International Symposium on Disaster Medical and Public Health Management: Review of Hyogo Framework1

May 21-22, 2014 Washington DC, USA
Organised by:
Japan Society for the Promotion of Science, Washington D.C.; The International Research Institute of Disaster Science, Tohoku University, Sendai, Japan; School of Medicine & Health Sciences at The George Washington University, Washington D.C.; Center for Disaster and Humanitarian Assistance Medicine at Uniformed Services University of the Health Sciences, Bethesda, Maryland; Children’s National Health System, Washington D.C.

Reporting Authors: DEMIR, Metina, BEADLING, Charlesb and RILEY,Kevina

a Center for Disaster and Humanitarian Assistance Medicine at Uniformed Services University of the Health Sciences, Bethesda, Maryland, e-mail: mdemir@cdham.org
b Center for Disaster and Humanitarian Assistance Medicine at Uniformed Services University of the Health Sciences, Bethesda, Maryland, e-mail: CBeadling@cdham.org
c Center for Disaster and Humanitarian Assistance Medicine at Uniformed Services University of the Health Sciences, Bethesda, Maryland, e-mail: KRiley@cdham.org

AbstractThe world is now facing to the increased impacts of emergencies and disasters caused by natural and man-made hazards. United Nations Office for Disaster Risk Reduction (UN-ISDR) will revise the Hyogo Framework for Action (HFA) that was approved by 168 member states in 2005 for more efficient disaster risk reduction in the 3rd World Conference for Disaster Risk Reduction in Sendai 2015. “Safe Hospital” is the only word about health in the current HFA. The aim of this symposium is to identify the current gaps and proposals under the health aspect from the view-point of health professionals and to make formatted consultative themes to HFA2 through five workshops and plenary discussion.

Keywords Disaster Medicine, Disaster Risk Reduction, Hyogo Framework of Action, 3rd World Conference for Disaster Risk Reduction

1  Introduction & Context

The world is now facing to the increased impacts of emergencies and disasters caused by natural and man-made hazards. United Nations Office for Disaster Risk Reduction (UN-ISDR) will revise the Hyogo Framework for Action (HFA) that was approved by 168 member states in 2005 for more efficient disaster risk reduction in the 3rd World Conference for Disaster Risk Reduction in Sendai 2015. “Safe Hospital” is the only word about health in the current HFA. The aim of this symposium is to identify the current gaps and proposals under the health aspect from the view-point of health professionals and to make formatted consultative themes to HFA2 through five workshops and plenary discussion.

The Five Workshops (Breakout) Sessions

  • Frameworks and policies relating to medical preparedness and health management in disasters
  • Health planning for all phases of a disaster including risk assessment with concern for vulnerable populations
  • Psychosocial / mental health concerns and building community resilience
  • Health infrastructure and logistics for disaster preparedness, including resources and funding
  • Development of evidence-based technical guidance and education / training programs for the advancement of health and disaster risk management capabilities

2  Conference Aims & Objectives

2.1  Profile of participants

Co-organizers

  • Osamu Shimomura, Japan Society for the Promotion of Science, Washington D.C.
  • Shinichi Egawa, Yuichi Ono, Takako Izumi, Hiroyuki Sasaki, International Research Institute of Disaster Science, Tohoku University, Sendai, Japan
  • Anthony Macintyre, School of Medicine & Health Sciences at the George Washington University, Washington D.C.
  • Charles Beadling, Metin Demir, Kevin Riley, Geoff Oravec, David Tarantino. William Lyerly, Ramey Wilson, Maysaa Mahmood Center for Disaster and Humanitarian Assistance Medicine at Uniformed Services University of the Health Sciences, Bethesda, Maryland
  • John Walsh, David L. Wessel, Children’s National Health System, Washington D.C.

