Abstract
Defining disasters and their impacts has several difficulties and limitations due to the complexity of the term. In this chapter, we focus on health disasters, including how disasters impact health systems and how widespread health emergencies can create disasters. A health disaster describes an event that has a direct or indirect negative impact on people’s physical and psychological health. Disasters of all kinds are most impactful to vulnerable groups both in developed and develo** countries, and it is important to implement effective disaster risk management to facilitate health systems resilience, mobilising them to resist, withstand and recover from disasters. Barriers and ways in which health systems are resilient are multi-faceted, some of which include financing, human resources, management, infrastructure, access, trust and education. Two case studies illustrate how these barriers have played out in real-world contexts and historical lessons learnt. These include the Chernobyl nuclear and health disaster of 1986 and the 2018 Ebola outbreak in the Democratic Republic of Congo. This chapter identifies four priorities for action: understand risk, strengthen governance, invest in resilience and enhance preparedness and considers these on all levels from international to individual. Hazards themselves will not cause health disasters but instead how society reacts and the barriers to resilience. By moving health system resilience to the forefront of legislation and governance, disasters can be mitigated and promote sustainable development throughout the world.
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References
Admasu, K. B. (2016). Designing a resilient National health system in Ethiopia: The role of leadership. Health Systems & Reform, 2(3), 182–186.
Aitsi-Selmi, A., & Murray, V. (2015). Protecting the health and well-being of populations from disasters: Health and health care in The Sendai Framework for disaster risk reduction 2015–2030. Prehospital and Disaster Medicine, 31(1), 74–79.
Allenby, B., & Fink, J. (2005). Toward inherently secure and resilient societies. Science, 309(5737), 1034–1036.
Apple Maps (2020). The democratic republic of congo and central Africa. Available from: https://www.apple.com/uk/maps/. Accessed 17 Apr 2020.
ApSimon, H., Macdonald, H., & Wilson, J. (1986). An initial assessment of the Chernobyl-4 reactor accident release source. Journal of the Society for Radiological Protection, 6(3), 109–119.
BBC News. (2020). DRC Congo country profile. [Online]. London, UK; BBC. Available at:https://www.bbc.co.uk/news/world-africa-13283212. Accessed 17 Apr 2020.
Bedford, J., Enria, D., Giesecke, J., Heymann, D., Ihekweazu, C., Kobinger, G., Lane, H., Memish, Z., Oh, M., Sall, A., Schuchat, A., Ungchusak, K., & Wieler, L. (2020). COVID-19: Towards controlling of a pandemic. The Lancet, 395(10229), 1015–1018.
Bennet, B., Repacholi, M., & Carr, Z. (2006). Health effects of the Chernobyl accident and special health care programmes: report of the UN Chernobyl forum expert group “health”. [Online]. Geneva: World Health Organisation. Available at: https://www.who.int/ionizing_radiation/pub_meet/chernobyl-accident-health-effects/en/. Accessed 06 May 2020.
Britton, N. (2007). National planning and response: National systems. In H. Rodríguez, E. Quarantelli, & R. Dynes (Eds.), Handbook of disaster research. Springer.
Bromet, E. (2012). Mental health consequences of the Chernobyl disaster. Journal of Radiological Protection, 32, 71–75.
Bromet, E., & Havenaar, J. (2007). Psychologcal and perceived health effects of the Chernobyl disaster: A 20-year review. Health Physics, 93(5), 516–521.
Central Intelligence Agency, USA. (1992). Handbook of international economic statistics. University of California.
Chan, E., & Shaw, R. (2020). Overview of health-EDRM and health issues in DRR: Practices and challenges. In E. Chan & R. Shaw (Eds.), Public health and disasters. Springer.
Chan, E., Ho, J., Wong, C., & Shaw, R. (2020). Health-EDRM in international policy agenda III: 2030 sustainable development goals and new urban agenda (habit III). In E. Chan & R. Shaw (Eds.), Public health and disasters. Springer.
Cardis, E., & Hatch, M. (2011). The Chernobyl accident – An epidemiological perspective. Clinical Oncology, 23(4), 251–260.
Dar, O., Buckley, E. J., Rokadiya, S., Huda, Q., & Abrahams, J. (2014). Integrating health into disaster risk reduction strategies: Key considerations for success. American Journal of Public Health, 104(10), 1811–1816.
