed. Approximately 140 million people were affected by climate-related natural disasters annually requiring 7.0 million surgical procedures. The greatest need for surgical care was in the People's Republic of China, India, and the Philippines. Linear regression demonstrated a poor relationship between national surgical capacity and estimated need for surgical care resulting from natural disaster, but countries with the least surgical capacity will have the greatest need for surgical care for persons affected by climate-related natural disasters. As climate extremes increase the frequency and severity of natural disasters, millions will need surgical care beyond baseline needs. Countries with insufficient surgical capacity will have the most need for surgical care for persons affected by climate-related natural disasters. Estimates of surgical are particularly important for countries least equipped to meet surgical care demands given critical human and physical resource deficiencies.

EPA Library Disaster Response and Continuity of Operations (COOP) Procedures

EPA Pesticide Factsheets

To establish Agency-wide procedures for the EPA National Library Network libraries to mitigate, prepare for, respond to, and recover from disasters in EPA libraries and provide continuing operations during and after a disaster.

Assessing and Improving Operational Resilience of Critical Infrastructures and Other Systems: An INFORMS TutORial

DTIC Science & Technology

2014-11-09

financial crisis 2010 Haiti Earthquake; Deepwater Horizon Oil Spill 2011 Fukushima Daiichi Nuclear Disaster 2012 Hurricane Superstorm Sandy Introduction...crisis 2010 Haiti Earthquake; Deepwater Horizon Oil Spill 2011 Fukushima Daiichi Nuclear Disaster 2012 Hurricane Superstorm Sandy Introduction Models...Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a

Women’s Role in Disaster Management and Implications for National Security

DTIC Science & Technology

2017-07-11

management policies, plans and decision making processes,” available at http://www.unisdr.org/we/ inform /publications/1037. Beijing Agenda for Global...1 WOMEN’S ROLE IN DISASTER MANAGEMENT AND IMPLICATIONS FOR NATIONAL SECURITY By Jessica Ear Introduction Disasters are increasing in...frequency and intensity. For those lacking control and access to services and resources such as education and information , disaster risks are even

Natural Disasters and Cultural Responses. Studies in Third World Societies. Publication Number Thirty-six.

ERIC Educational Resources Information Center

Oliver-Smith, Anthony, Ed.

This collection of articles focuses on natural disasters from earthquakes to famines in developing nations and on the human response from immediate reactions to long term social, political, and economic adaptations that result in social change and development. The introduction, "Disaster Context and Causation: An Overview of Changing Perspectives…

Introduction and Overview: Counseling Psychologists' Roles, Training, and Research Contributions to Large-Scale Disasters

ERIC Educational Resources Information Center

Jacobs, Sue C.; Leach, Mark M.; Gerstein, Lawrence H.

2011-01-01

Counseling psychologists have responded to many disasters, including the Haiti earthquake, the 2001 terrorist attacks in the United States, and Hurricane Katrina. However, as a profession, their responses have been localized and nonsystematic. In this first of four articles in this contribution, "Counseling Psychology and Large-Scale Disasters,…

42 CFR 485.64 - Condition of participation: Disaster procedures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... their application, and be assigned specific responsibilities. (a) Standard: Disaster plan. The facility's written disaster plan must be developed and maintained with assistance of qualified fire, safety, and other appropriate experts. The plan must include— (1) Procedures for prompt transfer of casualties...

42 CFR 485.64 - Condition of participation: Disaster procedures.

Code of Federal Regulations, 2014 CFR

2014-10-01

... their application, and be assigned specific responsibilities. (a) Standard: Disaster plan. The facility's written disaster plan must be developed and maintained with assistance of qualified fire, safety, and other appropriate experts. The plan must include— (1) Procedures for prompt transfer of casualties...

42 CFR 485.64 - Condition of participation: Disaster procedures.

Code of Federal Regulations, 2013 CFR

2013-10-01

... their application, and be assigned specific responsibilities. (a) Standard: Disaster plan. The facility's written disaster plan must be developed and maintained with assistance of qualified fire, safety, and other appropriate experts. The plan must include— (1) Procedures for prompt transfer of casualties...

42 CFR 485.64 - Condition of participation: Disaster procedures.

Code of Federal Regulations, 2011 CFR

2011-10-01

... their application, and be assigned specific responsibilities. (a) Standard: Disaster plan. The facility's written disaster plan must be developed and maintained with assistance of qualified fire, safety, and other appropriate experts. The plan must include— (1) Procedures for prompt transfer of casualties...

Remote sensing utility in a disaster struck urban environment. [technology utilization

NASA Technical Reports Server (NTRS)

Rush, M.; Holguin, A.

1975-01-01

Standard operating procedures, utilizing remote sensing, are outlined for public health assistance during natural disaster relief operations. A manual to aid decision making for public health authorities is included. Flow charts which show the procedures that need to be implemented during a natural disaster are also included. Emphasis is placed on a preventive approach to the effects of disasters, and specifically to post-disaster problems that relate to public health concerns during the emergency phase of relief.

7 CFR 280.1 - Interim disaster procedures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 4 2014-01-01 2014-01-01 false Interim disaster procedures. 280.1 Section 280.1 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF... to exercise the authority provided for by section 302(a) of the Disaster Relief Act of 1974...

7 CFR 280.1 - Interim disaster procedures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 4 2012-01-01 2012-01-01 false Interim disaster procedures. 280.1 Section 280.1 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF... to exercise the authority provided for by section 302(a) of the Disaster Relief Act of 1974...

7 CFR 280.1 - Interim disaster procedures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 4 2013-01-01 2013-01-01 false Interim disaster procedures. 280.1 Section 280.1 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF... to exercise the authority provided for by section 302(a) of the Disaster Relief Act of 1974...

7 CFR 1980.401 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-01-01

... (especially appendix I and appendix K) also contain regulations for Drought and Disaster (D&D) and Disaster... indirectly, by drought, hail, excessive moisture, or related conditions occurring in 1988, or to provide for..., directly or indirectly, by drought, freeze, storm, excessive moisture, earthquake, or related conditions...

7 CFR 1980.401 - Introduction.

Code of Federal Regulations, 2013 CFR

2013-01-01

... (especially appendix I and appendix K) also contain regulations for Drought and Disaster (D&D) and Disaster... indirectly, by drought, hail, excessive moisture, or related conditions occurring in 1988, or to provide for..., directly or indirectly, by drought, freeze, storm, excessive moisture, earthquake, or related conditions...

7 CFR 1980.401 - Introduction.

Code of Federal Regulations, 2012 CFR

2012-01-01

... (especially appendix I and appendix K) also contain regulations for Drought and Disaster (D&D) and Disaster... indirectly, by drought, hail, excessive moisture, or related conditions occurring in 1988, or to provide for..., directly or indirectly, by drought, freeze, storm, excessive moisture, earthquake, or related conditions...

7 CFR 1980.401 - Introduction.

Code of Federal Regulations, 2011 CFR

2011-01-01

... (especially appendix I and appendix K) also contain regulations for Drought and Disaster (D&D) and Disaster... indirectly, by drought, hail, excessive moisture, or related conditions occurring in 1988, or to provide for..., directly or indirectly, by drought, freeze, storm, excessive moisture, earthquake, or related conditions...

7 CFR 1980.401 - Introduction.

Code of Federal Regulations, 2014 CFR

2014-01-01

... (especially appendix I and appendix K) also contain regulations for Drought and Disaster (D&D) and Disaster... indirectly, by drought, hail, excessive moisture, or related conditions occurring in 1988, or to provide for..., directly or indirectly, by drought, freeze, storm, excessive moisture, earthquake, or related conditions...

Natural Disaster & Crisis Management in School Districts and Community Colleges.

ERIC Educational Resources Information Center

Florida State Dept. of Education, Tallahassee. Office of Educational Facilities.

This document provides school districts and community colleges in Florida with guidance on disaster preparedness planning and management for all types of disasters. Procedures include those for insurance coverage, emergency shelters, command centers and disaster team organization, emergency communications, security, preparation prior to disaster,…

Assessing and Improving Operational Resilience of Critical Infrastructures and Other Systems

DTIC Science & Technology

2014-01-01

Fukushima Daiichi nuclear disaster in 2011, along with the devastation caused by Hurricane “Superstorm” Sandy in 2012, have reinforced the need for...2006. In the years following HSPD-7, there were a number of unprecedented natural disasters , including the Indonesian tsunami in December 2004...Stakelberg game; optimization; operational model; attacker model; defender model 1. Introduction In the last 15 years, a number of disasters , some deliberately

78 FR 15406 - Proposed Collection; Comment Request for Revenue Procedure 2013-XX

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-11

... Revenue Procedure 2013- XX AGENCY: Internal Revenue Service (IRS), Treasury. ACTION: Notice and request... comments concerning Revenue Procedure 2013-XX, Disaster Relief. DATES: Written comments should be received... . SUPPLEMENTARY INFORMATION: Title: Disaster Relief. OMB Number: 1545-2237. Form Number: Rev. Proc. 2013-XX...

E. H. Butler Library Disaster Response Plan. Third Edition.

ERIC Educational Resources Information Center

State Univ. of New York, Buffalo. Coll. at Buffalo.

The purpose of this plan is to minimize the potential for disaster and to minimize damage to materials if a disaster should occur. It contains: emergency instructions; evacuation procedures; a disaster contact list; and sections on salvage priorities, prevention, protection, response, recovery, rehabilitation, disaster team responsibilities,…

44 CFR 206.191 - Duplication of benefits.

Code of Federal Regulations, 2014 CFR

2014-10-01

... disaster relief agencies establish and follow policies and procedures to prevent and remedy duplication... disaster relief agencies and organizations provide assistance. The specific sequence, in accordance with..., DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Other Individual Assistance...

44 CFR 206.191 - Duplication of benefits.

Code of Federal Regulations, 2013 CFR

2013-10-01

... disaster relief agencies establish and follow policies and procedures to prevent and remedy duplication... disaster relief agencies and organizations provide assistance. The specific sequence, in accordance with..., DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Other Individual Assistance...

44 CFR 206.191 - Duplication of benefits.

Code of Federal Regulations, 2012 CFR

2012-10-01

... disaster relief agencies establish and follow policies and procedures to prevent and remedy duplication... disaster relief agencies and organizations provide assistance. The specific sequence, in accordance with..., DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Other Individual Assistance...

44 CFR 206.191 - Duplication of benefits.

Code of Federal Regulations, 2011 CFR

2011-10-01

... disaster relief agencies establish and follow policies and procedures to prevent and remedy duplication... disaster relief agencies and organizations provide assistance. The specific sequence, in accordance with..., DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Other Individual Assistance...

33 CFR 203.31 - Authority.

Code of Federal Regulations, 2011 CFR

2011-07-01

... EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Operations § 203.31 Authority... a disaster and the provision of disaster relief efforts under authority of The Stafford Act. (a... the Governor's request to the Federal Emergency Management Agency for an emergency or disaster...

33 CFR 203.31 - Authority.

Code of Federal Regulations, 2012 CFR

2012-07-01

... EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Operations § 203.31 Authority... a disaster and the provision of disaster relief efforts under authority of The Stafford Act. (a... the Governor's request to the Federal Emergency Management Agency for an emergency or disaster...

33 CFR 203.31 - Authority.

Code of Federal Regulations, 2014 CFR

2014-07-01

... EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Operations § 203.31 Authority... a disaster and the provision of disaster relief efforts under authority of The Stafford Act. (a... the Governor's request to the Federal Emergency Management Agency for an emergency or disaster...

33 CFR 203.31 - Authority.

Code of Federal Regulations, 2013 CFR

2013-07-01

... EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Operations § 203.31 Authority... a disaster and the provision of disaster relief efforts under authority of The Stafford Act. (a... the Governor's request to the Federal Emergency Management Agency for an emergency or disaster...

Principles of hospital disaster management: an integrated and multidisciplinary approach.

PubMed

Hendrickx, C; Hoker, S D; Michiels, G; Sabbe, M B

Principles of hospital disaster management: an integrated and multidisciplinary approach. Hospitals play an important role during a disaster response, and are also at risk for internal incidents. We propose an integrated and multidisciplinary approach towards hospital disaster management and preparedness. In addition to response strategies, much attention is given to risk assessment and preparedness in the pre-incident phase and to business continuity planning (BCP) in the post-incident phase. It is essential to train key players and all personnel to understand the Hospital Incident Management System (HIMS) and to perform specific emergency procedures. All emergency procedures should be grounded in evidence-based practice resulting from essential disaster response research.

44 CFR 206.202 - Application procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Application procedures. 206.202 Section 206.202 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Public Assistance Project...

Collaboration in Humanitarian Logistics: Comparative Analysis of Disaster Response in Chile and Haiti 2010

DTIC Science & Technology

2010-12-01

founding of the Red Cross movement in 1863 by J. Henry Dunant, after he witnessed the realities of the casualties suffered by soldiers at the Battle...according to the Code of Conduct for the International Red Cross and Red Crescent Movement and Non- Governmental Organizations in Disaster Relief, is an...THIS PAGE INTENTIONALLY LEFT BLANK 25 III. COUNTRY CASE LITERATURE A. INTRODUCTION Major natural disasters around the globe are a reality that

7 CFR 3555.307 - Assistance in natural disasters.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 15 2014-01-01 2014-01-01 false Assistance in natural disasters. 3555.307 Section... § 3555.307 Assistance in natural disasters. (a) Policy. Servicers must utilize general procedures available under this subpart for servicing borrowers affected by natural disasters, as supplemented by Rural...

The Role of the Critical Incident Stress Debriefing (CISD) Process in Disaster Counseling.

ERIC Educational Resources Information Center

Everly, George S., Jr.

1995-01-01

Posttraumatic stress is an occupational hazard for certain high-risk groups such as personnel in emergency services, public safety, and disaster response. Critical Incident Stress Debriefing (CISD) represents a structured group intervention designed for the mitigation of posttraumatic stress. Provides an introduction to and an overview of the CISD…

7 CFR 1945.19 - Reporting potential natural disasters and initial actions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 13 2012-01-01 2012-01-01 false Reporting potential natural disasters and initial... Assistance-General § 1945.19 Reporting potential natural disasters and initial actions. (a) Purpose. The purpose of reporting potential natural disasters is to provide a systematic procedure for rapid reporting...

7 CFR 1945.19 - Reporting potential natural disasters and initial actions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 13 2011-01-01 2009-01-01 true Reporting potential natural disasters and initial... Assistance-General § 1945.19 Reporting potential natural disasters and initial actions. (a) Purpose. The purpose of reporting potential natural disasters is to provide a systematic procedure for rapid reporting...

7 CFR 1945.19 - Reporting potential natural disasters and initial actions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 13 2010-01-01 2009-01-01 true Reporting potential natural disasters and initial... Assistance-General § 1945.19 Reporting potential natural disasters and initial actions. (a) Purpose. The purpose of reporting potential natural disasters is to provide a systematic procedure for rapid reporting...

Flood disaster preparedness: a retrospect from Grand Forks, North Dakota.

PubMed

Siders, C; Jacobson, R

1998-01-01

Natural disasters often come without warning. The clinical, financial, and business risks can be enormous. Grand Forks' (ND) healthcare systems experienced a flooding disaster of unprecedented proportions in April of 1997. Planned and practiced disaster and evacuation procedures can significantly reduce a healthcare facilities' risk to life, health, and safety. This article retrospectively analyzes disaster preparation and the complete evacuation of the facilities' patients.

32 CFR 809a.11 - Procedures outside the United States.

Code of Federal Regulations, 2011 CFR

2011-07-01

... ADMINISTRATION INSTALLATION ENTRY POLICY, CIVIL DISTURBANCE INTERVENTION AND DISASTER ASSISTANCE Civil Disturbance Intervention and Disaster Assistance § 809a.11 Procedures outside the United States. It is Air.... Intervention by United States military personnel outside the United States is governed by international law...

42 CFR 485.64 - Condition of participation: Disaster procedures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... and records; (2) Procedures for notifying community emergency personnel (for example, fire department, ambulance, etc.); (3) Instructions regarding the location and use of alarm systems and signals and fire...'s written disaster plan must be developed and maintained with assistance of qualified fire, safety...

Disaster Response Regional Architectures: Assessing Future Possibilities

DTIC Science & Technology

2017-09-01

as avian influenza and Severe Acute Respiratory Syndrome (SARS), cybersecurity, and disaster management (Jackson, 2015). Since its inception in...Asian Association for Regional Cooperation SAR Search and Rescue SARRND SAARC Agreement on Rapid Response to Natural Disasters SARS Severe Acute ...Respiratory Syndrome SASOP Standard Operating Procedures for Regional Standby Arrangements and Coordination of Joint Disaster Relief and Emergency Response

E.H. Butler Library Disaster Preparedness Plan. Revised 1991.

ERIC Educational Resources Information Center

State Univ. of New York, Buffalo. Coll. at Buffalo.

The plan presented in this revised manual is designed to minimize the potential for disaster in the E. H. Butler Library at the State University of New York College at Buffalo, and to minimize damage to materials in the event of a disaster. It contains emergency instructions, evacuation procedures, a disaster contact list, and information on…

Improving Risk Management and Resiliency: A Plan for a Proactive National Policy on Insurance Practices in FEMA’s Public Assistance Program

DTIC Science & Technology

2013-12-01

DisasterRecoveryExpenditure/Pag es/default.aspx, Canadian Disaster Database, and www.fema.gov) 116 Table 15. Comparison of declaration criteria and disasters for $30 million...the role of insurance in FEMA’s Public Assistance program. The guidance provided in the 44 CFR has not kept up with the industry since being...the nation. xxix THIS PAGE INTENTIONALLY LEFT BLANK I. INTRODUCTION Insurance is a complex industry , which is a large component of the U.S

Operation Sumatra Assist: surgery for survivors of the tsunami disaster in Indonesia.

PubMed

Chambers, Anthony J; Campion, Michael J; Courtenay, Brett G; Crozier, John A; New, Charles H

2006-01-01

The tsunami of 26 December 2004 was one of the deadliest natural disasters recorded, with the Indonesian province of Aceh being the most devastated region. As part of the Australian Government's response to the disaster, the Australian Defence Force deployed personnel from the Sydney-based 1st Health Support Battalion to Banda Aceh, the capital of the province. This unit joined with medical personnel from the New Zealand Defence Force to form the ANZAC field hospital. The mission of this unit as part of Operation Sumatra Assist was to provide medical and surgical care to the people of Aceh during the critical stages of rebuilding of the tsunami-devastated region. Surgical teams of the ANZAC field hospital were some of the first to provide definitive surgical care to the critically injured survivors of the disaster. During the first 4 weeks of the deployment, 173 surgical procedures were carried out for 71 patients in this facility. Thirty patients underwent 119 procedures (69% of total) for injuries sustained in the tsunami. Most of these patients required debridements, dressing changes and wound management procedures for the management of severe soft tissue infections. Three amputations were carried out. The remaining 41 patients underwent 54 procedures (31%) for emergent surgical conditions unrelated to the disaster.

33 CFR 203.32 - Policy.

Code of Federal Regulations, 2013 CFR

2013-07-01

... EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Operations § 203.32 Policy... Corps assistance. Corps assistance will be limited to major floods or coastal storm disasters resulting... Emergency Management Agency (FEMA) has been requested to make an emergency or disaster declaration; a...

33 CFR 203.32 - Policy.

Code of Federal Regulations, 2012 CFR

2012-07-01

... EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Operations § 203.32 Policy... Corps assistance. Corps assistance will be limited to major floods or coastal storm disasters resulting... Emergency Management Agency (FEMA) has been requested to make an emergency or disaster declaration; a...

Disaster-Related Community Resilience: A Concept Analysis and a Call to Action for Nurses.

PubMed

Heagele, Tara

2017-05-01

A paucity of nursing literature is available on disaster-related community resilience. Using a nursing method for analyzing concepts, this article attempts to clarify the meaning of this novel concept to encourage nursing research and practice. This concept analysis provides an introduction to the phenomenon of disaster-related community resilience for nurses and consumers of nursing research. The article proposes the definition, antecedents, attributes, consequences, and empirical referents of disaster-related community resilience and provides suggestions for nursing research and practice. It also provides nurses a foundation for participating in resilience-building activities that may save lives and allow communities to recover more rapidly postdisaster. © 2016 Wiley Periodicals, Inc.

22 CFR 216.1 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-04-01

... activities address such basic problems as hunger, malnutrition, overpopulation, disease, disaster... are designed to combat hunger, malnutrition and to facilitate economic development. Assistance...

Characteristics of the 2011 Tohoku Tsunami and introduction of two level tsunamis for tsunami disaster mitigation

PubMed Central

SATO, Shinji

2015-01-01

Characteristics of the 2011 Tohoku Tsunami have been revealed by collaborative tsunami surveys extensively performed under the coordination of the Joint Tsunami Survey Group. The complex behaviors of the mega-tsunami were characterized by the unprecedented scale and the low occurrence frequency. The limitation and the performance of tsunami countermeasures were described on the basis of tsunami surveys, laboratory experiments and numerical analyses. These findings contributed to the introduction of two-level tsunami hazards to establish a new strategy for tsunami disaster mitigation, combining structure-based flood protection designed by the Level-1 tsunami and non-structure-based damage reduction planned by the Level-2 tsunami. PMID:26062739

Characteristics of the 2011 Tohoku Tsunami and introduction of two level tsunamis for tsunami disaster mitigation.

PubMed

Sato, Shinji

2015-01-01

Characteristics of the 2011 Tohoku Tsunami have been revealed by collaborative tsunami surveys extensively performed under the coordination of the Joint Tsunami Survey Group. The complex behaviors of the mega-tsunami were characterized by the unprecedented scale and the low occurrence frequency. The limitation and the performance of tsunami countermeasures were described on the basis of tsunami surveys, laboratory experiments and numerical analyses. These findings contributed to the introduction of two-level tsunami hazards to establish a new strategy for tsunami disaster mitigation, combining structure-based flood protection designed by the Level-1 tsunami and non-structure-based damage reduction planned by the Level-2 tsunami.

7 CFR 280.1 - Interim disaster procedures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... the value of the food actually lost in such disaster but not greater than the applicable maximum... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM EMERGENCY FOOD ASSISTANCE FOR VICTIMS OF DISASTERS § 280...

7 CFR 280.1 - Interim disaster procedures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... the value of the food actually lost in such disaster but not greater than the applicable maximum... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM EMERGENCY FOOD ASSISTANCE FOR VICTIMS OF DISASTERS § 280...

42 CFR 485.727 - Condition of participation: Disaster preparedness.

Code of Federal Regulations, 2013 CFR

2013-10-01

... written plan in operation, with procedures to be followed in the event of fire, explosion, or other disaster. The plan is developed and maintained with the assistance of qualified fire, safety, and other... participation: Disaster preparedness. The organization has a written plan, periodically rehearsed, with...

42 CFR 485.727 - Condition of participation: Disaster preparedness.

Code of Federal Regulations, 2012 CFR

2012-10-01

... written plan in operation, with procedures to be followed in the event of fire, explosion, or other disaster. The plan is developed and maintained with the assistance of qualified fire, safety, and other... participation: Disaster preparedness. The organization has a written plan, periodically rehearsed, with...

42 CFR 485.727 - Condition of participation: Disaster preparedness.

Code of Federal Regulations, 2014 CFR

2014-10-01

... written plan in operation, with procedures to be followed in the event of fire, explosion, or other disaster. The plan is developed and maintained with the assistance of qualified fire, safety, and other... participation: Disaster preparedness. The organization has a written plan, periodically rehearsed, with...

42 CFR 485.727 - Condition of participation: Disaster preparedness.

Code of Federal Regulations, 2011 CFR

2011-10-01

... written plan in operation, with procedures to be followed in the event of fire, explosion, or other disaster. The plan is developed and maintained with the assistance of qualified fire, safety, and other... participation: Disaster preparedness. The organization has a written plan, periodically rehearsed, with...

Space safety and rescue 1979-1981: Worldwide disaster response, rescue and safety employing space-borne systems

NASA Technical Reports Server (NTRS)

Brown, J. W. (Editor)

1983-01-01

Selected papers from the 1979, 1980, and 1981 IAA symposia on space safety and rescue and on worldwide disaster response, safety, and rescue employing spaceborne systems are presented. Available papers published elsewhere and those presented at the 1976, 1977, and 1978 symposia are presented in abstract form. Subjects discussed include man-made space debris, nuclear-waste disposal in space, space-station safety design, psychological training, the introduction of female crewmembers, analysis of the November 23, 1980 earthquake as a design basis for satellite emergency communication, disaster warning using the GOES satellite, and satellite communications for disaster relief operations. Three reviews of the application of space technology to emergency and disaster relief and prevention, given at other symposia in 1981, are presented in an appendix. No individual items are abstracted in this volume

ACHP | Section 106 Disaster Response Planning FAQ

Science.gov Websites

§ 800.1(c)). What happens once the "emergency" response phase to the disaster is over? The ACHP be shared and in what format. 36 CFR § 800.11(c) provides further information on how the Secretary Introduction In response to recent catastrophic events across the country, such as flooding, snow, ice

The Challenge of Timely, Responsive and Rigorous Ethics Review of Disaster Research: Views of Research Ethics Committee Members.

PubMed

Hunt, Matthew; Tansey, Catherine M; Anderson, James; Boulanger, Renaud F; Eckenwiler, Lisa; Pringle, John; Schwartz, Lisa

2016-01-01

Research conducted following natural disasters such as earthquakes, floods or hurricanes is crucial for improving relief interventions. Such research, however, poses ethical, methodological and logistical challenges for researchers. Oversight of disaster research also poses challenges for research ethics committees (RECs), in part due to the rapid turnaround needed to initiate research after a disaster. Currently, there is limited knowledge available about how RECs respond to and appraise disaster research. To address this knowledge gap, we investigated the experiences of REC members who had reviewed disaster research conducted in low- or middle-income countries. We used interpretive description methodology and conducted in-depth interviews with 15 respondents. Respondents were chairs, members, advisors, or coordinators from 13 RECs, including RECs affiliated with universities, governments, international organizations, a for-profit REC, and an ad hoc committee established during a disaster. Interviews were analyzed inductively using constant comparative techniques. Through this process, three elements were identified as characterizing effective and high-quality review: timeliness, responsiveness and rigorousness. To ensure timeliness, many RECs rely on adaptations of review procedures for urgent protocols. Respondents emphasized that responsive review requires awareness of and sensitivity to the particularities of disaster settings and disaster research. Rigorous review was linked with providing careful assessment of ethical considerations related to the research, as well as ensuring independence of the review process. Both the frequency of disasters and the conduct of disaster research are on the rise. Ensuring effective and high quality review of disaster research is crucial, yet challenges, including time pressures for urgent protocols, exist for achieving this goal. Adapting standard REC procedures may be necessary. However, steps should be taken to ensure that ethics review of disaster research remains diligent and thorough.

The Challenge of Timely, Responsive and Rigorous Ethics Review of Disaster Research: Views of Research Ethics Committee Members

PubMed Central

Hunt, Matthew; Tansey, Catherine M.

2016-01-01

Background Research conducted following natural disasters such as earthquakes, floods or hurricanes is crucial for improving relief interventions. Such research, however, poses ethical, methodological and logistical challenges for researchers. Oversight of disaster research also poses challenges for research ethics committees (RECs), in part due to the rapid turnaround needed to initiate research after a disaster. Currently, there is limited knowledge available about how RECs respond to and appraise disaster research. To address this knowledge gap, we investigated the experiences of REC members who had reviewed disaster research conducted in low- or middle-income countries. Methods We used interpretive description methodology and conducted in-depth interviews with 15 respondents. Respondents were chairs, members, advisors, or coordinators from 13 RECs, including RECs affiliated with universities, governments, international organizations, a for-profit REC, and an ad hoc committee established during a disaster. Interviews were analyzed inductively using constant comparative techniques. Results Through this process, three elements were identified as characterizing effective and high-quality review: timeliness, responsiveness and rigorousness. To ensure timeliness, many RECs rely on adaptations of review procedures for urgent protocols. Respondents emphasized that responsive review requires awareness of and sensitivity to the particularities of disaster settings and disaster research. Rigorous review was linked with providing careful assessment of ethical considerations related to the research, as well as ensuring independence of the review process. Conclusion Both the frequency of disasters and the conduct of disaster research are on the rise. Ensuring effective and high quality review of disaster research is crucial, yet challenges, including time pressures for urgent protocols, exist for achieving this goal. Adapting standard REC procedures may be necessary. However, steps should be taken to ensure that ethics review of disaster research remains diligent and thorough. PMID:27327165

Pilot training program for developing disaster nursing competencies among undergraduate students in China.

PubMed

Pang, Samantha M C; Chan, Sunshine S S; Cheng, Yichuan

2009-12-01

As nurses constitute the largest group of health-care providers, their readiness to respond to disasters and to participate in preparedness and disaster recovery activities will be significant for making a community more resilient against disaster. Concern is raised regarding how to build the capacity of all nurses with a knowledge base and a minimum set of skills in responding to various disasters. Drawing on the ICN Framework of Disaster Nursing Competencies and Global Standards for the Initial Education of Professional Nurses and Midwives, a training program entitled "Introduction to Disaster Nursing" was developed. Four teaching methods including action learning, problem-based learning, skill training, and lecture were used to orchestrate a series of planned activities for helping students develop the required disaster nursing competencies in a 2-week intensive training program held in Sichuan China in July 2009. The pre- and post-tests which were given to assess the students' perceived level of competencies demonstrated a significant gain in relevant knowledge and skills constituting the required competencies upon completion of the program. In the program evaluation, most students indicated their willingness and capability in disaster relief work under supervision, and they were keen to advance their competencies in the field of disaster nursing.

Impact of the Great East Japan Earthquake and Fukushima Nuclear Power Plant Accident on Assisted Reproductive Technology in Fukushima Prefecture: The Fukushima Health Management Survey.

PubMed

Hayashi, Masako; Fujimori, Keiya; Yasumura, Seiji; Nakai, Akihito

2017-09-01

The aim of the study was to evaluate the incidences and obstetric outcomes of women who conceived using assisted reproductive technology (ART) procedures in Fukushima Prefecture before and after the Great East Japan Earthquake and Fukushima nuclear power plant accident. Information was collected and analyzed from 12,070 women who conceived with or without ART in Fukushima Prefecture during the 9 months before and after the disaster. During the 9 months before and after the disaster, 138 (2.0%) and 102 (1.9%) women conceived with in vitro fertilization-embryo transfer (IVF-ET), respectively. The proportion of women who conceived with IVF-ET decreased during the 2 months immediately after the disaster, but returned to pre-disaster levels 3 months after the disaster. In the case of women who conceived without IVF-ET, the incidences of preterm birth and low birth weight increased after the disaster. In contrast, women who conceived with IVF-ET did not differ significantly in obstetric outcomes before and after the disaster but had a higher incidence of cesarean section and low birth weight compared to those conceived without IVF-ET, regardless of the study period. The influence of the disaster on woman who conceived using ART procedures was minimal.

Divining Disaster: Using Remote Sensing to Predict Regional Instability in African Pastoral Societies

DTIC Science & Technology

2011-02-01

humanitarian crises and regional instability sparked by the societal impact of rangeland failure in pastoral cultures. 1 Section 1: Introduction The...sparked by the societal impact of rangeland failure in pastoral cultures. The paper will begin by examining AFRICOM’s applicable mandates, the...migrations, and societal impacts originating from natural disasters. In the pastoral regions of Africa, rangeland failure stemming from drought, climate

Disaster Preparedness Manual.

ERIC Educational Resources Information Center

Michael, Douglas O.

Prepared for use by the staff of a community college library, this manual describes the natural, building, and human hazards which can result in disaster in a library and outlines a set of disaster prevention measures and salvage procedures. A list of salvage priorities, floor plans for all three levels of Bourke Memorial Library, and staff duties…

Remote sensing utility in a disaster struck urban environment

NASA Technical Reports Server (NTRS)

Rush, M.; Holguin, A.; Vernon, S.

1974-01-01

A project to determine the ways in which remote sensing can contribute to solutions of urban public health problems in time of natural disaster is discussed. The objectives of the project are to determine and describe remote sensing standard operating procedures for public health assistance during disaster relief operations which will aid the agencies and organizations involved in disaster intervention. Proposed tests to determine the validity of the remote sensing system are reported.

13 CFR 300.1 - Introduction and mission.

Code of Federal Regulations, 2011 CFR

2011-01-01

... economic dislocations, such as those resulting from natural disasters, conversions of military installations, changing trade patterns and the depletion of natural resources. EDA Investments generally take...

13 CFR 300.1 - Introduction and mission.

Code of Federal Regulations, 2013 CFR

2013-01-01

... economic dislocations, such as those resulting from natural disasters, conversions of military installations, changing trade patterns and the depletion of natural resources. EDA Investments generally take...

Remediation following Man-made or Natural Disasters -Homeland Security Research

EPA Pesticide Factsheets

EPA develops procedures mitigate contamination and to remediate the environment following public health and environmental incidents and disasters. Contamination incidents involving urban areas could require the decontamination of

Disaster nursing in the Oklahoma City bombing.

PubMed

Atkinson, R; Keylon, K; Odor, P S; Walker, G; Hunt, L

1995-10-01

The Oklahoma City Federal Building disaster quickly changed a routine day of eye surgical procedures into a chaotic trauma center for the victims with not only eye injuries, but multiple deep lacerations and other injuries. The devastating and disruptive effect of the bombing was stressful for the nursing staff who became disaster survivors of the emotional trauma involved.

Impact of the Great East Japan Earthquake and Fukushima Nuclear Power Plant Accident on Assisted Reproductive Technology in Fukushima Prefecture: The Fukushima Health Management Survey

PubMed Central

Hayashi, Masako; Fujimori, Keiya; Yasumura, Seiji; Nakai, Akihito

2017-01-01

Background The aim of the study was to evaluate the incidences and obstetric outcomes of women who conceived using assisted reproductive technology (ART) procedures in Fukushima Prefecture before and after the Great East Japan Earthquake and Fukushima nuclear power plant accident. Methods Information was collected and analyzed from 12,070 women who conceived with or without ART in Fukushima Prefecture during the 9 months before and after the disaster. Results During the 9 months before and after the disaster, 138 (2.0%) and 102 (1.9%) women conceived with in vitro fertilization-embryo transfer (IVF-ET), respectively. The proportion of women who conceived with IVF-ET decreased during the 2 months immediately after the disaster, but returned to pre-disaster levels 3 months after the disaster. In the case of women who conceived without IVF-ET, the incidences of preterm birth and low birth weight increased after the disaster. In contrast, women who conceived with IVF-ET did not differ significantly in obstetric outcomes before and after the disaster but had a higher incidence of cesarean section and low birth weight compared to those conceived without IVF-ET, regardless of the study period. Conclusion The influence of the disaster on woman who conceived using ART procedures was minimal. PMID:28811855

What do They Know? Guidelines and Knowledge Translation for Foreign Health Sector Workers Following Natural Disasters.

PubMed

Dunin-Bell, Ola

2018-04-01

Introduction The incidence of natural disasters is increasing worldwide, with countries the least well-equipped to mitigate or manage them suffering the greatest losses. Following natural disasters, ill-prepared foreign responders may become a burden to the affected population, or cause harm to those needing help. Problem The study was performed to determine if international guidelines for foreign workers in the health sector exist, and evidence of their implementation. A structured literature search was used to identify guidelines for foreign health workers (FHWs) responding to natural disasters. Analysis of semi-structured interviews of health sector responders to the 2015 Nepal earthquake was then performed, looking at preparation and field activities. No guidelines were identified to address the appropriate qualifications of, and preparations for, international individuals participating in disaster response in the health sector. Interviews indicated individuals choosing to work with experienced organizations received training prior to disaster deployment and described activities in the field consistent with general humanitarian principles. Participants in an ad hoc team (AHT) did not. In spite of need, there is a lack of published guidelines for potential international health sector responders to natural disasters. Learning about disaster response may occur only after joining a team. Dunin-Bell O . What do they know? Guidelines and knowledge translation for foreign health sector workers following natural disasters. Prehosp Disaster Med. 2018;33(2):139-146.

Resilience and Disaster Trends in the Philippines: Opportunities for National and Local Capacity Building

PubMed Central

Alcayna, Tilly; Bollettino, Vincenzo; Dy, Philip; Vinck, Patrick

2016-01-01

Introduction: The Philippines is one of the top countries in the world at risk of climate-related disasters. For populations subsisting at the poverty line in particular, but also the nation as a whole, daily lives and wellbeing are routinely challenged. The Philippines government takes disaster risk seriously and has devoted significant resources to build disaster capacity and reduce population exposure and vulnerability, nationally and locally. This paper explores the policy and institutional mechanisms for disaster risk reduction management and research which have been conducted in the Philippines related to disaster preparedness, management and resilience.   Methods: This study draws on direct observations of and conversations with disaster management professionals, in addition to a review of the extant literature on resilience and disaster preparedness, in the Philippines. This is a descriptive study based on a search of mainly peer-reviewed studies but also articles, reports, and disaster risk reduction and response projects in the Philippines. Search words used in various combinations included: Resilience, Philippines, Disaster Preparedness, Community-based, Disaster Risk Reduction, Capacity-building. Results: Numerous activities in community based resilience and DRR have been identified across the whole disaster continuum. Yet, important gaps in research and practice remain. Discussion: The Philippines, is a leading regional actor in disaster risk management. However, a full picture of who is doing what, how, where and when on resilience and disaster preparedness does not exist. Consequently there is no single study that compares the impacts and results that different preparedness measures are having in the Philippines. We recommend further research focussed on mapping the network of actors, understanding community perceptions of disaster risk preparedness and resilience, and investigation into the socio-ecological systems of different communities. PMID:27790382

Louisiana State University Health Sciences Center Katrina Inspired Disaster Screenings (KIDS): Psychometric Testing of the National Child Traumatic Stress Network Hurricane Assessment and Referral Tool

ERIC Educational Resources Information Center

Hansel, Tonya Cross; Osofsky, Joy D.; Osofsky, Howard J.

2015-01-01

Background: Post disaster psychosocial surveillance procedures are important for guiding effective and efficient recovery. The Louisiana State University Health Sciences Center Katrina Inspired Disaster Screenings (KIDS) is a model designed with the goal of assisting recovering communities in understanding the needs of and targeting services…

Hospital Nurses' Competencies in Disaster Situations: A Qualitative Study in the South of Brazil.

PubMed

Marin, Sandra M; Witt, Regina R

2015-12-01

Introduction Hospital nurses play a key role in the aftermath of the occurrence of disasters and need specific competencies to work in these situations. From a global perspective, few models exist that focus on disaster nursing. This study aimed to identify hospital nurses' competencies in disaster situations. A qualitative, descriptive, exploratory study was developed using focus groups as a method of data collection. Three meetings were held from June through September 2012 with nurses who worked at a hospital used as reference for disaster situations in the South of Brazil. Thematic analysis of collected data generated the competencies. For statement standardization, a format consistent with a verb, a noun, and a complement was adopted. The group validated 17 competencies, which were organized according to the phases of emergency management described by the World Health Organization (WHO) and classified in domain areas of management, health care, communication, and education. The competencies identified in this study can contribute to the education and practice of nurses in the hospital ambience, strengthening its capacity to face disaster situations.

Factors Associated with Discussion of Disasters by Final Year High School Students: An International Cross-sectional Survey.

PubMed

Codreanu, Tudor A; Celenza, Antonio; Alabdulkarim, Ali A Rahman

2015-08-01

Introduction The effect on behavioral change of educational programs developed to reduce the community's disaster informational vulnerability is not known. This study describes the relationship of disaster education, age, sex, and country-specific characteristics with students discussing disasters with friends and family, a measure of proactive behavioral change in disaster preparedness. Three thousand eight hundred twenty-nine final year high school students were enrolled in an international, multi-center prospective, cross-sectional study using a pre-validated written questionnaire. In order to obtain information from different educational systems, from countries with different risk of exposure to disasters, and from countries with varied economic development status, students from Bahrain, Croatia, Cyprus, Egypt, Greece, Italy, Portugal, Romania, and Timor-Leste were surveyed. Logistic regression analyses examined the relationship between the likelihood of discussing disasters with friends and family (dependent variable) and a series of independent variables (age, gender, participation in school lessons about disasters, existence of a national disaster educational program, ability to list pertinent example of disasters, country's economic group, and disaster risk index) captured by the questionnaire or available as published data. There was no statistically significant relationship between age, awareness of one's surroundings, planning for the future, and foreseeing consequences of events with discussions about potential hazards and risks with friends and/or family. The national educational budget did not have a statistically significant influence. Participants who lived in a low disaster risk and high income Organization for Economic Co-operation and Development (OECD) country were more likely to discuss disasters. While either school lessons or a national disaster education program had a unique, significant contribution to the model, neither had a better predictive utility. The predictors (national disaster program, school lessons, gender, ability to list examples of disasters, country's disaster risk index, and level of economic development), although significant, were not sufficient in predicting disaster discussions amongst teenagers.

The feasibility of concentrated rural settlement in a context of post-disaster reconstruction: a study of China.

PubMed

Peng, Yi; Shen, Liyin; Zhang, Xiaoling; Ochoa, J Jorge

2014-01-01

There is growing appreciation of the use of concentrated rural settlement as an effective means of implementing infrastructure projects and helping to achieve sustainable development in rural areas. This occurs in China through the exchange of rural residential land for urban construction. However, this policy has not been effective under normal circumstances (called development-driven conditions) as frequently farmers are reluctant to accept such an exchange. By contrast, in a time of disaster, such as after the 2008 earthquake in Sichuan Province, China, rural victims have accepted this policy of rural residential land exchange. Employing game theory, this paper identifies the reasons for the different outcomes and it contends that the implementation of concentrated rural settlement practice under disaster-induced conditions is more effective than its introduction under development-driven conditions. The results of the analysis indicate that, in China, concentrated rural settlement is feasible in a context of post-disaster reconstruction. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

Defining disaster resilience: comparisons from key stakeholders involved in emergency management in Victoria, Australia.

PubMed

Goode, Natassia; Salmon, Paul M; Spencer, Caroline; McArdle, Dudley; Archer, Frank

2017-01-01

Three years after the introduction of the National Strategy for Disaster Resilience there remains no unanimously adopted definition of disaster resilience within Australia's emergency management sector. The aim of this study is to determine what the concept means to key stakeholders in the emergency management sector in the Australian State of Victoria, and how these conceptualisations overlap and diverge. Via an online survey, 113 people were asked how they define disaster resilience in their work in the emergency management sector. A data mining software tool, Leximancer, was employed to uncover the relationships between the definitions provided. The findings show that stakeholders see resilience as an 'ability' that encompasses emergency management activities and personal responsibility. However, the findings also highlight some possible points of conflict between stakeholders. In addition, the paper outlines and discusses a number of potential consequences for the implementation and the success of the resilience-based approach in Australia. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

Approach to Shakespeare.

ERIC Educational Resources Information Center

Bannerman, Andrew

1969-01-01

For an introduction to Shakespeare's "Tempest," dramatic interest and tension were created in the classroom through taped interviews with survivors of present-day sea disasters, student improvisations of scenes, music, and historical accounts of shipwrecks. (MF)

Interagency cooperation : FEMA and DOD in domestic support operations.

DOT National Transportation Integrated Search

1997-05-01

This paper studies the interagency cooperation between DOD and FEMA, focusing specifically on the evolution of doctrine and procedures for responding to natural disasters. While both FEMA and DOD have improved in their ability to respond to disasters...

Operation Unified Response: A Case Study of the Military’s Role in Foreign Disaster Relief Operations

DTIC Science & Technology

2011-05-05

disease danger was exacerbated by the introduction of cholera into post-earthquake Haiti, likely by Nepalese United Nation aiel workers, which caused... Mexico ," MSNBC; 5 September 2007.· U.S. Agency for International Development Office of Foreign Disaster Assistance, Fact Sheet #25, Fiscal Year...March 2011. 29 47 Matt Gutman, "Haiti: As Cholera Spreads, Frustration Builds," ABC News; 18 November 2010. 48 LTC James Ware (US Army, Retired

Amputations in natural disasters and mass casualties: staged approach.

PubMed

Wolfson, Nikolaj

2012-10-01

Amputation is a commonly performed procedure during natural disasters and mass casualties related to industrial accidents and military conflicts where large civilian populations are subjected to severe musculoskeletal trauma. Crush injuries and crush syndrome, an often-overwhelming number of casualties, delayed presentations, regional cultural and other factors, all can mandate a surgical approach to amputation that is different than that typically used under non-disaster conditions. The following article will review the subject of amputation during natural disasters and mass casualties with emphasis on a staged approach to minimise post-surgical complications, especially infection.

Burn disasters--an audit of the literature.

PubMed

Broeze, Carsten L; Falder, Sian; Rea, Suzanne; Wood, Fiona

2010-01-01

All events that result in disasters are unique, and it is impossible to become fully prepared. However, through thorough planning and preparedness, it is possible to gain a better understanding of the typical injury patterns and problems that arise from a variety of hazards. Such events have the potential to claim many lives and overwhelm local medical resources. Burn disasters vary in scope of injury and procedures required, and are much more labor and resource intensive than non-burn disasters. This review of the literature should help determine whether, despite each event having its own unique features, there still are common problems disaster responders face in the prehospital and hospital phases, what recommendations were made from these disasters, and whether these recommendations have been implemented into practice and the current disaster planning processes. The objective of this review was to assess: (1) prehospital and hospital responses used during past burn disasters; (2) problems faced during those disaster responses; (3) recommendations made following those disasters; (4) whether these recommendations were integrated into practice; and (5) the key characteristics of burn disasters and how they differ from other disasters. This review is important to determine why, despite having disaster plans, things still go wrong.

Prepare for Funding: Train and Practice to Document Water or Wastewater Utility Damage and Costs

EPA Pesticide Factsheets

In addition to the training and exercises that utilities should conduct to prepare for a disaster, they should also train on and practice procedures that could assist with future applications for disaster funding.

44 CFR 206.204 - Project performance.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Project performance. 206.204... HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Public Assistance Project Administration § 206.204 Project performance. (a) General. This section describes the policies and procedures...

