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81. How to make sure your vacation isn’t a medical disaster

to peanuts has increased they are still served on some flights. Other commonly served food products include soy and wheat. Know the health care system of the destination you are traveling to. Have your health insurance information with you and consider additional travel insurance if you are traveling out of the country or to remote destinations. In the event you are too ill to travel in a general economy through an airport, there are medical evacuation services (e.g., helicopters, fixed-wing aircraft (...) How to make sure your vacation isn’t a medical disaster How to make sure your vacation isn't a medical disaster How to make sure your vacation isn’t a medical disaster | | June 8, 2018 90 Shares Recently while traveling overseas, I found myself in a predicament not often encountered nor taught to health professionals. I was requested to address an emergency at 30,000 feet in the air. This got us thinking: How many patients consider the possibility of a medical emergency in the air? People

2018 KevinMD blog

82. Reproductive health in the recent disasters of Iran: a management perspective. (PubMed)

collection, ignoring male reproductive health, and lack of monitoring systems.Different challenges to reproductive health management that emerged from the research should be considered and included in reproductive health plans and policies in disaster-affected regions in Iran. Involving community in all processes of providing reproductive health services, from planning to monitoring, is highly suggested. (...) Reproductive health in the recent disasters of Iran: a management perspective. Natural disasters represent critical threats to the health, safety, and well-being of a community-including reproductive health, which has been neglected in disaster-stricken regions. The current study was undertaken to explore administrative issues related to post-disaster reproductive health systems in Iran.A qualitative approach using in-depth unstructured interviews was applied to explore the administrative

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2018 BMC Public Health

83. Social Capital and Mental Health in Post-Disaster/Conflict Contexts: A Systematic Review.

Med Public Health Preparedness. 2018;12:791-802). (...) Social Capital and Mental Health in Post-Disaster/Conflict Contexts: A Systematic Review. Social capital (SC) is highlighted as an important factor for post-crisis mental health outcomes. However, the heterogeneous nature of the construct makes it difficult to get a clear picture of the evidence concerning the association between SC indices and mental health. This review examines how SC is conceptualized and measured, and the relationships with other variables in quantitative empirical studies

2018 Disaster medicine and public health preparedness

84. Mental health of nurses after the Fukushima complex disaster: a narrative review (PubMed)

and daily work, medical and health-care professionals, particularly nurses, provided counseling services to residents concerned about radiation health risks or mental health issues. This review focuses on the psychological aspects of the complex nuclear disaster, which was a combined artificial nuclear accident and natural disaster, and we investigated the psychological effects on hospital nurses associated with their experiences during the disaster. We looked at several investigations into the mental (...) health of nurses after a nuclear disaster and in other situations. It was shown that mental health of nurses is impacted, not only after nuclear disasters but also in other circumstances. Furthermore, we noted the effects of extended periods of a heavy workload and daily life. Regarding anxiety about radiation exposure, nurses who had more knowledge of radiation tended to have better mental health, suggesting that education about the health risks of radiation exposure is important for health-care

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2018 Journal of radiation research

85. Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study (PubMed)

Prehospital Emergency Medical Services Challenges in Disaster; a Qualitative Study Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran.A qualitative study was conducted from April 2015 to March 2017. Data were collected through in-depth, semi-structured interviews with 23 experienced individuals in the field of disaster that were (...) selected using purposeful sampling. Data were analyzed using content analysis approach.Fifteen sub-themes and the following six themes emerged in the analysis: challenges related to people, challenges related to infrastructure, challenges related to information management systems, challenges related to staff, challenges related to managerial issues and challenges related to medical care.Iran's prehospital EMS has been chaotic in past disasters. Improvement of this process needs infrastructure reform

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2018 Emergency

86. Towards Improved Linkage of Disaster Risk Reduction and Climate Change Adaptation in Health: A Review (PubMed)

, health systems strengthening, infrastructure resilience, disaster preparedness and response, and health impact pathways. Public health actors have a central role in building these links due to their expertise, work functions, and experience in addressing complex health risks. The review concludes with recommendations for future research, including how to better link DRR and CCA in health; and the opportunities, challenges and enablers to build and sustain these links. (...) Towards Improved Linkage of Disaster Risk Reduction and Climate Change Adaptation in Health: A Review Climate change and climate-sensitive disasters significantly impact health. Linking Disaster Risk Reduction (DRR) and Climate Change Adaptation (CCA) is essential for addressing these ever present, complex and increasing risks. Recent calls have been made to build these links in health. However, there is a need to clearly articulate why linking DRR and CCA is important in health. Furthermore

