By Gregory Ciottone
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Extra resources for Disaster Medicine, 3rd Edition
September 2002;51(special issue): 13-15. htm. PUBLIC HEALTH AND DISASTERS 19 c h a p t e r 3 The Role of Emergency Medical Services (EMS) in Disaster Robert D. Furberg and David E. Marcozzi The role of emergency medical services (EMS) systems in disaster management is to provide effective, responsible prehospital care; however, multiple considerations must be made long before the first EMS unit arrives on scene. Disaster management may be examined in the following four phases1: 1. 2. 3. 4. Prevention and planning Preparedness Response Recovery/analysis The process of prevention and planning uses an effective application of the hazard vulnerability analysis (HVA) concepts discussed briefly later in this chapter and in more detail in Chapter 17.
Pest control to reduce infestation of rat and mosquito populations is also important. MENTAL HEALTH Several studies describe, characterize, and propose interventions for mental health issues encountered after a disaster. ”30 Mental health issues stemming from disasters are becoming increasingly integrated into postdisaster assessment, with more emphasis on mental health being an urgent aspect of public health relief. 30 Disasters can provoke specific emotional reactions that take on a variety of different psychological responses, affecting primary victims (those directly involved in the disaster) and secondary victims (such as relatives, co-workers, and schoolmates).
20 All messages should be clear (messages in writing should be understood and bilingual, if needed) and concise; technical information should be translated into simple language for a general audience. Importantly, the sender of information should verify that the transmitted message has been received and understood by the intended audience. 20 Experts emphasize that warning messages should not be withheld until the last minute. 20 Internally among public health systems and partners, secure and redundant lines of communication should be set up during a disaster.