Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org

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Tsunami Dec. 26, 2004Lessons for Public Health

• Mark Oberle moberle_at_u.washington.edu
• http//faculty.washington.edu/moberle/Tsunami/

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• http//pubs.usgs.gov/circ/c1187/

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Public Health Emergency Preparedness Competencies

• Describe chain of command
• Identify and locate emergency response plan
• Demonstrate function in regular drills
• Demonstrate communications role/equipment
• Identify limits of knowledge/skills/authority
• Recognize unusual events describe action
• Apply flexible thinking and evaluate actions
• http//cpmcnet.columbia.edu/dept/nursing/institute
  -centers/chphsr/btcomps.pdf

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NE Indian Ocean Tectonics (USGS)
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Tide Gages Maximum Wave Amplitude
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• First wave recedes from entrance

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• Second wave recedes from pool area

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• Victims got splints and bandages in the lobby

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• Courtesy of the Knill family

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• Buses and boats blocked streets

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• Cars and steel slammed into buildings

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• Cars and debris filled pools and rooms

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• Rescuers hopped on tilted cars to get between
  flooded buildings, while smaller waves crashed
  into 1st floor

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• Water receding at our hotel

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• Tourists and Thais waited for next tsunami on the
  hillsides

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• Hourly panics gt stampedes from beach

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Helicopter view, Khao Lak area, December 2004
(Photo Mark Simmerman)
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• Thailand casualty data, 4 January 2005
• (Photo Mark Simmerman)

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• Identifying remains, December 2004
• (Photo Mark Simmerman)

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• Processing remains, December 2004
• (Photo Mark Simmerman)

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PUBLIC HEALTH CONCERNS

• Preparedness planning
• Trauma care system
• Food, water, shelter
• Person to person transmission, e.g., measles
• Vector borne disease malaria, dengue (?)
• Rehabilitation medicine
• Mental health services

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• Source MMWR January 28, 2005 / 54(03)61-64.

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LESSONS FOR ALL OF US

• Who are the first responders?
• Preparedness planning / Public education
• Communications
• Family Disaster Plan
• http//www.doh.wa.gov/phepr/handbook/family.htm

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TSUNAMI WARNING SIGNS

• Earthquake
• Water withdraws from shoreline
• Approaching wave (freight train noise)

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PREPAREDNESS PLANNING

• Family Disaster Plan
• http//www.doh.wa.gov/phepr/handbook/family.htm

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LESSONS FOR ALL OF US

• Who are the first responders?
• Preparedness planning Tsunami signs
• Communications
• Family Disaster Plan
• http//www.doh.wa.gov/phepr/handbook/family.htm

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LARGE EARTHQUAKES IN LAST 50 YEARS

• Chile, 1960 9.5
• Prince William Sound, Alaska, 1964 9.2
• Indonesia, 2004 9.0-9.3
• Andreanof Islands, Alaska, 1957 9.1

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Age Distribution of the Worlds Population
Population Structures by Age and Sex, 2002
Millions
Less Developed Regions
More Developed Regions
Age
80 75-79 70-74 65-69 60-64 55-59 50-54 45-49
40-44 35-39 30-34 25-29 20-24 17-19 10-16 5-9 0-4
Male
Female
Male
Female
Source United Nations, World Population
Prospects The 2002 Revision (medium scenario),
2003.
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Population Growth
Country Population Growth () 2005-2050 Contraceptive Use
Somalia 207 1
India 50 43
Maldives 69 32
Thailand 15 70
Sri Lanka 10 44
www.prb.org
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Tsunami Dec. 26, 2004Lessons for Public Health

• Mark Oberle moberle_at_u.washington.edu
• http//faculty.washington.edu/moberle/Tsunami/