Needs assessment of the displaced population following the August 1999 earthquake in Turkey

In August 1999 a major earthquake struck north-western Turkey. An assessment followed to identify the immediate needs of the displaced population. A random cluster sample of displaced families living in temporary shelter outside of organised relief camps was designed. Representatives of 230 households from the four communities worse affected by the earthquake were interviewed. Most families lived in makeshift shelters (84 per cent), used bottled water (91 per cent), obtained food from relief organisations (61 per cent), had access to latrines (90 per cent), had a member on routine medication (53 per cent) and obtained information by word of mouth (81 per cent). Many respondents reported having family members who were over the age of 65 (32 per cent) or under age three (20 per cent), who were pregnant (6 per cent), or who had been ill since the earthquake (64 per cent). The greatest immediate need reported by most families was shelter requirements (37 per cent), followed by food (23 per cent) and hygiene requirements (19 per cent). Ten days after the earthquake, basic environmental health needs of food, shelter and hygiene still predominated in this displaced population. Significant portions may have special needs due to age or illness.     

How much more exposed are the poor to natural disasters? Global and regional measurement

This paper proposes a simple indicator to measure the exposure to natural disasters for the poor and non-poor population, in order to assess the global and regional trend of natural hazard and poverty. Globally, poor people are two times more exposed to natural disasters than the non-poor in the twenty-first century. The time trend varies across regions, with poor people in East Asia and Pacific being most exposed to natural disasters, followed by those in South Asia and Sub-Saharan Africa. The change of exposure measure over time is decomposed into two factors: a pure exposure change, which could be fuelled by climate change; and a concentration component. The result shows that the total net increase of exposure between the 1970s and the 2000s is driven significantly by the increased concentration of the poor (26 per cent) in disaster-prone areas, whereas the contribution of that factor remains very small for the non-poor (six per cent).     

Spatial and temporal patterns and the socioeconomic impacts of landslides in the tropical and mountainous Colombian Andes

Landslides are a natural hazard that presents a major threat to human life and infrastructure. Although they are a very common phenomenon in Colombia, there is a lack of analysis that entails national and comprehensive spatial, temporal, and socioeconomic evaluations of such events based on historical records. This study provides a detailed assessment of the spatial and temporal patterns and the socioeconomic impacts associated with landslides that occurred in the country between 1900 and 2018. Two national landslide databases were consulted and this information was complemented by local and regional landslide catalogues. A total of 30,730 landslides were recorded in the 118-year period. Rainfall is the most common trigger of landslides, responsible for 92 per cent of those registered, but most fatalities (68 per cent) are due to landslides caused by volcanic activity and earthquakes. An ‘fN curve’ revealed a very high frequency of small and moderate fatal landslides in the time frame.     

Reproductive health in Afghanistan: results of a knowledge, attitudes and practices survey among Afghan women in Kabul

A reproductive-health knowledge, attitudes and practices (KAP) survey was carried out among 468 Afghan women of reproductive age. A convenience sample of women was selected from attendees in the outpatient departments of four health facilities in Kabul. Seventy-nine per cent of respondents had attended at least one antenatal consultation during their last pregnancy. Two-thirds (67 per cent) delivered their first child between 13 and 19 years. The Caesarean-section rate was low (1.6 per cent). Two-thirds (67 per cent) of deliveries occurred in the home. The contraceptive prevalence rate was 23 per cent (16 per cent modern and 7 per cent natural methods). Twenty-four per cent had knowledge of any STIs, although most of these women did not know correctly how to prevent them. Most of the women (93 per cent) needed authorization from their husband or a male relative before seeking professional health-care. In multivariate analysis, women's schooling was significantly associated with antenatal-care attendance (AOR 4.78), institutional delivery (AOR 2.29), skilled attendance at birth (AOR 2.07) and use of family planning (AOR 4.59). Reproductive-health indicators were noted to be poor even among these women living in Kabul, a group often considered to be the most privileged. To meet the reproductive-health needs of Afghan women, the socio-cultural aspects of their situation--especially their decision-making abilities -- will need to be addressed. A long-standing commitment from agencies and donors is required, in which the education of women should be placed as a cornerstone of the reconstruction process of Afghanistan.     

