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Emergências hipertensivas; Hypertensive emergencies

FEITOSA-FILHO, Gilson Soares; LOPES, Renato Delascio; POPPI, Nilson Tavares; GUIMARÃES, Hélio Penna
Fonte: Associação de Medicina Intensiva Brasileira - AMIB Publicador: Associação de Medicina Intensiva Brasileira - AMIB
Tipo: Artigo de Revista Científica
POR
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As urgências e as emergências hipertensivas são ocorrências clínicas que podem representar mais de 25% dos atendimentos a urgências médicas. O médico deverá estar habilitado a diferenciá-las, pois o prognóstico e o tratamento são distintos. Estima-se que 3% de todas as visitas às salas de emergência decorrem de elevações significativas da pressão arterial. Nos quadros relacionados a estes atendimentos, a emergência hipertensiva é a entidade clínica mais grave que merece cuidados intensivos. É caracterizada por pressão arterial marcadamente elevada e sinais de lesões de órgãos-alvo (encefalopatia, infarto agudo do miocárdio, angina instável, edema agudo de pulmão, eclâmpsia, acidente vascular encefálico). O objetivo deste estudo foi apresentar os principais pontos sobre o seu apropriado diagnóstico e tratamento. Foi realizada busca por artigos originais com os unitermos "crise hipertensiva" e "emergência hipertensiva" nas bases de dados Pubmed e MedLine nos últimos dez anos. As referências disponíveis destes artigos foram verificadas. Os artigos foram identificados e revisados e o presente estudo condensa os principais resultados descritos. Para esta revisão foram considerados ensaios clínicos em língua inglesa...

Urgências na clínica equina

Figueiredo, Ana Catarina da Silva Viegas Mata
Fonte: Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária Publicador: Universidade Técnica de Lisboa. Faculdade de Medicina Veterinária
Tipo: Dissertação de Mestrado
Publicado em 07/01/2013 POR
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Dissertação de Mestrado Integrado em Medicina Veterinária; O tema das urgências encontradas na clínica equina, é muito vasto e abrange diversas afecções, que vão desde lesões oculares, claudicações, urgências neonatais e reprodutivas, até à grande afecção de urgência dos cavalos que é, sem dúvida, a cólica. Os objectivos deste trabalho foram assim explorar e descrever, brevemente, algumas das afecções que se englobam neste tema, escolhendo para isso aquelas mais relevantes e com maiores incidências; realizar uma análise de frequências relativas aos casos ocorridos no Eguisof Centro Veterinário Equino, desde a sua abertura até à actualidade e finalmente efectuar uma caracterização dos casos urgentes ocorridos no período do estágio curricular, realizado de Março a Junho de 2012. Das categorias de urgência caracterizadas neste estudo verifica-se, pela análise das frequências relativas dos casos de urgência ocorridos no Eguisof no período em estudo, que a cólica e as urgências neonatais são as mais frequentes. A análise do questionário permitiu identificar indicadores como realidade sócio-económica, desconhecimento da gravidade e urgência das situações, assim como alguns factores de risco associados.; ABSTRACT - Equine emergencies - Equine emergencies is a vast area that encloses a large number of diseases...

Tuberculosis in complex emergencies

Coninx, Rudi
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em /08/2007 EN
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This paper describes the key factors and remaining challenges for tuberculosis (TB) control programmes in complex emergencies. A complex emergency is “a humanitarian crisis in a country, region or society where there is total or considerable breakdown of authority resulting from internal or external conflict and which requires an international response that goes beyond the mandate or capacity of any single agency and/or the ongoing United Nations country programme.” Some 200 million people are believed to live in countries affected by complex emergencies; almost all of these are developing countries that also bear the main burden of TB. The effects of complex emergencies impact on TB control programmes, interfering with the goals of identifying and curing TB patients and possibly leading to the emergence of MDR-TB. There are many detailed descriptions of aid interventions during complex emergencies; yet TB control programmes are absent from most of these reports. If TB is neglected, it may quickly result in increased morbidity and mortality, as was demonstrated in Bosnia and Herzegovina and in Somalia. TB is a major disease in complex emergencies and requires an appropriate public health response. While there is no manual to cover complex emergencies...