Evaluation of Change in Knowledge and Attitude of Emergency Medicine Residents after Introduction of a Rotation in Emergency Medical Services and Disaster Medicine

PubMed Central

Aljerian, Nawfal; Omair, Aamir; Yousif, Sami A.; Alqahtani, Abdulrahman S.; Alhusain, Faisal A.; Alotaibi, Bader; Alshehri, Mohammad F.; Aljuhani, Majed; Albaiz, Saad; Alaska, Yasser; Alanazi, Abdullah F.

2018-01-01

Background: Saudi Board of Emergency Medicine (SBEM) graduates are involved in a 1-month rotation in emergency medical services (EMSs) and disaster medicine. The purpose of this study was to evaluate change in knowledge and attitude of EM residents after the introduction of the EMS and disaster medicine rotation. Materials and Methods: The study included 32 3rd-year SBEM residents. A pretest/posttest design and a five-point Likert scale were used. The data included a response to a questionnaire developed by EMS and disaster experts. The questionnaire was distributed on the 1st day of the rotation and 45 days after. Satisfaction questionnaires were distributed after the rotation. The data were analyzed using SPSS 20. Results: Twenty-five residents responded to the satisfaction survey (75%). The overall satisfaction with the course modules was high; the course content showed the highest level of satisfaction (96%), and the lowest satisfaction was for the air ambulance ride outs (56%). The results of the pre-/post-test questionnaire showed an increase of 18.5% in the residents mean score (P < 0.001). In the open-ended section, the residents requested that the schedule is distributed before the course start date, to have more field and hands-on experience, and to present actual disaster incidents as discussion cases. The residents were impressed with the organization and diversity of the lectures, and to a lesser extent for the ambulance ride outs and the mass casualty incident drill l. Seventy-one percent indicated that they would recommend this course to other residents. Conclusion/Recommendation: This study showed that a structured course in EMS and disaster medicine had improved knowledge and had an overall high level of satisfaction among the residents of the SBEM. Although overall satisfaction and improvement in knowledge were significant, there are many areas in need of better organization. PMID:29628668

[A bomb attack in the Netherlands; how would we provide hospital care?

PubMed

Haverkort, J J M; de Jong, M B; van Spengler, L L; Leenen, L P H

2017-01-01

- There is an ever-present threat of large-scale incidents and disasters, such as terrorism and natural disasters.- Preparation and planning are the key to successful response to major incidents and disasters, which is why education, training sessions and exercises take place in the Netherlands.- Analysis of recent large-scale incidents in Europe and the USA emphasises the importance of adequate distribution of the wounded to centres where the correct care can be provided.- A major step has been taken in the Netherlands to provide for such an eventuality with the introduction of distribution plans for the wounded, and other initiatives such as a regional hospital disaster plan.- If a large-scale incident should take place the Netherlands also has a Major Incident Hospital at its disposal; this is a unique facility that can guarantee availability of 200 spare beds to the Netherlands healthcare system within 30 minutes.

Challenging Assumptions: What Do We Need to Address in Our Disaster Risk Reduction Efforts?

PubMed

Codreanu, Tudor A; Ngo, Hanh; Robertson, Andrew; Celenza, Antonio

2017-04-01

Introduction Specific knowledge and skills are required, especially in the first 72 hours post-disaster, to bridge the time gap until essential services are restored and Emergency Medical Services (EMS) can focus on individuals' needs. This study explores disaster knowledge and preparedness in the first 72 hours as a function of the individual's engagement in discussions about disasters, and several other factors (both at personal and community/country level), as well as the entities/organizations perceived by the individual as being responsible for disaster risk reduction (DRR) education. A prospective, cross-sectional survey of 3,829 final-year high-school students was conducted in nine countries with different levels of disaster risk and economic development. Regression analyses examined the relationship between a 72-hour disaster preparedness composite outcome (ability to make water safe for drinking, knowledge of water potability, home evacuation skill, and improvising a safe room) and a series of independent predictors. Respondents from countries with lower economic development were significantly better prepared for the first 72 hours post-disaster than those from developed countries (OR=767.45; CI=13.75-48,822.94; P=.001). While several independent predictors showed a significant main effect, combined disaster risk education (DRE) efforts, as a partnership between school and local government, had the best predictive value (OR=3.52; CI=1.48-8.41; P=.005). Disaster preparedness in final-year high-school students is significantly better in developing countries. Further improvement requires a convergent effort in aligning the most effective educational policies and actions to best address the individual's and the community needs. Codreanu TA , Ngo H , Robertson A , Celenza A . Challenging assumptions: what do we need to address in our disaster risk reduction efforts? Prehosp Disaster Med. 2017;32(2):134-147.

Disaster Metrics: A Comprehensive Framework for Disaster Evaluation Typologies.

PubMed

Wong, Diana F; Spencer, Caroline; Boyd, Lee; Burkle, Frederick M; Archer, Frank

2017-10-01

Introduction The frequency of disasters is increasing around the world with more people being at risk. There is a moral imperative to improve the way in which disaster evaluations are undertaken and reported with the aim of reducing preventable mortality and morbidity in future events. Disasters are complex events and undertaking disaster evaluations is a specialized area of study at an international level. Hypothesis/Problem While some frameworks have been developed to support consistent disaster research and evaluation, they lack validation, consistent terminology, and standards for reporting across the different phases of a disaster. There is yet to be an agreed, comprehensive framework to structure disaster evaluation typologies. The aim of this paper is to outline an evolving comprehensive framework for disaster evaluation typologies. It is anticipated that this new framework will facilitate an agreement on identifying, structuring, and relating the various evaluations found in the disaster setting with a view to better understand the process, outcomes, and impacts of the effectiveness and efficiency of interventions. Research was undertaken in two phases: (1) a scoping literature review (peer-reviewed and "grey literature") was undertaken to identify current evaluation frameworks and typologies used in the disaster setting; and (2) a structure was developed that included the range of typologies identified in Phase One and suggests possible relationships in the disaster setting. No core, unifying framework to structure disaster evaluation and research was identified in the literature. The authors propose a "Comprehensive Framework for Disaster Evaluation Typologies" that identifies, structures, and suggests relationships for the various typologies detected. The proposed Comprehensive Framework for Disaster Evaluation Typologies outlines the different typologies of disaster evaluations that were identified in this study and brings them together into a single framework. This unique, unifying framework has relevance at an international level and is expected to benefit the disaster, humanitarian, and development sectors. The next step is to undertake a validation process that will include international leaders with experience in evaluation, in general, and disasters specifically. This work promotes an environment for constructive dialogue on evaluations in the disaster setting to strengthen the evidence base for interventions across the disaster spectrum. It remains a work in progress. Wong DF , Spencer C , Boyd L , Burkle FM Jr. , Archer F . Disaster metrics: a comprehensive framework for disaster evaluation typologies. Prehosp Disaster Med. 2017;32(5):501-514.

Disaster Impact Across Cultural Groups: Comparison of Whites, African Americans, and Latinos

PubMed Central

Price, Matthew; McCauley, Jenna L.; Ruggiero, Kenneth J.

2015-01-01

The current study extends knowledge regarding the differential impact of natural disasters among White, African American, and Latino survivors of Hurricane Ike through its use of a large, regional sample recruited via representative sampling procedures to examine the associations between cultural identification and disaster impact, including loss, damage, and negative mental health outcomes. Consistent with previous research, results indicated disparities between cultural groups with regard to disaster exposure. Additionally, type of disaster impact was differentially associated with PTSD and depression status dependent on cultural group. Specifically, the extent of personal disaster exposure, property damage, and loss of services made significant contributions to PTSD status among White survivors. African-Americans were more likely than White and Latino Ike survivors to endorse post-disaster PTSD and depression and endorsement of depression was predicted by severity of property damage. With respect to Latino respondents, only the extent of personal disaster exposure significantly contributed to both PTSD and depression status. Implications of the current findings are discussed with regard to future disaster preparedness and response efforts and the implementation and evaluation of community-based disaster resources. PMID:23709270

76 FR 63933 - Notice of Adjustment of Disaster Grant Amounts

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-14

... amount for Small Project Grants to State and local governments and private nonprofit facilities for... DEPARTMENT OF HOMELAND SECURITY Notice of Adjustment of Disaster Grant Amounts AGENCY: Federal... grant amount made under section 422, Simplified Procedures, relating to the Public Assistance program...

78 FR 15026 - Solicitation for Comments Regarding Current Procedures To Request Emergency and Major Disaster...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-08

... well as actions to reduce losses from future disasters (44 CFR 201.7). For States that do not have a... government level, as well as the impact on American Indian/Alaska Native (AI/AN) Indian tribal government...

The Effectiveness of Disaster Risk Communication: A Systematic Review of Intervention Studies

PubMed Central

Bradley, Declan T; McFarland, Marie; Clarke, Mike

2014-01-01

Introduction: A disaster is a serious disruption to the functioning of a community that exceeds its capacity to cope within its own resources. Risk communication in disasters aims to prevent and mitigate harm from disasters, prepare the population before a disaster, disseminate information during disasters and aid subsequent recovery. The aim of this systematic review is to identify, appraise and synthesise the findings of studies of the effects of risk communication interventions during four stages of the disaster cycle. Methods: We searched the Cochrane Central Register of Controlled Trials, Embase, MEDLINE, PsycInfo, Sociological Abstracts, Web of Science and grey literature sources for randomised trials, cluster randomised trials, controlled and uncontrolled before and after studies, interrupted time series studies and qualitative studies of any method of disaster risk communication to at-risk populations. Outcome criteria were disaster-related knowledge and behaviour, and health outcomes. Results: Searches yielded 5,224 unique articles, of which 100 were judged to be potentially relevant. Twenty-five studies met the inclusion criteria, and two additional studies were identified from other searching. The studies evaluated interventions in all four stages of the disaster cycle, included a variety of man-made, natural and infectious disease disasters, and were conducted in many disparate settings. Only one randomised trial and one cluster randomised trial were identified, with less robust designs used in the other studies. Several studies reported improvements in disaster-related knowledge and behaviour. Discussion: We identified and appraised intervention studies of disaster risk communication and present an overview of the contemporary literature. Most studies used non-randomised designs that make interpretation challenging. We do not make specific recommendations for practice but highlight the need for high-quality randomised trials and appropriately-analysed cluster randomised trials in the field of disaster risk communication where these can be conducted within an appropriate research ethics framework. PMID:25642365

Willingness of Firefighting Program Students to Work in Disasters-Turkey.

PubMed

Kaya, Edip; Altintas, Hakan

2018-02-01

Introduction Firefighting is an important profession during disasters. Firefighters are on duty for many vital functions, including fire extinguishing, search and rescue work, and evacuation of disaster victims to a safe zone. In case of a disaster situation, it is vital to have willing personnel to work in disasters. In the literature, type of disaster, individual demographic factors, family factors, and workplace factors have been identified as factors that influence health care personnel's willingness to work during a disaster. However, little is known about firefighters and firefighter candidates' willingness to work in a disaster. Hypothesis/Problem This study was aimed to identify the willingness of civil defense and firefighting program students to work in different disasters after graduation and the factors associated with their willingness. The universe of this descriptive, epidemiological study was 1,116 students of civil defense and firefighting programs in Turkey. They were from 11 different universities. In the research study, a sample was not chosen as it was aimed at reaching the whole universe. A standardized survey form of 58 questions, prepared by researchers, was used to gather data. The rate of participation was 65.5%. Of the students, 82.8% said that after graduation they would like to work in disasters, whereas 16.2% were indecisive. The students were less willing to work in nuclear accidents (42.4%) and epidemic disasters (32.1%). In chi-square analysis, "willingness of students to work in disasters after graduation" (dependent variable) and the independent variables: "university of student," "exercising regularly," "having a hobby related to disaster," "having been educated about disaster," and "being satisfied from the received education" were found statistically significant. When students' willingness to work in disasters after graduation (ref=unwilling) was analyzed with multi-variate analysis, only "university of students" and "having a hobby related to disasters" were found statistically significant. Overall, 16.2% of the students stated that they were indecisive to work in disasters in the future, and 1.0% of them stated that they did not want to work in disasters. Moreover, willingness of students to work in nuclear accident and contagious disease disasters has been found to be lower compared to other disaster types. Kaya E , Altintas H . Willingness of firefighting program students to work in disasters-Turkey. Prehosp Disaster Med. 2018;33(1):13-22.

Technology and Information Sharing in Disaster Relief

PubMed Central

Bjerge, Benedikte; Clark, Nathan; Fisker, Peter; Raju, Emmanuel

2016-01-01

This paper seeks to examine the extent to which technological advances can enhance inter-organizational information sharing in disaster relief. Our case is the Virtual OSOCC (On-Site Operations Coordination Centre) which is a part of the Global Disaster Alert and Coordination System (GDACS) under the United Nations Office for Coordination of Humanitarian Affairs (UN OCHA). The online platform, which has been developing for more than a decade, provides a unique insight into coordination behaviour among disaster management agencies and individual actors. We build our study on the analysis of a complete database of user interaction including more than 20,000 users and 11,000 comments spread across approximately 300 disaster events. Controlling for types and severities of the events, location-specific vulnerabilities, and the overall trends, we find that the introduction of new features have led to increases in user activity. We supplement the data-driven approach with evidence from semi-structured interviews with administrators and key users, as well as a survey among all users specifically designed to capture and assess the elements highlighted by both interviews and data analysis. PMID:27584053

Technology and Information Sharing in Disaster Relief.

PubMed

Bjerge, Benedikte; Clark, Nathan; Fisker, Peter; Raju, Emmanuel

2016-01-01

This paper seeks to examine the extent to which technological advances can enhance inter-organizational information sharing in disaster relief. Our case is the Virtual OSOCC (On-Site Operations Coordination Centre) which is a part of the Global Disaster Alert and Coordination System (GDACS) under the United Nations Office for Coordination of Humanitarian Affairs (UN OCHA). The online platform, which has been developing for more than a decade, provides a unique insight into coordination behaviour among disaster management agencies and individual actors. We build our study on the analysis of a complete database of user interaction including more than 20,000 users and 11,000 comments spread across approximately 300 disaster events. Controlling for types and severities of the events, location-specific vulnerabilities, and the overall trends, we find that the introduction of new features have led to increases in user activity. We supplement the data-driven approach with evidence from semi-structured interviews with administrators and key users, as well as a survey among all users specifically designed to capture and assess the elements highlighted by both interviews and data analysis.

Nationwide program of education for undergraduates in the field of disaster medicine: development of a core curriculum centered on blended learning and simulation tools.

PubMed

Ingrassia, Pier Luigi; Ragazzoni, Luca; Tengattini, Marco; Carenzo, Luca; Della Corte, Francesco

2014-10-01

In recent years, effective models of disaster medicine curricula for medical schools have been established. However, only a small percentage of medical schools worldwide have considered at least basic disaster medicine teaching in their study program. In Italy, disaster medicine has not yet been included in the medical school curriculum. Perceiving the lack of a specific course on disaster medicine, the Segretariato Italiano Studenti in Medicina (SISM) contacted the Centro di Ricerca Interdipartimentale in Medicina di Emergenza e dei Disastri ed Informatica applicata alla didattica e alla pratica Medica (CRIMEDIM) with a proposal for a nationwide program in this field. Seven modules (introduction to disaster medicine, prehospital disaster management, definition of triage, characteristics of hospital disaster plans, treatment of the health consequences of different disasters, psychosocial care, and presentation of past disasters) were developed using an e-learning platform and a 12-hour classroom session which involved problem-based learning (PBL) activities, table-top exercises, and a computerized simulation (Table 1). The modules were designed as a framework for a disaster medicine curriculum for undergraduates and covered the three main disciplines (clinical and psychosocial, public health, and emergency and risk management) of the core of "Disaster Health" according to the World Association for Disaster and Emergency Medicine (WADEM) international guidelines for disaster medicine education. From January 2011 through May 2013, 21 editions of the course were delivered to 21 different medical schools, and 524 students attended the course. The blended approach and the use of simulation tools were appreciated by all participants and successfully increased participants' knowledge of disaster medicine and basic competencies in performing mass-casualty triage. This manuscript reports on the designing process and the initial outcomes with respect to learners' achievements and satisfaction of a 1-month educational course on the fundamentals of disaster medicine. This experience might represent a valid and innovative solution for a disaster medicine curriculum for medical students that is easily delivered by medical schools. [table: see text].

Priority of a Hesitant Fuzzy Linguistic Preference Relation with a Normal Distribution in Meteorological Disaster Risk Assessment.

PubMed

Wang, Lihong; Gong, Zaiwu

2017-10-10

As meteorological disaster systems are large complex systems, disaster reduction programs must be based on risk analysis. Consequently, judgment by an expert based on his or her experience (also known as qualitative evaluation) is an important link in meteorological disaster risk assessment. In some complex and non-procedural meteorological disaster risk assessments, a hesitant fuzzy linguistic preference relation (HFLPR) is often used to deal with a situation in which experts may be hesitant while providing preference information of a pairwise comparison of alternatives, that is, the degree of preference of one alternative over another. This study explores hesitation from the perspective of statistical distributions, and obtains an optimal ranking of an HFLPR based on chance-restricted programming, which provides a new approach for hesitant fuzzy optimisation of decision-making in meteorological disaster risk assessments.

Extremity amputation: how to face challenging problems in a precarious environment.

PubMed

Rigal, Sylvain

2012-10-01

Indications for amputation in natural disasters are not the same compared to our daily practice. They must be determined by those with great surgical experience and good knowledge of military or disaster surgical doctrine. Unfortunately, nowadays few surgeons have this experience. In fact, some volunteer surgeons may be interested in providing care for civilian victims of war or disaster in developing countries. However, there are significant differences between the type and the management of cases seen in this context versus those seen at home. The problems of amputations cannot be solved schematically. Amputation will depend on several factors: the form of warfare or disaster, the conditions for surgery, the skill of the surgical team and the experience of the surgeon, and the length or duration of the mission. Here is a schematic showing the three main situations: civilian practice, war practice and disaster context. These three different situations require different strategies for treating the wounded and for making amputation decisions. In the case of a natural disaster, there are many wounded civilians, they arrive at the medical facility late and there is usually only one surgeon and a single, limited medical facility to provide all treatment. He must make quick, wise choices, economising limited blood supplies and the use of surgical procedures. The decision to proceed with limb salvage or amputation for patients with severely injured limbs will be a source of continued debate. Amputation, radical and irreversible intervention, is a frequent and essential procedure in the disaster context and one of the standard means to successful treatment of limb wounds. We propose to reflect on the following questions: why to amputate, how to perform amputation under these conditions and how to pass on a doctrine to the voluntary surgeons who lack experience in a disaster context.

Overview of the 5 Rs

EPA Science Inventory

This introduction to the lunchtime symposium and panel discussion introduces the panel topics and participants from across the spectrum of organizations who have responded to large scale disasters. This overview will briefly discuss the role of exposure science during each phase ...

Disaster Risk Education of Final Year High School Students Requires a Partnership with Families and Charity Organizations: An International Cross-sectional Survey.

PubMed

Codreanu, Tudor A; Celenza, Antonio; Ngo, Hanh

2016-06-01

Introduction The aim of disaster reduction education (DRE) is to achieve behavioral change. Over the past two decades, many efforts have been directed towards this goal, but educational activities have been developed based on unverified assumptions. Further, the literature has not identified any significant change towards disaster preparedness at the individual level. In addition, previous research suggests that change is dependent on multiple independent predictors. It is difficult to determine what specific actions DRE might result in; therefore, the preamble of such an action, which is to have discussions about it, has been chosen as the surrogate outcome measure for DRE success. This study describes the relationship of the perceived entity responsible for disaster education, disaster education per se, sex, and country-specific characteristics, with students discussing disasters with friends and family as a measure of proactive behavioral change in disaster preparedness. A total of 3,829 final year high school students participated in an international, multi-center prospective, cross-sectional study using a validated questionnaire. Nine countries with different levels of disaster exposure risk and economic development were surveyed. Regression analyses examined the relationship between the likelihood of discussing disasters with friends and family (dependent variable) and a series of independent variables. There was no statistically significant relationship between a single entity responsible for disaster education and discussions about potential hazards and risks with friends and/or family. While several independent predictors showed a significant main effect, DRE through school lessons in interaction with Family & Charity Organizations had the highest predictive value. Disaster reduction education might require different delivery channels and methods and should engage with the entities with which the teenagers are more likely to collaborate. Codreanu TA , Celenza A , Ngo H . Disaster risk education of final year high school students requires a partnership with families and charity organizations: an international cross-sectional survey. Prehosp Disaster Med. 2016;31(3):242-254.

Emergency Management Instruction. Instructor's Guide for Grades 7-9.

ERIC Educational Resources Information Center

North Carolina State Div. of Emergency Management, Raleigh.

Emergency Management education seeks to give students basic information about natural and man-made disasters, preparedness procedures, and survival techniques. The intent of this guide is to aid teachers in presenting disaster survival instruction in the junior high school grades. The materials are designed to supplement existing curricula, where…

Dynamic building risk assessment theoretic model for rainstorm-flood utilization ABM and ABS

NASA Astrophysics Data System (ADS)

Lai, Wenze; Li, Wenbo; Wang, Hailei; Huang, Yingliang; Wu, Xuelian; Sun, Bingyun

2015-12-01

Flood is one of natural disasters with the worst loss in the world. It needs to assess flood disaster risk so that we can reduce the loss of flood disaster. Disaster management practical work needs the dynamic risk results of building. Rainstorm flood disaster system is a typical complex system. From the view of complex system theory, flood disaster risk is the interaction result of hazard effect objects, rainstorm flood hazard factors, and hazard environments. Agent-based modeling (ABM) is an important tool for complex system modeling. Rainstorm-flood building risk dynamic assessment method (RFBRDAM) was proposed using ABM in this paper. The interior structures and procedures of different agents in proposed meth had been designed. On the Netlogo platform, the proposed method was implemented to assess the building risk changes of the rainstorm flood disaster in the Huaihe River Basin using Agent-based simulation (ABS). The results indicated that the proposed method can dynamically assess building risk of the whole process for the rainstorm flood disaster. The results of this paper can provide one new approach for flood disaster building risk dynamic assessment and flood disaster management.

What Kinds of Skills Are Necessary for Physicians Involved in International Disaster Response?

PubMed

Noguchi, Norihito; Inoue, Satoshi; Shimanoe, Chisato; Shibayama, Kaoru; Matsunaga, Hitomi; Tanaka, Sae; Ishibashi, Akina; Shinchi, Koichi

2016-08-01

Introduction Physicians are key disaster responders in foreign medical teams (FMTs) that provide medical relief to affected people. However, few studies have examined the skills required for physicians in real, international, disaster-response situations. Problem The objectives of this study were to survey the primary skills required for physicians from a Japanese FMT and to examine whether there were differences in the frequencies of performed skills according to demographic characteristics, previous experience, and dispatch situations to guide future training and certification programs. This cross-sectional survey used a self-administered questionnaire given to 64 physicians with international disaster-response site experience. The questionnaire assessed demographic characteristics (sex, age, years of experience as a physician, affiliation, and specialty), previous experience (domestic disaster-relief experience, international disaster-relief experience, or disaster medicine training experience), and dispatch situation (length of dispatch, post-disaster phase, disaster type, and place of dispatch). In addition, the frequencies of 42 performed skills were assessed via a five-point Likert scale. Descriptive statistics were used to assess the participants' characteristics and total scores as the frequencies of performed skills. Mean scores for surgical skills, health care-related skills, public health skills, and management and coordination skills were compared according to the demographic characteristics, previous experience, and dispatch situations. Fifty-two valid questionnaires (81.3% response rate) were collected. There was a trend toward higher skill scores among those who had more previous international disaster-relief experience (P=.03). The more disaster medicine training experience the participants had, the higher their skill score was (P<.001). Physicians reported involvement in 23 disaster-relief response skills, nine of which were performed frequently. There was a trend toward higher scores for surgical skills, health care-related skills, and management and coordination skills related to more disaster medicine training experience. This study's findings can be used as evidence to boost the frequency of physicians' performed skills by promoting previous experience with international disaster relief and disaster medicine training. Additionally, these results may contribute to enhancing the quality of medical practice in the international disaster relief and disaster training curricula. Noguchi N , Inoue S , Shimanoe C , Shibayama K , Matsunaga H , Tanaka S , Ishibashi A , Shinchi K . What kinds of skills are necessary for physicians involved in international disaster response? Prehosp Disaster Med. 2016;31(4):397-406.

Science, Society, Solutions: An Introduction to the USGS

USGS Publications Warehouse

,

2001-01-01

The USGS serves the Nation by providing relevant, impartial scientific information to * Describe and understand the Earth; * Minimize loss of life and property from natural disasters; * Manage water, biological, energy, and mineral resources; and * Enhance and protect our quality of life.

Recasting Disaster Recovery Strategy at Dental Workplace in Combating Crisis – A Questionnaire Study

PubMed Central

Basavaraj, Patthi; Singla, Ashish; Gupta, Ritu; Kaur, Ravneet; Vashishtha, Vaibhav; Prasad, Monika; Kumar, Jishnu Krishna

2016-01-01

Introduction The number of reported natural and human-made disasters continues to rise worldwide. Disasters occur every day somewhere in the world with dramatic impact on individuals, families and communities. Aim This study was designed to measure the knowledge, attitude and practices regarding disaster management among academicians and practitioners in Ghaziabad city. Materials and Methods A cross-sectional study was conducted among 487 dentists. A questionnaire (15 items) measuring knowledge, attitude and practice was distributed manually to the participating dentists and data was analysed using SPSS software, version 19.0 and student t-test was performed to assess the differences. Results There was statistically significant relation between knowledge and attitude in relation to qualification degree, career prospective and years of experience (p <0.05). Conclusion Dentists form an important part of the health care community and thus there is a need to harvest the services of wide distribution of dentists practicing in our country. PMID:27190949

Development and evaluation of an undergraduate training course for developing International Council of Nurses disaster nursing competencies in China.

PubMed

Chan, Sunshine S S; Chan, Wai-shan; Cheng, Yijuan; Fung, Olivia W M; Lai, Timothy K H; Leung, Amanda W K; Leung, Kevin L K; Li, Sijian; Yip, Annie L K; Pang, Samantha M C

2010-12-01

Nurses are often called upon to play the role of first responder when disaster occurs. Yet the lack of accepted competencies and gaps in education make it difficult to recruit nurses prepared to respond to a disaster and provide assistance in an effective manner. Based on the International Council of Nurses (ICN) Framework of Disaster Nursing Competencies and Global Standards for the Initial Education of Professional Nurses and Midwives, a training course titled "Introduction to Disaster Nursing" was designed and implemented with 150 students. A pre-post survey design was used to assess changes in participants' self-rated disaster nursing competencies. The impact of the training course on participants' attitudes toward disaster nursing and their learning experience were also assessed. All participants passed the assessments and examination with an average score of 70%. Pre- and posttraining self-ratings of the disaster nursing competencies increased from 2.09 to 3.71 (p < .001) on a Likert scale of 1 to 5, and the effect size was large, with Cohen's d higher than 0.8. No significant difference in both examination results (60% group assignments; 40% written examination) and self-rated competencies was noted between the senior year students and graduate nurse participants by Mann-Whitney U test (p value = .90). The majority of participants indicated their willingness to participate as a helper in disaster relief and saw themselves competent to work under supervision. The ICN Framework of Disaster Nursing Competencies was instrumental to guide the training curriculum development. This introductory training course could be incorporated into undergraduate nursing education programs as well as serve as a continuing education program for graduate nurses. The training program can be used for preparing generalist nurses of their nursing competencies in disaster preparedness, response and post-disaster recovery and rehabilitation. © 2010 Sigma Theta Tau International.

Women's Mental Health and Intimate Partner Violence Following Natural Disaster: A Scoping Review.

PubMed

Bell, Sue Anne; Folkerth, Lisa A

2016-12-01

Introduction Survivors of natural disasters in the United States experience significant health ramifications. Women particularly are vulnerable to both post-disaster posttraumatic stress disorder (PTSD) and depression, and research has documented that these psychopathological sequelae often are correlated with increased incidence of intimate partner violence (IPV). Understanding the link between these health concerns is crucial to informing adequate disaster response and relief efforts for victims of natural disaster. Purpose The purpose of this review was to report the results of a scoping review on the specific mental health effects that commonly impact women following natural disasters, and to develop a conceptual framework with which to guide future research. A scoping review of mental and physical health effects experienced by women following natural disasters in the United States was conducted. Articles from 2000-2015 were included. Databases examined were PubMed, PsycInfo, Cochrane, JSTOR, Web of Science, and databases available through ProQuest, including ProQuest Research Library. A total of 58 articles were selected for inclusion, out of an original 149 that were selected for full-text review. Forty-eight articles, or 82.8%, focused on mental health outcomes. Ten articles, or 17.2%, focused on IPV. Discussion Certain mental health outcomes, including PTSD, depression, and other significant mental health concerns, were recurrent issues for women post-disaster. Despite the strong correlation between experience of mental health consequences after disaster and increased risk of domestic violence, studies on the risk and mediating factors are rare. The specific challenges faced by women and the interrelation between negative mental health outcomes and heightened exposure to IPV following disasters require a solid evidence base in order to facilitate the development of effective interventions. Additional research informed by theory on probable health impacts is necessary to improve development/implementation of emergency relief policy. Bell SA , Folkerth LA . Women's mental health and intimate partner violence following natural disaster: a scoping review. Prehosp Disaster Med. 2016;31(6):648-657.

Chapter 8. Medical procedures. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.

PubMed

Zimmerman, Janice L; Sprung, Charles L

2010-04-01

To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on ensuring that adequate resources are available and appropriate protocols are developed to safely perform procedures in patients with and without influenza illness. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including performing medical procedures. Key recommendations include: (1) specify high-risk procedures (aerosol generating-procedures); (2) determine if certain procedures will not be performed during a pandemic; (3) develop protocols for safe performance of high-risk procedures that include appropriateness, qualifications of personnel, site, personal protection equipment, safe technique and equipment needs; (4) ensure adequate training of personnel in high-risk procedures; (5) procedures should be performed at the bedside whenever possible; (6) ensure safe respiratory therapy practices to avoid aerosols; (7) provide safe respiratory equipment; and (8) determine criteria for cancelling and/or altering elective procedures. Judicious planning and adoption of protocols for safe performance of medical procedures are necessary to optimize outcomes during a pandemic.

Partnering for Environmental Security Cooperation in Central Asia and the Caspian Basin

DTIC Science & Technology

2002-04-01

Organizations.......................................................................................98 Mr. Paul Giannone Disaster Response Planning Processes...Paul Giannone of CARE USA who discussed key points of Non-governmental Organizations’ relationships with the military and provided suggestions on...Relationships between Military and Civilian Organizations Mr. Paul Giannone Disaster Response Planning Processes and Procedures Mr. Wolfgang G

18 CFR 725.1 - Authority.

Code of Federal Regulations, 2010 CFR

2010-04-01

... EXECUTIVE ORDERS 11988, FLOODPLAIN MANAGEMENT AND 11990, PROTECTION OF WETLANDS Introduction § 725.1... Executive Order 11990, Protection of Wetlands, at section 6. Each of these Orders was prepared in.... 4001 et seq.), and the Flood Disaster Protection Act of 1977, as amended (87 Stat. 975). ...

18 CFR 725.1 - Authority.

Code of Federal Regulations, 2011 CFR

2011-04-01

... EXECUTIVE ORDERS 11988, FLOODPLAIN MANAGEMENT AND 11990, PROTECTION OF WETLANDS Introduction § 725.1... Executive Order 11990, Protection of Wetlands, at section 6. Each of these Orders was prepared in.... 4001 et seq.), and the Flood Disaster Protection Act of 1977, as amended (87 Stat. 975). ...

18 CFR 725.1 - Authority.

Code of Federal Regulations, 2014 CFR

2014-04-01

... EXECUTIVE ORDERS 11988, FLOODPLAIN MANAGEMENT AND 11990, PROTECTION OF WETLANDS Introduction § 725.1... Executive Order 11990, Protection of Wetlands, at section 6. Each of these Orders was prepared in.... 4001 et seq.), and the Flood Disaster Protection Act of 1977, as amended (87 Stat. 975). ...

18 CFR 725.1 - Authority.

Code of Federal Regulations, 2013 CFR

2013-04-01

... ORDERS 11988, FLOODPLAIN MANAGEMENT AND 11990, PROTECTION OF WETLANDS Introduction § 725.1 Authority... Executive Order 11990, Protection of Wetlands, at section 6. Each of these Orders was prepared in.... 4001 et seq.), and the Flood Disaster Protection Act of 1977, as amended (87 Stat. 975). ...

Rural Community Disaster Preparedness and Risk Perception in Trujillo, Peru.

PubMed

Stewart, Matthew; Grahmann, Bridget; Fillmore, Ariel; Benson, L Scott

2017-08-01

Introduction Disasters will continue to occur throughout the world and it is the responsibility of the government, health care systems, and communities to adequately prepare for potential catastrophic scenarios. Unfortunately, low-and-middle-income countries (LMICs) are especially vulnerable following a disaster. By understanding disaster preparedness and risk perception, interventions can be developed to improve community preparedness and avoid unnecessary mortality and morbidity following a natural disaster. Problem The purpose of this study was to assess disaster preparedness and risk perception in communities surrounding Trujillo, Peru. After designing a novel disaster preparedness and risk perception survey based on guidelines from the International Federation of Red Cross and Red Crescent Societies (IFRC; Geneva, Switzerland), investigators performed a cross-sectional survey of potentially vulnerable communities surrounding Trujillo, Peru. Data were entered and analyzed utilizing the Research Electronic Data Capture (REDCap; Harvard Catalyst; Boston, Massachusetts USA) database. A total of 230 study participants were surveyed, composed of 37% males, 63% females, with ages ranging from 18-85 years old. Those surveyed who had previously experienced a disaster (41%) had a higher perception of future disaster occurrence and potential disaster impact on their community. Overall, the study participants consistently perceived that earthquakes and infection had the highest potential impact of all disasters. Twenty-six percent of participants had an emergency supply of food, 24% had an emergency water plan, 24% had a first aid kit at home, and only 20% of the study participants had an established family evacuation plan. Natural and man-made disasters will remain a threat to the safety and health of communities in all parts of the world, especially within vulnerable communities in LMICs; however, little research has been done to identify disaster perception, vulnerability, and preparedness in LMIC communities. The current study established that selected communities near Trujillo, Peru recognize a high disaster impact from earthquakes and infection, but are not adequately prepared for potential future disasters. By identifying high-risk demographics, targeted public health interventions are needed to prepare vulnerable communities in the following areas: emergency food supplies, emergency water plan, medical supplies at home, and establishing evacuation plans. Stewart M , Grahmann B , Fillmore A , Benson LS . Rural community disaster preparedness and risk perception in Trujillo, Peru. Prehosp Disaster Med. 2017;32(4):387-392.

The Influence of Exposure to Natural Disasters on Depression and PTSD Symptoms among Firefighters.

PubMed

Pennington, Michelle L; Carpenter, Thomas P; Synett, Samantha J; Torres, Victoria A; Teague, Jennifer; Morissette, Sandra B; Knight, Jeffrey; Kamholz, Barbara W; Keane, Terence M; Zimering, Rose T; Gulliver, Suzy B

2018-02-01

Introduction Firefighters represent an important population for understanding the consequences of exposure to potentially traumatic stressors. Hypothesis/Problem The researchers were interested in the effects of pre-employment disaster exposure on firefighter recruits' depression and posttraumatic stress disorder (PTSD) symptoms during the first three years of fire service and hypothesized that: (1) disaster-exposed firefighters would have greater depression and PTSD symptoms than non-exposed overall; and (2) depression and PTSD symptoms would worsen over years in fire service in exposed firefighters, but not in their unexposed counterparts. In a baseline interview, 35 male firefighter recruits from seven US cities reported lifetime exposure to natural disaster. These disaster-exposed male firefighter recruits were matched on age, city, and education with non-exposed recruits. A generalized linear mixed model revealed a significant exposure×time interaction (e coef =1.04; P<.001), such that depression symptoms increased with time for those with pre-employment disaster exposure only. This pattern persisted after controlling for social support from colleagues (e coefficient=1.05; P<.001), social support from families (e coefficient=1.04; P=.001), and on-the-job trauma exposure (coefficient=0.06; e coefficient=1.11; P<.001). Posttraumatic stress disorder symptoms did not vary significantly between exposure groups at baseline (P=.61). Depression symptoms increased with time for those with pre-employment disaster exposure only, even after controlling for social support. Posttraumatic stress disorder symptoms did not vary between exposure groups. Pennington ML , Carpenter TP , Synett SJ , Torres VA , Teague J , Morissette SB , Knight J , Kamholz BW , Keane TM , Zimering RT , Gulliver SB . The influence of exposure to natural disasters on depression and PTSD symptoms among firefighters. Prehosp Disaster Med. 2018;33(1):102-108.

Disaster Preparedness among Health Professionals and Support Staff: What is Effective? An Integrative Literature Review.

PubMed

Gowing, Jeremy R; Walker, Kim N; Elmer, Shandell L; Cummings, Elizabeth A

2017-06-01

Introduction It is important that health professionals and support staff are prepared for disasters to safeguard themselves and the community during disasters. There has been a significantly heightened focus on disasters since the terrorist attacks of September 11, 2001 in New York (USA); however, despite this, it is evident that health professionals and support staff may not be adequately prepared for disasters. Report An integrative literature review was performed based on a keyword search of the major health databases for primary research evaluating preparedness of health professionals and support staff. The literature was quality appraised using a mixed-methods appraisal tool (MMAT), and a thematic analysis was completed to identify current knowledge and gaps. Discussion The main themes identified were: health professionals and support staff may not be fully prepared for disasters; the most effective content and methods for disaster preparedness is unknown; and the willingness of health professionals and support staff to attend work and perform during disasters needs further evaluation. Gaps were identified to guide further research and the creation of new knowledge to best prepare for disasters. These included the need for: high-quality research to evaluate the best content and methods of disaster preparedness; inclusion of the multi-disciplinary health care team as participants; preparation for internal disasters; the development of validated competencies for preparedness; validated tools for measurement; and the importance of performance in actual disasters to evaluate preparation. The literature identified that all types of disaster preparedness activities lead to improvements in knowledge, skills, or attitude preparedness for disasters. Most studies focused on external disasters and the preparedness of medical, nursing, public health, or paramedic professionals. There needs to be a greater focus on the whole health care team, including allied health professionals and support staff, for both internal and external disasters. Evaluation during real disasters and the use of validated competencies and tools to deliver and evaluate disaster preparedness will enhance knowledge of best practice preparedness. However, of the 36 research articles included in this review, only five were rated at 100% using the MMAT. Due to methodological weakness of the research reviewed, the findings cannot be generalized, nor can the most effective method be determined. Gowing JR , Walker KN , Elmer SL , Cummings EA . Disaster preparedness among health professionals and support staff: what is effective? An integrative literature review. Prehosp Disaster Med. 2017;32(3):321-328.

Art of Disaster Preparedness in European Union: a Survey on the Health Systems

PubMed Central

Djalali, Ahmadreza; Della Corte, Francesco; Foletti, Marco; Ragazzoni, Luca; Ripoll Gallardo, Alba; Lupescu, Olivera; Arculeo, Chris; von Arnim, Götz; Friedl, Tom; Ashkenazi, Michael; Fischer, Philipp; Hreckovski, Boris; Khorram-Manesh, Amir; Komadina, Radko; Lechner, Konstanze; Patru, Cristina; Burkle, Frederick M.; Ingrassia, Pier Luigi

2014-01-01

Introduction: Naturally occurring and man-made disasters have been increasing in the world, including Europe, over the past several decades. Health systems are a key part of any community disaster management system. The success of preparedness and prevention depends on the success of activities such as disaster planning, organization and training. The aim of this study is to evaluate health system preparedness for disasters in the 27 European Union member countries. Method: A cross-sectional analysis study was completed between June-September 2012. The checklist used for this survey was a modified from the World Health Organization toolkit for assessing health-system capacity for crisis management. Three specialists from each of the 27 European Union countries were included in the survey. Responses to each survey question were scored and the range of preparedness level was defined as 0-100%, categorized in three levels as follows: Acceptable; Transitional; or Insufficient. Results: Response rate was 79.1%. The average level of disaster management preparedness in the health systems of 27 European Union member states was 68% (Acceptable). The highest level of preparedness was seen in the United Kingdom, Luxemburg, and Lithuania. Considering the elements of disaster management system, the highest level of preparedness score was at health information elements (86%), and the lowest level was for hospitals, and educational elements (54%). Conclusion: This survey study suggests that preparedness level of European Union countries in 2012 is at an acceptable level but could be improved. Elements such as hospitals and education and training suffer from insufficient levels of preparedness. The European Union health systems need a collective strategic plan, as well as enough resources, to establish a comprehensive and standardized disaster management strategy plan. A competency based training curriculum for managers and first responders is basic to accomplishing this goal. Keywords: Disaster medicine; Disaster preparedness; Disaster epidemiology; Health systems; European Union PMID:25685628

Mitigating flood exposure: Reducing disaster risk and trauma signature.

PubMed

Shultz, James M; McLean, Andrew; Herberman Mash, Holly B; Rosen, Alexa; Kelly, Fiona; Solo-Gabriele, Helena M; Youngs, Georgia A; Jensen, Jessica; Bernal, Oscar; Neria, Yuval

2013-01-01

Introduction. In 2011, following heavy winter snowfall, two cities bordering two rivers in North Dakota, USA faced major flood threats. Flooding was foreseeable and predictable although the extent of risk was uncertain. One community, Fargo, situated in a shallow river basin, successfully mitigated and prevented flooding. For the other community, Minot, located in a deep river valley, prevention was not possible and downtown businesses and one-quarter of the homes were inundated, in the city's worst flood on record. We aimed at contrasting the respective hazards, vulnerabilities, stressors, psychological risk factors, psychosocial consequences, and disaster risk reduction strategies under conditions where flood prevention was, and was not, possible. Methods . We applied the "trauma signature analysis" (TSIG) approach to compare the hazard profiles, identify salient disaster stressors, document the key components of disaster risk reduction response, and examine indicators of community resilience. Results . Two demographically-comparable communities, Fargo and Minot, faced challenging river flood threats and exhibited effective coordination across community sectors. We examined the implementation of disaster risk reduction strategies in situations where coordinated citizen action was able to prevent disaster impact (hazard avoidance) compared to the more common scenario when unpreventable disaster strikes, causing destruction, harm, and distress. Across a range of indicators, it is clear that successful mitigation diminishes both physical and psychological impact, thereby reducing the trauma signature of the event. Conclusion . In contrast to experience of historic flooding in Minot, the city of Fargo succeeded in reducing the trauma signature by way of reducing risk through mitigation.

22 CFR 216.1 - Introduction.

Code of Federal Regulations, 2012 CFR

2012-04-01

... Abroad of Major Federal Actions, and the purposes of the National Environmental Policy Act of 1970, as... effect the A.I.D. program. (b) Environmental policy. In the conduct of its mandate to help upgrade the... activities address such basic problems as hunger, malnutrition, overpopulation, disease, disaster...

33 CFR 203.72 - Eligibility criteria and procedures.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Eligibility criteria and procedures. 203.72 Section 203.72 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance...

33 CFR 203.72 - Eligibility criteria and procedures.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Eligibility criteria and procedures. 203.72 Section 203.72 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance...

33 CFR 203.72 - Eligibility criteria and procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Eligibility criteria and procedures. 203.72 Section 203.72 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance...

To amend the Robert T. Stafford Disaster Relief and Emergency Assistance Act to include procedures for requests from Indian tribes for a major disaster or emergency declaration, and for other purposes.

THOMAS, 112th Congress

Rep. Rahall, Nick J., II [D-WV-3

2011-05-24

House - 05/25/2011 Referred to the Subcommittee on Economic Development, Public Buildings and Emergency Management. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend the Robert T. Stafford Disaster Relief and Emergency Assistance Act to include procedures for requests from Indian tribes for a major disaster or emergency declaration, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2012-03-29

Senate - 03/29/2012 Read twice and referred to the Committee on Homeland Security and Governmental Affairs. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Operation Shaddock--the Australian Defence Force response to the tsunami disaster in Papua New Guinea.

PubMed

Taylor, P R; Emonson, D L; Schlimmer, J E

Operation Shaddock was the name given to the deployment of a major field medical unit of 58 Australian Defence Force medical and other personnel to Vanimo, in northwestern Papua New Guinea. Hundreds of victims of the tsunami disaster were treated and more than 200 surgical procedures performed in a 10-day mission.

Fuzzy Comprehensive Evaluation-Based Disaster Risk Assessment of Desertification in Horqin Sand Land, China

PubMed Central

Wang, Yongfang; Zhang, Jiquan; Guo, Enliang; Sun, Zhongyi

2015-01-01

Desertification is a typical disaster risk event in which human settlements and living environments are destroyed. Desertification Disaster Risk Assessment can control and prevent the occurrence and development of desertification disasters and reduce their adverse influence on human society. This study presents the methodology and procedure for risk assessment and zoning of desertification disasters in Horqin Sand Land. Based on natural disaster risk theory and the desertification disaster formation mechanism, the Desertification Disaster Risk Index (DDRI) combined hazard, exposure, vulnerability and restorability factors and was developed mainly by using multi-source data and the fuzzy comprehensive evaluation method. The results showed that high risk and middle risk areas account for 28% and 23% of the study area, respectively. They are distributed with an “S” type in the study area. Low risk and very low risk areas account for 21% and 10% of the study area, respectively. They are distributed in the west-central and southwestern parts. Very high risk areas account for 18% of the study area and are distributed in the northeastern parts. The results can be used to know the desertification disaster risk level. It has important theoretical and practical significance to prevention and control of desertification in Horqin Sand Land and even in Northern China. PMID:25654772

Fuzzy comprehensive evaluation-based disaster risk assessment of desertification in Horqin Sand Land, China.

PubMed

Wang, Yongfang; Zhang, Jiquan; Guo, Enliang; Sun, Zhongyi

2015-02-03

Desertification is a typical disaster risk event in which human settlements and living environments are destroyed. Desertification Disaster Risk Assessment can control and prevent the occurrence and development of desertification disasters and reduce their adverse influence on human society. This study presents the methodology and procedure for risk assessment and zoning of desertification disasters in Horqin Sand Land. Based on natural disaster risk theory and the desertification disaster formation mechanism, the Desertification Disaster Risk Index (DDRI) combined hazard, exposure, vulnerability and restorability factors and was developed mainly by using multi-source data and the fuzzy comprehensive evaluation method. The results showed that high risk and middle risk areas account for 28% and 23% of the study area, respectively. They are distributed with an "S" type in the study area. Low risk and very low risk areas account for 21% and 10% of the study area, respectively. They are distributed in the west-central and southwestern parts. Very high risk areas account for 18% of the study area and are distributed in the northeastern parts. The results can be used to know the desertification disaster risk level. It has important theoretical and practical significance to prevention and control of desertification in Horqin Sand Land and even in Northern China.

