Disaster preparedness for records management in developing countries,earthquake bug out bag checklist,survival guide dayz epoch - PDF 2016

Pregnant women, newborns, and infants may be disproportionately harmed by natural disasters.
These pregnancy morbidities can be prevented by developing an emergency plan that addresses them. Although a "one-size fits all" emergency plan is difficult to apply to all disasters, there are common distresses experienced by all pregnant women regardless of the nature of the disaster.
Obstetric care at a designated facility is ideal, and it is the role of public health officials in an area to designate and equip obstetric care facilities, publicize which facilities in a given area will offer obstetric services, identify alternative safe delivery sites, and arrange for the staffing of the facilities.
During a disaster, women who are not breastfeeding may have difficulty in providing food for their newborns.
Providing contraception for postpartum and nonpregnant women during a disaster is also important to prevent unintended pregnancies.
Involvement in a disaster situation causes and exacerbates tremendous anxiety, depression, and grief. Women are subjected to and vulnerable to intimate partner violence and sexual assault during disasters (9, 10).
Women and Infants Services Package (WISP), from the National Working Group for Women and Infant Needs in Emergencies, White Ribbon Alliance. Callaghan W, Rasmussen, S, Jamieson D, Ventura S, Farr S, Sutton P, Mathews, T, Hamilton B, Shealy K, Brantley D, Posner S. American Red Cross, "Preparedness Fast Facts: Emergency-Specific Preparedness Information". La Leche League International, "When an Emergency Strikes Breastfeeding Can Save Lives, Part 2," media release, September 1, 2005.
Copyright June 2010 by the American College of Obstetricians and Gynecologists, 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920. More than 1000 records of equipments, skilled manpower and critical supplies have been fed in by the 9 districts of Delhi.
Regarding Chemical Disasters, the Government of NCT of Delhi has been regularly following up with the Local Crisis Groups and the District Crisis Groups. Center for HICS Education and Training Hospital Incident Command System Train-The-Trainer Course National Disaster Medical System (NDMS) Conference March. Center for HICS Education and Training NIMS Implementation Elements Command and Management Element 4 – Public Information System –Implements plans to communicate through a JIS or JIC –Implementation Guidance: Hospital should identify at least one PIO, representative or spokesperson responsible for media and public info Establish pre-event working relationships with local media, emergency management, law enforcement, public health, EMS etc. Federal Emergency Management Agency (FEMA) officials are warning residents that use of earthquake damaged chimneys can cause tragic consequences for homeowners whose chimneys have not been checked to see if they are safe. The Yale New Haven Health System Center for Emergency Preparedness and Disaster Response will be attending, exhibiting and presenting at the 2013 Public Health Preparedness Summit in Atlanta. The Yale New Haven Health System Center for Healthcare Solutions offers services and programs that will help you meet current healthcare standards, priorities and other challenges. On March 11th, 2011, an earthquake measuring 9.0 on the Richter magnitude scale generated a tsunami wave in the Pacific Ocean that slammed into the Japanese coastline causing widespread destruction and catastrophic damage to the nuclear power plant in north-eastern Japan.
Since the disaster, the Japanese population's trust in their national response agencies, government officials, and power companies has diminished.
Although the scales of the accidents are not comparable, the Japanese reaction is not dissimilar to the reaction evoked in the people of Harrisburg, PA, as a result of the communication failures which occurred during the Three Mile Island nuclear reactor accident.
Emergency preparedness, including the capability of performing patient decontamination are required disciplines for organizations accredited by The Joint Commission. Transportation accidents and weather-related events contribute to hazmat incidents which may result in injuries or fatalities. Pregnant women, infants, and children are adversely affected by disasters resulting in an increased number of infants with intrauterine growth restriction, low birth weight, and a small head circumference. Not only does the health care system become overwhelmed with medical emergencies but it also can be disrupted. The lack of resources, such as food and clean water, lack of access to health care and medications, as well as psychologic stress in the aftermath of disasters increase pregnancy-related morbidities. As providers of women's health care, the involvement of the obstetrician–gynecologist in disaster response is essential (see box, "Physician Guide to Emergency Preparedness for Women and Infants").