UN Organization Participants

  • Virginia Murray, Vice-chair UNISDR Science and Technical Advisory Group, Consultant in Global Disaster Risk Reduction, Public Health England
  • Jonathan Abrahams, Policy, Practice and Evaluation (PPE) Emergency Risk Management and Humanitarian Response,
  • Arturo Pesigan, Technical Officer of the Humanitarian Action Unit of Western Pacific of WHO, WPRO/WHO
  • Terje Skavdal, Chief, Field Coordination Support Section UN OCHA
  • Ciro Ugarte, Acting Director, Deputy Emergency Preparedness and Disaster Relief, Pan American Health Organization, PAHO/WHO

A complete list of the Work-Group participants can be found in the annex.

2.2  Major aims and objectives

This symposium has been developed to provide input to the 2015 World Conference of Disaster Risk Reduction meeting by outlining urgent medical and public health issues to be included in the revised framework.

Experts of disaster medical and public health from Japan, United States, Philippines, Indonesia, Sri Lanka, Israel, UN-organizations including WHO, OCHA/INSARAG, PAHO and World Bank joined to discuss how “Health” should be incorporated in HFA2 through the processes toward the World Conference of Disaster Risk Reduction in Sendai 2015 March.

Each work group has tried to identify existing gaps in the HFA related to their health topic, and produced realistic recommendations for consideration at the 2015 meeting.

3  Outcomes & Contribution towards the Post 2015 Framework for Disaster Risk Reduction

3.1  Implementation of the Hyogo Framework for Action 2005-2015 (HFA)

Each work group has tried to identify existing gaps in the HFA related to their health topic, and produced realistic recommendations for consideration at the 2015 meeting.

3.2  Research in the Post 2015 Framework for Disaster Risk Reduction

It has been agreed with the discussions that health status is a risk factor during emergencies and disasters. It is anticipated that further analyzes and researches will show that access to basic health care and public health services improve health outcomes throughout the risk management cycle.

3.3  Education and training in the Post 2015 Framework for Disaster Risk Reduction

Health is an essential element of Disaster Risk Reduction (DRR) and overall Disaster Risk Management (DRM) and should be addressed through education and training. And it is also important to educate the health communities about why DRR matters.

Additionally it is a fact that there is no standardized nomenclature. Our challenge is to speak the same language internationally. Promoting the construct of standardization of international standards related to disaster response, mitigation, etc. with local flexibility is essential.

3.4  Implementation and practice in the Post 2015 Framework for Disaster Risk Reduction

For better response, it is prerequisite to establish, coordinate and promote “accountability, transparency, oversight, professionalism and registry” among health service providers. In community, engage and empower vulnerable populations including children and disabled to identify their own needs and develop strategies to lower their risks and enhance their resilience. Individual, family and community support, ethno-cultural and socio-demographic considerations, connectedness and communication are fundamental risk reduction and risk management.

Additionally, since physical and mental health status is a risk factor during emergencies and disasters, we have to establish community health resilience and well-being as an explicit outcome of HFA2. By improving the baseline of health status, availability and quality of health service, the impact of disaster is mitigated. To do so, public health and medical experts must be engaged in the disaster risk reduction and risk management process at all levels with a mind that current emerging crises demand a paradigm shift within the global community geared toward prevention and preparedness.

3.5  Policy improvement for the Post 2015 Framework for Disaster Risk Reduction

Current crisis are defined through Climate impact and extreme events, Biodiversity crisis, Unsustainable rapid urbanization, Emergency of scarcity (water, food and energy) and the common threat of all of these are that they produce a public health emergencies that must be seen as a strategic and human security issue.

It is essential to restructure and redesign global and country level DRR/DRM programs to emphasize prevention (preparedness), research, political advocacy and pragmatic trans-disciplinary and multidisciplinary solutions. Providing strict policy and protection laws for areas worldwide impacted by rapid urbanization, biodiversity losses, extreme climate changes and vital resource grabbing and it is very important to create lobby for implementation of global treaties to protect current crises from expanding further through innovative preparedness initiatives and policies, e.g. IHR.

