tsunami: dec. 26, 2004 lessons for public health mark oberle md, mph [email protected]
TRANSCRIPT
Tsunami: Dec. 26, 2004Lessons for Public Health
Mark Oberle MD, MPH
[email protected]://faculty.washington.edu/moberle/Tsunami
Surviving a Tsunami
http://pubs.usgs.gov/circ/c1187/http://pubs.usgs.gov/circ/c1187/
Second wave recedes from pool area
Victims got splints and bandages in the lobby
Buses and boats blocked streets
Cars and steel slammed into buildings
Cars and debris filled pools and rooms
Rescue efforts
Rescuers hopped on debris to get between flooded buildings, while smaller waves crashed into1st floor
Water receding at our hotel
Tourists and Thais waited for next tsunami on the hillsides
Hourly panics => stampedes from beach
The search for the missing
Identifying remains, December 2004
(Photo: Mark Simmerman)
Processing remains, December 2004
(Photo: Mark Simmerman)
Thailand casualty data, 4 January 2005
(Photo: Mark Simmerman)
Public Health Concerns
• Preparedness planning
• Treatment of acute injuries
• Food, shelter, safe water
• Person-to-person transmission– e.g., measles
• Vector borne disease: malaria, dengue (?)
• Rehabilitation medicine
• Mental health services
Post-tsunami illnesses
Source: MMWR January 28, 2005 / 54(03):61-64.
Lessons for all of us
• Tsunami warning signs
• Who are the first responders?
• Family Disaster Plan*
• Communications
* For more information on family disaster plans:
http://www.doh.wa.gov/phepr/handbook/family.htm
Technology
Large Tsunamis in Last 50 years
• Chile, 1960: 9.5
• Prince William Sound, Alaska, 1964: 9.2
• Indonesia, 2004: 9.0 – 9.3
• Andreanof Islands, Alaska, 1957: 9.1
World Population Growth
© 2 0 0 3 P o p u l a t i o n R e f e r e n c e B u r e a u
A . D .2 0 0 0
A . D .1 0 0 0
A . D .1
1 0 0 0B . C .
2 0 0 0B . C .
3 0 0 0B . C .
4 0 0 0B . C .
5 0 0 0B . C .
6 0 0 0B . C .
7 0 0 0B . C .
1 + m i l l i o n y e a r s
8
7
6
5
2
1
4
3
O l dS t o n e
A g e N e w S t o n e A g eB r o n z e
A g eI r o nA g e
M i d d l eA g e s
M o d e r nA g e
B l a c k D e a t h — T h e P l a g u e
9
1 0
1 1
1 2
A . D .3 0 0 0
A . D .4 0 0 0
A . D .5 0 0 0
1 8 0 01 9 0 0
1 9 5 0
1 9 7 5
2 0 0 0
2 1 0 0
F u t u r e
B i l l i o n s
W o r l d P o p u l a t i o n G r o w t h T h r o u g h H i s t o r y
S o u r c e : P o p u l a t i o n R e f e r e n c e B u r e a u ; a n d U n i t e d N a t i o n s , W o r l d P o p u l a t i o n P r o j e c t i o n s t o 2 1 0 0 ( 1 9 9 8 ) .
Questions
Tsunami: Dec. 26, 2004Lessons for Public Health
Mark Oberle MD, MPH
[email protected]://faculty.washington.edu/moberle/Tsunami