Department of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Prehosp Disaster Med. 2011 Jun;26(3):196-201. doi: 10.1017/S1049023X11006339.
Gathering essential health data to provide rapid and effective medical relief to populations devastated by the effects of a disaster-producing event involves challenges. These challenges include response to environmental hazards, security of personnel and resources, political and economic issues, cultural barriers, and difficulties in communication, particularly between aid agencies. These barriers often impede the timely collection of key health data such as morbidity and mortality, rapid health and sheltering needs assessments, key infrastructure assessments, and nutritional needs assessments. Examples of these challenges following three recent events: (1) the Indian Ocean tsunami; (2) Hurricane Katrina; and (3) the 2010 earthquake in Haiti are reviewed. Some of the innovative and cutting-edge approaches for surmounting many of these challenges include: (1) the establishment of geographical information systems (GIS) mapping disaster databases; (2) establishing internet surveillance networks and data repositories; (3) utilization of personal digital assistant-based platforms for data collection; (4) involving key community stakeholders in the data collection process; (5) use of pre-established, local, collaborative networks to coordinate disaster efforts; and (6) exploring potential civil-military collaborative efforts. The application of these and other innovative techniques shows promise for surmounting formidable challenges to disaster data collection.
收集基本健康数据,为受灾人口提供快速有效的医疗救援,这其中涉及到诸多挑战。这些挑战包括应对环境危害、人员和资源的安全保障、政治和经济问题、文化障碍以及沟通障碍,特别是在援助机构之间。这些障碍常常阻碍了关键健康数据的及时收集,如发病率和死亡率、快速的健康和避难需求评估、关键基础设施评估以及营养需求评估。本文回顾了最近三次事件中的一些挑战,包括:(1)印度洋海啸;(2)卡特里娜飓风;(3)2010 年海地地震。为了克服其中的许多挑战,一些创新和前沿的方法包括:(1)建立地理信息系统(GIS)灾害数据库制图;(2)建立互联网监测网络和数据库;(3)利用基于个人数字助理的平台进行数据收集;(4)让关键社区利益相关者参与数据收集过程;(5)利用预先建立的、本地的、协作的网络来协调灾害应对工作;以及(6)探索潜在的军民协作努力。这些方法和其他创新技术的应用有望克服灾害数据收集面临的巨大挑战。