4  Conclusions

The achievement of current HFA should be promoted and enhanced in HFA2 by incorporating the health aspect in all manner and in a more wider aspect to promote the community health resilience.

Conference Documentation

Website (http://hfa2-symposium.cdham.org/)

Report for the International Symposium on Disaster Medical and Public Health Management: Review of Hyogo Framework (http://irides.tohoku.ac.jp/media/files/_u/topic/file1/20140521_reportb.pdf)

Position paper: Internatio​nal symposium on disaster management and public health - Review of the Hyogo Framework for Action (http://www.preventionweb.net/english/professional/publications/v.php?id=38336)

Burkle, F., Egawa, S., Macintyre, A., Otomo, Y., Beadling, C., Walsh, J. (2014): The 2015 Hyogo Framework of Action: Cautious Optimism, Disaster Medicine and Public Health Preparedness / Volume 8 / Issue 03 / June 2014, pp 191-192

Citation

Demir Metin, Beadling Charles and Riley Kevin. (2014): International Symposium on Disaster Medical and Public Health Management: Review of Hyogo Framework. In: Planet@Risk, 2(5), Special Issue for the Post-2015 Framework for DRR: p. 312-317, Global Risk Forum GRF Davos, Davos.

Annex

Work-Group‘s Participant List

Adrianne Lazer
Med. Student, George Washington University
Akira Tanaka
International Program Associate, JSPS
Anthony Macintyre
Professor of Emergency Medicine, George Washington University
Art Kellermann
Dean, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences

