Evaluating
Health Sector Needs After Floods and Hurricanes (PAHO, 1989)
In
spite of the frequency and severity of floods in Latin America and
the Caribbean, relief efforts are often accompanied by confusion
and inefficiency. Accustomed to dealing with disasters as acute
phenomena marked by sudden increases in the loss of life and property,
the international community often responds by providing expensive
medical equipment, teams of specialists, emergency medical supplies
and field hospitals. However, the most cursory examination will
show that there is no dry ground where the hospitals can be set
up and no acute traumas have occurred that the local personnel cannot
handle. Even though media reports on "epidemics" during
the early stages of a flood may be unfounded, health authorities
feel pressured by public opinion to engage in urgent vaccination
campaigns and aerial spraying, provide emergency food relief, and
other such measures.
Paradoxically,
since the impact of floods can last several months, the true health
hazards may occur when media interest has waned and international
aid has evaporated.
This
lack of synchrony between the nature of the disaster and the relief
offered is largely due to the lack of an appropriate method for
assessing current needs. These needs vary depending on the prevailing
stage in the disaster cycle and the type of disaster itself - earthquakes
or floods, volcanic eruptions or hurricanes. A uniform methodology
is required to assess these needs promptly and reliably, enabling
the implementation of the correct short-term measures while - especially
in the case of floods - establishing a longer-term control system
to provide health authorities with early warning of late-developing
risks.
This
publication is a step in that direction, presenting a method for
selecting pertinent data from appropriate sources based on the premise
that, although each flood has its own peculiarities, key decisions
must be made between fairly standard alternatives.
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