Maternal and Fetal Outcome of Obstetric Emergencies in a Tertiary Health Institution in South-Western Nigeria

Mustafa Adelaja, Lamina; Olufemi Taiwo, Oladapo
Fonte: International Scholarly Research Network Publicador: International Scholarly Research Network
Tipo: Artigo de Revista Científica
EN
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Objective. This study was carried out to determine the pattern of obstetric emergencies and its influence on maternal and perinatal outcome of obstetric emergencies at the Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria. Method. A retrospective study of obstetric emergencies managed over a three-year period at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria was conducted. Results. There were 262 obstetric emergencies accounting for 18.5% of the 1420 total deliveries during the period. Unbooked patients formed the bulk of the cases (60.3%). The most common emergencies were prolonged/obstructed labour, postpartum haemorrhage, fetal distress, severe pregnancy-induced hypertension/eclampsia, and antepartum haemorrhage. Obstetric emergencies were responsible for 70.6% of the maternal mortality and 86% of the perinatal mortality within the period. Conclusion. Prevention/effective management of obstetric emergencies will help to reduce maternal and perinatal mortality in our environment. This can be achieved through the utilization of antenatal care services, making budget for pregnancies and childbirth at family level (pending the time every family participates in National Health Insurance Scheme)...

Non-Communicable Diseases in Emergencies: A Call to Action

Demaio, Alessandro; Jamieson, Jennifer; Horn, Rebecca; de Courten, Maximilian; Tellier, Siri
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica
Publicado em 06/09/2013 EN
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Recent years have demonstrated the devastating health consequences of complex emergencies and natural disasters and thereby highlighted the importance of comprehensive and collaborative approaches to humanitarian responses and risk reduction. Simultaneously, noncommunicable diseases are now recognised as a real and growing threat to population health and development; a threat that is magnified by and during emergencies. Noncommunicable diseases, however, continue to receive little attention from humanitarian organisations in the acute phase of disaster and emergency response. This paper calls on all sectors to recognise and address the specific health challenges posed by noncommunicable diseases in emergencies and disaster situations. This publication aims to highlight the need for: • Increased research on morbidity and mortality patterns due to noncommunicable diseases during and following emergencies; • Raised awareness through greater advocacy for the issue and challenges of noncommunicable diseases during and following emergencies; • Incorporation of noncommunicable diseases into existing emergency-related policies, standards, and resources; • Development of technical guidelines on the clinical management of noncommunicable diseases in emergencies; • Greater integration and coordination in health service provision during and following emergencies; • Integrating noncommunicable diseases into practical and academic training of emergency workers and emergency-response coordinators.

Evaluation of knowledge, experience and perceptions about medical emergencies amongst dental graduates (Interns) of Belgaum City, India

Jodalli, Praveen S.; Ankola, Anil V.
Fonte: Medicina Oral S.L. Publicador: Medicina Oral S.L.
Tipo: Artigo de Revista Científica
Publicado em 01/02/2012 EN
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Introduction: Medical emergencies can occur frequently in dental setting. Effective management of an emergency situation in the dental office is ultimately the dentist’s responsibility. The lack of training and inability to cope with medical emergencies can lead to tragic consequences and sometimes legal action. For this reason, all health professionals including dentists must be well prepared to attend to medical emergencies. Providing basic life support [BLS] is dentist’s most important contribution until definitive treatment for a medical emergency can be given. Hence the study is aimed to assess the dental graduates (Interns) knowledge, skills and competency regarding dentistry-medical emergency interface. Method: Data were collected from 105 Interns of two dental colleges of Belgaum City using a structured questionnaire consisting of 7 item questionnaire (6 closed and 1 open ended). Results: Overall in all the years, syncope / faint was seen by 40.9% of the respondents, 37.1% with hypoglycemic attacks, allergic reactions by 17.1%, epileptic attacks by 7.6%, asthmatic attacks by 4.5% and angina 0.9%. The frequencies of the emergencies encountered were once or even more. Knowledge of the presence of drugs and equipments in the emergency drug kit and the confidence in regard to use them was low. Medical emergencies training were undertaken by 42% respondents...

