Strategic regeneration: A policy coupling approach to managing a coastal resort in South Wales

This review paper takes a case study approach to critically discuss how regeneration in the coastal resort of Porthcawl, South Wales has integrated flood defences as part of a strategic spatial planning and integrated policy coupling approach to the redesign of the town's seaside, promenade and harbour quarter. This planned initiative is part of a concerted effort to upgrade the town's waterfront and enable regeneration of a small seaside resort. From a resort cycle perspective, Porthcawl's perceived vulnerability to changing economic fortunes has prompted a master planning approach which is intended to bring together a mixed-use development programme with particular attention to urban design, strategic environmental assessment and public consultation. In different ways, this process has sought to raise public awareness of the issues and risks associated with the town's coastal location and to integrate flood defence aspects within the strategic regeneration plan as part of a greater sensitivity to climatic risks and potential flooding. This paper examines the adaptive capacity of coastal communities and the complex of socio-economic and spatio-temporal perspectives that shape policy developments in the planning, development and proactive management of coastal environments. The paper identifies the need to accommodate a new civic awareness of potential environmental hazards in articulating the public interest and balancing the trade-offs involved.     

Compliance with recommended protective actions during an H7N9 emergency: a risk perception perspective

This study investigates the factors determining an individual's response to official recommended protective measures, based on the Health Belief Model and the Protective Action Decision Model, to understand the adoption of protective behaviour during an H7N9 (Avian Influenza A) emergency. A public survey involving 1,375 respondents was conducted in Anhui Province, China, during the 2013 H7N9 outbreak to test the research model and hypotheses. The results indicate that protective, stakeholder, and risk perceptions influence positively an individual's willingness to take recommended actions. Protective and stakeholder perceptions also have a positive bearing on lay people's risk perceptions. A stakeholder perception is a vital determinant of a protective perception. More importantly, the effects of protective and stakeholder perceptions on behavioural responses to recommendations are mediated in part by risk perception. These findings can help public health officials to develop messages to encourage members of the population to protect themselves effectively during an influenza crisis.     

Disaster risk,social vulnerability,and economic development

This paper examines the extent to which economic development decreases a country's risk of experiencing climate‐related disasters as well as the societal impacts of those events. The paper proceeds from the underlying assumption that disasters are not inherently natural, but arise from the intersection of naturally‐occurring hazards within fragile environments. It uses data from the International Disaster Database (EM‐DAT), 1 representing country‐year‐level observations over the period 1980–2007. The study finds that low‐income countries are significantly more at risk of climate‐related disasters, even after controlling for exposure to climate hazards and other factors that may confound disaster reporting. Following the occurrence of a disaster, higher income generally diminishes a country's social vulnerability to such happenings, resulting in lower levels of mortality and morbidity. This implies that continued economic development may be a powerful tool for lessening social vulnerability to climate change.     

A fresh perspective on food safety in Canada: risk communication,public involvement,and the impact of the 2008 listeriosis outbreak

While the listeriosis outbreak of 2008 brought attention to food safety decision making in Canada, little of that attention was placed on public involvement and risk communication. With a primary focus on Health Canada (HC) and the Canadian Food Inspection Agency (CFIA), this article describes the state of microbial-related public involvement and risk communication undertakings and suggests ways in which improvements can be made. The findings show that public involvement and risk communication activities have been strengthened since the outbreak, but they have become neither dialogical nor highly participatory. HC engages with experts to a far greater extent than with the lay public and it has fallen short in fulfilling its stated commitment to openness and transparency. Furthermore, both HC's and the CFIA's approach to risk communication has been overly general, has failed to provide opportunities for dialogue with vulnerable and more general groups with whom it is communicating and is not rooted in foodborne surveillance data. Public involvement in food safety governance would be improved if HC provided the lay public with a seat on advisory committees and improved its public involvement reporting methods. HC and the CFIA could also make risk communication improvements by creating opportunities for dialogue between officials and the general public, and by exploring alternative risk communication vehicles, such as food labels.     

