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The Role of Oral Health in Complex Emergencies and Disaster Rehabilitation Medicine

Published online by Cambridge University Press:  21 February 2018

Vishal R. Aggarwal Open the ORCID record for Vishal R. Aggarwal [Opens in a new window]
Vishal R. Aggarwal*
Affiliation:
School of Dentistry, University of Leeds, Leeds, UK
*
Correspondence and reprint requests to Vishal R. Aggarwal, School of Dentistry, University Leeds, Worsley Building, Clarendon Way, Leeds LS2 9LU, UK (e-mail: [email protected]).
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Abstract

This paper presents an overview of the importance of oral health in complex emergencies. It highlights the importance of maintaining general and oral health in the acute, intermediate and long-term phases of such events which are increasing in frequency. The importance of oral health as an early warning sign for systemic disease and deprivation is also explored along with the crucial role of oral health in maintaining quality of life through adequate nutrition and speech. The overview of oral health in these situations identifies the need for training dental personnel as members of rehabilitation teams that set out to manage these disasters. They can quickly help in improving quality of life for victims by extracting carious and painful teeth as necessary, and also form part of an oral health education program for aid agencies. They can also be the first to identify systemic diseases like HIV and may also play a role in identifying victims of abuse, as non-accidental injuries can frequently present in the oro-facial region. The oral health overview concludes by describing the contents of innovative oral health packs that are tailored to prevention of dental diseases and that can be readily incorporated as part of food packs distributed by aid agencies. (Disaster Med Public Health Prepardness. 2018;12:772-777)

Keywords

oral healthcomplex emergenciesdisaster medicine
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 6 , December 2018 , pp. 772 - 777
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

1. Carballo, M, Nerukar, A. Migration, refugees, and health risks. Emerg Infect Dis. 2001;7(3 suppl):556-560.Google Scholar
2. Burkeholder, BT, Toole, MJ. Evolution of complex disasters. Lancet. 1995;346:1012-1015.Google Scholar
3. Reinhardt, JD, Li, J, Gosney, J, et al. Disability and health-related rehabilitation in international disaster relief. Glob Health Action. 2011;4:7191.Google Scholar
4. Gosney, J, Reinhardt, JD, Haig, AJ, Li, J. Developing post-disaster physical rehabilitation: role of the World Health Organization Liaison Sub-Committee on Rehabilitation Disaster Relief of the International Society of Physical and Rehabilitation Medicine. J Rehabil Med. 2011;43(11):965-968.Google Scholar
5. Sheiham, A. Oral health, general health and quality of life. Bull World Health Organ. 2005;83(9):644-645.Google Scholar
6. PAHO©. PAHO Post-Disaster Guidelines for Oral Health. Washington, DC: PAHO©; 2010.Google Scholar
7. Sphere Project. Sphere Handbook: Humanitarian Charter and Minimum Standards in Disaster Response. Rugby, UK. 2011. http://www.refworld.org/docid/4ed8ae592.html Accessed September 26, 2017.Google Scholar
8. World Health Organization. The Management of Nutrition in Major Emergencies. Geneva: WHO; 2000; 5-6.Google Scholar
9. World Health Organization. Risk Reduction and Emergency Preparedness: WHO Six-Year Strategy for the Health Sector and Community Capacity Development. Geneva: WHO; 2007. http://www.who.int/hac/techguidance/preparedness/emergency_preparedness_eng.pdf. Accessed March 31, 2017.Google Scholar
10. Smadi, L, Sumadi, AA. Women’s oral and dental health aspects in humanitarian missions and disasters: Jordanian experience. Am J Disaster Med. 2016;11(1):43-48. https://doi.org/10.5055/ajdm.2016.0223.Google Scholar
11. Inter-Agency Standing Committee (IASC) initial rapid assessment (IRA) field assessment form. http://www.who.int/hac/network/global_health_cluster/ira_form_v2_9_eng.pdf. Published January 2010. Accessed March 31, 2017.Google Scholar
12. Mateen, FJ. Neurological disorders in complex humanitarian emergencies and natural disasters. Ann Neurol. 2010;68:282-294.Google Scholar
13. Carballo, M, Simic, S, Zeric, D. Health in countries torn by conflict: lessons from Sarajevo. Lancet. 1996;348(9031):872-874.Google Scholar
14. United Nations High Commission for Refugees. Handbook for Emergencies, 3rd ed. Geneva, United Nations; 2007. http://www.unhcr.org/publ/PUBL/471db4c92.html. Accessed February 10, 2012.Google Scholar
15. Turrell, G, Sanders, AE, Slade, GD, Spencer, AJ, Marcenes, W. The independent contribution of neighborhood disadvantage and individual-level socioeconomic position to self-reported oral health: a multilevel analysis. Community Dent Oral Epidemiol. 2007;35:195-206.Google Scholar
16. Redmond, AD, Mahoney, PF, Ryan, JM, Macnab, C. ABC of Conflict and Disaster. Oxford, UK: BMJ Books, Blackwell Publishing; 2006.Google Scholar
17. Spiegel, PB. Health-care needs of people affected by conflict: future trends and changing frameworks. Lancet. 2010;375:341-345.Google Scholar
18. Mirfarsi, S, Stoopler, ET, Sun, HH, Elo, JA. Common oral manifestations of select systemic diseases: anemia, diabetes mellitus and HIV. J Calif Dent Assoc. 2016;44(9):553-559.Google Scholar
19. Napeñas, JJ. Oral manifestations of systemic diseases. Atlas Oral Maxillofac Surg Clin North Am. 2017;25(2):xiii. https://doi.org/10.1016/j.cxom.2017.06.001.Google Scholar
20. Tolkachjov, SN, Bruce, AJ. Oral manifestations of nutritional disorders. Clin Dermatol. 2017;35(5):441-452. https://doi.org/10.1016/j.clindermatol.2017.06.009.Google Scholar
21. Wang, L, Wei, JH, He, LS, et al. Dentist’s role in treating facial injuries sustained in the 2008 earthquake in China, How dental professionals can contribute to emergency response. J Am Dent Assoc. 2009;140(5):543-549.Google Scholar
22. Aggarwal, VR, Macfarlane, GJ, Farragher, T, McBeth, J. risk factors for the onset of chronic oro-facial pain – results from the Cheshire oro-facial pain prospective population study. Pain. 2010;149(2):354-359.Google Scholar
23. Janssen, JA, Lampiris, LN. Disaster response in Illinois: the role for dentists and dental hygienists. Dent Clin North Am. 2007;51(4):779-784.Google Scholar
24. Mosca, NG, Finn, E, Joskow, R. Dental care as a vital service response for disaster victims. J Health Care Poor Underserved. 2007;18(2):262-270.Google Scholar
25. Singh, G, Singh, S, Sharma, S, et al. Role of dentists in disaster response – a brief review. Int J Contemp Dent. 2011;2(3):46-50.Google Scholar
26. Psoter, WJ, Herman, NG, More, FG, et al. Proposed educational objectives for hospital-based dentists during catastrophic events and disaster response. J Dent Educ. 2006;70(8):835-843.Google Scholar
27. UK-MED. United Kingdom Emergency Medical Team. https://www.uk-med.org/ Accessed October 12, 2017.Google Scholar
28. More, FG, Phelan, J, Boylan, R, et al. Predoctoral dental school curriculum for catastrophe preparedness. J Dent Educ. 2004;68:851-858.Google Scholar
29. Glotzer, DL, More, FG, Phelan, J, et al. Introducing a senior course on catastrophe preparedness into the dental school curriculum. J Dent Educ. 2006;70(3):225-230.Google Scholar