The National emergencies act (Public Law 94-412)

United States -- Congress. -- Senate. -- Committee on Government Operations; United States -- Congress. -- Senate. -- Special Committee on National Emergencies and Delegated Powers
Fonte: U.S. Govt. Print. Off.; U.S. Govt. Print. Off. ( Washington ) Publicador: U.S. Govt. Print. Off.; U.S. Govt. Print. Off. ( Washington )
Tipo: Artigo de Revista Científica Formato: ix, 360 p. : ; 24 cm.
Publicado em //1976 ENGLISH
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(Bibliography) Bibliography: p. 335-360.; At head of title: 94th Congress, 2d session. Committee print.; (Statement of Responsibility) Committee on Government Operations and the Special Committee on National Emergencies and Delegated Emergency Powers, United States Senate.

Evaluating the politics of humanitarian military interventions in complex emergencies: reflections from the case of Somalia

Viloria, Jose
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Working/Technical Paper Formato: 46254 bytes; application/pdf
EN_AU
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This paper seeks to analyse questions regarding the politics of military action, which has sometimes been described as humanitarian in purpose in the period since the cold war. Special attention shall be given to the United States (US) since it is the foremost country in military interventions. The military intervention in Somalia shall be cited as a case example in this study, which may bring insights on why the US committed itself to the Somali crisis in 1992. Using this example, I shall evaluate, in general, the politics of humanitarian military interventions in complex emergencies. Taking the state or the government as the principal stakeholder, I shall focus on some methodological approaches to policy evaluation in order to understand what drives states to military intervention. Then, based on this evaluation, I will conclude on the extent of neutrality and impartiality of human military interventions in complex emergencies.

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review

Merien, A.; van de Ven, J.; Mol, B.; Houterman, S.; Oei, S.
Fonte: Lippincott Williams & Wilkins Publicador: Lippincott Williams & Wilkins
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
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OBJECTIVE: To perform a systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations. DATA SOURCES: We searched Medline, Embase, and the Cochrane Library from inception to June 2009. The search strategy contained medical subject heading terms (“patient care team” and “patient simulation” and “obstetrics” or “gynecology” and “education” or “teaching”) and additional text words (“teamwork,” “simulation,” “training”). METHODS OF STUDY SELECTION: Studies describing and evaluating teamwork training programs with simulation models for labor ward staff in acute obstetric emergencies were selected. The search revealed 97 articles. TABULATION, INTEGRATION, AND RESULTS: All studies were assessed independently by two reviewers for methodological quality using the quality assessment of diagnostic accuracy studies (QUADAS) criteria. Only eight articles assessed the effect of teamwork training in a simulation setting. Four of them were randomized controlled trials and four were cohort studies. The only study that reported on perinatal outcome showed an improvement in terms of 5-minute Apgar score and hypoxic-ischemic encephalopathy. The seven other studies showed that teamwork training in a simulation setting resulted in improvement of knowledge...

The European Union Response to Emergencies: A Sociological Neo-Institutionalist Approach

WENDLING, Cécile
Fonte: Instituto Universitário Europeu Publicador: Instituto Universitário Europeu
Tipo: Tese de Doutorado Formato: application/pdf; digital
EN
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Disasters can strike at any time and can be of various types: natural like the Tsunami of 2004 that left over 300,000 people dead or man-made like the 2006 war between Israel and Hezbollah fighters. In face of the recurrence of major emergencies both inside and outside the EU borders, EU governments agreed in 2001 to set up a system which would allow them to pool their resources. The Council Decision of 2001 created the Community Civil Protection Mechanism (CCPM) relying on the so-called Monitoring and Information Centre (MIC), as the crisis centre for civil protection located in Brussels at the European Commission. In 2005, another major step was made regarding EU emergency management, with the creation of the Emergency and Crisis Coordination Arrangements (CCA). These arrangements, which are legally dealt with by the Council, were developed to share information, ensure coordination and collective decision-making at EU level in an emergency. It is dealt with by the Joint Situation Centre (SitCen). These two new organizational structures of EU emergency management, the MIC and the SitCen, and the two new organizational architectures of EU emergency management (commission- and council- based) are the object of my research. I address the question of their creation...