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2018 International journal of environmental research and public health

87. Maria in Puerto Rico: Natural Disaster in a Colonial Archipelago (PubMed)

Maria in Puerto Rico: Natural Disaster in a Colonial Archipelago 29211541 2018 12 07 1541-0048 108 1 2018 Jan American journal of public health Am J Public Health Maria in Puerto Rico: Natural Disaster in a Colonial Archipelago. 30-32 10.2105/AJPH.2017.304198 Rodríguez-Díaz Carlos E CE Carlos E. Rodríguez-Díaz is with the Doctoral Program in Public Health with specialty in Social Determinants of Health and the Center for Evaluation and Sociomedical Research, Graduate School of Public Health (...) , University of Puerto Rico-Medical Sciences Campus, San Juan. eng R25 MH083617 MH NIMH NIH HHS United States U54 MD007600 MD NIMHD NIH HHS United States Journal Article United States Am J Public Health 1254074 0090-0036 Am J Public Health. 2018 Jan;108(1):9-10 29211520 2017 12 7 6 0 2017 12 7 6 0 2017 12 7 6 0 ppublish 29211541 10.2105/AJPH.2017.304198 PMC5719712 Int J Infect Dis. 2017 Dec;65:144-147 29153921

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2018 American Journal of Public Health

88. The Inverse Response Law: Theory and Relevance to the Aftermath of Disasters (PubMed)

The Inverse Response Law: Theory and Relevance to the Aftermath of Disasters The Inverse Care Law is principally concerned with the effect of market forces on health care which create inequities in access to health services through privileging individuals who possess the forms of social capital that are valued within health care settings. The fields of disaster risk reduction need to consider the ways in which inequities, driven by economic and social policy as well as institutional decision (...) -making, create vulnerabilities prior to a disaster, which are then magnified post disaster through entrenched structural differences in access to resources. Drawing on key principles within the Inverse Care Law, the Inverse Response Law refers to the idea that people in lower socio-economic groups are more likely to be impacted and to experience disparities in service provision during the disaster response and recovery phase. In a market model of recovery, vulnerable groups struggle to compete

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2018 International journal of environmental research and public health

89. Enhancement of PTSD treatment through social support in Idobata-Nagaya community housing after Fukushima’s triple disaster (PubMed)

Enhancement of PTSD treatment through social support in Idobata-Nagaya community housing after Fukushima’s triple disaster Cognitive-behavioural therapy is a first-line treatment for post-traumatic stress disorder (PTSD), but it is difficult to implement in disaster settings. We report the case of an 80-year-old Japanese woman, who was diagnosed with PTSD after the 2011 triple disaster (earthquake, tsunami and nuclear plant accident) in Fukushima. Her recovery was greatly enhanced (...) by the social support she received while living in Idobata-Nagaya community housing, established by Soma city in Fukushima, where residents could naturally discuss their traumatic experiences. Habituation to traumatic memories and processing of cognitive aspects of the psychological trauma, which are therapeutic mechanisms of trauma-focused psychotherapies, spontaneously occurred in this setting. The details of this case support the effectiveness of Idobata Nagaya as a provider of psychological first aid

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2018 BMJ case reports

90. Loss of Trust May Never Heal. Institutional Trust in Disaster Victims in a Long-Term Perspective: Associations With Social Support and Mental Health (PubMed)

and bereaved than in the general population. Among the victims, low institutional trust was associated with more mental health problems, poorer social support, more barriers to seeking social support, and a lower life satisfaction. Lost trust in the aftermath of a disaster may perhaps never be restored and the lack of trust may act to strengthen or maintain health problems. An exclusively individualistic approach to trauma and disaster may miss out on the opportunities for promoting health and well-being (...) Loss of Trust May Never Heal. Institutional Trust in Disaster Victims in a Long-Term Perspective: Associations With Social Support and Mental Health Natural disasters, technological disasters, and terrorist attacks have an extensive aftermath, often involving society's institutions such as the legal system and the police. Victims' perceptions of institutional trustworthiness may impact their potential for healing. This cross-sectional study investigates institutional trust, health, and social

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2018 Frontiers in psychology