Atushi Okuno
International Program Associate, JSPS
Aubrey Miller
Senior Medical Advisor and Natioanl Institute of Environmental Health Sciences (NIEHS) liaison to the U.S. Department of Health and Human Services, National Institute of Heath
Beverley Raphael
Professor and Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University.
Brian Flynn
Professor, Department of Psychiatry, Center for the Study of Traumatic Stress, Uniformed Services University of the Health Sciences
Bruce Altevoght
Senior Program Officer Institute of Medicine, National Academies of Sciences
Calvin Anderson
Fellow, CDHAM/USUHS
Carmancita Banatin
Director III Health Emergency Management Service Dept of Health, Phillipines
Cham Dallas
Professor and Director, Institute for Disaster Management, Department of Health Policy and Management, College of Public Health University of Georgia
Chanelle Latouche Gutari
George Washington University
Charles Beadling
Director, CDHAM/USUHS
Charles L. Rice
President Uniformed Services University of the Health Sciences (USUHS)
Ciro Urgate
Acting Director, Dept. Emergency Preparedness and Disaster Relief, PAHO
Claudia Creenan
Program Manager, CDHAM
Cullison, Tom
RADM (Ret.), Senior Advisor, CDHAM, Uniformed Services University of Health Sciences, Senior Medical Advisor, CNA’s Institute for Public Research in Health Research and Policy
Dan Hanfling
Special Advisor, INOVA Health System
Daniel Dodgen
Director, Division for At-Risk Individuals, Behavioral Health, and Community Resilience, Office of Policy and Planning, Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services
Daniel Fagbuyi
Medical Director, Disaster Preparedness & Emergency Management, Children’s National Medical Center Asst.Professor of Pediatrics and Emergency Medicine, The George Washington University School of Medicine Appointee, National Biodefense Science Board, HHS, Member, Disaster Preparedness Advisory Council, AAP Executive, Council on Communications & Media, AAP Special Medical Advisor, Office of the Commissioner, FDA
Dave Benedek
Professor and Deputy Chairman, Department of Psychiatry Associate Director, Consultation and Education Uniformed Services University of the Health Sciences
David Tarantino
Associate Professor, CAPT MC USN, Associate Director, CDHAM, Uniformed Services University of Health Sciences
David Townes
Public Health and Medical Technical Advisor, Office of Foreign Disaster Assistance (OFDA)United States Agency for International Development (USAID)
David Wessel
Chief Medical Officer for Hospital and Specialty Services, Children‘s National Health System
Donna Barbisch
Major General (Retired), Senior Mentor, Motivational Speaker, Visionary in Resiliency, Terrorism and Disaster Mgmt
E. Thomas Layton
CEO, CBI Polymers, Inc.
Edward A. Tanzman
Co-director, Center for Integrated Emergency Preparedness Decision and Information Sciences Division, Argonne National Laboratory
Ella Savon
Director, Diplomatic Sales, The Melrose Georgetown Hotel
Emily Hicks
Foreign Service Officer at U.S. Department of State
Engin D. Demirhan
Vice President Largo Marbels Inc.
Erin Downey
Tulane Unv., New Orleans
Felicia Monahan
Global Health Analyst, Cdham
Frederick Burkle
Senior Fellow, Harvard Humanitarian Initiative, Harvard School of Public Health, Harvard University Adjunct Professor, Uniformed Services University of Health Sciences
Fuh Yuan Shih
Assistant Professor of Emergency Medicine National Taiwan University
Geoff Oravec
M.D., Captain, USAF, Fellow Disaster and Preventive Psychiatry, CDHAM, Uniformed Services University of Health Sciences
Gerry Parker
Vice President for Public Health Preparedness and Response, Texas A&M Health Science Center Principal Investigator for the Texas A&M Center for Innovation in Advanced Development and Manufacturing
Gerry Quinnan
Professor and Chair of Preventive Medicine and Biometrics, Uniformed Services University of Health Sciences
Grant Wisner
Fellow, CDHAM
Hiroaki Tomita
Department of Disaster Psychiatry, International Research Institute of Disaster Science, Tohoku University,
Hiroyuki Sasaki
Assosiate Prof. IRIDeS, Tohuko University
Jacob Schafer
Program Manager, International Medical Corps
Jacquelyn Keyes
Ph.D. Student George Washington University
Jale Hashimi
General Manager, The Melrose Georgetown Hotel
James Holliman
Professor of Military and Emergency Medicine, Uniformed Services University of the Health Sciences
James James
Executive Director, Society for Disaster Medicine and Public Health
James Lintott
Chairman of the Board, Children‘s National Health System
Jason Nickerson