SEMA4A : a knowledge base for accessible evacuation and alert notifications in emergencies

Onorati, Teresa
Fonte: Universidade Carlos III de Madrid Publicador: Universidade Carlos III de Madrid
Tipo: Tese de Doutorado
ENG
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When an emergency occurs or is going to occur, the aim of organizations and agencies involved in the response phase is to restore quickly a safe situation and reduce the number of victims and damages. The notification of information about the kind of emergency, its characteristics, the location of safe places and available procedures for reaching them has a crucial role in order to facilitate the evacuation of citizens. Several organizations and agencies have been promoting the development of Information Technology (IT) tools, called Emergency Response Information Systems (ERIS) for the management of the activities performed in response to the emergencies. In particular, these systems provide modules for collecting, updating and notifying information about imminent disasters to potential affected people. Such notifications can be communicated through different channels, like websites, emails, text or voice messages. But to effectively inform people about an emergency, the notifications should be adapted automatically to each user’s profile (e.g. functional or contextual disabilities, elderly, children), the kind of emergency (e.g. typhoon, earthquake, tornado), the communication channel (e.g. PDAs, smartphones, pagers) and any other exceptional circumstances (e.g. interrupted roads...

Exploring of wireless technology to provide information sharing among military, United Nations and civilian organizations during complex humanitarian emergencies and peacekeeping operations

Bridges, Douglas M., Jr.; Mason, Adonis R.
Fonte: Monterey, California. Naval Postgraduate School Publicador: Monterey, California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: xiv, 73 p. : ill. (some col.) ;
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Approved for public release; distribution in unlimited.; Natural as well as man-made disasters have become commonalities of daily life in recent decades for a large portion of the world's population. This growing trend reflects the worldwide proliferation in recent years of Complex Humanitarian Emergencies (CHEs) and peace operations. Humanitarian emergencies and peace operations are a complex mix of related activities that require the combined efforts of the UN, military, International Organizations (IOs) and Non-Governmental Organizations (NGOs). Given the nature and similarities of their missions, there is an ongoing need for these organizations to have access to accurate, current, and comprehensive information about field conditions and each other's movements. In several of the CHEs and peacekeeping operations of recent years, a recurring problem has been poor communication due to inadequate equipment, non-compatibility of equipment and a non-standardized communications infrastructure. This thesis explores the impact and possible benefits that wireless technology can provide to help bridge the communication gap that exists among the UN and the NGOs who participate in CHEs and peacekeeping operations.; Lieutenant Commander, Supply Corps...

State tools to update and strengthen statutes for agriculture emergencies

Garvey, Ann Peters.
Fonte: Monterey California. Naval Postgraduate School Publicador: Monterey California. Naval Postgraduate School
Tipo: Tese de Doutorado Formato: x, 67 p. : ill. ;
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CHDS State/Local; Many existing state statutes for animal health emergencies fail to comprehensively address authorities needed during animal health emergency response. Therefore, it is vitally important that states review and revise their authorities to develop clear and comprehensive powers to respond. This thesis was developed to assist states with the process of revision by providing a model outline of topic areas that should be addressed in state statutes for animal health emergencies. The model outline of topic areas is intended to provide states with a suggested framework for revising their existing state statutes. Because there are significant variations in the organizational structure of state animal health regulatory officials within each state, there is not a statutory model that can be applied universally to all fifty states. That is why this thesis attempts to provide the outline of topic areas that each state needs to address individually, rather than presenting universal language. If states intend to respond quickly and efficiently to animal health emergencies, authorities must be clearly delineated and comprehensively written. It is the author's hope that this thesis will help states update and add to their statutes...

