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Health Risks and Challenges in Earthquake Responders in Nepal: A Qualitative Research

Published online by Cambridge University Press:  17 June 2019

Jyoti Khatri KC ,
Gerard Fitzgerald  and
Meen B. Poudyal Chhetri
Jyoti Khatri KC*
Affiliation:
School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, Queensland, Australia
Gerard Fitzgerald
Affiliation:
School of Public Health and Social Work, Queensland University of Technology, Kelvin Grove, Queensland, Australia
Meen B. Poudyal Chhetri
Affiliation:
Nepal Center for Disaster Management (NCDM), Kathmandu, Nepal
*
Correspondence: Jyoti Khatri KC, MPH School of Public Health and Social Work Queensland University of Technology Victoria Park Road Kelvin Grove, Queensland 4059 Australia E-mail: [email protected]
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Abstract

Introduction:

While the impact of disasters is strongly felt by those directly affected, they also have significant impact on the mental and physical health of rescue/relief workers and volunteers during the response phase of disaster management.

Method:

Semi-structured interviews were conducted with 11 experts in the field of disaster management from Nepal, inquiring specifically about the impact of the 2015 mega-earthquake on the mental and physical health of rescue/relief workers and volunteers. A thematic approach was used to analyze the results. These were used to assess the applicability of a previously developed conceptual framework which illustrates the hazards and risk factors affecting disaster response workers and the related hazard mitigation approaches.

Results:

The findings suggested a relationship between the type of injuries to responders and the type of disaster, type of responder, and vulnerability of location. The conceptual framework derived from literature was verified for its applicability with a slight revision on analysis of experts’ opinion based on particular context and disaster setting. Technical skills of responders, social stigma, governance, and the socio-economic status of the affected nation were identified as critical influencing factors to heath injuries and could be minimized utilizing some specific or collective measures targeted at the aforementioned variables. Some geographic and weather-specific risks may be challenging to overcome.

Conclusion:

To prevent or minimize the hazards for disaster relief workers, it is vital to understand the variables that contribute to injuries. Risk minimization strategies should address these critical factors.

Keywords

disasterdisaster respondershealth outcomesvolunteers
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 3 , June 2019 , pp. 274 - 281
Copyright
© World Association for Disaster and Emergency Medicine 2019 

