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EDITORIAL
Year : 2020  |  Volume : 64  |  Issue : 1  |  Page : 1-3  

Disasters: Implications, mitigation, and preparedness


Member, Journal Advisory Board, Indian Journal of Public Health; Former Professor and Head, Department of Community Medicine, Armed Forces Medical College, Pune and Pondicherry Institute of Medical Sciences, Puducherry, India

Date of Submission22-Jan-2020
Date of Decision19-Feb-2020
Date of Acceptance24-Jan-2020
Date of Web Publication16-Mar-2020

Correspondence Address:
Zile Singh
Member, Journal Advisory Board, Indian Journal of Public Health; Former Professor and Head, Department of Community Medicine, Armed Forces Medical College, Pune and Pondicherry Institute of Medical Sciences, Puducherry
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.IJPH_40_20

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How to cite this article:
Singh Z. Disasters: Implications, mitigation, and preparedness. Indian J Public Health 2020;64:1-3

How to cite this URL:
Singh Z. Disasters: Implications, mitigation, and preparedness. Indian J Public Health [serial online] 2020 [cited 2020 May 27];64:1-3. Available from: http://www.ijph.in/text.asp?2020/64/1/1/280771



“I always tried to turn every disaster into an opportunity”

–John D. Rockefeller

Disaster means a catastrophe, mishap, calamity, or grave occurrence in any area, arising from natural or anthropogenic causes, or by accident or negligence, which results in substantial loss of life or human suffering or damage to, and destruction of property or damage to, or degradation of environment, and is of such a nature or magnitude as to be beyond the coping capacity of the community of the affected area.[1] The World Health Organization defines disaster as, “a sudden ecological phenomenon of sufficient magnitude to require external assistance.”[2]

The disaster may be natural and anthropogenic.

Natural: Volcano eruption, earthquake, wild fire, snow avalanche, heat wave, cold weather, hurricane, floods, drought, landslide, blizzard, epidemics, etc.

Anthropogenic: Nuclear, biological, chemical, industrial and transport accidents, mining disasters, dam breaks, oil spills, explosions, terrorist attacks, wars, etc.


   Major Natural Disasters Top


Disasters are increasing globally in frequency and severity due to rising population, earth warming, earthquakes, and increase in disease-carrying vectors causing colossal loss of lives and material damage. About 772,000 people died worldwide from disasters during 2006 to 2015 according to the World Disasters Report 2016.[3]

Notable natural disasters during the last 100 years are Spanish flu pandemic (1918–1919) causing 25–30 million deaths and Tokyo earthquake (1923) that killed 1.5 lakhs people; China floods (1931) took a toll of 3.7 million lives. In Bangladesh 1, 40,000 people died in a cyclone in 1991. Tsunami caused 230,000 deaths and displaced 1.7 million people in 14 countries in 2004. Hurricane Katrina (2005) was the costliest disaster in the USA causing one trillion USD damage.[4]

India is prone to natural disasters due to large mountainous tracts, 7500 km coastline, vast deserts, forests, rivers, thickly populated cities/towns, and extremes of hot and cold climatic areas. Thirty major disasters have struck in India since the 1970s.[5] Super cyclone caused death of about 15,000 people in Odisha in 1999. Gujarat earthquake killed around 20,000 people in 2001. Tsunami in 2004 killed nearly 11,000 people and displaced 150,000.[6] 1094 people were killed in Maharashtra floods (2005). Heavy rainfall/landslides caused large-scale destruction of houses, structures, and 4094 deaths in Uttarakhand in June 2013.[7]


   Implications of Disasters Top


The implications of a disaster depend on its type and severity, vulnerable population, and the capacity of the community or the local organization to cope up with the disaster. Some of the factors contributing to the impact are the immediate reactions of the people, population migration, outbreak of communicable diseases, availability of food and potable water supply, climatic conditions, and damage to the infrastructure such as roads, electric supply, and housing.

Physical, environmental, and social implications

Socioeconomic consequences of a disaster are represented by the number of fatalities and economic damage. There is lot of disaster-related suffering, morbidity, hardship, stress, and feeling of helplessness. The consequences could be direct, such as damage to buildings, roads, electricity and water supply, food supply, railways, bridges, hospitals, schools, industrial installations, irrigation channels, private property, loss of jobs, disruption of telephones. Indirect effects are felt over a longer period of time due to nuclear explosions or chemical disasters.

