Cyclone Nargis in Myanmar: Lessons for public health preparedness for cyclones
DOI:
https://doi.org/10.5055/ajdm.2009.0039Keywords:
natural disaster, mortality, preparedness, epidemiology, cycloneAbstract
Recent natural disasters such as the 2004 tsunami, 2008 Sichuan earthquake, and the 2008 Myanmar cyclone have killed more than 100,000 people each. Mortality and morbidity associated with natural disasters are a growing concern, especially because extreme climate events are likely to get increasingly frequent.
The authors comment on Cyclone Nargis, claiming an extraordinarily high death toll during its devastating track through the Irrawaddy delta in Myanmar on May 2, 2008 and analyze how and why its mortality pattern differs from other typical postdisaster situations. Underlying factors and preconditions are described and the specificity of the Myanmese context is presented.
This leads to lessons how excess mortality can be reduced in future high-ranked cyclones, whose recurrence in this region will only be a matter of time.
References
United Nations Office for the Coordination of Humanitarian Affairs: Consolidated appeals process 10 July 2008. Available at http://ochaonline.un.org/humanitarianappeal/webpage.asp?Page= 1673. Accessed October 28, 2009.
Centre for Research on the Epidemiology of Disasters, EM-DAT: The USAID/CRED International Disaster. Available at http://www. emdat.be. Accessed October 28, 2009.
Webster PJ: Myanmar’s deadly daffodil. Nature Geosci. 2008; 1: 488-490.
De Bruycker M, Greco D, Annino I, et al.: The 1980 earthquake in southern Italy: Rescue of trapped victims and mortality. Bull World Health Organ. 1983; 61: 1021-1025.
Bern C, Sniezek J, Mathbor GM, et al.: Risk factors for mortality in the Bangladesh cyclone of 1991. Bull World Health Organ. 1993; 71: 73-78.
Simmons KM, Sutter D: Direct estimation of the cost effectiveness of tornado shelters. Risk Anal. 2006; 26: 945-954.
Potera C: In disaster’s wake: Tsunami lung. Environ Health Perspect. 2005; 113: A734.
Moszynski P: Delay in delivery of aid adds to risk of epidemic in Burma. BMJ. 2008; 336: 1092.
McCurry J: Burma:After the cyclone. Lancet. 2008; 371: 1737-1738.
Ivers LC, Ryan ET: Infectious diseases of severe weather-related and flood-related natural disasters. Curr Opin Infect Dis. 2006; 19: 408-414.
Siddique AK, Islam Q, Akram K, et al.: Cholera epidemic and natural disasters—Where is the link. Trop Geogr Med. 1989; 41: 377-382.
Guha-Sapir D, Van Panhuis WG, Lagoutte J: Short communication: Patterns of chronic and acute diseases after natural disasters— A study from the International Committee of the Red Cross field hospital in Banda Aceh after the 2004 Indian Ocean tsunami. Trop Med Int Health. 2007; 12: 1338-1341.
Pan American Health Organization: Management of dead bodies in disaster situations—Disaster manuals and guidelines series N° 5. 2004. Available at http://www.paho.org/English/dd/ped/ DeadBodiesBook.pdf. Accessed October 28, 2009.
Noji EK: Public health issues in disasters. Crit Care Med. 2005; 33(1 Suppl): S29-S33.
International Society for Infectious Diseases, ProMedMail: Tuberculosis post cyclone—Myanmar: Request for information. 2008. Archive Number 20080703.2031.Available at http://www.promedmail. org/pls/otn/f?p=2400:1202:4223853248168982::NO::F2400_P1202_ CHECK_DISPLAY,F2400_P1202_PUB_MAIL_ID:X,73012. Accessed October 28, 2009.
World Health Organization: The world health report 2000— health systems: Improving performance. 2000. Available at http:// www.who.int/whr/2000/en/. Accessed October 28, 2009.
World Health Organization: World Health Statistics. 2007. Available at http://www.who.int/whosis/data/Search.jsp. Accessed October 28, 2009.
Sack DA, Sack RB, Nair GB, et al.: Cholera. Lancet. 2004; 363: 223-233.
Page KE: Cholera: Mechanism of infection, history and treatment. South Carolina J Mol Med. 2004; 5: 26-29.
World Health Organization South East Asian Regional Office: Health cluster situation report no 33. 2008.Available at http://www. searo.who.int/LinkFiles/Myanmar-Cyclone_sitrep130708.pdf. Accessed October 28, 2009.
Kuno G: Review of the factors modulating dengue transmission. Epidemiol Rev. 1995; 17: 321-335.
Stover E, Suwanvanichkij V, Moss A, et al.: The gathering storm: infectious diseases and human rights in Burma. Berkeley, USA: Human Rights Center, University of California, 2007. Available at http://www.soros.org/initiatives/bpsai/articles_publications/ publications/storm_20070628/storm_20070709.pdf. Accessed October 28, 2009.
Beyrer C, Suwanvanichkij V, Mullany LC, et al.: Responding to AIDS, tuberculosis, malaria, and emerging infectious diseases in Burma: Dilemmas of policy and practice. PLoS Med. 2006; 3: e393.
Bissell RA: Delayed-impact infectious disease after a natural disaster. J Emerg Med. 1983; 1: 59-66.
Barrios RE, Stansbury JP, Palencia R, et al.: Nutritional status of children under 5 years of age in three hurricane-affected areas of Honduras. Rev Panam Salud Publica. 2000; 8: 380-384.
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