Medical response to the 2009 Sumatra earthquake: health needs in the post-disaster period.

PubMed

Tan, C M; Lee, V J; Chang, G H; Ang, H X; Seet, B

2012-02-01

This paper provides an overview of cases seen by the Singapore Armed Forces (SAF) medical and surgical teams in the 2009 Sumatra earthquake and discusses the role of militaries in the acute phase of a disaster. Two SAF primary healthcare clinics prospectively collected patient medical information for comparison. Descriptive analysis of the Emergency Department (ED) and surgical case records was performed. 1,015 patients were seen by the two primary healthcare clinics. In both Koto Bangko and Pariaman, respiratory-related conditions were the most common diagnoses (47.2% and 30.6%, respectively), followed by musculoskeletal/joint conditions (31.6% and 20.6%, respectively). In the ED, 55% and 27% of the 113 patients had trauma-related and infective-related diagnoses, respectively. Lacerations and contusions were the most common forms of trauma. Lung infection was the most common infective diagnosis seen at the ED. The number of ED cases was high during the first week and gradually declined in the second week. 56% of the 102 surgical procedures were performed on dirty or infective wounds. Fractures requiring fixation comprised 38% of surgical procedures. Medical aid remains an important component of the overall humanitarian response. Militaries could play an important role in disaster response due to their ability to respond in a timely fashion and logistic capabilities. Pre-launch research on the affected area and knowledge on disaster-specific injury patterns would impact the expertise, equipment and supplies required. The increasing evidence base for disaster preparedness and medical response allows for better planning and reduces the impact of disasters on affected populations.

Portable ultrasound in disaster triage: a focused review.

PubMed

Wydo, S M; Seamon, M J; Melanson, S W; Thomas, P; Bahner, D P; Stawicki, S P

2016-04-01

Ultrasound technology has become ubiquitous in modern medicine. Its applications span the assessment of life-threatening trauma or hemodynamic conditions, to elective procedures such as image-guided peripheral nerve blocks. Sonographers have utilized ultrasound techniques in the pre-hospital setting, emergency departments, operating rooms, intensive care units, outpatient clinics, as well as during mass casualty and disaster management. Currently available ultrasound devices are more affordable, portable, and feature user-friendly interfaces, making them well suited for use in the demanding situation of a mass casualty incident (MCI) or disaster triage. We have reviewed the existing literature regarding the application of sonology in MCI and disaster scenarios, focusing on the most promising and practical ultrasound-based paradigms applicable in these settings.

A Qualitative Study of Violence Against Women after the Recent Disasters of Iran.

PubMed

Sohrabizadeh, Sanaz

2016-08-01

Introduction Violence against women (VAW) is one of the most widespread violations of human rights and a major barrier to achieving gender equality. Violence against women is increased in disaster-stricken communities. Violence experiences, cases, and lessons-learned concerning Iran's disasters have not been investigated, documented, or shared so far. To fill this knowledge gap, this qualitative study aimed to explore types of VAW and girls after the recent quakes and floods in Iran. Problem The objective for this study was exploring the manifestations of VAW after the natural disasters in Iran. A qualitative approach was used for this study. Data were collected by in-depth, unstructured interviews and field observations in three affected regions of Iran, including East Azerbaijan, Bushehr, and Mazandaran. A total of 15 participants, eight damaged women as well as seven key informants, were interviewed. A content analysis using Graneheim approach was performed for analyzing transcribed interviews. Two main themes were extracted from data, including domestic violence and violence within community. The first theme included three categories: physical, psychological, and sexual violence. Psychological violence and sexual harassment were two categories of violence within the community concept. Different types of violence emerged from the present research that can be anticipated and integrated into future disaster medicine plans, public health reforms, and national rules of Iran. Improving women's knowledge on their rights to have a life without violence, and participation of both women and men in violence reduction projects, can be considered in all disaster management phases. Sohrabizadeh S . A qualitative study of violence against women after the recent disasters of Iran. Prehosp Disaster Med. 2016;31(4):407-412.

Innovations in disaster mental health services and evaluation: national, state, and local responses to Hurricane Katrina (introduction to the special issue).

PubMed

Norris, Fran H; Rosen, Craig S

2009-05-01

The severe consequences of Hurricane Katrina on mental health have sparked tremendous interest in improving the quality of mental health care for disaster victims. In this special issue, we seek to illustrate the breadth of work emerging in this area. The five empirical examples each reflect innovation, either in the nature of the services being provided or in the evaluation approach. Most importantly, they portray the variability of post-Katrina mental health programs, which ranged from national to state to local in scope and from educational to clinical in intensity. As a set, these papers address the fundamental question of whether it is useful and feasible to provide different intensities of mental health care to different populations according to presumed need. The issue concludes with recommendations for future disaster mental health service delivery and evaluation.

Hospital Staff Shortage after the 2011 Triple Disaster in Fukushima, Japan-An Earthquake, Tsunamis, and Nuclear Power Plant Accident: A Case of the Soso District

PubMed Central

Ochi, Sae; Tsubokura, Masaharu; Kato, Shigeaki; Iwamoto, Shuichi; Ogata, Shinichi; Morita, Tomohiro; Hori, Arinobu; Oikawa, Tomoyoshi; Kikuchi, Antoku; Watanabe, Zenjiro; Kanazawa, Yukio; Kumakawa, Hiromi; Kuma, Yoshinobu; Kumakura, Tetsuo; Inomata, Yoshimitsu; Kami, Masahiro; Shineha, Ryuzaburo; Saito, Yasutoshi

2016-01-01

Introduction In 2011, Fukushima was struck by a triple disaster: an earthquake, tsunamis, and a nuclear accident. In the aftermath, there was much fear among hospital staff members about radiation exposure and many staff members failed to report to work. Objectives One objective is to measure this shortage in hospital staff and another is to compare the difference in recovery by hospital types and by categories of hospital staff. Design The monthly records of the number of staff members from May 2011 to September 2012 were extracted anonymously from the records of 7 local hospitals in the Soso district in Fukushima. Change in the number of staff was analyzed. Results Staff shortages at hospitals reached a maximum within one month after the disaster (47% reported to work). The shortage of clerks was the most severe (38% reported to work), followed by nurses (48% reported to work). The shortages remained even 18 months after the disaster. Conclusion After a disaster in which the damage to hospital functions surpasses the structural damage, massive support of human resources in the acute phase and a smaller volume of support in the mid-term phase appear to be required, particularly for non-medical staff. PMID:27788170

A framework for physician activity during disasters and surge events.

PubMed

Griffiths, Jane L; Estipona, Aurora; Waterson, James A

2011-01-01

Delineation of the problem of physician role during disaster activations both for disaster responders and for general physicians in a Middle East state facility. The hospital described has 500 medical-surgical beds, 59 intensive care unit beds, eight operating rooms (ORs), and 60 emergency room (ER) beds. Its ER sees 150,000 presentations per year and between 11 and 26 multitrauma cases per day. Most casualties are the result of industrial accidents (50.5 percent) and road traffic accidents (34 percent). It is the principle trauma center for Dubai, UAE. The hospital is also the designated primary regional responder for medical, chemical, and biological events. Its disaster plan has been activated 10 times in the past 3 years and it is consistently over its bed capacity. A review of the activity of physicians during disaster activations revealed problems of role identification, conflict, and lack of training. Interventions included training nonacute teams in reverse triaging and responder teams in coordinated emergency care. Both actions were fostered and controlled by a Disaster Control Centre and its Committee. Clear identification of medical leadership in disaster situations, introduction of a process of reverse triage to meet surge based on an ethical framework, and improvement of flow through the ER and OR. Reverse triage can be made to work in the Middle East despite its lack of primary healthcare infrastructure. Lessons from the restructuring of responder teams may be applicable to the deployment to prehospital environments of hospital teams, and further development of audit tools is required to measure improvement in these areas.

The West Africa Disaster Preparedness Initiative: Strengthening National Capacities for All-Hazards Disaster Preparedness.

PubMed

Morton Hamer, Melinda J; Reed, Paul L; Greulich, Jane D; Kelen, Gabor D; Bradstreet, Nicole A; Beadling, Charles W

2017-08-01

The Ebola outbreak demonstrated the need for improved disaster response throughout West Africa. The West Africa Disaster Preparedness Initiative was a training and assessment effort led by US Africa Command and partners to strengthen capacities among 12 West African partner nations (PNs). Series of 3-week training sessions with representatives from each PN were held from 13 July through 20 November 2015 at the Kofi Annan International Peacekeeping Training Centre in Accra, Ghana. A team conducted Disaster Management Capabilities Assessments (DMCAs) for each PN, including a review of key data, a survey for leaders, and in-person interviews of key informants. All 12 PNs generated a national Ebola Preparedness and Response Plan and Emergency Operations Center standard operating procedures. DMCA metrics were generated for each PN. Top performers included Ghana, with a plan rated good/excellent, and Benin and Burkina Faso, which both achieved a satisfactory rating for their plans. More than 800 people from 12 nations were trained. PNs have improved disaster management capabilities and awareness of their strengths and weaknesses. The Economic Community of West African States has increased its lead role in this and future planned initiatives. (Disaster Med Public Health Preparedness. 2017;11:431-438).

Improving the Interoperability of Disaster Models: a Case Study of Proposing Fireml for Forest Fire Model

NASA Astrophysics Data System (ADS)

Jiang, W.; Wang, F.; Meng, Q.; Li, Z.; Liu, B.; Zheng, X.

2018-04-01

This paper presents a new standardized data format named Fire Markup Language (FireML), extended by the Geography Markup Language (GML) of OGC, to elaborate upon the fire hazard model. The proposed FireML is able to standardize the input and output documents of a fire model for effectively communicating with different disaster management systems to ensure a good interoperability. To demonstrate the usage of FireML and testify its feasibility, an adopted forest fire spread model being compatible with FireML is described. And a 3DGIS disaster management system is developed to simulate the dynamic procedure of forest fire spread with the defined FireML documents. The proposed approach will enlighten ones who work on other disaster models' standardization work.

Vulnerability to traumatic stress in fibromyalgia patients: 19 month follow-up after the great East Japan disaster

PubMed Central

2013-01-01

Introduction The aim of this study was to investigate vulnerability and long-term influence of traumatic stress caused by the Great East Japan Disaster which occurred on March 11, 2011, in patients with fibromyalgia, which is a chronic pain syndrome probably involving central sensitization. Methods A total of 60 female patients with fibromyalgia were compared with female patients with rheumatoid arthritis (RA, n = 23) as another chronic pain disease, and with female healthy controls (HC, n = 26) in the observational study. To evaluate responses to traumatic stress, the scores of Impact of Event Scale-Revised (IES-R) were assessed one month after the disaster and every six months until 19 months after the disaster. We also evaluated levels of depression during the study period. To know the score of IES-R of patients with fibromyalgia during usual living, we assessed IES-R in another population of fibromyalgia patients without exposure to a great disaster. Results The mean score of IES-R one month after the disaster in the fibromyalgia group (24.6 [SD 18.9]) was significantly higher than that of RA group (13.4 [SD 14.5]) or HC group (9.1 [9.2]) (F = 9.96, p < 0.0001). However, the mean score of IES-R in fibromyalgia patients without exposure to a great disaster was (20.3 [SD 18.7]), which was almost the same value as the fibromyalgia group seven months after the disaster (20.2 [SD 19.5]). Repeated measures analysis of variance showed significant effect of time course in the depression-related symptoms (F = 6.68, P = 0.001), and a post-hoc test revealed that the number of depression-related symptoms one month before the disaster was significantly different from other time points until 19 months after the disaster, respectively. Conclusions Although response to acute stress induced by the great earthquake was likely to be settled within seven months after the disaster, depression-related symptoms have been increasing for more than one year after the disaster, despite exclusion of patients with major depression at baseline. This long-lasting worsening of depression-related symptoms may have been in response to chronic stress induced by the fear of radiation due to the nuclear power disaster. These findings suggest that patients with fibromyalgia are vulnerable to chronic stress rather than acute stress. PMID:24286267

Mitigating flood exposure

PubMed Central

Shultz, James M; McLean, Andrew; Herberman Mash, Holly B; Rosen, Alexa; Kelly, Fiona; Solo-Gabriele, Helena M; Youngs Jr, Georgia A; Jensen, Jessica; Bernal, Oscar; Neria, Yuval

2013-01-01

Introduction. In 2011, following heavy winter snowfall, two cities bordering two rivers in North Dakota, USA faced major flood threats. Flooding was foreseeable and predictable although the extent of risk was uncertain. One community, Fargo, situated in a shallow river basin, successfully mitigated and prevented flooding. For the other community, Minot, located in a deep river valley, prevention was not possible and downtown businesses and one-quarter of the homes were inundated, in the city’s worst flood on record. We aimed at contrasting the respective hazards, vulnerabilities, stressors, psychological risk factors, psychosocial consequences, and disaster risk reduction strategies under conditions where flood prevention was, and was not, possible. Methods. We applied the “trauma signature analysis” (TSIG) approach to compare the hazard profiles, identify salient disaster stressors, document the key components of disaster risk reduction response, and examine indicators of community resilience. Results. Two demographically-comparable communities, Fargo and Minot, faced challenging river flood threats and exhibited effective coordination across community sectors. We examined the implementation of disaster risk reduction strategies in situations where coordinated citizen action was able to prevent disaster impact (hazard avoidance) compared to the more common scenario when unpreventable disaster strikes, causing destruction, harm, and distress. Across a range of indicators, it is clear that successful mitigation diminishes both physical and psychological impact, thereby reducing the trauma signature of the event. Conclusion. In contrast to experience of historic flooding in Minot, the city of Fargo succeeded in reducing the trauma signature by way of reducing risk through mitigation. PMID:28228985

Biomarkers reveal sea turtles remained in oiled areas following the Deepwater Horizon oil spill

USGS Publications Warehouse

Vander Zanden, Hannah B.; Bolten, Alan B.; Tucker, Anton D.; Hart, Kristen M.; Lamont, Margaret M.; Fujisaki, Ikuko; Reich, Kimberly J.; Addison, David S.; Mansfield, Katherine L.; Phillips, Katrina F.; Pajuelo, Mariela; Bjorndal, Karen A.

2016-01-01

Assessments of large-scale disasters, such as the Deepwater Horizon oil spill, are problematic because while measurements of post-disturbance conditions are common, measurements of pre-disturbance baselines are only rarely available. Without adequate observations of pre-disaster organismal and environmental conditions, it is impossible to assess the impact of such catastrophes on animal populations and ecological communities. Here, we use long-term biological tissue records to provide pre-disaster data for a vulnerable marine organism. Keratin samples from the carapace of loggerhead sea turtles record the foraging history for up to 18 years, allowing us to evaluate the effect of the oil spill on sea turtle foraging patterns. Samples were collected from 76 satellite-tracked adult loggerheads in 2011 and 2012, approximately one to two years after the spill. Of the 10 individuals that foraged in areas exposed to surface oil, none demonstrated significant changes in foraging patterns post spill. The observed long-term fidelity to foraging sites indicates that loggerheads in the northern Gulf of Mexico likely remained in established foraging sites, regardless of the introduction of oil and chemical dispersants. More research is needed to address potential long-term health consequences to turtles in this region. Mobile marine organisms present challenges for researchers to monitor effects of environmental disasters, both spatially and temporally. We demonstrate that biological tissues can reveal long-term histories of animal behavior and provide critical pre-disaster baselines following an anthropogenic disturbance or natural disaster.

Maternal, Newborn, and Child Health After the 2015 Nepal Earthquakes: An Investigation of the Long-term Gendered Impacts of Disasters.

PubMed

Brunson, Jan

2017-12-01

Introduction Natural disasters in resource-poor countries have differential effects on socially disadvantaged groups such as women. In addition to the acute reproductive health needs of women during the immediate response phase of a disaster, research suggests that maternal, newborn, and child health (MNCH) may continue to be seriously impacted for numerous months, even years, after the event. Methods This ethnographic field research investigates the impacts of the 2015 Nepal earthquakes on mothers and children under five on the 6-month anniversary of the earthquakes. Results Though families were not channeling household funds away from health care expenses for pregnant and lactating women and children under five, the findings suggest that a delayed response by the Nepali government in administering funds for rebuilding combined with an ongoing fuel crisis were negatively impacting families' abilities to provide adequate shelter, warmth, cooking gas, and transportation for mothers and young children. This study highlights the importance of understanding the impacts of specific social and political contexts on intra-household family finances as they relate to MNCH, not just variables related to the disaster itself. Discussion Future research and policies on MNCH during the long-term recovery period after a natural disaster such as the 2015 Nepal earthquakes therefore should take into account the social and political context as well as institute multiple periodic assessments of MNCH in the first few years following the disaster.

Impact of 2015 earthquakes on a local hospital in Nepal: A prospective hospital-based study

PubMed Central

Risnes, Kari; Uleberg, Oddvar; Rogne, Tormod; Shrestha, Sanu Krishna; Nygaard, Øystein Petter; Koju, Rajendra; Solligård, Erik

2018-01-01

Introduction Natural disasters pose a great challenge to the health systems and individual health facilities. In low-resource settings, disaster preparedness systems are often limited and not been well described. Two devastating earthquakes hit Nepal within a 17-days period in 2015. This study aims to describe the burden and distribution of emergency cases to a local hospital. Methods This is a prospective observational study of patients presenting to a local hospital for a period of 21 days following the earthquake on April 25, 2015. Demographic and clinical information was prospectively registered for all patients in the systematic emergency registry. Systematic telephone interviews were conducted in a random sample of the patients 90 days after admission to the hospital. Results A total of 2,003 emergency patients were registered during the period. The average daily number of emergency patients during the first five days was almost five times higher (n = 150) than the pre-incident daily average (n = 35). The majority of injuries were fractures (58%), 348 (56%) in the lower extremities. A total of 345 surgical procedures were performed and the hospital treated 111 patients with severe injuries related to the earthquake (compartment syndrome, crush injury, and internal injury). Among those with follow-up interviews, over 90% reported that they had been severely affected by the earthquakes; complete house damage, living in temporary shelter, or loss of close family member. Conclusion The hospital experienced a very high caseload during the first days, and the majority of patients needed orthopaedic services. The proportion of severely injured and in-hospital deaths were relatively low, probably indicating that the most severely injured did not reach the hospital in time. The experiences underline the need for robust and easily available local health services that can respond to disasters. PMID:29394265

Nature Disaster Risk Evaluation with a Group Decision Making Method Based on Incomplete Hesitant Fuzzy Linguistic Preference Relations.

PubMed

Tang, Ming; Liao, Huchang; Li, Zongmin; Xu, Zeshui

2018-04-13

Because the natural disaster system is a very comprehensive and large system, the disaster reduction scheme must rely on risk analysis. Experts' knowledge and experiences play a critical role in disaster risk assessment. The hesitant fuzzy linguistic preference relation is an effective tool to express experts' preference information when comparing pairwise alternatives. Owing to the lack of knowledge or a heavy workload, information may be missed in the hesitant fuzzy linguistic preference relation. Thus, an incomplete hesitant fuzzy linguistic preference relation is constructed. In this paper, we firstly discuss some properties of the additive consistent hesitant fuzzy linguistic preference relation. Next, the incomplete hesitant fuzzy linguistic preference relation, the normalized hesitant fuzzy linguistic preference relation, and the acceptable hesitant fuzzy linguistic preference relation are defined. Afterwards, three procedures to estimate the missing information are proposed. The first one deals with the situation in which there are only n-1 known judgments involving all the alternatives; the second one is used to estimate the missing information of the hesitant fuzzy linguistic preference relation with more known judgments; while the third procedure is used to deal with ignorance situations in which there is at least one alternative with totally missing information. Furthermore, an algorithm for group decision making with incomplete hesitant fuzzy linguistic preference relations is given. Finally, we illustrate our model with a case study about flood disaster risk evaluation. A comparative analysis is presented to testify the advantage of our method.

33 CFR 203.72 - Eligibility criteria and procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance... potential Advance Measures activities. Occasionally weather phenomena occur which produce a much higher than... phenomenon, based on requests for assistance from such tribal, State, and local agencies. Specific Advance...

33 CFR 203.72 - Eligibility criteria and procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance... potential Advance Measures activities. Occasionally weather phenomena occur which produce a much higher than... phenomenon, based on requests for assistance from such tribal, State, and local agencies. Specific Advance...

Case study of medical evacuation before and after the Fukushima Daiichi nuclear power plant accident in the great east Japan earthquake.

PubMed

Okumura, Tetsu; Tokuno, Shinichi

2015-01-01

In Japan, participants in the disaster-specific medical transportation system have received ongoing training since 2002, incorporating lessons learned from the Great Hanshin Earthquake. The Great East Japan Earthquake occurred on March 11, 2011, and the very first disaster-specific medical transport was performed. This article reviews in detail the central government's control and coordination of the disaster medical transportation process following the Great East Japan Earthquake and the Fukushima Daiichi Nuclear Power Plant Accident. In total, 124 patients were air transported under the coordination of the C5 team in the emergency response headquarter of the Japanese Government. C5 includes experts from the Cabinet Office, Cabinet Secretariat, Fire Defense Agency, Ministry of Health, Labour and Welfare, and Ministry of Defense. In the 20-30 km evacuation zone around the Fukushima Daiichi nuclear power plant, 509 bedridden patients were successfully evacuated without any fatalities during transportation. Many lessons have been learned in disaster-specific medical transportation. The national government, local government, police, and fire agencies have made significant progress in their mutual communication and collaboration. Fortunately, hospital evacuation from the 20-30 km area was successfully performed with the aid of local emergency physicians and Disaster Medical Assistance Teams (DMATs) who have vast experience in patient transport in the course of day-to-day activities. The emergency procedures that are required during crises are an extension of basic daily procedures that are performed by emergency medical staff and first responders, such as fire fighters, emergency medical technicians, or police officers. Medical facilities including nursing homes should have a plan for long-distance (over 100 km) evacuation, and the plan should be routinely reevaluated with full-scale exercises. In addition, hospital evacuation in disaster settings should be supervised by emergency physicians and be handled by disaster specialists who are accustomed to patient transportation on a daily basis.

Earthquake Preparedness 101: Planning Guidelines for Colleges and Universities.

ERIC Educational Resources Information Center

California Governor's Office, Sacramento.

This publication is a guide for California colleges and universities wishing to prepare for earthquakes. An introduction aimed at institutional leaders emphasizes that earthquake preparedness is required by law and argues that there is much that can be done to prepare for earthquakes. The second section, addressed to the disaster planner, offers…

Proposed Model of Information Behaviour in Crisis: The Case of Hurricane Sandy

ERIC Educational Resources Information Center

Lopatovska, Irene; Smiley, Bobby

2013-01-01

Introduction: The paper proposes a model of information behaviour in crisis. No previous model has attempted to integrate information resources, information behaviour and needs of the storm-affected communities within the temporal stages of a natural disaster. Method: The study was designed as autoethnography. The data were collected through a…

JPRS Report, Science & Technology, China, Remote Sensing Systems, Applications.

DTIC Science & Technology

1991-01-17

Partial Contents: Short Introduction to Nation’s Remote Sensing Units, Domestic Airborne Remote - Sensing System, Applications in Monitoring Natural...Disasters, Applications of Imagery From Experimental Satellites Launched in 1985, 1986, Current Status, Future Prospects for Domestic Remote - Sensing -Satellite...Ground Station, and Radar Remote - Sensing Technology Used to Monitor Yellow River Delta,

Slopeland utilizable limitation classification using landslide inventory

NASA Astrophysics Data System (ADS)

Tsai, Shu Fen; Lin, Chao Yuan

2016-04-01

In 1976, "Slopeland Conservation and Utilization Act" was promulgated as well as the criteria for slopeland utilization limitation classification (SULC) i.e., average slope, effective soil depth, degree of soil erosion, and parent rock became standardized. Due to the development areas on slope land steadily increased and the extreme rainfall events occurred frequently, the areas affected by landslides also increased year by year. According to the act, the land which damaged by disaster must be categorized to the conservation land and required rehabilitation. Nevertheless, the large-scale disaster on slope land and the limitation of SWCB officers are the constraint of field investigation. Therefore, how to establish the ongoing inspective procedure of post-disaster SULC using remote sensing was essential. A-Li-Shan, Ai-Liao, and Tai-Ma-Li Watershed were selected to be case studies in this project. The spatial data from big data i.e., Digital Elevation Model (DEM), soil map, and satellite images integrated with Geographic Information Systems (GIS) were applied to post-disaster SULC. The collapse and deposition area which delineated by vegetation recovery rate was established landslide inventory of cadastral unit combined with watershed unit. The results were verified with field survey and the accuracy was 97%. The landslide inventory could be an effective reference for sediment disaster investigation and a practical evidence for judgement to expropriation. Finally, the results showed that the ongoing inspective procedure of post-disaster SULC was practicable. From the four criteria, the average slope was the major factor. It was found that the non-uniform slopes, especially derived from cadastral units, often produce significant slope difference and lead to errors of average slope evaluation. Therefore, the Grid-based DEM slope derivation has been recommended as the standard method to calculate the average slope. Others criteria were previously required to classify the farm land tax. However, as a result of environmental change and advancements in farm machinery, it seems that those criteria were further inappropriate criteria for agricultural land. In conclusion, soil and water conservation works, which were enhanced to disaster prevention under climate change, should reconsider the SULC criteria. The average slope from DEM derivation and the sediment disaster from landslide inventory were suggested and adequate for SULC.

Suggested Guide for Fire Service Standard Operating Procedures.

ERIC Educational Resources Information Center

Gillett, Merl; Hertzler, Simon L.

Suggested guidelines for the development of fire service standard operating procedures are presented in this document. Section topics are as follow: chain of command; communications; emergency response; apparatus; fire service training; disaster response; aircraft fire safety; mutual aid; national reporting system (example reporting forms);…

Telehealth technologies and applications for terrorism response: a report of the 2002 coastal North Carolina domestic preparedness training exercise.

PubMed

Simmons, Scott C; Murphy, Timothy A; Blanarovich, Adrian; Workman, Florence T; Rosenthal, David A; Carbone, Matthew

2003-01-01

Effective response to natural or man-made disasters (i.e., terrorism) is predicated on the ability to communicate among the many organizations involved. Disaster response exercises enable disaster planners and responders to test procedures and technologies and incorporate the lessons learned from past disasters or exercises. On May 31 and June 1, 2002, one such exercise event took place at the Camp Lejeune Marine Corps Base in Jacksonville, North Carolina. During the exercise, East Carolina University tested: (1) in-place Telehealth networks and (2) rapidly deployable communications, networking, and data collection technologies such as satellite communications, local wireless networking, on-scene video, and clinical and environmental data acquisition and telemetry. Exercise participants included local, county, state, and military emergency medical services (EMS), emergency management, specialized response units, and local fire and police units. The technologies and operations concepts tested at the exercise and recommendations for using telehealth to improve disaster response are described.

Telehealth Technologies and Applications for Terrorism Response: A Report of the 2002 Coastal North Carolina Domestic Preparedness Training Exercise

PubMed Central

Simmons, Scott C.; Murphy, Timothy A.; Blanarovich, Adrian; Workman, Florence T.; Rosenthal, David A.; Carbone, Matthew

2003-01-01

Effective response to natural or man-made disasters (i.e., terrorism) is predicated on the ability to communicate among the many organizations involved. Disaster response exercises enable disaster planners and responders to test procedures and technologies and incorporate the lessons learned from past disasters or exercises. On May 31 and June 1, 2002, one such exercise event took place at the Camp Lejeune Marine Corps Base in Jacksonville, North Carolina. During the exercise, East Carolina University tested: (1) in-place Telehealth networks and (2) rapidly deployable communications, networking, and data collection technologies such as satellite communications, local wireless networking, on-scene video, and clinical and environmental data acquisition and telemetry. Exercise participants included local, county, state, and military emergency medical services (EMS), emergency management, specialized response units, and local fire and police units. The technologies and operations concepts tested at the exercise and recommendations for using telehealth to improve disaster response are described. PMID:12595406

Medical student disaster medicine education: the development of an educational resource

PubMed Central

Domres, Bernd D.; Stahl, Wolfgang; Bauer, Andreas; Houser, Christine M.; Himmelseher, Sabine

2010-01-01

Background Disaster medicine education is an enormous challenge, but indispensable for disaster preparedness. Aims We aimed to develop and implement a disaster medicine curriculum for medical student education that can serve as a peer-reviewed, structured educational guide and resource. Additionally, the process of designing, approving and implementing such a curriculum is presented. Methods The six-step approach to curriculum development for medical education was used as a formal process instrument. Recognized experts from professional and governmental bodies involved in disaster health care provided input using disaster-related physician training programs, scientific evidence if available, proposals for education by international disaster medicine organizations and their expertise as the basis for content development. Results The final course consisted of 14 modules composed of 2-h units. The concepts of disaster medicine, including response, medical assistance, law, command, coordination, communication, and mass casualty management, are introduced. Hospital preparedness plans and experiences from worldwide disaster assistance are reviewed. Life-saving emergency and limited individual treatment under disaster conditions are discussed. Specifics of initial management of explosive, war-related, radiological/nuclear, chemical, and biological incidents emphasizing infectious diseases and terrorist attacks are presented. An evacuation exercise is completed, and a mass casualty triage is simulated in collaboration with local disaster response agencies. Decontamination procedures are demonstrated at a nuclear power plant or the local fire department, and personal decontamination practices are exercised. Mannequin resuscitation is practiced while personal protective equipment is utilized. An interactive review of professional ethics, stress disorders, psychosocial interventions, and quality improvement efforts complete the training. Conclusions The curriculum offers medical disaster education in a reasonable time frame, interdisciplinary format, and multi-experiential course. It can serve as a template for basic medical student disaster education. Because of its comprehensive but flexible structure, it should also be helpful for other health-care professional student disaster education programs. PMID:20414376

Disaster Medical Assistance Teams After Earthquakes in Iran: Propose a Localized Model

PubMed Central

Abbasi, Mohsen; Salehnia, M Hossein

2013-01-01

Background In the past 10 years, 13 fatal earthquakes have occurred in Iran and led to death of 30,000 people whom most of them were killed in the earlier hours of the disaster. Disaster Medical Assistance Teams are groups of trained medical and non-medical personnel with various combinations that on the optimal conditions are deployed just within 8 hours of notification and are able to work self-sufficiently for at least 72 hours without any outside help and can treat up to 250 patients per day. Currently there are no such rapid-response teams in case of unexpected events in Iran, which causes the responses to such disasters, not to be organized or practiced. For instance, there were many rescue forces in 2003 Bam earthquake but not enough skilled ones to cope with; consequently they themselves became a problem in crisis management instead of solving the problem. Objectives In this study, we have investigated which of the following is more efficient: changing the size and combination of the team depending on the type of disaster and environmental conditions or, determine a fixed combination team. Materials and Methods Totally, several reasons for dynamic combination and size of the teams are presented. later, earthquake disaster is divided into 3 phases in terms of time including the acute phase (1st to 4th day after disaster), the sub-acute phase (5th to 14thday) and the recovery phase (after the 14th day), and finally the appropriate team combinations in every phases are offered. Results Regarding to introduction and considering the existing statistics in different legal Iranian resources and by division of the earthquake disaster to three phases including acute phase (1st to the 4th day after disaster), sub-acute phase (5th to 14th day) and recovery phase (after the 14th day) Conclusions The countries pioneer in disaster medical assistance teams, now are inclined to deploy different teams consistent with each kind of disasters or with other effective components on the combination of system. Every disaster has its own condition and would require different combination of relief and medical forces. For example, people’s health needs in flood is different from the earthquake PMID:24616795

Improved staff procedure skills lead to improved managment skills: an observational study in an educational setting.

PubMed

Rüter, Anders; Vikstrom, Tore

2009-01-01

Good staff procedure skills in a management group during incidents and disasters are believed to be a prerequisite for good management of the situation. However, this has not been demonstrated scientifically. Templates for evaluation results from performance indicators during simulation exercises have previously been tested. The aim of this study was to demonstrate the possibility that these indicators can be used as a tool for studying the relationship between good management skills and good staff procedure skills. Good and structured work (staff procedure skills) in a hospital management group during simulation exercises in disaster medicine is related to good and timely decisions (good management skills). Results from 29 consecutive simulation exercises in which staff procedure skills and management skills were evaluated using quantitative measurements were included. The statistical analysis method used was simple linear regression with staff procedure skills as the response variable and management skills as the predictor variable. An overall significant relationship was identified between staff procedure skills and management skills (p(2)0.05). This study suggests that there is a relationship between staff procedure skills and management skills in the educational setting used. Future studies are needed to demonstrate if this also can be observed during actual incidents.

Demographic transition and factors associated with remaining in place after the 2011 Fukushima nuclear disaster and related evacuation orders

PubMed Central

Nomura, Shuhei; Furutani, Tomoyuki; Leppold, Claire; Tsubokura, Masaharu; Ozaki, Akihiko; Ochi, Sae; Kami, Masahiro; Kato, Shigeaki; Oikawa, Tomoyoshi

2018-01-01

Introduction Demographic changes as a result of evacuation in the acute phase of the 2011 Fukushima nuclear disaster are not well evaluated. We estimated post-disaster demographic transitions in Minamisoma City—located 14–38 km north of the nuclear plant—in the first month of the disaster; and identified demographic factors associated with the population remaining in the affected areas. Materials and methods We extracted data from the evacuation behavior survey administered to participants in the city between July 11, 2011 and April 30, 2013. Using mathematical models, we estimated the total population in the city after the disaster according to sex, age group, and administrative divisions of the city. To investigate factors associated with the population remaining in place after the disaster, a probit regression model was employed, taking into account sex, age, pre-disaster dwelling area, and household composition. Results The overall population decline in Minamisoma City peaked 11 days after the disaster, when the population reached 7,107 people—11% of the pre-disaster level. The remaining population levels differed by area: 1.1% for mandatory evacuation zone, 12.5% for indoor sheltering zone, and 12.6% for other areas of the city. Based on multiple regression analyses, higher odds for remaining in place were observed among men (odds ratio 1.72 [95% confidence intervals 1.64–1.85]) than women; among people aged 40–64 years (1.40 [1.24–1.58]) than those aged 75 years or older; and among those living with the elderly, aged 70 years or older (1.18 [1.09–1.27]) or those living alone (1.71 [1.50–1.94]) than among those who were not. Discussion Despite the evacuation order, some residents of mandatory evacuation zones remained in place, signaling the need for preparation to respond to their post-disaster needs. Indoor sheltering instructions may have accelerated voluntary evacuation, and this demonstrates the need for preventing potentially disorganized evacuation in future nuclear events. PMID:29538442

Toward a Better Nutritional Aiding in Disasters: Relying on Lessons Learned during the Bam Earthquake.

PubMed

Nekouie Moghadam, Mahmoud; Amiresmaieli, Mohammadreza; Hassibi, Mohammad; Doostan, Farideh; Khosravi, Sajad

2017-08-01

Introduction Examining various problems in the aftermath of disasters is very important to the disaster victims. Managing and coordinating food supply and its distribution among the victims is one of the most important problems after an earthquake. Therefore, the purpose of this study was to recognize problems and experiences in the field of nutritional aiding during an earthquake. This qualitative study was of phenomenological type. Using the purposive sampling method, 10 people who had experienced nutritional aiding during the Bam Earthquake (Iran; 2003) were interviewed. Colaizzi's method of analysis was used to analyze interview data. The findings of this study identified four main categories and 19 sub-categories concerning challenges in the nutritional aiding during the Bam Earthquake. The main topics included managerial, aiding, infrastructural, and administrative problems. The major problems in nutritional aiding include lack of prediction and development of a specific program of suitable nutritional pattern and nutritional assessment of the victims in critical conditions. Forming specialized teams, educating team members about nutrition, and making use of experts' knowledge are the most important steps to resolve these problems in the critical conditions; these measures are the duties of the relevant authorities. Nekouie Moghadam M , Amiresmaieli M , Hassibi M , Doostan F , Khosravi S . Toward a better nutritional aiding in disasters: relying on lessons learned during the Bam Earthquake. Prehosp Disaster Med. 2017;32(4):382-386.

Disaster behavioral health capacity: Findings from a multistate preparedness assessment.

PubMed

Peck, Megan; Mendenhall, Tai; Stenberg, Louise; Carlson, Nancy; Olson, Debra K

2016-01-01

To identify gaps in disaster behavioral health, the Preparedness and Emergency Response Learning Center (PERL) at the University of Minnesota's School of Public Health supported the development and implementation of a multistate disaster behavioral health preparedness assessment. Information was gathered regarding worker knowledge of current disaster behavioral health capacity at the state and local level, and perceived disaster behavioral health training needs and preferences. Between May and July 2015, 143 participants completed a 31-item uniform questionnaire over the telephone by a trained interviewer. Trained interviewers were given uniform instructions on administering the questionnaire. Participants included county and city-level public health leaders and directors from Minnesota, Wisconsin, and North Dakota. Findings demonstrate that across the three states there is a need for improved disaster behavioral health training and response plans for before, during, and after public health emergencies. This study identified perceived gaps in plans and procedures for meeting the disaster behavioral health needs of different atrisk populations, including children, youth, and those with mental illness. There was consistent agreement among participants about the lack of behavioral health coordination between agencies during emergency events. Findings can be used to inform policy and the development of trainings for those involved in disaster behavioral health. Effectively attending to interagency coordination and mutual aid agreements, planning for effective response and care for vulnerable populations, and targeted training will contribute to a more successful public health response to emergency events.

A Safer Future. Reducing the Impacts of Natural Disasters

DTIC Science & Technology

1991-01-01

press think-tanks such as initiatives should-be directed to teachers at day-care the Gannett -Center for Media Studies and the centers and preschools as...ty of science and technology with the Academy’s purposes of fir- competencies and with regard for appropriate balance. thering knowledge and advising...nity emergency procedures, warning signals, disaster the 12th grade. Teachers should be given training on resources, and relief facilities and

El Salvador Armed Forces Procedures in Disaster Situations

DTIC Science & Technology

2008-03-25

in the Pacific Ocean. The channel of the Atlantic is composed by the ocean Atlantic, the Gulf of Mexico and the Caribbean Sea.1 For the present...Health and Social 6 Attendance, Ministry of Public Security, Foreign Ministry, Education Ministry, Ministry of Economy, and County Commission. In...activities, projects and programs that lead to the reduction of disaster risks that provoke human and economic losses caused by social and natural factors.18

The humanitarian common logistic operating picture: a solution to the inter-agency coordination challenge.

PubMed

Tatham, Peter; Spens, Karen; Kovács, Gyöngyi

2017-01-01

Although significant progress has been made in developing the practice of humanitarian logistics, further improvements in efficiency and effectiveness have the potential to save lives and reduce suffering. This paper explores how the military/emergency services' concept of a common operating picture (COP) can be adapted to the humanitarian logistics context, and analyses a practical and proven approach to addressing the key challenge of inter-agency coordination and decision-making. Successful adaptation could provide the mechanism through which predicted and actual demands, together with the location and status of material in transit, are captured, evaluated, and presented in real time as the basis for enhanced decision-making between actors in the humanitarian supply network. Through the introduction of a humanitarian logistics COP and its linkages to national disaster management systems, local communities and countries affected by disasters and emergencies will be better placed to oversee and manage their response activities. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

Introduction to Radiological Monitoring; A Programmed Home Study Course. Four Self-Study Units.

ERIC Educational Resources Information Center

Defense Civil Preparedness Agency (DOD), Battle Creek, MI.

This progrmed course of study is designed to prepare local government officials and individual citizens to act in nuclear emergencies or disasters. Each of the four units has two lessons beginning with a brief overview and proceeding with self study frames. Line drawings are used to illustrate effects. Topics covered are the radiological monitor…

Run for Your Lives! The Johnstown Flood of 1889. Teaching with Historic Places.

ERIC Educational Resources Information Center

Metcalf, Fay

This document, from the lesson plan series, "Teaching with Historic Places," explores the Johnstown Flood of 1889. An introduction reviews the historical facts of the disaster that claimed over 2200 lives and produced 17 million dollars in property damage. The document sets out objectives for students and suggests teaching activities.…

When Difference Means Disaster: Reflections on a Teacher Education Strategy for Countering Student Resistance to Diversity.

ERIC Educational Resources Information Center

Ladson-Billings, Gloria

A required course for elementary education majors at Santa Clara University (California), "Introduction to Teaching in a Multicultural Society," evolved during a 6-year period. The course moved from one with an emphasis on promoting equity, tolerance, and improved human relations through curriculum and instructional strategies to one…

Aeromedical Lessons from the Space Shuttle Columbia Accident Investigation

NASA Technical Reports Server (NTRS)

Pool, Sam L.

2005-01-01

This paper presents the aeromedical lessons learned from the Space Shuttle Columbia Accident Investigation. The contents include: 1) Introduction and Mission Response Team (MRT); 2) Primary Disaster Field Office (DFO); 3) Mishap Investigation Team (MIT); 4) Kennedy Space Center (KSC) Mishap Response Plan; 5) Armed Forces Institute of Pathology (AFIP); and 6) STS-107 Crew Surgeon.

Acute post-disaster medical needs of patients with diabetes: emergency department use in New York City by diabetic adults after Hurricane Sandy

PubMed Central

Lee, David C; Gupta, Vibha K; Carr, Brendan G; Malik, Sidrah; Ferguson, Brandy; Wall, Stephen P; Smith, Silas W; Goldfrank, Lewis R

2016-01-01

Objective To evaluate the acute impact of disasters on diabetic patients, we performed a geospatial analysis of emergency department (ED) use by New York City diabetic adults in the week after Hurricane Sandy. Research design and methods Using an all-payer claims database, we retrospectively analyzed the demographics, insurance status, and medical comorbidities of post-disaster ED patients with diabetes who lived in the most geographically vulnerable areas. We compared the patterns of ED use among diabetic adults in the first week after Hurricane Sandy's landfall to utilization before the disaster in 2012. Results In the highest level evacuation zone in New York City, postdisaster increases in ED visits for a primary or secondary diagnosis of diabetes were attributable to a significantly higher proportion of Medicare patients. Emergency visits for a primary diagnosis of diabetes had an increased frequency of certain comorbidities, including hypertension, recent procedure, and chronic skin ulcers. Patients with a history of diabetes visited EDs in increased numbers after Hurricane Sandy for a primary diagnosis of myocardial infarction, prescription refills, drug dependence, dialysis, among other conditions. Conclusions We found that diabetic adults aged 65 years and older are especially at risk for requiring postdisaster emergency care compared to other vulnerable populations. Our findings also suggest that there is a need to support diabetic adults particularly in the week after a disaster by ensuring access to medications, aftercare for patients who had a recent procedure, and optimize their cardiovascular health to reduce the risk of heart attacks. PMID:27547418

Hospital Workers Disaster Management and Hospital Nonstructural: A Study in Bandar Abbas, Iran

PubMed Central

Lakbala, Parvin

2016-01-01

Introduction: A devastating earthquake is inevitable in the long term and likely in the near future in Iran. The objective of the study was to assess the knowledge of hospital staff to disaster management system in hospital and to determine nonstructural safety assessment in Shahid Mohammadi hospital in Bandar Abbas city of Iran. This hospital is the main referral hospital in Hormozgan province with a capacity of about 450 beds and the highest patient admissions. Methods: The cross-sectional study was conducted in 2013 on 200 healthcare workers at Shahid Mohammadi hospital, in the city of Bandar Abbas, Iran. This hospital is the main referral hospital in Hormozgan province and has a capacity of about 450 beds with highest numbers of patient admissions. Questionnaire and checklist used for assessing health workers knowledge and awareness towards disaster management and nonstructural safety this hospital. Results: This study found that knowledge, awareness, and disaster preparedness of hospital staff need continual reinforcement to improve self efficacy for disaster management. Equipping health care facilities at the time of natural disasters, especially earthquakes are of great importance all over the world, especially in Iran. This requires the national strategies and planning for all health facilities. Conclusion: It seems due to limitations of hospital beds, insufficient of personnel, and medical equipment, health care providers paid greater attention to this issue. Since this hospital is the only educational public hospital in the province, it is essential to pay much attention to the risk management not only to this hospital but at the national level to health facilities. PMID:26573039

Biomarkers reveal sea turtles remained in oiled areas following the Deepwater Horizon oil spill.

PubMed

Vander Zanden, Hannah B; Bolten, Alan B; Tucker, Anton D; Hart, Kristen M; Lamont, Margaret M; Fujisaki, Ikuko; Reich, Kimberly J; Addison, David S; Mansfield, Katherine L; Phillips, Katrina F; Pajuelo, Mariela; Bjorndal, Karen A

2016-10-01

Assessments of large-scale disasters, such as the Deepwater Horizon oil spill, are problematic because while measurements of post-disturbance conditions are common, measurements of pre-disturbance baselines are only rarely available. Without adequate observations of pre-disaster organismal and environmental conditions, it is impossible to assess the impact of such catastrophes on animal populations and ecological communities. Here, we use long-term biological tissue records to provide pre-disaster data for a vulnerable marine organism. Keratin samples from the carapace of loggerhead sea turtles record the foraging history for up to 18 years, allowing us to evaluate the effect of the oil spill on sea turtle foraging patterns. Samples were collected from 76 satellite-tracked adult loggerheads in 2011 and 2012, approximately one to two years after the spill. Of the 10 individuals that foraged in areas exposed to surface oil, none demonstrated significant changes in foraging patterns post spill. The observed long-term fidelity to foraging sites indicates that loggerheads in the northern Gulf of Mexico likely remained in established foraging sites, regardless of the introduction of oil and chemical dispersants. More research is needed to address potential long-term health consequences to turtles in this region. Mobile marine organisms present challenges for researchers to monitor effects of environmental disasters, both spatially and temporally. We demonstrate that biological tissues can reveal long-term histories of animal behavior and provide critical pre-disaster baselines following an anthropogenic disturbance or natural disaster. © 2016 by the Ecological Society of America.