Epidemiology of tornado destruction in rural northern Bangladesh: risk factors for death and injury

The epidemiology of tornado-related disasters in the developing world is poorly understood. An August 2005 post-tornado cohort study in rural Bangladesh identified elevated levels of death and injury among the elderly (≥ 60 years of age) (adjusted odds ratio (AOR) = 8.9 (95 per cent confidence interval (CI): 3.9-20.2) and AOR = 1.6 (95 per cent CI: 1.4-1.8), respectively), as compared to 15-24 year-olds, and among those outdoors versus indoors during the tornado (AOR = 10.4 (95 per cent CI: 5.5-19.9) and AOR = 6.6 (95 per cent CI: 5.8-7.5), respectively). Females were 1.24 times (95 per cent CI: 1.15-1.33) more likely to be injured than males. Elevated risk of injury was significantly associated with structural damage to the house and tin construction materials. Seeking treatment was protective against death among the injured, odds ratio = 0.08 (95 per cent CI: 0.03-0.21). Further research is needed to develop injury prevention strategies and to address disparities in risk between age groups and between men and women.     

Spatial and temporal analysis of natural hazard mortality in Nepal

The impacts of natural hazards are typically measured in terms of loss of human lives and economic damage, and recent studies demonstrate that deaths attributed to natural hazards have increased. Using the publicly available DesInventar database, we examined spatial and temporal patterns of natural hazard mortality from 1971 to 2011 at the district and village levels of Nepal and identified natural hazards that contributed most to mortality. Spatial clusters of mortality at the district and village levels were detected using local and global spatial autocorrelation measures (Moran's I). Landslides (41.91%) and floods (32.52%) accounted for approximately three quarters of natural hazard mortalities over the study period. A Global Moran's I test positively confirmed clustering at both the district (0.199, p?p?相似文献   

An earthquake disaster in Turkey: an overview of the experience of the Israeli Defence Forces Field Hospital in Adapazari

On 17 August 1999 at 3:04 a.m., an earthquake of 7.4 magnitude (Richter scale) struck the Marmara region in Turkey. The city of Adapazari suffered 2,680 fatalities with approximately 5,300 injured. The Israeli Defence Forces (IDF) field hospital arrived at Adapazari, on day four after the quake. The team consisted of 102 personnel. The field hospital acted as a secondary referral centre. A total of 1,205 patients were treated in the field hospital between day four and day 14 of the earthquake. The frequency distribution of the medical problems seen in the field hospital was 32 per cent internal medicine, 13 per cent general surgery including plastic, 21 per cent orthopaedic surgery, 23 per cent paediatric disease, 10 per cent obstetrics and gynaecology and 1 per cent major psychiatric disorders. A mean number of 35 patients per day were hospitalised in the field hospital for between 24 hours to one week. The rapid establishment of the field hospital enabled the local medical facilities to 'buy time' in order to organise and restore surgical and hospitalisation abilities in this disastrous situation.     

Stigmatisation and rejection of survivors of sexual violence in eastern Democratic Republic of the Congo

Studies report that between 6 per cent and 29 per cent of survivors of sexual violence in eastern Democratic Republic of the Congo (DRC) are rejected by their families and communities. This research project was designed to provide insights into survivors' experiences of stigmatisation and rejection. Surveys were conducted with 310 women as they sought psychosocial services in eastern DRC. In total, 44.3 per cent of women reported suffering rejection after sexual violence. The majority of women felt that their status in the household (58.0 per cent) and community (54.9 per cent) diminished after rape. The odds of rejection were greater among women reporting ongoing displacement, pregnancy owing to sexual violence, worsening family relations, and diminished community status. This work highlights the extremely high levels of loss associated with the war in eastern DRC, particularly among survivors of sexual violence. The rejection of a survivor of rape has concrete and devastating psychosocial consequences.     