Davis, I., & Alexander, D. (2016). Recovery from disaster. Routledge.
Fukuma, S., Ahmed, S., Goto, R., Inui, T. S., Atun, R., & Fukuhara, S. (2017). Fukushima after the Great East Japan earthquake: Lessons for develo** responsive and resilient health systems. Journal of Global Health, 7(1), 1–8.
Hanefeld, J., Mayhew, S., Legido-Quigley, H., Martineau, F., Karanikolos, M., Blanchet, K., Liverani, M., Mokuwa, E., McKay, G., & Balabanova, D. (2018). Towards an understanding of resilience: Responding to health systems shocks. Health Policy and Planning, 33(10), 355–367.
Havenaar, J., Rumyantzeva, G., Kasyanenko, A., Kaasjager, K., Westermann, A., Van Den Brink, W., Van Den Bout, J., & Savelkoul, J. (1997). Health effects of the Chernobyl disaster: Illness or illness behaviour? A comparative general health survey in two former Soviet regions. Environmental Health Perspectives, 105(6), 1533–1537.
Herp, M. V., Parqué, V., Rackley, E., & Ford, N. (2003). Mortality, violence and lack of access to healthcare in the Democratic Republic of Congo. Disasters, 27(2), 141–153.
Howe, G. (2007). Leukemia following the Chernobyl accident. Health Physics, 93(5), 512–515.
Ilunga Kalenga, O., Moeti, M., Sparrow, A., Nguyen, V. K., Lucey, D., & Ghebreyesus, T. A. (2019). The ongoing Ebola epidemic in the Democratic Republic of Congo, 2018–2019. New England Journal of Medicine, 381(4), 373–383.
International Atomic Energy Agency. (2005). Chernobyl’s legacy: health, environmental and sociology-economic impacts and recommendations to the governments of Belarus, the Russian Federation and Ukraine. [Online]. Vienna: International Atomic Energy Agency. Available at: https://inis.iaea.org/search/search.aspx?orig_q=RN:36093263 [Accessed 06 May 2020].
International Atomic Energy Agency. (2019). International nuclear and radiological event scale. [Online]. Vienna: International Atomic Energy Agency. Available at: https://www.iaea.org/resources/databases/international-nuclear-and-radiological-event-scale [Accessed 06 May 2020].
James, L., Welton-Mitchell, C., Noel, J., & James, A. (2019). Integration mental health and disaster prep-a redness in intervention: A randomised controlled trial with earthquake and flood-affect communities in Haiti. Psychological Medicine, 50(2), 342–352.
Jaworowski, Z. (2010). Observations on the Chernobyl disaster and LNT. Dose-Response, 8, 148–171.
Kelamn, I. (2020). Disasters by choice: How our actions turn natural hazards into catastrophes. Oxford University Press.
Kieny, M. P., & Dovlo, D. (2015). Beyond Ebola: A new agenda for resilient health systems. The Lancet, 385(9963), 91–92.
Kruk, M. E., Ling, E. J., Bitton, A., Cammett, M., Cavanaugh, K., Chopra, M., El-Jardali, F., Macauley, R. J., Muraguri, M. K., Konuma, S., & Marten, R. (2017). Building resilient health systems: A proposal for a resilience index. BMJ, 357, j2323.
Kruk, M. E., Myers, M., Varpilah, S. T., & Dahn, B. T. (2015). What is a resilient health system? Lessons from Ebola. The Lancet, 385(9980), 1910–1912.
Kutzin, J., & Sparkes, S. P. (2016). Health systems strengthening, universal health coverage, health security and resilience. Bulletin of the World Health Organization, 94(1), 2.
Lubunska, I., Kashparov, V., Levchuk, S., Saltillo, D., Johnston, P., Polishchuk, S., Lazarev, N., & Khomutinin, Y. (2018). Current radiological situation in areas of Ukraine contaminated by the Chernobyl accident: Part 1. Human dietary exposure to Caesium-137 and possible mitigation measures. Environmental International, 117, 250–259.
Mancini, S., Coldiron, M. E., Ronsse, A., Ilunga, B. K., Porten, K., & Grais, R. F. (2014). Description of a large measles epidemic in Democratic Republic of Congo, 2010–2013. Conflict and Health, 8(1), 9.
Martineau, F. P. (2016). People-centred health systems: Building more resilient health systems in the wake of the Ebola crisis. International Health, 8(5), 307–309.
