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1.
Trop Med Int Health ; 29(8): 731-738, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38962808

RESUMO

OBJECTIVE: The objective of this study is to analyse the epidemiological profile of global climate-related disasters in terms of morbidity and mortality, as well as to examine their temporal trends. METHOD: This cross-sectional study analysed climate-related global disasters from 2000 to 2021, utilising definitions and criteria from the United Nations Strategy for Disaster Reduction and the Centre for Research on the Epidemiology of Disasters. Data were sourced from the EM-DAT database. The study assessed trends over the entire period and compared them with previous years (1978-2000). RESULTS: A total of 7398 climate-related disasters were recorded, with hydrological disasters being the most frequent, followed by meteorological and climatological disasters. Statistically significant differences were noted in the average rates of affected individuals and injuries per million inhabitants. No significant trends were found in mortality rates, but the frequency trends for the entire period (1978-2021) and the subperiod (1978-2000) were increasing and statistically significant. However, the trend from 2000 onwards showed a non-significant decrease, potentially reflecting better disaster preparedness and response strategies under the Hyogo and Sendai Framework. CONCLUSION: The study highlights hydrological disasters as the most frequent and deadliest climate-related events, with climatological disasters affecting and injuring the most people. The lack of standardised criteria for disaster inclusion in databases presents a significant challenge in comparing results and analysing trends. Establishing uniform inclusion criteria is crucial for effective data analysis and disaster management.


Assuntos
Desastres , Humanos , Estudos Transversais , Clima , Saúde Global , Mudança Climática
2.
Crit Care ; 28(1): 84, 2024 03 16.
Artigo em Inglês | MEDLINE | ID: mdl-38493142

RESUMO

Considerable political, structural, environmental and epidemiological change will affect high socioeconomic index (SDI) countries over the next 25 years. These changes will impact healthcare provision and consequently trauma systems. This review attempts to anticipate the potential impact on trauma systems and how they could adapt to meet the changing priorities. The first section describes possible epidemiological trajectories. A second section exposes existing governance and funding challenges, how these can be met, and the need to incorporate data and information science into a learning and adaptive trauma system. The last section suggests an international harmonization of trauma education to improve care standards, optimize immediate and long-term patient needs and enhance disaster preparedness and crisis resilience. By demonstrating their capacity for adaptation, trauma systems can play a leading role in the transformation of care systems to tackle future health challenges.


Assuntos
Planejamento em Desastres , Humanos , Atenção à Saúde , Fatores Socioeconômicos
3.
Pediatr Int ; 66(1): e15780, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38863303

RESUMO

BACKGROUND: Worldwide, children, newborns, and pregnant or postpartum women are vulnerable to disasters and emergency situations, and providing support to this population is of great concern. Japan is located in a disaster-prone area, so disaster response and risk reduction strategies are important priorities. METHODS: We introduce a system called the Disaster Liaison for Pediatric and Perinatal Medicine (DLPPM). This was created with a specific focus on perinatal children and pregnant women in Japan. We report the details of its activities, discuss its challenges, and draw on lessons learned for the further development of perinatal support systems, particularly for children. RESULTS: The lessons learned from the activities of the DLPPM include the following: (1) establish a support system for emergency specialists beyond those with pediatric and perinatal specialties; (2) mitigate the risk of indirect damage caused by primary disasters; and (3) establish a networking function linked to existing pediatric and perinatal medicine facilities. CONCLUSIONS: By establishing similar systems, we believe that it will be feasible to address pediatric and perinatal care needs in disaster response contexts in other countries and regions around the world.


Assuntos
Planejamento em Desastres , Assistência Perinatal , Humanos , Japão , Feminino , Gravidez , Recém-Nascido , Assistência Perinatal/métodos , Planejamento em Desastres/organização & administração , Pediatria , Criança , Perinatologia , Desastres
4.
Risk Anal ; 2024 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-39060096