Spatial econometric model of natural disaster impacts on human migration in vulnerable regions of Mexico

Mexico's vast human and environmental diversity offers an initial framework for comprehending some of the prevailing great disparities between rich and poor. Its socio-economic constructed vulnerability to climatic events serves to expand this understanding. Based on a spatial econometric model, this paper tests the contribution of natural disasters to stimulating the emigration process in vulnerable regions of Mexico. Besides coping and adaptive capacity, it assesses the effects of economic losses due to disasters as well as the adverse production and trade conditions of the 1990s on emigration rates in 2000 at the municipality level. Weather-related disasters were responsible for approximately 80 per cent of economic losses in Mexico between 1980 and 2005, mostly in the agricultural sector, which continues to dominate many parts of the country. It is dramatic that this sector generates around only four per cent of gross domestic product but provides a livelihood to about one-quarter of the national population. It is no wonder, therefore, that most emigration from this country arises in vulnerable rural areas.     

Long-Term Effects of Hurricane Andrew: Revisiting Mental Health Indicators

Two population-based surveys of South Dade County, Florida, were conducted after Hurricane Andrew to compare hurricane-related symptoms of mental distress and describe the impact of mental health outreach teams. Households were selected by three-stage cluster sampling and findings from the two surveys, 13 months apart, were compared. Response rates were 75 per cent and 84 per cent. The prevalence of symptoms of mental distress decreased over time. However, in the households contacted by the teams (25 per cent of sample), the prevalence of symptoms (50 per cent) did not differ from households not contacted (43 per cent). Households contacted by teams that reported symptoms were just as likely to have been referred for help by the teams (72 per cent) as those without symptoms (68 per cent). Households reporting symptoms were equally likely to get counselling regardless of whether the teams visited. Mental health teams had no significant impact on mental health symptoms or the use of mental health services. Alternative approaches to mental health outreach teams need to be explored.     

Geographical analysis of commercial motor vehicle hazardous materials crashes on the Oregon state highway system

Crashes on highways frequently cause hazardous material exposure to the public and the environment. We evaluated differences in hazardous materials-related crashes vs. non-hazardous-material-related commercial motor vehicle crashes occurring from 2000 to 2006 on the Oregon state highway network. The two groups were compared for crash characteristics by χ² analysis, and spatial clustering was tested using Ripley's K-function and kernel density estimator analyses. There were 8,622 total commercial motor vehicle crashes, 232 being hazardous-materials related. Hazardous materials-related crashes were not significantly associated with different road surface conditions, weather conditions or cause of crash. Hazardous materials-related crashes were associated more frequently with late evening/early morning hours and under artificial lights or at dusk. The commercial motor vehicle drivers in hazardous materials-related crashes were less frequently at fault than ones in the non-hazardous materials-related crashes. The planar Ripley's K-function indicated non-hazardous materials-related crashes were more clustered than hazardous materials-related ones. Both cohorts clustered at the 12–14 mile range. The kernel density estimator analysis indicated hazardous materials-related clusters are small and discrete along the main highway corridors, non-Hazardous materials-related ones seemed to form elongated confluent clusters along all highways. Since there seem to be few differences between the two cohorts in characteristics of the crashes and the frequency of hazardous materials-related crashes is low compared to the total commercial vehicle crashes, future geographical studies may focus on characteristics of all commercial motor vehicle crashes.     

我国Natech事件分布规律及涉水Natech事件致因分析

为弥补我国自然—技术事件(Natech事件)案例研究空白,基于多种数据挖掘方法对近20 a公开报道的自然灾害诱发的技术事故案例进行收集整理,建立了Natech事件数据库.对该类事件时空分布、行业分布进行交叉分析后发现:Natech事件季节特征明显,暴雨和大风是主要肇因,建筑业和交通运输业脆弱性较强.在引入不利气象情景对...     