McKenzie, A., Abdulwahab, A., Sokpo, E., & W Mecaskey, J. (2015). Building a resilient health system: lessons from northern Nigeria.
Médecins sans Frontières. (2020). Democratic Republic of Congo. [On-line]. Geneva, Switzerland: Doctors Without Borders (Médecins sans Frontières). Available at: https://www.msf.org/democratic-republic-congo-drc. Accessed 17 Apr 2020.
Moran, B. (2018). Fighting Ebola in conflict in the DR Congo. The Lancet, 392(10155), 1295–1296.
Murray, V., Aitsi-Selmi, A., & Blanchard, K. (2015). The role of public health within the United Nations post-2015 framework for disaster risk reduction. International Journal of Disaster Risk Science, 6(1), 28–37.
Naheed, S., & Eslamian, S. (2021). Understanding disaster risk reduction and resilience: A conceptual framework, handbook of disaster risk reduction for resilience, Chapter 1. In S. Eslamian & F. Eslamian (Eds.), New frameworks for building resilience to disasters (Vol. 1). Springer Nature.
Nikiforov, Y. (2006). Radiation-induced thyroid cancer: What we have learned from Chernobyl. Endocrine Pathology, 17(4), 307–317.
Norazam, A. S. (2018). Resilient health infrastructure: Strengthening hospitals’ capacity to respond effectively during disasters and crises. Procedia engineering, 212, 262–269.
Nussbaum, R. (2007). The Chernobyl nuclear catastrophe: Unacknowledged health detriment. Environmental Health Perspectives, 115(5), 238.
Okwuchukwu, O. G., Uche, N. I., Perpetual, O. N., & Onyebuchi, O. G. (2016). Health information dissemination in an era of globalization among the Igbos of southeast Nigeria: Harvesting resilient traditional mass media systems to advantage. Advances in Research, 7, 1–7.
Olu, O. (2017). Resilient health system as conceptual framework for strengthening public health disaster risk management: An african viewpoint. Frontiers in Public Health, 5, 263.
Olu, O., Usman, A., Manga, L., Anyangwe, S., Kalambay, K., Nsenga, N., Woldetsadik, S., Hampton, C., Nguessan, F., & Benson, A. (2016). Strengthening health disaster risk management in Africa: Multi-sectoral and people-centred approaches are required in the post-Hyogo framework of action era. BMC Public Health, 16(1), 691.
Ostroumova, E., Schüz, J., & Kesminie, A. (2020). Future of Chernobyl research: The urgency for consolidated action. The Lancet, 395(10229), 1037–1038.
Patterson, A., & Veenstra, G. (2016). Politics and population health: Testing the impact of the electoral democracy. Health and Place, 40, 66–75.
Perry, R. (2007). What is disaster? In H. Rodríguez, E. Quarantelli, & R. Dynes (Eds.), Handbook of disaster research. Springer.
Porignon, D., Porignon, D., Mugisho Soron Gane, E., Elongo Lokombe, T., Katulanya Isu, D., Hennart, P., & Van Lerberghe, W. (1998). How robust are district health systems? Co** with crisis and disasters in Rutshuru, Democratic Republic of Congo. Tropical Medicine & International Health, 3(7), 559–565.
Quarantelli, E. (2005). A social science research agenda for the disasters of the 21st century. In R. Perry & E. Quarantelli (Eds.), What is a disaster? New answers to old questions. Xlibris.
Robertson, H. D., Elliott, A. M., Burton, C., Iversen, L., Murchie, P., Porteous, T., & Matheson, C. (2016). Resilience of primary healthcare professionals: A systematic review. British Journal of General Practice, 66(647), e423–e433.
Rudowitz, R., Rowland, D., & Shartzer, A. (2006). Health care in New Orleans before and after Hurricane Katrina: The storm of 2005 exposed problems that had existed for years and made solutions more complex and difficult to obtain. Health Affairs, 25(Suppl1), W393–W406.
Samuel, K., Aronsson-Storrier, M., & Bookmiller, K. (2019). The Cambridge handbook of disaster risk reduction and international law. Cambridge University Press.
Sharma, M., Yadav, K., Yadav, N., & Ferdinand, K. C. (2017). Zika virus pandemic—Analysis of Facebook as a social media health information platform. American Journal of Infection Control, 45(3), 301–302.
