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... Th is unpredictability is poorly suited to scenario-based approaches to risk management (Henry 2005). While the hazards that cause disasters may vary greatly, the potential public health consequences and subsequent public health and medical needs of the population do not (Keim 2006a;Federal Emergency Management Agency 1996). For example, fl oods, heat waves, hurricanes, and wildfi res all have the potential to displace people from their homes. ...
... Disaster risk is defi ned as "the potential disaster losses, in lives, health status, livelihoods, assets and services, which could occur to a particular community or a society over some specifi ed future time period" (UN International Strategy for Disaster Reduction 2009). Th e risk equation has also been applied in various evolving derivatives to estimate disaster risk according to the following relationship (Intergovernmental Panel on Climate Change 2011; Keim 2002Keim , 2006aKeim , 2008Keim , 2011"Health Disaster Management Guidelines" 2003;British Columbia Ministry of Public Safety and Solicitor General 2003): ...
... Together, they produced the Declaration of the Pacific Health Summit for Sustainable Disaster Risk Management. 10 The declaration describes the challenges of the Pacific; presents the current status of the Pacific in regard to 4 categories: preparedness, response, mitigation, and recovery; and proposes a Pacific plan of action comprising 8 regional objectives for each of the 4 categories. 11 See http: //www.pacifichealthdialog.org.fj/Volume%2013/No1 /Declaration%20of%20the%20Pacific%20HS%20for%20SDR %20Management.pdf for more information regarding the 2004 Summit declaration. ...
... In addition, sources for accessing the Declaration are now lost because the local medical journal, Pacific Health Dialog, has ceased publication. 11 The declaration and plan of action are unique in that they establish a strategy for disaster risk reduction for an entire region; however, implementation has been slow. To date, only 1 of 16 proposed projects has been funded. ...
Few regions of the world are at higher risk for environmental disasters than the Pacific Island countries and territories. During 2004 and 2005, the top public health leadership from 19 of 22 Pacific Island countries and territories convened 2 health summits with the goal of developing the world's first comprehensive regional strategy for sustainable disaster risk management as applied to public health emergencies. These summits followed on the objectives of the 1994 Barbados Plan of Action for the Sustainable Development of Small Island Developing States and those of the subsequent Yokohama Strategy and Plan of Action for a Safer World. The outputs of the 2004 and 2005 Pacific Health Summits for Sustainable Disaster Risk Management provide a detailed description of challenges and accomplishments of the Pacific Island health ministries, establish a Pacific plan of action based upon the principles of disaster risk management, and provide a locally derived, evidence-based approach for many climate change adaptation measures related to extreme weather events in the Pacific region. The declaration and outputs from these summits are offered here as a guide for developmental and humanitarian assistance in the region (and for other small-island developing states) and as a means for reducing the risk of adverse health effects resulting from climate change.
( Disaster Med Public Health Preparedness . 2012;6:415-423)
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