Pregnant women should be encouraged to develop evacuation plans in the event there is enough forewarning to allow for evacuation.
Individual obstetric care providers are urged to assist public health officials and to practice within the obstetric care system that is established. Contraception should be provided in the form of emergency contraception as well as prophylactic contraception.

Postdisaster, patients and health care providers need to be aware of the signs of mental distress requiring medical attention. Similar to the conditions found in refugee camps where sexual violence also is increased, during the phases of a disaster women are isolated from their families and without physical protection.
Emergency preparedness is essential to maintaining healthy pregnancies and ensuring good outcomes for pregnant women and their infants who endure disasters. Health Concerns of Women and Infants in Times of Natural Disasters: Lessons Learned from Hurricane Katrina.
The effects of the World Trade Center event on birth outcomes among term deliveries at three lower Manhattan hospitals.
The Deputy Commissioners and Additional District Magistrates from all nine districts of Delhi had participated in the interactive sessions and presented their valuable suggestions for smooth implementation of the programme.
The nodal ministry for chemical disasters is Ministry of Environment & Forests, GoI and conduct of the mock-drill by rotation every month in districts is also proposed in the plan under finalization.
2) Health Resources and Services Administration, National Hospital Bioterrorism Preparedness Program, Fiscal Year 2005 Continuation Guidance, HRSA Announcement Number 5-U3R-05-001.
Failure to communicate sufficient risk intelligence to the area population has created distrust towards the Japanese government and nuclear power plant officials. Joseph Albanese was invited as a guest speaker to a week-long seminar at the Wakasa Wan Energy Research Center, in Tsuruga, Japan, where he delivered two lectures; the first, on the role of risk and crisis communications during the management of radiological disasters, and the second, on building community resilience for radiological disasters. After Hurricane Katrina, the Centers for Disease Control and Prevention found that the 14 Federal Emergency Management Agency designated counties and parishes affected by the hurricane had a significant increase in the number of women who received late or no prenatal care. This can be done at the local level through a hospital emergency preparedness committee or a community group attached to the fire department or police department and at the state level through the Department of Homeland Security. The American Red Cross provides emergency preparedness checklists for specific disasters (7). However, there are several factors that may contribute to difficulty in accessing obstetric health care facilities during a disaster. However, during a disaster, there may not be access to clean water for sterilization of bottles or access to formula. Providing condoms allows for the prevention of not only unintended pregnancies but also decreases the transmission of sexually transmitted diseases. The Centers for Disease Control and Prevention offers information and resources for mental health care during and after disasters. The United Nations Refugee Agency, in developing guidelines for prevention and response to sexual violence against refugees, has identified some contributing circumstances: 1) male perpetrators' dominance over female victims, 2) psychologic strains in refugee camps, 3) absence of support systems for protection, 4) crowded facilities, 5) lack of physical protection, 6) general lawlessness, 7) alcohol and drug abuse, 8) politically motivated violence against refugees, and 9) single females separated from male family members (5). Proceedings of the Inter-Agency Lessons Learned Conference, Geneva (March 27–29, 2001). No part of this publication may be reproduced, stored in a retrieval system, posted on the Internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher. A core committee to monitor these drills will also be formed with DC (HQ), DC (South) & Chief Fire Officer as members. To provide for a healthy pregnancy and delivery, pregnant women affected by disasters need to be assured of a continuation of prenatal care. Department of Health and Human Services, was developed to address hospital preparedness for bioterrorism, natural disasters, and epidemics. However, when evacuation is not possible, the health care for women in the antepartum, intrapartum, and postpartum periods needs to be safely managed.
The health care system may become inundated with other health emergencies, which could decrease the resources available to pregnant women. Encouraging and establishing breastfeeding as a part of routine care ensures that mothers are able to feed their newborns in the event of a disaster. For women who are using reversible contraception in the form of pills, the ring, or the patch, these prescription medications should be provided to enable these women to maintain their current form of birth control. Ironically, these same circumstances existed among the Hurricane Katrina evacuees and were likely responsible for the many personal accounts of rape that occurred in evacuation shelters. However, if evacuation is not possible, identifying local health care facilities that can provide obstetric care, discussing the availability of emergency birth kits, and emphasizing the importance of lactation are key steps to facing the many challenges of a disaster that are unique to pregnant women. Requests for authorization to make photocopies should be directed to: Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400.
