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A Public Health Response to a Mudslide in Freetown, Sierra Leone, 2017: Lessons Learnt

Published online by Cambridge University Press:  19 August 2019

Robert Musoke ,
Alexander Chimbaru ,
Amara Jambai ,
Charles Njuguna ,
Janet Kayita ,
James Bunn ,
Anderson Latt ,
Michel Yao ,
Zabulon Yoti  and
Ali Yahaya
...Show all authors
Robert Musoke
Affiliation:
World Health OrganizationSierra Leone
Alexander Chimbaru
Affiliation:
World Health OrganizationSierra Leone
Amara Jambai
Affiliation:
Ministry of Health and Sanitation, Freetown, Sierra Leone
Charles Njuguna*
Affiliation:
World Health OrganizationSierra Leone
Janet Kayita
Affiliation:
World Health OrganizationSierra Leone
James Bunn
Affiliation:
World Health OrganizationSierra Leone
Anderson Latt
Affiliation:
World Health OrganizationSierra Leone
Michel Yao
Affiliation:
World Health Organization Regional Office for Africa Congo Brazzaville, Congo
Zabulon Yoti
Affiliation:
World Health Organization Regional Office for Africa Congo Brazzaville, Congo
Ali Yahaya
Affiliation:
World Health Organization Regional Office for Africa Congo Brazzaville, Congo
Jane Githuku
Affiliation:
World Health OrganizationSierra Leone
Immaculate Nabukenya
Affiliation:
World Health OrganizationSierra Leone
Jane Maina
Affiliation:
World Health OrganizationSierra Leone
Stanley Ifeanyi
Affiliation:
World Health OrganizationSierra Leone
Ibrahima Socé Fall
Affiliation:
World Health Organization Regional Office for Africa Congo Brazzaville, Congo
*
Correspondence and reprint requests to Charles Kuria Njuguna, P.O Box 529, Freetown, Sierra Leone. (e-mail [email protected]).
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Abstract

On August 14, 2017, a 6-kilometer mudslide occurred in Regent Area, Western Area District of Sierra Leone following a torrential downpour that lasted 3 days. More than 300 houses along River Juba were submerged; 1141 people were reported dead or missing and 5905 displaced. In response to the mudslide, the World Health Organization (WHO) Country Office in Sierra Leone moved swiftly to verify the emergency and constitute an incident management team to coordinate the response. Early contact was made with the Ministry of Health and Sanitation and health sector partners. A Public Health Emergency Operations Center was set up to coordinate the response. Joint assessments, planning, and response among health sector partners ensured effectiveness and efficiency. Oral cholera vaccination was administered to high-risk populations to prevent a cholera outbreak. Surveillance for 4 waterborne diseases was enhanced through daily reporting from 9 health facilities serving the affected population. Performance standards from the WHO Emergency Response Framework were used to monitor the emergency response. An assessment of the country’s performance showed that the country’s response was well executed. To improve future response, we recommend enhanced district level preparedness, update of disaster response protocols, and pre-disaster mapping of health sector partners.

