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Research and Evaluations of the Health Aspects of Disasters, Part II: The Disaster Health Conceptual Framework Revisited

Published online by Cambridge University Press:  09 October 2015

Marvin L. Birnbaum ,
Elaine K. Daily ,
Ann P. O’Rourke  and
Alessandro Loretti
Marvin L. Birnbaum*
Affiliation:
Emeritus Professor of Medicine and Physiology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin USA; Emeritus Editor-in-Chief, Prehospital and Disaster Medicine
Elaine K. Daily
Affiliation:
Nursing Section Editor, Prehospital and Disaster Medicine; Executive Secretary, World Association for Disaster and Emergency Medicine, Madison, Wisconsin USA
Ann P. O’Rourke
Affiliation:
Assistant Professor, Division of General Surgery, Department of Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin USA
Alessandro Loretti
Affiliation:
Retired, World Health Organization; Consultant, World Association for Disaster and Emergency Medicine, Adelaid, South Australia, Australia
*
Correspondence: Marvin L. Birnbaum, MD, PhD Suite 407 610 N. Whitney Way Madison, WI 53705 USA E-mail: [email protected]
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Abstract

A Conceptual Framework upon which the study of disasters can be organized is essential for understanding the epidemiology of disasters, as well as the interventions/responses undertaken. Application of the structure provided by the Conceptual Framework should facilitate the development of the science of Disaster Health. This Framework is based on deconstructions of the commonly used Disaster Management Cycle. The Conceptual Framework incorporates the steps that occur as a hazard progresses to a disaster. It describes an event that results from the changes in the release of energy from a hazard that may cause Structural Damages that in turn, may result in Functional Damages (decreases in levels of function) that produce needs (goods and services required). These needs can be met by the goods and services that are available during normal, day-to-day operations of the community, or the resources that are contained within the community’s Response Capacity (ie, an Emergency), or by goods and services provided from outside of the affected area (outside response capacities). Whenever the Local Response Capacity is unable to meet the needs, and the Response Capacities from areas outside of the affected community are required, a disaster occurs. All responses, whether in the Relief or Recovery phases of a disaster, are interventions that use the goods, services, and resources contained in the Response Capacity (local or outside). Responses may be directed at preventing/mitigating further deterioration in levels of functions (damage control, deaths, injuries, diseases, morbidity, and secondary events) in the affected population and filling the gaps in available services created by Structural Damages (compromise in available goods, services, and/or resources; ie, Relief Responses), or may be directed toward returning the affected community and its components to the pre-event functional state (ie, Recovery Responses). Hazard Mitigation includes interventions designed to decrease the likelihood that a hazard will cause an event, and should an event occur, that the amount of energy released will be reduced. Capacity Building consists of all interventions undertaken before an event occurs in order to increase the resilience of the community to an event related to a hazard that exists in an area-at-risk. Resilience is the combination of the Absorbing, Buffering, and Response Capacities of a community-at-risk, and is enhanced through Capacity-Building efforts. A disaster constitutes a failure of resilience.

Birnbaum ML, Daily EK, O’Rourke AP, Loretti A. Research and Evaluations of the Health Aspects of Disasters, Part II: The Disaster Health Conceptual Framework Revisited. Prehosp Disaster Med. 2015;30(5):523–538.

Keywords

conceptual frameworkdisasterhealthresiliencerisk
Type
Special Reports
Information
Prehospital and Disaster Medicine , Volume 30 , Issue 5 , October 2015 , pp. 523 - 538
Copyright
© World Association for Disaster and Emergency Medicine 2015 

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Footnotes

a

Task Force for Quality Control of Disaster Medicine, World Association for Disaster and Emergency Medicine, Nordic Society for Disaster Medicine. Health Disaster Management Guidelines for Evaluation and Research in the Utstein Style. Sundnes KO, Birnbaum ML (eds). Prehosp Disaster Med. 2003;17(Supplement 3).