Health implications

Elderly population, children, pregnant women, low socioeconomic groups, high-density populations, and migrants are more vulnerable to the vagaries of disasters. The short-term health effects are deaths and outbreaks of communicable diseases such as cholera and viral hepatitis. The long-term effects include depression, anxiety, substance abuse, physical disabilities, posttraumatic stress disorder (PTSD), e.g., insecurity, fear of another calamity, fatigue, poor concentration, nervousness, sleep, and appetite disturbances. A longitudinal study found that 15%–20% of people affected by a disaster had symptoms of PTSD.[8]


   Mitigation Strategies Top


Mitigation is aimed at preventing the disaster or reducing adverse personal, socioeconomic, and environmental impact on the community. This could be achieved by proper land use planning; developing emergency preparedness and response guidelines; and their dissemination at national, regional, and local levels to all stakeholders. A comprehensive mitigation strategy should be inclusive of all government and private organizations, all social groups, and local community.


   Disaster Risk Reduction Top


Losses to a disaster-affected region disrupt almost all sectors of the economy and quality of life of the people. Investment of every dollar in disaster risk reduction (DRR) could save six dollars in disaster aftermath.[9] Specific risk reduction measures are needed for various disasters. However, the key thematic areas for mainstreaming DRR are improving risk awareness, effective risk management strategy ensuring social inclusiveness, mutual reinforcement under major global frameworks, capacity development, intersectional coordination, adequate financing, setting targets, timelines, performance indicators, monitoring mechanisms, scrutiny of development plans, early warning systems, adequate legal support, enhanced research, etc.[10]


   Disaster Preparedness Top


Disaster preparedness measures for risk reduction are required to be taken depending on the type of threat of various disasters and the geographical areas likely to be affected.[11]

Floods

  • Reliable flood risk forecasting and warning system
  • Rigorous implementation of zoning, e.g., land use for human settlements and industrial infrastructure
  • Relocation of riparian inhabitants and structures out of flood prone areas
  • Making structures to withstand flood forces (dams, storm water drainage system, floodwalls etc.,)
  • Building designs, elevation of floor levels, use of water-resistant materials, strong foundations, etc.,
  • Flood evacuation plans: Identifying shelters and preparing boats and rescue equipment
  • Watershed management for storage of water.


Earthquakes

  • Seismic zoning
  • Avoid structures in loose soils and reclaimed land
  • Structural design to withstand strong vibrations
  • Strengthening of existing buildings (retrofitting).


Cyclones

  • Planting of windbreaks and trimming of tree branches
  • Siting of building on leeward side of hillsides
  • Good-quality construction of wind-resistant buildings
  • Provision of safety shelters and evacuation plans.


Fires

  • Vulnerability analysis of areas and population clusters prone to high risk of fires
  • Capacity development for firefighting in terms of equipment, infrastructure, and human resource
  • Use of fire-resistant material for buildings
  • Remove branches and leaf litter around houses
  • Provision of sufficient water supply, hoses, and protective clothing
  • Fire evacuation plan.


Tsunami

  • Digital mapping of Tsunami hazard vulnerable areas
  • Development of early warning systems
  • Promote research on seismic activity and methods for Tsunami risk assessment.


Cold waves

  • Monitoring of cold wave situation in coordination with the India Meteorological Department (IMD) and rapid dissemination of the warnings to the public
  • Maintain good nutrition, wear several layers of warm clothing, change wet clothing frequently, avoid exertion, stock up on food, water and watch for signs of frostbite/hypothermia, and seek early medical care.



   Emergency Preparedness Top


  • Ensuring that all stakeholders work together as per standing operative procedures
  • Establish rapid deployable communications
  • Clear and nonambiguous distribution of tasks and responsibilities. Develop rosters of personnel who are prepared to assist in disaster relief
  • Develop technology to give advance notification of disasters and emergencies
  • Provide adequate funds to states for preparation and implementation of plans
  • Review state evacuation plans and essential emergency services
  • Establish adequate help lines in case of emergencies.



   Disaster Response, Recovery, and Rehabilitation Strategies Top


The United Nations Office for Disaster Risk Reduction defines response as, “Actions taken directly before, during or immediately after a disaster in order to save lives, reduce health impacts, ensure public safety and meet the basic needs of the people affected.”[12]

The recovery framework includes institutional mechanisms clearly defining roles and responsibilities at all levels, public–private participation, effective use of information and communication technology, pooling of professional skills from diverse areas, and proactive involvement of communities in outreach programs.

Rehabilitation is an integral part of recovery. The rehabilitation package should include reconstruction of damaged infrastructure and psychological rehabilitation of the affected people. The vulnerable groups would need special support to survive the impact of disasters. Educational activities for the children should be revived on priority. Anganwadis and old-age homes should be activated as early as possible. Vocational training camps should be setup to improve the skills of children. Self-help groups should be promoted. Counseling for stress management due to loss of relatives and friends should be a part of disaster rehabilitation plan.


