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  4. Disability and health-related rehabilitation in international disaster relief

Disability and health-related rehabilitation in international disaster relief

Global Health Action, 2011 · DOI: 10.3402/gha.v4i0.7191 · Published: August 16, 2011

TraumaRehabilitationPublic Health

Simple Explanation

Natural disasters often lead to significant injuries and disabilities, but rehabilitation efforts are frequently overlooked in the initial disaster response. This paper examines the role of health-related rehabilitation in natural disaster relief, focusing on injury patterns, impact on healthcare systems, and disability assessment. The study highlights that the number of injuries in natural disasters has increased over the past four decades. Common impairments include amputations, traumatic brain injuries, spinal cord injuries, and fractures. People with pre-existing disabilities are also more vulnerable during these events. The paper concludes that integrating health-related rehabilitation into disaster response is essential for reducing long-term health problems caused by injuries. However, challenges such as a lack of trained personnel, poor record-keeping, and a lack of established outcome measures hinder effective rehabilitation delivery.

Study Duration
1970-2010 (Secondary data analysis)
Participants
Data from EM-DAT database: N=246 for injuries/deaths, N=568 for earthquake injury/death ratios, N=41 for Asian region analysis
Evidence Level
Qualitative literature review and secondary data analysis

Key Findings

  • 1
    Absolute numbers of injuries as well as injury to death ratios in natural disasters have increased significantly over the last 40 years.
  • 2
    Persons with pre-existing disabilities are more likely to die in a natural disaster.
  • 3
    Lack of health-related rehabilitation in natural disaster relief may result in additional burdening of the health system capacity, exacerbating baseline weak rehabilitation and health system infrastructure.

Research Summary

This review examines the role of health-related rehabilitation in disaster relief, considering injury epidemiology, impact on health systems, and disability assessment. The study emphasizes that despite significant disabilities resulting from natural disasters, rehabilitation is often neglected in disaster planning and response. The authors advocate for comprehensive disability statistics and improved measurement of rehabilitation outcomes to strengthen the rehabilitation perspective in disaster response.

Practical Implications

Improved Disaster Response

Integrate health-related rehabilitation into disaster planning and response strategies to reduce morbidity and improve long-term outcomes.

Resource Allocation

Allocate resources to train responders in rehabilitation techniques and improve medical record-keeping and data collection during disasters.

Policy Development

Develop policies that address the needs of vulnerable populations, including those with pre-existing disabilities, during natural disasters.

Study Limitations

  • 1
    Lack of scientific evidence on the effectiveness of health-related rehabilitation interventions following natural disaster.
  • 2
    Systematic assessment and measurement of disability after a natural disaster is currently lacking.
  • 3
    Aggregate population injury is rarely systematically assessed at the time of disaster.

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