Amin Faridah, Luxmi Shobha, Ali Farheen, Fareeduddin Muhammad
Indus College of Family Medicine and Public Health, Indus Hospital and Health Network, Karachi, Pakistan.
Department of Infectious Disease, National Institute of Cardiovascular Diseases, Karachi, Pakistan.
J Family Med Prim Care. 2023 Feb;12(2):194-200. doi: 10.4103/jfmpc.jfmpc_1919_22. Epub 2023 Feb 28.
Floods are the most common natural disasters in the world. Currently Pakistan is in an acute emergency situation due to the recent flood that occurred as a result of the monsoon rains in July-August 2022. Unfortunately, the country was already under an economic crisis and was just recovering from the COVID pandemic when this devastating calamity struck. Almost one-third of the country's land was affected, with millions of houses damaged and property lost. As the victims are displaced and local health units are flooded, their medical needs are being met through medical flood relief camps arranged by public and private sector welfare organizations. Due to a lack of disaster preparedness and policies, most of the healthcare workers are untrained to manage medical flood relief camps and are hence learning from experience rather than following any standardized policy guidelines. We did not find any guidelines for organization and management of a flood relief camp in previous literature. As natural disasters continue to cause mass destruction every few years, there is a need to devise policies and procedures for disaster preparedness and hazard reduction. This paper is thus an effort to provide the best possible delivery of acute health services in a developing country during and after a flood in the transit phase, while the government and other non-governmental organizations (NGOs) help communities rebuild their health system.
洪水是世界上最常见的自然灾害。由于2022年7月至8月季风降雨引发的近期洪水,巴基斯坦目前处于严重的紧急状态。不幸的是,当这场毁灭性的灾难袭来时,该国已经处于经济危机之中,且刚刚从新冠疫情中恢复过来。该国近三分之一的土地受到影响,数百万房屋受损,财产损失。由于受害者流离失所,当地卫生单位被洪水淹没,他们的医疗需求正通过公共和私营部门福利组织设立的医疗洪水救济营地得到满足。由于缺乏灾难准备和政策,大多数医护人员没有接受过管理医疗洪水救济营地的培训,因此只能从经验中学习,而不是遵循任何标准化的政策指导方针。我们在以往文献中未找到关于洪水救济营地组织和管理的任何指导方针。由于自然灾害每隔几年就会继续造成大规模破坏,因此有必要制定灾难准备和减灾的政策及程序。因此,本文旨在努力在洪灾期间及洪灾过后的过渡阶段,在发展中国家提供尽可能最佳的急性医疗服务,同时政府和其他非政府组织帮助社区重建其卫生系统。