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Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake Supercourse China 超超超超 · 超 http:// www.SuperCourse.cn / 2008-6-6

Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

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Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake. Supercourse China 超级课程 · 中国 http://www.SuperCourse.cn/ 2008-6-6. The work we did after the Wenchuan earthquake. Disease control of CDC. Interview with Zijian Feng, director of Emergency Office of China CDC. - PowerPoint PPT Presentation

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Page 1: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Revelation of 5.12 Quake, Sichuan, China

Part 4b Short-term response after the quake

Supercourse China 超级课程 ·中国

http://www.SuperCourse.cn/

2008-6-6

Page 2: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The work we did after the Wenchuan earthquake

Page 3: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Disease control of CDC

• The methods of diseases monitoring can be divided into active ones and passive ones which means obtaining the reported data. And active monitoring is practised by the department in charge of diseases monitoring to send groups to the disaster area for random sampling survey.

• Active monitoring had been started, combined with the passive monitoring and relative staffs had been sent to the area by CDC.

Interview with Zijian Feng, director of Emergency Office of China CDC

Page 4: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The epidemic prevention arrangement of the Ministry of

Health• Three insurances -To ensure that there are enough and professional staff in the

disaster area -To ensure the supply of the sanitary articles used for epidemic

prevention -To ensure the effective organization of the prevention tasks.• Four key aspects -Key population means the people in the settlements -Key area means the relics having not been cleaned properly -Key diseases mean the ones had broken in that area and to

which both the epidemic monitoring and enhancement of prevention measurements are necessary.

-Key points mean: the attention of water-drinking, food safety, epidemic monitoring and management of bodies

Ministry of Health

Page 5: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The epidemic prevention arrangement of the Ministry of

Health• Disinfection and disinsection -The area of the covered region were

1384,000,000m2(untill June 1st) -Medicines for disinfection and disinsection of 1,898 ton

had been sent to the disaster area -The community management which involves the setting

up of water supply apparatus, medical tents, epidemic prevention groups, waste treatment facilitates and public toilets should be carried out in the settlements for the victims to ensure the basic life and sanitation of the people there.

Ministry of Health

Page 6: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The epidemic prevention arrangement of the Ministry of Health

• Report of epidemic situation

-Every monitoring station should report the condition everyday and a zero report is required if there was no epidemic cases

-Using the appropriative cell phone in the case that the existed report network had been destroyed in some area.

Ministry of Health

Page 7: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The epidemic prevention arrangement of the Ministry of Health

• Vaccination-Both fixed-point vaccination and itinerant vaccination are

performed to achieve the goal of vaccination of hepatitis A vaccine and je vaccine to the sensitive people by June 15th

-Sichuan province has started since June 1st the vaccination of hepatitis A and je vaccine for the children. Vaccines against 7 diseases, namely DPT, typhoid fever, hemorrhagic fever , coupler body, anthrax , measles-mumps and rabies, had been stored. So emergent vaccination can be offered in case any epidemic case is discovered.

Ministry of Health

Page 8: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The epidemic prevention arrangement of the Ministry of Health

• Treatment of bodies

The programs of the harmless disposal of reliquiae of victims and animal bodies

-Cremation is the first choice if conditions permit

-Bury the bodies right there if the transportation is severely blocked

The place for burying must be far from water source and relatively higher to avoid contamination of water and external environment

Ministry of Health

Page 9: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The epidemic prevention arrangement of the Ministry of

Health• The program of the monitoring of vector biology

1 The target

2 The extension and frequency

3 The organization and divisions

4 The monitoring methods of the density of mosquito, fly and mouse

5 The questionnaire of the density of mosquito, fly and mouse

6 The reference index of disinsection and deratization

7 The evaluation of disinsection and deratization

Ministry of Health

Page 10: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The epidemic prevention arrangement of the Ministry of Health

• Something we should pay attention to during epidemic prevention

-Disaster area ≠ epidemic area

All the vehicles are disinfected in some places. However, this is unnecessary and abuse of disinfectors may negatively affect external environment

-We should resume the normal function of medical and sanitation institutions in the disaster area

Now we are helping Sichuan to find a proper reconstruction program of the medical and sanitation institutions there

Ministry of Health

Page 11: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

4.6 Victims settlement

Page 12: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Population movement after the earthquake

Zones

Earthquake-stricken area

4

Page 13: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Population Movement

Major concern and barrier for effective services delivery in Bam

1) Invasion of poor people from neighboring

areas to Bam

110,000

Population

before the

earthquake

40,000

Number of

death

90,000

Population at

the 1.5

months after the

earthquake

- = (?)

