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DISASTER MANAGEMENT - the A, B, C’s

DISASTER MANAGEMENT - the A, B, C’s. Dr Isaac Kihurani. Scenario:. Hurricane and flood in a coastal country

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DISASTER MANAGEMENT - the A, B, C’s

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  1. DISASTER MANAGEMENT - the A, B, C’s Dr Isaac Kihurani

  2. Scenario: Hurricane and flood in a coastal country • A hurricane with excessive rainfall five times the normal volume caused considerable flooding in rural and urban coastal plains. More than 70,000 people living in the regional capital have been severely affected by the floods, along with an additional 100,000 people living in rural areas as estimated by flights over the region. The government has declared this region a disaster area.

  3. Challenges seen: • Logistics • Coordination with local authorities • Language barriers • Cholera and trauma related injuries

  4. Objectives: • Definitions • Kenya Government structure in disaster management • The Pediatrician in disaster management • Challenges

  5. Definition:

  6. Kenya’s disaster profile: • Droughts • Fires • Floods • Diseases and epidemics

  7. National Disaster Management Unit: • Established by Presidential decree in August 2013 • Established command structure • Own budget • Standard operating procedure

  8. Concept of operations: • Upon activation: - Joint Operation Centre (JOC) - NMDU headquarters or other designated site • NMDU mandated to manage disasters in Kenya

  9. Sectoral leads:

  10. Disaster response coordination:

  11. What is our role as pediatricians?

  12. Capacity building:

  13. A – Data collection and use • Demographics • Pre-disaster health conditions • Immunization rates • Where are the most vulnerable children living? • Are there vector-borne illnesses? • What are the most prevalent diseases? • What is the baseline malnutrition rate?

  14. Needs assessment • Emergency needs assessment • Water • Nutrition (food sources, storage, distribution, acceptability) • Shelter • Sanitation • Environmental conditions • Health needs

  15. Health care system evaluation (buildings, equipment, human resources • Surveillance system • Community resources (security, communication, transport)

  16. B – Intervention priorities • Establish emergency intervention priorities • Know how the modes of disease transmission affect intervention priorities

  17. C- Surveillance cycle

  18. Current challenges: • Lack of public resources • Lack of an emergency medical care policy by Division of Emergency/Disaster response at MOH • No pre-hospital training • Nearly all pre-hospital resources are in the private sector • Behooves us to work with what we have

  19. Summary: • Disaster management in Kenya remains a major challenge • Kenya Government efforts need to be supported – policy, resources • Pediatricians need to get engaged – training, preparedness • Prehospital management remains a concern

  20. Thank you

  21. Acknowledgements: • Dr. Ra’ana Hussein – Aga Khan University Hospital, Nairobi • Dr. Benjamin Wachira - Aga Khan University Hospital, Nairobi • Kenya National Disaster Management Unit Website • Dr. Dan Alaro – Kenya Pediatric Association

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