Disaster risk profile and existing legal framework of Nepal: floods and landslides

PubMed Central

Gaire, Surya; Castro Delgado, Rafael; Arcos González, Pedro

2015-01-01

Nepal has a complicated geophysical structure that is prone to various kinds of disasters. Nepal ranks the most disaster-prone country in the world and has experienced several natural calamities, causing high property and life losses. Disasters are caused by natural processes, but may be increased by human activities. The overall objective of this paper is to analyze the disaster risk profile and existing legal framework of Nepal. The paper is based on secondary data sources. Major causative factors for floods and landslides are heavy and continuous rainfall, outburst floods, infrastructure failure, and deforestation. Historical data of natural disasters in Nepal show that water-induced disasters have killed hundreds of people and affected thousands every year. Likewise, properties worth millions of US dollars have been damaged. There is an increasing trend toward landslides and floods, which will likely continue to rise if proper intervention is not taken. A positive correlation between water-induced disasters and deaths has been observed. Nepal has a poor Index for Risk Management (INFORM). There are fluctuations in the recording of death data caused by flood and landslides. The Government of Nepal focuses more on the response phase than on the preparedness phase of disasters. The existing disaster management act seems to be weak and outdated. There is a gap in current legal procedure, so the country is in dire need of a comprehensive legal framework. The new proposed act seems to take a much broader approach to disaster management. With a long-term vision of managing disaster risk in the country, the Government of Nepal has begun the Nepal Risk Reduction Consortium (NRRC) in collaboration with development and humanitarian partners. In order to improve the vulnerability of Nepal, an early warning system, mainstreaming disasters with development, research activities, community participation and awareness, and a rainfall monitoring system must all be a focus. PMID:26366106

Disaster risk profile and existing legal framework of Nepal: floods and landslides.

PubMed

Gaire, Surya; Castro Delgado, Rafael; Arcos González, Pedro

2015-01-01

Nepal has a complicated geophysical structure that is prone to various kinds of disasters. Nepal ranks the most disaster-prone country in the world and has experienced several natural calamities, causing high property and life losses. Disasters are caused by natural processes, but may be increased by human activities. The overall objective of this paper is to analyze the disaster risk profile and existing legal framework of Nepal. The paper is based on secondary data sources. Major causative factors for floods and landslides are heavy and continuous rainfall, outburst floods, infrastructure failure, and deforestation. Historical data of natural disasters in Nepal show that water-induced disasters have killed hundreds of people and affected thousands every year. Likewise, properties worth millions of US dollars have been damaged. There is an increasing trend toward landslides and floods, which will likely continue to rise if proper intervention is not taken. A positive correlation between water-induced disasters and deaths has been observed. Nepal has a poor Index for Risk Management (INFORM). There are fluctuations in the recording of death data caused by flood and landslides. The Government of Nepal focuses more on the response phase than on the preparedness phase of disasters. The existing disaster management act seems to be weak and outdated. There is a gap in current legal procedure, so the country is in dire need of a comprehensive legal framework. The new proposed act seems to take a much broader approach to disaster management. With a long-term vision of managing disaster risk in the country, the Government of Nepal has begun the Nepal Risk Reduction Consortium (NRRC) in collaboration with development and humanitarian partners. In order to improve the vulnerability of Nepal, an early warning system, mainstreaming disasters with development, research activities, community participation and awareness, and a rainfall monitoring system must all be a focus.

A PROTOTYPE MANUAL ON CIVIL DEFENSE ASPECTS OF WATERWORKS OPERATIONS

DTIC Science & Technology

survival and recovery in the event of a nuclear war; (2) to stimulate and assist water utilities i developing emergency plans to cope with a nuclear ... disaster ; (3) to provide a procedural guide for restoration and for training personnel in postattack emergency repair procedures, recovery techniques, and safety measures.

[Debriefing of hospital professional staff after fire in a bar in Volendam].

PubMed

Huyse, F J; Bierens, J J; Broekman, H; Girbes, A R; Patka, P; Pompe, E A

2001-12-01

A fire disaster in a bar on New Year's Eve 2001 in Volendam, which led to 200 victims, resulted in active participation of regional hospitals, including the academic hospital of the Free University of Amsterdam. In the first hour, more than 100 members of personnel were mobilised in this hospital. Nine doctors and nurses worked as members of medical teams at the site of the disaster; the others triaged 16 patients in the emergency room and treated 13 patients in the intensive care unit. After 4.5 hours, the influx of victims stopped and accordingly the disaster plan was deactivated. During the subsequent days, debriefings were organised on request of the hospital staff and personnel involved. These concluded that specific adjustments to hospital procedures were needed, such as a total admission stop for a few days, to prevent mental burn-out of personnel and to maintain the standard quality of care. Hospital disaster plans do not usually have specific guidelines for the emotional preparation of personnel during and immediately after a disaster, nor do they include specific guidelines for the evaluation of its emotional impact in terms of the quality of care delivered. These elements should be incorporated into every disaster plan.

42 CFR 73.14 - Incident response.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., security breaches (including information systems), severe weather and other natural disasters, workplace... locations, (10) Site security and control, (11) Procedures for emergency evacuation, including type of...

Sources of emergency water supplies in San Mateo County, California

USGS Publications Warehouse

Wood, P.R.

1975-01-01

San Mateo County has several densely populated urban areas that get most of their water supplies from surface-water sources that could by damaged by a major earthquake or other general disaster. In the event of such a disaster, limited supplies of potable water may be obtained from selected wells, springs, and perennial streams. This report outlines the principal sources of existing water supplies, gives information on the need for emergency water-supply procedures, presents general criteria needed for selecting emergency water-supply wells, summarizes information for 60 selected water wells, numerous springs, and perennial streams that can be used as sources of water, and describes emergency water-purification procedures that can be used by individuals or small groups of people.

Ethical and methodological issues in academic mental health research in populations affected by disasters: the Oklahoma City experience relevant to September 11, 2001.

PubMed

North, Carol S; Pfefferbaum, Betty; Tucker, Phebe

2002-08-01

Empirical data from research studies are vital to guiding mental health interventions following disasters. However, few data are available for this purpose. Important advances in policy and procedures for the conduct of organized research emerged from the Oklahoma City bombing, yielding cooperative working relationships among researchers and culminating in the ethical attainment of informative research data. However, the academic community was again caught off guard after the September 11, 2001, terrorist attacks. Suggestions to surmount these obstacles include incorporating research infrastructures into disaster preparedness plans in advance; organizing the community of researchers; and working closely with major funding organizations. Methodological issues pertaining to measurement of psychopathology include the importance of obtaining diagnostic data; interpreting the meaning of symptoms in the absence of a psychiatric disorder; differentiating preexisting symptoms from those that emerged after the disaster, and optimal timing of postdisaster assessment.

Build back better: implementation in Victorian bushfire reconstruction.

PubMed

Mannakkara, Sandeeka; Wilkinson, Suzanne; Potangaroa, Regan

2014-04-01

The 'build back better' (BBB) concept signals an opportunity to decrease the vulnerability of communities to future disasters during post-disaster reconstruction and recovery. The 2009 Victorian bushfires in Australia serve as a case study for this assessment of the application of core BBB principles and their outcomes. The results show that several BBB measures were successfully implemented in Victoria and are relevant for any post-disaster reconstruction effort. The BBB initiatives taken in Victoria include: land-use planning determined by hazard risk-based zoning; enforcement of structural design improvements; facilitated permit procedures; regular consultations with stakeholders; and programmes conducted for social and economic recovery. Lessons from the Victorian recovery urge the avoidance of construction in high-risk zones; fairness and representativeness in community consultations; adequate support for economic recovery; the advance establishment of recovery frameworks; and empowerment of local councils. © 2014 The Author(s). Disasters © Overseas Development Institute, 2014.

Food poisoning--a major threat to airline operations.

PubMed

Burslem, C D; Kelly, M J; Preston, F S

1990-01-01

In the spring of 1984, British Airways was involved in a major food poisoning outbreak which affected nearly 1000 passengers, aircrew and ground personnel. The operational impact was worldwide and could have resulted in the cessation of the airline's day-to-day operations. The investigation paralleled a major aircraft disaster in the number of national and international agencies involved and in the variety of disciplines engaged. Although the causative organism was rapidly identified (salmonella), and its introduction into the food chain proved to be a key factor, the scale of the outbreak was the result of an interaction of other factors. As with a major aircraft accident, none of the factors alone would have caused the near disaster that occurred.

Assessment of disaster preparedness among emergency departments in Italian hospitals: a cautious warning for disaster risk reduction and management capacity.

PubMed

Paganini, Matteo; Borrelli, Francesco; Cattani, Jonathan; Ragazzoni, Luca; Djalali, Ahmadreza; Carenzo, Luca; Della Corte, Francesco; Burkle, Frederick M Jr; Ingrassia, Pier Luigi

2016-08-15

Since the 1990s, Italian hospitals are required to comply with emergency disaster plans known as Emergency Plan for Massive Influx of Casualties. While various studies reveal that hospitals overall suffer from an insufficient preparedness level, the aim of this study was to better determine the preparedness level of Emergency Departments of Italian hospitals by assessing the knowledge-base of emergency physicians regarding basic disaster planning and procedures. A prospective observational study utilized a convenience sample of Italian Emergency Departments identified from the Italian Ministry of Health website. Anonymous telephone interviews were conducted of medical consultants in charge at the time in the respective Emergency Departments, and were structured in 3 parts: (1) general data and demographics, (2) the current disaster plan and (3) protocols and actions of the disaster plan. Eighty-five Emergency Departments met inclusion criteria, and 69 (81 %) agreed to undergo the interview. Only 45 % of participants declared to know what an Emergency Plan for Massive Influx of Casualties is, 41 % believed to know who has the authority to activate the plan, 38 % knew who is in charge of intra-hospital operations. In Part 3 physicians revealed a worrisome inconsistency in critical content knowledge of their answers. Results demonstrate a poor knowledge-base of basic hospital disaster planning concepts by Italian Emergency Department physicians-on-duty. These findings should alert authorities to enhance staff disaster preparedness education, training and follow-up to ensure that these plans are known to all who have responsibility for disaster risk reduction and management capacity.

Liberia national disaster preparedness coordination exercise: Implementing lessons learned from the West African disaster preparedness initiative.

PubMed

Hamer, Melinda J Morton; Reed, Paul L; Greulich, Jane D; Beadling, Charles W

2017-01-01

In light of the recent Ebola outbreak, there is a critical need for effective disaster management systems in Liberia and other West African nations. To this end, the West Africa Disaster Preparedness Initiative held a disaster management exercise in conjunction with the Liberian national government on November 24-25, 2015. During this tabletop exercise (TTX), interactions within and between the 15 counties and the Liberian national government were conducted and observed to refine and validate the county and national standard operating procedures (SOPs). The exercise took place in three regional locations throughout Liberia: Monrovia, Buchanan, and Bong. The TTX format allowed counties to collaborate utilizing open-source software platforms including Ushahidi, Sahana, QGIS, and KoBoCollect. Four hundred sixty-seven individuals (representing all 15 counties of Liberia) identified as key actors involved with emergency operations and disaster preparedness participated in the exercise. A qualitative survey with open-ended questions was administered to exercise participants to determine needed improvements in the disaster management system in Liberia. Key findings from the exercise and survey include the need for emergency management infrastructure to extend to the community level, establishment of a national disaster management agency and emergency operations center, customized local SOPs, ongoing surveillance, a disaster exercise program, and the need for effective data sharing and hazard maps. These regional exercises initiated the process of validating and refining Liberia's national and county-level SOPs. Liberia's participation in this exercise has provided a foundation for advancing its preparedness, response, and recovery capacities and could provide a template for other countries to use.

Proposal as to Efficient Collection and Exploitation of Earthquake Damage Information and Verification by Field Experiment at Toyohashi City

NASA Astrophysics Data System (ADS)

Zama, Shinsaku; Endo, Makoto; Takanashi, Ken'ichi; Araiba, Kiminori; Sekizawa, Ai; Hosokawa, Masafumi; Jeong, Byeong-Pyo; Hisada, Yoshiaki; Murakami, Masahiro

Based on the earlier study result that the gathering of damage information can be quickly achieved in a municipality with a smaller population, it is proposed that damage information is gathered and analyzed using an area roughly equivalent to a primary school district as a basic unit. The introduction of this type of decentralized system is expected to quickly gather important information on each area. The information gathered by these communal disaster prevention bases is sent to the disaster prevention headquarters which in turn feeds back more extensive information over a wider area to the communal disaster prevention bases. Concrete systems have been developed according to the above mentioned framework, and we performed large-scale experiments on simulating disaster information collection, transmission and on utilization for smooth responses against earthquake disaster with collaboration from Toyohashi City, Aichi Prefecture, where is considered to suffer extensive damage from the Tokai and Tonankai Earthquakes with very high probability of the occurrence. Using disaster information collection/transmission equipments composed of long-distance wireless LAN, a notebook computer, a Web camera and an IP telephone, city staffs could easily input and transmit the information such as fire, collapsed houses and impassable roads, which were collected by the inhabitants participated in the experiment. Headquarters could confirm such information on the map automatically plotted, and also state of each disaster-prevention facility by means of Web-cameras and IP telephones. Based on the damage information, fire-spreading, evaluation, and traffic simulations were automatically executed at the disaster countermeasure office and their results were displayed on the large screen to utilize for making decisions such as residents' evacuation. These simulated results were simultaneously displayed at each disaster-prevention facility and were served to make people understand the situation of whole damage of the city and necessity of evacuation with optimum timing and access. According to the evaluation by the city staffs through the experiments, information technology is available for rationally implementing initial responses just after a large earthquake in spite of some improvement on the systems used in the experiments.

7 CFR 331.14 - Incident response. 6

Code of Federal Regulations, 2010 CFR

2010-01-01

... other natural disasters; workplace violence; bomb threats and suspicious packages; and emergencies such... equipment, and their locations; (10) Site security and control; (11) Procedures for emergency evacuation...

[What has been brought to residents and communities by the nuclear power plant accident? Special and serious disaster relief procedure modification after the 2011 Tohoku earthquake and tsunami in Fukushima].

PubMed

Ishikawa, Kazunobu

2011-01-01

After the catastrophic 2011 Tohoku earthquake and tsunami which struck cities and towns on the Japanese Pacific coast, Fukushima has been the focus of special and serious disaster relief procedures modification regarding nuclear power plant accidents. To date, the Japanese government has repeatedly issued evacuation orders to more than 100,000 residents. Huge numbers of refugees are still uncertain if they can return home and re-cultivate their farm land. Ambiguous public announcements concerning the radiation risks seem to have aggravated feelings of insecurity, fear and the desire to escape, both at home and abroad. This disaster has seriously undermined trust internationally and locally in Fukushima. Harmful rumors added further difficulties. In response to this disaster, local government, medical institutions, care facilities, police, emergency services and the self-defense forces continue to put their utmost effort into reconstruction. This seismic disaster has reminded us that supplies of water, electricity, gas, gasoline and telephone/communication facilities are essential prerequisites for reconstruction and daily life. Disaster and radiation medical association teams actively participated in the rescue efforts, and a number of organized medical teams cared for about 15,000 refugees in 100 shelters. We also visited home-bound patients, who were unable to evacuate from the 20-30 km inner evacuation area. In this relief role, we need to consider the following; (1) professionals, both healthcare and nuclear engineers, must always be prepared for unexpected circumstances, (2) the daily organic cooperation of individuals and units is closely linked to readiness against sudden risks, and (3) appropriate accountability is essential to assuage the fears of residents and refugees. A sincere learning process may benefit those innocent refugees who may be forced to abandon their homes permanently.

Civil Defense, U. S. A.: A Programmed Orientation to Civil Defense. Unit 4. Warning, Emergency Operations, and Support Programs.

ERIC Educational Resources Information Center

Defense Civil Preparedness Agency (DOD), Battle Creek, MI.

The need for, and a description of, emergency functions required to save lives and protect property in nuclear or natural disasters are presented. Topics discussed include: (1) The Civil Defense Warning System, (2) Introduction to the Emergency Operations Program, (3) Five subprograms of the Emergency Operations Program, (4) Emergency Operations…

Editor in Chief[R] Beginning: Grammar Disasters and Punctuation Faux Pas.

ERIC Educational Resources Information Center

Beckwith, Carrie; Block, Cheryl; Broz, Christine; Hockett, Margaret; White, David

This workbook is designed as an introduction to the "Editor in Chief" series, which reinforces the rules of written English. In this workbook, student first review the rules of grammar and mechanics using multiple-choice questions; then the students learn to apply these rules in context by editing stories in a variety of formats. This "Beginning"…

When Disaster Strikes: The Hackley School Fire

ERIC Educational Resources Information Center

Pearle, Laura

2012-01-01

The author's first action after finding out that her school's library was on fire was to call the Buildings and Grounds people: somebody had to know what was going on. She was assured that several fire companies were on the scene, and that there was no reason for her to come down there. Those first few hours were her introduction to the world of…

United States Strategic Plan for International Affairs.

DTIC Science & Technology

1998-01-01

Humanitarian Response 39 Global Issues 41 US Strategic Plan for International Affairs International Affairs Strategic Plan Summary and Introduction...minimize the human costs of conflict and natural disasters. Global Issues : • Secure a sustainable global environment in order to protect the United States...involvement in addressing crises. 40 US Strategic Plan for International Affairs NATIONAL INTEREST: Global Issues The global environment has a

Orthopaedic surgery in natural disaster and conflict settings: how can quality care be ensured?

PubMed

Alvarado, Oscar; Trelles, Miguel; Tayler-Smith, Katie; Joseph, Holdine; Gesline, Rodné; Wilna, Thélusma Eli; Mohammad Omar, Mohammad Karim; Faiz Mohammad, Niaz Mohammad; Muhima Mastaki, John; Chingumwa Buhu, Richard; Caluwaerts, An; Dominguez, Lynette

2015-10-01

Médecins sans Frontières (MSF) is one of the main providers of orthopaedic surgery in natural disaster and conflict settings and strictly imposes a minimum set of context-specific standards before any surgery can be performed. Based on MSF's experience of performing orthopaedic surgery in a number of such settings, we describe: (a) whether it was possible to implement the minimum standards for one of the more rigorous orthopaedic procedures--internal fixation--and when possible, the time frame, (b) the volume and type of interventions performed and (c) the intra-operative mortality rates and postoperative infection rates. We conducted a retrospective review of routine programme data collected between 2007 and 2014 from three MSF emergency surgical interventions in Haiti (following the 2010 earthquake) and three ongoing MSF projects in Kunduz (Afghanistan), Masisi (Democratic Republic of the Congo) and Tabarre (Haiti). The minimum standards for internal fixation were achieved in one emergency intervention site in Haiti, and in Kunduz and Tabarre, taking up to 18 months to implement in Kunduz. All sites achieved the minimum standards to perform amputations, reductions and external fixations, with a total of 9,409 orthopaedic procedures performed during the study period. Intraoperative mortality rates ranged from 0.6 to 1.9 % and postoperative infection rates from 2.4 to 3.5 %. In settings affected by natural disaster or conflict, a high volume and wide repertoire of orthopaedic surgical procedures can be performed with good outcomes when minimum standards are in place. More demanding procedures like internal fixation may not always be feasible.

9 CFR 121.14 - Incident response. 11

Code of Federal Regulations, 2010 CFR

2010-01-01

... (including information systems); severe weather and other natural disasters; workplace violence; bomb threats... protective and emergency equipment, and their locations; (10) Site security and control; (11) Procedures for...

How Should Disaster Base Hospitals Prepare for Dialysis Therapy after Earthquakes? Introduction of Double Water Piping Circuits Provided by Well Water System

PubMed Central

Ohta, Nobutaka

2016-01-01

After earthquakes, continuing dialysis for patients with ESRD and patients suffering from crush syndrome is the serious problem. In this paper, we analyzed the failure of the provision of dialysis services observed in recent disasters and discussed how to prepare for disasters to continue dialysis therapy. Japan has frequently experienced devastating earthquakes. A lot of dialysis centers could not continue dialysis treatment owing to damage caused by these earthquakes. The survey by Japanese Society for Dialysis Treatment (JSDT) after the Great East Japan Earthquake in 2011 showed that failure of lifelines such as electric power and water supply was the leading cause of the malfunction of dialysis treatment. Our hospital is located in Shizuoka Prefecture, where one of the biggest earthquakes is predicted to occur in the near future. In addition to reconstructing earthquake-resistant buildings and facilities, we therefore have adopted double electric and water lifelines by introducing emergency generators and well water supply systems. It is very important to inform politicians, bureaucrats, and local water departments that dialysis treatment, a life sustaining therapy for patients with end stage renal diseases, requires a large amount of water. We cannot prevent an earthquake but can curb the extent of a disaster by preparing for earthquakes. PMID:27999820

A introduction of a Scientific Research Program on Chinese Drought

NASA Astrophysics Data System (ADS)

Li, Y.

2014-12-01

Drought is one of the major meteorological disasters, with high frequencies, wide distributions and serious conditions. It is one of the biggest impacts on global agricultural productions, ecological environment and socioeconomic sustainable developments. China is particularly one of the countries in the world with serious drought disasters. The goal of this project is improving the capabilities in drought monitoring and forecasting based on an in-depth theories of drought. The project will be implemented in the typical extreme drought area based on comprehensive and systemic observation network and numerical experiments It will show a complete feedback mechanism among the atmospheric, water, biological and other spheres for forming drought. First, the atmospheric droughts that leads to agriculture and hydrologic drought and the possible causes for these disasters will be explored using our observation data sets. Second, the capability of monitoring, forecasting and early warning for drought will be developed with numerical model (regional climate model and land surface model, etc.). Last but not the least, evaluation approaches for the risk of drought and the strategy of predicting/prohibiting the drought at regional scale will be proposed. Meanwhile, service system and information sharing platform of drought monitoring and early warning will be established to improve the technical level of drought disaster preparedness and response in China.

How Should Disaster Base Hospitals Prepare for Dialysis Therapy after Earthquakes? Introduction of Double Water Piping Circuits Provided by Well Water System.

PubMed

Ikegaya, Naoki; Seki, George; Ohta, Nobutaka

2016-01-01

After earthquakes, continuing dialysis for patients with ESRD and patients suffering from crush syndrome is the serious problem. In this paper, we analyzed the failure of the provision of dialysis services observed in recent disasters and discussed how to prepare for disasters to continue dialysis therapy. Japan has frequently experienced devastating earthquakes. A lot of dialysis centers could not continue dialysis treatment owing to damage caused by these earthquakes. The survey by Japanese Society for Dialysis Treatment (JSDT) after the Great East Japan Earthquake in 2011 showed that failure of lifelines such as electric power and water supply was the leading cause of the malfunction of dialysis treatment. Our hospital is located in Shizuoka Prefecture, where one of the biggest earthquakes is predicted to occur in the near future. In addition to reconstructing earthquake-resistant buildings and facilities, we therefore have adopted double electric and water lifelines by introducing emergency generators and well water supply systems. It is very important to inform politicians, bureaucrats, and local water departments that dialysis treatment, a life sustaining therapy for patients with end stage renal diseases, requires a large amount of water. We cannot prevent an earthquake but can curb the extent of a disaster by preparing for earthquakes.

No Calm After the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters.

PubMed

Saulnier, Dell D; Brolin Ribacke, Kim; von Schreeb, Johan

2017-10-01

Introduction How the burden of disease varies during different phases after floods and after storms is essential in order to guide a medical response, but it has not been well-described. The objective of this review was to elucidate the health problems following flood and storm disasters. A literature search of the databases Medline (US National Library of Medicine, National Institutes of Health; Bethesda, Maryland USA); Cinahl (EBSCO Information Services; Ipswich, Massachusetts USA); Global Health (EBSCO Information Services; Ipswich, Massachusetts USA); Web of Science Core Collection (Thomson Reuters; New York, New York USA); Embase (Elsevier; Amsterdam, Netherlands); and PubMed (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA) was conducted in June 2015 for English-language research articles on morbidity or mortality and flood or storm disasters. Articles on mental health, interventions, and rescue or health care workers were excluded. Data were extracted from articles that met the eligibility criteria and analyzed by narrative synthesis. The review included 113 studies. Poisonings, wounds, gastrointestinal infections, and skin or soft tissue infections all increased after storms. Gastrointestinal infections were more frequent after floods. Leptospirosis and diabetes-related complications increased after both. The majority of changes occurred within four weeks of floods or storms. Health changes differently after floods and after storms. There is a lack of data on the health effects of floods alone, long-term changes in health, and the strength of the association between disasters and health problems. This review highlights areas of consideration for medical response and the need for high-quality, systematic research in this area. Saulnier DD , Brolin Ribacke K , von Schreeb J . No calm after the storm: a systematic review of human health following flood and storm disasters. Prehosp Disaster Med. 2017;32(5):568-579.

Disaster Management and Educational Facilities.

ERIC Educational Resources Information Center

Kenny, Grace

2002-01-01

Summarizes discussions from a seminar focusing on earthquakes and educational facilities, including findings related to educational buildings; partnerships; training; standards, regulations, and procedures; finance and legislation; and research and support. (EV)

Participatory and Collaborative Digital Mapping to Enhance Disaster Resilience

NASA Astrophysics Data System (ADS)

Liu, Wei; Dugar, Sumit; McCallum, Ian; Brown, Sarah; See, Linda; Mechler, Reinhard

2017-04-01

Critical knowledge gaps seriously hinder disaster risk reduction and resilience building efforts, especially in disaster prone least developing countries. The information scarcity is highest at local levels, in terms of the spatial information of risk, resources and capacities of communities. We propose a general procedure that combines community-based participatory mapping processes, which has been widely used by in various government and non-government organization projects in the fields of natural resources management, disaster risk reduction and rural development, and the emerging collaborative digital mapping techniques to tackle this challenge. We demonstrate the value and potential of this general participatory and collaborative digital mapping by conducting a pilot study in the flood prone lower Karnali River basin in Western Nepal. We engaged a range of stakeholders to generate geographic information on resources, capacities and flood risks of pilot communities according to local needs. The new digital community maps are richer in contents, more accurate, and easier to update and share than those produced using conventional Vulnerability and Capacity Assessments (VCAs), a variant of Participatory Rural Appraisal (PRA) that is widely used by in various government and non-government organizations. This approach, as an inclusive form of risk knowledge co-generation, can play a critical role in improving evidence-based understanding of disaster risk and enhance disaster resilience worldwide.

Radiation safety role in institutional disaster planning.

PubMed

Classic, K L; Knutson, A H; Smith, G D

2000-05-01

United States Nuclear Regulatory Commission (NRC) materials license applicants (non-nuclear power) must submit spill procedures with their application. While our counterparts in the nuclear power industry historically have concerned themselves with disaster drills and evacuation plans as a result of fire, explosion, or an act of terrorism, other licensees are looking only at minor spills of unsealed radioactive material and only at tile radiation hazard. Beyond NRC regulations, various oversight and accrediting organizations require, or at a minimum encourage, a written disaster plan outlining actions to be taken for events likely to occur in the region of the institution. Some of these organizations require drills to practice implementation of the written plan. On 5 May 1999, Mayo Clinic performed a wide-scale disaster drill involving Rochester City and Olmsted County response organizations, and several Mayo Clinic departments. Planning took several months; the drill took approximately three hours. Participants gathered at several meetings post-drill for "debriefing" sessions to discuss successes, areas for improvement, and lessons learned. There were three overriding lessons learned: critical responders need special identification to allow access to the disaster site; initial victim surveys are for gross contamination only; and access to the potentially contaminated disaster site might take weeks or months following a real event.

Vulnerability assessments as a political creation: tsunami management in Portugal.

PubMed

Pronk, Maartje; Maat, Harro; Crane, Todd A

2017-10-01

Vulnerability assessments are a cornerstone of contemporary disaster research. This paper shows how research procedures and the presentation of results of vulnerability assessments are politically filtered. Using data from a study of tsunami risk assessment in Portugal, the paper demonstrates that approaches, measurement instruments, and research procedures for evaluating vulnerability are influenced by institutional preferences, lines of communication, or lack thereof, between stakeholder groups, and available technical expertise. The institutional setting and the pattern of stakeholder interactions form a filter, resulting in a particular conceptualisation of vulnerability, affecting its operationalisation via existing methods and technologies and its institutional embedding. The Portuguese case reveals a conceptualisation that is aligned with perceptions prevalent in national government bureaucracies and the exclusion of local stakeholders owing to selected methodologies and assessment procedures. The decisions taken by actors involved in these areas affect how vulnerability is assessed, and ultimately which vulnerability reduction policies will be recommended in the appraisal. © 2017 The Author(s). Disasters © Overseas Development Institute, 2017.

14 CFR § 1300.13 - Guarantee amount.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures... agreements to issue Federal credit instruments that, in the aggregate, do not exceed $10 billion. (b) The...

Local communities and tourists’ perception towards to PLTD Apung sites as tsunami disaster tourism in Banda Aceh City

NASA Astrophysics Data System (ADS)

Fahmi, U.; Ginting, N.; Sitorus, R.

2018-03-01

Earthquake and tsunami disasters that hit Banda Aceh city a few years ago, it can be classified as the most terrible natural disasters in the history of the world. Natural disasters were considered as a scary incident, also leave a lot of losses, both regarding moral and material for victims. The establishment of the tourism as media of preservation disaster could be something interesting and demand by the community, especially in the preservation of disaster that usually contains a different perspective. One of the silent witness the awesomeness of tsunami wave that preserves as disaster tourism is tsunami education park, PLTD Apung sites that located in the sub-district of Punge Blang Cut, District of Meuraxa, Banda Aceh city. The community and tourists that interact to tourism object can give the impression, assessment, opinion, felt and interpret something toward to information that displayed. The existence of development experience, ability to think, terms of reference are not the same for each in the community as well as tourists, make it possible to generate a different perception of development. The purpose of this research is to know Community and Tourists Perceptions towards to PLTD Apung sites as Tsunami Disaster Tourism in the sub-district of Punge Blang Cut, Banda Aceh city. This research will conduct by using the descriptive-qualitative method. The research goal is to be recommendations include development activity areas and participation are supposed to do by local community and tourists. In the recommendation is defined procedures development of PLTD Apung sites that considered to community and Tourists Perception. It is expected to optimize the development of PLTD Apung sites that can be an identity of tsunami disaster tourism in Banda Aceh city.

The Australian Natural Disaster Resilience Index

NASA Astrophysics Data System (ADS)

Thoms, Martin

2016-04-01

The Australian Natural Disaster Resilience Index Martin Thoms, Melissa Parsons, Phil Morley Bushfire and Natural Hazards Cooperative Research Centre, Geography and Planning, University of New England, Armidale NSW 2351, Australia. Natural hazard management policy directions in Australia - and indeed internationally - are increasingly being aligned to ideas of resilience. Resilience to natural hazards is the ability of individuals and communities to cope with disturbance and adversity and to maintain adaptive behaviour. Operationalizing the measurement and assessment of disaster resilience is often undertaken using a composite index, but this exercise is yet to be undertaken in Australia. The Australian Natural Disaster Resilience Index is a top-down, national scale assessment of the resilience of communities to natural hazards. Resilience is assessed based on two sets of capacities: coping and adaptive capacities. Coping capacity relates to the factors influencing the ability of a community to prepare for, absorb and recover from a natural hazard event. Adaptive capacity relates to the arrangements and processes that enable adjustment through learning, adaptation and transformation. Indicators are derived under themes of social character, economic capital, infrastructure and planning, emergency services, community capital, information and engagement and governance/leadership/policy, using existing data sets (e.g. census data) or evaluation of policy and procedure (e.g. disaster management planning). A composite index of disaster resilience is then computed for each spatial division, giving national scale coverage. The results of the Australian Natural Disaster Resilience Index will be reported in a State of Disaster Resilience report, due in 2018. The index is co-designed with emergency service agencies, and will support policy development, planning, community engagement and emergency management.

Qualitative Analysis of Surveyed Emergency Responders and the Identified Factors That Affect First Stage of Primary Triage Decision-Making of Mass Casualty Incidents

PubMed Central

Klein, Kelly R.; Burkle Jr., Frederick M.; Swienton, Raymond; King, Richard V.; Lehman, Thomas; North, Carol S.

2016-01-01

Introduction: After all large-scale disasters multiple papers are published describing the shortcomings of the triage methods utilized. This paper uses medical provider input to help describe attributes and patient characteristics that impact triage decisions. Methods: A survey distributed electronically to medical providers with and without disaster experience. Questions asked included what disaster experiences they had, and to rank six attributes in order of importance regarding triage. Results: 403 unique completed surveys were analyzed. 92% practiced a structural triage approach with the rest reporting they used “gestalt”.(gut feeling) Twelve per cent were identified as having placed patients in an expectant category during triage. Respiratory status, ability to speak, perfusion/pulse were all ranked in the top three. Gut feeling regardless of statistical analysis was fourth. Supplies were ranked in the top four when analyzed for those who had placed patients in the expectant category. Conclusion: Primary triage decisions in a mass casualty scenario are multifactorial and encompass patient mobility, life saving interventions, situational instincts, and logistics. PMID:27651979

Religion-based social perception of natural disasters in Pakistan

NASA Astrophysics Data System (ADS)

Usman, M.

2017-12-01

Pakistan is a fascinating and important region for geological research, but formal field surveys in this region are scarce. Beyond political and logistical challenges, cultural tensions can greatly complicate research efforts. Ninety eight percent of the population of Pakistan are Muslims, and many see a link between natural disasters and divine power. For example, it is widely believed that when the cumulative sins of a society exceed a certain limit then the whole society is punished by God, in the form of earthquakes or other calamities. This perspective encourages a resistance to accepting scientific explanations related to a natural phenomenon. This resistance can extend to scientific research teams and even to disaster response teams. In remote regions of the country where formal education opportunities are limited and the literacy rate is quite low, people are strongly influenced by the views of their local religious leaders. Scientific and humanitarian relief activities greatly benefit from culturally competent dialogue with local religious and community leaders to establish trust and credibility, and (in the longer term) through introduction and discussion of relevant scientific ideas, concepts and practices.

Data Quality for Situational Awareness during Mass-Casualty Events

PubMed Central

Demchak, Barry; Griswold, William G.; Lenert, Leslie A.

2007-01-01

Incident Command systems often achieve situational awareness through manual paper-tracking systems. Such systems often produce high latencies and incomplete data, resulting in inefficient and ineffective resource deployment. WIISARD (Wireless Internet Information System for Medical Response in Disasters) collects much more data than a paper-based system, dramatically reducing latency while increasing the kinds and quality of information available to incident commanders. Yet, the introduction of IT into a disaster setting is not problem-free. Notably, system component failures can delay the delivery of data. The type and extent of a failure can have varying effects on the usefulness of information displays. We describe a small, coherent set of customizble information overlays to address this problem, and we discuss reactions to these displays by medical commanders. PMID:18693821

Use of Medical Reserve Corps Volunteers in a Hospital-based Disaster Exercise.

PubMed

Gist, Ramon; Daniel, Pia; Grock, Andrew; Lin, Chou-Jui; Bryant, Clarence; Kohlhoff, Stephan; Roblin, Patricia; Arquilla, Bonnie

2016-06-01

Introduction The Medical Reserve Corps (MRC) is a national network of community-based volunteer groups created in 2002 by the Office of the United States Surgeon General (Rockville, Maryland USA) to augment the nation's ability to respond to medical and public health emergencies. However, there is little evidence-based literature available to guide hospitals on the optimal use of medical volunteers and hesitancy on the part of hospitals to use them. Hypothesis/Problem This study sought to determine how MRC volunteers can be used in hospital-based disasters through their participation in a full-scale exercise. A full-scale exercise was designed as a "Disaster Olympics," in which the Emergency Medicine residents were divided into teams tasked with completing one of the following five challenges: victim decontamination, mass casualty/decontamination tent assembly, patient triage and registration during a disaster, point of distribution (POD) site set-up and operation, and infection control management. A surge of patients potentially exposed to avian influenza was the scenario created for the latter three challenges. Some MRC volunteers were assigned clinical roles. These roles included serving as members of the suit support team for victim decontamination, distributing medications at the POD, and managing infection control. Other MRC volunteers functioned as "victim evaluators," who portrayed the potential avian influenza victims while simultaneously evaluating various aspects of the disaster response. The MRC volunteers provided feedback on their experience and evaluators provided feedback on the performance of the MRC volunteers using evaluation tools. Twenty-eight (90%) MRC volunteers reported that they worked well with the residents and hospital staff, felt the exercise was useful, and were assigned clearly defined roles. However, only 21 (67%) reported that their qualifications were assessed prior to role assignment. For those MRC members who functioned as "victim evaluators," nine identified errors in aspects of the care they received and the disaster response. Of those who evaluated the MRC, nine (90%) felt that the MRC worked well with the residents and hospital staff. Ten (100%) of these evaluators recommended that MRC volunteers participate in future disaster exercises. Through use of a full-scale exercise, this study was able to identify roles for MRC volunteers in a hospital-based disaster. This study also found MRC volunteers to be uniquely qualified to serve as "victim evaluators" in a hospital-based disaster exercise. Gist R , Daniel P , Grock A , Lin C , Bryant C , Kohlhoff S , Roblin P , Arquilla B . Use of Medical Reserve Corps volunteers in a hospital-based disaster exercise. Prehosp Disaster Med. 2016;31(3):259-262.

Transfusion service disaster planning.

PubMed

Bundy, K L; Foss, M L; Stubbs, J R

2008-01-01

The Mayo Clinic, in Rochester, Minnesota, recently set forth a directive to develop a Mayo Emergency Incident Command System (MEICS) plan to respond to major disasters. The MEICS plan that was developed interfaces with national response plans to ensure effective communication and coordination between our institution and local, state, and federal agencies to establish a common language and communication structure. The MEICS plan addresses multiple aspects of dealing with resource needs during a crisis, including the need for blood and transfusion medicine services. The MEICS plan was developed to supplement our current local emergency preparedness procedures and provide a mechanism for responding to the escalating severity of an emergency to deal with situations of a magnitude that is outside the normal experience. A plan was developed to interface the existing Transfusion Medicine disaster plan standard operating procedures (SOP) with the institutional and Department of Laboratory Medicine (DLMP) MEICS plans. The first step in developing this interface was defining MEICS. Other major steps were defining the chain of command, developing a method for visually indicating who is "in charge," planning communication, defining the actions to be taken, assessing resource needs, developing flowcharts and updating SOPs, and developing a blood rationing team to deal with anticipated blood shortages. Several key features of the interface and updated disaster plan that were developed are calling trees for response personnel, plans for relocating leadership to alternative command centers, and action sheets to assist with resource assessment. The action sheets also provide documentation of key actions by response personnel.

Video-Based Learning vs Traditional Lecture for Instructing Emergency Medicine Residents in Disaster Medicine Principles of Mass Triage, Decontamination, and Personal Protective Equipment.

PubMed

Curtis, Henry A; Trang, Karen; Chason, Kevin W; Biddinger, Paul D

2018-02-01

Introduction Great demands have been placed on disaster medicine educators. There is a need to develop innovative methods to educate Emergency Physicians in the ever-expanding body of disaster medicine knowledge. The authors sought to demonstrate that video-based learning (VBL) could be a promising alternative to traditional learning methods for teaching disaster medicine core competencies. Hypothesis/Problem The objective was to compare VBL to traditional lecture (TL) for instructing Emergency Medicine residents in the American College of Emergency Physicians (ACEP; Irving, Texas USA) disaster medicine core competencies of patient triage and decontamination. A randomized, controlled pilot study compared two methods of instruction for mass triage, decontamination, and personal protective equipment (PPE). Emergency Medicine resident learning was measured with a knowledge quiz, a Likert scale measuring comfort, and a practical exercise. An independent samples t-test compared the scoring of the VBL with the TL group. Twenty-six residents were randomized to VBL (n=13) or TL (n=13). Knowledge score improvement following video (14.9%) versus lecture (14.1%) did not differ significantly between the groups (P=.74). Comfort score improvement also did not differ (P=.64) between video (18.3%) and lecture groups (15.8%). In the practical skills assessment, the VBL group outperformed the TL group overall (70.4% vs 55.5%; P<.0001), with significantly better performance in donning PPE and decontamination. Although not part of the original study design, a three-month post-hoc analysis was performed. When comparing the pre-intervention and three-month post-hoc performances, there were no significant differences in knowledge increases between VBL versus TL (P=.41) or in comfort (P=.39). Video modules can be as effective as TL when utilized to train Emergency Medicine residents in the ACEP disaster medicine core competencies of patient triage and decontamination. Curtis HA , Trang K , Chason KW , Biddinger PD . Video-based learning vs traditional lecture for instructing emergency medicine residents in disaster medicine principles of mass triage, decontamination, and personal protective equipment. Prehosp Disaster Med. 2018;33(1):7-12.

Rapid building damage assessment system using mobile phone technology

NASA Astrophysics Data System (ADS)

Cimellaro, Gian Paolo; Scura, G.; Renschler, C. S.; Reinhorn, A. M.; Kim, H. U.

2014-09-01

One common scenario during disasters such as earthquakes is that the activity of damage field reconnaissance on site is not well-coordinated. For example in Italy the damage assessment of structures after an earthquake is managed from the Italian Emergency Authority, using printed forms (AeDES) which are filled by experts on site generating a lot of confusion in filling and transferring the forms to the Disaster Management Operative Center. Because of this, the paper explores the viability of using mobile communication technologies (smart phones) and the Web to develop response systems that would aid communities after a major disaster, providing channels for allowing residents and responders of uploading and distributing information, related to structural damages coordinating the damage field reconnaissance. A mobile application that can be run by residents on smart phones has been developed, to give an initial damage evaluation of the area, which is going to be very useful when resources (e.g. the number of experts is limited). The mobile application has been tested for the first time during 2012 Emilia earthquake to enhance the emergency response, showing the efficiency of the proposed method in statistical terms comparing the proposed procedure with the standard procedure.

Van, Turkey Earthquake of 23 October 2011, Mw 7.2; An Overview on Disaster Management

PubMed Central

ZARÉ, Mehdi; NAZMAZAR, Behnaz

2013-01-01

An earthquake was happened on 23 October 2011 in Van, Turkey (Mw7.2) at the eastern most area of Anatolian plateau and in the neighborhood of Iranian border (West Azerbaijan Province). The study was performed based on field and office observations and has been focused on the process of disaster management in Turkey after the 23 October 2011 earthquake. We surveyed the quake from the view point of disaster management, and study the relief process during and after the catastrophe. The day-to-day disaster management procedure in seventeen days after the event has been scrutinized as well. The number of victims and extent of damage in Van earthquake was relatively limited according to the national experiences and recent modernization of infrastructures in Turkey. The Van earthquake caused 644 deaths and demolishing of several buildings in the cities of Van and Erciş in Van Province. The performance of the government organizations is however criticized based on their response to the event. PMID:23515082

The current crisis in emergency care and the impact on disaster preparedness.

PubMed

Cherry, Robert A; Trainer, Marcia

2008-05-01

The Homeland Security Act (HSA) of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need.

Wargame Simulation Theory and Evaluation Method for Emergency Evacuation of Residents from Urban Waterlogging Disaster Area

PubMed Central

Chen, Peng; Zhang, Jiquan; Sun, Yingyue; Liu, Xiaojing

2016-01-01

Urban waterlogging seriously threatens the safety of urban residents and properties. Wargame simulation research on resident emergency evacuation from waterlogged areas can determine the effectiveness of emergency response plans for high risk events at low cost. Based on wargame theory and emergency evacuation plans, we used a wargame exercise method, incorporating qualitative and quantitative aspects, to build an urban waterlogging disaster emergency shelter using a wargame exercise and evaluation model. The simulation was empirically tested in Daoli District of Harbin. The results showed that the wargame simulation scored 96.40 points, evaluated as good. From the simulation results, wargame simulation of urban waterlogging emergency procedures for disaster response can improve the flexibility and capacity for command, management and decision-making in emergency management departments. PMID:28009805

23 CFR 668.113 - Program and project procedures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... program. This work may involve joint site inspections to view damage and reach tentative agreement on type... be sufficient to identify the approved disaster or catastrophe and to permit a determination of the...

33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.44 - Rehabilitation of non-Federal flood control works.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.44 - Rehabilitation of non-Federal flood control works.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.44 - Rehabilitation of non-Federal flood control works.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.44 - Rehabilitation of non-Federal flood control works.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.44 - Rehabilitation of non-Federal flood control works.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

33 CFR 203.48 - Inspection guidelines for non-Federal flood control works.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm...

76 FR 12135 - Publication Procedures for Federal Register Documents During a Funding Hiatus

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-04

... Miriam Vincent, Staff Attorney, Office of the Federal Register, National Archives and Records... control, responses to natural or manmade disasters, law enforcement and supervision of financial markets...

77 FR 20474 - Administrator's Line of Succession Designation, No. 1-A, Revision 33

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-04

... Operating Officer; (4) Associate Administrator, Office of Disaster Assistance; and (5) Regional Administrator for Region 8. (b) Notwithstanding the provisions of SBA Standard Operating Procedure 00 01 2...

26 CFR 301.7508A-1 - Postponement of certain tax-related deadlines by reasons of a federally declared disaster or...

Code of Federal Regulations, 2012 CFR

2012-04-01

...; and (vii) Any other act specified in a revenue ruling, revenue procedure, notice, announcement, news... IRS will publish a revenue ruling, revenue procedure, notice, announcement, news release, or other... due on September 15, 2009. (ii) On September 1, 2009, a hurricane strikes County M in State W. On...

26 CFR 301.7508A-1 - Postponement of certain tax-related deadlines by reasons of a federally declared disaster or...

Code of Federal Regulations, 2014 CFR

2014-04-01

...; and (vii) Any other act specified in a revenue ruling, revenue procedure, notice, announcement, news... IRS will publish a revenue ruling, revenue procedure, notice, announcement, news release, or other... due on September 15, 2009. (ii) On September 1, 2009, a hurricane strikes County M in State W. On...

26 CFR 301.7508A-1 - Postponement of certain tax-related deadlines by reasons of a federally declared disaster or...

Code of Federal Regulations, 2013 CFR

2013-04-01

...; and (vii) Any other act specified in a revenue ruling, revenue procedure, notice, announcement, news... IRS will publish a revenue ruling, revenue procedure, notice, announcement, news release, or other... due on September 15, 2009. (ii) On September 1, 2009, a hurricane strikes County M in State W. On...

