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Module: Organization: East Africa HEALTH Alliance, 2009-2012 Author(s): Dr. Simon Mamuya (Muhimbili Univ. SPH) (Lead Author); Dr. Christoper Orach-Garimoi (MakSPH), Dr. Roy William Mayega (MakSPH), Dr. Joseph Chuwa (MoH, Tanzania), Dr. Tabu Simiyu (Moi Univ. SPH), Mr. Mike Renny Wafula (OPM, Uganda), Dr. G. Kabagambe (LIPHEA) Resource Title: Session 1.1: Introduction to Disasters License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution 3.0 License: http://creativecommons.org/licenses/by/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. For more information about how to cite these materials visit http://open.umich.edu/privacy-and-terms-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

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Introduction to Disasters james_gordon_los_angeles, flickr Compiled by the Eastern Africa Disaster Management Training Core Team Narrated by Dr. Roy William Mayega 3

WHAT DOES THE TERM DISASTER MEAN TO YOU???? 4

Definition of Disasters A serious disruption of the functioning of a community or a society causing widespread human, material, economic or environmental losses which exceed the ability of the affected community or society to cope using its own resources. All Hands Volunteer Photobank, flickr WHO, 1998 5

Definitions What is an emergency? A state in which normal procedures are suspended and extraordinary measures are taken in order to avert a disaster 6

Let s define other related terms Hazard Risk Vulnerability Capacity Carol Mitchell, flickr whiteafrican, flickr 7

What is hazard? Definitions A threatening event or potentially damaging incident (CDC) What is risk? The probability of suffering damage (to life, property, economic disruptions and environment) from a hazard for a given area and reference period. Risk is the product of hazard and vulnerability 8

What is vulnerability? Definitions Susceptibility to physical or emotional injury following a disaster The degree to which an area, people, physical structures or economic assets are exposed to loss, injury or damage caused by the impact of a hazard (Source: Red Cross) What is capacity? The resources available to cope with a threat or resist the impact of a hazard 9

What is the relationship between these terms? doou, flickr Disaster Risk = [Hazard x Vulnerability] / [Capacity] 10

Disaster Classification Disasters may be: Natural Technological (human generated) Those in between or hybrid Another way to classify disasters is based on speed of onset: Rapid onset Slow onset 11

Classification of Natural Disasters: Slow onset Drought and desertification Famine Deforestation Pests and plant diseases IFRC, flickr 12

Classification of Natural Disasters: Rapid onset Climatic Floods Windstorms Wildfires Hail storms Geological Earthquakes Tsunamis Volcanic Landslides 13

Technological Disasters Conflict and Wars leading to refugees and internal displacement (Complex Emergencies) Structure failure and building collapse Transportation crashes and accidents james_gordon_los_angeles, flickr 14

Technological Disasters Military accidents Fire disasters Terrorism Industrial incidents Timothy Wildey, flickr 15

Name Recent Technological Disasters in your Region U.S. Coast Guard, wikimedia commons hankplanj, flickr 16

Hybrid Disasters In some situations, it is difficult to classify a disaster on the basis of whether it is natural or technological WHERE DO EPIDEMICS FALL? 17

Public Health Consequences of Disasters Before we discuss the consequences of disasters, let us do Group Activity 1.1 in your manual 18

Public Health Consequences of Disasters Death Injuries Loss of clean water Loss of shelter Loss of personal household goods Major population movements Loss of sanitation Loss of routine hygiene Disruption of solid waste management Public concern for safety Panic Increased pests & vectors Damage to health care system Worsening of chronic illnesses Loss of electricity Toxic/ hazardous exposure Loss of food supply Standing surface water 19

Illustration: Consequences of Drought and Famine Bert Kaufmann, flickr Felipe Moreira, flickr United Nations Photo, flickr, Bread for the World, flickr IFRC, flickr SodexoUSA, flickr for Districts 20

Illustration: Effects of Flash Floods The Advocacy Project, flickr louris.yamaguchi, flickr 21

Illustration: Effects of Slow Onset Floods The Humanitarian Coalition, flickr Peter Casier, flickr 22

Illustration: Effects of Land Slides [mooi], flickr 23

The Hyogo Framework for Disaster Management This international framework emphasizes the following at all levels (Including districts) Early warning systems Capacity building Emphasizing safety and resilience of communities Reducing risk factors Strengthening disaster preparedness 24

