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From the Tsunami to Katrina: Lessons Learned in Disasters. UCSF Department of Surgery and UCSF Global Health Sciences 1/26/06. Panelists. Dr. Mark Stinson: Disaster Response Dr. Jan Horn: Responding to Katrina and the role of surgeons in disaster response
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From the Tsunami to Katrina:Lessons Learned in Disasters UCSF Department of Surgery and UCSF Global Health Sciences 1/26/06
Panelists • Dr. Mark Stinson: Disaster Response • Dr. Jan Horn: Responding to Katrina and the role of surgeons in disaster response • Dr. Rochelle Dicker: Responding to the tsunami in Sri Lanka • Dr. Jess Ghannam: Mental Health in the wake of disaster
What is a Disaster? • An occurrence causing widespread destruction and distress. • “Major” Disaster: >50 deaths or 100,000 people affected (USAID, OFDA 1999) • A situation or event that overwhelms the local capacity for relief Walter, J.: World Disasters Report
“Disaster” Classification • Natural: earthquakes, floods, tornadoes, landslides, and volcanoes • Man-made: plane or train crashes, building collapse, fires, industrial accidents, war or terrorist activities
Developing Countries:Impact is Disproportionate • 1990-1998: 94% of 568 major disasters • 97% deaths from disasters • 4x as likely to die of a disaster in a DC • 13x as likely to die in a disaster in a DC
Economic Consequences • 20% higher cost in GDP in DC’s • $63 billion/yr over decade • This only measures PHYSICAL losses • Total than world aid spent on development and humanitarian assistance
TRENDS over 30 years • DECREASING mortality • INCREASING numbers of people affected • INCREASING costs • Increased VULNERABILITY in developing countries
Disaster “cycle” • Preparedness • Event + Impact • Recovery • Relief • Rehabilitation • Reconstruction • Mitigation
“Natural” Disaster? • Disasters are not NATURAL • There are natural HAZARDS • What converts a HAZARD into a DISASTER is related to VULNERABILITY and CAPACITY
United NationsIDNDR • International Decade for Natural Disaster Reduction (1990-1999) • UN ISDR (2000) • Greater emphasis on processes-> disaster reduction and sustainable development • vs. risk blind development
Disasters andGlobal Health Priorities • AIDS/malaria = tsunami mortality every week in Africa • Complex Emergencies • DRC tsunami every 2 months • Role of the media/short attention span/political risk? • How much of pledged funds are disbursed? • Mitch 33%; Bam 16%