Emergencies and arbitrary coercion

Sagos, Nickolaos
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
EN
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Cette thèse jette un œil sceptique sur plusieurs théories courantes de l’état d’urgence. La plupart de ces théories de l’état d’urgence présupposent que la notion d'une « urgence » est claire, conceptuellement et pratiquement. J'argue que ceci n'est pas le cas et que cette certitude mal placée produit des problèmes pratiques et conceptuels avec ses théories. De plus, cette thèse démontre que cette certitude mal placée dans la clarté du concept de l'urgence mène les autorités gouvernementales à agir arbitrairement plutôt que selon des principes libéraux et démocratiques pendant des états d’urgence. Contre cette certitude mal placée et contre plusieurs théories contemporaines influentes des états d'urgence, j'offre une théorie rigoureuse et analytique du concept de l’« urgence. » Une fois que le concept de l'urgence est défini, et que cette conception est défendue, la thèse démontre les diverses manières dont les malentendus du concept, mènent aux utilisations arbitraires (de la puissance monopole de l'état) en situation d’urgence. En considérant les états d’urgences, comme événements rares, la thèse évite la tentation de les considérer comme événements exceptionnels capable de fragmenter l'ordre politique établi (comme d’autres théories le font). La thèse argue que les mesures prises par le gouvernent pendant l’état d’urgence devraient être compatibles plus généralement avec les valeurs démocratiques et libérales. En rejetant l'idée que les états d'urgence sont des événements exceptionnels...

Emergències i xarxes socials: anàlisi del sistema espanyol

Bonet Alarcón, Víctor
Fonte: Universidade Autônoma de Barcelona Publicador: Universidade Autônoma de Barcelona
Tipo: Treball de recerca; info:eu-repo/semantics/bachelorThesis; Text Formato: application/pdf
Publicado em //2015 CAT
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El present treball analitza la comunicació dels sistemes d'emergència espanyols a través de les xarxes socials. Per dur a terme l'anàlisi s'han estudiat els perfils oficials dels cossos integrats dins els plans de Protecció Civil de l'Estat espanyol en matèria de seguretat, sanitat, rescat, prevenció i extinció d'incendis. Es mostra quins organismes comuniquen a través de les xarxes socials, quines utilitzen i com ho fan, tot plantejant un model eficient de comunicació 2.0 en emergències.; Este trabajo analiza la comunicación de los sistemas de emergencia españoles a través de las redes sociales. Para llevar a cabo el análisis se han estudiado los perfiles oficiales de los cuerpos integrados en los planes de Protección Civil del Estado español en materia de seguridad, sanidad, rescate, prevención y extinción de incendios. Se muestra qué organismos comunican a través de las redes sociales,cuáles utilizan y como lo hacen, planteando un modelo eficiente de comunicación 2.0 en emergencias.; This study analyses social media communication in Spanish emergency services. In order to make this analysis the official profiles of the forces that are part of Spanish Civil Defense plans have been taken into account in the matter of security...

The Behavior of First Responders and Their Initial Definitions of Acute Chemical Emergencies

Quarantelli, E. L.; Gray, Jane
Fonte: Disaster Research Center Publicador: Disaster Research Center
Tipo: Outros Formato: 108894 bytes; application/pdf
EN_US
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There seems to be general agreement that accidents and disasters involving dangerous chemicals have been increasing in modern societies in recent years (Fawcett, 1981). Considerable research of a technical nature has been undertaken on the problem. However, very little attention has been paid to the behavioral, that is, the human and group aspects of the matter. To begin to close this gap in knowledge, the Disaster Research Center (DRC) in 1977, under a three year grant from the U.S. National Science Foundation, launched a three year study of sociobehavioral responses to acute chemical emergencies.; National Science Foundation

Sociobehavioral Response To Chemical Hazards: Preparations For And Responses To Acute Chemical Emergencies At The Local Commnunity Level

