突发事件区域应急联动影响因素的实证研究

在界定突发事件区域应急联动内涵的基础上,采用Delphi法,识别出突发事件区域应急联动的9个主要影响因素,即应急联动组织机构、应急联动法律法规、应急物资协同调配、应急队伍协同调配、应急预案动态协同、应急信息实时沟通、区域地理位置、区域灾害特征和区域合作基础。同时,运用ISM技术,确定区域应急联动9个影响因素的关联性,计算和分解可达性矩阵,绘制4级递阶有向图,得出区域应急联动影响因素的内在层次性,即划分出"基础层"、"过渡层"和"直接层",为有效构建突发事件区域应急联动机制提供了理论支持与科学依据。     

Supporting breastfeeding in emergencies: protecting women's reproductive rights and maternal and infant health

Women have the right to support that enables them to breastfeed. Supporting breastfeeding in emergencies is important because artificial feeding places mothers and children at risk. In emergencies, artificial feeding is dangerous to the infant, difficult and requires substantial resources. In contrast, breastfeeding guards infant health. It is also protective against postpartum haemorrhage, maternal depletion, maternal anaemia and closely spaced births and should therefore concern not only nutritionists, but also those involved in reproductive health. However, it is common for women's ability to breastfeed to be undermined in emergencies by the indiscriminate distribution of breast-milk substitutes and the absence of breastfeeding support. Controlling the distribution of breast-milk substitutes, providing supportive environments, and appropriate medical and practical assistance to breastfeeding women safeguards the health and well-being of mothers and babies. Greater collaboration between the nutrition and reproductive health sectors is required to promote best practice in protecting breastfeeding women and their children in emergencies.     

Establishing moral bearings: ethics and expatriate health care professionals in humanitarian work

Expatriate health care professionals frequently participate in international responses to natural disasters and humanitarian emergencies. This field of practice presents important clinical, logistical and ethical challenges for clinicians. This paper considers the ethics of health care practice in humanitarian contexts. It examines features that contribute to forming the moral landscape of humanitarian work, and discusses normative guidelines and approaches that are relevant for this work. These tools and frameworks provide important ethics resources for humanitarian settings. Finally, it elaborates a set of questions that can aid health care professionals as they analyse ethical issues that they experience in the field. The proposed process can assist clinicians as they seek to establish their moral bearings in situations of ethical complexity and uncertainty. Identifying and developing ethics resources and vocabulary for clinical practice in humanitarian work will help health care professionals provide ethically sound care to patients and communities.     

突发事件下多种信息交互传播的动力机制与调控策略

针对突发事件下多种信息共存情境中信息交互传播的调控问题,首先界定了该情境中“涌现→传播”过程的组成要素,建立了信息交互关系框架及其系统动力学模型;其次,通过设计和仿真基础情景,将仿真结果与案例进行对比,检验模型的模拟趋势与现实状况的一致性;最后,通过设计和仿真实验情景,考查决策者的关键可控因素对系统演化的影响。研究结果表明:官方渠道所发布信息的可信度、平均个体传播量及群体的立场认知水平,与相信和传播官方渠道信息的人数均正相关,而与相信和传播民间渠道信息的人数均负相关;对各群体数量演化影响的显著性而言,官方渠道信息的平均个体传播量最高,官方渠道信息的可信度次之,群体的立场认知水平较低。     

Violence and complex humanitarian emergencies: implications for livelihoods models

This paper explores the nature of the violence that characterises complex humanitarian emergencies and the related implications for modelling livelihoods systems. While noting the importance of livelihoods approaches in complex humanitarian emergencies, it deliberates the limitations of sustainable livelihoods frameworks when applied in environments marked by protracted instability. Adaptations to the model are discussed, with a particular focus on the relationships among violence, assets and liabilities within livelihoods systems. Political economy of violence theories intimate that the assets on which livelihoods systems are constructed in peaceful times may instead become life-and livelihood-threatening liabilities in periods of conflict. Adaptations to livelihood systems in violent settings require that analysts consider violence from policy, institutional and process perspectives. It is suggested that vulnerability should be re-conceptualised as endogenous to livelihoods systems in violent settings. Building on the work of others, a livelihoods model adapted for complex humanitarian emergencies is presented.     