Measuring vulnerability to natural hazards: a macro framework

The measurement of vulnerability—defined here as the asymmetric response of disaster occurrences to hazardous events—signifies a key step towards effective disaster risk reduction and the promotion of a culture of disaster resilience. One of the reasons for not being able to do the same in a wider context is related to conceptual, definitional, and operational issues. This paper presents an operationally feasible framework for conducting this task and measures revealed macro vulnerability as a function of disaster risk and hazard probability. The probabilities of hazard and its perceived disaster risk were obtained from past data and from probability distributions. In this paper, the corresponding analytical framework is constructed using the case study of floods in Assam, India. The proposed indicator will help policymakers to draw on available macro‐level data to identify the regions that are vulnerable to disasters, where micro‐level disaster vulnerability assessments could be performed in greater detail.     

Predictors for people's response to a tornado warning: Arkansas, 1 March 1997

On 1 March 1997, powerful tornadoes touched down in Arkansas (USA) on a Saturday afternoon. Twenty-six fatalities and 400 non-fatal injuries were reported. We performed a population-based cross-sectional study to determine factors associated with appropriate responses to tornado warnings. Of 146 survey participants, 140 (96 per cent) knew the difference between 'tornado watch' and 'tornado warning' and were aware of when the warning was announced. Of those 140 participants, 64 (45.7 per cent) responded to the warning by seeking shelter, and 58 (90.6 per cent) of those 64 acted within five minutes of hearing the warning. Four factors were positively associated with those seeking shelter: having graduated from high school (OR = 4.2, 95 per cent CI = 1.1-15.5); having a basement in one's house (OR = 3.8, 95 per cent exact CI = 1.1-17.1); hearing a siren (OR = 4.4, 95 per cent CI = 1.3-18.9); and having prepared a household plan of response when tornadoes occur (OR = 2.6, 95 per cent CI = 1.1-6.3). On the basis of these findings, we recommend: first, that people who live in tornadoprone areas have a personal plan of action to help them respond immediately to warnings; second, public-health education officials in areas with frequent tornadic activity should do more to educate the public about what they can do to protect themselves from a tornado; and third, that emergency-management officials planning protection measures for vulnerable communities should consider that most people have limited time (our study documented five minutes) in which to respond to a tornado warning. Thus, shelters in tornado-prone areas should be quickly accessible by residents.     

Mapping of noise risk zones derived from religious activities and perceptions in residential neighbourhoods in the Cape Coast metropolis,Ghana

Ambient noise levels emanating from religious activities in residential neighbourhoods are an emerging environmental problem that educes little attention from enforcement agencies and policy makers in Ghana. This paper set out to quantify religious noise exposure in urban residential neighbourhoods in the Cape Coast metropolis of Ghana. Subjective annoyance levels of residents in selected communities were determined. Noise risk zones were mapped using ARCGIS 9.3 software and surface interpolation for the data was carried out using inverse distance weighting. The results show that most (77 and 86 per cent) of the locations recorded noise levels that were above the Ghana Environmental Protection Agency maximum permissible limit for day and night, respectively. Pearson's correlation coefficient for day and night noise exposure shows strong association (0.714) at the 0.01 level. There is variability in the levels of noise for both day and night, which are rather high (standard deviation = 7.59477 and 7.94022, respectively). Generally, levels of noise exposure correlated with levels of annoyance of residents, except that the highest noise exposure was not recorded in the community where the annoyance level of residents was highest. Residential neighbourhoods within the study area largely experienced safe to tolerable levels of religious noise, although 5 per cent were within the high-risk zone. Given that the selected residential areas have high population densities, even when the dispersion of noise risk is spatially limited, it affects a large number of people who belong to different socio-economic classes.     