PhD Candidate, Faculty of Graduate and Postdoctoral Studies Institute of Population Health, University of Ottawa
Jay Cohen
President - JayMCohen LLC Partner - The Chertoff Group Former Under Secretary for Science and Technology, U.S. Department of Homeland Security
Jay Hauck
Vice-President DCI Group
Jeffery Zimmerman
IT Manager, CDHAM
Jeffrey S. Akman
Dean, George Washington University, School of Medicine and Health Sciences Bloedorn Professor of Administrative Medicine, Vice President for Health Affairs
Joe Barbera
Director,Institute for Crisis, Disaster and Risk Management Associate Professor of Engineering Management and Systems Engineering The George Washington University
John Balbus
Senior Advisor to the Director on Public Health Issues, Liaison to the National Institute of Environmental Health Sciences (NIEHS), External Constituencies, Stakeholders and Advocacy Groups., US Dept. of Health and Human Services
John Hick
Medical Director, Emergency Preparedness Hennepin County Medical Center
John R. Hummel
Director, Center for Integrated Resiliency Analyse, Argonne National Laboratory
John Walsh
Outreach Coordinator, The Children’s National Health System
Joshua Maorganstein
Vice Chair, Department of Medical and Clinical, Psychology Uniformed Services University of the Health Sciences
Joy Lee
Public Health Specialist, Michael D. Baker Inc.
Junichi Sugawara
Co-Lead Professor, Division of Feto-Maternal Medical Science Tohoku Medical Megabank Organization, Tohoku University
Jun-Ichi Inoue
Co-Director,Trauma & Critical Care Center, Yamanashi Prefectural Central Hospital
Karen Ellis
Conference Manager, CDHAM
Kazue Hashimoto-Torii
Principal Investigator, Center for Neuroscience Research Children’s Research Institute, Children’s National Medical Center Assistant Professor, Department of Pediatrics, Pharmacology and Physiology The George Washington University, School of Medicine and Health Sciences Assistant Professor, Yale University, School of Medicine
Kazuko Shimizu
Deputy Director, JSPS
Ken Schor
Acting Director, National Center for Disaster Medicine and Public Health
Kevin Riley
Deputy Director,CDHAM
Kevin Yeskey
Senior Adviser, Michael D. Baker Inc.
Kirsten Lyerly
Project Officer, CDHAM Kirsti Koenig]Professor of Emergency Medicine, Director of Public Health Preparedness Director, Center for Disaster Medical Sciences Director, International EMS & Disaster Medical Sciences Fellowship, Department of Emergency Medicine, University of California, Irvine
Kobi Peleg
Director, National Center for Trauma & Emergency Medicine Research The Gertner Institute for Health Policy & Epidemiology Head, Disaster Medicine Department & Head, The Executive Master Program for Emergency and Disaster Management, School of Public Health, Tel-Aviv University
Kurt Newman
President and Chief Executive Officer, Children‘s National Health System
Lars Weisaeth
Research Director at the Norwegian Centre for Violence and Traumatic Stress Studies, Ulleval University Hospital, University of Oslo, and Professor of Disaster Psychiatry at the University of Oslo
Lawrence Deyton
Senior Associate Dean for Clinical Public Health Clinical Professor of Medicine and Health Policy, The George Washington University School of Medicine and Health Sciences
Makiko Okuyama
Head, Department of Psychosocial Medicine, National Medical Center for Children and Mothers, National Center for Child Health and Development, Japan
Makiko Toyoki
International Program Associate, JSPS
Manabu Sugita
Associate Professor, Juntendo University Nerima Hospital, Japan
Margot Louden
Conference Manager, CDHAM
Marie-France Renaud
Neuro-Psychosocial Communication consultant (Trauma), Svetlana Masgutova Educational Institute, Echomotion Communication
Mariko Ono
Adviser, JSPS
Mark Keim
Associate Director for Science at Centers for Disease Control and Prevention Faculty, Harvard Humanitarian Initiative at Harvard Fellowship in Disaster Medicine
Masaaki Torii
Principal Investigator, Center for Neuroscience Research Children’s Research Institute, Children’s National Medical Center, Assistant Professor, Department of Pediatrics, Pharmacology and Physiology The George Washington University, School of Medicine and Health Sciences Assistant Professor, Yale University, School of Medicine
Masaharu Nakayama
Professor, Disaster Medical Informatics, International Research Institute of Disaster Science, Tohoku University, Associate Director, Medical IT center, Tohoku University Hospital
Masami Ishii
Executive Board Member, Japan Medical Association
Matthew Lim
