HIV/AIDS among conflict-affected and displaced populations: dispelling myths and taking action

Conflict, displacement, food insecurity and poverty make affected populations more vulnerable to HIV transmission. However, the common assumption that this vulnerability necessarily translates into more HIV infections and consequently fuels the HIV/AIDS epidemic is not supported by data. Whether or not conflict and displacement affect HIV transmission depends upon numerous competing and interacting factors. This paper explores and explains the epidemiology of HIV/AIDS in conflict and addresses the unique characteristics that must be addressed when planning and implementing HIV/AIDS interventions among populations affected by conflict as compared with those in resource-poor settings. These include targeting at-risk groups, protection, programming strategies, coordination and integration and monitoring and evaluation. Areas for future HIV/AIDS operational research in conflict are discussed.     

Substance use among populations displaced by conflict: a literature review

This paper reviews the literature on substance use among populations displaced by conflict. Of the 17 publications presenting primary data retained for review, all consider populations in or recovering from protracted conflict, the majority (10) in non-camp settings. Most studies (10) offer prevalence estimates, suggesting that substance use (such as of alcohol, opiates, or minor tranquilizers) is common in some displaced settings. Five describe harmful consequences of substance use among displaced populations (such as HIV transmission, tuberculosis treatment failure, gender-based violence, and economic problems). Three studies suggest risk factors for substance use problems (such as gender, trauma-related conditions, pre-displacement substance use, and socio-economic factors); two examine qualitatively the gendered nature of alcohol-related harm and its links with gender-based violence. One study examines an intervention. The evidence base is weak. Findings are used to develop a conceptual framework emphasizing the risk environment to inform further research, to encourage debate among researchers and practitioners, and to enable the development of interventions.     

Planning STI/HIV prevention among refugees and mobile populations: situation assessment of Sudanese refugees

This article reflects an investigation of knowledge, attitudes and behaviours and HIV/STI prevalence of Sudanese refugees and Ethiopian sex workers in 1992. It represents one of the earliest such investigations within an African refugee population. The investigation took place in the Dimma refugee settlement in south-western Ethiopia and study participants included Sudanese refugee men and women and Ethiopian female sex workers. Methods used for this investigation included focus group discussions, behavioural surveys and serologic testing. The main outcome measures of the investigation were HIV/STI knowledge, attitudes and behaviours and biological markers for HIV, syphilis and herpes simplex 2. The study findings indicate that in the early 1990s, knowledge about AIDS and condom use was low among Sudanese refugee women and not one reported having ever used a condom. Furthermore, sexual contact between refugee men and sex workers was frequent during the time of this study and the prevalence of HIV and other STIs was high. The results confirm a widely held assumption that highly mobile and transient populations in Africa are susceptible to STIs and HIV, in large part due to their knowledge, attitudes and behaviours.     

The rationality of resistance: alternatives for engagement in complex emergencies

The different conceptualisations of conflict in the complex emergency literature have profound implications on the perception of the agency of different groups and the prospects for conflict management. While much recent analysis has focused on the rational political and economic functions of violence, relatively little analysis has focused on why the majority of people chose not to resort to violence. Using Foucault's analysis of power relations, a new framework for conflict analysis is proposed which includes non-violent resistance as well as violence as a means of domination. Non-violent resistance is explored as a rational, highly adaptable response to acts of domination. A comprehensive understanding of conflict must recognise local forms of resistance and identify the barriers and opportunities for the engagement of the international humanitarian community with these groups. This engagement can be used to foster capacities for the creation of legitimate, inclusive, non-violent political and economic processes in the attempt to provide alternatives for everyone in the conflict. If the purpose of the study of complex emergencies is to understand the nature of various conflicts and, based on that understanding, make recommendations for possible routes to conflict management, the analysis of local resistance and efforts to foster it must become a major aspect of the research agenda.     

NGO initiatives in risk reduction: an overview

NGOs appear to be well placed to play a significant role in natural disaster mitigation and preparedness (DMP), working, as they do, with poorer and marginalised groups in society. However, there is little information on the scale or nature of NGO DMP activities. This paper reports the findings of a study seeking to address that gap. It confirms that NGOs are involved in a diverse range of DMP activities but that a number of them are not labelled as such. Moreover, evidence of the demonstrable quality and benefits of DMP involvement is poor. The paper concludes that a number of problems need to be overcome before DMP can be satisfactorily mainstreamed into NGO development and post-disaster rehabilitation programmes. However, there are some early indications of momentum for change.     

