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Ethics in diaster medicine and public health

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Shubham Agrawal
Shubham Agrawal

This document discusses optimal practices for managing healthcare resources and victims during disasters. It recommends dispatching rescuers based on regional needs, monitoring external rescuers, and providing welfare facilities for rescuers. It also recommends announcing basic resource needs to attract donations, controlling expiry dates of medicines, meeting resource needs within the country when possible, and preventing misuse of distributed resources. Victim management should involve triage, tracking ambulance availability, and transporting victims based on injury type rather than just distance. The document concludes with recommendations around community involvement, information sharing, accountability, and aid tracking systems.

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ETHICS IN DIASTER MEDICINE AND PUBLIC HEALTH
Introduction Aim: The aim of this study was to identify the desired operational examples of health services in disasters to reduce the challenges and promote disaster management.
The examples of optimal performance in healthcare management in disasters
Human Resources Management –Dispatching the rescuers is based on the region’s needs –The rescuers are presented and organized in the whole region after assigning their tasks –The external rescuers are monitored –Rescuers’ welfare facilities are provided –The health rescuers are equipped with personal facilities
Physical resources management –Basic needs are announced to attract donations –The expiry date of medicines is controlled –Before a disaster, the sufficiency and usability of resources are supervised –Needs are met within the country as much as possible –The database resource of healthcare centres is available –The distribution of resources is based on zoning and under the supervision of a centre –The possible misuses are prevented
Victims management transfer –Triage principles are observed –Sufficient data about the number of public and private ambulances are available –How to cooperate the ambulances of different centres is specified –Victims are transported to medical centres according to the type of injury, not just by considering the distance and the proximity of the centres –The overland routes are opened to carry the victims and air transport facilities are provided
Recommendation
• Governments of affected countries, in dialogue with local communities, civil society, donors and the private sector, should commit to translate their national reconstruction strategies into prioritised, results-oriented operational programs. • establish a regular dialogue to avoid duplication of programming. Similarly, non-governmental actors should also coordinate with governments and among themselves and seek, where appropriate, cooperation with other stakeholders.
• From the earliest stages of relief, through to the design, implementation and evaluation of long-term projects, affected communities should be enabled to articulate their needs, assist in devising reconstruction plans, as well as evaluate end- results.
• Governments, public and private donors, international organisations and local civil society organisations, should implement comprehensive and harmonised information strategies that uphold internationally recognised access to information standards. Such strategies should make use of appropriate formats and local languages to ensure ease of access by local communities.
• All stakeholders should jointly commit to maintain adequate accounts and provide timely, transparent, comprehensive and accessible information on programming, aid flows and on expenditure.
• National aid tracking systems should be developed containing information comprehensive enough to respond to government and donor exigencies yet simple enough to be accessible by affected communities. International organisations and donors should support the development and maintenance of such systems, as well as collate national information for cross-country comparison and implement compatible international tracking systems.

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Ethics in diaster medicine and public health

  • 1. ETHICS IN DIASTER MEDICINE AND PUBLIC HEALTH
  • 2. Introduction Aim: The aim of this study was to identify the desired operational examples of health services in disasters to reduce the challenges and promote disaster management.
  • 3. The examples of optimal performance in healthcare management in disasters
  • 4. Human Resources Management –Dispatching the rescuers is based on the region’s needs –The rescuers are presented and organized in the whole region after assigning their tasks –The external rescuers are monitored –Rescuers’ welfare facilities are provided –The health rescuers are equipped with personal facilities
  • 5. Physical resources management –Basic needs are announced to attract donations –The expiry date of medicines is controlled –Before a disaster, the sufficiency and usability of resources are supervised –Needs are met within the country as much as possible –The database resource of healthcare centres is available –The distribution of resources is based on zoning and under the supervision of a centre –The possible misuses are prevented
  • 6. Victims management transfer –Triage principles are observed –Sufficient data about the number of public and private ambulances are available –How to cooperate the ambulances of different centres is specified –Victims are transported to medical centres according to the type of injury, not just by considering the distance and the proximity of the centres –The overland routes are opened to carry the victims and air transport facilities are provided
  • 8. • Governments of affected countries, in dialogue with local communities, civil society, donors and the private sector, should commit to translate their national reconstruction strategies into prioritised, results-oriented operational programs. • establish a regular dialogue to avoid duplication of programming. Similarly, non-governmental actors should also coordinate with governments and among themselves and seek, where appropriate, cooperation with other stakeholders.
  • 9. • From the earliest stages of relief, through to the design, implementation and evaluation of long-term projects, affected communities should be enabled to articulate their needs, assist in devising reconstruction plans, as well as evaluate end- results.
  • 10. • Governments, public and private donors, international organisations and local civil society organisations, should implement comprehensive and harmonised information strategies that uphold internationally recognised access to information standards. Such strategies should make use of appropriate formats and local languages to ensure ease of access by local communities.
  • 11. • All stakeholders should jointly commit to maintain adequate accounts and provide timely, transparent, comprehensive and accessible information on programming, aid flows and on expenditure.
  • 12. • National aid tracking systems should be developed containing information comprehensive enough to respond to government and donor exigencies yet simple enough to be accessible by affected communities. International organisations and donors should support the development and maintenance of such systems, as well as collate national information for cross-country comparison and implement compatible international tracking systems.