There is increased communicable diseases due to disasters..Risk factors for outbreaks after disaster associated with population mortality..It can be prevented by safe water,shelter and sanitation facilities,reducing the crowd,health status of the population and health services for affected people that is associated with communicable disease..Natural disaster like earth quake,volcano eruptions,landslides,tsunamies,floods and drought..It can make consequences with serious health,social and economic causes..From last two years earth quake killed many people and made adverse effects and economic damage..Undeveloped countries affected with lack of resources,infrastructure and disaster -preparedness systems..Deaths,crowning,crush-related injuries,trauma and communicable diseases are common after natural disaster..
Federal and state government involvement:
Center for disease control and prevention(CDC) developed disaster epidemiology to meet patient emergency needs with emergency preparedness..state,local,tribal,territorial and federal level management identify the implementation disaster epidemiology activities and those management cycle..Public health department prepared with response and recovery offers..World health organization(WHO) expanded programe on immunization for communities who are affected with disaster..many state health department using CASPER(community assessment for public health emergency response)for disaster and nondisaster situations..Public health surveillance technique evaluate direct and nondirect adverse health outcomes,disease related mortality and morbidity in an affected community..
Hospitals,clinics,provider offices and labs are the primary sources of surveillan data during emergency or disaster..stable functioning health care infrastructure,existing system will give most reliable and timely data..It guides the authority for transportation of patients for nearest locations to meet the emergency and demand for care..Public health officials contract with health care facilities treating communities during the influenza A H1N1 pandemic..Health care delivery system protect vulnerable population for various emergency needs like oxygen supply,dialysis,blood donation to reduce the mortality and morbidity followed by actual disaster events..Surveillance data track the disaster related diseases and injury trends with responsible time period.Initial health information can address the chronic and acute health problem..Public health environment tracking ongoing collection,analysis,interpretation in which human exposed for disaster and health outcomes..
Local health departments/public health organization:
Emergency Medical service(EMS) respond to the event of a disaster,emergency medical technicians and paramedics with adequate equipment responsible for biological or chemical attack..EMS guidelines and standards doing effectively to attack or disaster preparedness.Emergency medical service responsible for planning,procedures and implementation ..Emergency plans include various department like fire man,police,doctors etc..communication among various department will be challenges and need multiple modes of communication needed to address the affected people after disaster events..Local and public department training and education designed to address the people affected with disaster and who have emergency management responsible for general public..