Mainstreaming risk reduction in urban planning and housing: a challenge for international aid organisations

The effects of 'natural' disasters in cities can be worse than in other environments, with poor and marginalised urban communities in the developing world being most at risk. To avoid post-disaster destruction and the forced eviction of these communities, proactive and preventive urban planning, including housing, is required. This paper examines current perceptions and practices within international aid organisations regarding the existing and potential roles of urban planning as a tool for reducing disaster risk. It reveals that urban planning confronts many of the generic challenges to mainstreaming risk reduction in development planning. However, it faces additional barriers. The main reasons for the identified lack of integration of urban planning and risk reduction are, first, the marginal position of both fields within international aid organisations, and second, an incompatibility between the respective professional disciplines. To achieve better integration, a conceptual shift from conventional to non-traditional urban planning is proposed. This paper suggests related operative measures and initiatives to achieve this change.     

加强综合灾害风险研究,提高迎对灾害风险能力——从第6届国际综合灾害风险管理论坛看我国的综合减灾

综述了第6届国际IIASA-DPRI综合灾害风险管理论坛的主要内容，并就中国综合灾害风险管理对策提出了具体的建议。本届论坛的主题是：风险与商业和产经界面临的挑战。论坛除主题报告外，共设置了16个分会场，就综合灾害风险信息共享平台（DRH）的建设、产经界如何迎对灾害风险、地震与洪水灾害风险的综合管理、灾害风险教育与减灾意识的养成、综合灾害风险管理的理论与方法论探讨，以及土耳其国家综合灾害风险管理的经验与教训等进行了深人的研讨。针对上述进展，从我国减灾工作现状，提出从三个方面加强我国综合减灾与灾害风险管理工作，即：各级政府在加强应急管理工作的同时，要高度重视从综合的角度完善减灾战略、规划和能力建设；全面改进产经界迎对灾害风险的能力，特别是非国有中小企业防御灾害风险的能力，以及大型国有企业灾害自保或参保机制的完善；加强综合灾害风险管理研究。     

城市防震减灾规划影响因素分析--以福清市为例

简要介绍了我国城市防震减灾规划的发展现状，并以福清市为例，详细介绍了该市土地利用、道路路网及避震疏散场地等防震减灾规划的主要内容和影响因素。最后，总结了上述3种防震减灾规划影响因素的要点，为城市防震减灾规划提供参考。     

风险评估在气候变化对农业影响评价中的应用——研究进展

基于风险理论,探讨了气候变化风险的内涵,介绍了可用于气候变化影响评价的风险评估概念框架,并着重总结了风险评估在气候变化对农业影响评价中的应用。随着目前概率型气候情景的广泛应用及利益相关者与公众对影响评估中的不确定性认识的需求,风险评估将在气候变化影响评价中得到更为广泛的应用,气候变化对农业的影响也有望基于风险形式实现终端至终端的评估。同时,当前气候变化农业影响的风险评估研究仍有许多不足之处,真正实现综合全面的评估尚有诸多问题需要解决。     

Government liabilities for disaster risk in industrialized countries: a case study of Australia

This paper explores sovereign risk preferences against direct and indirect natural disasters losses in industrialized countries. Using Australia as a case study, the analysis compares expected disaster losses and government capacity to finance losses. Utilizing a national disaster loss dataset, extreme value theory is applied to estimate an all-hazard annual loss distribution. Unusually but critically, the dataset includes direct as well as indirect losses, allowing for the analysis to consider the oft-ignored issue of indirect losses. Expected annual losses (direct, and direct plus indirect) are overlaid with a risk-layer approach, to distinguish low, medium and extreme loss events. Each risk layer is compared to available fiscal resources for financing losses, grounded in the political reality of Australian disaster financing. When considering direct losses only, we find support for a risk-neutral preference on the part of the Australian government for low and medium loss levels, and a risk-averse preference in regard to extreme losses. When indirect losses are also estimated, we find that even medium loss levels are expected to overwhelm available fiscal resources, thereby violating the available resources assumption underlying arguments for sovereign risk neutrality. Our analysis provides empirical support for the assertion that indirect losses are a major, under-recognised concern for industrialized countries. A risk-averse preference in regard to medium and extreme loss events recommends enhanced investment in both corrective and prospective risk reduction in relation to these risks level, in particular to reduce indirect losses.     