Senior Policy Advisor, Global Health Security, and USN Liaison, US Dept. of Health and Human Services Captain, Medical Corps, US Navy at US Department of Health and Human Services
Maysaa Mahmood
Research/Evaluation Scientist, CDHAM
Metin Demir
Fellow, CDHAM
Miho Tsuruwa
M.D., National Disaster Medical Center, Japan
Mollie Mahany
Senior Public Health Advisor, Centers for Disease Control
Morino, Kazuma
Deputy of Medical Division, Yamagata Prefectural Medical Center for Emergency, Japan
Nahoko Harada
Junior Associate Professor, National Defense Medical College, Japan
Nobuyuki Ishibashi
Director of Cardiac Surgery Research Laboratory, Investigator of Center for Neuroscience Research, Children’s National Medical Center,
Norm Coleman
Head, Experimental Therapeutics Section
Adjunct Investigator
Center for Cancer Research, National Cancer Institute, National Institutes of Health
Osamu Shimomura
Director, Japan Society for the Promotion of Science (JSPS) Washington Office
Paramjit Joshi
Professor and Chair, Department of Psychiatry & Behavioral Sciences, Children’s National Medical Center
Paul Reed
M.D., CAPT, US Public Health Service Deputy Director for Operations Division of Civilian Volunteer Medical Reserve Corps, USHSS
Pesigan, Arturo
Technical Officer, Emergency and Humanitarian Action Unit of the Regional Office for the Western Pacific, WHO
Peter Walker
Director of the Feinstein International Center; Rosenberg Professor of Nutrition and Human Security, Tufts University
Rabih Torbay
Vice President, International Operations,International Medical Corps
Radjak, Abdul
President and CEO M.H. Thamrin Health Care Group Founder M H Thamrin University, Indonesia.
Ramey Wilson
Fellow, CDHAM
Raymond Swienton
Professor, Division of Emergency Medicine, Department of Surgery Director, EMS, Disaster Medicine and Homeland Security Section, University of Texas Southwestern Medical Center at Dallas
Redmond,Tony
Professor of International Emergency Medicine, University of Manchester, Co-Founder, Humanitarian and Conflict Response Institute
Richard Zoraster
M.D., FAAEM Intercommunity Emergency Medical Group, Presbyterian Intercommunity Hospital of Whittier
Robert Tosatto
Director, Division of the Civilian Volunteer Medical Reserve Corps
Robert Ursano
Professor and Chair, Department of Psychiatry, Director, Center for the Study of Traumatic Stress Uniformed Services University of Health Sciences
Ron Waldman
Professor of Global Health, Department of Global Health, Milken Institute School of Public Health, The George Washington University
Scott Lillibridge
Professor of Epidemiology, Assistant Dean, The Texas A&M Health Science Center School of Rural Public Health
Shinichi Egawa
Prof. IRIDeS, Tohuko University
Shuntaro Itagaki
Associate Professor, Department of Neuropsychiatry, Fukushima Medical University
Stacey Arnesen
Branch Chief, Disaster Information Management Research Center, National Library of Medicine, National Institutes of Health
Steven Phillips
Director, Specialized Information Services, Associate Director, National Library of Medicine, National Institutes of Health,
Tadashi Ishii
Professor of Medicine, Department of Education and Support for Community Medicine, Tohoku University Hospital, DMAT Supervisor for Japan DMAT, Miyagi Prefecture Disaster Medical Coordinator
Takako Izumi
Associate Professor, International Research Institute of Disaster Science (IRIDeS), Tohoku University
Terje Skavdal
Chief of Field Coordination Support Service and Secretary of International Search and Rescue Advisory Group, UNOCHA
Thet Win
Liaison Officer, JSPS
Victoria Ta
Program & Policy Analyst
Virginia Murray
Vice-chair of the UNISDR Science and Technical Advisory Group Consultant in Global Disaster Risk Reduction Public Health England
William (Bill) Lyerly
USA Country Coordinator and Executive Advisor, International Centre for Migration, Health and Development (ICMHD)
William Garvelink
Senior Advisor (Ambassador Ret.), International Medical Corps
Yasuhiro Kanatani
Director, Department of Health Crisis Management, National Institute of Public Health, Japan
Yasuhiro Otomo
Professor and Chairman, Dept. of Acute Critical Care and Disaster Medicine Tokyo Medical and Dental University
Yoshiharu Kim
Director, Department of Adult Mental Health President, National Information Center of Disaster Mental Health, National Institute of Mental Health, Japan
Yuji Noto
Manager of International Affairs Division, JMA

1
This article is a summary of the above mentioned conference with a special focus on proposed elements for consideration in the Post-2015 Framework for Disaster Risk Reduction.

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