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Health Emergency Risk Management. Pir Mohammad Paya MD, MPH,DCBHD Senior Technical Specialist Public Health in Emergencies Asian Disaster Preparedness Center. Outline. Definition of Public Health Essential Public Health Functions General effects of Disaster on Health
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Health Emergency Risk Management Pir Mohammad Paya MD, MPH,DCBHDSenior Technical SpecialistPublic Health in EmergenciesAsian Disaster Preparedness Center
Outline • Definition of Public Health • Essential Public Health Functions • General effects of Disaster on Health • Health Emergency Risk Management • Community • Disaster • Hazard • Vulnerability • Capacity • Preparedness Programs • Steps in Responses • Services in emergencies
WHAT IS PUBLIC HEALTH? Public health (PH) is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals" (1920, C.E.A. Winslow)
Health Emergency RISKs MANAGEMENT ... is a comprehensive strategy for reducing threats and their consequences to public health and safety of communities by: • Preventing exposure to hazards (target = hazards) • Reducing vulnerabilities (target group = community) • Developing response and recovery capacities (target group = response agencies)
Disaster A serious disruption of the functioning of a community or a society involving widespread human, material, economic or environmental losses and impacts, which exceeds the ability of the affected community or society to cope using its own resources.
A Hazard is A dangerous phenomenon, substance, human activity or condition that may cause loss of life, injury or other health impacts, property damage, loss of livelihoods and services, social and economic disruption, or environmental damage
Types of Hazards There are 4 classes of hazards:
An Emergency is any actual threat to public health and safety
The difference Hazard Event Damage A DISASTER is the occurrence of an event that cannot be handled by local response and requires outside actors Changes in Function An EMERGENCY is the occurrence of an event that can be handled by local response Needs Outside response Disaster Local response Emergency
Vulnerability is the characteristics and circumstances of a community, system or asset that make it susceptible to the damaging effects of a hazard.
Factors influencing human vulnerability/Determinants of Health Risks
Capacity The combination of all the strengths, attributes and resources available within a community, society or organization that can be used to achieve agreed goals.
Risks are: The probability AND the consequences of exposure to a hazard Hazard x Vulnerability Risk Capacity (for response and recovery)
Preparedness Programs Preparedness is: A long term institutionalised program of measures to build capacities to prevent, mitigate,respond to and recover from emergencies A program has: • A visible place in the organisational chart • Full time staff • A regular budget • An annual work PLAN Preparedness is not a PLAN, it is: A program WITH A PLAN!
10 indicators of preparedness National, provincial, local, agency and institutional level Personal and community level
Health Emergency Managers primarily concerned with protectingpublic safetyandpublic healthOur clients are threatened and injured / damagedcommunities are
Aims of Risk Communication • Providesmeaningful, relevant, accurate and timely information on how to • prepare for, • protect against, • respond to, • or recover from the risk • Foradvocacyand policy development • Help prevent misallocation and wasting of resources • Candecrease illness, injuries and deaths
For each stage of the disaster, there is a different informational need of the different audiences Different communication objectives Different messages
Communication Objectives Pre-Crisis Stage Preparedness Prevention Mitigation • Behavior change • Advocacy for policy and structural reforms • Community organization and mobilization • Public Information and education
Crisis Stage Reduce injury, illness and death • Information and education • Behavior change • Social mobilization • Process/effect/impact documentation
Post Crisis Stage Recovery/Rehabilitation • Counseling • Behavior change • Public information and education • Process documentation • Social mobilization
Steps for Readiness Prevention Mitigation Preparedness Response Recovery 1 General context of emergency management Overall policy and political commitment Source of risks Hazards 2 Risks identification Options identification, selection, implementation Elements exposed -community Probability -likelihood 4 3 5 Risks analysis Levels of risks Risks Evaluation Prioritization Risk Reduction Harmful consequences 7 Monitor and review communicate and consult 6 Capacity development 8