Pre Disaster Definitions Preparedness Actions that result in persons knowing what to do and how to respond after disaster has occurred Prevention Activities designed to provide permanent protection from disaster which include engineering and physical protective measures and legislation to control land use and urban planning Mitigation Measures taken in advance of an event aimed at decreasing or eliminating its impact on society and environment 25

Post Disaster Definitions Response Decisions and actions taken during and after disaster. This includes immediate relief, rehabilitation and reconstruction Recovery Activities that restore vital life support systems to normalize operating standards and long term activities that return life to normal International Humanitarian Relief Foundation, flickr 26

Other Definitions Relief and Rescue Time period immediately following the disaster period Exceptional measures to save lives and care for survivors (meet basic needs) waterdotorg, flickr Distinction between rescue and relief rescue -> secure life relief -> sustain life 27

Rehabilitation Other definitions After closure of the relief phase (no more dependency for basic need satisfaction) Restoring mental and physical health and stability of a community Instilling principles of sustainable livelihoods Empowering victims/survivors Should lead to BETTER developments 28

Rehabilitation: Examples Early Recovery Plans for IDPs Re-afforestation programmes Post Recovery Plans Emphasis: Restoration of Original status 29

Recovery: Examples Physical infrastructure repair Enhancement of the pre-disaster state Build resilience Provide new structures/housing that will be able to withstand a similar disaster in future Are we creating More/new vulnerability through reconstruction actions? Involves systematic Integration of disasters and Long-term Development 30

The Disaster Management Cycle Risk reduction measures are Delivered preimpact Most costeffective Community based Sustainable Mitigation Preparedness Prevention Response Recovery Crisis management measures are Delivered postimpact Least costeffective Nationally and internationally based Non-sustainable 31

An evolution in approach From Response and Relief To Risk Reduction Sanofi Pasteur, flickr Church Mission Society (CMS), flickr 32

What mechanisms have you put in place. To prevent disasters in your district? To reduce vulnerability to disasters To prepare for disasters in case they occurred? 33

All disasters are local. All disasters occur locally in a particular community The earliest response to disasters often comes from the community itself The capacity of the community to respond to disasters should therefore be built Lars Plougmann, flickr 34

End! 35

Additional Source Information for more information see: http://open.umich.edu/wiki/citationpolicy Slide 3, Image 1: james_gordon_los_angeles, "Ilyushin Il-76 (NATO reporting name: Candid) mishap", flickr, http://www.flickr.com/photos/ james_gordon_los_angeles/6688806643/, CC: BY-NC 2.0, http://creativecommons.org/licenses/by-nc/2.0/ Slide 5, Image 1: All Hands Volunteer Photobank, "Rubble", flickr, http://www.flickr.com/photos/allhandsvolunteers/6774932448/, CC: BY-NC-SA 2.0, http://creativecommons.org/licenses/by-nc-sa/2.0/ Slide 7, Image 1: Carol Mitchell, "family of four on scooter", flickr, http://www.flickr.com/photos/webethere/2171088197/, CC: BY-ND 2.0, http:// creativecommons.org/licenses/by-nd/2.0/ Slide 7, Image 2: whiteafrican, "4-up on a Motorcycle", flickr, http://www.flickr.com/photos/whiteafrican/3348920881/, CC: BY 2.0, http:// creativecommons.org/licenses/by/2.0/ Slide 10, Image 1: doou, "this guy is walking on a flaming rope", flickr, http://www.flickr.com/photos/noopzilla/529250625/, CC: BY-NC-SA, http:// creativecommons.org/licenses/by-nc-sa/2.0/ Slide 12, Image 1: IFRC, "Food crisis in the horn of Africa", flickr, http://www.flickr.com/photos/ifrc/3100439632/, CC: BY-NC-ND 2.0, http:// creativecommons.org/licenses/by-nc-nd/2.0/ Slide 14, Image 1: james_gordon_los_angeles, "Ilyushin Il-76 (NATO reporting name: Candid) mishap", flickr, http://www.flickr.com/photos/ james_gordon_los_angeles/6688806643/, CC: BY-NC 2.0, http://creativecommons.org/licenses/by-nc/2.0/ Slide 15, Image 1: Timothy Wildey, "South Trail Fire District, FL - Vehicle Fire, Summerlin Rd & Reflections Pkwy", flickr, http://www.flickr.com/ photos/timothywildey/4633908250/, CC: BY-NC 2.0, http://creativecommons.org/licenses/by-nc/2.0/deed.en Slide 16, Image 1: hankplanj, "September 11th", flickr, http://www.flickr.com/photos/theactionitems/3910349931/, CC: BY-NC-ND 2.0, http:// creativecommons.org/licenses/by-nc-nd/2.0/ Slide 16, Image 2: U.S. Coast Guard, "Deepwater Horizon offshore drilling unit on fire 2010", wikimedia commons, http://commons.wikimedia.org/ wiki/file:deepwater_horizon_offshore_drilling_unit_on_fire_2010.jpg, Public Domain - Government Slide 20, Image 1: Bread for the World, "Food Distribution", flickr, http://www.flickr.com/photos/breadfortheworld/6521596341/, CC: BY-NC 2.0, http://creativecommons.org/licenses/by-nc/2.0/. Slide 20, Image 1: United Nations Photo, "Famine in Somalia", flickr, http://www.flickr.com/photos/un_photo/6032147365/, CC: BY-NC-ND 2.0, http://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 20, Image 2: IFRC, "Food crisis in the horn of Africa", flickr, http://www.flickr.com/photos/ifrc/3100439632/, CC: BY-NC-ND 2.0, http:// creativecommons.org/licenses/by-nc-nd/2.0/ Slide 20, Image 3: Bert Kaufmann, "Drought", flickr, http://www.flickr.com/photos/22746515@n02/3487433937/, CC: BY 2.0, http:// creativecommons.org/licenses/by/2.0/ Slide 20, Image 4: Felipe Moreira, "002", flickr, http://www.flickr.com/photos/faugusto/73577338/, CC: BY-SA 2.0, http://creativecommons.org/ licenses/by-sa/2.0/ 36

