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Operation Navajeevan: A Public-Private Partnership Model for Disaster Relief in Kozhikode, India

Published online by Cambridge University Press:  01 May 2020

Sonia Haris
Affiliation:
Saint Peter’s Hospital, Emergency Department, Chertsey, Surrey, UK
Venugopalan Poovathumparambil
Affiliation:
Aster DM Healthcare Hospitals, Department of Emergency Medicine, Calicut, Kerala, India
Naveen Anaswara
Affiliation:
National Health Mission, Calicut, Kerala, India
Samantha Noll
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Aditi Ghatak-Roy
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Nicholas Dreyer
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Nehal Naik
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Katherine Douglass
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Janice Blanchard
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Kevin Davey*
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
*
Kevin Davey, MD George Washington University Department of Emergency Medicine 2120 L Street NW, Suite 450 Washington, DC20037USA E-mail: [email protected]

Abstract

Introduction:

In August 2018, India’s southern state of Kerala experienced its worst flooding in over a century. This report describes the relief efforts in Kozhikode, a coastal region of Kerala, where Operation Navajeevan was initiated.

Sources:

Data were collected from a centralized database at the command center in the District Medical Office as well as first-hand accounts from providers who participated in the relief effort.

Observations:

From August 15 through September 8, 2018, 36,846 flood victims were seen at 280 relief camps. The most common cause for presentation was exacerbation of an on-going chronic medical condition (18,490; 50.2%). Other common presentations included acute respiratory infection (7,451; 20.2%), traumatic injuries (3,736; 10.4%), and psychiatric illness (5,327; 14.5%).

Analysis:

The prevalence of chronic disease exacerbation as the primary presentation during Operation Navajeevan represents an epidemiologic shift in disaster relief in India. It is foreseeable that as access to health care improves in low- and middle-income countries (LMICs), and climate change increases the prevalence of extreme weather events around the world, that this trend will continue.

Type
Field Report
Copyright
© World Association for Disaster and Emergency Medicine 2020

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