Remittances as aid following major sudden‐onset natural disasters

There is a general assumption, based on macroeconomic studies, that remittances will rise following major sudden‐onset natural disasters. This is confirmed by a few assessments involving country‐specific research, and usually short‐term data. This study, questioning conventional wisdom, reviewed and graphed annual and quarterly remittance flows using International Monetary Fund and World Bank data from 2000–14 for 12 countries that confronted 18 major natural disasters. It found that, regardless of event type, annual remittances rose steadily from 2000–14 except for after the 2008–09 financial crisis. Post disaster, there was a quarterly increase in the majority of cases (confirming previous research) but there was seldom an annual increase in the year of the disaster greater than the average annual increase in 2000–14. It appears that remittance senders rush to provide assistance after a natural disaster, but since their own financial situation has not changed, the immediate increase is compensated by a later decrease.     

Overview of deaths associated with natural events, United States, 1979–2004

Analysis of the National Center for Health Statistics' Compressed Mortality File showed that between 1979 and 2004, natural events caused 21,491 deaths in the United States. During this 26-year period, there were 10,827 cold-related deaths and 5,279 heat-related deaths. Extreme cold or heat accounted for 75 per cent of the total number of deaths attributed to natural events— more than all of deaths resulting from lightning, storms and foods, and earth movements, such as earthquakes and landslides. Cold-related death rates were highest in the states of Alaska, Montana, New Mexico, and South Dakota, while heat-related deaths were highest in the states of Arizona, Missouri, and Arkansas. These deaths occurred more often among the elderly and black men. Other deaths were attributed to lightning (1,906), storms and foods (2,741), and earth movements (738). Most deaths associated with natural events are preventable and society can take action to decrease the morbidity and mortality connected with them.     

Overview of deaths associated with natural events, United States, 1979-2004.

Analysis of the National Center for Health Statistics' Compressed Mortality File showed that between 1979 and 2004, natural events caused 21,491 deaths in the United States. During this 26-year period, there were 10,827 cold-related deaths and 5,279 heat-related deaths. Extreme cold or heat accounted for 75 per cent of the total number of deaths attributed to natural events--more than all of deaths resulting from lightning, storms and foods, and earth movements, such as earthquakes and landslides. Cold-related death rates were highest in the states of Alaska, Montana, New Mexico, and South Dakota, while heat-related deaths were highest in the states of Arizona, Missouri, and Arkansas. These deaths occurred more often among the elderly and black men. Other deaths were attributed to lightning (1,906), storms and foods (2,741), and earth movements (738). Most deaths associated with natural events are preventable and society can take action to decrease the morbidity and mortality connected with them.     

危险化学品公路运输风险研究进展

危险化学品公路运输风险研究是危险化学品公路运输规划和事故应急救援预案编制的前提和基础，它为风险管理提供了科学的决策依据。本文总结了国内外危险化学品公路运输风险研究状况，分析了危险化学品公路运输风险研究存在的不足，指出危险化学品公路运输风险的主要研究内容，给出了危化品公路运输风险研究的一般程序。最后，结合我国的实际情况，提出了建设性的意见。     

自然灾害防治综合立法研究:定位、理念与制度

近年来,国家高度重视防灾减灾救灾,发布了防灾减灾救灾系列重要文件,实施了应急管理体制机制重大改革举措。落实防灾减灾救灾新思想新理念新要求,契合国家发展改革的现实需要,应加紧推进自然灾害防治综合立法。自然灾害防治综合立法的定位是自然灾害防治的基本法、应急管理的特别法、公共安全的支撑法。自然灾害防治综合立法应在坚持以人民为中心理念、风险防范理念、综合防治理念、权利保护理念的基础上,确立自然灾害风险隐患排查、危险区避让及搬迁转移、自然灾害科普、自然灾害防治社会参与、自然灾害保险等制度,为推进我国自然灾害防治体系和防治能力现代化提供法制保障。