Tsunami: Dec. 26, 2004 Lessons for Public Health

1. Tsunami: Dec. 26, 2004Lessons for Public Health Mark Oberle moberle@u.washington.edu http://faculty.washington.edu/moberle/Tsunami/ Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

2. http://pubs.usgs.gov/circ/c1187/ Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

3. Public Health Emergency Preparedness Competencies • Describe chain of command • Identify and locate emergency response plan • Demonstrate function in regular drills • Demonstrate communications role/equipment • Identify limits of knowledge/skills/authority • Recognize unusual events + describe action • Apply flexible thinking and evaluate actions http://cpmcnet.columbia.edu/dept/nursing/institute-centers/chphsr/btcomps.pdf

4. NE Indian Ocean Tectonics (USGS) Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

5. Tide Gages: Maximum Wave Amplitude Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

6. First wave recedes from entrance Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

7. Second wave recedes from pool area

8. Victims got splints and bandages in the lobby

9. Courtesy of the Knill family

10. Buses and boats blocked streets

11. Cars and steel slammed into buildings

12. Cars and debris filled pools and rooms

13. Rescuers hopped on tilted cars to get between flooded buildings, while smaller waves crashed into 1st floor

14. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

15. Water receding at our hotel

16. Tourists and Thais waited for next tsunami on the hillsides

17. Hourly panics => stampedes from beach

18. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

19. Helicopter view, Khao Lak area, December 2004 (Photo: Mark Simmerman)

22. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

23. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

24. Thailand casualty data, 4 January 2005 (Photo: Mark Simmerman)

25. Identifying remains, December 2004 (Photo: Mark Simmerman)

26. Processing remains, December 2004 (Photo: Mark Simmerman)

27. PUBLIC HEALTH CONCERNS Preparedness planning Trauma care system Food, water, shelter Person to person transmission, e.g., measles Vector borne disease: malaria, dengue (?) Rehabilitation medicine Mental health services

28. Source: MMWR January 28, 2005 / 54(03):61-64. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

29. LESSONS FOR ALL OF US Who are the first responders? Preparedness planning / Public education Communications Family Disaster Plan http://www.doh.wa.gov/phepr/handbook/family.htm

30. TSUNAMI WARNING SIGNS • Earthquake • Water withdraws from shoreline • Approaching wave (freight train noise) Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

31. PREPAREDNESS PLANNING Family Disaster Plan: http://www.doh.wa.gov/phepr/handbook/family.htm

32. LESSONS FOR ALL OF US Who are the first responders? Preparedness planning: Tsunami signs Communications Family Disaster Plan http://www.doh.wa.gov/phepr/handbook/family.htm

33. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

34. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

35. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

36. LARGE EARTHQUAKES IN LAST 50 YEARS • Chile, 1960: 9.5 • Prince William Sound, Alaska, 1964: 9.2 • Indonesia, 2004: 9.0-9.3 • Andreanof Islands, Alaska, 1957: 9.1 Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

37. Age Distribution of the World’s Population Population Structures by Age and Sex, 2002 Millions Less Developed Regions More Developed Regions Age 80+ 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 17-19 10-16 5-9 0-4 Male Female Male Female Source: United Nations, World Population Prospects: The 2002 Revision (medium scenario), 2003. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

38. Population Growth Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

39. Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org

40. Tsunami: Dec. 26, 2004Lessons for Public Health Mark Oberle moberle@u.washington.edu http://faculty.washington.edu/moberle/Tsunami/ Northwest Center for Public Health PracticeUniversity of Washington School of Public Health and Community Medicinehttp://nwcphp.org