RESUMO

As extreme weather events like floods and storms continue to increase, it is crucial to examine the degree to which various disaster preparedness and mitigation investments can lower these risks. In this research, we empirically examine the effects of multiple federal disaster aid programs on reducing subsequent flood- and storm-related damages across US coastal states. Our analysis distinguishes aid programs and their funded projects targeting different emergency management functions, including preparedness, nonstructural and structural mitigation, emergency response and protective measures, and rehabilitation of public infrastructure. We construct panel data of more than 1800 US counties over the years 2000-2019 and estimate a fixed-effects model with time-varying county-level socioeconomic and demographic characteristics. We find that disaster aid generally helps mitigate property damages, although this loss-reduction effect varies by program. Among all aid programs, the Emergency Management Performance Grant results in the largest reduction of future flood damages. The Public Assistance grants supporting emergency work are also found to exert a strong effect on risk reduction. We also find that the impacts of disaster aid are higher in coastal counties. Our study is one of the first few examining the resilience implication of disaster aid in coastal counties, and our results underscore the importance of investing in capacity building, contingency planning, and consistency in maintenance.

5.
Pediatr Cardiol ; 45(4): 840-846, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38431885

RESUMO

Natural and human-provoked disasters pose serious health risks to children, particularly children and youth with special healthcare needs, including many cardiology patients. The American Academy of Pediatrics (AAP) provides preparedness recommendations for families, but little is known about recommendation adherence. Caregivers of children seen in a pediatric cardiology clinic network were recruited to complete an electronic survey. Participants self-reported child medical history and their household's implementation of AAP recommended disaster preparedness items. Families received a link to AAP resources and a child ID card. Data were analyzed using descriptive statistics with Fisher's exact and Wilcoxon rank sum tests. 320 caregivers participated in the study, of whom 124 (38.8%) indicated that their child has a diagnosed cardiac condition, and 150 (46.9%) indicated that their child had special healthcare needs. The average preparedness item completion rate was 70.7% for household preparedness, 40.1% for reunification preparedness, and 26.3% for community preparedness. Households of children with medical needs had similar rates of preparedness compared to overall rates. Of all respondents, 27.8% previously received disaster preparedness resources, 67.7% would like resources on discussing disaster preparedness, and 93.0% intend to talk with their household about disaster preparedness after completing the survey. These results demonstrate a gap between AAP recommendations and household-level disaster preparedness, including patients with cardiac conditions and those with special healthcare needs. Families expressed that they were interested in getting resources for disaster preparedness. Pediatric cardiologists may consider asking about disaster preparedness and providing disaster preparedness resources tailored to the needs of their patients.


Assuntos
Planejamento em Desastres , Desastres , Adolescente , Criança , Humanos , Estados Unidos , Planejamento em Desastres/métodos , Inquéritos e Questionários , Autorrelato , Instituições de Assistência Ambulatorial
6.
J Adv Nurs ; 2024 Aug 06.
Artigo em Inglês | MEDLINE | ID: mdl-39105254

RESUMO

AIM: Amidst the mounting challenges posed by climate change, the healthcare sector emerges as a vital frontliner, with nurses standing as its linchpins. This review delves into the pivotal role of nurses in combatting the health consequences of climatic alterations, particularly within the nuanced environment of Saudi Arabia. DESIGN: A rapid literature review. METHOD: Drawing from a rigorous analysis of 53 studies, our exploration revolves around the preparedness strategies formulated in response to Saudi Arabia's changing climate. The variables analysed included study design, sample size, focus area, geographical coverage and key findings related to nurse competencies. Data were collected using a structured data extraction form and analysed using thematic content analysis. Employing content analysis, we discerned essential domains: from grasping the health impacts of climate change to customizing care for the most susceptible populations and championing advocacy initiatives. FINDINGS: Salient findings highlight nurses' profound understanding of both direct and secondary health implications of climate shifts. Additionally, the results emphasize the tailored interventions needed for vulnerable groups, capacity building and disaster readiness. Crucially, our findings spotlight the significance of weaving cultural, ethical and regional threads into nursing strategies. By painting a comprehensive picture, we showcase the delicate balance of environmental evolution, healthcare dynamics and the unique socio-cultural tapestry of Saudi Arabia. CONCLUSION: The results of our analysis revealed key competencies required for nurses, including the ability to address immediate health impacts, provide tailored care for vulnerable populations and engage in advocacy and policy formulation. In summation, nurses' multifaceted roles-from immediate medical care to research, advocacy and strategizing-underscore their invaluable contribution to confronting the health adversities sparked by climate change. Our review accentuates the essential contributions of nurses in tackling climate-related health hurdles and calls for more nuanced research, policy adjustments and proactive measures attuned to Saudi Arabia's distinct backdrop.