Flood proneness and coping strategies: the experiences of two villages in Bangladesh

This paper explores peoples' indigenous survival strategies and assesses variations in people's ability to cope with floods in two flood‐prone villages in Bangladesh. It reveals that people continuously battle against flood vulnerability in accordance with their level of exposure and abilities, with varied strategies employed at different geophysical locations. The paper reports that people in an area with low flooding and with better socioeconomic circumstances are more likely to cope with impacts compared to people in areas with high and sudden flooding. Similarly, households' ability to cope varies depending on people's socioeconomic conditions, such as education, income and occupation. Although floods in Bangladesh generate socioeconomic misery and cause damage to the environment, health and infrastructure, people's indigenous coping strategies have helped them to reduce significantly their vulnerability. Such flood‐mitigating strategies should be well recognised and emphasised further via proper dissemination of information through an early‐warning system and subsequently external assistance.     

The application of geographic information systems and global positioning systems in humanitarian emergencies: lessons learned,programme implications and future research

Geographic information systems (GIS), global positioning systems and remote sensing have been increasingly used in public health settings since the 1990s, but application of these methods in humanitarian emergencies has been less documented. Recent areas of application of GIS methods in humanitarian emergencies include hazard, vulnerability, and risk assessments; rapid assessment and survey methods; disease distribution and outbreak investigations; planning and implementation of health information systems; data and programme integration; and programme monitoring and evaluation. The main use of GIS in these areas is to provide maps for decision-making and advocacy, which allow overlaying types of information that may not normally be linked. GIS is also used to improve data collection in the field (for example, for rapid health assessments or mortality surveys). Development of GIS methods requires further research. Although GIS methods may save resources and reduce error, initial investment in equipment and capacity building may be substantial. Especially in humanitarian emergencies, equipment and methodologies must be practical and appropriate for field use. Add-on software to process GIS data needs to be developed and modified. As equipment becomes more user-friendly and costs decrease, GIS will become more of a routine tool for humanitarian aid organisations in humanitarian emergencies, and new and innovative uses will evolve.     

Measuring populations' vulnerabilities for famine and food security interventions: the case of Ethiopia's Chronic Vulnerability Index

The concept of vulnerability has become an important part of food security analyses since the 1980s. It is seen as having two sides: exposure to external hazards; and an inability to cope with those shocks, attributed to social, political, and economic factors. Numerous attempts have been made to construct models to determine levels of vulnerability among populations. This paper analyses one such attempt, the Chronic Vulnerability Index (CVI), developed to measure levels of vulnerability to food insecurity in Ethiopia. The example of the CVI reveals many of the difficulties associated with producing a basic model of vulnerability that can be used in disaster mitigation. Ultimately, the CVI assumes that vulnerability is a linear, additive phenomenon with discrete causes and effects and fails to capture interactions between hazards and the human systems that produce and complicate them. The paper concludes with a discussion of alternatives to the CVI.     

我国北方稻区稻飞虱的成灾机制：一个假说

本文通过对大量文献资料的综合分析，从飞虱的飞行特性和北迁运载气流入手，以东亚大气低层环流为背景审视飞虱在有限时间内远迁北方致灾的成因机制，提出了以北上低空急流的时空变化与南方大发生虫源迁出期（区）相吻合、其前沿所至与北方迁入区相一致作为北方稻虱成灾的启动因子的假说．并提出了验证该假说的研究方法和技术路线，为揭示北方稻虱成灾的奥秘，完善灾变监测技术和预警系统奠定了基础。     

Assessing community vulnerability to floods and hurricanes along the Gulf Coast of the United States

Hurricanes and flooding have affected millions of people and generated massive economic losses over the past several decades. Geographic information system (GIS) methods are employed in this paper to analyse coastal communities' vulnerability to these two hazards along the Gulf Coast of the United States. Specifically, two types of quantitative indicators are developed: (i) exposure to hurricanes and flooding, based on information from multiple sources; and a social vulnerability index, constructed using census data. These indices are combined to depict the spatial patterns of overall community vulnerability to hurricanes and flooding along the US Gulf Coast. The results of this study can potentially inform disaster management agencies, county governments, and municipalities in areas at heightened risk. Furthermore, the demonstration of the geographic distribution of community vulnerability can assist decision-makers in prioritising to-do items and designing policies and plans for the more effective allocation of resources. The paper ends by discussing the study's limitations and its practical implications.     

