Disaster preparedness and regional training on nine Caribbean islands: A longterm evaluation

This paper presents an analysis and evaluation of emergency preparedness and regionalized training on nine Caribbean islands during the period of 1980 to 1985. Preparedness on the islands is measured in numerous ways, including the existence and comprehensiveness of the disaster plan; existence and adequacy of district organizations; existence of an emergency operations centre; frequency of drills; adequacy of communications; and various other indicators. The regionalized training, which was provided out of a small, internationally-funded unit in Antigua, is evaluated in terms of the contribution it made to Caribbean preparedness during the period. Various management difficulties are analyzed and recommendations made for future, similar programs.     

Disaster mental health training programmes in New York City following September 11, 2001

The need for mental health resources to provide care to the community following large‐scale disasters is well documented. In the aftermath of the World Trade Center (WTC) disaster on September 11, 2001, many local agencies and organizations responded by providing informal mental health services, including disaster mental health training for practitioners. The quality of these programmes has not been assessed, however. The National Center for Disaster Preparedness at Columbia University's School of Public Health reviewed disaster mental health training programmes administered by community‐based organizations, professional associations, hospitals, and government agencies after September 11. Results indicate that the quality and the effectiveness of programmes are difficult to assess. A wide range of curricula and a widespread lack of recordkeeping and credentialing of trainers were noted. Most of the training programmes provided are no longer available. Recommendations for improving the quality of disaster mental health training programmes are provided.     

抢险救灾物资保障模拟训练系统分析与设计

计算机模拟训练是增强抢险救灾应急保障能力的重要手段,在联合仿真建模技术的基础上分析并设计了抢险救灾物资保障模拟训练系统。提出了系统功能需求,主要包括物资保障业务、分布交互式协同、模型管理与优化、数据管理、过程推演与保障流程控制等;分析了三层系统结构,基础平台层由指挥系统、导调控制系统、RTI等组成,资源层由模型库、知识库、数据库等组成,应用层则由生活、野营、医疗、工程、装备等五个模拟训练子系统组成;给出了基于联合仿真建模技术的仿真模型设计流程,并完成了基于HLA的分布式系统设计,构建了抢险救灾物资保障的四类联邦成员,设计了FOM与SOM模型,完成了Agent-DEVS联邦模型与RTI的接口。以上研究为开展抢险救灾应急保障模拟训练奠定了基础。     

Public Nutrition in Emergencies: An Overview of Debates, Dilemmas and Decision-making

This paper introduces and discusses the main themes and issues arising from the workshop 'International Public Nutrition in Emergencies: The Potential for Improving Practice'.
Good co-ordination within the nutrition sector of the international humanitarian response system has led to a range of achievements in recent years. Major constraints to improving programme impact remain, however, including misconceptions about the scope of nutrition among the wider humanitarian system, which tends to give it a narrow focus on malnutrition and feeding people. In contrast to this limited view, the Public Nutrition approach brings a more broad-based emphasis to assessing and responding to nutritional problems in emergencies, and takes into account the wider social, economic and political causes of malnutrition.
Six case study presentations illustrated the various components of a Public Nutrition approach, including in-depth assessment, analysis and tailoring programmes accordingly. Additional presentations considered the nature of vulnerability, the concept of Public Nutrition, the responsibilities for addressing nutritional problems and some of the operational tools and frameworks in current use.
Participants agreed on the necessity of raising levels of awareness and understanding among all actors in the humanitarian sphere about the impact of their actions on nutrition. Strategies for achieving this included developing better multi-sectoral working relationships and also strengthening relationships with donors and key decision-makers in the humanitarian system. Other related strategies included institutional learning, training and capacity building, particularly in relation to institutions based in developing countries and building upon initiatives such as the Sphere Project, which has successfully brought together the various actors within the humanitarian system in order to improve quality of response.     

Reducing disaster risks 1980–2010: Some reflections and speculations

Through personal reflections on themes covering past experiences, the author considers selected experiences of disaster risk management (DRM) that span 30 years of DRM, and makes some speculations concerning the future, and ponders whether within the selected themes the future looks positive or negative. The observations begin with some memories of the Ocho Rios Conference: a multi disciplinary expedition to examine housing and hazards in Pakistan; issues concerning education and training; and finally the success of a massive reconstruction project of rural dwellings in Pakistan following the 2005 earthquake. Some key questions are considered: the value of community-based risk management; the reduction of short- or long-term risks; the protection of critical facilities; whose reality is being addressed? official neglect of education for DRM; the conditions needed to create highly effective safe reconstruction in rural Pakistan.     

