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Taking Stock

Published online by Cambridge University Press:  03 January 2017

Stephanie Kayden*
Affiliation:
Chief, Division of International Emergency Medicine and Humanitarian Programs Department of Emergency Medicine, Brigham and Women’s Hospital Assistant Professor, Harvard Medical School and the Harvard T.H. Chan School of Public Health Associate Editor, Disaster Medicine and Public Health Preparedness
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Abstract

Type
On the Cover
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2016 

Every December I find myself taking stock of the year gone by. Has my work made a difference? Have I helped my fellow man? What remains to be done for the most vulnerable among us?

Our final issue of 2016 brings new insights—some hopeful, some alarming—to help answer these questions for those of us who work to improve disaster preparedness and response. The insights focus on 3 areas: vulnerability, responder resilience, and disaster preparedness.

VULNERABILITY

Time after time we see that disasters disproportionately impact predictable groups: women, children, the poor, the isolated. In an article on the effects of Atlantic hurricanes, Dresser et alReference Dresser, Allison and Broach 1 again show the increased vulnerability of the poorest nations to the impact of natural disasters. From Syria, Elsafti et alReference Elsafti, van Berlaer and Al Safadi 2 bring us an alarming report on the state of children. One in 5 children in war-torn Syria has been displaced, and 1 in 20 has lost a parent during the war. Most of these children have no access to pediatric medical care or education, and many lack necessities such as clean water, healthy food, and sanitation facilities. In nearby Turkey, EkmekciReference Ekmekci 3 reports on the work to strengthen early warning and response systems to comply with European standards on cross-border health threats.

RESPONDER RESILIENCE

There is both good news and bad news about the effects of disasters on responders. Nissen and HeirReference Nissen and Heir 4 bring hopeful news from Norway that people in a workplace previously targeted in a terrorist attack now feel safer after efforts to better prepare workers and secure their workplace. In contrast, Kawashima et alReference Kawashima, Nishi and Noguchi 5 report that 4 years after the Great East Japan Earthquake post-traumatic stress disorder and burnout remain a problem in responders with high stress indicators right after the earthquake.

PREPAREDNESS

Several innovations are proposed in disaster preparedness. Khorram-Manesh et alReference Khorram-Manesh, Lupesco and Friedl 6 propose a new approach to educating disaster managers to better meet today’s disaster response challenges. In Los Angeles, Cha et alReference Cha, Lawrence and Bliss 7 show that community coalitions face challenges in creating partnerships for community disaster resilience, but do better with education, self-sufficiency, and civil engagement. Finally, Canyon et alReference Canyon, Speare and Burkle 8 recommend a community resilience model for response to climate-mediated disease threats in Hawaii.

As 2016 draws to a close, this issue serves as a call to action to everyone in the disaster response community. We will remember the most vulnerable, support our fellow responders, and ensure that future disaster survivors receive the help they need. Together we can make 2017 a safer and better one for disaster survivors around the world.

Cover Images:

In the article, “Children in the Syrian Civil War: the Familial, Educational, and Public Health Impact of Ongoing Violence,” authors Abdallah Mohamed Elsafti, Gerlant van Berlaer, Mohammad Al Safadi, Michel Debacker, Ronald Buyl, Atef Redwan and Ives Hubloue document the familial, educational, and public health state of Syrian children after several years of conflict. Pages 874–882. DOI: https://doi.org/10.1017/dmp.2016.165.

Photo by Mahmoud Raslan/Aleppo Media Center

Image Courtesy of Qatar Red Crescent

References

1. Dresser, C, Allison, J, Broach, J. High-amplitude Atlantic hurricanes produce disparate mortality in small, low-income countries [published online August 30, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.62.Google Scholar
2. Elsafti, AM, van Berlaer, G, Al Safadi, M. Children in the Syrian Civil War: the familial, educational, and public health impact of ongoing violence [published online October 14, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.165.Google Scholar
3. Ekmekci, PE. An assessment of coherence between early warning and response systems and serious cross-border health threats in the European Union and Turkey [published online August 11, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.63.Google Scholar
4. Nissen, A, Heir, T. Perceived safety at work in the wake of terror: the importance of security measures and emergency preparedness [published online July 27, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.45.Google Scholar
5. Kawashima, Y, Nishi, D, Noguchi, H, et al. Post-traumatic stress symptoms and burnout among medical rescue workers 4 years after the Great East Japan Earthquake: a longitudinal study [published online May 18, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.83.Google Scholar
6. Khorram-Manesh, A, Lupesco, O, Friedl, T, et al. Education in disaster management: what do we offer and what do we need? Proposing a new global program [published online July 20, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.88.Google Scholar
7. Cha, BS, Lawrence, RI, Bliss, JC, et al. The road to resilience: insights on training community coalitions in the Los Angeles County Community Disaster Resilience Project [published online August 11, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.46.Google Scholar
8. Canyon, DV, Speare, R, Burkle, FM. Forecasted impact of climate change on infectious disease and health security in Hawaii by 2050 [published online August 12, 2016]. Disaster Med Public Health Prep. https://doi.org/10.1017/dmp.2016.73.Google Scholar