References

1. Task Force for Quality Control of Disaster Medicine, World Association for Disaster and Emergency Medicine, Nordic Society for Disaster Medicine. Health Disaster Management Guidelines for Evaluation and Research in the Utstein Style. Sundnes KO, Birnbaum ML (eds). Prehosp Disaster Med. 2003;17(Supplement 3).Google Scholar
2. United Nations International Strategy for Disaster Reduction (UN-ISDR). Hyogo Framework for Action 2005-2015: Building the Resilience of Nations and Communities to Disasters. Extract from the final report of the World Conference on Disaster Reduction. http://www.unisdr.org/eng/hfa/docs/Hyogo-framework-for-action-english.pdf. Accessed July 10, 2011.Google Scholar
3. United Nations International Strategy for Disaster Reduction (UN-ISDR). Terminology. www.unisdr.org/we/inform/terminology. Accessed April 2, 2012.Google Scholar
4. United Nations Inter-Agency Standing Committee (IASC). Transformative Agenda. http://www.humanitarianinfo.org/iasc/. Accessed February 21, 2013.Google Scholar
5. United Nations International Strategy for Disaster Reduction (UN-ISDR). Global Platform for Disaster Risk Reduction. Resilient People, Resilient Planet. Chair’s Summary, Fourth Session of the Global Platform for Disaster Risk Reduction. Geneva, Switzerland. May 21-23, 2013. http://www.ifrc.org/docs/IDRL/33306_finalchairssummaryoffourthsessionof.pdf. Accessed November 1, 2013.Google Scholar
6. United Nations International Strategy for Disaster Risk Reduction (UNISDR). Sendai Framework for Disaster Risk Reduction. http://www.unisdr.org/we/coordinate/sendai-framework. Accessed August 5, 2015.Google Scholar
7. Office for Disaster Preparedness and Emergency Management. The Disaster Management Process. http://www.odpem.org.jm/DisastersDoHappen/DisasterManagementinJamaica/TheDisasterManagementProcess/tabid/240/Default.aspx6. Accessed September 21, 2014.Google Scholar
8. Pickett, JP (ed). Definition of “community.” The American Heritage College Dictionary, 4th ed. Boston, New York USA: Houghton Mifflin Company; 2002:290.Google Scholar
9. Pickett, JP (ed). Definition of “society.” The American Heritage College Dictionary, 4th ed. Boston, New York USA: Houghton Mifflin Company; 2002:1314.Google Scholar
10. Pickett, JP (ed). Definition of “culture.” The American Heritage College Dictionary, 4th ed. Boston, New York USA: Houghton Mifflin Company; 2002:346.Google Scholar
11. Thompson, D (ed). Definition of “culture.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:328.Google Scholar
12. Birnbaum, ML, O’Rourke, A, Daily, EK. Research and evaluation in the health aspects of disasters, Part IV: a framework for the structure of society: the Societal Systems. Prehosp Disaster Med. In Press.Google Scholar
13. On-line Dictionary. Definition of “energy.” http://www.biology_online.org/dictionary/energy. Accessed March 14, 2014.Google Scholar
14. Biological Interest Group. What is Biological Energy? http://web.mit.edu/~pweigele/www/being/conent/what.html. Accessed March 14, 2014.Google Scholar
15. Thompson, D (ed). Definition of “event.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:43.Google Scholar
16. US Geological Service. Magnitude 7.2 - Southwestern Pakistan, 2011 January; 18 20:23:23 UTC. http://earthquake.usgs.gov/earthquakes/eqinthenews/2011/us2011ggbx/. Accessed January 25, 2015.Google Scholar
17. Geonet. M 6.3, Christchurch, February 22, 2011. http://info.geonet.org.nz/display/quake/M+6.3,+Christchurch,+22+February+2011. Accessed January 25, 2015.Google Scholar
18. History.com. Mar 11, 2004: terrorists bomb trains in Madrid. http://www.history.com/this-day-in-history/terrorists-bomb-trains-in-madrid. Accessed January 25, 2015.Google Scholar
19. History.com. Boston Marathon Bombings. http://www.history.com/topics/boston-marathon-bombings. Accessed January 25, 2015.Google Scholar
20. History Channel. History of London: 7/7 London Bombings. http://www.history.co.uk/study-topics/history-of-london/77-london-bombings. Accessed January 25, 2015.Google Scholar
21. Merriam-Webster. Definition of “onset.” http://www.com/dictionary/onset. Accessed January 23, 2015.Google Scholar
22. Google.com. Definition of “amplitude.” https://www.google.com/search?q=amplitude+physics+definition&biw=1357&bih=642&noj=1&site=webhp&ei=p-TGVIuGG47ooAStyICwCg&start=0&sa=N. Accessed January 25, 2015.Google Scholar
23. Thompson, D (ed). Definition of “duration.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:422.Google Scholar
24. Princeton University. Definition of “intensity.” https://www.princeton.edu/~achaney/tmve/wiki100k/docs/Intensity_%28physics%29.html. Accessed January 25, 2015.Google Scholar
25. Oxford Dictionaries. Definition of “scope.” http://oxforddictionaries.com/definition/scope. Accessed April 19, 2012.Google Scholar
26. Pickett, JP (ed). Definition of “scope.” The American Heritage College Dictionary, 4th ed. Boston, New York USA: Houghton Mifflin Company; 2002:1244.Google Scholar