91. Vulnerabilities Associated with Post-disaster Declines in HIV-testing: Decomposing the Impact of Hurricane Sandy (PubMed)

in building loss at week 0 corresponds with an 8% decrease in the relative change in testing (p=0.0001) and a 2% at week twelve (p=0.001).Our results demonstrate that HIV testing can be negatively affected during public health emergencies. Communities with high percentages of building loss and significant HIV disease burden should prioritize resumption of testing to support HIV prevention. (...) Vulnerabilities Associated with Post-disaster Declines in HIV-testing: Decomposing the Impact of Hurricane Sandy Using Interrupted Time Series Analysis and generalized estimating equations, this study identifies factors that influence the size and significance of Hurricane Sandy's estimated impact on HIV testing in 90 core-based statistical areas from January 1, 2011 to December 31, 2013.Generalized estimating equations were used to examine the effects of sociodemographic and storm-related

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2018 PLoS currents

92. Earthquakes to Floods: A Scoping Review of Health-related Disaster Research in Low- and Middle-income Countries (PubMed)

of the disaster, and in 13% research was initiated between 3 and 6 months following the disaster.  The articles in our review were published in 282 different journals.The high number of publications studying consequences of an earthquake may not be surprising, given that earthquakes are devastating sudden onset events in LMICs.  Researchers study topics that require immediate attention following a disaster, such as trauma surgery, as well as health problems that manifest later, such as post-traumatic stress (...) Earthquakes to Floods: A Scoping Review of Health-related Disaster Research in Low- and Middle-income Countries Health-related disaster research is a relatively small; but growing field of inquiry.  A better understanding of the scope and scale of health-related disaster research that has occurred in low- and middle-income countries (LMICs) would be useful to funders, researchers, humanitarian aid organizations, and governments as they strive to identify gaps, disparities, trends, and needs

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2018 PLoS currents

93. Disaster Response 2.0: Noncommunicable Disease Essential Needs Still Unmet (PubMed)

Disaster Response 2.0: Noncommunicable Disease Essential Needs Still Unmet 30192662 2018 11 14 1541-0048 108 S3 2018 Sep American journal of public health Am J Public Health Disaster Response 2.0: Noncommunicable Disease Essential Needs Still Unmet. S202-S203 10.2105/AJPH.2018.304604 Horn Rebecca B RB Rebecca B. Horn is with ChronAid International, Washington, DC, and Huntingdon Valley Anesthesia Associates, Meadowbrook, PA. Thomas D. Kirsch is with the National Center for Disaster Medicine (...) and Public Health and the Uniformed Services University of the Health Sciences, Washington, DC. Kirsch Thomas D TD Rebecca B. Horn is with ChronAid International, Washington, DC, and Huntingdon Valley Anesthesia Associates, Meadowbrook, PA. Thomas D. Kirsch is with the National Center for Disaster Medicine and Public Health and the Uniformed Services University of the Health Sciences, Washington, DC. eng Journal Article United States Am J Public Health 1254074 0090-0036 2018 9 8 6 0 2018 9 8 6 0 2018 9 8

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2018 American Journal of Public Health

94. Factors related to the fatigue of relief workers in areas affected by the Great East Japan Earthquake: survey results 2.5 years after the disaster (PubMed)

Factors related to the fatigue of relief workers in areas affected by the Great East Japan Earthquake: survey results 2.5 years after the disaster After the Great East Japan Earthquake (March 11, 2011), the fatigue of relief workers became a major problem in affected areas. In the present study, we conducted a questionnaire survey 2.5 years post-disaster identifying factors related to the fatigue of relief workers.This survey was cross-sectional and participants (N = 119) were relief workers (...) "very tired" and were assigned to the Fatigue group. The total score of the 6-item Kessler Psychological Distress Scale (K6) and each subscale score (burnout, secondary trauma, and compassion satisfaction) of the Professional Quality of Life measure (Pro-QOL) in the Fatigue group were significantly higher than those in the Non-fatigue group. There were significant differences between the two groups for 11 items relating to current problems and sources of strong feelings of loss, and the following

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2018 BioPsychoSocial medicine

95. Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study. (PubMed)

Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study. Tanzania has witnessed several disasters in the past decade, which resulted in substantial mortality, long-term morbidity, and significant socio-economic losses. Health care facilities and personnel are critical to disaster response. We assessed the current state of disaster preparedness and response capacity among Tanzanian regional hospitals.This descriptive cross-sectional (...) matrons and 4 heads of casualty. All the hospitals were found to have inadequate numbers of all cadres of health care providers to support effective disaster response. 92% of hospitals reported experiencing a disaster in the past 5 years; with the top three being large motor vehicle accidents 22 (87%), floods 7 (26%) and infectious disease outbreaks 6 (22%). Fifteen hospitals (60%) had a disaster committee, but only five (20%) had a disaster plan. No hospital had all components of surge capacity

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2018 BMC Health Services Research

96. Resilience to climate-induced disasters and its overall impact on well-being in Southern Africa: a mixed-methods systematic review protocol. (PubMed)

will be undertaken.Studies will be included if they were conducted between January 1980 and December 2017; used quantitative and/or qualitative methods; were peer reviewed or comprise grey literature; covered Southern Africa; and measured resilience and its relationship to well-being. Data extraction will be informed by the Cochrane Public Health Group and the Joanna Briggs Institute manuals. The quality of evidence of the studies included will be assessed for risk bias, psychometric properties of tools used (...) Resilience to climate-induced disasters and its overall impact on well-being in Southern Africa: a mixed-methods systematic review protocol. Southern Africa has long been vulnerable to climate-induced disasters, especially droughts and floods. The severity and frequency of disasters increased in the early 1980s, continuously eroding livelihoods, which in turn invoked humanitarian intervention. A systematic review of the relationship between resilience to drought and well-being

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2018 Systematic reviews

97. Impact and cultural acceptance of the Narrative Exposure Therapy in the aftermath of a natural disaster in Burundi. (PubMed)

Impact and cultural acceptance of the Narrative Exposure Therapy in the aftermath of a natural disaster in Burundi. In the aftermath of natural disasters, affected populations are at risk of suffering from trauma-related mental health disorders such as posttraumatic stress disorder (PTSD) or depression. Particularly in poor post-conflict regions, these mental disorders have the potential to impair the ability of individuals to move on with their lives. We aimed to evaluate the feasibility (...) , cultural acceptance, and effect of a trauma-focused psychotherapy, Narrative Exposure Therapy (NET), in the aftermath of a flood disaster in Burundi.Fifty-one individuals who were living in emergency camps overseen by the Burundian Red Cross in the aftermath of a flood disaster, and who had lost homes and close relatives, were invited to participate in semi-structured diagnostic interviews. Trained Burundian psychology students conducted these interviews, and six sessions of NET were offered to the 15

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2018 BMC Psychiatry

98. In their own words: disaster and emotion, suffering, and mental health (PubMed)

In their own words: disaster and emotion, suffering, and mental health In this article, I explore emotions, trauma, and mental health issues residents experienced after tornadoes in Tuscaloosa, Alabama and Joplin, Missouri in 2011.The research is based on 162 interviews and fieldwork from 2013-2015. I draw from literature on social suffering and trauma to ask how experiencing mental health and trauma changes how people make sense of their social worlds.I discuss four common themes: 1. Emotions

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2018 International journal of qualitative studies on health and well-being

99. Natural Disasters and Injuries: What Does a Surgeon Need to Know? (PubMed)

. Major injuries seem to be few in other natural disasters. However, more detailed data is needed on specific injury patterns to determine if additional surgical assistance is needed and to what extent it is needed to cater for normal surgical conditions if existing health care has seized to function. (...) Natural Disasters and Injuries: What Does a Surgeon Need to Know? Natural disasters have injured more than 2 million people in the last 10 years and led to significant international medical relief deployment. Knowledge of expected injury patterns following these disasters is an important part of planning for type and size of outside surgical assistance. This review aims to summarize what is known about injury patterns following natural sudden-onset disasters (SODs).Several systematic reviews

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2018 Current Trauma Reports

100. The Lake Urmia environmental disaster in Iran: A look at aerosol pollution (PubMed)

. These results have important implications for public health, climate, the hydrological cycle, and pollution control efforts.Copyright © 2018 Elsevier B.V. All rights reserved. (...) The Lake Urmia environmental disaster in Iran: A look at aerosol pollution Lake Urmia (LU) once was the second largest hypersaline lake in the world, covering up to 6000km2, but has undergone catastrophic desiccation in recent years resulting in loss of 90% of its area and extensive coverage by playas and marshlands that represent a source of salt and dust. This study examines daily Aerosol Optical Depth (AOD) data from the Moderate Resolution Imaging Spectroradiometer (MODIS) between 2001

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2018 The Science of the total environment

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