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Global platform and regional implementation: Trends and Challenges. Jean Luc Poncelet, MD, MPH. Area on Emergency Preparedness and Disaster Relief. Content. Trends in disaster management Global Mechanism Regional implementation Challenges. 1. Trends. From response to development
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Global platform and regional implementation:Trends and Challenges Jean Luc Poncelet, MD, MPH Area on Emergency Preparedness and Disaster Relief
Content • Trends in disaster management • Global Mechanism • Regional implementation • Challenges
1. Trends • From response to development • Disaster response up to the 60’s • Disaster preparedness: Earthquake of Guatemala 1976 • Prepare the response • Disaster mitigation: Gilbert 88 and Hugo 99 • Disasters occur but their impact can be reduced • Disaster recovery and disaster prevention as part of development: in process/being developed • Prevention: can hazard be “eliminated”? • Risk= Hazard + Vulnerability
Trends • Increasing of the technical complexity: • Emergency responders Engineers Planners institutions national agenda • Evacuation plans protection of structures protection of functions protection of inversion • Ad hoc response standards
Trends • Increasing of the national capacity*: • Health disaster coordination programs in each country • National disaster coordination entities in each country • However, limited to some hazards and mostly in response. * PAHO/WHO survey
The Tsunami and Pakistan Earthquake • Events can affect an entire region • “The international humanitarian community can respond to it. Only a matter of putting the necessary resource.” • Massive events requires massive assistance
Katrina • Large countries can be affected • Similitude between Katrina and Grenada post Ivan. • Absence of design for the system to be overwhelmed
Trends • Inclusion of new hazards: • Epidemic of International interest (IHR - International Health Regulations): • SARS • Pandemic Flu • Bioterrorism • My neighbors threat can be my threat
Trends • Increasing number of partners • Coordination is increasing complex
Global mechanisms • Response: • Mitigation:
Global mechanisms • Global response mechanism • IASC • Grouping a UN Agencies and NGO’s • Cluster Approach • OCHA: • Overall coordination • International appeal • PAHO/WHO: Health coordination • Others
Global mechanisms • Risk Reduction mechanism • ISDR International Strategy for Disaster Reduction • Global system for disaster risk reduction • Kobe, Hyogo framework 2015 (168 countries commitments) • WB • Global disaster mitigation facility • UNDP • ProVention • Consortium of international institutions (IFRC)
Regional implementation • Response: • Response teams • Regional health response team PAHO/WHO • 80 professionals in disaster coordination and sub specialty (epidemiology, mental health, toxicology,..) • Bilateral teams (Cuba, Mexico, Venezuela,…) • UNDAC • Regional team • LSS/SUMA • IFRC • PADRU,.. • CDERA • … • Web site • www.paho.org/disasters • www.reliefweb.int
Regional implementation • Mitigation & Recovery • ISDR • OAS • ACS • …
Intersection among platforms and institutions • Global: • SG • WHO • OCHA • Otros UN (UNICEF, PMA,..), Federación, • WB, • donantes • etc.. • Regional • PAHO/WHO • OCHA • UN • FCR • IDB • … • Subregional • CDERA • CARICOM • ACS • CDB
Global platforms in countries • International/ regional • PAHO/WHO • OCHA, • WB, IDB, CDB • NGO’s • FAO, • Southcom, RSS • …. • National • MOH • National Disaster System • Finance • Planning • NGO’s • Agriculture • Military • …
The Challenges • Avoid useless competition/ build network: • Specify/ identify the (complementary) role of each agency/ institution. Formal arrangement • Create/ strengthen network of doers. Informal coordination
Challenges • A system will break at its weakest point. • Disaster management is the art of identifying those weaknesses. • Disaster management is increasingly an issue of directing other institution assets toward gaps in risk reduction
Challenges • Disaster is not about having the largest budget possible. • It is about being • at the right time, at the right place, with the right people • to ensure most efficient decisions are taken based on previous experience and the existing/accessible resources
. • Not enough to have a good knowledge of disaster risk management • Entities/professionals must now be able to demonstrate a clear product.
Challenges • Change the approach to achievable, “palatable” and measurable targets. • Risk reduction >< safety increase
Challenges • Address the issue at the political/ public level. • Where are we? • Where do we want to go? • What is the next step? • What is missing?
Conclusions • Disaster management is increasingly complex, requires a larger network of more knowledgeable specialist • Global and regional platform are increasing in complexity and to cover more topics • The expectation of the public in increasing in both response and risk reduction
Conclusions Disaster programs must be a more efficient connector/ hub/ network