Keywords

mudslideSierra Leoneemergencypreparednessresponse
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 2 , April 2020 , pp. 256 - 264
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Usamah, M. Analysis of the causal and trigger factors of the August 2017 landslide in Freetown: towards a sustainable landslide risk management in Sierra Leone. October. http://www.undp.org/content/undp/en/. Published 2017. Accessed December 11, 2017.Google Scholar
Atuyambe, LM, Ediau, M, Orach, CG, et al.Land slide disaster in eastern Uganda: rapid assessment of water, sanitation and hygiene situation in Bulucheke camp, Bududa district. Environ Health. 2011;10(1):38. doi: 10.1186/1476-069X-10-38CrossRefGoogle ScholarPubMed
Japan International Cooperation Agency. Country report: Philippines. http://open_jicareport.jica.go.jp/pdf/1000023396.pdf. Published 2014. Accessed December 8, 2017.Google Scholar
Jacobs, L, Dewitte, O, Poesen, J, et al.The Rwenzori Mountains, a landslide-prone region? Landslides. 2016;13(3):519–536. doi:10.1007/s10346-015-0582-5CrossRefGoogle Scholar
Forbes, C, Chiliza, G, Diop, S, et al. Landslide geohazards in South Africa: Council for Geoscience. http://www.geoscience.org.za/images/geohazard/Landslide.pdf. Published 2011. Accessed December 1, 2017.Google Scholar
Inyang, MP.The role of landslide education in preventing environmental hazards and promoting health in Niger Delta Region of Nigeria. Int J Sci Environ Technol. 2014;3(2):427–433.Google Scholar
Freetown City Council. Environmental assessment and evaluation of natural disaster risk and mitigation in Freetown. http://www.slurc.org/uploads/1/6/9/1/16915440/environmental_assessment_and_evaluation_of_natural.pdf. Published 2014. Accessed December 4, 2017.Google Scholar
Government of Sierra Leone. The Statistical Digest 2007-2013 Edition. OPen Data Sierra Leone. http://opendatasl.gov.sl/dataset?query=statistical+digest&sort. Published 2014. Accessed November 29, 2017.Google Scholar
British Broadcasting Cooporation. Freetown- BBC weather. http://www.bbc.com/weather/2409306. Accessed December 1, 2007.Google Scholar
Watson, JT, Gayer, M, Connolly, MA.Epidemics after natural disasters. Emerg Infect Dis. 2007;13(1):1–5. doi: 10.3201/eid1301.060779Google ScholarPubMed
Kouadio, IK, Aljunid, S, Kamigaki, T, et al.Infectious diseases following natural disasters: prevention and control measures. Expert Rev Anti Infect Ther. 2012;10:95–104. doi: 10.1586/eri.11.155Google ScholarPubMed
Leaning, J, Guha-Sapir, D.Natural disasters, armed conflict, and public health. N Engl J Med. 2013;26(2):147–154. doi: 10.1056/NEJMra1109877Google Scholar
World Health Organization. Emergency Response Framework, 2nd edition. World Health Organization. http://www.who.int/hac/about/erf/en/. Published 2017. Accessed November 23, 2017.Google Scholar
World Health Organization. Weekly Bulletin on outbreaks and other emergencies. World Health Organization. http://apps.who.int/iris/bitstream/10665/258888/1/OEW35-268192017.pdf?ua=1. Published 2017. Accessed November 29, 2017.Google Scholar
Wang, PS, Gruber, MJ, Powers, RE, et al.Mental health service use among Hurricane Katrina survivors in the eight months after the disaster. Psychiatr Serv. 2007;58(11):1403–1411. doi: 10.1176/ps.2007.58.11.1403CrossRefGoogle ScholarPubMed
van Griensven, F.Mental health problems among adults in tsunami-affected areas in Southern Thailand. JAMA. 2006;296(5):537. doi: 10.1001/jama.296.5.537CrossRefGoogle ScholarPubMed
Bromet, EJ, Atwoli, L, Kawakami, N, et al.Post-traumatic stress disorder associated with natural and human-made disasters in the World Mental Health Surveys. Psychol Med. 2017;47(2):227–241. doi: 10.1017/S0033291716002026.Post-traumaticGoogle ScholarPubMed
Gorchev, HG, Ozolins, G. WHO guidelines for drinking-water quality. World Health Organization. doi: 10.1016/S1462-0758(00)00006-6Google Scholar
Lessler, J, Moore, SM, Luquero, FJ, et al.Mapping the burden of cholera in sub-Saharan Africa and implications for control: an analysis of data across geographical scales. Lancet. 2018;391(10133):1908–1915. doi: 10.1016/S0140-6736(17)33050-7Google ScholarPubMed
Von Nguyen, D, Sreenivasan, N, Lam, E, et al.Cholera epidemic associated with consumption of unsafe drinking water and street-vended water-Eastern Freetown, Sierra Leone, 2012. Am J Trop Med Hyg. 2014;90(3):518–523. doi: 10.4269/ajtmh.13-0567Google Scholar
World Health Organization. Cholera vaccines: WHO position paper. http://apps.who.int/iris/bitstream/10665/258763/1/WER9234.pdf?ua=1. Published 2017. Accessed December 7, 2017.Google Scholar