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Complex, Humanitarian Emergencies: I. Concept and Participants

Published online by Cambridge University Press:  28 June 2012

Frederick M. Burkle Jr.
Frederick M. Burkle Jr.*
Affiliation:
Professor of Pediatrics, Surgery (EMS), and Public Health, Chairman, Division of Emergency Medicine, Department of Surgery, John A. Burns School of Medicine and School of Public Health, University of Hawaii, Honolulu, Hawaii
*
University of Hawaii, John A. Burns School of Medicine, 1319 Punahou Street, Honolulu, Hawaii 96826USA
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Abstract

Complex, humanitarian emergencies, the result of civil strife and armed conflict affecting large populations at the brink of extinction, represent the most compelling of disaster relief challenges. They require the coordination of the United Nations agencies, the International Committee of the Red Cross, international nongovernmental relief organizations, and military forces. An increasing number of civilian and military health-care providers find themselves involved in the planning, coordination, and direct patient-care aspects of these emergencies, often without proper initiation and understanding of the unique nature of these disasters. This article provides a primer on the concept of complex, humanitarian emergencies and the contributions, characteristics, capabilities, and limitations of each major participant.

Keywords

civil warconflictcoordinationdisasterdisaster reliefemergenciesepidemiologyhealth-care providershumanitarianinfrastructureInternational Committee of the Red Crossinternational responsemilitarynongovernmental organizationspovertyrefugee campsrelief workersUnited Nations
Type
Special Reports
Information
Prehospital and Disaster Medicine , Volume 10 , Issue 1 , March 1995 , pp. 36 - 42
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1995

