1National Centre for Disease Control,Directorate General of Health Services,Ministry of Health and Family Welfare,New Delhi,India.
2Division of Global Health Protection,Centers for Disease Control and Prevention,New Delhi,India.
Disaster Med Public Health Prep. 2019 Apr;13(2):133-137. doi: 10.1017/dmp.2018.21. Epub 2018 Mar 21.
Torrential rainfall and flooding from September 2-6, 2014 submerged >350 villages in Jammu and Kashmir state. We conducted rapid needs assessment in capital Srinagar from 27 September to 1 October to assess population health and safety needs.
Based on Community Assessment for Public Health Emergency Response (CASPER) methodology, we selected 7 households each from 30 census blocks using 2-stage cluster sampling. We collected information on demographics, needs, and illnesses using structured questionnaire.
Of the 210 households surveyed, an estimated 57% (CI: 41%-73%) reported significant damage, 50% (CI: 36%-63%) were evacuated, and 16% (CI: 10%-22%) reported injuries. Households lacked electricity (22%; CI: 8.8%-36%), tap water (13%; CI: 5%-21%), working toilets (11%; CI: 4%-19%), and adequate food supply (14%; CI: 8%-20%). Moreover, 55% (CI: 45%-64%) of households reported cough, cold, fever, rashes, or diarrhea; 68% (CI: 59%-77%) experienced agitation, anxiety, depression, or nightmares since the flooding. Of the households with a member on medicines for non-communicable diseases, 40% did not have a week's supply. Restoring basic essentials (30%; CI: 22%-37%) and repairing houses (30%; CI: 19%-40%) were the most urgent needs expressed.
Floods damaged >1/2 of households in Srinagar, disrupting basic essentials, and causing mental trauma. These findings helped authorities prioritize assistance with psychological symptoms and availability of prescription medicines. (Disaster Med Public Health Preparedness. 2019;13:133-137).
2014 年 9 月 2 日至 6 日，强降雨和洪水淹没了查谟和克什米尔邦的 350 多个村庄。我们于 9 月 27 日至 10 月 1 日在首府斯利那加进行了快速需求评估，以评估人口健康和安全需求。
根据社区公共卫生应急反应评估（CASPER）方法，我们使用两阶段聚类抽样法，从 30 个普查区中每个区选取 7 户家庭。我们使用结构化问卷收集人口统计学、需求和疾病信息。
在接受调查的 210 户家庭中，据估计有 57%（置信区间：41%-73%）报告了重大损失，50%（置信区间：36%-63%）已撤离，16%（置信区间：10%-22%）报告受伤。家庭缺乏电力（22%；置信区间：8.8%-36%）、自来水（13%；置信区间：5%-21%）、正常使用的厕所（11%；置信区间：4%-19%）和充足的食物供应（14%；置信区间：8%-20%）。此外，55%（置信区间：45%-64%）的家庭报告咳嗽、感冒、发烧、皮疹或腹泻；68%（置信区间：59%-77%）自洪水以来经历了激动、焦虑、抑郁或噩梦。在有非传染性疾病药物的家庭中，40%的家庭没有一周的药物供应。恢复基本必需品（30%；置信区间：22%-37%）和修复房屋（30%；置信区间：19%-40%）是最紧迫的需求。
洪水破坏了斯利那加超过一半的家庭，扰乱了基本必需品的供应，并造成了精神创伤。这些发现有助于当局优先考虑提供心理症状和处方药物。（灾害医学与公共卫生准备。2019；13:133-137）。