27. Pickett, JP (ed). Definition of “magnitude.” The American Heritage College Dictionary, 4th ed. Boston, New York USA: Houghton Mifflin Company; 2002:832.Google Scholar
28. Thompson, D (ed). Definition of “magnitude.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:820.Google Scholar
29. Thompson, D (ed). Definition of “propagation.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:1097.Google Scholar
30. Oxford Dictionary. Definition of “consequence.” http://www.oxforddictionaries.com/us/definition/american_english/consequence. Accessed January 22, 2014.Google Scholar
31. Thompson, D (ed). Definition of “damage.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:338.Google Scholar
32. Gallopin, GC. Linkages between vulnerability, resilience, and adaptive capacity. Global Environ Change. 2006;16:293-303.Google Scholar
33. Adger, WN. Vulnerability. Global Environ Change. 2006;6(3):268-281.CrossRefGoogle Scholar
34. Business Dictionary. Definition of “exposure.” http://www.businessdictionary.com/definition/exposure.html. Accessed February 16, 2013.Google Scholar
35. Emergency and Humanitarian Action, World Health Organization, Regional Office for South-East Asia. Tsunami 2004: A Comprehensive Analysis. Au: Birnbaum ML, Kohl PA, Ofrin R, Daily EK; New Delhi, India: SEARO; 2013.Google Scholar
36. Oskin, B. Japan Earthquake and Tsunami of 2011: Facts and Information. http://www.livescience.com/39110-japan-2011-earthquake-tsunami-facts.html. Accessed January 22, 2014.Google Scholar
37. Southern California Earthquake Center of the National Science Foundation and the US Geologic Survey. A Comparison of the February 28, 2001, Nisqually, Washington, and January 17, 1994, Northridge, California Earthquakes. http://www.scec.org/news/01news/feature010313.html. Accessed July 26, 2011.Google Scholar
38. World Health Organization (WHO)-Pan-American Health Organization (PAHO). Evaluation of preparedness and response to Hurricanes Georges and Mitch: conclusions and recommendations. Prehosp Disaster Med. 1999;14(2):53-65.Google Scholar
39. BBC News. Why Did Fewer Die in Chile’s Earthquake than in Haiti's? http://news.bbc.co.uk/2/hi/americas/8543324.stm. Accessed January 22, 2014.Google Scholar
40. United Nations International Strategy on Disaster Reduction (UNISDR). 2008-2009 World Disaster Reduction Campaign on Hospitals Safe from Disasters. http://www.unisdr.org/2009/campaign/wdrc-2008-2009.html. Accessed February 16, 2013.Google Scholar
41. Thompson, D (ed). Definition of “function.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:548.Google Scholar
42. Dictionary. Definition of “function.” http://dictionary.reference.com/browse/function. Accessed April 2, 2012.Google Scholar
43. Thompson, D (ed). Definition of “good.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:584.Google Scholar
44. Business Dictionary. Definition of “threshold.” http://www.businessdictionary.com/definition/threshold.html. Accessed March 2, 2012.Google Scholar
45. Bevington, J, Pyatt, S, Arleen Hill, A, et al. Uncovering community disruption using remote sensing: an assessment of early recovery in post-Earthquake Haiti. Miscellaneous Report #69, University of Delaware (Newark, Delaware USA), Disaster Research Center, 2010. http://dspace.udel.edu:8080/dspace/bitstream/handle/19716/5850/730Misc%2069.pdf?sequence=1. Accessed July 27, 2011.Google Scholar
46. Birnbaum, ML, O’Rourke, AP, Daily, EK. Research and evaluation in the health aspects of disasters, Part VII: Interventional research and the disaster logic model. Prehosp Disaster Med In Press.Google Scholar
47. Rubin, M, Heuvelmans, JH, Tomic-Cica, A, Birnbaum, ML. Health-related relief in the former Yugoslavia: needs, demands, and supplies. Prehosp Disaster Med. 2000;15(1):1-11.Google Scholar
48. Thompson, D (ed). Definition of “response.” The Concise Oxford Dictionary of Current English. 9th ed. Oxford, UK: Oxford University Press; 1995:1173.Google Scholar
49. Pickett, JP (ed). Definition of “response.” The American Heritage College Dictionary, 4th ed. Boston, New York USA: Houghton Mifflin Company; 2002:1185.Google Scholar
50. Birnbaum, ML, O’Rourke, AP, Daily, EK, Loretti, A. Research and evaluation in the health aspects of disasters, Part VIII: the Relief/Recovery Framework. Prehosp Disaster Med. In Press.Google Scholar
51. Birnbaum, ML, O’Rourke, AP, Daily, EK. Research and evaluation in the health aspects of disasters, part IX: the Risk-Reduction Framework. Prehosp Disaster Med. In Press.Google Scholar
52. United Nations International Strategy for Disaster Reduction (UN-ISDR). Terminology on Disaster Risk Reduction. www.adrc.asia/publications/terminology/top.htm. Published December 3, 2003. Accessed May 29, 2012.Google Scholar
53. United Nations Secretariat for the International Strategy for Disaster Reduction (ISDR). Updated and Expanded Terminology on Disaster Reduction. Geneva, Switzerland: May 21-23, 2013. http://www.ifrc.org/docs/.pdf. Accessed November 1, 2013.Google Scholar