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References

Eriksson, C, Cardozo, B, Foy, D, et al. Pre-deployment mental health and trauma exposure of expatriate humanitarian aid workers: risk and resilience factors. Traumatology. 2013;19(1):41–48.CrossRefGoogle Scholar
Klappa, S, Audette, J, Do, S. The roles, barriers, and experiences of rehabilitation therapists in disaster relief: post-earthquake Haiti 2010. Disabil Rehabil. 2014;36(4):330–338.CrossRefGoogle Scholar
Costa, M, Oberholzer-Riss, M, Hatz, C, et al. Pre-travel health advice guidelines for humanitarian workers: a systematic review. Travel Med Infect Dis. 2015;13(6):449–465.CrossRefGoogle ScholarPubMed
Sim, MR. Disaster response workers: are we doing enough to protect them? Occup Environ Med. 2011;68(5):309–310.CrossRefGoogle Scholar
Garbern, S, Ebbeling, L, Bartels, S. A systematic review of health outcomes among disaster and humanitarian responders. Prehosp Disaster Med. 2016;31(6):635–642.CrossRefGoogle ScholarPubMed
Quevillon, R, Gray, B, Erickson, S, et al. Helping the helpers: assisting staff and volunteer workers before, during, and after disaster relief operations. J Clin Psychol. 2016;72(12):1348–1363.CrossRefGoogle ScholarPubMed
Wang, X, Chan, C, Shi, Z, et al. Mental health risks in the local workforce engaged in disaster relief and reconstruction. Qual Health Res. 2013;23(2):207–217.CrossRefGoogle ScholarPubMed
Kang, P, Lv, Y, Hao, L, et al. Psychological consequences and quality of life among medical rescuers who responded to the 2010 Yushu earthquake: a neglected problem. Psychiatry Res. 2015;230(2):517–523.CrossRefGoogle ScholarPubMed
Lee, K, Lee, S, Park, T, et al. Stressors of Korean disaster relief team members during the Nepal earthquake dispatch: a consensual qualitative research analysis. J Korean Med Sci. 2017;32(3):507–513.CrossRefGoogle ScholarPubMed
Eiser, JR, Bostorm, A, Burton, I, et al. Risk interpretation and action: a conceptual framework for responses to natural hazards. IJDRR. 2012;1:5–16.Google Scholar
The World Bank. World Bank Organization Report. Washington, DC, USA: World Bank; 2011.Google Scholar
Government of Nepal (GoN). Nepal Disaster Report. Kathmandu, Nepal: MoHA and DPNet-Nepal; 2015.Google Scholar
Jamshed, S. Qualitative research method-interviewing and observation. J Basic Clin Pharm. 2014;5(4):87–88.CrossRefGoogle ScholarPubMed
Agarawal, V, Buzzanell, P. Communicative reconstruction of resilience labor: identity/identification in disaster-relief workers. J App Comm Res. 2015;43(4):408–428.CrossRefGoogle Scholar
Newman, DM. Protecting disaster responders’ health: lessons (not yet?) learned. New Solutions. 2011;21(4):573–590.CrossRefGoogle Scholar
Zhang, W, Liu, C, Sun, T, et al. Physical and mental health status of soldiers responding to the 2008 Wenchuan earthquake. Aust NZ J Public Health. 2011;35(3):207–211.CrossRefGoogle ScholarPubMed
Ocak, T, Duran, A, Ozdes, T, et al. Problems encountered by volunteers assisting the relief efforts in Van, Turkey and the surrounding earthquake area. JAEM. 2013;12(2):66–70.CrossRefGoogle Scholar
Azuma, T, Seki, N, Tanabe, N, et al. Prolonged effects of participation in disaster relief operations after the Mid-Niigata earthquake on increased cardiovascular risk among local governmental staff. J Hypertens. 2010;28(4):695–702.CrossRefGoogle ScholarPubMed
Bayer, RG. Altitude illness: a risk factor for humanitarian aid workers that are deployed to high-altitude disaster scenarios. Disaster Prev Manag. 2017;26(1):55–64.CrossRefGoogle Scholar
Nagamine, M, Harada, N, Shigemura, J, et al. The effects of living environment on disaster workers: a one–year longitudinal study. BMC Psychiatry. 2016;16:358.CrossRefGoogle ScholarPubMed
Sartori, R, Fave, A. First-aid activities and well-being: the experience of professional and volunteer rescuers. J Soc Ser Res. 2014;40(2):242–254.CrossRefGoogle Scholar
Yan, YE, Turale, S, Stone, T, et al. Disaster nursing skills, knowledge, and attitudes required in earthquake relief: implications for nursing education. Int Nurs Rev. 2015;62:351–359.CrossRefGoogle ScholarPubMed
Lu, J, Yang, N, Ye, J, et al. The influence paths of emotion on the occupational safety of rescuers involved in environmental emergencies-systematic review article. Iran J Public Health. 2014;43(11):1478–1485.Google ScholarPubMed
Brooks, SK, Dunn, R, Sage, CA, et al. Risk and resilience factors affecting the psychological wellbeing of individuals deployed in humanitarian relief roles after a disaster. J Ment Health. 2015;24(6):385–413.CrossRefGoogle ScholarPubMed
Remington, CL, Ganapati, NE. Recovery worker skills in post-earthquake Haiti: the disconnect between employer and employee perspectives. Nat Hazards. 2017;87(3):1673.CrossRefGoogle Scholar
Haraldsdottir, H, Gudmundsdottir, D, Romano, E, et al. Volunteers and professional rescue workers: traumatization and adaptation after an avalanche disaster. JEM. 2014;12(6):457–466.CrossRefGoogle ScholarPubMed
Ager, A, Pasha, E, Yu, G, et al. Stress, mental health, and burnout in national humanitarian aid workers in Gulu, Northern Uganda. J Trauma Stress. 2012;25(6):713–720.CrossRefGoogle ScholarPubMed
Jobe, K. Disaster relief in post-earthquake Haiti: unintended consequences of humanitarian. Travel Med Infect Dis. 2010;9(1):1–5.CrossRefGoogle ScholarPubMed
Stein, C, Wallenstein, S, Shapiro, M, et al. Mortality among World Trade Center rescue and recovery workers, 2002–2011. Am J Ind Med. 2016;59(2):87–95.CrossRefGoogle ScholarPubMed
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