Displacement as a predictor of functional impairment in tsunami‐exposed children

Thirty months after the Indian Ocean tsunami of 26 December 2004, thousands of families in Aceh Province, Indonesia, remained in temporary barracks while sanitation conditions and non‐governmental organisation support deteriorated. This study sought to determine the factors associated with functional impairment in a sample of 138 displaced and non‐displaced Acehnese children. Using multivariate linear regression models, it was found that displacement distance was a consistent predictor of impairment using the Brief Impairment Scale. Exposure to tsunami‐related trauma markers was not significantly linked with impairment in the model. Paternal employment was a consistent protective factor for child functioning. These findings suggest that post‐disaster displacement and the subsequent familial economic disruption are significant predictors of impaired functioning in children's daily activities. Post‐disaster interventions should consider the disruption of familiar environments for families and children when relocating vulnerable populations to avoid deleterious impacts on children's functioning.     

草地畜牧业雪灾脆弱性评价 --以内蒙古牧区为例

从综合减灾和区域可持续发展的角度，建立了雪灾脆弱性评价指标体系及评价模型，并从雪灾区域孕灾环境敏感性以及区域畜牧业承灾体对雪灾的适应性两方面，对内蒙古雪灾脆弱性进行了评价。研究结果表明：内蒙古牧区雪灾脆弱性存在若明显的地域差异，中西部牧区比东部牧区脆弱性大，北部牧区比南部牧区脆弱性大，并且近10年来脆弱性提高的旗县明显增多，草地季节性干旱、北方干旱化以及草场超载过牧、退化加剧是畜牧业雪灾脆弱性呈增加趋势的直接原因。     

自然灾害的社会易损性及其影响因素研究

社会易损性是人类社会在自然灾害条件下的潜在损失,它的大小受许多因素的影响。从社会学视角出发,从人口、社会结构和社会文化三方面分析了社会易损性的影响因素,它们包括易损人群、易损职业、社会经济活动、社会组织结构、社会资本、社会保障制度、社会冲突的协调能力和灾害文化等因素。     

Community resilience and volcano hazard: the eruption of Tungurahua and evacuation of the faldas in Ecuador

Official response to explosive volcano hazards usually involves evacuation of local inhabitants to safe shelters. Enforcement is often difficult and problems can be exacerbated when major eruptions do not ensue. Families are deprived of livelihoods and pressure to return to hazardous areas builds. Concomitantly, prevailing socio-economic and political conditions limit activities and can influence vulnerability. This paper addresses these issues, examining an ongoing volcano hazard (Tungurahua) in Ecuador where contextual realities significantly constrain responses. Fieldwork involved interviewing government officials, selecting focus groups and conducting surveys of evacuees in four locations: a temporary shelter, a permanent resettlement, with returnees and with a control group. Differences in perceptions of risk and health conditions, and in the potential for economic recovery were found among groups with different evacuation experiences. The long-term goal is to develop a model of community resilience in long-term stress environments.     

Attitude before method: disability in vulnerability and capacity assessment

Many agencies working on disaster risk reduction use vulnerability and capacity assessment (VCA) to identify vulnerable groups, to assess their needs and capacities, and to develop appropriate programmes and policies. In theory, VCA offers a good opportunity to incorporate disabled people's needs and resources in counter‐disaster programming. This paper seeks to establish and explain the extent to which disability is included in VCA in practice. It reviews VCA reports and findings, formal VCA guidance, and other methodological literature. The review indicates that disability is a neglected issue in VCA practice and that manuals and guidelines, while promoting the general ideal of inclusiveness, are insufficiently aware of the challenges to achieving this in practice and do not offer enough guidance on how to reach and include disabled people. Ways of overcoming these problems are suggested. However, the real challenge may be to change core attitudes and perceptions of disability within implementing organisations.     