国家地震紧急救援训练基地可控地震废墟设计(Ⅱ)——功能设计

地震往往给人类社会带来巨大的财产损失和人员伤亡，专业化的地震紧急救援能够及时应对地震灾害，最大限度减少人民生命财产损失，是防震减灾体系不可或缺的组成部分。国家紧急救援训练基地的建立就是为了训练具有专业水平的地震紧急救援队伍和人员。针对建筑物在地震中的破坏倒塌模式，借鉴国际先进地震搜索救援经验，进行了在各种地震废墟中紧急搜索和救援的方案设计以及国家地震紧急救援训练基地可控地震废墟部分的功能设计。     

国家地震紧急救援训练基地可控地震废墟设计(II)——功能设计

地震往往给人类社会带来巨大的财产损失和人员伤亡,专业化的地震紧急救援能够及时应对地震灾害,最大限度减少人民生命财产损失,是防震减灾体系不可或缺的组成部分。国家紧急救援训练基地的建立就是为了训练具有专业水平的地震紧急救援队伍和人员。针对建筑物在地震中的破坏倒塌模式,借鉴国际先进地震搜索救援经验,进行了在各种地震废墟中紧急搜索和救援的方案设计以及国家地震紧急救援训练基地可控地震废墟部分的功能设计。     

Anatomy of an ambush: security risks facing international humanitarian assistance

The 2003 war with Iraq has generated security concerns that present unique challenges to the practice of providing international humanitarian assistance during war and conflict. Objective research studies on security management are lacking. However, case studies have proven to be an important education and training tool to advance situational awareness of security risks. These challenges are illustrated by an analysis of the events surrounding the first ambush of, and assassination attempt on, a senior US aid official in Baghdad. Before deployment to conflict areas, especially those characterised by insurgent activity, humanitarian providers must realistically assess the threats to life and to the mission. They must obtain pre-deployment situational awareness education, security training and optimal protective equipment and vehicles.     

The 'who' and 'what' of training far disaster relief

This paper defines the various levels within government, the voluntary agencies and the community which might benefit from training and makes suggestions as to where the emphasis should be placed. It points out that training programmes should be designed to meet the expressed needs of a particular group of trainees as well as be related to the current or potential disaster situation.     

Mapping the public first-aid training landscape: a scoping review

While the public can play a vital role in saving lives during emergencies, intervention is only effective if people have the skills, confidence, and willingness to help. This review employs a five-stage framework to systematically analyse first aid and emergency helping literature from 22 countries (predominately in Asia, Australia, Europe, and the United States). The review covers 54 articles that investigate public first-aid knowledge and uptake of first-aid training (40); public confidence in first-aid skills and willingness to help during an emergency (21); and barriers to or enablers of learning first aid and delivering first aid in an emergency (25). The findings identify high levels of perceived knowledge, confidence, and willingness to help, supporting the contention that the public can play a vital role during an emergency. However, the findings also point to low uptake levels, low tested skill-specific knowledge, and barriers to learning first aid and helping, indicating that the first-aid training landscape is in need of improvement.     

THE DEVELOPMENT AND PRACTICE OF EMERGENCY AND DISASTER MEDICINE IN THE UNITED STATES

Accidents and sudden illness constitutes a major public health problem in many countries. Emergency medicine had developed as a vigorous new specialty in the U.S. and has fully integrated itself within the American medical and hospital system to provide improved emergency medical care. Emergency medicine plays a central role in disaster medical services, planning, and management and is the only specialty in American civilian medicine that includes disaster medicine as a primary field within its domain. Now that the basic framework of emergency medicine has been established, the American College of Emergency Physicians is implementing a nationwide training program on disaster planning and management for emergency physicians.     

Living with disasters: social capital for disaster governance

This paper explores how social networks and bonds within and across organisations shape disaster operations and strategies. Local government disaster training exercises serve as a window through which to view these relations, and ‘social capital’ is used as an analytic for making sense of the human relations at the core of disaster management operations. These elements help to expose and substantiate the often intangible relations that compose the culture that exists, and that is shaped by preparations for disasters. The study reveals how this social capital has been generated through personal interactions, which are shared among disaster managers across different organisations and across ‘levels’ within those organisations. Recognition of these ‘group resources’ has significant implications for disaster management in which conducive social relations have become paramount. The paper concludes that socio‐cultural relations, as well as a people‐centred approach to preparations, appear to be effective means of readying for, and ultimately responding to, disasters.     

Training Community Health Workers in refugee camps: A case study from Pakistan

In October 1983 a training programme for refugee community health workers was begun as the major part of a primary health care programme for Afghan refugees in Pakistan. The programme began with a pilot period in Badaber camp, situated near to Peshawar. The general issues involved in training auxiliary health personnel were answered by the use of a "knowledge, attitudes and practices survey" and involvement of the refugees from the beginning of the programme. The development of the training programme is discussed with reference to these issues and the constraints arising from the special circumstances of the refugees, in addition to those common to most national training programmes, are reviewed.     

