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Chronic Health Needs Must Be Addressed After A Natural Disaster

August 18th, 2011 by Paul Auerbach, M.D. in Health Policy
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Sichuan earthquake rescue workers carrying an injured person. In light of the widespread media coverage of natural disasters, such as the earthquake in Haiti and the tsunami in Japan, the public and medical professionals are aware of the anticipated immediate medical needs in these kinds of emergencies. However, it is less well known that after the initial management of life- and limb-threatening injuries, there may be an enormous need to provide care to persons with chronic illnesses. This is because they are displaced from their homes, become exposed to adverse environmental and socioeconomic hardships, lose access to healthcare, are deprived of their sources of medications, and so forth.

Some of my colleagues were allowed to enter Japan after the tsunami, and their observations agree with this assessment, which was also confirmed in a recent paper, “Chronic health needs immediately after natural disasters in middle-income countries: the case of the 2008 Sichuan, China earthquake,” authored by Emily Chan and Jackie Kim (Eur J Emerg Med 2011;18:111-114). The authors considered physical, social and public health preparedness. Read more »

This post, Chronic Health Needs Must Be Addressed After A Natural Disaster, was originally published on Healthine.com by Paul Auerbach, M.D..

Challenges In Humanitarian Medical Care

June 17th, 2011 by Paul Auerbach, M.D. in Health Policy
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Aid worker administers medicine to Haitian child in Léogâne.With the current wave of natural disasters and international conflicts extant in the world today, the number of people engaged in global humanitarian relief, including medicine, is growing. As a result, there have arisen special concerns for providing medical care and other types of assistance during humanitarian efforts. At the Wilderness Society summer annual meeting in 2010, Cindy Bitter, MD, led a round table discussion entitled “Challenges and Controversies in Humanitarian Medicine.” I will use materials she prepared for the syllabus to offer some observations about the general topic of humanitarian medicine, which is very often practiced in outdoor settings that are austere.

Current estimates state that, worldwide, there are more than 5,000 organizations providing humanitarian aid at a total expense of $15 billion. Medical assistance is given in many situations, including natural disasters, conflict and refugee care, provision of basic medical needs in low-resource areas, surgical missions, local resource development, and sanitation and nutrition projects. In 2009 alone, there were Read more »

This post, Challenges In Humanitarian Medical Care, was originally published on Healthine.com by Paul Auerbach, M.D..

The Psychology Of Survival

August 24th, 2010 by Steven Roy Daviss, M.D. in Better Health Network, News, Opinion
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By ClinkShrink

I read this BBC story recently about the Chilean miners trapped for 17 days, who now face months of waiting underground while a rescue tunnel is dug. Although they are all physically well and expected to survive, they face the psychological challenge of waiting for rescue from the cave.

This story resonated with me because lately I’ve been hearing a lot about a new book, No Way Down, which was featured on NPR along with some other mountain disaster books. No Way Down covered the story of several teams of mountain climbers who were stranded on K2 when an icefall cut their ropes. Most of the climbers died although a few managed to pick their way back to base camp.

Survival stories have always been popular. Entire television series now feature teams of people pitted against one another to overcome some test or challenge. Disaster movies were popular back in the ’70s, when the Towering Inferno, Airport and the Poseidon Adventure let us watch people get picked off one by one.

Why do we love this stuff? Read more »

*This blog post was originally published at Shrink Rap*