Providing health services during a civil war: the experience of a garrison town in South Sudan

The impact of conflict, particularly conflict arising during civil wars, on the provision of healthcare is a subject that has not been widely considered in conflict‐related research. Combatants often target health services to weaken or to defeat the enemy, while attempts to maintain or improve health systems also can comprise part of counter‐insurgency ‘hearts‐and‐minds’ strategies. This paper describes the dynamics associated with the provision of health services in Malakal, an important garrison town in South Sudan, during the second Sudanese civil war (1983–2005). Drawing on the concepts of opportunity hoarding and exploitation, it explores the social and political dynamics of service provision in and around the town during the war. These concepts provide a useful lens with which to understand better how health services are affected by conflict, while the empirical case study presented in the paper illustrates dynamics that may be repeated in other contexts. The concepts and case study set out in this paper should prove useful to healthcare providers working in conflict zones, including humanitarian aid agencies and their employees, increasing their understanding of the social and political dynamics that they are likely to face during future conflict‐related complex emergencies.     

合肥市防震减灾计算机信息管理系统——我国城市防震减灾示范研究与应用介绍

城市防震减灾是当今世界各国政府和地震科学家共同关心的重大课题及重点工作。“九五”期间,我国先后在部分大中城市开展了防震减灾的示范研究,建立了先进的防震减灾计算机信息管理系统。本文全面介绍了该项示范研究的城市之一－合肥市震害预测与防震减灾计算机信息管下系统的主要内容、研究特色和取得的工作成果。该技术系统的完成,对推进我国城市防震减灾的科学化、现代化管理和实现防震减灾十年目标将发挥积极的作用。     

表层土壤重金属污染及潜在生态风险评价——包头市不同功能区案例研究

以包头市表层土壤为研究对象,通过对市内不同功能区的221个表土的重金属Cu,Pb,Zn,Cr,Cd,Hg和As含量的分析测试,认为包头表层土壤污染以重金属Pb,Zn,Cd,Hg和As为主,且造成不同功能区表层土壤污染的重金属种类存在明显差异,工业区以Pb,Zn,Cd,Hg和As为主,市区以Pb为主,郊区以Cd,Hg为主,农村土壤以Hg的点源污染为主。表层土壤的潜在生态风险评价结果表明,工业区土壤的污染程度明显要高于其它地区,局部地区已出现极强污染,其次为郊区,市区和农村地区。     

基于GIS技术的洪涝灾害风险评估与区划研究--以辽河中下游地区为例

目前,对洪涝灾害风险的评价方法虽然不少,但还没有能提出一个集成化的指数来对其进行分析.综合考虑了形成我国东北地区洪涝灾害风险的4个因子,以辽河中下游地区为研究对象,基于GIS技术和自然灾害风险评估方法,从气象学、地理学、灾害科学、环境科学等学科观点出发,提出了洪涝灾害风险指数,用其来评估不同县相关损失风险及各因子对风险的贡献,并绘制出了辽河中下游洪涝灾害风险区划图.     

Time in a bottle: challenges to disaster studies in Latin America and the Caribbean

LA RED (Network of Social Studies on the Prevention of Disasters in Latin America) has become the most influential group analysing disasters in Latin America and the Caribbean. Its contributions have paved the way for a new way of understanding disasters, disaster risk, and their management, concerning: (i) that disasters are not natural, but socially constructed; (ii) the inherent nexus between disaster risk, development, and the environment; (iii) the significance of small‐ and medium‐sized disasters and extensive and intensive risks; (iv) disaster risk management at the local level; and (v) integrated disaster risk research and the need for forensic investigations of disasters. As a result of this unification of challenges, intellectual communities of connected individuals were formed. Nonetheless, a focus on territorial management, exposure, and vulnerability remains a challenge for academia. In addition, the labyrinths of disaster risk governance must be disentangled by other stakeholders, such as national authorities, policymakers, and practitioners.     

Environmental knowledge and human experience: using a historical analysis of flooding in Ireland to challenge contemporary risk narratives and develop creative policy alternatives

Focusing on three of the largest coastal cities in the Republic of Ireland, this paper highlights the importance of a historical analysis of flood hazards in contextualising current events and potential future risks. Over the last decade, the cities of Dublin, Cork and Galway have experienced several major coastal, river and pluvial floods. In the aftermath of these floods, two distinct but related narratives have dominated public discourse and official responses. The first narrative presents recent floods as unprecedented and as possible evidence of climate change. The second constructs floods primarily as natural events and assumes that the optimal means of reducing flood losses is to prevent flood events. In this paper, I suggest that these narratives are not supported by a historical analysis of exposure and vulnerability to flood hazards in Irish cities. This paper draws primarily on newspaper archives to construct a record of past flooding that challenges these narratives in several ways and in doing so offers lessons for similar cities in other countries. I contend that these narratives are perpetuated by a narrow form of knowledge production (quantitative risk assessment) and a narrow range of data (numeric instrumental records). Incorporating a broader range of sources and data types into risk and vulnerability assessments may illuminate more creative strategies for reducing both contemporary and future flood losses.