职业安全培训效果定量评估方法应用研究

职业安全培训是企业安全管理的重要内容,是提高员工安全意识和事故风险管理技能的主要手段。但是职业安全培训效果如何,目前尚无有效的定量评估方法。针对安全培训这个复杂的多因素、多变量、多层次系统,通过对影响培训效果的各因素以及因素之间的相互联系进行系统深入的分析,建立起科学、全面和客观的评价指标体系;通过运用层次分析法(AHP)法,合理准确地确定各评价因素的权重,在此基础上运用模糊数学基本理论构建职业安全培训效果定量评估模型;并通过案例加以应用,表明该模型的评价结果能较好地反映实际情况,对于提高和改善培训质量,降低事故风险,具有重要的应用价值。     

Disaster preparedness for farmers: A methodology

In summary, four elements are considered to be essential for introducing a national system of agricultural disaster preparedness planning:

• (a) the initiative should be taken by the Ministry of Agriculture (or its equivalent); within project areas, the initiative should be taken by the project authority, although preferably within a national system;
• (b) contingency planning should form part of an annual/ seasonal agricultural production planning; appropriate budgetary allocations should be made at this stage;
• (c) regional or district agricultural officers should be given specific responsibility to collect relevant environmental and land use information for disaster-prone areas and to prepare relevant contingency plans; and
• (d) all agricultural officials, from the Ministry down to the lowest field level, should be trained in how to make and use disaster preparedness plans; local government representatives and officials should also be trained.

Training is regarded as the key element. This is a field where international agencies such as FAO and UNDRO could assist governments to improve their state of disaster preparedness. Voluntary agencies could also play an important role in training community leaders in the identification of disaster preparedness needs and possibilities.     

Training refugees as primary health care workers: Past imperfect, future conditional

Many problems have been encountered in the planning and implementation of health care in refugee camps, and more specifically in the training of refugees as primary health care workers. A review of the published literature and a "survey" of the opinions and experiences of refugee, national and international health personnel regarding training has therefore been undertaken to provide an overview of what has been done and to make recommendations for future work.
The review highlights the need to reallocate resources away from high visibility emergency aid to development activities, such as training, that will create an infrastructure for primary health care and promote self-reliance.     

Public nutrition in emergencies: an overview of debates, dilemmas and decision-making

This paper introduces and discusses the main themes and issues arising from the workshop 'International Public Nutrition in Emergencies: The Potential for Improving Practice'. Good co-ordination within the nutrition sector of the international humanitarian response system has led to a range of achievements in recent years. Major constraints to improving programme impact remain, however, including misconceptions about the scope of nutrition among the wider humanitarian system, which tends to give it a narrow focus on malnutrition and feeding people. In contrast to this limited view, the Public Nutrition approach brings a more broad-based emphasis to assessing and responding to nutritional problems in emergencies, and takes into account the wider social, economic and political causes of malnutrition. Six case study presentations illustrated the various components of a Public Nutrition approach, including in-depth assessment, analysis and tailoring programmes accordingly. Additional presentations considered the nature of vulnerability, the concept of Public Nutrition, the responsibilities for addressing nutritional problems and some of the operational tools and frameworks in current use. Participants agreed on the necessity of raising levels of awareness and understanding among all actors in the humanitarian sphere about the impact of their actions on nutrition. Strategies for achieving this included developing better multi-sectorial working relationships and also strengthening relationships with donors and key decision-makers in the humanitarian system. Other related strategies included institutional learning, training and capacity building, particularly in relation to institutions based in developing countries and building upon initiatives such as the Sphere Project, which has successfully brought together the various actors within the humanitarian system in order to improve quality of response.     

The Yellow Fever Epidemic in Western Mali,September—November 1987: Why Did Epidemiological Surveillance Fail?

Recent yellow fever epidemics in West Africa have underlined the discrepancy between the official number of cases and deaths and those estimated by a retrospective epidemiological investigation. During the yellow fever epidemic that broke out in western Mali in September 1987, a total of 305 cases and 145 deaths were officially notified, but estimates revealed true figures abut five times higher. This paper attempts to discuss the factors that hindered early case detection and more complete reporting. They were, first, the insufficient training on the clinical diagnosis, the blood sampling method for laboratory confirmation, and the curative treatment of patients (resulting in low utilization of services); second, the lack of an action plan to prepare in advance a quick response to the epidemic, affecting reporting procedures at the peripheral level and active case-finding during the outbreak; and third, the lack of laboratory facilities for a quick confirmation of the disease.
The difficulties experienced during the yellow fever epidemic in Mali demonstrated the importance of a preparedness strategy for epidemic control, based on an integrated approach of epidemiological surveillance within basic health service activities. The need for regional collaboration and for institutionalized funds in the donor community that could be mobilized for epidemic preparedness activities is also emphasized.