5

Page 14: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The most important reasons:

Poor environmental health condition of previous living

zone (85%)

Lack of accessibility to latrines (73%)

Recurrent referral of health personnel for census

(54%)

Being interested in being in front of their own

damaged house (49%)

Lack of sufficient environmental space for living (26%)

Population Movement

2) Changing living places inside the bam

Page 15: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Water forsanitaryusage

Bath room Latrine Detergents

1th day

2nd day

3-5 days

> 5 days

7

Cumulative percent of the first time health services delivery to the earthquake-stricken households in Bam

till 20th days of post-disaster period

Page 16: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The overall satisfaction of the earthquake-stricken people from health services delivery

0%10%20%30%40%50%60%70%80%90%

Water forsanitaryusage

Bath room Latrine Detergents

High Moderate Low 8

Page 17: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The needs (expressed demands) of Bam earthquake-stricken households on 19th and

20th days of post-disaster periodBath room

74 %Food 69 %

Clothes 68 %

Heaters 62 %

Security 60 %

Latrine 49 %

Money 47 %

Others

9

Page 18: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

29%26% 25%

23%20%

14%12%

0%

5%

10%

15%

20%

25%

30%

11

The needs (expressed demands) of Bam earthquake-stricken householdson19th and 20th days of post-disaster period

Page 19: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

22%

15%

12%

9%

7%

0%

5%

10%

15%

20%

25% Transportation

Unavailability of required servicesUnfamiliarity with health and medical centersDissatisfied from

previous servicesInappropriate

time

12

Main barriers in health services delivery in Bam earthquake-stricken households,

during first 20 days of post-disaster period

Page 20: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

The sanitation guidebook for the settlements in the natural disaster area

• On water, disinfection is needed to ensure the water safety

• On excrement, isolation is required• On solid waste

What should be done and what should be avoided, please see the following page:

http://www.paho.org/english/dd/ped/te_albe.htm

Page 21: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

• > 3.3 million tents

• Garbage Treatment Facilities & Sewage Treatment Facilities

• Chemical proof protective clothing, Shoes and masks

• Radiation detector (X ray and Y ray survey meter, Personal

dosimeter)

• Medical Instruments like ECG, Operational Kits, etc

• Medication for infectious disease

Urgent Needs

Source: UNOCHA situation report NO 6, 7 & 8

Page 22: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Some points about accommodation status of population

Determinants of aggregation places

Distances of tents

Risk of injuries

Cultural values

13

Page 23: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Social problems of earthquake-stricken households

in Bam till 20th days of post-disaster period

67%

56%

3%

0%

10%

20%

30%

40%

50%

60%

70%

Steeling Violance Sexual violance

Violence: Physical or psychological aggression 14

Page 24: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

67%

14%9%

4%0.50%

6.00%

0%

10%

20%

30%

40%

50%

60%

70%

15

Page 25: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

4.7 Post-disaster psychological assistance

Page 26: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Psychological Problems in Bam earthquake

A major consequence of disaster:

40% PTSD

Comprehensive Mental Health program by

Office of MH at MOH

MH and Social Working interventions

by State Welfare Organization

18

Page 27: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Mental health interventions in Bam

Office of Mental Health at Iranian MOH has

valuable experiences on MH interventions

in disaster situations, based on previous

earthquakes in Iran.

They are covering all population in Bam

by holding “Relief groups” to deal with

PTSD, Depression and Suicide.19

Page 28: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

16

80 % of relief workers in Bam

expressed their need to

psychological consultations.

Page 29: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

儿童心理干预

China CDC

Page 30: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

China CDC

Page 31: Revelation of 5.12 Quake, Sichuan, China Part 4b Short-term response after the quake

Supercourse China has already made more just-in-time PPT about the Sichuan Earthquake, which concerned with self-rescue and mutual-help in the earthquake, public health problems, as well as the first and secondary rescue( including psychological reconstruction ) after the disaster ect. Please visit: http://www.supercourse.cn/