26 CFR 301.7508A-1 - Postponement of certain tax-related deadlines by reasons of a federally declared disaster or...

Code of Federal Regulations, 2011 CFR

2011-04-01

...; and (vii) Any other act specified in a revenue ruling, revenue procedure, notice, announcement, news... IRS will publish a revenue ruling, revenue procedure, notice, announcement, news release, or other... due on September 15, 2009. (ii) On September 1, 2009, a hurricane strikes County M in State W. On...

26 CFR 301.7508A-1 - Postponement of certain tax-related deadlines by reasons of a federally declared disaster or...

Code of Federal Regulations, 2010 CFR

2010-04-01

...; and (vii) Any other act specified in a revenue ruling, revenue procedure, notice, announcement, news... IRS will publish a revenue ruling, revenue procedure, notice, announcement, news release, or other... due on September 15, 2009. (ii) On September 1, 2009, a hurricane strikes County M in State W. On...

Ohio hospital PR pros collaborate on crisis communications plan.

PubMed

Rees, Tom

2002-01-01

Two member hospitals of the Akron Regional Hospital Association (ARHA), Ohio, experienced crisis situations which severely strained their public relations resources. These events were the genesis for the development of a comprehensive plan for sharing public relations resources among 11 member hospitals. The plan details procedures for sharing help in the event of a crisis or specific hospital media event. It identifies three potential situations in which it can be implemented: internal disaster, external disaster, or a specific incident unique to one of the hospitals. No occasion has yet arisen to implement the plan.

Radiation Safety in Nuclear Medicine Procedures.

PubMed

Cho, Sang-Geon; Kim, Jahae; Song, Ho-Chun

2017-03-01

Since the nuclear disaster at the Fukushima Daiichi Nuclear Power Plant in 2011, radiation safety has become an important issue in nuclear medicine. Many structured guidelines or recommendations of various academic societies or international campaigns demonstrate important issues of radiation safety in nuclear medicine procedures. There are ongoing efforts to fulfill the basic principles of radiation protection in daily nuclear medicine practice. This article reviews important principles of radiation protection in nuclear medicine procedures. Useful references, important issues, future perspectives of the optimization of nuclear medicine procedures, and diagnostic reference level are also discussed.

Cluster Sampling with Referral to Improve the Efficiency of Estimating Unmet Needs among Pregnant and Postpartum Women after Disasters

PubMed Central

Horney, Jennifer; Zotti, Marianne E.; Williams, Amy; Hsia, Jason

2015-01-01

Introduction and Background Women of reproductive age, in particular women who are pregnant or fewer than 6 months postpartum, are uniquely vulnerable to the effects of natural disasters, which may create stressors for caregivers, limit access to prenatal/postpartum care, or interrupt contraception. Traditional approaches (e.g., newborn records, community surveys) to survey women of reproductive age about unmet needs may not be practical after disasters. Finding pregnant or postpartum women is especially challenging because fewer than 5% of women of reproductive age are pregnant or postpartum at any time. Methods From 2009 to 2011, we conducted three pilots of a sampling strategy that aimed to increase the proportion of pregnant and postpartum women of reproductive age who were included in postdisaster reproductive health assessments in Johnston County, North Carolina, after tornadoes, Cobb/Douglas Counties, Georgia, after flooding, and Bertie County, North Carolina, after hurricane-related flooding. Results Using this method, the percentage of pregnant and postpartum women interviewed in each pilot increased from 0.06% to 21%, 8% to 19%, and 9% to 17%, respectively. Conclusion and Discussion Two-stage cluster sampling with referral can be used to increase the proportion of pregnant and postpartum women included in a postdisaster assessment. This strategy may be a promising way to assess unmet needs of pregnant and postpartum women in disaster-affected communities. PMID:22365134

Remotely Piloted Life-Saving Effort vehicles and emergency management: An analysis on revolutionizing humanitarian assistance in Pakistan.

PubMed

Nadeem, Ali Bin; Chandna, Ysa

The majority of the Pakistani public has known little of the unmanned aerial vehicles, also known for their onomatopoeically inspired name "drones," except the fact that it regularly rains Hellfire missiles in Pakistan, claiming the lives of many innocent Pakistanis settled in the western provinces. In actuality, in addition to their destructive capacities, these remotely piloted vehicles have been used since the turn of the century in a variety of live-saving and risk-reducing roles. This research article primarily addresses the third stage of Emergency management-response, with Pakistan being the primary region of research. This research article will first begin by diagnosing and accurately delineating the types of humanitarian crisis that grip Pakistan, devastating its land, exhausting its limited resources in its weak, and now almost archaic, disaster response strategy that results in the prolongation of its citizens' plight. Subsequently, this article will describe the history of the usage of unmanned vehicles, its multi-functional capacities, and its relevance in aiding humanitarian response efforts in disaster-stricken areas. Finally, this article will propose the introduction of Remotely Piloted Life-Saving Effort (RELIEF) vehicles in performing analysis and surveillance roles in Pakistan's disaster-prone and disaster-struck areas and its capacity to dramatically improve and expedite the existing relief supply delivery systems in place.

Child and Adolescent Mental Health Research in the Context of Hurricane Katrina: An Ecological Needs-Based Perspective and Introduction to the Special Section

ERIC Educational Resources Information Center

Weems, Carl F.; Overstreet, Stacy

2008-01-01

This article introduces the special section on child and adolescent mental health research in the context of Hurricane Katrina. We outline the purpose and intent of the special section and present an integrative perspective based on broad contextual theories of human development with which to think about the impact of disasters like Katrina. The…

Russian Energy Policy vis-a-vis Europe: Natural Resources as a Means of Foreign Policy

DTIC Science & Technology

2012-06-01

that lag. For instance, after the March 2011 Fukushima disaster , German political leadership decided...memories for the rest of my life. xii THIS PAGE INTENTIONALLY LEFT BLANK 1 I. INTRODUCTION A. BACKGROUND After the resignation of Boris Yeltsin...the first president of the Russian Federation after the dissolution of the USSR, on December 31, 1999, and de facto appointment of his successor

75 FR 55891 - 2010-2011 Enterprise Housing Goals; Enterprise Book-entry Procedures

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-14

... level plus an amount that reflects the impact of designated disaster areas in the most recent year for... toward the overall goal, including a cumulative impact from the Enterprises' multifamily acquisitions...

33 CFR 203.50 - Nonstructural alternatives to rehabilitation of flood control works.

Code of Federal Regulations, 2014 CFR

2014-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... rehabilitation, repair, or restoration of flood control works damaged by floods or coastal storms. (b) Policy. (1...

Disaster Impact on Impoverished Area of US: An Inter-Professional Mixed Method Study.

PubMed

Banks, Linda H; Davenport, Lisa A; Hayes, Meghan H; McArthur, Moriah A; Toro, Stacey N; King, Cameron E; Vazirani, Hazel M

2016-12-01

Introduction In the foothills of the Cumberland Mountains, in central Appalachia (a region that spans 13 states in the US), sits an economically distressed and rural community of the United States. Once a thriving coal-mining area, this region now is reported as one of the hardest places to live in the US. Southeastern Kentucky, located in a remote, rocky, mountainous area surrounded by rivers and valleys and prone to flooding, experienced a major flood in Spring 2013 causing significant damage to homes and critical infrastructure. Purpose Aims of the study were to: (1) identify and better understand the contextual variables compounding the impact of a disaster event that occurred in Spring 2013; (2) identify ways participants managed antecedent circumstances, risk, and protective factors to cope with disaster up to 12 months post-event; and (3) further determine implications for community-focused interventions that may enhance recovery for vulnerable populations to promote greater outcomes of adaptation, wellness, and readiness. Using an ethnographic mixed-methods approach, an inter-collaborative team conducted face-to-face interviews with (N=12) Appalachian residents about their disaster experience, documented observations and visual assessment of need on an observation tool, and used photography depicting structural and environmental conditions. A Health and Emergency Preparedness Assessment Survey Tool was used to collect demographic, health, housing, environment, and disaster readiness assessment data. Community stakeholders facilitated purposeful sampling through coordination of scheduled home visits. Triangulation of all data sources provided evidence that the community had unique coping strategies related to faith and spirituality, cultural values and heritage, and social support to manage antecedent circumstances, risk, and protective factors during times of adversity that, in turn, enhanced resilience up to 12 months post-disaster. The community was found to have an innate capacity to persevere and utilize resources to manage and transcend adversity and restore equilibrium, which reflected components of resilience that deserve greater recognition and appreciation. Resilience is a foundational concept for disaster science. A model of resilience for the rural Appalachia community was developed to visually depict the encompassing element of community-based interventions that may enhance coping strategies, mitigate risk factors, integrate protective factors, and strengthen access. Community-based interventions are recommended to strengthen resilience, yielding improved outcomes of adaptation, health and wellness, and disaster readiness. Banks LH , Davenport LA , Hayes MH , McArthur MA , Toro SN , King CE , Vazirani HM . Disaster impact on impoverished area of US: an inter-professional mixed method study. Prehosp Disaster Med. 2016;31(6):583-592.

20 CFR 625.30 - Appeal Procedures for Guam, American Samoa, Commonwealth of the Northern Mariana Islands...

Code of Federal Regulations, 2010 CFR

2010-04-01

... AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR DISASTER UNEMPLOYMENT ASSISTANCE § 625.30 Appeal... of referee. The Director of the Unemployment Insurance Service shall designate a referee of a State...

20 CFR 625.30 - Appeal Procedures for Guam, American Samoa, Commonwealth of the Northern Mariana Islands...

Code of Federal Regulations, 2011 CFR

2011-04-01

... AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR DISASTER UNEMPLOYMENT ASSISTANCE § 625.30 Appeal... of referee. The Director of the Unemployment Insurance Service shall designate a referee of a State...

Protecting cultural assets from bushfires: a question of comprehensive planning.

PubMed

Laidlaw, Prue; Spennemann, Dirk H R; Allan, Catherine

2008-03-01

Cultural heritage sites form an unrenewable asset that is threatened by natural disasters. Given the high bushfire risk, mandatory Bush Fire Risk Management Plans have been drawn up throughout New South Wales, Australia. We compared their mandatory provisions for the protection of heritage assets with an 'Ideal Heritage Disaster Plan', containing a series of non-negotiable elements. The examined plans fell well short of the ideal. Preparedness Plans generally lacked a discussion of suppression techniques (for historic heritage), prevention, prescribed drills and communication procedures. None of the Response Plans or Recovery Plans contained any of the required core elements, such as rapid suppression techniques and stabilisation procedures. Where aspects were covered, they were addressed in an inadequate level of detail. The overall quality of the cultural heritage components of the plans is judged to be poor. Suggestions are made on how to improve the situation if heritage assets are to have a future following bushfire events.

Broadening Awareness and Participation in the Geosciences Among Underrepresented Minorities in STEM

NASA Astrophysics Data System (ADS)

Blake, R.; Liou-Mark, J.

2012-12-01

An acute STEM crisis exists nationally, and the problem is even more dire among the geosciences. Since about the middle of the last century, fewer undergraduate and graduate degrees have been granted in the geosciences than in any other STEM fields. To help in ameliorating this geoscience plight, particularly from among members of racial and ethnic groups that are underrepresented in STEM fields, the New York City College of Technology (City Tech) launched a vibrant geoscience program and convened a community of STEM students who are interested in learning about the geosciences. This program creates and introduces geoscience knowledge and opportunities to a diverse undergraduate student population that was never before exposed to geoscience courses at City Tech. This geoscience project is funded by the NSF OEDG program, and it brings awareness, knowledge, and geoscience opportunities to City Tech's students in a variety of ways. Firstly, two new geoscience courses have been created and introduced. One course is on Environmental Remote Sensing, and the other course is an Introduction to the Physics of Natural Disasters. The Remote Sensing course highlights the physical and mathematical principles underlying remote sensing techniques. It covers the radiative transfer equation, atmospheric sounding techniques, interferometric and lidar systems, and an introduction to image processing. Guest lecturers are invited to present their expertise on various geoscience topics. These sessions are open to all City Tech students, not just to those students who enroll in the course. The Introduction to the Physics of Natural Disasters course is expected to be offered in Spring 2013. This highly relevant, fundamental course will be open to all students, especially to non-science majors. The course focuses on natural disasters, the processes that control them, and their devastating impacts to human life and structures. Students will be introduced to the nature, causes, risks, effects, and prediction of natural disasters including earthquakes, volcanoes, tsunamis, landslides, subsidence, global climate change, severe weather, coastal erosion, floods, mass extinctions, wildfires, and meteoroid impacts. In addition to the brand new geoscience course offerings, City Tech students participate in geoscience - seminars, guest lectures, lecture series, and geoscience internship and fellowship workshops. The students also participate in geoscience exposure trips to NASA/GISS Columbia University, NOAA-CREST, and the Brookhaven National Laboratory. Moreover, the undergrads are provided opportunities for paid research internships via two NSF grants - NSF REU and NSF STEP. Geoscience projects are also integrated into course work, and students make geoscience group project presentations in class. Students also participate in geoscience career and graduate school workshops. The program also creates geoscience articulation agreements with the City College of New York so that students at City Tech may pursue Bachelor's and advanced degrees in the geosciences. This program is supported by NSF OEDG grant #1108281.

Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam

PubMed Central

Van Minh, Hoang; Tuan Anh, Tran; Rocklöv, Joacim; Bao Giang, Kim; Trang, Le Quynh; Sahlen, Klas-Göran; Nilsson, Maria; Weinehall, Lars

2014-01-01

Background As a tropical depression in the East Sea, Vietnam is greatly affected by climate change and natural disasters. Knowledge of the current capacity of the primary healthcare system in Vietnam to respond to health issues associated with storms and floods is very important for policy making in the country. However, there has been little scientific research in this area. Objective This research was to assess primary healthcare system capacities in a rural district in central Vietnam to respond to such health issues. Design This was a cross-sectional descriptive study using quantitative and qualitative approaches. Quantitative methods used self-administered questionnaires. Qualitative methods (in-depth interviews and focus groups discussions) were used to broaden understanding of the quantitative material and to get additional information on actions taken. Results 1) Service delivery: Medical emergency services, especially surgical operations and referral systems, were not always available during the storm and flood seasons. 2) Governance: District emergency plans focus largely on disaster response rather than prevention. The plans did not clearly define the role of primary healthcare and had no clear information on the coordination mechanism among different sectors and organizations. 3) Financing: The budget for prevention and control of flood and storm activities was limited and had no specific items for healthcare activities. Only a little additional funding was available, but the procedures to get this funding were usually time-consuming. 4) Human resources: Medical rescue teams were established, but there were no epidemiologists or environmental health specialists to take care of epidemiological issues. Training on prevention and control of climate change and disaster-related health issues did not meet actual needs. 5) Information and research: Data that can be used for planning and management (including population and epidemiological data) were largely lacking. The district lacked a disease early-warning system. 6) Medical products and technology: Emergency treatment protocols were not available in every studied health facility. Conclusions The primary care system capacity in rural Vietnam is inadequate for responding to storm and flood-related health problems in terms of preventive and treatment healthcare. Developing clear facility preparedness plans, which detail standard operating procedures during floods and identify specific job descriptions, would strengthen responses to future floods. Health facilities should have contingency funds available for emergency response in the event of storms and floods. Health facilities should ensure that standard protocols exist in order to improve responses in the event of floods. Introduction of a computerized health information system would accelerate information and data processing. National and local policies need to be strengthened and developed in a way that transfers into action in local rural communities. PMID:25511879

Primary healthcare system capacities for responding to storm and flood-related health problems: a case study from a rural district in central Vietnam.

PubMed

Van Minh, Hoang; Tuan Anh, Tran; Rocklöv, Joacim; Bao Giang, Kim; Trang, Le Quynh; Sahlen, Klas-Göran; Nilsson, Maria; Weinehall, Lars

2014-01-01

As a tropical depression in the East Sea, Vietnam is greatly affected by climate change and natural disasters. Knowledge of the current capacity of the primary healthcare system in Vietnam to respond to health issues associated with storms and floods is very important for policy making in the country. However, there has been little scientific research in this area. This research was to assess primary healthcare system capacities in a rural district in central Vietnam to respond to such health issues. This was a cross-sectional descriptive study using quantitative and qualitative approaches. Quantitative methods used self-administered questionnaires. Qualitative methods (in-depth interviews and focus groups discussions) were used to broaden understanding of the quantitative material and to get additional information on actions taken. 1) Service delivery: Medical emergency services, especially surgical operations and referral systems, were not always available during the storm and flood seasons. 2) Governance: District emergency plans focus largely on disaster response rather than prevention. The plans did not clearly define the role of primary healthcare and had no clear information on the coordination mechanism among different sectors and organizations. 3) Financing: The budget for prevention and control of flood and storm activities was limited and had no specific items for healthcare activities. Only a little additional funding was available, but the procedures to get this funding were usually time-consuming. 4) Human resources: Medical rescue teams were established, but there were no epidemiologists or environmental health specialists to take care of epidemiological issues. Training on prevention and control of climate change and disaster-related health issues did not meet actual needs. 5) Information and research: Data that can be used for planning and management (including population and epidemiological data) were largely lacking. The district lacked a disease early-warning system. 6) Medical products and technology: Emergency treatment protocols were not available in every studied health facility. The primary care system capacity in rural Vietnam is inadequate for responding to storm and flood-related health problems in terms of preventive and treatment healthcare. Developing clear facility preparedness plans, which detail standard operating procedures during floods and identify specific job descriptions, would strengthen responses to future floods. Health facilities should have contingency funds available for emergency response in the event of storms and floods. Health facilities should ensure that standard protocols exist in order to improve responses in the event of floods. Introduction of a computerized health information system would accelerate information and data processing. National and local policies need to be strengthened and developed in a way that transfers into action in local rural communities.

Weather and environmental hazards at mass gatherings.

PubMed

Soomaroo, Lee; Murray, Virginia

2012-07-31

Introduction Reviews of mass gathering events have traditionally concentrated on crowd variables that affect the level and type of medical care needed. Weather and environmental hazards at mass gathering events have not been fully researched. This review examines these events and aims to provide future suggestions for event organisers, medical resource planners, and emergency services, including local hospital emergency departments. Methods A review was conducted using computerised data bases: MEDLINE, The Cochrane Library, HMIC and EMBASE, with Google used to widen the search beyond peer-reviewed publications, to identify grey literature. All peer-review literature articles found containing information pertaining to lessons identified from mass gathering disasters due to weather or environmental hazards leading to participant death, injury or illness were analysed and reviewed. Disasters occurring due to crowd variables were not included. These articles were read, analysed, abstracted and summarised. Results 20 articles from literature search were found detailing mass gathering disasters relating directly to weather or environmental hazards from 1988 - 2011, with only 17 cases found within peer-review literature. Two events grey literature from 2011 are due to undergo further inquiry while one article reviews an event originally occurring in 1922. Analysis of cases were categorised in to heat and cold-related events, lightning and storms and disease outbreak. Conclusions Mass gathering events have an enormous potential to place a severe strain on the local health care system, Prior health resource and environmental planning for heat & cold-related illness, lightning & storms, and disease outbreak can advance emergency preparedness and response to potential disasters. Soomaroo L, Murray V. Weather and Environmental Hazards at Mass Gatherings. PLoS Currents Disasters. 2012 Jul 31 KEYWORDS: Mass Gatherings, Disasters, Sporting Events, Festivals, Concerts, Storm, Lightning, Cyclone, Hot-weather illness, Cold-weather illness, Disease, Public Health, Syndromic Surveillance Abbreviations: ALS - Advance Life support; BLS - Basic Life support; ED - Emergency Department; EMS - Emergency Medical Services; PPR - Patient Presentation Rate.

The Women's Role in the Adaptation to Climate Variability and Climate Change: Its Contribution to the Risk Management

NASA Astrophysics Data System (ADS)

Quintero Angel, M.; Carvajal Escobar, Y.; Garcia Vargas, M.

2007-05-01

Recently, there is evidence of an increase in the amount of severity in extreme events associated with the climate variability or climate change; which demonstrates that climate in this planet is changing. There is an observation of increasing damages, and of social economical cost associated with these phenomena's, mostly do to more people are living in hazard vulnerable conditions. The victims of natural disasters have increase from 147 to 211 million between 1991 and 2000. In same way more than 665.000 people have died in 2557 natural disasters, which 90% are associated with water and climate. (UNESCO & WWAP, 2003). The actual tendency and the introduction of new factors of risk, suggest lost increase in the future, obligating actions to manage and reduce risk of disaster. Bind work, health, poverty, education, water, climate, and disasters is not an error, is an obligation. Vulnerability of society to natural hazards and to poverty are bond, to reduce the risk of disasters is frequently united with the reduction of poverty and in the other way too (Sen, 2000). In this context, extreme events impact societies in all the world, affecting differently men and women, do to the different roles they play in the society, the different access in the control of resources, the few participation that women have in taking decisions with preparedness, mitigation, rehabilitation of disasters, impacting more women in developing countries. Although, women understand better the causes and local consequences in changes of climate conditions. They have a pile of knowledge and abilities for guiding adaptation, playing a very important role in vulnerable communities. This work shows how these topics connect with the millennium development goals; particularly how it affects its accomplishment. It also describes the impact of climate variability and climate change in developing countries. Analyzing adaptation responses that are emerging; especially from women initiation.

Weather and Environmental Hazards at Mass Gatherings

PubMed Central

Soomaroo, Lee; Murray, Virginia

2012-01-01

Introduction Reviews of mass gathering events have traditionally concentrated on crowd variables that affect the level and type of medical care needed. Weather and environmental hazards at mass gathering events have not been fully researched. This review examines these events and aims to provide future suggestions for event organisers, medical resource planners, and emergency services, including local hospital emergency departments. Methods A review was conducted using computerised data bases: MEDLINE, The Cochrane Library, HMIC and EMBASE, with Google used to widen the search beyond peer-reviewed publications, to identify grey literature. All peer-review literature articles found containing information pertaining to lessons identified from mass gathering disasters due to weather or environmental hazards leading to participant death, injury or illness were analysed and reviewed. Disasters occurring due to crowd variables were not included. These articles were read, analysed, abstracted and summarised. Results 20 articles from literature search were found detailing mass gathering disasters relating directly to weather or environmental hazards from 1988 – 2011, with only 17 cases found within peer-review literature. Two events grey literature from 2011 are due to undergo further inquiry while one article reviews an event originally occurring in 1922. Analysis of cases were categorised in to heat and cold-related events, lightning and storms and disease outbreak. Conclusions Mass gathering events have an enormous potential to place a severe strain on the local health care system, Prior health resource and environmental planning for heat & cold-related illness, lightning & storms, and disease outbreak can advance emergency preparedness and response to potential disasters. Citation: Soomaroo L, Murray V. Weather and Environmental Hazards at Mass Gatherings. PLoS Currents Disasters. 2012 Jul 31 Keywords: Mass Gatherings, Disasters, Sporting Events, Festivals, Concerts, Storm, Lightning, Cyclone, Hot-weather illness, Cold-weather illness, Disease, Public Health, Syndromic Surveillance Abbreviations: ALS – Advance Life support; BLS – Basic Life support; ED – Emergency Department; EMS – Emergency Medical Services; PPR – Patient Presentation Rate PMID:22953242

15 CFR 756.1 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-01-01

... following types of administrative actions are not subject to the appeals procedures described in this part... INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE EXPORT ADMINISTRATION REGULATIONS APPEALS § 756.1 Introduction. (a) Scope. This part 756 describes the procedures applicable to appeals from administrative...

Hospital Disaster Preparedness in Italy: a preliminary study utilizing the World Health Organization Hospital Emergency Response Evaluation Toolkit.

PubMed

Ingrassia, Pier L; Mangini, Marco; Azzaretto, Massimo; Ciaramitaro, Ilenia; Costa, Laura; Burkle, Frederick M; Della Corte, Francesco; Djalali, Ahmadreza

2016-12-01

Natural and human-initiated disasters are occurring with greater devastating consequences and increased frequency. During these events, hospitals have the burden to care for acutely ill and injured patients. The aim of this study was to evaluate the level of disaster preparedness of Italian hospitals. Site visits were conducted from January, 2014 to December, 2014. The hospital emergency response checklist, developed by the WHO, was used as an evaluation toolkit. It consists of 92 items classified as 9 key components, such as command and control, triage, and critical services. The status of each component was determined by consensus of 3 independent evaluators. The study selected 15 hospitals from different areas in Italy. Out of the 15 hospitals, 12 were considered to be at insufficients level of preparedness, only 3 were considered to have an effective level of preparedness. The average preparedness of all components were lower than the optimal level suggested by the WHO checklist. The study revealed that a large majority of Italian hospitals evaluated are not well prepared to manage potential disasters. Also, all important elements of hospital preparedness, such as the command system, surge capacity, and safety, were insufficiently implemented. Nationwide standards, guidelines and procedures are required to improve hospital disaster preparedness in Italy.

Preparing emergency personnel in dialysis: a just-in-time training program for additional staffing during disasters.

PubMed

Stoler, Genevieve B; Johnston, James R; Stevenson, Judy A; Suyama, Joe

2013-06-01

There are 341 000 patients in the United States who are dependent on routine dialysis for survival. Recent large-scale disasters have emphasized the importance of disaster preparedness, including supporting dialysis units, for people with chronic disease. Contingency plans for staffing are important for providing continuity of care for a technically challenging procedure such as dialysis. PReparing Emergency Personnel in Dialysis (PREP-D) is a just-in-time training program designed to train individuals having minimum familiarity with the basic steps of dialysis to support routine dialysis staff during a disaster. A 5-module educational program was developed through a collaborative, multidisciplinary effort. A pilot study testing the program was performed using 20 nontechnician dialysis facility employees and 20 clinical-year medical students as subjects. When comparing pretest and posttest scores, the entire study population showed a mean improvement of 28.9%, with dialysis facility employees and medical students showing improvements of 21.8% and 36.4%, respectively (P < .05 for all comparisons). PREP-D participants were able to demonstrate improved tests scores when taught in a just-in-time training format. The knowledge gained by using the PREP-D program during a staffing shortage may allow for continuity of care for critical services such as dialysis during a disaster.

The Current Crisis in Emergency Care and the Impact on Disaster Preparedness

PubMed Central

Cherry, Robert A; Trainer, Marcia

2008-01-01

Background The Homeland Security Act (HSA) of 2002 provided for the designation of a critical infrastructure protection program. This ultimately led to the designation of emergency services as a targeted critical infrastructure. In the context of an evolving crisis in hospital-based emergency care, the extent to which federal funding has addressed disaster preparedness will be examined. Discussion After 9/11, federal plans, procedures and benchmarks were mandated to assure a unified, comprehensive disaster response, ranging from local to federal activation of resources. Nevertheless, insufficient federal funding has contributed to a long-standing counter-trend which has eroded emergency medical care. The causes are complex and multifactorial, but they have converged to present a severely overburdened system that regularly exceeds emergency capacity and capabilities. This constant acute overcrowding, felt in communities all across the country, indicates a nation at risk. Federal funding has not sufficiently prioritized the improvements necessary for an emergency care infrastructure that is critical for an all hazards response to disaster and terrorist emergencies. Summary Currently, the nation is unable to meet presidential preparedness mandates for emergency and disaster care. Federal funding strategies must therefore be re-prioritized and targeted in a way that reasonably and consistently follows need. PMID:18452615

The Boston Marathon Bombings Mass Casualty Incident: One Emergency Department's Information Systems Challenges and Opportunities.

PubMed

Landman, Adam; Teich, Jonathan M; Pruitt, Peter; Moore, Samantha E; Theriault, Jennifer; Dorisca, Elizabeth; Harris, Sheila; Crim, Heidi; Lurie, Nicole; Goralnick, Eric

2015-07-01

Emergency department (ED) information systems are designed to support efficient and safe emergency care. These same systems often play a critical role in disasters to facilitate real-time situation awareness, information management, and communication. In this article, we describe one ED's experiences with ED information systems during the April 2013 Boston Marathon bombings. During postevent debriefings, staff shared that our ED information systems and workflow did not optimally support this incident; we found challenges with our unidentified patient naming convention, real-time situational awareness of patient location, and documentation of assessments, orders, and procedures. As a result, before our next mass gathering event, we changed our unidentified patient naming convention to more clearly distinguish multiple, simultaneous, unidentified patients. We also made changes to the disaster registration workflow and enhanced roles and responsibilities for updating electronic systems. Health systems should conduct disaster drills using their ED information systems to identify inefficiencies before an actual incident. ED information systems may require enhancements to better support disasters. Newer technologies, such as radiofrequency identification, could further improve disaster information management and communication but require careful evaluation and implementation into daily ED workflow. Copyright © 2014 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Disaster management mobile protocols: a technology that will save lives.

PubMed

Williamson, Hope M

2011-01-01

Although training and education have long been accepted as integral to disaster preparedness, many currently taught practices are neither evidence based nor standardized. The need for effective evidence-based disaster education for healthcare workers at all levels in the multidisciplinary medical response to major events has been designated by the disaster response community as a high priority. This article describes a disaster management mobile application of systematic evidence-based practice. The application is interactive and comprises portable principles, algorithms, and emergency protocols that are agile, concise, comprehensive, and response relevant to all healthcare workers. Early recognition through clinical assessment versus laboratory and diagnostic procedures in chemical, biological, radiological, and nuclear (CBRNE) exposures grounded in an evidence-based skill set is especially important. During the immediate threat, the clinical diagnosis can get frustrating because CBRNE casualties can mimic everyday healthcare illnesses and initially present with nonspecific respiratory or flu-like symptoms. As there is minimal time in a catastrophic event for the medical provider to make accurate decisions, access to accurate, timely, and comprehensive information in these situations is critical. The CBRNE mobile application is intended to provide a credible source for treatment and management of numerous patients in an often intimidating environment with scarce resources and overwhelming tasks.

From authoritarian enclave to deliberative space: governance logics in post-disaster reconstruction.

PubMed

Curato, Nicole

2018-02-27

One would be hard-pressed nowadays to find any practitioners and scholars in the field of post-disaster reconstruction who would argue against the virtues of community participation. In practice, however, the legacy of community participation has been mixed. This paper pursues this line of inquiry by examining the manifestations of participation in three communities affected by Typhoon Haiyan that struck the Philippines on 8 November 2013. The findings suggest that different governance logics emerge in each of the three case studies: authoritarian; communitarian; and deliberative. These logics promote particular understandings of who should participate in the reconstruction process and the appropriate scope of action for citizens to express discontent, provide feedback, and perform democratic agency. The paper contends that design interventions in participatory procedures, as well as contingencies in wider social contexts, shape the character and legacies of community participation. It concludes by comparing the legacies of these three 'governance enclaves' and imagining possibilities for participatory politics in post-disaster settings. © 2018 The Author(s). Disasters © Overseas Development Institute, 2018.

Disaster risk from a macroeconomic perspective: a metric for fiscal vulnerability evaluation.

PubMed

Cardona, Omar D; Ordaz, Mario G; Marulanda, Mabel C; Carreño, Martha L; Barbat, Alex H

2010-10-01

The Disaster Deficit Index (DDI) measures macroeconomic and financial risk in a country according to possible catastrophic scenario events. Extreme disasters can generate financial deficit due to sudden and elevated need of resources to restore affected inventories. The DDI captures the relationship between the economic loss that a country could experience when a catastrophic event occurs and the availability of funds to address the situation. The proposed model utilises the procedures of the insurance industry in establishing probable losses, based on critical impacts during a given period of exposure; for economic resilience, the model allows one to calculate the country's financial ability to cope with a critical impact. There are limitations and costs associated with access to resources that one must consider as feasible values according to the country's macroeconomic and financial conditions. This paper presents the DDI model and the results of its application to 19 countries of the Americas and aims to guide governmental decision-making in disaster risk reduction. © 2010 The Author(s). Journal compilation © Overseas Development Institute, 2010.

The clinical utility of makeshift beds in disaster shelters.

PubMed

Nara, Masayuki; Ueda, Shinsaku; Aoki, Masashi; Tamada, Tsutomu; Yamaguchi, Takuhiro; Hongo, Michio

2013-12-01

Strong earthquakes have been reported to increase the incidence of diseases. One reason for these increases may be the stress from the poor living environment for evacuees in disaster shelters. To reduce stress, makeshift cardboard beds were introduced in shelters in the Ishinomaki region, one of the areas heavily damaged by the Great East Japan Earthquake, 4 months after the earthquake. The study was performed to determine whether use of the beds offered a reduction in the disease burden. Blood pressure and blood D-dimer values, often used as diagnostic tests for venous thrombosis, were checked. The timed Up & Go (TUG) test, which assesses functional mobility; a questionnaire survey about symptoms (cough, insomnia, and lumbago); and an SF-8 health survey, a health-related quality of life survey, were also administered before and 1 month after introducing the beds. Blood pressure measurements, TUG test results, and questionnaire survey scores improved significantly 1 month after the introduction of the beds. Also, evacuees with higher blood D-dimer values tended to show improvement, suggesting that the beds may have had a good effect on persons with underlying venous thrombotic disorders. Makeshift beds of cardboard could be very useful in disaster shelters.

Do Natural Disasters Affect Voting Behavior? Evidence from Croatian Floods

PubMed Central

Bovan, Kosta; Banai, Benjamin; Pavela Banai, Irena

2018-01-01

Introduction: Studies show that natural disasters influence voters’ perception of incumbent politicians. To investigate whether voters are prone to punish politicians for events that are out of their control, this study was conducted in the previously unstudied context of Croatia, and by considering some of the methodological issues of previous studies. Method: Matching method technique was used, which ensures that affected and non-affected areas are matched on several control variables. The cases of natural disaster in the present study were floods that affected Croatia in 2014 and 2015. Results: Main results showed that, prior to matching, floods had an impact on voting behaviour in the 2014 and 2015 elections. Voters from flooded areas decreased their support for the incumbent government and president in the elections following the floods. However, once we accounted for differences in control variables between flooded and non-flooded areas, the flood effect disappeared. Furthermore, results showed that neither the presence nor the amount of the government’s relief spending had an impact on voting behaviour. Discussion: Presented results imply that floods did not have an impact on the election outcome. Results are interpreted in light of the retrospective voter model. PMID:29770268

Cost analysis of a disaster facility at an apex tertiary care trauma center of India

PubMed Central

Singh, Sheetal; Gupta, Shakti; Daga, Anoop; Siddharth, Vijaydeep; Wundavalli, LaxmiTej

2016-01-01

Introduction: For the Commonwealth Games 2010, Jai Prakash Narayan Apex Trauma Centre (JPNATC) of India had been directed by the Director General Health Services and Ministry of Health and Family Welfare, Government of India, to set up a specialized unit for the definitive management of the injured/unwell athletes, officials, and related personnel coming for the Commonwealth Games in October 2010. The facility included a 20-bedded fully equipped ward, six ICU beds with ventilator capacity, one very very important person observation area, one perioperative management cubicle, and one fully modular and integrated operating room. Objective: The objective of this study was to calculate the cost of disaster facility at JPNATC, All India Institute of Medical Sciences, New Delhi. Methodology: Traditional (average or gross) costing methodology was used to arrive at the cost for the provisioning of these services by this facility. Results: The annual cost of providing services at disaster facility at JPNATC, New Delhi, was calculated to be INR 61,007,334.08 (US$ 983,989.258) while the per hour cost was calculated to be INR 7061.03 of the total cost toward the provisioning of services by disaster facility where 26% was the capital cost and 74% was the operating cost. Human resource caters to maximum chunk of the expenditures (47%). Conclusion: The results of this costing study will help in the future planning of resource allocation within the financial constraints (US$ 1 = INR 62 in the year 2013). PMID:27904258

Introduction and executive summary: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement.

PubMed

Christian, Michael D; Devereaux, Asha V; Dichter, Jeffrey R; Rubinson, Lewis; Kissoon, Niranjan

2014-10-01

Natural disasters, industrial accidents, terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. This supplement provides suggestions for all of those involved in a disaster or pandemic with multiple critically ill patients, including front-line clinicians, hospital administrators, professional societies, and public health or government officials. The current Task Force included a total of 100 participants from nine countries, comprised of clinicians and experts from a wide variety of disciplines. Comprehensive literature searches were conducted to identify studies upon which evidence-based recommendations could be made. No studies of sufficient quality were identified. Therefore, the panel developed expert-opinion-based suggestions that are presented in this supplement using a modified Delphi process. The ultimate aim of the supplement is to expand the focus beyond the walls of ICUs to provide recommendations for the management of all critically ill or injured adults and children resulting from a pandemic or disaster wherever that care may be provided. Considerations for the management of critically ill patients include clinical priorities and logistics (supplies, evacuation, and triage) as well as the key enablers (systems planning, business continuity, legal framework, and ethical considerations) that facilitate the provision of this care. The supplement also aims to illustrate how the concepts of mass critical care are integrated across the spectrum of surge events from conventional through contingency to crisis standards of care.

Use of mental health services by nursing home residents after hurricanes.

PubMed

Brown, Lisa M; Hyer, Kathryn; Schinka, John A; Mando, Ahed; Frazier, Darvis; Polivka-West, Lumarie

2010-01-01

A growing body of research supports the value of mental health intervention to treat people affected by disasters. This study used a mixed-methods approach to evaluate pre- and posthurricane mental health service use in Florida nursing homes. A questionnaire was administered to 258 directors of nursing, administrators, and owners of nursing homes, representing two-thirds of Florida's counties, to identify residents' mental health needs and service use. In four subsequent focus group meetings with 22 nursing home administrators, underlying factors influencing residents' use of services were evaluated. Although most nursing homes provided some type of mental health care during normal operations, disaster-related mental health services were not routinely provided to residents. Receiving facilities were more likely than evacuating facilities to provide treatment to evacuated residents. Nursing home staff should be trained to deliver disaster-related mental health intervention and in procedures for making referrals for follow-up evaluation and formal intervention.

The Evaluation of Cone Capsule as an Alternative Hull form for Portable Tsunami Lifeboat to Support Evacuation System in the Coastal Regions and Small Islands

NASA Astrophysics Data System (ADS)

Fauzan Zakki, Ahmad; Suharto; Windyandari, Aulia

2018-03-01

Several attempts have been made to reduce the risk of tsunami disasters such as the development of early warning systems, evacuation procedures training, coastal protection and coastal spatial planning. Although many efforts to mitigate the impact of the tsunami in Indonesia was made, no one has developed a portable disaster rescue vehicle/shelter as well as a lifeboat on ships and offshore building, which is always available when a disaster occurs. The aim of the paper is to evaluate the performance of cone capsule shaped hull form that would be used for the portable tsunami lifeboat. The investigation of the boat resistance, intact stability, and seakeeping characteristics was made. The numerical analysis results indicate that the cone capsule is reliable as an alternative hull form for the portable tsunami lifeboat.

Health care logistics: who has the ball during disaster?

PubMed

Vanvactor, Jerry D

2011-05-10

In contemporary organizations, a wide gamut of options is available for sustaining and supporting health care operations. When disaster strikes, despite having tenable plans for routine replenishment and operations, many organizations find themselves ill-prepared, ill-equipped, and without effective mechanisms in place to sustain operations during the immediate aftermath of a crisis. Health care operations can be abruptly halted due to the non-availability of supply. The purpose of this work is to add to a necessary, growing body of works related specifically to health care logistics preparedness and disaster mitigation. Logistics management is a specialized genre of expertise within the health care industry and is largely contributive to the success or failure of health care organizations. Logistics management requires extensive collaboration among multiple stakeholders-internal and external to an organization. Effective processes and procedures can be largely contributive to the success or failure of organizational operations. This article contributes to the closure of an obvious gap in professional and academic literature related to disaster health care logistics management and provides timely insight into a potential problem for leaders industry-wide. One critical aspect of disaster planning is regard for competent logistics management and the effective provision of necessary items when they are needed most. In many communities, there seems to be little evidence available regarding health care logistics involvement in disaster planning; at times, evidence of planning efforts perceptibly end at intra-organizational doors within facilities. Strategic planners are being continually reminded that health care organizations serve a principal role in emergency preparedness planning and must be prepared to fulfill the associated possibilities without notification. The concern is that not enough attention is being paid to repeated lessons being observed in disasters and emergency events.

Health care logistics: who has the ball during disaster?

PubMed Central

VanVactor, Jerry D.

2011-01-01

In contemporary organizations, a wide gamut of options is available for sustaining and supporting health care operations. When disaster strikes, despite having tenable plans for routine replenishment and operations, many organizations find themselves ill-prepared, ill-equipped, and without effective mechanisms in place to sustain operations during the immediate aftermath of a crisis. Health care operations can be abruptly halted due to the non-availability of supply. The purpose of this work is to add to a necessary, growing body of works related specifically to health care logistics preparedness and disaster mitigation. Logistics management is a specialized genre of expertise within the health care industry and is largely contributive to the success or failure of health care organizations. Logistics management requires extensive collaboration among multiple stakeholders—internal and external to an organization. Effective processes and procedures can be largely contributive to the success or failure of organizational operations. This article contributes to the closure of an obvious gap in professional and academic literature related to disaster health care logistics management and provides timely insight into a potential problem for leaders industry-wide. One critical aspect of disaster planning is regard for competent logistics management and the effective provision of necessary items when they are needed most. In many communities, there seems to be little evidence available regarding health care logistics involvement in disaster planning; at times, evidence of planning efforts perceptibly end at intra-organizational doors within facilities. Strategic planners are being continually reminded that health care organizations serve a principal role in emergency preparedness planning and must be prepared to fulfill the associated possibilities without notification. The concern is that not enough attention is being paid to repeated lessons being observed in disasters and emergency events. PMID:24149034

Fire! Anguish! Dumb Luck! or Contingency Planning.

ERIC Educational Resources Information Center

Wright, Gordon H.

1979-01-01

Suggests nine requirements for a contingency plan to assure a library's successful recovery from a disaster. A discussion of the salvage team, security, and staff problems follows an enumeration of helpful supplies and equipment. Appended is a sample emergency procedure checklist. (SW)

Development and Verification of a Mobile Shelter Assessment System "Rapid Assessment System of Evacuation Center Condition Featuring Gonryo and Miyagi (RASECC-GM)" for Major Disasters.

PubMed

Ishii, Tadashi; Nakayama, Masaharu; Abe, Michiaki; Takayama, Shin; Kamei, Takashi; Abe, Yoshiko; Yamadera, Jun; Amito, Koichiro; Morino, Kazuma

2016-10-01

Introduction There were 5,385 deceased and 710 missing in the Ishinomaki medical zone following the Great East Japan Earthquake that occurred in Japan on March 11, 2011. The Ishinomaki Zone Joint Relief Team (IZJRT) was formed to unify the relief teams of all organizations joining in support of the Ishinomaki area. The IZJRT expanded relief activity as they continued to manually collect and analyze assessments of essential information for maintaining health in all 328 shelters using a paper-type survey. However, the IZJRT spent an enormous amount of time and effort entering and analyzing these data because the work was vastly complex. Therefore, an assessment system must be developed that can tabulate shelter assessment data correctly and efficiently. The objective of this report was to describe the development and verification of a system to rapidly assess evacuation centers in preparation for the next major disaster. Report Based on experiences with the complex work during the disaster, software called the "Rapid Assessment System of Evacuation Center Condition featuring Gonryo and Miyagi" (RASECC-GM) was developed to enter, tabulate, and manage the shelter assessment data. Further, a verification test was conducted during a large-scale Self-Defense Force (SDF) training exercise to confirm its feasibility, usability, and accuracy. The RASECC-GM comprises three screens: (1) the "Data Entry screen," allowing for quick entry on tablet devices of 19 assessment items, including shelter administrator, living and sanitary conditions, and a tally of the injured and sick; (2) the "Relief Team/Shelter Management screen," for registering information on relief teams and shelters; and (3) the "Data Tabulation screen," which allows tabulation of the data entered for each shelter, as well as viewing and sorting from a disaster headquarters' computer. During the verification test, data of mock shelters entered online were tabulated quickly and accurately on a mock disaster headquarters' computer. Likewise, data entered offline also were tabulated quickly on the mock disaster headquarters' computer when the tablet device was moved into an online environment. The RASECC-GM, a system for rapidly assessing the condition of evacuation centers, was developed. Tests verify that users of the system would be able to easily, quickly, and accurately assess vast quantities of data from multiple shelters in a major disaster and immediately manage the inputted data at the disaster headquarters. Ishii T , Nakayama M , Abe M , Takayama S , Kamei T , Abe Y , Yamadera J , Amito K , Morino K . Development and verification of a mobile shelter assessment system "Rapid Assessment System of Evacuation Center Condition featuring Gonryo and Miyagi (RASECC-GM)" for major disasters. Prehosp Disaster Med. 2016;31(5):539-546.

Compliance of child care centers in Pennsylvania with national health and safety performance standards for emergency and disaster preparedness.

PubMed

Olympia, Robert P; Brady, Jodi; Kapoor, Shawn; Mahmood, Qasim; Way, Emily; Avner, Jeffrey R

2010-04-01

To determine the preparedness of child care centers in Pennsylvania to respond to emergencies and disasters based on compliance with National Health and Safety Performance Standards for Out-of-Home Child Care Programs. A questionnaire focusing on the presence of a written evacuation plan, the presence of a written plan for urgent medical care, the immediate availability of equipment and supplies, and the training of staff in first aid/cardiopulmonary resuscitation (CPR) as delineated in Caring for Our Children: National Health and Safety Performance Standards for Out-of-Home Child Care Programs, 2nd Edition, was mailed to 1000 randomly selected child care center administrators located in Pennsylvania. Of the 1000 questionnaires sent, 496 questionnaires were available for analysis (54% usable response rate). Approximately 99% (95% confidence interval [CI], 99%-100%) of child care centers surveyed were compliant with recommendations to have a comprehensive written emergency plan (WEP) for urgent medical care and evacuation, and 85% (95% CI, 82%-88%) practice their WEP periodically throughout the year. More than 20% of centers did not have specific written procedures for floods, earthquakes, hurricanes, blizzards, or bomb threats, and approximately half of the centers did not have specific written procedures for urgent medical emergencies such as severe bleeding, unresponsiveness, poisoning, shock/heart or circulation failure, seizures, head injuries, anaphylaxis or allergic reactions, or severe dehydration. A minority of centers reported having medications available to treat an acute asthma attack or anaphylaxis. Also, 77% (95% CI, 73%-80%) of child care centers require first aid training for each one of its staff members, and 33% (95% CI, 29%-37%) require CPR training. Although many of the child care centers we surveyed are in compliance with the recommendations for emergency and disaster preparedness, specific areas for improvement include increasing the frequency of practice of the WEP, establishing specific written procedures for external disasters and urgent medical emergencies, maintaining the immediate availability of potentially life-saving medications, and ensuring that all child care center staff are trained in first aid and CPR.