   Health Warning Systems Top


The Government of India has designated specific agencies in various departments to monitor the risk of various disasters and setup early warning systems. These agencies such as Snow and Avalanche Study Establishment, IMD, Central Drought Relief Commissioner, Central Water Commission, Geological Survey of India, and Indian National Centre for Ocean Information Services provide inputs to the Ministry of Home Affairs, which issues alerts and warnings to all concerned through various communication channels.


   National Disaster Management Top


Modern societies are not prepared for extreme disasters, which are beyond planning and design assumptions. However, the major disasters in recent past such as Tsunami and floods have spurred central and state Governments as well as other stakeholders in making responsive, reliable, and effective disaster management plans, with improved early warning systems and rapid dissemination of the disaster risk to the people using electronic media and modern technologies which have been helpful in minimizing the adverse impact of disasters on the affected community.


   Conclusion Top


Disasters whether natural or anthropogenic are highly complex events resulting in mass sufferings due to immediate medical problems as well as long-term public health and psychological disruptions. The frequency and severity of disasters is increasing due to global warming, rising populations, deforestation, rapid urbanization, enhanced human conflicts, use of weapons of mass destruction, etc.

DRR and management entails coordinated preparedness and mitigation plans and their implementation at international, regional, national, and local levels by pooling of technology, resources, and rapid dissemination of early warnings to reduce the adverse impact of disasters on the affected populations.



 
   References Top

1.
Government of India. Disaster Management Act 2005. Government of India; 2005. Available from: https://www.ndmindia.nic.in/images/TheDisasterManagement Act, 2005.pdf. [Last accessed on 2020 Jan 09].  Back to cited text no. 1
    
2.
Zibulewsky J. Defining disaster: The emergency department perspective. Proc (Bayl Univ Med Cent) 2001;14:144-9.  Back to cited text no. 2
    
3.
International Federation of Red Cross and Red Crescent Society. World Disaster Report 2016. International Federation of Red Cross and Red Crescent Society; 2016. p. 266. Available from: https://www.ifrc.org/Global/Documents/Secretariat/201610/WDR2016-FINAL_web.pdf. [Last accessed on 2020 Jan 09].  Back to cited text no. 3
    
4.
Kundzewicz ZW. Disaster aftermath. In: Kirch W, editors. Encyclopedia of Public Health. Vol. 1. Dresden, Germany: Springer; 2008. p. 269-70.  Back to cited text no. 4
    
5.
Sahoo J, Rao EV. Disaster aftermath. In: Kadri AM, editors. Iapsm's Textbook of Community Medicine. 1st ed., Ch. 34. New Delhi (India): JP Brothers Medical Publishers; 2019. p. 861.  Back to cited text no. 5
    
6.
Habitat for Humanity Great Britain. Disaster Preparedness and Mitigation Program in India. Available from: https://www.habitatforhumanity.org.uk/what-we-do/disaster-response/disaster-preparedness-india/. [Last accessed on 2020 Jan 09].  Back to cited text no. 6
    
7.
National Disaster Management Authority, Government of India; Disaster Data and Statistics, Some Major Disasters in India. New Delhi; 2018. Available from: https://www.ndma.gov.in/en/capacity-building/civil-defence/28-hazard-risk-vulnerability/133-disaster-data-statistics.html. [Last accessed on 2020 Jan 09].  Back to cited text no. 7
    
8.
Ohl CA, Tapsell S. Flooding and human health. BMJ 2000;321:1167-8.  Back to cited text no. 8
    
9.
Porter K, Scawthorn C, Dash N, Santos J. Schneider P. Natural Hazard Mitigation Saves, 2017 Interim Report: An Independent Study. Washington: Multihazard Mitigation Council, National Institute of Building Sciences; 2017. p. 5.  Back to cited text no. 9
    
10.
Government of India, National Disaster Management Plan; 2018. p. 90-1. Available from: https://ndma.gov.in/images/pdf/NDMP-2018-Revised-Draft-1-2018OCT16-A.pdf. [Last accessed on 2020 Jan 09].  Back to cited text no. 10
    
11.
Government of India. National Disaster Management Plan; 2018. p. 112-228. Available from: https://ndma.gov.in/images/pdf/NDMP-2018-Revised-Draft-1-2018OCT16-A.pdf. [Last accessed on 2020 Jan 09].  Back to cited text no. 11
    
12.
United Nations Office for Disaster Risk Reduction, Terminology; 2017. Available from: https://www.unisdr.org/we/inform/terminology. [Last accessed on 2020 Jan 09].  Back to cited text no. 12
    




 

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