An outbreak of scurvy in Somali refugee camps*

Between June and October 1982, an outbreak of scurvy occurred in the refugee camps of Somalia. An epidemiologic investigation eventually detected more than 2,000 cases. The outbreak came at a time when the relief programme had been well established and the general health status of the refugees had otherwise stabilized. We report on 72 of the cases. Joint pain of the lower extremities and gingivitis were prominent features in the majority. Hemorrhagic phenomena were not observed and no deaths occurred. The outbreak primarily affected the poorer refugees who were unable to purchase locally available Vitamin C-containing foods. This outbreak demonstrates the vulnerability of a large population of displaced persons who are dependent on imported relief supplies for survival.     

河北省农业旱灾脆弱性区划与减灾

脆弱性是农业遭受干旱影响和旱灾损失的必要条件，它决定旱灾影响的强度。本文对河北省农业旱灾脆弱性进行了区划，分析了区域农业旱灾脆弱性变化的成因，针对区域农业旱灾脆弱性累进的动态压力，提出了调整人类行为、降低脆弱性、减轻灾害影响和损失的思路。     

棉铃虫暴发的特点,成因及治理对策

本文就１９９２年我国棉铃虫暴发成灾的特点与成因进行了详细的分析，并讨论了治理这一灾害性农业害虫的策略与方法。     

Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi

Hazard vulnerability analysis (HVA) is used to risk‐stratify potential threats, measure the probability of those threats, and guide disaster preparedness. The primary objective of this project was to analyse the level of disaster preparedness in public hospitals in the Emirate of Abu Dhabi, utilising the HVA tool in collaboration with the Disaster Medicine Section at Harvard Medical School. The secondary objective was to review each facility's disaster plan and make recommendations based on the HVA findings. Based on the review, this article makes eight observations, including on the need for more accurate data; better hazard assessment capabilities; enhanced decontamination capacities; and the development of hospital‐specific emergency management programmes, a hospital incident command system, and a centralised, dedicated regional disaster coordination centre. With this project, HVAs were conducted successfully for the first time in health care facilities in Abu Dhabi. This study thus serves as another successful example of multidisciplinary emergency preparedness processes.     

The health sector gap in the southern Africa crisis in 2002/2003

The southern Africa crisis represents the first widespread emergency in a region with a mature HIV/AIDS epidemic. It provides a steep learning curve for the international humanitarian system in understanding and responding to the complex interactions between the epidemic and the causes and the effects of this crisis. It also provoked much debate about the severity and causes of this emergency, and the appropriateness of the response by the humanitarian community. The authors argue that the over-emphasis on food aid delivery occurred at the expense of other public health interventions, particularly preventative and curative health services. Health service needs were not sufficiently addressed despite the early recognition that ill-health related to HIV/AIDS was a major vulnerability factor. This neglect occurred because analytical frameworks were too narrowly focused on food security, and large-scale support to health service delivery was seen as a long-term developmental issue that could not easily be dealt with by short-term humanitarian action. Furthermore, there were insufficient countrywide data on acute malnutrition, mortality rates and performance of the public health system to make better-balanced evidence-based decisions. In this crisis, humanitarian organisations providing health services could not assume their traditional roles of short-term assistance in a limited geographical area until the governing authorities resume their responsibilities. However, relegating health service delivery as a long-term developmental issue is not acceptable. Improved multisectoral analytical frameworks that include a multidisciplinary team are needed to ensure all aspects of public health are dealt with in similar future emergencies. Humanitarian organisations must advocate for improved delivery and access to health services in this region. They can target limited geographical areas with high mortality and acute malnutrition rates to deliver their services. Finally, to address the underlying problem of the health sector gap, a long-term strategy to ensure improved and sustainable health sector performance can only be accomplished with truly adequate resources. This will require renewed efforts on part of governments, donors and the international community. Public health interventions, complementing those addressing food insecurity, were and are still needed to reduce the impact of the crisis, and to allow people to re-establish their livelihoods. These will increase the population's resilience to prevent or mitigate future disasters.