7.
Disasters ; : e12649, 2024 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-38992880

RESUMO

Disaster experiences and explorations of preparedness among Asian, Pacific Islander, and Desi Americans (APIDA) in the United States are often overlooked owing to their relatively smaller population share. APIDA are not homogenous, and their disaster experiences warrant further examination. This paper does so by investigating disaster preparedness using disaggregated information about APIDA. The study utilises nationally representative data from the 2017 American Housing Survey, analysing sociodemographic covariates. The disaster preparedness score among APIDA communities was approximately 4.81 on a zero to nine scale. APIDA renters and non-US citizens were less prepared than homeowners and US citizens. Among subgroups, Korean, Chinese, and Vietnamese respondents who were non-US citizens were less prepared than those who were US citizens. Marital status was significantly and positively associated with preparedness among Indians, Japanese, Vietnamese, and multiracial respondents. The findings underscore the importance of data disaggregation and tailored preparedness information and resources to address specific challenges APIDA communities face instead of a one-size-fits-all approach.

8.
BMC Emerg Med ; 24(1): 153, 2024 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-39183329

RESUMO

INTRODUCTION: Hospitals as the main providers of healthcare services play an essential role in the management of disasters and emergencies. Nurses are one of the important and influential elements in increasing the surge capacity of hospitals. Accordingly, the present study aimed to assess the effect of surge capacity enhancement training for nursing managers on hospital disaster preparedness and response. METHODS: All nursing managers employed at Motahari Hospital in Tehran took part in this interventional pre- and post-test action research study. Ultimately, a total of 20 nursing managers were chosen through a census method and underwent training in hospital capacity fluctuations. The Iranian version of the "Hospital Emergency Response Checklist" was used to measure hospital disaster preparedness and response before and after the intervention. RESULTS: The overall hospital disaster preparedness and response score was 184 (medium level) before the intervention and 216 (high level) after the intervention. The intervention was effective in improving the dimensions of hospital disaster preparedness, including "command and control", "triage", "human resources", "communication", "surge capacity", "logistics and supply", "safety and security", and "recovery", but had not much impact on the "continuity of essential services" component. CONCLUSION: The research demonstrated that enhancing the disaster preparedness of hospitals can be achieved by training nursing managers using an action research approach. Encouraging their active participation in identifying deficiencies, problems, and weaknesses related to surge capacity, and promoting the adoption and implementation of suitable strategies, can enhance overall hospital disaster preparedness.


Assuntos
Planejamento em Desastres , Enfermeiros Administradores , Capacidade de Resposta ante Emergências , Humanos , Irã (Geográfico) , Planejamento em Desastres/organização & administração , Enfermeiros Administradores/educação , Pesquisa sobre Serviços de Saúde , Feminino , Masculino , Adulto , Capacitação em Serviço , Triagem
9.
Public Health Nurs ; 41(1): 164-174, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-37985459

RESUMO

OBJECTIVE: The purpose of the study is to determine the disaster preparedness perceptions, psychological resilences and empathy levels of nurses after 2023 Great Turkiye Earthquake. METHOD: This descriptive study was conducted in 2023 using with E-Anket. This study was carried out with voluntary participation of 464 nurses living in different geographical regions of Turkiye. The data of the study were obtained utilizing Nurses' Disasters Prepardeness Perception Scale (NDPPS), Pyschological Resileince Scale (PRS) and Empathy Scale (ES). RESULTS: In this study, the disaster preparedness perception of the nurses was found to be at medium level. More than half of the nurses (65.1%) reported that they did not received any disaster training before. A meaningful was found between the nurses' disaster preparedness perceptions and their empathy levels and psychological resilence. CONCLUSIONS: As in many countries, it is possible to state that also in Turkiye, the training of nurses for disasters are inadequate and that the studies on this subject are limited. This study will provide a theoretical platform to develop nurses' awareness of disaster preparedness and pyschological resilience and empathic approach programs to increase disaster resilience, and to conduct future research on disaster nursing.


