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Data for Decision Making in Disasters: Advances and Controversies

Data for Decision Making in Disasters: Advances and Controversies

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Data for Decision Making in Disasters: Advances and Controversies

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  1. Data for Decision Making in Disasters: Advances and Controversies Prevention of Disaster Threats Workshop Kaunas, Lithuania 08 August, 2005 Eric K. Noji, M.D., M.P.H. Centers for Disease Control Washington, DC

  2. "The reason for collecting, analyzing and disseminating information on a disease is to control that disease. Collection and analysis should not be allowed to consume resources if action does not follow." William H. Foege, M.D. International Journal of Epidemiology 1976; 5:29-37

  3. Uses of Data in Disasters • Assessment and Surveillance • Injury and disease profiles • Research methodologies • Disaster management • Vulnerability and hazard assessment

  4. Public Health Actions in Emergencies • Before the disaster • During the disaster • After the disaster

  5. Data Needs Before the Disaster • Hazard Analysis • Vulnerability Analysis • Training and Education

  6. Increasing disaster risk • Increasing population density • Increased settlement in high-risks areas • Increased technological hazards and dependency • Increased terrorism: biological, chemical, nuclear? • Aging population in industrialized countries • Emerging infectious diseases (AMR) • International travel (global village)

  7. While knowing the threat agent is important, understanding how each threat expresses its toll on the health and well being of communities, in both the near term and the long run, is crucial to our preparedness and response.

  8. IMMEDIATE RELIEF

  9. Next Steps • Rapid needs assessment • Disease Surveillance • Public health interventions

  10. Rapid Needs Assessment The collection of subjective and objective information, limited in time, performed in acute situations, which requires immediate action to be taken to respond to the basic requirements of the affected population

  11. Objectives of Health Information Systems in Emergency Populations • Establish health care priorities • Follow trends and reassess priorities • Detect and respond to epidemics • Evaluate program effectiveness • Ensure targeting of resources • Evaluate quality of health care

  12. Goal of CMR in Emergency Populations • For < 5 years of age: Less than 2.0 per 10,000 per day • For > 5 years of age: Less than 1.0 per 10,000 per day

  13. Morbidity AssessmentNecessary Information • Diseases of public health importance • Measles • Diarrhea • Acute Respiratory infections • Injuries • Malnutrition

  14. Diseases of epidemic potential • Cholera • Dysentery • Meningitis • Yellow fever