Loretti A, Tegegn Y
WHO/EHA PanAfrican Emergency Training Centre, Addis Ababa, Ethiopia.
World Health Stat Q. 1996;49(3-4):179-84.
Disasters occur when hazards and vulnerability meet. Out of 100 disasters reported worldwide, only 20 occur in Africa, but Africa suffers 60% of all disaster-related deaths. This is probably due to the type of hazards that affect this continent, to under-reporting, and to the fact that under the circumstances prevailing in Africa, it is easy for any disaster to escalate and multiply its impact. Africa's natural hazards are mainly epidemics, endemic diseases, drought, floods, agricultural pests and bush fires, but some areas are also susceptible to earthquakes, cyclones and volcanic eruptions. The natural hazards interact with manmade ones, such as armed conflicts, air, road and railway incidents, other industrial hazards such as mining accidents, chemical spills, etc., and with widespread vulnerability. The context is one of rapid population growth, forced movements of population, environmental degradation, precarious urbanization, food insecurity, poverty, fragile economies, infrastructures and institutions, and cultural and political instability. The 53 countries of the continent are highly susceptible and vulnerable and their 761,390,000 people are exposed to both natural and manmade hazards. Through complex causal chains, disasters affect people directly and indirectly. In the first 6 months of 1996, meningitis had already killed 5,000 people. Throughout Africa, there are 500,000 measles-associated deaths each year; the direct and indirect costs of malaria are estimated at US$ 1.7 billion per year. In June 1996 food emergencies were looming in 14 African countries with 22 million people facing direct food shortages. Since 1980, conflicts have caused at least 3.7 million excess deaths and cost the Region about US$ 13 billion per year. Wars have destroyed 70% of the health network of some countries, and have left behind 30-40 million landmines, making Africa the most mine-infested continent in the world.
当危险与脆弱性相遇时,灾难便会发生。全球报告的100起灾难中,仅有20起发生在非洲,但非洲却承受了所有与灾难相关死亡人数的60%。这可能是由于影响该大陆的灾害类型、报告不足,以及在非洲普遍存在的情况下,任何灾难都容易升级并扩大其影响范围。非洲的自然灾害主要是流行病、地方病、干旱、洪水、农业害虫和丛林火灾,但一些地区也容易遭受地震、气旋和火山爆发。自然灾害与人祸相互作用,如武装冲突、航空、道路和铁路事故,以及其他工业灾害,如采矿事故、化学泄漏等,同时还伴随着广泛存在的脆弱性。当前的背景是人口快速增长、人口被迫迁移、环境退化、不稳定的城市化、粮食不安全、贫困、脆弱的经济、基础设施和机构,以及文化和政治不稳定。非洲大陆的53个国家高度易受影响且脆弱,其7.6139亿人口面临着自然和人为的双重灾害。通过复杂的因果链,灾难直接或间接地影响着人们。1996年的前6个月,脑膜炎已导致5000人死亡。在整个非洲,每年有50万人死于麻疹;疟疾的直接和间接成本估计每年为17亿美元。1996年6月,14个非洲国家面临粮食紧急情况,2200万人面临直接粮食短缺。自1980年以来,冲突已造成至少370万人额外死亡,该地区每年为此损失约130亿美元。战争摧毁了一些国家70%的卫生网络,并留下了3000万至4000万枚地雷,使非洲成为世界上地雷密布最严重的大陆。