Quarantelli, E. L.
Fonte: Universidade de Delaware Publicador: Universidade de Delaware
Tipo: Outros Formato: 18400682 bytes; application/pdf
EN_US
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This is a report summarizing a four-year project running from late 1977 through late 1981. As such, it emphasizes and highlights the general finding and major themes from our work. The report, therefore, does not pretend to give all the details are given in the more specialized publications listed in an appendix to this report. While the problem of chemical emergencies, the topic of this volume, is not peculiar to American society, our field research was confined to the United States and Canada. We do believe our findings and implications have broader applicability than to just our society. However, the test of that belief must come in some future research. What is reported was derived primarily, although not exclusively, from the field work undertaken at the Disaster Research Center (DRC). Accordingly we followed standard DRC policies in reporting any results. Thus, we do not identify particular individuals or officials, and in most cases, not even the specific organizations or localities we contacted in our research. The only exception was when the information about groups or communities was already published, and in the public domain. Field Experiment #2 & 3 are in Final Project Papers 28A- Interview Guide for Specific Emergency Relevant Organizations; National Science Foundation under Grant No. PFR 7714445.

Child health in complex emergencies

Moss,William J; Ramakrishnan,Meenakshi; Storms,Dory; Henderson Siegle,Anne; Weiss,William M; Lejnev,Ivan; Muhe,Lulu
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2006 EN
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Coordinated and effective interventions are critical for relief efforts to be successful in addressing the health needs of children in situations of armed conflict, population displacement, and/or food insecurity. We reviewed published literature and surveyed international relief organizations engaged in child health activities in complex emergencies. Our aim was to identify research needs and improve guidelines for the care of children. Much of the literature details the burden of disease and the causes of morbidity and mortality; few interventional studies have been published. Surveys of international relief organizations showed that most use World Health Organization (WHO), United Nations Children's Fund (UNICEF), and ministry of health guidelines designed for use in stable situations. Organizations were least likely to have formal guidelines on the management of asphyxia, prematurity, and infection in neonates; diagnosis and management of children with human immunodeficiency virus (HIV) infection; active case-finding and treatment of tuberculosis; paediatric trauma; and the diagnosis and management of mental-health problems in children. Guidelines often are not adapted to the different types of health-care workers who provide care in complex emergencies. Evidence-based...

Tuberculosis in complex emergencies

Coninx,Rudi
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2007 EN
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27.2%
This paper describes the key factors and remaining challenges for tuberculosis (TB) control programmes in complex emergencies. A complex emergency is "a humanitarian crisis in a country, region or society where there is total or considerable breakdown of authority resulting from internal or external conflict and which requires an international response that goes beyond the mandate or capacity of any single agency and/or the ongoing United Nations country programme." Some 200 million people are believed to live in countries affected by complex emergencies; almost all of these are developing countries that also bear the main burden of TB. The effects of complex emergencies impact on TB control programmes, interfering with the goals of identifying and curing TB patients and possibly leading to the emergence of MDR-TB. There are many detailed descriptions of aid interventions during complex emergencies; yet TB control programmes are absent from most of these reports. If TB is neglected, it may quickly result in increased morbidity and mortality, as was demonstrated in Bosnia and Herzegovina and in Somalia. TB is a major disease in complex emergencies and requires an appropriate public health response. While there is no manual to cover complex emergencies...

Health information systems in humanitarian emergencies

Thieren,Michel
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2005 EN
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Health information systems (HIS) in emergencies face a double dilemma: the information necessary to understand and respond to humanitarian crises must be timely and detailed, whereas the circumstances of these crises makes it challenging to collect it. Building on the technical work of the Health Metrics Network on HIS and starting with a systemic definition of HIS in emergencies, this paper reviews the various data-collection platforms in these contexts, looking at their respective contributions to providing what humanitarian actors need to know to target their intervention to where the needs really are. Although reporting or sampling errors are unavoidable, it is important to identify them and acknowledge the limitations inherent in generalizing data that were collected in highly heterogeneous environments. To perform well in emergencies, HIS require integration and participation. In spite of notable efforts to coordinate data collection and dissemination practices among humanitarian agencies, it is noted that coordination on the ground depends on the strengths and presence of a lead agency, often WHO, and on the commitment of humanitarian agencies to investing resources in data production. Poorly integrated HIS generate fragmented...