40 CFR 86.505-2004 - Introduction; structure of subpart.

Code of Federal Regulations, 2011 CFR

2011-07-01

... procedures and the test fuel described in subpart B of this part for diesel-fueled light-duty vehicles. PM... Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.505-2004 Introduction; structure of... perform exhaust emission tests on motorcycles. Subpart E sets forth the testing requirements and test...

40 CFR 86.505-2004 - Introduction; structure of subpart.

Code of Federal Regulations, 2013 CFR

2013-07-01

... procedures and the test fuel described in subpart B of this part for diesel-fueled light-duty vehicles. PM... Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.505-2004 Introduction; structure of... perform exhaust emission tests on motorcycles. Subpart E sets forth the testing requirements and test...

40 CFR 86.505-2004 - Introduction; structure of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

... procedures and the test fuel described in subpart B of this part for diesel-fueled light-duty vehicles. PM... Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.505-2004 Introduction; structure of... perform exhaust emission tests on motorcycles. Subpart E sets forth the testing requirements and test...

40 CFR 86.505-2004 - Introduction; structure of subpart.

Code of Federal Regulations, 2012 CFR

2012-07-01

... procedures and the test fuel described in subpart B of this part for diesel-fueled light-duty vehicles. PM... Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.505-2004 Introduction; structure of... perform exhaust emission tests on motorcycles. Subpart E sets forth the testing requirements and test...

40 CFR 86.505-2004 - Introduction; structure of subpart.

Code of Federal Regulations, 2014 CFR

2014-07-01

... procedures and the test fuel described in subpart B of this part for diesel-fueled light-duty vehicles. PM... Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.505-2004 Introduction; structure of... perform exhaust emission tests on motorcycles. Subpart E sets forth the testing requirements and test...

Condition and Performance Rating Procedures for Rubble Breakwaters and Jetties

DTIC Science & Technology

1998-11-01

coastal community whose excellent ideas helped guide this work. Dr. Michael J. O’Connor is Director of USACERL. Chapter 1 Introduction 1 Introduction...headquarters. Concepts for the condition rating procedures were generated by the authors, the CSAG, and other members of the Corps’ coastal community . These

International Population Assistance and Family Planning Programs: Issues for Congress

DTIC Science & Technology

2006-06-06

AIDS; ! restoration of maternal health care in locations hit by natural disasters; ! elimination of female genital mutilation ; and ! access by...particularly through the Administrative Procedure Law enacted in October 1990. Chinese authorities have termed female infanticide an “intolerable crime” that

Dalhousie Fire

ERIC Educational Resources Information Center

Matthews, Fred W.

1986-01-01

Describes steps taken by the Weldon Law Library at Dalhousie University in salvaging books damaged in a major fire, including procedures and processes used in packing, sorting, drying, and cleaning the books. The need for a disaster plan for specific libraries is emphasized, and some suggestions are made. (CDD)

14 CFR 1300.11 - Eligible borrower.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures § 1300.11 Eligible borrower. (a) An eligible borrower must be an air carrier that can demonstrate, to the...

14 CFR 1300.13 - Guarantee amount.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures § 1300... loan amount guaranteed to a single air carrier may not exceed that amount that, in the Board's sole...

14 CFR 1300.14 - Guarantee percentage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Guarantee percentage. 1300.14 Section 1300.14 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures...

14 CFR 1300.20 - Lender responsibilities.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Lender responsibilities. 1300.20 Section 1300.20 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures...

14 CFR 1300.21 - Guarantee.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Guarantee. 1300.21 Section 1300.21 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures § 1300...

14 CFR 1300.17 - Application evaluation.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1300.17 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures... the ability to administer the loan, including its experience with loans to air carriers; and (iii) Any...

Faith-based organizations and sustainable sheltering operations in Mississippi after Hurricane Katrina: implications for informal network utilization.

PubMed

Pant, Anjali T; Kirsch, Thomas D; Subbarao, Italo R; Hsieh, Yu-Hsiang; Vu, Alexander

2008-01-01

In the aftermath of Hurricane Katrina, a significant number of faith-based organizations (FBOs) that were not a part of the formal National Response Plan (NRP) initiated and sustained sheltering operations. The objective of this study was to examine the sheltering operations of FBOs, understand the decision-making process of FBO shelters, and identify the advantages and disadvantages of FBO shelters. Verbal interviews were conducted with FBO shelter leaders. Inclusion criteria were: (1) opening in response to the Katrina disaster; (2) operating for more than three weeks; and (3) being a FBO. Enrolled shelters were examined using descriptive data methods. The majority of shelters operating in Mississippi up to three weeks post-Katrina were FBO-managed. All of the operating FBO shelters in Mississippi that met the inclusion criteria were contacted with a response rate of 94%. Decisions were made by individuals or small groups in most shelters regarding opening, operating procedures, and closing. Most FBOs provided at least one enabling service to evacuees, and all utilized informal networks for sheltering operations. Only 25% of FBOs had disaster plans in place prior to Hurricane Katrina. Faith-based organization shelters played a significant role in the acute phase of the Katrina disaster. Formal disaster training should be initiated for these organizations. Services provided by FBOs should be standardized. Informal networks should be incorporated into national disaster planning.

Injury epidemiology after the 2001 Gujarat earthquake in India: a retrospective analysis of injuries treated at a rural hospital in the Kutch district immediately after the disaster

PubMed Central

Phalkey, Revati; Reinhardt, Jan D.; Marx, Michael

2011-01-01

Background The number of injured far exceeds those dead and the average injury to mortality ratio in earthquakes stands at 3:1. Immediate effective medical response significantly influences injury outcomes and thus the overall health impact of earthquakes. Inadequate or mismanagement of injuries may lead to disabilities. The lack of precise data from immediate aftermath is seen as a remarkable weak point in disaster epidemiology and warrants evidence generation. Objective To analyze the epidemiology of injuries and the treatment imparted at a secondary rural hospital in the Kutch district, Gujarat, India following the January 26, 2001 earthquake. Design/Methods Discharge reports of patients admitted to the hospital over 10 weeks were analyzed retrospectively for earthquake-related injuries. Results Orthopedic injuries, (particularly fractures of the lower limbs) were predominant and serious injuries like head, chest, abdominal, and crush syndrome were minimal. Wound infections were reported in almost 20% of the admitted cases. Surgical procedures were more common than conservative treatment. The most frequently performed surgical procedures were open reduction with internal fixation and cleaning and debridement of contaminated wounds. Four secondary deaths and 102 transfers to tertiary care due to complications were reported. Conclusion The injury epidemiology reported in this study is in general agreement with most other studies reporting injury epidemiology except higher incidence of distal orthopedic injuries particularly to the lower extremities. We also found that young males were more prone to sustaining injuries. These results warrant further research. Inconsistent data reporting procedures against the backdrop of inherent disaster data incompleteness calls for urgent standardization of reporting earthquake injuries for evidence-based response policy planning. PMID:21799668

A Research on Development of The Multi-mode Flood Forecasting System Version Management

NASA Astrophysics Data System (ADS)

Shen, J.-C.; Chang, C. H.; Lien, H. C.; Wu, S. J.; Horng, M. J.

2009-04-01

With the global economy and technological development, the degree of urbanization and population density relative to raise. At the same time, a natural buffer space and resources year after year, the situation has been weakened, not only lead to potential environmental disasters, more and more serious, disaster caused by the economy, loss of natural environment at all levels has been expanded. In view of this, the active participation of all countries in the world cross-sectoral integration of disaster prevention technology research and development, in addition, the specialized field of disaster prevention technology, science and technology development, network integration technology, high-speed data transmission and information to support the establishment of mechanisms for disaster management The decision-making and cross-border global disaster information network building and other related technologies, has become the international anti-disaster science and technology development trends, this trend. Naturally a few years in Taiwan, people's lives and property losses caused by many problems related to natural disaster prevention and disaster prevention and the establishment of applications has become a very important. For FEWS_Taiwan, flood warning system developed by the Delft Hydraulics and introduced the Water Resources Agency (WRA), it provides those functionalities for users to modify contents to add the basins, regions, data sources, models and etc. Despite this advantage, version differences due to different users or different teams yet bring about the difficulties on synchronization and integration.At the same time in different research teams will also add different modes of meteorological and hydrological data. From the government perspective of WRA, the need to plan standard operation procedures for system integration demands that the effort for version control due to version differences must be cost down or yet canceled out. As for FEWS_Taiwan, this paper proposed the feasible avenues and solutions to smoothly integrate different configurations from different teams. In the current system has been completed by 20 of Taiwan's main rivers in the building of the basic structure of the flood forecasting. And regular updating of the relevant parameters, using the new survey results, in order to have a better flood forecasting results.

Estimation of the Demand for Hospital Care After a Possible High-Magnitude Earthquake in the City of Lima, Peru.

PubMed

Bambarén, Celso; Uyen, Angela; Rodriguez, Miguel

2017-02-01

Introduction A model prepared by National Civil Defense (INDECI; Lima, Peru) estimated that an earthquake with an intensity of 8.0 Mw in front of the central coast of Peru would result in 51,019 deaths and 686,105 injured in districts of Metropolitan Lima and Callao. Using this information as a base, a study was designed to determine the characteristics of the demand for treatment in public hospitals and to estimate gaps in care in the hours immediately after such an event. A probabilistic model was designed that included the following variables: demand for hospital care; time of arrival at the hospitals; type of medical treatment; reason for hospital admission; and the need for specialized care like hemodialysis, blood transfusions, and surgical procedures. The values for these variables were obtained through a literature search of the databases of the MEDLINE medical bibliography, the Cochrane and SciELO libraries, and Google Scholar for information on earthquakes over the last 30 years of over magnitude 6.0 on the moment magnitude scale. If a high-magnitude earthquake were to occur in Lima, it was estimated that between 23,328 and 178,387 injured would go to hospitals, of which between 4,666 and 121,303 would require inpatient care, while between 18,662 and 57,084 could be treated as outpatients. It was estimated that there would be an average of 8,768 cases of crush syndrome and 54,217 cases of other health problems. Enough blood would be required for 8,761 wounded in the first 24 hours. Furthermore, it was expected that there would be a deficit of hospital beds and operating theaters due to the high demand. Sudden and violent disasters, such as earthquakes, represent significant challenges for health systems and services. This study shows the deficit of preparation and capacity to respond to a possible high-magnitude earthquake. The study also showed there are not enough resources to face mega-disasters, especially in large cities. Bambarén C , Uyen A , Rodriguez M . Estimation of the demand for hospital care after a possible high-magnitude earthquake in the City of Lima, Peru. Prehosp Disaster Med. 2017;32(1):106-111.

Characterization of post-disaster environmental management for Hazardous Materials Incidents: Lessons learnt from the Tianjin warehouse explosion, China.

PubMed

Zhang, Hui; Duan, Huabo; Zuo, Jian; Song, MingWei; Zhang, Yukui; Yang, Bo; Niu, Yongning

2017-09-01

Hazardous Materials Incidents (HMIs) have attracted a growing public concern worldwide. The health risks and environmental implications associated with HMIs are almost invariably severe, and underscore the urgency for sound management. Hazardous Materials Explosion incidents (HMEIs) belong to a category of extremely serious HMIs. Existing studies placed focuses predominately on the promptness and efficiency of emergency responses to HMIs and HMEIs. By contrast, post-disaster environmental management has been largely overlooked. Very few studies attempted to examine the post-disaster environmental management plan particularly its effectiveness and sufficiency. In the event of the Tianjin warehouse explosion (TWE), apart from the immediate emergency response, the post-disaster environmental management systems (P-EMSs) have been reported to be effective and sufficient in dealing with the environmental concerns. Therefore, this study aims to critically investigate the P-EMSs for the TWE, and consequently to propose a framework and procedures for P-EMSs in general for HMIs, particularly for HMEIs. These findings provide a useful reference to develop P-EMSs for HMIs in the future, not only in China but also other countries. Copyright © 2017. Published by Elsevier Ltd.

45 CFR 95.610 - Submission of advance planning documents.

Code of Federal Regulations, 2011 CFR

2011-10-01

... system failure and disaster recovery/business continuity procedures available or to be implemented; and... generally applies to large statewide system developments and/or major hardware acquisitions. States with large, independent counties requesting funding at the regular match rate for county systems are strongly...

Disaster Preparedness and Recovery.

ERIC Educational Resources Information Center

Grams, Theodore C. W.

Intended to be used in conjunction with the Portland State University handbook entitled "Safety Guidelines and Emergency Procedures," this manual provides guidelines to be followed in the event of library emergencies involving fire, flood, fumes, smoke, and water leakage, with special attention given to the processes required for the…

33 CFR 203.52 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false [Reserved] 203.52 Section 203.52 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood...

33 CFR 203.52 - [Reserved

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false [Reserved] 203.52 Section 203.52 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood...

33 CFR 203.51 - Levee owner's manual.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Levee owner's manual. 203.51 Section 203.51 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation...

33 CFR 203.83 - Additional requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Additional requirements. 203.83 Section 203.83 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local Interests...

33 CFR 203.52 - [Reserved

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false [Reserved] 203.52 Section 203.52 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood...

33 CFR 203.52 - [Reserved

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false [Reserved] 203.52 Section 203.52 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood...

33 CFR 203.51 - Levee owner's manual.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Levee owner's manual. 203.51 Section 203.51 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation...

33 CFR 203.83 - Additional requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Additional requirements. 203.83 Section 203.83 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local Interests...

33 CFR 203.51 - Levee owner's manual.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Levee owner's manual. 203.51 Section 203.51 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation...

33 CFR 203.52 - [Reserved

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false [Reserved] 203.52 Section 203.52 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation Assistance for Flood...

33 CFR 203.51 - Levee owner's manual.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Levee owner's manual. 203.51 Section 203.51 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation...

33 CFR 203.83 - Additional requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Additional requirements. 203.83 Section 203.83 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local Interests...

33 CFR 203.51 - Levee owner's manual.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Levee owner's manual. 203.51 Section 203.51 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Rehabilitation...

33 CFR 203.83 - Additional requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Additional requirements. 203.83 Section 203.83 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local Interests...

14 CFR 1300.16 - Application process.

Code of Federal Regulations, 2010 CFR

2010-01-01

....16 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures... “Application for Air Carrier Guaranteed Loan'; (2) All loan documents that will be signed by the lender and the...

14 CFR 1300.12 - Eligible lender.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Eligible lender. 1300.12 Section 1300.12 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures § 1300...

14 CFR 1300.15 - Loan terms.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Loan terms. 1300.15 Section 1300.15 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures § 1300...

14 CFR 1300.22 - Termination of obligations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Termination of obligations. 1300.22 Section 1300.22 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures...

Science guides search and rescue after the 2006 Philippine landslide.

PubMed

Lagmay, Alfredo Mahar A; Tengonciang, Arlene Mae P; Rodolfo, Raymond S; Soria, Janneli Lea A; Baliatan, Eden G; Paguican, Engielle R; Ong, John Burtkenley T; Lapus, Mark R; Fernandez, Dan Ferdinand D; Quimba, Zareth P; Uichanco, Christopher L

2008-09-01

A rockslide-debris avalanche destroyed the remote village of Guinsaugon in Southern Leyte, Philippines, on 17 February 2006. Although search and rescue procedures were implemented immediately, the scale of the landslide and a lack of information about its nature resulted in unfocused and imprecise efforts in the early days of the operation. Technical support was only introduced five days after the event, provided by a team of volunteer geologists, geophysicists, and meteorologists. By the time search and rescue operations were transferred to specific target sites, however, the chances of finding survivors trapped under the rubble had diminished. In such critical situations, speed, accuracy, and the maximum appropriation of resources are crucial. We emphasise here the need for a systematic and technically informed approach to search and rescue missions in large-scale landslide disaster contexts, and the formulation of better disaster management policies in general. Standard procedures must be developed and enforced to improve how civil authorities respond to natural calamities.

THE LOSS OF MALAYSIA AIRLINES FLIGHT MH17: A FORENSIC AND HUMANITARIAN TASK.

PubMed

Ranson, David

2015-06-01

While forensic medical tasks are usually associated with supporting the criminal justice system, there are a range of forensic medical skills that can be brought to bear on addressing humanitarian activities. Disaster victim identification is a procedure that has achieved international standardisation through the work of a multinational Interpol Standing Committee. While part of a police organisation, it includes forensic pathologists, anthropologists, odontologists and molecular biologists who provide most of the specialist scientific input regarding identification that is integrated with police processes such as document examination and fingerprinting. The loss of Malaysian Airlines Flight MH17 represented a major activation of these procedures in an environment that had both humanitarian and forensic criminal investigation components. The information that is derived from the processes involved in disaster victim identification has a value that goes far beyond the determination of identity. It has an important humanitarian role in supporting the family and friends of the victims in their bereavement journey.

Caring for non-combatants, refugees, and detainees.

PubMed

Place, Ronald J

2006-06-01

The recently reported abuses at Abu Ghraib prison have brought the issue of medical care for displaced persons (DPs) to greater prominence. Natural disasters in the United States (eg, Hurricane Katrina) and elsewhere also require significant medical resources in situations that lack basic infrastructure. Intimate knowledge of the basic tenets of international law is crucial to the care of DPsin any capacity. This article provides an introduction to the Geneva Conventions and the medical and administrative issues that form a framework on which to base DP care.

Navigating the Road to Recovery: Assessment of the Coordination, Communication, and Financing of the Disaster Case Management Pilot in Louisiana

DTIC Science & Technology

2010-01-01

analysis methodology called constant comparative analysis ( Lincoln and Guba, 1985; Denzin and Lincoln , 2000). First, two RAND researchers independently...and Yvonna S. Lincoln , “Introduction: The Discipline and Practice of Qualitative Research,” in Norman K. Denzin and Yvonna S. Lincoln , eds...Management Services,” undated web page. As of June 3, 2010: http://www.coastandards.org/standards.php?navView=private§ion_id=114 Denzin , Norman K

Clinical experiences utilizing wireless remote control and an ASP model backup archive for a disaster recovery event

NASA Astrophysics Data System (ADS)

Liu, Brent J.; Documet, Luis; Documet, Jorge; Huang, H. K.; Muldoon, Jean

2004-04-01

An Application Service Provider (ASP) archive model for disaster recovery for Saint John"s Health Center (SJHC) clinical PACS data has been implemented using a Fault-Tolerant Archive Server at the Image Processing and Informatics Laboratory, Marina del Rey, CA (IPIL) since mid-2002. The purpose of this paper is to provide clinical experiences with the implementation of an ASP model backup archive in conjunction with handheld wireless technologies for a particular disaster recovery scenario, an earthquake, in which the local PACS archive and the hospital are destroyed and the patients are moved from one hospital to another. The three sites involved are: (1) SJHC, the simulated disaster site; (2) IPIL, the ASP backup archive site; and (3) University of California, Los Angeles Medical Center (UCLA), the relocated patient site. An ASP backup archive has been established at IPIL to receive clinical PACS images daily using a T1 line from SJHC for backup and disaster recovery storage. Procedures were established to test the network connectivity and data integrity on a regular basis. In a given disaster scenario where the local PACS archive has been destroyed and the patients need to be moved to a second hospital, a wireless handheld device such as a Personal Digital Assistant (PDA) can be utilized to route images to the second hospital site with a PACS and reviewed by radiologists. To simulate this disaster scenario, a wireless network was implemented within the clinical environment in all three sites: SJHC, IPIL, and UCLA. Upon executing the disaster scenario, the SJHC PACS archive server simulates a downtime disaster event. Using the PDA, the radiologist at UCLA can query the ASP backup archive server at IPIL for PACS images and route them directly to UCLA. Implementation experiences integrating this solution within the three clinical environments as well as the wireless performance are discussed. A clinical downtime disaster scenario was implemented and successfully tested. Radiologists were able to successfully query PACS images utilizing a wireless handheld device from the ASP backup archive at IPIL and route the PACS images directly to a second clinical site at UCLA where they and the patients are located at that time. In a disaster scenario, using a wireless device, radiologists at the disaster health care center can route PACS data from an ASP backup archive server to be reviewed in a live clinical PACS environment at a secondary site. This solution allows Radiologists to use a wireless handheld device to control the image workflow and to review PACS images during a major disaster event where patients must be moved to a secondary site.

11. Strategic planning.

PubMed

2014-05-01

There are several types of planning processes and plans, including strategic, operational, tactical, and contingency. For this document, operational planning includes tactical planning. This chapter examines the strategic planning process and includes an introduction into disaster response plans. "A strategic plan is an outline of steps designed with the goals of the entire organisation as a whole in mind, rather than with the goals of specific divisions or departments". Strategic planning includes all measures taken to provide a broad picture of what must be achieved and in which order, including how to organise a system capable of achieving the overall goals. Strategic planning often is done pre-event, based on previous experience and expertise. The strategic planning for disasters converts needs into a strategic plan of action. Strategic plans detail the goals that must be achieved. The process of converting needs into plans has been deconstructed into its components and includes consideration of: (1) disaster response plans; (2) interventions underway or planned; (3) available resources; (4) current status vs. pre-event status; (5) history and experience of the planners; and (6) access to the affected population. These factors are tempered by the local: (a) geography; (b) climate; (c) culture; (d) safety; and (e) practicality. The planning process consumes resources (costs). All plans must be adapted to the actual conditions--things never happen exactly as planned.

Survivors’ Solidarity and Attachment in the Immediate Aftermath of the Typhoon Haiyan (Philippines)

PubMed Central

Bartolucci, Andrea; Magni, Michele

2017-01-01

Introduction: Anti-social behavior and self-preservation are often assumed to be normal responses to threats and disasters; on the contrary, decades of research and empirical studies in social sciences showed that pro-social behaviors are frequently common and that solidarity is the typical response to a variety of threats. The main objective of this study is to investigate and describe survivors’ behavior, especially solidarity, according to the presence of familiar persons and to the perception of physical danger, elaborating the framework of Mawson’s social attachment theory. Methods: In order to investigate these relationships, a behavioral research was carried out involving 288 people affected by the December 8th 2013 Haiyan Typhoon (Yolanda). Results: Results revealed that solidarity was predominant and people reacted collectively and actively taking part in relief activities. Furthermore, we found strong solidarity and help towards strangers and unfamiliar persons. Discussion: Investigating how people react is essential to develop a more efficient and effective response strategy, especially in the immediate aftermath of a disaster when disaster managers have little control of the situation and people rely on themselves; the natural tendency to help others can be essential to reduce losses and to fill the temporal gap between the event and the arrival of the organized relief unit. PMID:28154787

The Effect of Start Triage Education on Knowledge and Practice of Emergency Medical Technicians in Disasters.

PubMed

Pouraghaei, Mahboub; Sadegh Tabrizi, Jaafar; Moharamzadeh, Payman; Rajaei Ghafori, Rozbeh; Rahmani, Farzad; Najafi Mirfakhraei, Baharak

2017-06-01

Introduction: Pre-hospital triage is one of the most fundamental concepts in emergency management. Limited human resource changes triage to an inevitable solution in the management of disasters. The aim of this study was to evaluate the role of education of simple triage and rapid treatment (START) in the knowledge and practice of Emergency Medical Service (EMS) employees of Eastern Azerbaijan. Methods: This is a pre-and post-intervention study conducted on two hundred and five (205) of employees of EMS sector, in the disaster and emergency management center of Eastern Azerbaijan Province, 2015. The utilized tool is a questionnaire of the knowledge and practice of individuals regarding START triage. The questionnaire was filled by the participants pre- and post-education; thereafter the data were analyzed using SPSS 13 software. Results: The total score of the participants increased from 22.02 (4.49) to 28.54 (3.47). Moreover, the score of sections related to knowledge of the triage was a necessity and the mean score of the section related to the practice increased from 11.47 (2.15) to 13.63 (1.38), and 10.73 (3.57) to 14.93 (2.78), respectively, which were statistically significant. Conclusion: In this study, it was found that holding the educational classes of pre-hospital triage before the disasters is effective in improving the knowledge and practice of employees such as EMS technicians and this resulted to decreased error in performing this process as well as reduced overload in hospitals.

78 FR 47047 - Proposed Policy for Discontinuance of Certain Instrument Approach Procedures

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-02

... procedures. Localizer procedures. TACAN procedures. Standard Instrument Arrivals (STARs). Standard Instrument... Policy for Discontinuance of Certain Instrument Approach Procedures AGENCY: Federal Aviation... facilitates the introduction of area navigation (RNAV) instrument approach procedures over the past decade...

Cry Havoc and Let Slip the Dogs of War

DTIC Science & Technology

2001-01-01

disasters or other endemic conditions such as human pain, disease, hunger , or privation that might present a serious threat to life or that can result...1987. Weinstein, Sidney, Ph.D., et al., Neuropsychological Procedures for the Detection of Explosives, U.S. Army Mobility Equipment Research and

33 CFR 203.49 - Rehabilitation of Hurricane and Shore Protection Projects.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Shore Protection Projects. 203.49 Section 203.49 Navigation and Navigable Waters CORPS OF ENGINEERS... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... Protection Projects. (a) Authority. The Chief of Engineers is authorized to rehabilitate any Federally...

33 CFR 203.82 - Requirements of local cooperation.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Requirements of local cooperation. 203.82 Section 203.82 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...

33 CFR 203.71 - Policy.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Policy. 203.71 Section 203.71 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance Measures § 203.71 Policy. Advance...

33 CFR 203.82 - Requirements of local cooperation.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Requirements of local cooperation. 203.82 Section 203.82 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...

33 CFR 203.82 - Requirements of local cooperation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Requirements of local cooperation. 203.82 Section 203.82 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...

33 CFR 203.71 - Policy.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Policy. 203.71 Section 203.71 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance Measures § 203.71 Policy. Advance...

33 CFR 203.82 - Requirements of local cooperation.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Requirements of local cooperation. 203.82 Section 203.82 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...

33 CFR 203.82 - Requirements of local cooperation.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Requirements of local cooperation. 203.82 Section 203.82 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...

33 CFR 203.71 - Policy.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Policy. 203.71 Section 203.71 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance Measures § 203.71 Policy. Advance...

33 CFR 203.71 - Policy.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Policy. 203.71 Section 203.71 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance Measures § 203.71 Policy. Advance...

33 CFR 203.71 - Policy.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Policy. 203.71 Section 203.71 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Advance Measures § 203.71 Policy. Advance...

Medical Considerations for Multiple-Handicapped Children in the Public Schools

ERIC Educational Resources Information Center

Bryan, Elizabeth; And Others

1978-01-01

The authors discuss concerns and practical suggestions involved in the education of multiply handicapped children in the following problem areas: first aid, emergency care and disaster planning; sanitation; environment; safety in routine and supplemental activities; therapy procedures; and staff protection, training, orientation, and special…

28 CFR 63.9 - Exception.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Exception. 63.9 Section 63.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.9... of the Disaster Relief Act of 1974 (88 Stat. 148, 42 U.S.C. 5145 and 5146). ...

28 CFR 63.9 - Exception.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Exception. 63.9 Section 63.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.9... of the Disaster Relief Act of 1974 (88 Stat. 148, 42 U.S.C. 5145 and 5146). ...

28 CFR 63.9 - Exception.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Exception. 63.9 Section 63.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.9... of the Disaster Relief Act of 1974 (88 Stat. 148, 42 U.S.C. 5145 and 5146). ...

28 CFR 63.9 - Exception.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Exception. 63.9 Section 63.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.9... of the Disaster Relief Act of 1974 (88 Stat. 148, 42 U.S.C. 5145 and 5146). ...

Planning for Continuity.

ERIC Educational Resources Information Center

DiMattia, Susan S.

2001-01-01

Describes procedures followed by librarians whose special libraries were destroyed or otherwise affected by the September 11 terrorist attacks. Discusses plans used from Y2K planning; the importance of having a disaster plan in place; moving locations; teamwork; and duplicating data in duplicate locations. Provides a list of pertinent resources.…

14 CFR 1300.18 - Issuance of the guarantee.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Issuance of the guarantee. 1300.18 Section 1300.18 Aeronautics and Space AIR TRANSPORTATION SYSTEM STABILIZATION OFFICE OF MANAGEMENT AND BUDGET AVIATION DISASTER RELIEF-AIR CARRIER GUARANTEE LOAN PROGRAM Minimum Requirements and Application Procedures...

33 CFR 203.49 - Rehabilitation of Hurricane and Shore Protection Projects.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Shore Protection Projects. 203.49 Section 203.49 Navigation and Navigable Waters CORPS OF ENGINEERS... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... Protection Projects. (a) Authority. The Chief of Engineers is authorized to rehabilitate any Federally...

Monitoring and evaluation of disaster response efforts undertaken by local health departments: a rapid realist review.

PubMed

Gossip, Kate; Gouda, Hebe; Lee, Yong Yi; Firth, Sonja; Bermejo, Raoul; Zeck, Willibald; Jimenez Soto, Eliana

2017-06-29

Local health departments are often at the forefront of a disaster response, attending to the immediate trauma inflicted by the disaster and also the long term health consequences. As the frequency and severity of disasters are projected to rise, monitoring and evaluation (M&E) efforts are critical to help local health departments consolidate past experiences and improve future response efforts. Local health departments often conduct M&E work post disaster, however, many of these efforts fail to improve response procedures. We undertook a rapid realist review (RRR) to examine why M&E efforts undertaken by local health departments do not always result in improved disaster response efforts. We aimed to complement existing frameworks by focusing on the most basic and pragmatic steps of a M&E cycle targeted towards continuous system improvements. For these purposes, we developed a theoretical framework that draws on the quality improvement literature to 'frame' the steps in the M&E cycle. This framework encompassed a M&E cycle involving three stages (i.e., document and assess, disseminate and implement) that must be sequentially completed to learn from past experiences and improve future disaster response efforts. We used this framework to guide our examination of the literature and to identify any context-mechanism-outcome (CMO) configurations which describe how M&E may be constrained or enabled at each stage of the M&E cycle. This RRR found a number of explanatory CMO configurations that provide valuable insights into some of the considerations that should be made when using M&E to improve future disaster response efforts. Firstly, to support the accurate documentation and assessment of a disaster response, local health departments should consider how they can: establish a culture of learning within health departments; use embedded training methods; or facilitate external partnerships. Secondly, to enhance the widespread dissemination of lessons learned and facilitate inter-agency learning, evaluation reports should use standardised formats and terminology. Lastly, to increase commitment to improvement processes, local health department leaders should possess positive leadership attributes and encourage shared decision making. This study is among the first to conduct a synthesis of the CMO configurations which facilitate or hinder M&E efforts aimed at improving future disaster responses. It makes a significant contribution to the disaster literature and provides an evidence base that can be used to provide pragmatic guidance for improving M&E efforts of local health departments. PROSPERO 2015: CRD42015023526 .

Synthesis of modified proanthocyanidins: easy and general introduction of a hydroxy group at C-6 of catechin; efficient synthesis of elephantorrhizol.

PubMed

Boyer, François-Didier; Es-Safi, Nour-Eddine; Beauhaire, Josiane; Guernevé, Christine Le; Ducrot, Paul-Henri

2005-02-01

A general procedure for the oxidation of catechin derivatives is described, leading to the introduction of a new hydroxy group at C-6. This procedure has been applied for the synthesis of elephantorrhizol, a natural flavan-3-ol exhibiting a fully substituted cycle A.

Identifying Differential Item Functioning of Rating Scale Items with the Rasch Model: An Introduction and an Application

ERIC Educational Resources Information Center

Myers, Nicholas D.; Wolfe, Edward W.; Feltz, Deborah L.; Penfield, Randall D.

2006-01-01

This study (a) provided a conceptual introduction to differential item functioning (DIF), (b) introduced the multifaceted Rasch rating scale model (MRSM) and an associated statistical procedure for identifying DIF in rating scale items, and (c) applied this procedure to previously collected data from American coaches who responded to the coaching…

Early post-tsunami disaster medical assistance to Banda Aceh: a personal account.

PubMed

Garner, Alan A; Harrison, Ken

2006-02-01

The south Asian tsunami on 26 December, 2004, saw Australia deploy civilian teams to an international disaster in large numbers for the first time. The logistics of supporting such teams in both a self sustainability capacity and medical equipment had not previously been planned for or tested. For the first Australian team deployed to Banda Aceh, which arrived on the fourth day after the tsunami, equipment sourced from the New South Wales Fire Brigades Urban Search and Rescue (US&R) cache supplied all food, water, tents, generators and sleeping equipment. The medical equipment was largely sourced from the CareFlight US&R medical cache. There were significant deficits in surgical equipment as the medical cache had not been designed to provide a stand alone surgical capability. This resulted in the need for substantial improvisation by the surgical teams during the deployment. Despite this, the team performed nearly 140 major procedures in austere circumstances and significantly contributed to the early international response to this major humanitarian disaster.

A terrorism response plan for hospital security and safety officers.

PubMed

White, Donald E

2002-01-01

Security and Safety managers in today's healthcare facilities need to factor terrorism response into their emergency management plans, separate from the customary disaster plans and the comparatively recent security plans. Terrorism incidents will likely be security occurrences that use a weapon of mass destruction to magnify the incidents into disasters. Facility Y2K Plans can provide an excellent framework for the detailed contingency planning needed for terrorism response by healthcare facilities. Tabbed binder notebooks, with bulleted procedures and contact points for each functional section, can provide security and safety officers with at-a-glance instructions for quick 24/7 implementation. Each functional section should focus upon what activities or severity levels trigger activation of the backup processes. Network with your countywide, regional, and/or state organizations to learn what your peers are doing. Comprehensively inventory your state, local, and commercial resources so that you have alternate providers readily available 24/7 to assist your facility upon disasters.

What should the African health workforce know about disasters? Proposed competencies for strengthening public health disaster risk management education in Africa.

PubMed

Olu, Olushayo; Usman, Abdulmumini; Kalambay, Kalula; Anyangwe, Stella; Voyi, Kuku; Orach, Christopher Garimoi; Azazh, Aklilu; Mapatano, Mala Ali; Nsenga, Ngoy; Manga, Lucien; Woldetsadik, Solomon; Nguessan, Francois; Benson, Angela

2018-04-02

As part of efforts to implement the human resources capacity building component of the African Regional Strategy on Disaster Risk Management (DRM) for the health sector, the African Regional Office of the World Health Organization, in collaboration with selected African public health training institutions, followed a multistage process to develop core competencies and curricula for training the African health workforce in public health DRM. In this article, we describe the methods used to develop the competencies, present the identified competencies and training curricula, and propose recommendations for their integration into the public health education curricula of African member states. We conducted a pilot research using mixed methods approaches to develop and test the applicability and feasibility of a public health disaster risk management curriculum for training the African health workforce. We identified 14 core competencies and 45 sub-competencies/training units grouped into six thematic areas: 1) introduction to DRM; 2) operational effectiveness; 3) effective leadership; 4) preparedness and risk reduction; 5) emergency response and 6) post-disaster health system recovery. These were defined as the skills and knowledge that African health care workers should possess to effectively participate in health DRM activities. To suit the needs of various categories of African health care workers, three levels of training courses are proposed: basic, intermediate, and advanced. The pilot test of the basic course among a cohort of public health practitioners in South Africa demonstrated their relevance. These competencies compare favourably to the findings of other studies that have assessed public health DRM competencies. They could provide a framework for scaling up the capacity development of African healthcare workers in the area of public health DRM; however further validation of the competencies is required through additional pilot courses and follow up of the trainees to demonstrate outcome and impact of the competencies and curriculum.

Bounce Back Now! Protocol of a population-based randomized controlled trial to examine the efficacy of a Web-based intervention with disaster-affected families.

PubMed

Ruggiero, Kenneth J; Davidson, Tatiana M; McCauley, Jenna; Gros, Kirstin Stauffacher; Welsh, Kyleen; Price, Matthew; Resnick, Heidi S; Danielson, Carla Kmett; Soltis, Kathryn; Galea, Sandro; Kilpatrick, Dean G; Saunders, Benjamin E; Nissenboim, Josh; Muzzy, Wendy; Fleeman, Anna; Amstadter, Ananda B

2015-01-01

Disasters have far-reaching and potentially long-lasting effects on youth and families. Research has consistently shown a clear increase in the prevalence of several mental health disorders after disasters, including depression and posttraumatic stress disorder. Widely accessible evidence-based interventions are needed to address this unmet need for youth and families, who are underrepresented in disaster research. Rapid growth in Internet and Smartphone access, as well as several Web based evaluation studies with various adult populations has shown that Web-based interventions are likely to be feasible in this context and can improve clinical outcomes. Such interventions also are generally cost-effective, can be targeted or personalized, and can easily be integrated in a stepped care approach to screening and intervention delivery. This is a protocol paper that describes an innovative study design in which we evaluate a self-help Web-based resource, Bounce Back Now, with a population-based sample of disaster affected adolescents and families. The paper includes description and justification for sampling selection and procedures, selection of assessment measures and methods, design of the intervention, and statistical evaluation of critical outcomes. Unique features of this study design include the use of address-based sampling to recruit a population-based sample of disaster-affected adolescents and parents, telephone and Web-based assessments, and development and evaluation of a highly individualized Web intervention for adolescents. Challenges related to large-scale evaluation of technology-delivered interventions with high-risk samples in time-sensitive research are discussed, as well as implications for future research and practice. Published by Elsevier Inc.

Bounce Back Now! Protocol of a Population-Based Randomized Controlled Trial to Examine the Efficacy of a Web-based Intervention with Disaster-Affected Families

PubMed Central

Ruggiero, Kenneth J.; Davidson, Tatiana M.; McCauley, Jenna; Gros, Kirstin Stauffacher; Welsh, Kyleen; Price, Matthew; Resnick, Heidi S.; Danielson, Carla Kmett; Soltis, Kathryn; Galea, Sandro; Kilpatrick, Dean G.; Saunders, Benjamin E.; Nissenboim, Josh; Muzzy, Wendy; Fleeman, Anna; Amstadter, Ananda B.

2014-01-01

Disasters have far-reaching and potentially long-lasting effects on youth and families. Research has consistently shown a clear increase in the prevalence of several mental health disorders after disasters, including depression and posttraumatic stress disorder. Widely accessible evidence-based interventions are needed to address this unmet need for youth and families, who are underrepresented in disaster research. Rapid growth in Internet and Smartphone access, as well as several web based evaluation studies with various adult populations has shown that web-based interventions are likely to be feasible in this context and can improve clinical outcomes. Such interventions also are generally cost-effective, can be targeted or personalized, and can easily be integrated in a stepped care approach to screening and intervention delivery. This is a protocol paper that describes an innovative study design in which we evaluate a self-help web-based resource, Bounce Back Now, with a population-based sample of disaster affected adolescents and families. The paper includes description and justification for sampling selection and procedures, selection of assessment measures and methods, design of the intervention, and statistical evaluation of critical outcomes. Unique features of this study design include the use of address-based sampling to recruit a population-based sample of disaster-affected adolescents and parents, telephone and web-based assessments, and development and evaluation of a highly individualized web intervention for adolescents. Challenges related to large-scale evaluation of technology-delivered interventions with high-risk samples in time-sensitive research are discussed, as well as implications for future research and practice. PMID:25478956

44 CFR 206.376 - Loan cancellation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... official financial statements of the local government. (2) “Revenue” means any source of income from taxes... procedures. (1) If the tax rates and other revenues or the tax assessment valuation of property which was not... major disaster, the tax rates and other revenues and tax assessment valuation factors applicable to such...

33 CFR 203.47 - Modifications to non-Federal flood control works.

Code of Federal Regulations, 2010 CFR

2010-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... Federal construction cost of rehabilitation to preflood level of protection, or $100,000, whichever is... only in cash. In-kind services are not permitted for modification work. (b) Protection of additional...

33 CFR 203.47 - Modifications to non-Federal flood control works.

Code of Federal Regulations, 2014 CFR

2014-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... Federal construction cost of rehabilitation to preflood level of protection, or $100,000, whichever is... only in cash. In-kind services are not permitted for modification work. (b) Protection of additional...

33 CFR 203.47 - Modifications to non-Federal flood control works.

Code of Federal Regulations, 2011 CFR

2011-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... Federal construction cost of rehabilitation to preflood level of protection, or $100,000, whichever is... only in cash. In-kind services are not permitted for modification work. (b) Protection of additional...

33 CFR 203.47 - Modifications to non-Federal flood control works.

Code of Federal Regulations, 2012 CFR

2012-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... Federal construction cost of rehabilitation to preflood level of protection, or $100,000, whichever is... only in cash. In-kind services are not permitted for modification work. (b) Protection of additional...

33 CFR 203.47 - Modifications to non-Federal flood control works.

Code of Federal Regulations, 2013 CFR

2013-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... Federal construction cost of rehabilitation to preflood level of protection, or $100,000, whichever is... only in cash. In-kind services are not permitted for modification work. (b) Protection of additional...

77 FR 41248 - Disaster Designation Process

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-13

... handbooks, because we believe that in this instance that is the appropriate location for the level of detail about internal procedures reflected in the comments. FSA handbooks are available to the public. This... the handbook, where they more properly belong. A conforming change is made to amend 7 CFR part 762...

Guidelines for Automatic Data Processing Physical Security and Risk Management. Federal Information Processing Standards Publication 31.

ERIC Educational Resources Information Center

National Bureau of Standards (DOC), Washington, DC.

These guidelines provide a handbook for use by federal organizations in structuring physical security and risk management programs for their automatic data processing facilities. This publication discusses security analysis, natural disasters, supporting utilities, system reliability, procedural measures and controls, off-site facilities,…

44 CFR 206.432 - Federal grant assistance.

Code of Federal Regulations, 2010 CFR

2010-10-01

... funding available under the State's grant, as well as limitations and special procedures applicable to... effect before the disaster declaration, which meets the requirements outlined in § 201.5 of this... contribute up to 75 percent of the cost of measures approved for funding under the Hazard Mitigation Grant...

44 CFR 206.432 - Federal grant assistance.

Code of Federal Regulations, 2013 CFR

2013-10-01

... funding available under the State's grant, as well as limitations and special procedures applicable to... effect before the disaster declaration, which meets the requirements outlined in § 201.5 of this... contribute up to 75 percent of the cost of measures approved for funding under the Hazard Mitigation Grant...

44 CFR 206.203 - Federal grant assistance.

Code of Federal Regulations, 2011 CFR

2011-10-01

... eligible costs documented by a grantee. Such $35,000 amount shall be adjusted annually to reflect changes... procedures applicable to each. (b) Cost sharing. All projects approved under State disaster assistance grants will be subject to the cost sharing provisions established in the FEMA-State Agreement and the Stafford...

33 CFR 203.84 - Forms of local participation-cost sharing.

Code of Federal Regulations, 2011 CFR

2011-07-01

... sharing. 203.84 Section 203.84 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...; and/or accomplishment of work either concurrently or within a specified reasonable period of time. The...

33 CFR 203.84 - Forms of local participation-cost sharing.

Code of Federal Regulations, 2013 CFR

2013-07-01

... sharing. 203.84 Section 203.84 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...; and/or accomplishment of work either concurrently or within a specified reasonable period of time. The...

33 CFR 203.84 - Forms of local participation-cost sharing.

Code of Federal Regulations, 2012 CFR

2012-07-01

... sharing. 203.84 Section 203.84 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...; and/or accomplishment of work either concurrently or within a specified reasonable period of time. The...

33 CFR 203.84 - Forms of local participation-cost sharing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... sharing. 203.84 Section 203.84 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...; and/or accomplishment of work either concurrently or within a specified reasonable period of time. The...

33 CFR 203.84 - Forms of local participation-cost sharing.

Code of Federal Regulations, 2014 CFR

2014-07-01

... sharing. 203.84 Section 203.84 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Local...; and/or accomplishment of work either concurrently or within a specified reasonable period of time. The...

44 CFR 66.1 - Purpose of part.

Code of Federal Regulations, 2013 CFR

2013-10-01

... SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program CONSULTATION WITH LOCAL OFFICIALS § 66.1 Purpose of part. (a) The purpose of this part is to comply with section 206 of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4107) by establishing procedures for flood elevation...

44 CFR 66.1 - Purpose of part.

Code of Federal Regulations, 2012 CFR

2012-10-01

... SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program CONSULTATION WITH LOCAL OFFICIALS § 66.1 Purpose of part. (a) The purpose of this part is to comply with section 206 of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4107) by establishing procedures for flood elevation...

44 CFR 66.1 - Purpose of part.

Code of Federal Regulations, 2014 CFR

2014-10-01

... SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program CONSULTATION WITH LOCAL OFFICIALS § 66.1 Purpose of part. (a) The purpose of this part is to comply with section 206 of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4107) by establishing procedures for flood elevation...

44 CFR 66.1 - Purpose of part.

Code of Federal Regulations, 2011 CFR

2011-10-01

... SECURITY INSURANCE AND HAZARD MITIGATION National Flood Insurance Program CONSULTATION WITH LOCAL OFFICIALS § 66.1 Purpose of part. (a) The purpose of this part is to comply with section 206 of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4107) by establishing procedures for flood elevation...

47 CFR 2.1501 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 1 2010-10-01 2010-10-01 false Introduction. 2.1501 Section 2.1501 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL FREQUENCY ALLOCATIONS AND RADIO TREATY MATTERS; GENERAL... Radiobeacons (EPIRBs) General § 2.1501 Introduction. The procedure described herein sets forth uniform methods...

Principles and practical procedures for acute psychological first aid training for personnel without mental health experience.