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References

1. Office of Foreign Disaster Assistance: OFDA Annual Report FY1992. Agency for International Development, Washington, D.C., 1992, p 42.Google Scholar
2. Zwi, A, Ugalde, A: Political violence in the third world: A public health issue. Health Policy and Planning. 1991;6:203–217.CrossRefGoogle Scholar
3. Burkle, FM: International medical liaison: Evolving concepts. Presentation/Abstract. Disaster Medicine: The Federal Response. 8th Annual Conference on Military Medicine, Bethesda, Md., 08–10 November 1993.Google Scholar
4. Multi-service procedures for foreign humanitarian assistance operations: Worldwide coordination. Air Land Sea Application Center, Langley, Va. Final Draft, October 1993.Google Scholar
5. Operations other than war: Volume I, Humanitarian assistance. Center for Army Lessons Learned. USA Combined Arms Command, Fort Leavenworth, KS, December 1992;92:18–19.Google Scholar
6. Finacane, A: The changing roles of voluntary organizations. In: Cahill, K (ed): A Framework for Survival. Basic Books, New York, N.Y.; 1993: pp 175–190.Google Scholar
7. Office of Foreign Disaster Assistance: OFDA Annual Report FY1991. Agency for International Development, Washington, D.C., 1991, pp 120–123.Google Scholar
8. Natsios, AS: Food through force: Humanitarian intervention and U.S. policy. The Washington Quarterly 1993;17:129–144.Google Scholar
9. Burr, M: A working document: Quantifying genocide in Southern Sudan 1983–1993. US Committee for Refugees, Issue Paper October 1993.Google Scholar
10. American Red Cross: News release. ARC National Headquarters, Washington, D.C., June 1994: pp 1–2.Google Scholar
11. World Health Organization, Division of Mental Health: Psychosocial consequences of disasters: Prevention and management. Geneva, 1992; pp 7–39.Google Scholar
12. Quarantelli, EL: Sociology and social pathology of disasters: Implications for third world and developing countries. Disaster Research Center, Ohio State University. Presented at the 9th World Civil Defense Conference, Morocco, November 1980.Google Scholar
13. Burkle, FM: Triage of disaster-related neuropsychiatric casualties. Emer Med Clin N Amer 1991;9:87–105.Google Scholar
14. Gabriel, RA: No More Heroes: Madness and Psychiatry in War. New York, Hill and Wang, 1987.Google Scholar
15. Refugee Policy Group, Center for Policy Analysis and Research on Refugee Issues. Personal Communication. Washington, D.C., April 1994.Google Scholar
16. United Nations High Commissioner for Refugees (UNHCR): The State of the World's Refugees 1993. United Nations. Penguin Book, 1993.Google Scholar
17. Loescher, G: Beyond Charity: International Cooperation and the Global Refugee Crisis 1993. Oxford University Press London. 1993; p 201.Google Scholar
18. Deng, FM: Protecting the dispossessed. The Brookings Institute, Washington, D.C., 1993; pp 1–3Google Scholar
19. Toole, MJ, Waldman, R: Refugees and displaced persons: War, hunger, and public heaith JAMA 1993;70:600–605.CrossRefGoogle Scholar
20. Simmonds, S: Refugees, health and development. Transactions of the Royal Society of Tropical Medidne and Hygiene 1984;78:726–733.CrossRefGoogle ScholarPubMed
21. Toole, MJ, Foster, S: Famines. Outers for Disease Control: Public Health Consequences of Disasters. Atlanta, Georgia, CDC, 1989; pp 79–89.Google Scholar
22. Clay, J: Politics and famine in Ethiopia. Red Sea Press, 1987.Google Scholar
23. Pan American Health Organization: International humanitarian assistance. Disasters: Preparedness and mitigation in the Americas. PAHO, 1992;50:17.Google Scholar
24. International Committee of the Red Cross: Basic rules of the Geneva Conventions and their additional protocols: Understanding humanitarian law. ICRC, Geneva, December 1987.Google Scholar
25. Willemin, G, Heacock, R: International organizations and the evaluation of world society. Vol. 2, ICRC, Nijhoff Publishers, The Hague 1989: pp 19–26.Google Scholar
26. Kewley, G: Humanitarian law in armed conflicts. VCTA Publishers, Collingwood, England 1984; pp 6–14,37–45.Google Scholar
27. International Committee of the Red Cross: Protocols additional to the Geneva Conventions of 12 Aug 1949. Geneva 1977; pp 5–6.Google Scholar
28. International Committee of the Red Cross: International Red Cross Handbook, 12th Edition ICRC, Geneva 1983.Google Scholar
29. Helm, S: The Red Cross under fire. World Press Review. June 1992:32.Google Scholar
30. Minear, L, Weiss, TG, Campbell, KM: Humanitarism and war: Learning the lessons from recent armed conflicts. Occ. paper No. 8, Watson, TJ Jr. Institute for International Studies, Brown University, 1991.Google Scholar
31. Jean, F (Ed.): The Médicines Sans Frontiérs report on world crisis intervention: Life, death and aid. Routledge, London, 1993.Google Scholar
32. Kent, RC: Anatomy of disaster relief. Pinter Publishers, London. 1987:pp 68–80.Google Scholar
33. International NGO Consortium: Handbook of International NGO Programs in Somalia. Edition II. Information Office. Mogadishu, Somalia, March 1993.Google Scholar
34. Bennett, AL: International Organizations: Principles and Issues, 5th Ed., Prentice Hall, NJ. 1991; pp 435–461.Google Scholar
35. Borton, J: Recent trends in the international relief system. Disaster 1993;17:187–201.CrossRefGoogle ScholarPubMed
36. UN General Assembly Resolution 46/182; UN Office of Public Information. United Nations, NY, 1992.Google Scholar
37. Connaughton, R: Military intervention and UN peacekeeping, in Rodley, NS (ed): To Lose the Bands of Wickedness, International Intervention in Defense of Human Rights. Brassey's, United Kingdom, 1992;165–197.Google Scholar
38. Department of Public Information: United Nations Peacekeeping. New York, United Nations DPI/1399, August 1993.Google Scholar
39. Minear, L, Chelliah, UBP, Crisp, J, et al. : United Nations coordination of the international response to the Gulf crisis 1990–92. Occ. paper No.13, Watson, TJ Jr Institute for International Studies, Brown University, R.I., 1991.Google Scholar
40. Department of Public Information: Basic facts about the United Nations. United Nations, New York, 1992.Google Scholar
41. Dennehy, EJ, Doll, WJ, Harper, GP et al. : A blue helmet combat force. John F. Kennedy School of Government. National Security Program Policy Analysis Paper 93–101.Google Scholar
42. Burkle, FM, Sanner, PH, Wolcott, BW: Disaster Medicine. Elsevier Press, New York, 1984.Google Scholar
43. Last, JM: War and the demographic trap. Lancet 1993;342:508–509.CrossRefGoogle ScholarPubMed
44. Sivard, RL: World military and social expenditures. World Priorities, Washington, D.C., 1991.Google Scholar
45. Garfield, RM, Neugent, Al: Epidemic analysis of warfare: A historical review. JAMA 1991;266:688–692.Google Scholar
46. Bush, GW: Excerpts of remarks by President Bush. Asian Pacific Defense Forum, 1991;16:44–46.Google Scholar