Assuntos
Planejamento em Desastres , Desastres , Terremotos , Enfermeiras e Enfermeiros , Resiliência Psicológica , Humanos , Empatia , Turquia , Percepção , Inquéritos e Questionários
10.
Public Health Nurs ; 41(5): 970-978, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38956838

RESUMO

AIM: This study was carried out to investigate the perception of the main competencies of disaster management in Iranian emergency department nurses in 2023 in hospitals affiliated with Kermanshah University of Medical Sciences. The present study was conducted to explore the perceived core disaster competencies in nurses of hospitals affiliated with Kermanshah University of Medical Sciences in 2023. BACKGROUND: Due to the rise in natural disasters, their escalating severity and associated regulatory response necessitate a closer look at the preparedness and core competencies of nursing personnel. The main competencies of nurses are necessary to deal with disasters in unexpected events, and they are expected to use their professional expertise to provide the required nursing services to reduce the risks caused by disasters. METHODOLOGY: This descriptive-analytical study was conducted cross-sectionally between May and September 2023. In the study, a sample of 384 nurses working in the departments of four hospitals affiliated with Kermanshah University of Medical Sciences was selected through a random stratification. The data collection instrument was a 45-item scale of nurses' perceived core competencies (NPDCC) in handling disasters. The data were analyzed using the Mann-Whitney U-test, Kruskal-Wallis test, and independent samples t-test. The significance level was set at 5%. RESULTS: The mean total score of perceived core disaster competencies was 139.11 ± 37.65. The technical skills subscale got the highest score (51.81 ± 11.28) and critical thinking skills received the lowest (9.74 ± 3.92). Also, "technical skills" had the highest average and "critical thinking skills" had the lowest average in all three age groups. The results found a significant difference between the scores of nurses in perceived core disaster competencies in age groups, work environments, education degrees, marital statuses, and experiences of attending disaster workshops (p ≤ 0.05). CONCLUSIONS: The results showed that nurses had different levels of core disaster competencies in the department. There are gaps in the core disaster nursing competencies that need to be filled. Nursing managers should consistently evaluate the core nursing competencies to achieve efficacious disaster preparedness. To this aim, it is recommended that authorities implement training courses and programs to enhance the preparedness of nurses in responding to disasters.


Assuntos
Competência Clínica , Planejamento em Desastres , Humanos , Irã (Geográfico) , Estudos Transversais , Adulto , Competência Clínica/normas , Masculino , Feminino , Inquéritos e Questionários , Recursos Humanos de Enfermagem Hospitalar , Pessoa de Meia-Idade , Percepção
11.
J Radiol Prot ; 44(2)2024 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-38722300

RESUMO

When considering disaster preparedness, one challenge is mitigating the health impacts of evacuations. Nuclear disaster preparedness has evolved based on past experiences from numerous disasters, including the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident. However, there is a lack of comprehensive reporting on the awareness of administrative staff, medical personnel, and residents in the areas surrounding nuclear power plants (NPPs). This study reports on a survey aimed at gaining insights into the understanding and current state of disaster preparedness and elucidating the differences in perceptions of nuclear disaster preparedness among the relevant stakeholders surrounding NPPs. Interview surveys were conducted from 14 to 16 September 2022 in the area surrounding Kyushu Electric Power's Genkai NPP in Saga Prefecture and from 11 to 13 January 2023 in the area around Shikoku Electric Power's Ikata NPP. The surveys targeted administrative, medical, and nursing care facilities and residents. Responses from 57 participants indicated a lack of awareness of natural and nuclear disasters, challenges in evacuation planning, and a gap between nuclear disaster training and residents' understanding of evacuation protocols. This study highlights inadequacies in nuclear disaster preparedness and the need for a better understanding among residents regarding evacuation procedures. This study identified three key issues: (1) a lack of awareness about disasters, including nuclear disasters; (2) concerns about complex disasters and the difficulties in creating evacuation plans; and (3) a discrepancy between nuclear disaster training and residents' understanding of evacuation procedures. To bridge this gap, it is important to deepen residents' understanding of nuclear disasters, continuously convey the lessons learned from the FDNPP accident, and regularly reassess and update nuclear disaster preparedness strategies.


