Disaster management presentation in Bali

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Dr. Muhammad Nasar Sayeed Khan

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Disaster management. What we have learnt in Pakistan: 

Disaster management. What we have learnt in Pakistan Dr. M. Nasar Sayeed Khan Associate Professor and Head Department of Psychiatry, SIMS and SHL. nasarsayeed@yahoo.com & Dr Afzal Javed PPRC, Fountain House Lahore-Pakistan

What is disaster ?: 

What is disaster ? Natural or human induced Event which result in widespread human loss Accompanied by loss of Livelihood Property Loss in a definite area } causing sufferings

Pakistan: 

Pakistan is located along either side of the historic Indus River , following its course from the valleys of the Himalayas down to the Arabian Sea. Pakistan's 796,095 square kilometers Agriculture accounts for about a fifth. The social development has remained slow, and inequality between social classes, genders and rural and urban areas has led to widespread poverty. Pakist an

Pakistan: 

Pakist an Pakistan is the 6 th populous country in the world GDP per capita 2,151$ Life expectancy at birth m/f : 62/63, infant mortality 102/1000 Total health expenditure per capita 48 $, total expenditure as % of GDP (W.H.O., 2005) 2.4 Urban population 34% Literacy rate 49%

Health Status: 

Health Status Amidst multiple political, social and economical crises. Health is not a priority and mental health is even getting least importance in policy and practice. The total number of physicians is 19,8073 Specialists 20, 633 (PMDC. 2011) Total number of qualified psychiatrists 400

Psychiatric Facilities: 

Psychiatric Facilities Mental hospitals 4 In teaching hospitals 23 units are attached to the medical colleges in the government sector. Medical colleges in the private sector offer nearly the same number of psychiatric units.

DISASTERS IN PAKISTAN : 

DISASTERS IN PAKIS TAN Earthquakes Floods Terrorism (War in Afghanistan) Poverty, Limited Health resources

Earthquake 2005 : 

Earthqua ke 2005 The Death Toll Raised. More than 73,000 dead More than 70,000 seriously injured Fear : in the coming 2 to 3 weeks twice as many people could die of hunger and exposure during the winter if strong, timely interventions were not made © REUTERS/Kimimasa Mayama

Worst Disaster in South Asia: 

Worst Dis aster in South Asia More than 3.5 million people hit directly Twice that number hit indirectly More than 3.3 million homeless 1.3 million people lose jobs instantly 2.4 million lose livelihoods 600,000 children lost their schools 15,000 villages, hamlets and townships devastated

Damage assessment: 

Damage assessment Area affected 30,000 km 2 Houses : 500,000 (56%) Medical facilities: 365 (65%) Telecommunications : Exchanges (86- 34%); Lines ( 33,225 - 13%) Schools /colleges destroyed: 6083 (50%)

Impact on Educational institutions: 

Impact on E ducational institutions Teachers died: 853 Students died: 6210 AJK university: 4 teachers and 200 students died No school in the affected area is functional © SERENDIP Production

PowerPoint Presentation: 

Weather : Snow, falling temperatures, soon reaching below freezing Terrain : mountainous, treacherous Aftershocks : More than 900 so far. Last aftershock yesterday 6.0 tremblor , unleashing landslides in the Kaghan Valley Landslides Inaccessible highland valleys Disease © REUTERS/Kimimasa Mayama ENE MIES © Kimimasa Mayama /Reuters

PowerPoint Presentation: 

FLOODS FLOODS

Floods of 2011: 

Floods of 2011 Districts Badly Affected – 11 •Population Affected - 8.188 m •Death Toll – 392 •Persons Injured – 746 •Area Under Water - 6.5 m acres •Cropped area Inundated - 2.1 m acres •Houses Damaged - 1.5 m •Relief Camps - 3,305 • Persons in Relief Camps - 694,586

Terrorism : 

Terrorism Fight or Flight

PowerPoint Presentation: 

The total impact is estimated to be larger then the 2004 tsunami , the January earthquake in Haiti and the 2005 earthquake in Pakistan combined. All these lead to a complex social, physical and mental health problems.....

PowerPoint Presentation: 

what we have learned from our experiences © WHO Disaster M anagement

Financial crunches: 

Financial crunches

Social distances: 

Social dist ances

Unity: 

Uni ty

Gathering what has left: 

Gathering what has left

Reintegrating the mental health into primary care: 

Reintegrating the mental health into primary care Providing comprehensive services

Focusing on moving means of the private public partnership: 

Focusing on moving means of the private public partnership

Establishing centers at National level to provide training at all levels: 

Establishing centers at National level to provide training at all levels Incorporating help from International sources

Despite all odds we hope to fight: 

Despite all odds we hope to fight Resilience is a tool which includes Belief in God Social Support Coping self-efficacy

Indigenous methods of coping stress & trauma: 

Indigenous methods of coping stress & t rauma

CONCLUSION: 

CONCL USION

PSYCHOSOCIAL RESPONSE TO DISASTERS: some concerns: 

PSYCHOSOCIAL RESPONSE TO DISASTERS: some concerns

WAY FORWARD!: 

WAY FORWARD!

WHAT IS THE SOLUTION?: 

WHAT IS THE SOLUTION?

NDMA : 

NDMA National Disaster Management Authority (NDMA) , is the lead agency at the Federal level to deal with Disaster Management Activities. In event of disaster, Government Ministries & Departments, Armed Forces, NGOs, work through and from NDMA to conduct one window operation.

Constraints: 

Constraints Lack of latest equipments. Lack of funding from Govt. Lack of implementation of Systematic approach. Lack of public awareness. Lack of training programs and workshops. Poverty