Additional Source Information for more information see: http://open.umich.edu/wiki/citationpolicy Slide 20, Image 5: SodexoUSA, "IMG_0727_JPG", flickr, http://www.flickr.com/photos/sodexousa/6215037547/, CC: BY 2.0, http:// creativecommons.org/licenses/by/2.0/ Slide 21, Image 1: The Advocacy Project, "Flash Flood!", flickr, http://www.flickr.com/photos/advocacy_project/4837337566/, CC: BY-NC-SA 2.0, http://creativecommons.org/licenses/by-nc-sa/2.0/ Slide 21, Image 2: louris.yamaguchi, "Small boats the key to survival--katakwi, Uganda during Floods", flickr, http://www.flickr.com/photos/ 18199113@N02/1873043940/, CC: BY-NC-ND 2.0, http://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 22, Image 1: The Humanitarian Coalition, "AFRICA-FLOODS", flickr, http://www.flickr.com/photos/humanitarian_coalition/2245957299/, CC: BY-NC-SA 2.0, http://creativecommons.org/licenses/by-nc-sa/2.0/ Slide 22, Image 2: Peter Casier, "Floods Africa", flickr, http://www.flickr.com/photos/theroadtothehorizon/414816179/, CC: BY-NC-ND 2.0, http:// creativecommons.org/licenses/by-nc-nd/2.0/ Slide 23, Image 1: [mooi], "Landslide cuts off No.3 freeway, Taiwan", flickr, http://www.flickr.com/photos/mooitw/4551530772/, CC: BY-NC-ND 2.0, http://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 26, Image 1: International Humanitarian Relief Foundation, "IHH relief effort in refugee camps in Somalia, August 2011.", flickr, http:// www.flickr.com/photos/ihhinsaniyardimvakfi/6337197898/, CC: BY-NC-ND 2.0, http://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 27, Image 1: waterdotorg, "Haiti earthquake damage", flickr, http://www.flickr.com/photos/waterdotorg/4442749823/, CC: BY-NC-SA 2.0, http:// creativecommons.org/licenses/by-nc-sa/2.0/ Slide 32, Image 1: Sanofi Pasteur, "Vaccination drive in Africa", flickr, http://www.flickr.com/photos/sanofi-pasteur/5282894671/, CC: BY-NC-ND 2.0, http://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 32, Image 2: Church Mission Society (CMS), "DRC - Displaced people flee (June)", flickr, http://www.flickr.com/photos/mission/3043155841/, CC: BY-NC-ND 2.0, http://creativecommons.org/licenses/by-nc-nd/2.0/ Slide 34, Image 1: Lars Plougmann, "Mother with child", flickr, http://www.flickr.com/photos/criminalintent/69650289/, CC: BY 2.0, http:// creativecommons.org/licenses/by/2.0/ 37