Assuntos
Planejamento em Desastres , Acidente Nuclear de Fukushima , Centrais Nucleares , Humanos , Japão , Inquéritos e Questionários , Feminino , Masculino , Adulto
12.
Int Nurs Rev ; 2024 Jul 08.
Artigo em Inglês | MEDLINE | ID: mdl-38973366

RESUMO

AIM: To examine the relationship between nurses' competency levels in disaster nursing management, their disaster preparedness and disaster preparedness beliefs. BACKGROUND: Nurses' competency in disaster nursing management makes disaster response easier. Factors that may affect this reason should be examined. METHODS: The study was conducted between April and July 2023 with nurses working in a province in the first-degree earthquake zone in Turkey. The sample of the study consisted of a total of 207 nurses who were selected from primary, secondary, and tertiary care institutions by using the stratified sampling method. Data were collected with a personal information form, the Competencies for Disaster Nursing Management Questionnaire, the Disaster Preparedness Scale, and the General Disaster Preparedness Beliefs Scale. Mann-Whitney U and Kruskal-Wallis tests, Spearman regression coefficient, and multiple linear regression analysis were used to analyze the data. RESULTS: There was a positive correlation between nurses' competency levels regarding duties and responsibilities and their disaster preparedness levels. Having disaster-related training also positively affected the level of competence in duties and responsibilities. Belief in disaster preparedness and having "partial" knowledge about the disaster had no relationship with competencies. DISCUSSION: According to the International Council of Nurses and current studies on disaster nursing, "competence areas" are among the priority study subjects. CONCLUSION: According to the study results, disaster preparedness and having disaster-related education are effective factors in nurses' competencies related to duties and responsibilities. IMPLICATIONS FOR NURSING POLICY: The results of this study may increase awareness in the healthcare system about nurses' disaster management competency levels and the factors that may affect this. It is recommended that disaster preparedness and disaster-related education factors should be taken into account in the initiatives and policies to be planned to improve the duty and responsibility competence of nurses.

13.
Int Nurs Rev ; 2024 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-39149899

RESUMO

AIM: This study aimed to determine the disaster preparedness perceptions and psychological first-aid competencies of psychiatric nurses. BACKGROUND: Nurses must recognize the risks before a disaster occurs and have an action plan for providing effective physical and psychological care to patients and other affected individuals during and after the disaster. It is especially important for psychiatric nurses caring for a high-risk group, such as psychiatric patients, to be prepared for disasters and be able to support patients by recognizing the psychological reactions that may occur after a disaster and managing their care accordingly. METHODS: For this cross-sectional and correlational study, data on 122 nurses were collected using a personal information form, the preparedness perception scale of disaster in nurses, and the psychological first-aid application self-efficacy scale. RESULTS: The mean score for the participants' perception of overall disaster preparedness was 76.70 ± 8.30, the mean score for the preparation stage was 27.02 ± 2.82, the mean score for the intervention stage was 30.40 ± 5.15, the mean score for the post-disaster stage was 19.27 ± 2.88, and the mean score for psychological first-aid application self-efficacy was 140.28 ± 19.17. CONCLUSION: The findings showed that psychiatric nurses were above the medium level in terms of disaster preparedness perceptions and psychological first-aid application self-efficacy. IMPLICATIONS FOR NURSING AND HEALTH POLICY: It is important for nurses caring for high-risk groups, such as psychiatric patients, to be aware of disaster preparedness, to recognize psychological reactions that may be observed after a disaster, and to be aware of psychological first-aid practices that can be used to intervene in a disaster.

14.
J Gerontol Soc Work ; 67(8): 1174-1188, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38824619

RESUMO

An online qualitative survey explored perceived training, readiness, and needs of recent SW graduates serving older adults. Over half (N = 14) held a master's in social work, with 70% having taken an introductory aging course. Nearly halfcompleted other aging-specific coursework, and 80% did fieldwork with older adults. Participants indicated moderate proficiency in assessing issues like lossestransitions (46.7%), and physical health (53.3%), and advanced expertise in cognitive assessments (60.0%) and caregiver stress management (53.3%). Training deficiencies were noted in disaster readiness, telehealth, and resource coordination. Findings underscore the need for educationfor early-career social workers, ensuring their effective support to older adults.