Biodiversity versus emergencies: the impact of restocking on Animal Genetic Resources after disaster

Restocking is a favoured option in supporting livelihoods after a disaster. With the depletion of local livestock populations, the introduction of new species and breeds will clearly affect biodiversity. Nevertheless, the impact of restocking on Animal Genetic Resources has been largely ignored. The aim of this paper, therefore, is to examine the consequences of restocking on biodiversity via a simple model. Utilising a hypothetical project based on cattle, the model demonstrates that more than one-third of the population was related to the original restocked animals after three generations. Under conditions of random breed selection, the figure declined to 20 per cent. The tool was then applied to a donor-led restocking project implemented in Bosnia-Herzegovina. By restocking primarily with Simmental cattle, the model demonstrated that the implementation of a single restocking project is likely to have accelerated the decline of the indigenous Buşa breed by a further nine per cent. Thus, greater awareness of the long-term implications of restocking on biodiversity is required.     

中美环境污染事故应急预案编制指南比较研究

重点选取中国和美国典型的应急预案编制指南为依据,根据基本情况调查、事故现场调查、应急响应、应急培训和演习等视角分析二者的相似之处,从编制详细程度、私人组织响应、家庭通信系统、信息公开等方面识别出中国相关应急预案编制指南中存在的主要问题。借鉴美国应急预案编制指南中适合于中国国情的经验,建议应急预案编制指南要详细具体,重视疏散路线和安置场所,将私人响应组织列入预案编制指南相关内容中,同时加强信息对社会和媒体的公开。     

大型社会活动安全风险评估指标研究

在对大型社会活动特点及其活动增长趋势分析的基础上,通过对大型社会活动典型伤亡事故的统计,将事故发生直接原因归纳为突发自然灾害、设备设施故障、管控措施失误、疏散设施不符合要求、人为事件和其他因素6类;根据风险管理理论,针对大型社会活动安全风险,从人-机-环-管安全系统工程的观点出发,以准确反映大型社会活动的本质特征和事故预防与控制为目标、尽可能量化为原则,提出具有4个一级指标、9个二级指标和24个三级指标的大型社会活动安全风险评估指标体系和评估依据,并对周边环境、人群密度、疏散速度及人群状况指标进行量化分级。     

HIV risk and prevention in emergency-affected populations: a review

While basic guidelines on HIV prevention in emergencies have been available for several years, international agencies involved in the provision of health services have not placed sufficient priority on the prevention of the human immune deficiency virus (HIV) and other sexually transmitted infections (STIs) in complex emergencies. This paper reviews the factors that may increase the risk of HIV transmission in populations affected by complex emergencies and outlines recommendations for research and programmes. Research into the most appropriate methods of carrying out HIV surveillance and interventions in these settings is needed. In the post-emergency phase programmes need to be far more extensive than those offered under the Minimal Initial Services Package (MISP). While the potential for stigmatization represents an important constraint, there is a need to prioritize HIV/STI interventions in order to prevent HIV transmission in emergency-affected populations themselves, as well as to contribute to regional control of the epidemic.     

面向国土空间应急安全保障的控制性详细规划指标体系构建——以应对突发公共卫生事件为例

为了满足国土空间规划体系的建设和应对突发公共卫生事件,城市控制性详细规划指标和管理体系需要改革。在深入分析现有控规管理对国土空间应急安全保障方面的响应与不足的基础上,增加了“预防+应急”的控规管理工作路径并构建指标实施体系。“预防”是指通过空间环境的塑造来提高城市韧性,增强城市抵御不确定性风险的能力。“预防”主要方法是： （1）将健康城市理念融入控规指标体系;（2）缩小控规单元管理规模,形成从编制单元到地块单元的空间传导体系。“应急”是在应对突发公共卫生事件发生时,通过控规管理首先保障城市生命系统的可持续性;通过控规对部分土地兼容性的引导及对应急设施、通道、空间的布局来满足防疫需要。