Disasters are most acutely experienced at the local level (high agreement, robust evidence). The reality of disasters in terms of loss of life and property occurs in local places and to local people. These localized impacts can then cascade to have national and international consequences. In this chapter, local refers to a range of places, social groupings, experience, management, institutions, conditions, and sets of knowledge that exist at a sub-national scale. [5.1] Developing strategies for disaster risk management in the context of climate change requires a range of approaches, informed by and customized to specific local circumstances (high agreement, robust evidence). These differences and the context (national to global, urban to rural) in which they are situated shape local vulnerability and local impacts. [5.1] The impacts of climate extremes and weather events may threaten human security at the local level (high agreement, medium evidence). Vulnerability at the local level is attributed to social, political, and economic conditions and drivers including localized environmental degradation and climate change. Addressing disaster risk and climate extremes at the local level requires attention to much wider issues relating to sustainable development. [5.1] While structural measures provide some protection from disasters, they may also create a false sense of safety (high agreement, robust evidence). Such measures result in increased property development, heightened population density, and more disaster exposure. Current regulations and design levels for structural measures may be inadequate under conditions of climate change.

Managing the Risks from Climate Extremes at the Local Level

Exploring the Social Impacts of Flood Risk and Flooding in Scotland

UNLABELLED: BACKGROUND The World Health Organisation's (WHO) sixty-fourth World Health Assembly in May 2011 adopted a resolution on 'strengthening national health emergency and disaster management capacities and resilience of health systems'. Disaster management is a topical issue globally and countries are being encouraged to improve their disaster preparedness, along with growing international commitment to strengthening health systems. Lessons identified from disasters have not been effectively collated; essential experience is forgotten. METHODS This paper describes the analysis of the worldwide experience of disasters through a health systems approach. A systematic search of the core literature from January 2000 to November 2011 was conducted. Components drawn from the WHO's Global assessment of national health sector emergency preparedness and response baseline survey were combined with WHO's six health system building blocks (or levers) to act as the initial analysis anchors, with a further grounded theory qualitative analysis of the literature allowing the identification of emerging themes and insights. The priority areas identified by this literature review were then compared with the topics covered by the new expert-consensus-derived Toolkit for assessing health-system capacity for crisis management developed by the WHO Regional Office for Europe. FINDINGS 143 publications identified from a literature search were analysed and appraised. Themes and examples from the literature demonstrate how health system strengthening should contribute to disaster management. Priority areas under-represented in the WHO Toolkit and identified by the qualitative analysis are discussed. INTERPRETATION Collation and analysis of the disaster management literature identifies how health system strengthening can promote resilience and efficient recovery in the face of disasters. These findings support and complement the WHO Toolkit. Countries can use the literature evidence with the WHO Toolkit to assess their disaster management capacities and identify priorities for strengthening their health system. CITATION: Bayntun C, Rockenschaub G, Murray V. Developing a health system approach to disaster management: A qualitative analysis of the core literature to complement the WHO Toolkit for assessing health-system capacity for crisis management. PLOS Currents Disasters. 2012 Aug 22. doi: 10.1371/5028b6037259a.

Developing a Health System Approach to Disaster Management: A Qualitative Analysis of the Core Literature to Complement the WHO Toolkit for Assessing Health-System Capacity for Crisis Management

Facilitating people's ability to anticipate, prepare for and recover from disaster is an important component of the UNISDR strategy for disaster risk reduction. Following a discussion of the functi...

Disaster risk reduction: Psychological perspectives on preparedness

Communities and bushfire hazard in Australia: more questions than answers

Natural and technological disasters present significant threats to the public's health. The emergency response capabilities of government and private relief organizations are limited. With a strategy in which residents of urban areas are trained in search and rescue, first aid, fire suppression, care and shelter, emergency communications, and disaster mental health, the community becomes a "resource" rather than a "victim." Language: en

Joshua D. Lichterman

Papers

A "community as resource" strategy for disaster response.