ABC of conflict and disaster by Anthony D Redmond; et al

By Anthony D Redmond; et al

This ABC introduces drugs in parts of clash or common catastrophe responding to the transforming into variety of areas affected.

Chapters take care of matters resembling earthquakes and landslides in addition to nuclear incidents and organic conflict either nationally and internationally.

It covers either logistical making plans and scientific relief in addition to post-conflict restoration, supplying mental in addition to clinical and public future health support.

It prepares relief employees for a number roles in all attainable occasions

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Efforts can be made to restore mental hospitals, communities, or institutions, but they will rarely be seen as a priority. Psychotic patients have the same basic needs as everyone else—safety and shelter, clean water, and food. Drugs will be needed, and agencies such as Pharmaciens Sans Frontières can help. 26 The psychological cost of conflict and disaster is obvious, but it may be a Western conceit to medicalise such distress Psychological aspects of providing medical humanitarian aid Specific psychosocial issues Interpersonal violence—Justice is a potent psychological intervention.

The territory had experienced civil war, population displacement, and NATO intervention. The returning population, displaced internally and to neighbouring countries, faced damaged and destroyed housing, a collapsed infrastructure, and no instruments of government. In such a vacuum, the United Nations interim administration became the government, with the World Food Programme feeding the population and the World Health Organization taking on the health portfolio. The World Bank took control of finance.

Long term development—Long term recovery should have as its end point not just a return to the pre-conflict state but a state where the accepted instruments of good governance are in place and the region is capable of independent existence. The process may take decades, and in some cases the target is never reached. This is typically the case in so called failed states. Levels of healthcare intervention after conflict or disaster Emergency needs Basic curative care needs of residents of emergency settlements are typically x Treatment of diarrhoea x Treatment of acute respiratory infections x Treatment of other prevalent conditions (such as malaria) x Therapeutic feeding x Care of wounds x Psychological counselling or the equivalent During recovery phases Basic model for organising health service systems is three tiered: Primary care x Clinics for children < 5 years old, routine immunisation, rehydration centres, malaria screening and treatment, diagnosis and treatment of pneumonia, outreach programmes, antenatal and delivery care x Training and supervision of community health workers, traditional birth attendants, and traditional healers, who can play an important role, especially for collective health awareness and notification of cases during epidemic outbreaks Secondary care x Inpatient services for severe cases requiring triage and surveillance—such as treatment for complications of childbirth Tertiary care x System of referral to hospitals for surgery and severely ill patients, and access to laboratory facilities for diagnosis and disease confirmation x Arrangement and payment for transportation and other logistical details must be agreed in advance by administrators of the emergency settlement community health programme and the hospital administration, usually through the ministry of health Adapted by Eric K Noji from: University of Wisconsin Disaster Management Center: First international emergency settlement conference: new approaches to new realities.

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