Those in the third trimester should be aware of established local health care facilities that can provide prenatal care and obstetric services during a disaster. Although great strides have been made in improving the health care system in preparation for disasters, the Evaluation Report from the Hospital Preparedness Program released in March 2009, reveals hospitals in the United States are not currently prepared for a major disaster (1).

Also, physical barriers, such as impassible roads, demolished bridges and fire lines, may serve as obstacles to accessing obstetric care facilities.
Additionally, health care providers should be educated in lactation to assist new mothers in initiating breastfeeding in the immediate phase of a disaster. When possible, emergency health care facilities should stock and dispense a variety of contraceptive products. Establishing safety, order, and the rule of law in shelters for disaster survivors is paramount to the protection of women from sexual assault. Establishing and maintaining lactation before, during, and after a disaster is important for infant nutrition.
Additionally, the aftermath of Hurricane Katrina revealed the vulnerability of women, infants, and children during disasters. Health care providers outside the perimeter of the disaster should be willing to accept evacuees in an effort to ensure continuation of prenatal care.
For mothers who are less than 6 months postpartum, even if they have not previously established lactation, relactation can be established and should be encouraged (8). In the event that sexual violence does occur, appropriate and sensitive services should be available to victims, including emergency contraception and sexual assault forensic examiners or sexual assault nurse examiners. Women's health care providers are needed to advise, assist, and support public health authorities in planning for and serving during a disaster. Decreasing the number of unintended pregnancies can be achieved by providing both prophylactic and emergency contraception.
As a result, in 2005 and 2006 the National Working Group for Women and Infant Needs in Emergencies in the United States extensively reviewed most U.S. In a study that monitored birth outcomes following Hurricane Katrina, women who experienced three or more severe traumatic situations during the hurricane, such as feeling as though one's life was in danger, walking through flood waters, or having a loved one die, were found to have a higher rate of low birth weight infants and an increase in preterm deliveries (6).
State and local governments should establish local facilities where prenatal care and obstetric services can be provided for those women unable to evacuate.
To prepare, clinicians should make pregnant women who reside in locations subject to seasonal or frequent environmental emergencies aware of the availability of emergency birth kits (see box, "Emergency Birth Kits for Patients").
For those mothers who choose not to begin relactation or are beyond the 6-month period, ready-to-feed infant formula in a single-serving bottle should be provided.
Clinicians also should encourage local and state governments to provide shelters that are safe and secure to prevent violence against women. Women involved in disasters are also at an increased risk for sexual assault and should be provided a safe and secure environment in evacuation shelters. Additionally, disruption of the health care system may result in the separation of mothers and infants. These kits have all of the essential equipment necessary should a birth occur outside of a birthing facility.
In addition to emergency contraception, sexual assault forensic examiners or sexual assault nurse examiners should be available for victims of sexual assault.
The American College of Obstetricians and Gynecologists is a member of the White Ribbon Alliance that supported this working group.
For example, during Hurricane Katrina, many critically ill hospitalized infants were transported to medical facilities outside of New Orleans without their mothers.
This will be impossible if written records are destroyed because of the disaster or if interruption in electricity prohibits access to electronic medical records. The obstetrician–gynecologist has a unique role in developing and carrying out an emergency preparedness plan that addresses the safety and medical needs of women in the event of bioterrorism, natural disasters, and epidemics.
The separation of mothers and their infants can interfere with breastfeeding as well as create additional stress for the mothers.
In preparation, clinicians should make patients aware of their specific prenatal issues as well as provide them with key portions of their medical records.
This is especially true in areas where natural disasters are seasonal and may be likely to occur.
Also, health care providers of prenatal care should increase patients' awareness of the signs of preterm labor and other obstetric emergencies and the action to take in the event of these emergencies.

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