Assuntos
COVID-19 , Geriatria , SARS-CoV-2 , Serviço Social , Humanos , COVID-19/epidemiologia , COVID-19/psicologia , Serviço Social/organização & administração , Masculino , Feminino , Inquéritos e Questionários , Pandemias , Idoso , Adulto , Pesquisa Qualitativa , Assistentes Sociais/psicologia , Pessoa de Meia-Idade
15.
Pflege ; 37(2): 79-87, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-37905419

RESUMO

Background: The Disaster Preparedness Evaluation Tool (DPET) with 47 items was developed to assess the disaster preparedness level among nurses in the USA. Aim: This study aimed (1) to adapt and validate the DPET for the nursing context in Germany and (2) to perform its psychometric evaluation. Methods: The DPET items were translated to German (DPET-GER). Adaptation was performed to identify irrelevant items and content validity was estimated using the scale-level content validity index (S-CVI) based on expert ratings. Psychometric evaluation was performed based on data from an online survey of 317 nurses. Internal consistency (Cronbach's alpha) and factor structure were assessed with an exploratory factor analysis. Results: Ten items were unanimously rated as irrelevant by four experts and removed. Based on ratings by further seven experts, the content validity of DPET-GER was low for all 37 items (S-CVI of 0.53) or moderate for 19 items rated as relevant (S-CVI of 0.74). The internal consistency of DPET-GER was high (Cronbach's alpha of 0.94) and 37 items were reduced to five factors that explain 55% of variance in all items. Conclusions: The DPET-GER has acceptable psychometric properties (internal consistency and factor structure). However, low content validity indicates that further adaptation of the DPET-GER is required before it could be used to assess disaster preparedness among nurses in Germany. More research is also needed to contextualize the construct of disaster preparedness.


Assuntos
Desastres , Humanos , Psicometria , Estudos Transversais , Inquéritos e Questionários , Alemanha , Reprodutibilidade dos Testes
16.
BMC Public Health ; 23(1): 2510, 2023 12 14.
Artigo em Inglês | MEDLINE | ID: mdl-38097956

RESUMO

BACKGROUND: Resilience is vital for facing natural disasters and public health challenges. Despite the significance of resilience-building activities, there is a scarcity of locally-tailored planning and response strategies, leaving communities incapable of addressing the unique challenges posed by natural disasters and public health crises. This study aims to explore how the "One Community at a Time" approach enhances community resilience in facing natural hazards and public health challenges. METHODS: A systematic review was conducted over journal articles published from January 2001 to April 2023 through PRISMA approach. Multiple databases such as Web of Science and Scopus were thoroughly searched. We used independent screening by two researchers and painstaking data extraction using standardized forms. This approach was adopted to assure the reliability, validity, and precision of our study selection and analysis. The included studies' quality was evaluated by the Mixed Methods Appraisal Tool. RESULTS: In the evaluation, 35 studies were deemed eligible for inclusion and underwent in-depth examination. Several major components of "One Community at a Time" have been identified, including social capital and networks, local knowledge and learning, effective governance and leadership, preparedness and response capacity, and adaptive infrastructure and resources. This framework highlights the significance of individualized approaches to resilience-building initiatives, recognizing that each community has specific strengths, needs, and challenges. CONCLUSION: Relevant stakeholders can adapt suitable resilient strategies to help prepare and recover from natural hazards and public health challenges. By adopting a localized strategy, stakeholders can collaborate to develop a culture of readiness and resilience, ultimately leading to more sustainable and resilient communities. This framework advises community-based groups, local government, and other stakeholders on prioritizing partnerships, preparedness planning, community participation, and leadership as essential components of creating and maintaining resilience. "One Community at a Time" framework offers practical guidance for community-based organizations, local government, and other stakeholders to prioritize partnerships, preparedness planning, community participation, and leadership as essential components of creating and sustaining resilience.


