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Introduction to Public Health in Disaster
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Public Health Approach to DisasterThe photograph shows the demolished bridge after the strike of the Guatemala Earthquake,and demonstrates the logistical obstacles during the relief period.The image illustrates the massive destruction brought by Cyclone Bhola hitting Bangladesh. Communities residing along the coastal area faced themost serious disruption.1.0 Introduction: A Brief HistoryWhy begin with history?History allows us to view how publichealth approaches to medical disasterresponse emerged. This understandinghelps us appreciate the usefulness andsignificance of Disaster PublicHealth and puts into context theconclusions drawn from previousdisasters, current challenges and futuredevelopments.One of the earliest papers publishedabout the public health impact ondisaster management can be dated backto the early 1970s. Below are threelessons learnt from the 1970s.1970A tropical cyclone hit the coastof Bangladesh in 1970,resulting in over 250,000deaths. Results of healthsurveys in the disaster-affectedcommunities demonstrated thecomplicated matrix of needsand risks faced by differentstakeholders in disastersituations. The publicationhighlighted the value andnecessity of early on the spotneeds assessments in providingvalid and timely data fordisaster relief. (Sommer &Mosley, 1972)1972Dr. Western, an epidemiologist, highlighted that the health of a population exhibits patterns of morbidity andmortality specific to disaster type and disease profile of a particular region. (Sommer & Mosley, 1972)1976Publications following a major earthquake that caused an estimated 23,000 deaths in Guatemala served as thecornerstone studies in the short history of evidence-based medical and public health response in disaster situations.Publications following the earthquake highlighted:The significant logistical challenges and deficiencies in the international relief system.(Spencer et al., 1977; de Ville de Goyet et al., 1976)The plausible use of disaster research methodology in identifying risk factorsassociatedwith specific negative health outcome associated with the disaster, and hence, effective,targeted interventions could be implemented as means of health protection.(Glass et al., 1980)Stop-and-Think: The Significance of Public Health and DisasterDisasters have occurred throughout history. Why do you think the findings of those publications were particularlyimportant?Copyright 2014. All Rights Reserved. Emily Ying Yang CHAN [link: /copyright.php ]