Soeters, R., Peerenboom, P. B., Mushagalusa, P., & Kimanuka, C. (2011). Performance-based financing experiment improved health care in the Democratic Republic of Congo. Health Affairs, 30(8), 1518–1527.
Stang, E. (1996). Chernobyl – System accident or human error? Radiation Protection Dosimetry, 68(4), 197–201.
Sun, X. (2020). World health systems. Wiley.
The Guardian. (2018). 'The wars will never stop' – millions flee bloodshed as Congo falls apart. [On-line]. The Guardian. Available at: https://www.theguardian.com/world/2018/apr/03/millions-flee-bloodshed-as-congos-army-steps-up-fight-with-rebels-in-east. Accessed 17 Apr 2020.
Tuttle, R., Vaisman, F., & Tronko, M. (2011). Clinical presentation and clinical outcomes in Chernobyl-related paediatric thyroid cancers: What do we know? What can we expect in the future? Clinical Oncology, 23, 268–275.
United Nations Office for Disaster Risk Reduction. (2007). Hyogo framework for action 2005–2015: building the resilient of nations and communities to disasters. [Online]. United Nations Office for Disaster Risk Reduction. Available at: https://www.undrr.org/publication/hyogo-framework-action-2005-2015-building-resilience-nations-and-communities-disasters. Accessed 24 April 2020.
United Nations Office for Disaster Risk Reduction. (2015). The Sendai Framework for Disaster Risk Reduction 2015–2030. [Online]. United Nations Office for Disaster Risk Reduction. Available at: https://www.undrr.org/publication/sendai-framework-disaster-risk-reduction-2015-2030. Accessed 24 April 2020.
United Nations Scientific Committee. (2008). Sources and effects of ionising radiation. [Online]. United Nations Scientific Committee on the Effects of Atomic Radiation. Available at: https://www.unscear.org/unscear/en/chernobyl.html. Accessed 04 May 2020.
United Nation (2015) Sendai Framework for Disaster Risk Reduction 2015–2030. General Assembly, 23 June , Sixty-ninth Session, Agenda Item 19 (c), A/RES/69/283.
United Nations. (2019a). Sustainable development goals. [Online]. United Nations. Available at: https://www.un.org/sustainabledevelopment/news/communications-material/. Accessed 08 May 2020.
United Nations. (2019b). Human development reports: Ukraine. [Online]. United Nations. Available at: http://hdr.undp.org/en/countries/profiles/UKR. Accessed 12 May 2020.
United Nations. (2019c). Human development reports: Congo (Democratic Republic of the). [Online]. United Nations. Available at: http://hdr.undp.org/en/countries/profiles/COD. Accessed 12 May 2020.
Vinck, P., Pham, P. N., Bindu, K. K., Bedford, J., & Nilles, E. J. (2019). Institutional trust and misinformation in the response to the 2018–19 Ebola outbreak in North Kivu, DR Congo: A population-based survey. The Lancet Infectious Diseases, 19(5), 529–536.
Wells, C. R., Pandey, A., Mbah, M. L. N., Gaüzère, B. A., Malvy, D., Singer, B. H., & Galvani, A. P. (2019). The exacerbation of Ebola outbreaks by conflict in the Democratic Republic of the Congo. Proceedings of the National Academy of Sciences, 116(48), 24366–24372.
World Health Organization. (2015). Improving health system efficiency: Democratic Republic of the Congo: improving aid coordination in the health sector (No. WHO/HIS/HGF/CaseStudy/15.4). World Health Organization.
World Health Organization. (2016). Key country indicators. Country summaries. [On-line]. Geneva, Switzerland: World Health Organisation, Switzerland. Available at: https://apps.who.int/gho/data/node.cco.keyind?lang=en. Accessed 17 Apr 2020.
World Health Organization. (2017). WHO community engagement framework for quality, people-centred and resilient health services (No. WHO/HIS/SDS/2017.15). World Health Organization.
WorldBank. (2020). The World Bank in DRC. [On-line]. Washington DC, USA: WorldBank. Available at: https://www.worldbank.org/en/country/drc/overview. Accessed 17 Apr 2020.
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Harris, M., Charnley, G. (2022). Disaster Risk Management: A Resilient Health System. In: Eslamian, S., Eslamian, F. (eds) Disaster Risk Reduction for Resilience. Springer, Cham. https://doi.org/10.1007/978-3-030-72196-1_7
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