World Health OrganizationSierra Leone.
Ministry of Health and Sanitation, Freetown, Sierra Leone.
Disaster Med Public Health Prep. 2020 Apr;14(2):256-264. doi: 10.1017/dmp.2019.53. Epub 2019 Aug 19.
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.
2017 年 8 月 14 日，塞拉利昂西区雷金特地区遭遇暴雨袭击，持续 3 天，随后发生了一场 6 公里长的泥石流。朱巴河沿岸的 300 多所房屋被淹没；据报道，有 1141 人死亡或失踪，5905 人流离失所。世界卫生组织（世卫组织）塞拉利昂国家办事处针对泥石流灾害迅速采取行动，核实紧急情况并组建一个事件管理小组来协调应对工作。他们与卫生部和卫生部门合作伙伴及早取得联系。设立了一个公共卫生应急行动中心来协调应对工作。卫生部门合作伙伴之间的联合评估、规划和应对确保了应对工作的有效性和效率。向高危人群接种口服霍乱疫苗，以预防霍乱疫情爆发。通过从为受灾人口提供服务的 9 个卫生机构每日报告，加强对 4 种水源性疾病的监测。采用世卫组织应急反应框架的绩效标准来监测应急反应。对该国应对工作的评估表明，该国的应对工作执行良好。为了改善未来的应对工作，我们建议加强地区一级的备灾工作，更新灾害应对协议，并预先绘制卫生部门合作伙伴的灾害应对地图。