PubMed

Everly, George S; Flynn, Brian W

2006-01-01

Most authorities agree that mass disasters leave in their wake a need for some form of acute mental health services. However, a review of current literature on crisis intervention and disaster mental health reveals differing points of view on the methods that should be employed (Raphael, 1986; NIMH, 2002). Nevertheless, there appears to be virtual universal endorsement, by relevant authorities, of the value of acute "psychological first aid" (American Psychiatric Association, 1954; USDHHS, 2004; Raphael, 1986; NIMH, 2002; Institute of Medicine, 2003; WHO, 2003; DoD/VAPTSD, 2004; Ritchie, et al., 2004; Friedman, Hamblin, Foa, & Charney, 2004). Psychological first aid (PFA), as an acute mental health intervention, seems uniquely applicable to public health settings, the workplace, the military, mass disaster venues, and even the demands of more well circumscribed critical incidents, e.g., dealing with the psychological aftermath of accidents, robberies, suicide, homicide, or community violence. In this document, we shall introduce the notion of psychological first aid (PFA) as one aspect of a psychological continuum of care, offer a rudimentary definition of PFA, and provide the reader with a practicalframework for its implementation utilizing the individual psychological first aid (iPFA)format. The goal of this paper is to better prepare public health, public safety, and other disaster response personnel who do not possess formal clinical mental health degrees or specialized training to provide iPFA services to primary and secondary disaster victims.

Cognitive and psychological reactions of the general population three months after the 2011 Tohoku earthquake and tsunami.

PubMed

Kyutoku, Yasushi; Tada, Ryoko; Umeyama, Takahiko; Harada, Kenji; Kikuchi, Senichiro; Watanabe, Eiju; Liegey-Dougall, Angela; Dan, Ippeita

2012-01-01

The largest earthquake on record in Japan (magnitude 9.0) occurred on March 11, 2011, and the subsequent tsunami devastated the Pacific coast of Northern Japan. These further triggered the Fukushima I nuclear power plant accidents. Such a hugely complex disaster inevitably has negative psychological effects on general populations as well as on the direct victims. While previous disaster studies enrolled descriptive approaches focusing on direct victims, the structure of the psychological adjustment process of people from the general population has remained uncertain. The current study attempted to establish a path model that sufficiently reflects the early psychological adaptation process of the general population to large-scale natural disasters. Participants from the primary disaster area (n = 1083) and other areas (n = 2372) voluntarily participated in an online questionnaire study. By constructing path models using a structural equation model procedure (SEM), we examined the structural relationship among psychological constructs known related to disasters. As post-traumatic stress symptoms (PTS) were significantly more present in people in the primarily affected area than in those in secondary- or non-affected areas, the path models were constructed for the primary victims. The parsimoniously depicted model with the best fit was achieved for the psychological-adjustment centered model with quality of life (QoL) as a final outcome. The paths to QoL via negative routes (from negative cognitive appraisal, PTS, and general stress) were dominant, suggesting the importance of clinical intervention for reducing negative cognitive appraisal, and for caring for general stress and PTS to maintain QoL at an early stage of psychological adaptation to a disaster. The model also depicted the presence of a positive route where positive cognitive appraisal facilitates post-traumatic growth (PTG) to achieve a higher QoL, suggesting the potential importance of positive psychological preventive care for unexpected natural disasters.

Cognitive and Psychological Reactions of the General Population Three Months After the 2011 Tohoku Earthquake and Tsunami

PubMed Central

Kyutoku, Yasushi; Tada, Ryoko; Umeyama, Takahiko; Harada, Kenji; Kikuchi, Senichiro; Watanabe, Eiju; Liegey-Dougall, Angela; Dan, Ippeita

2012-01-01

Background The largest earthquake on record in Japan (magnitude 9.0) occurred on March 11, 2011, and the subsequent tsunami devastated the Pacific coast of Northern Japan. These further triggered the Fukushima I nuclear power plant accidents. Such a hugely complex disaster inevitably has negative psychological effects on general populations as well as on the direct victims. While previous disaster studies enrolled descriptive approaches focusing on direct victims, the structure of the psychological adjustment process of people from the general population has remained uncertain. The current study attempted to establish a path model that sufficiently reflects the early psychological adaptation process of the general population to large-scale natural disasters. Methods and Findings Participants from the primary disaster area (n = 1083) and other areas (n = 2372) voluntarily participated in an online questionnaire study. By constructing path models using a structural equation model procedure (SEM), we examined the structural relationship among psychological constructs known related to disasters. As post-traumatic stress symptoms (PTS) were significantly more present in people in the primarily affected area than in those in secondary- or non-affected areas, the path models were constructed for the primary victims. The parsimoniously depicted model with the best fit was achieved for the psychological-adjustment centered model with quality of life (QoL) as a final outcome. Conclusion The paths to QoL via negative routes (from negative cognitive appraisal, PTS, and general stress) were dominant, suggesting the importance of clinical intervention for reducing negative cognitive appraisal, and for caring for general stress and PTS to maintain QoL at an early stage of psychological adaptation to a disaster. The model also depicted the presence of a positive route where positive cognitive appraisal facilitates post-traumatic growth (PTG) to achieve a higher QoL, suggesting the potential importance of positive psychological preventive care for unexpected natural disasters. PMID:22347421

The regional geological hazard forecast based on rainfall and WebGIS in Hubei, China

NASA Astrophysics Data System (ADS)

Zheng, Guizhou; Chao, Yi; Xu, Hongwen

2008-10-01

Various disasters have been a serious threat to human and are increasing over time. The reduction and prevention of hazard is the largest problem faced by local governments. The study of disasters has drawn more and more attention mainly due to increasing awareness of the socio-economic impact of disasters. Hubei province, one of the highest economic developing provinces in China, suffered big economic losses from geo-hazards in recent years due to frequent geo-hazard events with the estimated damage of approximately 3000 million RMB. It is therefore important to establish an efficient way to mitigate potential damage and reduce losses of property and life derived from disasters. This paper presents the procedure of setting up a regional geological hazard forecast and information releasing system of Hubei province with the combination of advanced techniques such as World Wide Web (WWW), database online and ASP based on WEBGIS platform (MAPGIS-IMS) and rainfall information. A Web-based interface was developed using a three-tiered architecture based on client-server technology in this system. The study focused on the upload of the rainfall data, the definition of rainfall threshold values, the creation of geological disaster warning map and the forecast of geohazard relating to the rainfall. Its purposes are to contribute to the management of mass individual and regional geological disaster spatial data, help to forecast the conditional probabilities of occurrence of various disasters that might be posed by the rainfall, and release forecasting information of Hubei province timely via the internet throughout all levels of government, the private and nonprofit sectors, and the academic community. This system has worked efficiently and stably in the internet environment which is strongly connected with meteorological observatory. Environment Station of Hubei Province are making increased use of our Web-tool to assist in the decision-making process to analyze geo-hazard in Hubei Province. It would be more helpful to present the geo-hazard information for Hubei administrator.

Assessment of the Change Detection Procedure Dedicated to Flood Monitoring Using Envisat Wide Swath Mode Data

NASA Astrophysics Data System (ADS)

Li, Jiren; Yesou, Herve; Malosti, Rita; Andreoli, Remi; Huang, Shifeng; Xin, Jingfeng; Cattaneo, Fabrizia

2008-04-01

The Flood Dragon project enhances the Envisat contribution for natural disaster monitoring. Flood DFRAGON project had much more exploited the ENVISAT resource for crisis management than the International Charter Space and major Disasters since 2002. Indeed, during the 2005, 2006 and 2007 Chinese flood seasons, over the 27 attempted NRT exploitations of Envisat, 23 were successful. Obtained results over floods, affecting Yangtze and Songua, Huaihe watersheds as pollution events on Taihue lake and Nen River are illustrated. Lessons are discussed in terms of programming, downloading, processing, and images type and format. Recommendations for the background mission of the future Sentinel 1 constellation are given.

Fault-tolerant back-up archive using an ASP model for disaster recovery

NASA Astrophysics Data System (ADS)

Liu, Brent J.; Huang, H. K.; Cao, Fei; Documet, Luis; Sarti, Dennis A.

2002-05-01

A single point of failure in PACS during a disaster scenario is the main archive storage and server. When a major disaster occurs, it is possible to lose an entire hospital's PACS data. Few current PACS archives feature disaster recovery, but the design is limited at best. These drawbacks include the frequency with which the back-up is physically removed to an offsite facility, the operational costs associated to maintain the back-up, the ease-of-use to perform the backup consistently and efficiently, and the ease-of-use to perform the PACS image data recovery. This paper describes a novel approach towards a fault-tolerant solution for disaster recovery of short-term PACS image data using an Application Service Provider model for service. The ASP back-up archive provides instantaneous, automatic backup of acquired PACS image data and instantaneous recovery of stored PACS image data all at a low operational cost. A back-up archive server and RAID storage device is implemented offsite from the main PACS archive location. In the example of this particular hospital, it was determined that at least 2 months worth of PACS image exams were needed for back-up. Clinical data from a hospital PACS is sent to this ASP storage server in parallel to the exams being archived in the main server. A disaster scenario was simulated and the PACS exams were sent from the offsite ASP storage server back to the hospital PACS. Initially, connectivity between the main archive and the ASP storage server is established via a T-1 connection. In the future, other more cost-effective means of connectivity will be researched such as the Internet 2. A disaster scenario was initiated and the disaster recovery process using the ASP back-up archive server was success in repopulating the clinical PACS within a short period of time. The ASP back-up archive was able to recover two months of PACS image data for comparison studies with no complex operational procedures. Furthermore, no image data loss was encountered during the recovery.

Chapter 5. Essential equipment, pharmaceuticals and supplies. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.

PubMed

Sprung, Charles L; Kesecioglu, Jozef

2010-04-01

To provide recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza pandemic or mass disaster with a specific focus on essential equipment, pharmaceuticals and supplies. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including essential equipment, pharmaceuticals and supplies. Key recommendations include: (1) ensure that adequate essential medical equipment, pharmaceuticals and important supplies are available during a disaster; (2) develop a communication and coordination system between health care facilities and local/regional/state/country governmental authorities for the provision of additional support; (3) determine the required resources, order and stockpile adequate resources, and judiciously distribute them; (4) acquire additional mechanical ventilators that are portable, provide adequate gas exchange for a range of clinical conditions, function with low-flow oxygen and without high pressure, and are safe for patients and staff; (5) provide advanced ventilatory support and rescue therapies including high levels of inspired oxygen and positive end-expiratory pressure, volume and pressure control ventilation, inhaled nitric oxide, high-frequency ventilation, prone positioning ventilation and extracorporeal membrane oxygenation; (6) triage scarce resources including equipment, pharmaceuticals and supplies based on those who are likely to benefit most or on a 'first come, first served' basis. Judicious planning and adoption of protocols for providing adequate equipment, pharmaceuticals and supplies are necessary to optimize outcomes during a pandemic.

Field amputation: response planning and legal considerations inspired by three separate amputations.

PubMed

Raines, Alexander; Lees, Jason; Fry, William; Parks, Aaron; Tuggle, David

2014-01-01

Surgical procedures in the field are occasionally required as life-saving measures. Few centers have a planned infrastructure for field physician support. Focused efforts are needed to create teams that can meet such needs. Additionally, certain legal issues surrounding these efforts should be considered. Three cases of field dismemberment inspired this call for preparation. In one case, an earthquake caused the collapse of a bridge, entrapping a child within a car. A through-knee amputation was required to free the patient with local anesthetic only. The second case was the result of a truck bomb causing the collapse of a building whereby a victim was trapped by a pillar. After retrieval of supplies from a local hospital, a through-knee amputation was performed. The third case involved a young man whose arm became entangled in an oil derrick. This patient was sedated and intubated in an erect position and the arm was amputated. Fortunately, each of these victims survived. However, the care these patients received was unplanned and had the potential for failure. The authors feel that disaster teams, including a surgeon, should be identified in advance as responders to a disaster on short notice. Legal issues including statespecific Good Samaritan laws and financial support systems must also be considered. As hospitals and trauma systems prepare for disaster situations, they should consider the eventuality of field dismemberment. This involves identifying a team, including a surgeon, and devising an infrastructure allowing rapid response capabilities, including surgical procedures in the field.

Disaster Victim Identification using Orthopedic Implants in the 2011 East-Japan Earthquake and Tsunami.

PubMed

Numata, Norio; Makinae, Haruka; Yoshida, Wataru; Daimon, Masao; Murakami, Hideki

2017-03-01

On March 11, 2011, an earthquake (magnitude 9.0) devastated Japan's east coast, and the associated tsunami resulted in social and mechanical destruction. Search for the missing people is still ongoing. Surgical implants are common in the general population. Medical implants usually have lot numbers, and their forensic use is common for victim identification. This investigation was conducted mainly in the cities of Kamaishi and Otsuchi, both of which were affected by the tsunami disaster in 2011. We visited 6 mortuaries with the police between March 20 (9 days after the tsunami) and April 20 (40 days after the tsunami) to examine the presence of surgical scars and related information. Unidentified human remains were investigated by visual and tactile examination. We also visited temples where the ashes were preserved. If implants were found, their lot numbers and estimated surgical procedures were recorded to determine positive identification. Ten of 233 sets of unidentified human remains before cremation displayed characteristics of a potential past surgical history. However, only 2 of these 233 sets had orthopedic implants. Instead, non-combustible orthopedic implants were found and recognized in 8 of the 331 sets of unidentified human ashes in the temples after cremation; the lot numbers were fully legible in 2 of the 8 sets. We estimated the surgical procedures, which led to positive identification. In conclusion, lot numbers and the surgical knowledge of orthopedic surgeons could assist with the positive identification of disaster victims. However, the relevant information can be erased after cremation.

An experimental system for flood risk forecasting and monitoring at global scale

NASA Astrophysics Data System (ADS)

Dottori, Francesco; Alfieri, Lorenzo; Kalas, Milan; Lorini, Valerio; Salamon, Peter

2017-04-01

Global flood forecasting and monitoring systems are nowadays a reality and are being applied by a wide range of users and practitioners in disaster risk management. Furthermore, there is an increasing demand from users to integrate flood early warning systems with risk based forecasting, combining streamflow estimations with expected inundated areas and flood impacts. Finally, emerging technologies such as crowdsourcing and social media monitoring can play a crucial role in flood disaster management and preparedness. Here, we present some recent advances of an experimental procedure for near-real time flood mapping and impact assessment. The procedure translates in near real-time the daily streamflow forecasts issued by the Global Flood Awareness System (GloFAS) into event-based flood hazard maps, which are then combined with exposure and vulnerability information at global scale to derive risk forecast. Impacts of the forecasted flood events are evaluated in terms of flood prone areas, potential economic damage, and affected population, infrastructures and cities. To increase the reliability of our forecasts we propose the integration of model-based estimations with an innovative methodology for social media monitoring, which allows for real-time verification and correction of impact forecasts. Finally, we present the results of preliminary tests which show the potential of the proposed procedure in supporting emergency response and management.

Office-based procedures for diagnosis and treatment of esophageal pathology.

PubMed

Wellenstein, David J; Schutte, Henrieke W; Marres, Henri A M; Honings, Jimmie; Belafsky, Peter C; Postma, Gregory N; Takes, Robert P; van den Broek, Guido B

2017-09-01

Diagnostic and therapeutic office-based procedures under topical anesthesia are emerging in the daily practice of laryngologists and head and neck surgeons. Since the introduction of the transnasal esophagoscope, office-based procedures for the esophagus are increasingly performed. We conducted a systematic review of literature on office-based procedures under topical anesthesia for the esophagus. Transnasal esophagoscopy is an extensively investigated office-based procedure. This procedure shows better patient tolerability and equivalent accuracy compared to conventional transoral esophagoscopy, as well as time and cost savings. Secondary tracheoesophageal puncture, esophageal dilatation, esophageal sphincter injection, and foreign body removal are less investigated, but show promising results. With the introduction of the transnasal esophagoscope, an increasing number of diagnostic and therapeutic office-based procedures for the esophagus are possible, with multiple advantages. Further investigation must prove the clinical feasibility and effectiveness of the therapeutic office-based procedures. © 2017 Wiley Periodicals, Inc.

Methodology for a GIS-based damage assessment for researchers following large scale disasters

NASA Astrophysics Data System (ADS)

Crawford, Patrick Shane

The 1990s were designated the International Decade for Natural Disaster Reduction by the United Nations General Assembly. This push for decrease of loss of life, property destruction, and social and economic disruption brought advancements in disaster management, including damage assessment. Damage assessment in the wake of natural and manmade disasters is a useful tool for government agencies, insurance companies, and researchers. As technologies evolve damage assessment processes constantly evolve as well. Alongside the advances in Geographic Information Systems (GIS), remote sensing, and Global Positioning System (GPS) technology, as well as the growing awareness of the needs of a standard operating procedure for GIS-based damage assessment and a need to make the damage assessment process as quick and accurate as possible, damage assessment procedures are becoming easier to execute and the results are becoming more accurate and robust. With these technological breakthroughs, multi-disciplinary damage assessment reconnaissance teams have become more efficient in their assessment methods through better organization and more robust through addition of new datasets. Damage assessment personnel are aided by software tools that offer high-level analysis and increasingly rapid damage assessment methods. GIS software has advanced the damage assessment methods of these teams by combining remotely sensed aerial imagery, GPS, and other technologies to expand the uses of the data. GIS allows researchers to use aerial imagery to show field collected data in the geographic location that it was collected so that information can be revisited, measurements can be taken, and data can be disseminated to other researchers and the public. The GIS-based data available to the reconnaissance team includes photographs of damage, worksheets, calculations, voice messages collected while studying the affected area, and many other datasets which are based on the type of disaster and the research field. Along with visually mapping the data, geometric calculations can be conducted on the data to give the viewer more information about the damage. In Chapter 4, a tornado damage contour for Moore, Oklahoma following the May 20, 2013 tornado is shown. This damage contour was created in GIS based on the Enhanced Fujita (EF) damage scale, and gives the viewer an easily understood picture of the extent and distribution of the tornado. This thesis aims to describe a foundational groundwork for activities that are performed in the GIS-based damage assessment procedure and provide uses for the damage assessment as well as research being conducted on how to use the data collected from these assessments. This will allow researchers to conduct a highly adaptable, rapid GIS-based damage assessment of their own.

40 CFR 86.1405 - Introduction; structure of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

...-Duty Trucks; Certification Short Test Procedures § 86.1405 Introduction; structure of subpart. (a) This... 40 Protection of Environment 19 2010-07-01 2010-07-01 false Introduction; structure of subpart. 86.1405 Section 86.1405 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS...

40 CFR 86.105 - Introduction; structure of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Introduction; structure of subpart. 86.105 Section 86.105 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... Heavy-Duty Vehicles; Test Procedures § 86.105 Introduction; structure of subpart. (a) This subpart...

18 CFR 401.0 - Introduction.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 18 Conservation of Power and Water Resources 2 2011-04-01 2011-04-01 false Introduction. 401.0 Section 401.0 Conservation of Power and Water Resources DELAWARE RIVER BASIN COMMISSION ADMINISTRATIVE MANUAL RULES OF PRACTICE AND PROCEDURE § 401.0 Introduction. (a) The Delaware River Basin Compact...

Emotional consequences of nuclear power plant disasters.

PubMed

Bromet, Evelyn J

2014-02-01

The emotional consequences of nuclear power plant disasters include depression, anxiety, post-traumatic stress disorder, and medically unexplained somatic symptoms. These effects are often long term and associated with fears about developing cancer. Research on disasters involving radiation, particularly evidence from Chernobyl, indicates that mothers of young children and cleanup workers are the highest risk groups. The emotional consequences occur independently of the actual exposure received. In contrast, studies of children raised in the shadows of the Three Mile Island (TMI) and Chernobyl accidents suggest that although their self-rated health is less satisfactory than that of their peers, their emotional, academic, and psychosocial development is comparable. The importance of the psychological impact is underscored by its chronicity and by several studies showing that poor mental health is associated with physical health conditions, early mortality, disability, and overuse of medical services. Given the established increase in mental health problems following TMI and Chernobyl, it is likely that the same pattern will occur in residents and evacuees affected by the Fukushima meltdowns. Preliminary data from Fukushima indeed suggest that workers and mothers of young children are at risk of depression, anxiety, psychosomatic, and post-traumatic symptoms both as a direct result of their fears about radiation exposure and an indirect result of societal stigma. Thus, it is important that non-mental health providers learn to recognize and manage psychological symptoms and that medical programs be designed to reduce stigma and alleviate psychological suffering by integrating psychiatric and medical treatment within the walls of their clinics.Introduction of Emotional Consequences of Nuclear Power Plant Disasters (Video 2:15, http://links.lww.com/HP/A34).

Common Core Curriculum for Vocational Education. Category G: Evaluation and Research. G-3: Introduction to Research Procedures in Vocational Education.

ERIC Educational Resources Information Center

Moshier, Kenneth

This module providing an introduction to research procedures is one of a set of five on evaluation and research and is part of a larger series of thirty-four modules constituting a core curriculum for use in the professional preparation of vocational educators in the areas of agricultural, business, home economics, and industrial education.…

14 CFR 34.60 - Introduction.

Code of Federal Regulations, 2014 CFR

2014-01-01

... EXHAUST EMISSION REQUIREMENTS FOR TURBINE ENGINE POWERED AIRPLANES Test Procedures for Engine Exhaust Gaseous Emissions (Aircraft and Aircraft Gas Turbine Engines) § 34.60 Introduction. (a) Use the equipment...

New directions in building a scientific social network

PubMed Central

Hennon, Meredith; LaPorte, Ronald E.; Shubnikov, Eugene; Linkov, Faina

2012-01-01

Introduction Networking leaders in the field of public health and medicine is very important for improving health locally and globally, especially in times of disaster. Methods Fishing can best be defined as using an internet search engine to find the name and email address of the person or organization that is being sought. Results With over 500 hours of work, the group compiled a list of nearly 2,000 email addresses of Ministers of Health, deans of the 1,800 medical schools and schools of public health, and heads of medical and public health societies.

40 CFR 86.1305-2004 - Introduction; structure of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 19 2010-07-01 2010-07-01 false Introduction; structure of subpart. 86.1305-2004 Section 86.1305-2004 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... Exhaust Test Procedures § 86.1305-2004 Introduction; structure of subpart. (a) This subpart describes the...

20 CFR 416.601 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Introduction. 416.601 Section 416.601 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Representative Payment § 416.601 Introduction. (a) Explanation of representative payment. This subpart explains the principles and procedures...

77 FR 67285 - Debris Removal: Eligibility of Force Account Labor Straight-Time Costs Under the Public...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-09

... Act authorized a Public Assistance Pilot Program intended to reduce the costs to the Federal... salaries and benefits of the employees of Public Assistance applicants who perform disaster-related debris... procedure of the Public Assistance Pilot Program also resulted in cost and time savings. Funding straight...

Action Guide for Emergency Management at Institutions of Higher Education

ERIC Educational Resources Information Center

US Department of Education, 2009

2009-01-01

Because of recent violent crimes, natural disasters, and other emergencies or crises, colleges and universities are convening committees and task forces to reexamine or conduct a comprehensive review of policies, procedures, and systems related to campus safety and security. As with many critical areas on the agendas of administrators, campus…

36 CFR 64.6 - Application procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... site including the type of development to be included in the project (if a site plan is available it... project will have any effect on a site in, or eligible for nomination to the National Register of Historic Places. The comments of the SHPO will be included with the application. (4) Flood Disaster Protection Act...

28 CFR 63.3 - References.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.3... Council, 1978 (43 FR 6030). (c) National Flood Insurance Act of 1968, as amended (42 U.S.C. 4001 et seq.) and NFIP criteria (44 CFR part 59 et seq.). (d) Flood Disaster Protection Act of 1973 (Pub. L. 93-234...

28 CFR 63.3 - References.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.3... Council, 1978 (43 FR 6030). (c) National Flood Insurance Act of 1968, as amended (42 U.S.C. 4001 et seq.) and NFIP criteria (44 CFR part 59 et seq.). (d) Flood Disaster Protection Act of 1973 (Pub. L. 93-234...

28 CFR 63.3 - References.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.3... Council, 1978 (43 FR 6030). (c) National Flood Insurance Act of 1968, as amended (42 U.S.C. 4001 et seq.) and NFIP criteria (44 CFR part 59 et seq.). (d) Flood Disaster Protection Act of 1973 (Pub. L. 93-234...

28 CFR 63.3 - References.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.3... Council, 1978 (43 FR 6030). (c) National Flood Insurance Act of 1968, as amended (42 U.S.C. 4001 et seq.) and NFIP criteria (44 CFR part 59 et seq.). (d) Flood Disaster Protection Act of 1973 (Pub. L. 93-234...

28 CFR 63.3 - References.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Administration DEPARTMENT OF JUSTICE (CONTINUED) FLOODPLAIN MANAGEMENT AND WETLAND PROTECTION PROCEDURES § 63.3... Council, 1978 (43 FR 6030). (c) National Flood Insurance Act of 1968, as amended (42 U.S.C. 4001 et seq.) and NFIP criteria (44 CFR part 59 et seq.). (d) Flood Disaster Protection Act of 1973 (Pub. L. 93-234...

Knowledge as a Contingency Factor: Achieving Coordination in Interorganizational Systems

DTIC Science & Technology

2010-09-01

Problem...............................70 b. Vignette 2: Terrorism Threat to an International Event Held in a Archipelagic Environment...72 c. Vignette 3: Containing a Pandemic in a Archipelagic Environment...Operations (NEO) and disaster relief operations), and they also agree that there is no doctrine or procedures written to help them achieve successful

FOI and Fire at the MGM Grand.

ERIC Educational Resources Information Center

Thompson, William N.; Marie, Janice

The fire at the MGM Grand Hotel in Las Vegas, Nevada, brought to light a lack of compliance with the freedom of information philosophy and its supporting statutes. Freedom of information means circulation of important information. However, at the Grand Hotel, the hotel staff had not been properly trained in disaster procedures, the escape…

33 CFR 203.49 - Rehabilitation of Hurricane and Shore Protection Projects.

Code of Federal Regulations, 2013 CFR

2013-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... to the repair/restoration of the HSPP to a pre-storm condition that allows for the adequate functioning of the project, provided that the damage was caused by an extraordinary storm. (2) To be eligible...

33 CFR 203.49 - Rehabilitation of Hurricane and Shore Protection Projects.

Code of Federal Regulations, 2014 CFR

2014-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... to the repair/restoration of the HSPP to a pre-storm condition that allows for the adequate functioning of the project, provided that the damage was caused by an extraordinary storm. (2) To be eligible...

33 CFR 203.49 - Rehabilitation of Hurricane and Shore Protection Projects.

Code of Federal Regulations, 2010 CFR

2010-07-01

... DISASTER PROCEDURES Rehabilitation Assistance for Flood Control Works Damaged by Flood or Coastal Storm... to the repair/restoration of the HSPP to a pre-storm condition that allows for the adequate functioning of the project, provided that the damage was caused by an extraordinary storm. (2) To be eligible...

27 CFR 46.75 - Required information for claim.

Code of Federal Regulations, 2010 CFR

2010-04-01

... duty, on the tobacco products, or cigarette papers or tubes covered by the claim; (e) That no amount of... PRODUCTS AND CIGARETTE PAPERS AND TUBES Disaster Loss Claims Claims Procedure § 46.75 Required information... products, or cigarette papers or tubes has been paid or determined and customs duty has been paid; (b) That...

27 CFR 46.75 - Required information for claim.

Code of Federal Regulations, 2013 CFR

2013-04-01

... duty, on the tobacco products, or cigarette papers or tubes covered by the claim; (e) That no amount of... PRODUCTS AND CIGARETTE PAPERS AND TUBES Disaster Loss Claims Claims Procedure § 46.75 Required information... products, or cigarette papers or tubes has been paid or determined and customs duty has been paid; (b) That...

27 CFR 46.75 - Required information for claim.

Code of Federal Regulations, 2014 CFR

2014-04-01

... duty, on the tobacco products, or cigarette papers or tubes covered by the claim; (e) That no amount of... PRODUCTS AND CIGARETTE PAPERS AND TUBES Disaster Loss Claims Claims Procedure § 46.75 Required information... products, or cigarette papers or tubes has been paid or determined and customs duty has been paid; (b) That...

27 CFR 46.75 - Required information for claim.

Code of Federal Regulations, 2011 CFR

2011-04-01

... duty, on the tobacco products, or cigarette papers or tubes covered by the claim; (e) That no amount of... PRODUCTS AND CIGARETTE PAPERS AND TUBES Disaster Loss Claims Claims Procedure § 46.75 Required information... products, or cigarette papers or tubes has been paid or determined and customs duty has been paid; (b) That...

27 CFR 46.75 - Required information for claim.

Code of Federal Regulations, 2012 CFR

2012-04-01

... duty, on the tobacco products, or cigarette papers or tubes covered by the claim; (e) That no amount of... PRODUCTS AND CIGARETTE PAPERS AND TUBES Disaster Loss Claims Claims Procedure § 46.75 Required information... products, or cigarette papers or tubes has been paid or determined and customs duty has been paid; (b) That...

Chapter 6. Protection of patients and staff during a pandemic. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.

PubMed

Taylor, Bruce L; Montgomery, Hugh E; Rhodes, Andrew; Sprung, Charles L

2010-04-01

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on protection of patients and staff. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including protection of patients and staff. Key recommendations include: (1) prepare infection control and occupational health policies for clinical risks relating to potential disease transmission; (2) decrease clinical risks and provide adequate facilities through advanced planning to maximise capacity by increasing essential equipment, drugs, supplies and encouraging staff availability; (3) create robust systems to maintain staff confidence and safety by minimising non-clinical risks and maintaining or escalating essential services; (4) prepare formal reassurance plans for legal protection; (5) provide assistance to staff working outside their normal domains. Judicious planning and adoption of protocols for protection of patients and staff are necessary to optimise outcomes during a pandemic.

5 CFR 890.801 - Introduction.

Code of Federal Regulations, 2011 CFR

2011-01-01

... EMPLOYEES HEALTH BENEFITS PROGRAM Benefits for Former Spouses § 890.801 Introduction. This subpart sets forth policies and procedures for obtaining health benefits coverage that are unique to former spouses...

5 CFR 890.801 - Introduction.

Code of Federal Regulations, 2013 CFR

2013-01-01

... EMPLOYEES HEALTH BENEFITS PROGRAM Benefits for Former Spouses § 890.801 Introduction. This subpart sets forth policies and procedures for obtaining health benefits coverage that are unique to former spouses...

5 CFR 890.801 - Introduction.

Code of Federal Regulations, 2014 CFR

2014-01-01

... EMPLOYEES HEALTH BENEFITS PROGRAM Benefits for Former Spouses § 890.801 Introduction. This subpart sets forth policies and procedures for obtaining health benefits coverage that are unique to former spouses...

Survey of Preventable Disaster Deaths at Medical Institutions in Areas Affected by the Great East Japan Earthquake: Retrospective Survey of Medical Institutions in Miyagi Prefecture.

PubMed

Yamanouchi, Satoshi; Sasaki, Hiroyuki; Kondo, Hisayoshi; Mase, Tomohiko; Otomo, Yasuhiro; Koido, Yuichi; Kushimoto, Shigeki

2017-10-01

Introduction In 2015, the authors reported the results of a preliminary investigation of preventable disaster deaths (PDDs) at medical institutions in areas affected by the Great East Japan Earthquake (2011). This initial survey considered only disaster base hospitals (DBHs) and hospitals that had experienced at least 20 patient deaths in Miyagi Prefecture (Japan); therefore, hospitals that experienced fewer than 20 patient deaths were not investigated. This was an additional study to the previous survey to better reflect PDD at hospitals across the entire prefecture. Of the 147 hospitals in Miyagi Prefecture, the 14 DBHs and 82 non-DBHs that agreed to participate were included in an on-site survey. A database was created based on the medical records of 1,243 patient deaths that occurred between March 11, 2011 and April 1, 2011, followed by determination of their status as PDDs. A total of 125 cases of PDD were identified among the patients surveyed. The rate of PDD was significantly higher at coastal hospitals than inland hospitals (17.3% versus 6.3%; P<.001). Preventable disaster deaths in non-DBHs were most numerous in facilities with few general beds, especially among patients hospitalized before the disaster in hospitals with fewer than 100 beds. Categorized by area, the most frequent causes of PDD were: insufficient medical resources, disrupted lifelines, delayed medical intervention, and deteriorated environmental conditions in homes and emergency shelters in coastal areas; and were delayed medical intervention and disrupted lifelines in inland areas. Categorized by hospital function, the most frequent causes were: delayed medical intervention, deteriorated environmental conditions in homes and emergency shelters, and insufficient medical resources at DBHs; while those at non-DBHs were disrupted lifelines, insufficient medical resources, delayed medical intervention, and lack of capacity for transport within the area. Preventable disaster death at medical institutions in areas affected by the Great East Japan Earthquake occurred mainly at coastal hospitals with insufficient medical resources, disrupted lifelines, delayed medical intervention, and deteriorated environmental conditions in homes and emergency shelters constituting the main contributing factors. Preventing PDD, in addition to strengthening organizational support and functional enhancement of DBHs, calls for the development of business continuity plans (BCPs) for medical facilities in directly affected areas, including non-DBHs. Yamanouchi S , Sasaki H , Kondo H , Mase T , Otomo Y , Koido Y , Kushimoto S . Survey of preventable disaster deaths at medical institutions in areas affected by the Great East Japan Earthquake: retrospective survey of medical institutions in Miyagi Prefecture. Prehosp Disaster Med. 2017;32(5):515-522.

15 CFR 12.1 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Introduction. 12.1 Section 12.1 Commerce and Foreign Trade Office of the Secretary of Commerce FAIR PACKAGING AND LABELING § 12.1 Introduction. (a) These procedures apply to the discharge of the responsibility given to the Secretary of...

22 CFR 5.1 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Introduction. 5.1 Section 5.1 Foreign Relations DEPARTMENT OF STATE GENERAL ORGANIZATION § 5.1 Introduction. The sections in this part 5 are issued pursuant to section 3 of the Administrative Procedure Act, 5 U.S.C. 552, effective July 4, 1967. ...

26 CFR 40.0-1 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 16 2010-04-01 2010-04-01 true Introduction. 40.0-1 Section 40.0-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES EXCISE TAX PROCEDURAL REGULATIONS § 40.0-1 Introduction. (a) In general. The regulations in this part 40 are...

29 CFR 75.1 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Introduction. 75.1 Section 75.1 Labor Office of the Secretary of Labor DEPARTMENT OF LABOR REVIEW AND CERTIFICATION PROCEDURES FOR RURAL INDUSTRIALIZATION LOAN AND GRANT PROGRAMS UNDER THE CONSOLIDATED FARM AND RURAL DEVELOPMENT ACT OF 1972 § 75.1 Introduction...

40 CFR 86.1305-90 - Introduction; structure of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 19 2010-07-01 2010-07-01 false Introduction; structure of subpart. 86.1305-90 Section 86.1305-90 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Procedures § 86.1305-90 Introduction; structure of subpart. (a) This subpart describes the equipment required...

40 CFR 86.505-78 - Introduction; structure of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 18 2010-07-01 2010-07-01 false Introduction; structure of subpart. 86.505-78 Section 86.505-78 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Regulations for 1978 and Later New Motorcycles; Test Procedures § 86.505-78 Introduction; structure of subpart...

40 CFR 86.1305-2010 - Introduction; structure of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 19 2010-07-01 2010-07-01 false Introduction; structure of subpart. 86... Exhaust Test Procedures § 86.1305-2010 Introduction; structure of subpart. (a) This subpart specifies the... use good engineering judgment when testing under this paragraph (h), and must comply with the...

Enabling heterogenous multi-scale database for emergency service functions through geoinformation technologies

NASA Astrophysics Data System (ADS)

Bhanumurthy, V.; Venugopala Rao, K.; Srinivasa Rao, S.; Ram Mohan Rao, K.; Chandra, P. Satya; Vidhyasagar, J.; Diwakar, P. G.; Dadhwal, V. K.

2014-11-01

Geographical Information Science (GIS) is now graduated from traditional desktop system to Internet system. Internet GIS is emerging as one of the most promising technologies for addressing Emergency Management. Web services with different privileges are playing an important role in dissemination of the emergency services to the decision makers. Spatial database is one of the most important components in the successful implementation of Emergency Management. It contains spatial data in the form of raster, vector, linked with non-spatial information. Comprehensive data is required to handle emergency situation in different phases. These database elements comprise core data, hazard specific data, corresponding attribute data, and live data coming from the remote locations. Core data sets are minimum required data including base, thematic, infrastructure layers to handle disasters. Disaster specific information is required to handle a particular disaster situation like flood, cyclone, forest fire, earth quake, land slide, drought. In addition to this Emergency Management require many types of data with spatial and temporal attributes that should be made available to the key players in the right format at right time. The vector database needs to be complemented with required resolution satellite imagery for visualisation and analysis in disaster management. Therefore, the database is interconnected and comprehensive to meet the requirement of an Emergency Management. This kind of integrated, comprehensive and structured database with appropriate information is required to obtain right information at right time for the right people. However, building spatial database for Emergency Management is a challenging task because of the key issues such as availability of data, sharing policies, compatible geospatial standards, data interoperability etc. Therefore, to facilitate using, sharing, and integrating the spatial data, there is a need to define standards to build emergency database systems. These include aspects such as i) data integration procedures namely standard coding scheme, schema, meta data format, spatial format ii) database organisation mechanism covering data management, catalogues, data models iii) database dissemination through a suitable environment, as a standard service for effective service dissemination. National Database for Emergency Management (NDEM) is such a comprehensive database for addressing disasters in India at the national level. This paper explains standards for integrating, organising the multi-scale and multi-source data with effective emergency response using customized user interfaces for NDEM. It presents standard procedure for building comprehensive emergency information systems for enabling emergency specific functions through geospatial technologies.

Availability and Diversity of Training Programs for Responders to International Disasters and Complex Humanitarian Emergencies

PubMed Central

Jacquet, Gabrielle A.; Obi, Chioma C.; Chang, Mary P.; Bayram, Jamil D.

2014-01-01

Introduction: Volunteers and members of relief organizations increasingly seek formal training prior to international field deployment. This paper identifies training programs for personnel responding to international disasters and complex humanitarian emergencies, and provides concise information – if available- regarding the founding organization, year established, location, cost, duration of training, participants targeted, and the content of each program. Methods: An environmental scan was conducted through a combination of a peer-reviewed literature search and an open Internet search for the training programs. Literature search engines included EMBASE, Cochrane, Scopus, PubMed, Web of Science databases using the search terms “international,” “disaster,” “complex humanitarian emergencies,” “training,” and “humanitarian response”. Both searches were conducted between January 2, 2013 and September 12, 2013. Results: 14 peer-reviewed articles mentioned or described eight training programs, while open Internet search revealed 13 additional programs. In total, twenty-one training programs were identified as currently available for responders to international disasters and CHE. Each of the programs identified has different goals and objectives, duration, expenses, targeted trainees and modules. Each of the programs identified has different goals and objectives, duration, expenses, targeted trainees and modules. Seven programs (33%) are free of charge and four programs (19%) focus on the mental aspects of disasters. The mean duration for each training program is 5 to 7 days. Fourteen of the trainings are conducted in multiple locations (66%), two in Cuba (9%) and two in Australia (9%). The cost-reported in US dollars- ranges from $100 to $2,400 with a mean cost of $480 and a median cost of $135. Most of the programs are open to the public, but some are only available by invitation only, such as the International Mobilization Preparation for Action (IMPACT) and the United Nations Humanitarian Civil-Military Coordination (UN-CMCoord) Field Course. Conclusions: A variety of training programs are available for responders to disasters and complex humanitarian emergencies. These programs vary in their objectives, audiences, modules, geographical locations, eligibility and financial cost. This paper presents an overview of available programs and serves as a resource for potential responders interested in capacity-building training prior to deployment. PMID:24987573

Voluntary Health Registry of French Nationals after the Great East Japan Earthquake, Tsunami, and Fukushima Daiichi Nuclear Power Plant Accident: Methods, Results, Implications, and Feedback.

PubMed

Motreff, Yvon; Pirard, Philippe; Lagrée, Céline; Roudier, Candice; Empereur-Bissonnet, Pascal

2016-06-01

Introduction The 11th of March 2011, a magnitude 9.0 earthquake struck alongside the north-east coast of Honshu Island, Japan, causing a tsunami and a major nuclear accident. The French Institute for Public Health Surveillance (InVS) set up, within one week after the triple catastrophe, an Internet-based registry for French nationals who were in Japan at the time of the disasters. In this string of disasters, in this context of uncertainties about the nuclear risks, the aim of this registry was to facilitate the: (1) realization of further epidemiologic studies, if needed; and (2) contact of people if a medical follow-up was needed. The purpose of this report was to describe how the health registry was set up, what it was used for, and to discuss further utilization and improvements to health registries after disasters. The conception of the questionnaire to register French nationals was based on a form developed as part of the Steering Committee for the management of the post-accident phase in the event of nuclear accident or a radiological emergency situation (CODIRPA) work. The questionnaire was available online. The main objective was achieved since it was theoretically possible to contact again the 1,089 persons who completed the form. According to the data collected on their space-time budget, to the result of internal contamination measured by the French Institute for Radiological Protection and Nuclear Safety (IRSN) and dosimetric expertise published by the World Health Organization (WHO), it was not suitable to conduct an epidemiologic follow-up of adverse effects of exposure to ionizing radiations among them. However, this registry was used to launch a qualitative study on exposure to stress and psychosocial impact of the Great East Japan Earthquake on French nationals who were in Japan in March 2011. Setting a registry after a disaster is a very important step in managing the various consequences of a disaster. This experience showed that it is quickly feasible and does not raise adverse side effects in involved people. Motreff Y , Pirard P , Lagrée C , Roudier C , Empereur-Bissonnet P . Voluntary health registry of French nationals after the Great East Japan Earthquake, tsunami, and Fukushima Daiichi Nuclear Power Plant accident: methods, results, implications, and feedback. Prehosp Disaster Med. 2016;31(3):326-329.

40 CFR 87.80 - Introduction.

Code of Federal Regulations, 2012 CFR

2012-07-01

.... Test Procedures for Engine Smoke Emissions (Aircraft Gas Turbine Engines) § 87.80 Introduction. Except... determine the conformity of new and in-use gas turbine engines with the applicable standards set forth in...

Simulating cloud environment for HIS backup using secret sharing.

PubMed

Kuroda, Tomohiro; Kimura, Eizen; Matsumura, Yasushi; Yamashita, Yoshinori; Hiramatsu, Haruhiko; Kume, Naoto

2013-01-01

In the face of a disaster hospitals are expected to be able to continue providing efficient and high-quality care to patients. It is therefore crucial for hospitals to develop business continuity plans (BCPs) that identify their vulnerabilities, and prepare procedures to overcome them. A key aspect of most hospitals' BCPs is creating the backup of the hospital information system (HIS) data at multiple remote sites. However, the need to keep the data confidential dramatically increases the costs of making such backups. Secret sharing is a method to split an original secret message so that individual pieces are meaningless, but putting sufficient number of pieces together reveals the original message. It allows creation of pseudo-redundant arrays of independent disks for privacy-sensitive data over the Internet. We developed a secret sharing environment for StarBED, a large-scale network experiment environment, and evaluated its potential and performance during disaster recovery. Simulation results showed that the entire main HIS database of Kyoto University Hospital could be retrieved within three days even if one of the distributed storage systems crashed during a disaster.

Observing power blackouts from space - A disaster related study

NASA Astrophysics Data System (ADS)

Aubrecht, C.; Elvidge, C. D.; Ziskin, D.; Baugh, K. E.; Tuttle, B.; Erwin, E.; Kerle, N.

2009-04-01

In case of emergency disaster managers worldwide require immediate information on affected areas and estimations of the number of affected people. Natural disasters such as earthquakes, hurricanes, tornados, wind and ice storms often involve failures in the electrical power generation system and grid. Near real time identification of power blackouts gives a first impression of the area affected by the event (Elvidge et al. 2007), which can subsequently be linked to population estimations. Power blackouts disrupt societal activities and compound the difficulties associated with search and rescue, clean up, and the provision of food and other supplies following a disastrous event. Locations and spatial extents of power blackouts are key considerations in planning and execution of the primary disaster missions of emergency management organizations. To date only one satellite data source has been used successfully for the detection of power blackouts. Operated by NOAA's National Geophysical Data Center (NGDC) the U.S. Air Force Defense Meteorological Satellite Program (DMSP) Operational Linescan System (OLS) offers a unique capability to observe lights present at the Earth's surface at night. Including a pair of visible and thermal spectral bands and originally designed to detect moonlit clouds, this sensor enables mapping of lights from cities and towns, gas flares and offshore platforms, fires, and heavily lit fishing boats. The low light imaging of the OLS is accomplished using a photomultiplier tube (PMT) which intensifies the visible band signal at night. With 14 orbits collected per day and a 3.000 km swath width, each OLS is capable of collecting a complete set of images of the Earth every 24 hours. NGDC runs the long-term archive for OLS data with the digital version extending back to 1992. OLS data is received by NGDC in near real time (1-2 hours from acquisition) and subscription based services for the near real time data are provided for users all over the world. Elvidge et al. (1998) first demonstrated that under certain conditions a detection of power outages is possible using OLS data. A standard procedure for visual detection of power outages has been developed. The procedure is based on identifying locations where consistently observed lighting is missing or reduced following a disaster event. Visible and thermal spectral bands of the event-related OLS data are compared to a recent cloud-free composite of nighttime lights by producing a color (RGB) composite image. For the cloud-free nighttime lights composite serving as reference information both monthly and annual composites can be used, depending on the respective availability and suitability of OLS data. The RGB color composite uses the reference lights as red (R), the current visible band as green (G) and the current thermal band as blue (B). The thermal band is typically inverted to make clouds appear bright. As clouds are typically colder than the surface of the Earth, in the thermal band higher values are observed on cloud-free areas, which thus appear brighter in standard visualization modes. The resulting color composite is visually interpreted to identify power outages, which show up as red lights on a dark (cloud-free) background. Red color stands for high values in the reference data (red band of the RGB composite) compared to low values in the event data (green and blue bands of the RGB composite), thus showing the disaster-related absence or reduction of lighting. Heavy cloud cover also obscures lights, resulting in red lights on a blue background. Yellow color in the RGB composite indicates areas where the lights are on, i.e. both red and green band (reference composite and visible band of the event image) feature high values with no cloud cover present (low values in the blue band). Under ideal conditions the presented procedure detects individual cities and towns where power has been lost or has been reduced. Conditions reducing or eliminating the capability of detecting power blackouts in OLS data have been identified (e.g. sunlight, heavy cloud cover and bright moonlight). Furthermore, the change detection procedure only works when power blackouts happen or still persist at night at the time of an OLS overpass. In some cases (e.g. Hurricane Katrina) it has been possible to track the gradual recovery of power by repeating the procedure on nights following a disaster event. In this paper several examples of successful power blackout detection following natural disasters including hurricanes (e.g. Isabel 2003 and Wilma 2005 in the USA) and earthquakes (e.g. Gujarat Earthquake 2001 in India) will be presented, whereas overlaid hurricane paths and earthquake epicenters serve as landmarks and indicate locations around the potential highest impact. Disaster impact assessment and post-disaster research is strongly related to impacts on population, related infrastructure and activities (Kerle et al. 2005, Zhang and Kerle 2008). In particular in the case of emergency management and response humans are the main actors and first-pass assessment of affected population and locations of affected areas are essential. Space-based power blackout detection, as described above, has the potential to delineate the spatial extent of the disaster impact. Overlaying the respective OLS data with regional population data such as LandScan (Dobson et al. 2000) or Gridded Population of the World (CIESIN and CIAT 2005) allows estimating a potential number of affected people. Without a doubt such estimates comprise a considerable number of uncertainties. However, the capability of providing the information in near-real time as offered by using DMSP-OLS makes the presented approach very valuable for emergency and disaster managers worldwide. REFERENCES Center for International Earth Science Information Network CIESIN at Columbia University, and Centro Internacional de Agricultura Tropical CIAT (2005). Gridded Population of the World Version 3 (GPWv3). Palisades, NY: Socioeconomic Data and Applications Center (SEDAC), Columbia University. Available at http://sedac.ciesin.columbia.edu/gpw (last visited 01/08/2009). Dobson, J.E., E.A. Bright, P.R. Coleman, R.C. Durfee, and B.A. Worley (2000) LandScan: A Global Population Database for Estimating Populations at Risk. Photogrammetric Engineering & Remote Sensing 66(7), 849-857. Elvidge, C.D., K.E. Baugh, V.R. Hobson, E.A. Kihn, and H.W. Kroehl (1998) Detection of Fires and Power Outages Using DMSP-OLS Data. In: Lunetta, R.S., and Elvidge, C.D. (eds.) Remote Sensing Change Detection: Environmental Monitoring Methods and Applications. Ann Arbor Press, pp 123-135. Elvidge, C.D., C. Aubrecht, K. Baugh, B. Tuttle, and A.T. Howard (2007) Satellite detection of power outages following earthquakes and other events. 3rd International Geohazards Workshop. GEO & IGOS Geohazards. Proceedings. ESA/ESRIN, Frascati (Rome), Italy, November 6-9, 2007. Kerle, N., R. Stekelenburg, F. van den Heuvel, and B.G.H. Gorte (2005) Near - real time post - disaster damage assessment with airborne oblique video data. In: van Oosterom, P.J.M., Zlatanova, S., and Elfriede, M. (eds.) Geo-information for disaster management Gi4DM : Proceedings of the 1st International Symposium on Geo-Information for Disaster Management. Berlin: Springer, pp 337-353. Zhang, Y., and N. Kerle (2008) Satellite remote sensing for near-real time data collection. In: Zlatanova, S., Li, J. (eds.) Geospatial information technology for emergency response. Berlin: Springer, pp 75-102.

Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine's Task Force for intensive care unit triage during an influenza epidemic or mass disaster.

PubMed

Sprung, Charles L; Zimmerman, Janice L; Christian, Michael D; Joynt, Gavin M; Hick, John L; Taylor, Bruce; Richards, Guy A; Sandrock, Christian; Cohen, Robert; Adini, Bruria

2010-03-01

To provide recommendations and standard operating procedures for intensive care units and hospital preparedness for an influenza pandemic. Based on a literature review and expert opinion, a Delphi process was used to define the essential topics. Key recommendations include: Hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas. Hospitals should have appropriate beds and monitors for these expansion areas. Establish a management system with control groups at facility, local, regional and/or national levels to exercise authority over resources. Establish a system of communication, coordination and collaboration between the ICU and key interface departments. A plan to access, coordinate and increase labor resources is required with a central inventory of all clinical and non-clinical staff. Delegate duties not within the usual scope of workers' practice. Ensure that adequate essential medical equipment, pharmaceuticals and supplies are available. Protect patients and staff with infection control practices and supporting occupational health policies. Maintain staff confidence with reassurance plans for legal protection and assistance. Have objective, ethical, transparent triage criteria that are applied equitably and publically disclosed. ICU triage of patients should be based on the likelihood for patients to benefit most or a 'first come, first served' basis. Develop protocols for safe performance of high-risk procedures. Train and educate staff. Mortality, although inevitable during a severe influenza outbreak or disaster, can be reduced by adequate preparation.

Safety Awareness and Preparedness in Secondary Schools in Kenya: A Case of Turkana District

ERIC Educational Resources Information Center

Kipngeno, Ronoh Richard; Benjamin, Kyalo Wambua

2009-01-01

Safety for students and staff from hazards that can be created by unsafe conditions, behaviour, disasters or emergencies in schools cannot be guaranteed. This is because of inadequate preparedness and awareness programs for safety needs. This study investigated the adequacy of procedures, precautions and infrastructure to respond to fire outbreaks…

Military Psychology - Its Role in the Growth of Psychology in Australia

DTIC Science & Technology

1989-09-01

testing as part of the selection procedure. An essential requiremnt in transcultural testing is that the test mst be ’valid’ in sma sense, in the...tasked to provide aid to -he community in time of natural disasters. It is expected sompersonnel will be affected by a post- crisis stress reaction which

33 CFR 203.61 - Emergency water supplies due to contaminated water source.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 33 Navigation and Navigable Waters 3 2011-07-01 2011-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

33 CFR 203.61 - Emergency water supplies due to contaminated water source.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 33 Navigation and Navigable Waters 3 2014-07-01 2014-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

33 CFR 203.61 - Emergency water supplies due to contaminated water source.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 33 Navigation and Navigable Waters 3 2013-07-01 2013-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

33 CFR 203.61 - Emergency water supplies due to contaminated water source.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 33 Navigation and Navigable Waters 3 2012-07-01 2012-07-01 false Emergency water supplies due to contaminated water source. 203.61 Section 203.61 Navigation and Navigable Waters CORPS OF ENGINEERS, DEPARTMENT OF THE ARMY, DEPARTMENT OF DEFENSE EMERGENCY EMPLOYMENT OF ARMY AND OTHER RESOURCES, NATURAL DISASTER PROCEDURES Emergency Water Supplies:...

78 FR 39016 - Office of Presidential Libraries; Proposed Disposal of George H.W. Bush and Clinton...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-28

... for disaster recovery purposes, NARA is following a procedure similar to that in GRS 24 for Federal... made for emergency purposes are not record keeping media; rather, their sole purpose is to be available... backup tapes have already served that purpose and NARA has no need to conduct any further restoration...

Poor Government Oversight of Anham and Its Subcontracting Procedures Allowed Questionable Costs To Go Undetected

DTIC Science & Technology

2011-07-30

contractor purchasing system review of Anham. Management Comments and Audit Response The Defense Contract Mangement Agency and the U.S. Central... Introduction 1  Background 1  Government Agency Roles and Oversight Responsibilities 4  Objectives 7  Weak Government Oversight Resulted in Significant...Subcontracting Procedures Allowed Questionable Costs To Go Undetected SIGIR 11-022 July 30, 2011 Introduction Since 2003, the United States Government

Ensuring safe water in post-chemical, biological, radiological and nuclear emergencies

PubMed Central

Amar, Praveen Kumar

2010-01-01

Disaster scenarios are dismal and often result in mass displacement and migration of people. In eventuality of emergency situations, people need to be rehabilitated and provided with an adequate supply of drinking water, the most essential natural resource needed for survival, which is often not easily available even during non-disaster periods. In the aftermath of a natural or human-made disaster affecting mankind and livestock, the prime aim is to ensure supply of safe water to reduce the occurrence and spread of water borne disease due to interrupted, poor and polluted water supply. Chemical, biological, radiological and nuclear (CBRN) emergencies augment the dilemma as an additional risk of “contamination” is added. The associated risks posed to health and life should be reduced to as low as reasonably achievable. Maintaining a high level of preparedness is the crux of quick relief and efficient response to ensure continuous supply of safe water, enabling survival and sustenance. The underlying objective would be to educate and train the persons concerned to lay down the procedures for the detection, cleaning, and treatment, purification including desalination, disinfection, and decontamination of water. The basic information to influence the organization of preparedness and execution of relief measures at all levels while maintaining minimum standards in water management at the place of disaster, are discussed in this article. PMID:21829321

When Doing Wrong Feels So Right: Normalization of Deviance.

PubMed

Price, Mary R; Williams, Teresa C

2018-03-01

Normalization of deviance is a term first coined by sociologist Diane Vaughan when reviewing the Challenger disaster. Vaughan noted that the root cause of the Challenger disaster was related to the repeated choice of NASA officials to fly the space shuttle despite a dangerous design flaw with the O-rings. Vaughan describes this phenomenon as occurring when people within an organization become so insensitive to deviant practice that it no longer feels wrong. Insensitivity occurs insidiously and sometimes over years because disaster does not happen until other critical factors line up. In clinical practice, failing to do time outs before procedures, shutting off alarms, and breaches of infection control are deviances from evidence-based practice. As in other industries, health care workers do not make these choices intending to set into motion a cascade toward disaster and harm. Deviation occurs because of barriers to using the correct process or drivers such as time, cost, and peer pressure. As in other industries, operators will often adamantly defend their actions as necessary and justified. Although many other high-risk industries have embraced the normalization of deviance concept, it is relatively new to health care. It is urgent that we explore the impact of this concept on patient harm. We can borrow this concept from other industries and also the steps these other high-risk organizations have found to prevent it.

Analysis of the pre-incident education and subsequent performance of emergency medical responders to the Volendam café fire.

PubMed

Welling, Lieke; Perez, Roberto S G M; van Harten, Sabine M; Patka, Peter; Mackie, Dave P; Kreis, Robert W; Bierens, Joost J L M

2005-12-01

At this moment, in the Netherlands, rescue workers are not given any specific standardized training in disaster response or disaster management. After the café fire in Volendam, the Netherlands, on New Year's Eve 2000, around 200 rescue workers were deployed on-site. The aim of this study is to investigate the rescue workers' experiences with regard to their level of preparation for the emergency response. In 2002, 30 members of the medical and paramedical personnel were requested to participate in a structured interview, focused on education, task perception, triage and registration. Twenty-seven participated. Twenty-two rescue workers received previous training in emergency medicine. During the alarm phase, 11 rescue workers had a clear perception of their tasks. Twenty-four were involved in triage and injury assessment. Three rescue workers used a protocol for triage and 15 for injury assessment. Twenty-five rescue workers gave on-scene treatment and 15 used a protocol. Eight registered their findings. Preparation for the emergency response lacked standardized procedures. The use of triage protocols was extremely poor, as was documentation of actions. Slightly more than half of the personnel followed treatment protocols. It is advisable that all rescue workers become familiar with the basic uniform principles and protocols regarding disaster management. A dedicated and standardized national disaster management course is needed for all rescue workers.

Salient Public Beliefs Underlying Disaster Preparedness Behaviors: A Theory-Based Qualitative Study.

PubMed

Najafi, Mehdi; Ardalan, Ali; Akbarisari, Ali; Noorbala, Ahmad Ali; Elmi, Helen

2017-04-01

Introduction Given the increasing importance of disaster preparedness in Tehran, the capital of Iran, interventions encouraging disaster preparedness behavior (DPB) are needed. This study was conducted to show how an elicitation method can be used to identify salient consequences, referents, and circumstances about DPB and provide recommendations for interventions and quantitative research. A theory-based qualitative study using a semi-structured elicitation questionnaire was conducted with 132 heads of households from 22 districts in Tehran, Iran. Following the Theory of Planned Behavior (TPB), six open-ended questions were used to record the opinion of people about DPB: advantages of engaging in DPB; disadvantages of doing so; people who approve; people who disapprove; things that make it easy; and things that make it difficult. Content analysis showed the categories of salient consequences, reference groups, and circumstances. The three most frequently mentioned advantages obtained from inhabitants of Tehran were health outcomes (eg, it helps us to save our lives, it provides basic needs, and it protects us until relief workers arrive); other salient advantages were mentioned (eg, helps family reunification). The main disadvantage was preparedness anxiety. Family members were the most frequently mentioned social referent when people were asked who might approve or disapprove of their DPB. The two main circumstances perceived to obstruct DPB included not having enough knowledge or enough time. The results of this qualitative study suggest that interventions to encourage DPB among Tehran inhabitants should address: perceived consequences of DPB on health and other factors beyond health; barriers of not having enough knowledge and time perceived to hinder DPB; and social approval. More accurate research on salient beliefs with close-ended items developed from these open-ended data and with larger sample sizes of Tehran inhabitants is necessary. Research with other stakeholder groups is needed to understand their perceptions about DPB in creating the people's social environment. Najafi M , Ardalan A , Akbarisari A , Noorbala AA , Elmi H . Salient public beliefs underlying disaster preparedness behaviors: a theory-based qualitative study. Prehosp Disaster Med. 2017;32(2):124-133 .

Procedures for, and Experiences in, Introducing Algebra in New South Wales.

ERIC Educational Resources Information Center

Pegg, John; Redden, Edward

1990-01-01

Discussed are the philosophy and procedures behind the introduction of algebra to students in grade 7 in Australia. Included are the importance of concrete experiences, language development, and the consequences involved in this procedure. (CW)

DVI missions in the Carribean-the practical aspects of disaster victim identification.

PubMed

Winskog, Calle

2012-06-01

Human trafficking of young men from Africa to Europe is a crime with often devastating consequences. The African continent loses members of the younger generation and many die during the attempt to reach their destinations. The identification of these victims is often difficult, however the structured and by now well-established procedures utilizing standard disaster victim identification protocols provide a reliable and functional approach. The logistics involved are straightforward, and one of the many functions of the team leader is to monitor and control the flow of cases through the system. The importance of ante mortem data for the purposes of identification is clear-no ante mortem data means no identification. Two different missions conducted in the Caribbean are described to illustrate particular difficulties that may occur.

Hurricane preparedness: Current procedures at Blue Cross Blue Shield of Florida.

PubMed

Devaney, Everett

2008-01-01

This paper discusses experience, methodology and recommendations for successful business continuity and disaster recovery planning for health care organisations. Hurricanes, tornadoes and other natural disasters are a regular occurrence in Florida. Low-lying coastal areas are at increased risk, with populations in inland areas as far as 200-300 miles with potential to suffer heavy damage. This case study shows how one institution, Blue Cross Blue Shield of Florida, provides and maintains emergency response plans for critical functions, services or processes before, during and after a disaster, in support of its 8.3 million customers, its stakeholders and colleagues such as providers and vendors. Even though modern tracking gives fair warning regarding hurricanes, the use of specific and tested emergency response planning is critical to allow business continuity decision-making well before disaster strikes. This study examines how functional units within a health care organisation can plan and prepare to protect the public who depend on their services and resources, as well as minimise the risk to employees and business stakeholders. Coordination of a Contingency Response Team (within the functional units) and an Enterprise Operations Centre must be well managed to minimise adverse customer service disruptions and at the same time minimise impact to the company. Decision making and communications are strictly organised to protect stakeholders, make temporary business rule changes, allow for alternative business processes and handle benefit decisions, following methodology known, tested and used in past scenarios. In summary, the paper explores key points to achieve active and engaged business continuity in the face of natural disasters - (1) planning & coordination, (2) monitoring, (3) response/activation and (4) recovery.

The efficacy of online communication platforms for plastic surgeons providing extended disaster relief.

PubMed

Fan, Kenneth L; Avashia, Yash J; Dayicioglu, Deniz; DeGennaro, Vincent A; Thaller, Seth R

2014-04-01

Immediately after the January 2010 earthquake in Haiti, plastic surgeons provided disaster relief services through the University of Miami Miller School of Medicine for 5 months. To improve surgical care and promote awareness of plastic surgery's role in humanitarian assistance, an online communication platform (OCP) was initiated. An OCP is a Web-based application combining Web blogging, picture uploading, news posting, and private messaging systems into a single platform. The purpose of this study was to analyze the use of OCP during disaster relief. Surgeries performed during the period from January 13 to May 28, 2010, were documented. The OCP was established with 4 priorities: ease of use, multimedia integration, organization capabilities, and security. Web traffic was documented. A 17-question survey was administered to 18 plastic surgeons who used the OCP after 1 year to assess their attitudes and perceptions. From January 13 to May 28, 2010, 413 operations were performed at the field hospital. Of the overall number of procedures, 46.9% were performed by plastic surgery teams. In a year, beginning from January 12, 2011, the OCP had 1117 visits with 530 absolute unique visitors. Of 17 plastic surgeons, 71% responded that the OCP improved follow-up and continuity of care by debriefing rotating plastic surgery teams. One hundred percent claimed that the OCP conveyed the role of plastic surgeons with the public. Results demonstrate the necessity of OCP during disaster relief. Online communication platform permitted secure exchange of surgical management details, follow-up, photos, and miscellaneous necessary recommendations. Posted experiences and field hospital progress assisted in generating substantial awareness regarding the significant role and contribution played by plastic surgeons in disaster relief.

Disasters, Scientists and Society: The Quest for Wisdom (Sergey Soloviev Medal Lecture)

NASA Astrophysics Data System (ADS)

Okal, Emile A.

2013-04-01

The horror which accompanied the significant natural disasters of the past decade (major earthquakes, tsunamis, hurricanes...), many of which exposing inadequate preparation and/or response, has revived our quest for improved mitigation, or in simple words, enhanced wisdom, to confront natural hazards, both in scientific and societal terms. The Sumatra and Tohoku megathrust earthquakes have led to the abandonment of the once-popular concept of a "maximum" earthquake predictable on the basis of simple tectonic parameters and the latter has dealt a serious blow to seismic scaling laws which had been the cornerstone of probabilistic hazard estimations. Similarly, large hurricanes such as Katrina and Sandy have featured a significant diversity poorly captured by the single concept of "category". On the other hand, substantial theoretical progress has been made with the development of real-time tsunami warning algorithms based on the seismic W phase. An examination of mitigation aspects and operational procedures during the recent disasters exposes very significant shortcomings in the relationship between Scientists and decision-makers. We will review fields as diverse as the proper evaluation of historical databases, the correct real-time assessment of major earthquakes, the adequate timing of an all-clear, and the role, rights and duties of hazard scientists in their interaction with Society. As the ultimate goal of mitigation, warning and evacuation from many disasters remains the saving of human lives, many recent stories having emphasized the value of education, which casts a substantial ray of hope and enlightenment in the never-ending pursuit of wisdom in the face of future disasters, a noble endeavor to which Sergei Leonidovich Solov'ev had dedicated his life.

Leveraging Social Computing for Personalized Crisis Communication using Social Media

PubMed Central

Leykin, Dmitry; Aharonson-Daniel, Limor; Lahad, Mooli

2016-01-01

Introduction: The extensive use of social media in modern life redefines social interaction and communication. Communication plays an important role in mitigating, or exacerbating, the psychological and behavioral responses to critical incidents and disasters. As recent disasters demonstrated, people tend to converge to social media during and following emergencies. Authorities can then use this media and other computational methods to gain insights from the public, mainly to enhance situational awareness, but also to improve their communication with the public and public adherence to instructions. Methods: The current review presents a conceptual framework for studying psychological aspects of crisis and risk communication using the social media through social computing. Results: Advanced analytical tools can be integrated in the processes and objectives of crisis communication. The availability of the computational techniques can improve communication with the public by a process of Hyper-Targeted Crisis Communication. Discussion: The review suggests that using advanced computational tools for target-audience profiling and linguistic matching in social media, can facilitate more sensitive and personalized emergency communication. PMID:27092290

The Development of a Veterans Health Administration Emergency Management Research Agenda

PubMed Central

Dobalian, Aram; Claver, Maria; Riopelle, Deborah; Wyte-Lake, Tamar; Canelo, Ismelda

2017-01-01

Introduction: The Veterans Health Administration (VHA), the largest integrated healthcare delivery system in the United States, is charged with ensuring timely access to high-quality care for veterans during disasters, and supporting national, state, local, and tribal emergency management and homeland security efforts. In 2008, the VHA Office of Public Health (OPH) sponsored the first VHA Emergency Management Research Agenda-setting conference to develop research priorities that address the needs of veterans and to position VHA as a national leader in emergency management by having VHA serve as a “laboratory” for the development of evidence-based emergency management practices. Methods: We focused on four steps: #1: Appraising the emergency management research portfolio of VHA-based researchers; #2: Obtaining systematic information on VHA’s role in emergency management and the healthcare needs of veterans during disasters; #3: Based upon gaps between the current research portfolio and the existing evidence base, identifying strategic priorities using a research agenda-setting conference; and #4: Laying the groundwork to foster the conduct of emergency management research within VHA. Results: Identified research priorities included how to prevent and treat behavioral health problems related to a disaster, the efficacy of training programs, crisis communication strategies, workforce resilience, and evacuating veterans from health care facilities. Conclusion: VHA is uniquely situated to answer research questions that cannot be readily addressed in other settings. VHA should partner with other governmental and private entities to build on existing work and establish shared research priorities. PMID:28439447

Introduction and Mission Response Team (MRT)

NASA Technical Reports Server (NTRS)

Pool, Sam

2005-01-01

On February 1, 2003 the Space Shuttle Columbia, returning to Earth with a crew of seven astronauts, disintegrated along a track extending from California to Louisiana. Observers on the ground filmed breakup of the spacecraft. Debris fell along a 567 statute mile track from Littlefield, Texas to Fort Polk, Louisiana; the largest ever recorded debris field. At the time of the accident the National Aeronautics and Space Administration (NASA) flight surgeon on-duty at the Mission Control Center (MCC) in Houston, Texas initiated the medical contingency response. The DOD surgeon at Patrick Air Force Base was notified, NASA medical personnel were recalled and the services of Armed Forces Institute of Pathology (AFIP) were requested. Subsequent to the accident the NASA flight surgeons that had supported the crew on orbit now provided medical support to the crewmember s families. Federal Emergency Management Agency (FEMA), the National Transportation Safety Board (NTSB), the Federal Bureau of Investigation (FBI) and numerous other federal, state and local agencies along with the citizens of Texas and Louisiana responded to the disaster. Search and recovery was managed from a Disaster Field Office (DFO) established in Lufkin, Texas. Mishap Investigation Team (MIT) medical operations were managed from Barksdale Air Force Base, Louisiana. Accident investigation teams (Columbia Accident Investigation Task Force (CAITF) and Columbia Accident Investigation Board (CAIB)) appointed immediately after the disaster included current and former authorities in space medicine. In August 2003, the CAIB concluded its investigation and released its findings in a report published in February 2004.

Joint Tactics, Techniques, and Procedures for Foreign Humanitarian Assistance

DTIC Science & Technology

2001-08-15

violence and nuclear, biological, or chemical (NBC) accidents). DOD policy permits military components to participate in FHA operations in response to...Acts of Man Flood, Drought, Fire, Hurricane, Earthquake Volcanic Eruption Civil Violence Nuclear, Biological, or Chemical Accidents FOREIGN DISASTERS I...Supply shortages developed, particularly of items not ordinarily required by a fighting unit — catheters for small children , for example. Finally

Workshop on Education in Computer Security (WECS6) (6th): Avoiding Fear, Uncertainty and Doubt Through Effective Security Education, Held in Monterey, California on 12-16 July 2004

DTIC Science & Technology

2004-07-01

Melissa ) is created in the controlled environment and propagated. The students learn how viruses are written, how they are propagated via mediums like...vulnerabilities and threats, establishing disaster response and recovery procedures. Joseph Giordano , Technical Advisor, Information Warfare Branch, AFRL 60 The

Mental Health Service Career Ladder

DTIC Science & Technology

1994-01-01

suicide risk patients 54 H315 Adjust or inspect refrigerators for proper temperatures 54 1372 Participate in rehashes of therapy sessions 53 H320...included biofeedback (paragraph 13c), electroconvulsive therapy (ECT) (paragraph 13h), and combat/disaster casualty management (paragraph 13m). Two other...focused on identifying marital and family counseling factors and determining the purpose and procedures for administering electroconvulsive therapy (ECT

13 CFR 121.303 - What size procedures are used by SBA before it makes a formal size determination?

Code of Federal Regulations, 2010 CFR

2010-01-01

... source. (b) A small business investment company, a development company, a surety bond company, or a... area in which the headquarters of the applicant is located, regardless of the location of the parent company or affiliates. For disaster loan assistance, the request for a size determination must be made to...

Preparing for pandemic influenza.

PubMed

Rebmann, Terri

2008-01-01

Influenza is a highly contagious, acute febrile respiratory illness that results in global morbidity and mortality annually. Avian influenza (H5N1) has the potential to cause a pandemic. Avian influenza's epidemiology and clinical description, including common signs/symptoms, transmission, vaccination, and treatment, are presented. Recommended isolation practices for labor and delivery, and proper procedures for identifying and managing infected patients are provided. Potential maternal and newborn outcomes related to influenza and avian influenza are discussed. Pandemic planning issues are outlined, including hospital surge capacity, medical equipment and staffing availability, and the need for altered standards of care. Communities need to designate sites (whether in hospital or in alternative care centers) for labor and delivery services as part of their disaster plan. Pregnant women and newborns are vulnerable groups during routine times and are expected to be disproportionately affected during a pandemic in terms of morbidity and mortality. Therefore, it is essential that hospitals and communities take steps to protect these vulnerable groups as part of the disaster planning process. It is not known whether or when a pandemic will occur, but perinatal and neonatal nurses should become familiar with avian influenza's clinical description and proper infection control procedures to halt potential disease spread.

UAV Deployment Exercise for Mapping Purposes: Evaluation of Emergency Response Applications.

PubMed

Boccardo, Piero; Chiabrando, Filiberto; Dutto, Furio; Tonolo, Fabio Giulio; Lingua, Andrea

2015-07-02

Exploiting the decrease of costs related to UAV technology, the humanitarian community started piloting the use of similar systems in humanitarian crises several years ago in different application fields, i.e., disaster mapping and information gathering, community capacity building, logistics and even transportation of goods. Part of the author's group, composed of researchers in the field of applied geomatics, has been piloting the use of UAVs since 2006, with a specific focus on disaster management application. In the framework of such activities, a UAV deployment exercise was jointly organized with the Regional Civil Protection authority, mainly aimed at assessing the operational procedures to deploy UAVs for mapping purposes and the usability of the acquired data in an emergency response context. In the paper the technical features of the UAV platforms will be described, comparing the main advantages/disadvantages of fixed-wing versus rotor platforms. The main phases of the adopted operational procedure will be discussed and assessed especially in terms of time required to carry out each step, highlighting potential bottlenecks and in view of the national regulation framework, which is rapidly evolving. Different methodologies for the processing of the acquired data will be described and discussed, evaluating the fitness for emergency response applications.

21 CFR 1271.180 - Procedures.

Code of Federal Regulations, 2012 CFR

2012-04-01

... you perform in the manufacture of HCT/Ps. You must design these procedures to prevent circumstances that increase the risk of the introduction, transmission, or spread of communicable diseases through...

21 CFR 1271.180 - Procedures.

Code of Federal Regulations, 2011 CFR

2011-04-01

... you perform in the manufacture of HCT/Ps. You must design these procedures to prevent circumstances that increase the risk of the introduction, transmission, or spread of communicable diseases through...

21 CFR 1271.180 - Procedures.

Code of Federal Regulations, 2013 CFR

2013-04-01

... you perform in the manufacture of HCT/Ps. You must design these procedures to prevent circumstances that increase the risk of the introduction, transmission, or spread of communicable diseases through...

21 CFR 1271.180 - Procedures.

Code of Federal Regulations, 2014 CFR

2014-04-01

... you perform in the manufacture of HCT/Ps. You must design these procedures to prevent circumstances that increase the risk of the introduction, transmission, or spread of communicable diseases through...

Context Specificity of the ANS Stress Response during Two Regrouping Experiments in Goats

PubMed Central

Patt, Antonia; Gygax, Lorenz; Wechsler, Beat; Hillmann, Edna; Langbein, Jan; Keil, Nina M.

2016-01-01

The aim of this study was to analyze whether the activity of the autonomic nervous system (ANS) differs between two regrouping procedures in goats, which would indicate stimulus specificity of these stressors. Applying two regrouping procedures, we evaluated heart rate and heart rate variability (RMSSD, SDNN, and RMSSD/SDNN). The two regrouping procedures were (1) introduction of individual goats into established groups (“introduction experiment”) and (2) temporary separation and subsequent reintegration of individuals from/into their group with two levels of contact during separation (“separation experiment”). In the “introduction experiment,” the heart rate of introduced goats while lying decreased continuously from an average 78 to 68 beats/min from before the introduction to the last day of the introduction period. Inversely, RMSSD increased continuously from 41 to 62 ms, which, on its own, would indicate an adaptation to the situation. During the “separation experiment,” heart rate while lying was higher when goats were separated in the “acoustic contact treatment” (82 beats/min on average) compared with the “restricted physical contact treatment” (75 beats/min on average). This difference reflected a higher level of arousal during the “acoustic contact treatment.” However, heart rate activity did not allow detecting effects of separation or reintegration. Even though it can be assumed that both the separation and introduction of goats are stressful for goats, the ANS reactions observed in this study differed between the two management procedures indicating that the ANS activation was specific to each situation. In addition, we discuss the ANS results in context with earlier findings of variables of the hypothalamic pituitary adrenal (HPA) axis (fecal cortisol metabolites) and behavior (lying and feeding). As correspondence between ANS, HPA, and behavioral reactions was limited both within and across experiments, the results of this study underline the concept that stress response patterns are context specific. PMID:27551679

Anaesthesia in a disaster zone: a report on the experience of an Australian medical team in Banda Aceh following the 'Boxing Day Tsunami'.

PubMed

Paix, B R; Capps, R; Neumeister, G; Semple, T

2005-10-01

We report on the experience of a 23-member Australian medical team in Banda Aceh, Indonesia, following the 2004 Boxing Day tsunami. Arriving 13 days after the tsunami that devastated the city, killed 100,000 of its inhabitants and injured thousands more, we carried out 130 surgical procedures in austere conditions over a 12-day period. Most surgery was peripheral, principally for plastic surgical or orthopaedic procedures to lower limb injuries. Intravenous ketamine anaesthesia was the technique of choice, with good surgical conditions and few significant side-effects.

Geospatial Information is the Cornerstone of Effective Hazards Response

USGS Publications Warehouse

Newell, Mark

2008-01-01

Every day there are hundreds of natural disasters world-wide. Some are dramatic, whereas others are barely noticeable. A natural disaster is commonly defined as a natural event with catastrophic consequences for living things in the vicinity. Those events include earthquakes, floods, hurricanes, landslides, tsunami, volcanoes, and wildfires. Man-made disasters are events that are caused by man either intentionally or by accident, and that directly or indirectly threaten public health and well-being. These occurrences span the spectrum from terrorist attacks to accidental oil spills. To assist in responding to natural and potential man-made disasters, the U.S. Geological Survey (USGS) has established the Geospatial Information Response Team (GIRT) (http://www.usgs.gov/emergency/). The primary purpose of the GIRT is to ensure rapid coordination and availability of geospatial information for effective response by emergency responders, and land and resource managers, and for scientific analysis. The GIRT is responsible for establishing monitoring procedures for geospatial data acquisition, processing, and archiving; discovery, access, and delivery of data; anticipating geospatial needs; and providing relevant geospatial products and services. The GIRT is focused on supporting programs, offices, other agencies, and the public in mission response to hazards. The GIRT will leverage the USGS Geospatial Liaison Network and partnerships with the Department of Homeland Security (DHS), National Geospatial-Intelligence Agency (NGA), and Northern Command (NORTHCOM) to coordinate the provisioning and deployment of USGS geospatial data, products, services, and equipment. The USGS geospatial liaisons will coordinate geospatial information sharing with State, local, and tribal governments, and ensure geospatial liaison back-up support procedures are in place. The GIRT will coordinate disposition of USGS staff in support of DHS response center activities as requested by DHS. The GIRT is a standing team that is available during all hazard events and is on high alert during the hurricane season from June through November each year. To track all of the requirements and data acquisitions processed through the team, the GIRT will use the new Emergency Request Track (ER Track) tool. Currently, the ER Track is only available to USGS personnel.

Workload Trend Analysis for the Military Graduate Medical Education Program in San Antonio

DTIC Science & Technology

2005-05-25

Procedures 57 Introduction and Methodology 57 Results and Discussion 58 Craniotomy 61 Introduction and Methodology 61 Results and Discussion 62...distribution of major vascular procedures by age group for FY 00-04 36. WHMC and BAMC craniotomies for FY 00-04 by age group 37. WHMC and BAMC FY 00-04...average craniotomies by age group compared to required average based on RRC requirement 38. WHMC and BAMC distribution of craniotomies by age group for

Hazard responses in the pre-industrial era: vulnerability and resilience of traditional societies to volcanic disasters and the implications for present-day disaster planning

NASA Astrophysics Data System (ADS)

Sangster, Heather

2014-05-01

A major research frontier in the study of natural hazard research involves unravelling the ways in which societies have reacted historically to disasters, and how such responses influence current policies of disaster reduction. For societies it is common to classify responses to natural hazards into: pre-industrial (folk); industrial; and post-industrial (comprehensive) responses. Pre-industrial societies are characterised by: a pre-dominantly rural location; an agricultural economic focus; artisan handicrafts rather than industrial production, parochialism, with people rarely travelling outside their local area and being little affected by external events and a feudal or semi-feudal social structure. In the past, hazard assessment focused on the physical processes that produced extreme and potentially damaging occurrences, however from the middle of the twenty-first century research into natural hazards has been cast within a framework defined by the polarities (or opposites) of vulnerability and resilience, subject to a blend of unique environmental, social, economic and cultural forces in hazardous areas, that either increase or decrease the impact of extreme events on a given society. In the past decade research of this type has been facilitated by a 'revolution' of source materials across a range of languages and in a variety of electronic formats (e.g. official archives; major contemporary and near-contemporary publications - often available as reprints; national and international newspapers of record; newsreel-films; and, photographs) and in the introduction of more reliable translation software (e.g. Systrans) that provides far more scope to the researcher in the study of natural hazards than was the case even a few years ago. Knowledge of hazard responses in the pre-industrial era is, not only important in its own right because it reveals indigenous strategies of coping, but also informs present-day disaster planners about how people have reacted to past events and how characteristic methods of coping have developed to enhance resilience, and reduce vulnerability. The aim of this paper is reflective of this research frontier and with the use of Mount Vesuvius, Italy, as a case study, this paper summarises: the characteristics of the eruptions that occurred during the long nineteenth century (i.e. those that occurred in 1794, 1822, 1855, 1861, 1872, 1906 and 1929); the particularities of the societal responses over time and the role of the authorities; and, the important lessons this history holds for the management of present-day disaster planning. In order to reduce disaster susceptibility and increase what is termed, resilience or capacity, the more deep-rooted causes of vulnerability need to be addressed.

Tornado disaster in rural Georgia: triage response, injury patterns, lessons learned.

PubMed

Millie, M; Senkowski, C; Stuart, L; Davis, F; Ochsner, G; Boyd, C

2000-03-01

Our objective was to characterize the medical response and injury patterns from a recent tornado disaster in rural southeastern Georgia. We conducted a retrospective review of 11 patients treated at a Level I trauma center after sustaining injuries due to an April 9, 1998 F3 tornado. Data were obtained from trauma registry and medical records. Of 11 victims, 8 (73%) were male. Ages ranged from 5 to 54 years. Two patients were triaged directly by military helicopter, six arrived as secondary triage from local rural hospitals (2 by air, 4 by ground), and three arrived by delayed secondary transfer. Six patients were thrown by the tornado, and five were struck by flying debris. All victims were either in exposed areas or mobile homes. Injuries by anatomic region included the chest (45%), abdomen (27%), extremity (91%), and head (45%). Nine (82%) of the patients required surgical intervention. These included three laparotomies, one thoracotomy, six orthopedic procedures, and one neurosurgical procedure. The average Injury Severity Score (ISS) was 23. Among patients who were thrown mean ISS was 31; among those struck by debris, mean ISS was 12. Hemodynamically significant pelvic fractures occurred in three patients (27%). The major complication, sepsis due to Serratia marcescens was seen in three patients, all of whom had been thrown and had clinically significant wound contamination. Both patients who died had Serratia sepsis and multiorgan system failure. The injuries and inclement weather characteristic of tornado disasters stress regional trauma triage responses, cause significant injury, and disrupt communities. Injury patterns involve multiple systems and require coordinated efforts among caretakers. Infectious complications are common and frequently involve Gram-negative bacilli and are associated with soil-contaminated wounds. Trauma severity increases if the victim is thrown rather than struck by flying debris.

7 CFR 1726.10 - Introduction.

Code of Federal Regulations, 2012 CFR

2012-01-01

... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

7 CFR 1726.10 - Introduction.

Code of Federal Regulations, 2011 CFR

2011-01-01

... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

7 CFR 1726.10 - Introduction.

Code of Federal Regulations, 2013 CFR

2013-01-01

... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

7 CFR 1726.10 - Introduction.

Code of Federal Regulations, 2014 CFR

2014-01-01

... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

7 CFR 1726.10 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-01-01

... ELECTRIC SYSTEM CONSTRUCTION POLICIES AND PROCEDURES General § 1726.10 Introduction. The policies... of loan documents between the Rural Utilities Service (RUS) and its electric borrowers. Unless prior... construction and improvement of electric facilities. Requirements relating to RUS approval of plans and...

20 CFR 323.1 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-04-01

...' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT NONGOVERNMENTAL PLANS FOR UNEMPLOYMENT OR SICKNESS INSURANCE § 323.1 Introduction. (a) This part defines the phrase nongovernmental plan for unemployment or sickness insurance and sets forth the procedure by which...

20 CFR 323.1 - Introduction.

Code of Federal Regulations, 2013 CFR

2013-04-01

...' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT NONGOVERNMENTAL PLANS FOR UNEMPLOYMENT OR SICKNESS INSURANCE § 323.1 Introduction. (a) This part defines the phrase nongovernmental plan for unemployment or sickness insurance and sets forth the procedure by which...

20 CFR 323.1 - Introduction.

Code of Federal Regulations, 2012 CFR

2012-04-01

...' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT NONGOVERNMENTAL PLANS FOR UNEMPLOYMENT OR SICKNESS INSURANCE § 323.1 Introduction. (a) This part defines the phrase nongovernmental plan for unemployment or sickness insurance and sets forth the procedure by which...

20 CFR 323.1 - Introduction.

Code of Federal Regulations, 2011 CFR

2011-04-01

...' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT NONGOVERNMENTAL PLANS FOR UNEMPLOYMENT OR SICKNESS INSURANCE § 323.1 Introduction. (a) This part defines the phrase nongovernmental plan for unemployment or sickness insurance and sets forth the procedure by which...

20 CFR 323.1 - Introduction.

Code of Federal Regulations, 2014 CFR

2014-04-01

...' Benefits RAILROAD RETIREMENT BOARD REGULATIONS UNDER THE RAILROAD UNEMPLOYMENT INSURANCE ACT NONGOVERNMENTAL PLANS FOR UNEMPLOYMENT OR SICKNESS INSURANCE § 323.1 Introduction. (a) This part defines the phrase nongovernmental plan for unemployment or sickness insurance and sets forth the procedure by which...

27 CFR 555.1 - Scope of regulations.

Code of Federal Regulations, 2012 CFR

2012-04-01

..., DEPARTMENT OF JUSTICE EXPLOSIVES COMMERCE IN EXPLOSIVES Introduction § 555.1 Scope of regulations. (a) In... (116 Stat. 2135). (b) Procedural and substantive requirements. This part contains the procedural and...

27 CFR 555.1 - Scope of regulations.

Code of Federal Regulations, 2011 CFR

2011-04-01

..., DEPARTMENT OF JUSTICE EXPLOSIVES COMMERCE IN EXPLOSIVES Introduction § 555.1 Scope of regulations. (a) In... (116 Stat. 2135). (b) Procedural and substantive requirements. This part contains the procedural and...

Surgical Procedures. Second Edition. Teacher Edition.

ERIC Educational Resources Information Center

Baker, Beverly; And Others

This teacher's guide contains 13 units of instruction for a course that will prepare students with the entry-level competencies needed by a surgical technologist. The course covers the following topics: introduction to surgical procedures; diagnostic procedures; general surgery; gastrointestinal surgery; obstetrics and gynecological surgery;…

Using Geo-Data Corporately on the Response Phase of Emergency Management

NASA Astrophysics Data System (ADS)

Demir Ozbek, E.; Ates, S.; Aydinoglu, A. C.

2015-08-01

Response phase of emergency management is the most complex phase in the entire cycle because it requires cooperation between various actors relating to emergency sectors. A variety of geo-data is needed at the emergency response such as; existing data provided by different institutions and dynamic data collected by different sectors at the time of the disaster. Disaster event is managed according to elaborately defined activity-actor-task-geodata cycle. In this concept, every activity of emergency response is determined with Standard Operation Procedure that enables users to understand their tasks and required data in any activity. In this study, a general conceptual approach for disaster and emergency management system is developed based on the regulations to serve applications in Istanbul Governorship Provincial Disaster and Emergency Directorate. The approach is implemented to industrial facility explosion example. In preparation phase, optimum ambulance locations are determined according to general response time of the ambulance to all injury cases in addition to areas that have industrial fire risk. Management of the industrial fire case is organized according to defined actors, activities, and working cycle that describe required geo-data. A response scenario was prepared and performed for an industrial facility explosion event to exercise effective working cycle of actors. This scenario provides using geo-data corporately between different actors while required data for each task is defined to manage the industrial facility explosion event. Following developing web technologies, this scenario based approach can be effective to use geo-data on the web corporately.

Application procedures for hydropower licenses, exemptions, and preliminary permits

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1982-04-01

This document provides essential information regarding the FERC's regulations and procedures for filing an application with the Commission for hydropower licenses, exemptions and preliminary permits. Each section is page numbered with a roman numeral followed by consecutive arabic numbering. The appendices are page numbered with an alphabetical prefix and consecutve page numbering within each section. The first section of this book contains background descriptions of the Commission's authority and regulations and serves as an introduction to the Commission's hydropower licensing program. Two general tables follow this introductory text and provide a quick reference to the types of applications and themore » relationship between the Commission's orders and regulations. Following the introduction are sections which include the Commission's regulations by application type: preliminary permits; licenses; and exemptions. Each section contains an introduction describing application procedures by type of action requested. There are two appendices provided contain information on the consultation process and lists of agencies to be consulted and a section by section analyses of the Commission's orders.« less

Loss Estimations due to Earthquakes and Secondary Technological Hazards

NASA Astrophysics Data System (ADS)

Frolova, N.; Larionov, V.; Bonnin, J.

2009-04-01

Expected loss and damage assessment due to natural and technological disasters are of primary importance for emergency management just after the disaster, as well as for development and implementation of preventive measures plans. The paper addresses the procedures and simulation models for loss estimations due to strong earthquakes and secondary technological accidents. The mathematical models for shaking intensity distribution, damage to buildings and structures, debris volume, number of fatalities and injuries due to earthquakes and technological accidents at fire and chemical hazardous facilities are considered, which are used in geographical information systems assigned for these purposes. The criteria of technological accidents occurrence are developed on the basis of engineering analysis of past events' consequences. The paper is providing the results of scenario earthquakes consequences estimation and individual seismic risk assessment taking into account the secondary technological hazards at regional and urban levels. The individual risk is understood as the probability of death (or injuries) due to possible hazardous event within one year in a given territory. It is determined through mathematical expectation of social losses taking into account the number of inhabitants in the considered settlement and probability of natural and/or technological disaster.

14 CFR 34.80 - Introduction.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT FUEL VENTING AND EXHAUST EMISSION REQUIREMENTS FOR TURBINE ENGINE POWERED AIRPLANES Test Procedures for Engine Smoke Emissions (Aircraft Gas Turbine Engines) § 34.80 Introduction. Except as provided under § 34.5, the...

14 CFR 34.80 - Introduction.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION AIRCRAFT FUEL VENTING AND EXHAUST EMISSION REQUIREMENTS FOR TURBINE ENGINE POWERED AIRPLANES Test Procedures for Engine Smoke Emissions (Aircraft Gas Turbine Engines) § 34.80 Introduction. Except as provided under § 34.5, the...

2011 Joplin, Missouri Tornado Experience, Mental Health Reactions, and Service Utilization: Cross-Sectional Assessments at Approximately 6 Months and 2.5 Years Post-Event.

PubMed

Houston, J Brian; Spialek, Matthew L; Stevens, Jordan; First, Jennifer; Mieseler, Vicky L; Pfefferbaum, Betty

2015-10-26

Introduction. On May 22, 2011 the deadliest tornado in the United States since 1947 struck Joplin, Missouri killing 161 people, injuring approximately 1,150 individuals, and causing approximately $2.8 billion in economic losses. Methods. This study examined the mental health effects of this event through a random digit dialing sample (N = 380) of Joplin adults at approximately 6 months post-disaster (Survey 1) and a purposive convenience sample (N = 438) of Joplin adults at approximately 2.5 years post-disaster (Survey 2). For both surveys we assessed tornado experience, posttraumatic stress, depression, mental health service utilization, and sociodemographics. For Survey 2 we also assessed social support and parent report of child strengths and difficulties. Results. Probable PTSD relevance was 12.63% at Survey 1 and 26.74% at Survey 2, while current depression prevalence was 20.82% at Survey 1 and 13.33% at Survey 2. Less education and more tornado experience was generally related to greater likelihood of experiencing probable PTSD and current depression for both surveys. Men and younger participants were more likely to report current depression at Survey 1. Low levels of social support (assessed only at Survey 2) were related to more probable PTSD and current depression. For both surveys, we observed low rates of mental health service utilization, and these rates were also low for participants reporting probable PTSD and current depression. At Survey 2 we assessed parent report of child (ages 4 to 17) strengths and difficulties and found that child difficulties were more frequent for younger children (ages 4 to 10) than older children (ages 11 to 17), and that parents reporting probable PTSD reported a greater frequency of children with borderline or abnormal difficulties. Discussion. Overall our results indicate that long-term (multi-year) community disaster mental health monitoring, assessment, referral, outreach, and services are needed following a major disaster like the 2011 Joplin tornado.