Assuntos
Planejamento em Desastres , Desastres Naturais , Resiliência Psicológica , Humanos , Saúde Pública , Planejamento em Desastres/métodos , Reprodutibilidade dos Testes
17.
J Med Internet Res ; 25: e44820, 2023 01 26.
Artigo em Inglês | MEDLINE | ID: mdl-36652597

RESUMO

This article focuses on how Japan experienced the COVID-19 pandemic. It delineates the various challenges the country faced and the measures the national government took to stop the spread of the infection. The article begins with the author's personal experience of COVID-19. The second section explains how the Japanese government lacked the legal sanctions to enforce a state of emergency. The third section deals with the current pandemic response as characterized by the increased use of digital technologies to control the spread of the virus. I argue that the lack of effective governance hampered Japan's timely use of digital technologies. The fourth section will touch on the issues created by the rapid spread of the infection and an increase in the hospitalization rate, focusing on intensive care unit triage and the ethical debates that ensued in Japan. The fifth section discusses the pandemic from the perspective of disaster preparedness and management, exploring the ways the pandemic responses share ethical challenges with responses to other disasters such as earthquakes and typhoons.


Assuntos
COVID-19 , Pandemias , Humanos , Desastres , Japão , Pandemias/prevenção & controle , Triagem
18.
Risk Anal ; 43(11): 2151-2157, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-36717212

RESUMO

The discrepancy between formal arrangements to ensure health security, as assessed in the Global Health Security Index, and COVID-19 outcomes points to a broader problem where formal risk recognition is de-coupled from potentially resource-intensive follow-up policy implementation. Germany is an extreme example of this. Pre-COVID-19, Germany's Federal Office of Civilian Protection conducted two pandemic preparation exercises based on scenarios which closely mirrored the current COVID-19 pandemic: (a) a multi-jurisdictional, multi-agency crisis management exercise assuming a global influenza pandemic and (b) a joint federal and expert-agency based risk-analysis assuming the outbreak of a modified severe acute respiratory symptom virus. While informing legal and institutional reforms, key recommendations on storing personal protective equipment (PPE) and disinfectants for front-line staff were subsequently ignored. PPE shortages initially put staff at risk, led to export restrictions on PPE, and later on hampered the country's ability to address a second wave of the pandemic. This short paper calls for a fuller exploration of factors which hinder ''implementation post-cognition.''.


Assuntos
COVID-19 , Corrida , Humanos , Pandemias/prevenção & controle , Seguimentos , Equipamento de Proteção Individual
19.
Disasters ; 47(4): 1047-1068, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36772994

RESUMO

This paper investigates the impact of a community disaster awareness training on subjective disaster preparedness, focusing on the case of a Republic of Korean aid-supported disaster risk reduction project in the Ayeyarwaddy region of Myanmar. A subsequent survey by the authors of a total of 182 households, an equal number of project participating and control households, produced encouraging results regarding the endeavour. Although both ordinal logistic regression and ordinary least squares models support overall robust effectiveness of participating in the project, the results also reveal different effects of specific activities. Disaster risk reduction (DRR) awareness meetings and trainings, and personal visits to share knowledge and/or to distribute informative flyers, are important. In contrast, the significance of drills or community activities, in mass, is lost in a combined model. Consequently, 'personalising risk' should be prioritised in any DRR undertaking, as well as, and in particular, development cooperation aimed at increasing confidence in disaster preparedness.


Assuntos
Planejamento em Desastres , Desastres , Humanos , Planejamento em Desastres/métodos , Mianmar , Inquéritos e Questionários , Participação da Comunidade
20.
Disasters ; 47(4): 1138-1172, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37086026

RESUMO

Extreme weather events are increasing in frequency and severity owing to climate change. Individual-level behavioural responses-notably, disaster preparedness and community helping actions (such as donating and volunteering)-supplement government efforts to respond to such phenomena, but rarely have they been explored together. Using data from a survey administered soon after the 2020 Oregon wildfires, this paper compares a range of socio-demographic, experiential, attitudinal, and communication-related factors associated with these two individual-level behavioural responses. Findings indicate that respondents who reported experiencing a higher degree of harm and heightened concern about climate change after the wildfires were more likely to report disaster preparedness and community helping actions. Those who reported more frequent informal discussions about the wildfires, consulting more sources to seek information on them, and higher percentages of friends, neighbours, and community members taking actions to prepare for future wildfires also reported more disaster preparedness and community helping actions. Disaster preparedness actions were also positively associated with seeking information from formal/official sources.


Assuntos
Planejamento em Desastres , Desastres , Incêndios Florestais , Humanos , Oregon , Comportamento de Ajuda
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