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SUPER CYCLONE SIDR 2007 Impacts and Strategies for ... - nirapad

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Ministry of Food <strong>and</strong> Disaster Management<br />

3.4 Health <strong>and</strong> Nutrition<br />

<strong>Impacts</strong><br />

There is concern of outbreak of water-borne diseases, such as acute diarrhoea, gastroenteritis, typhoid,<br />

hepatitis <strong>and</strong> communicable diseases like acute respiratory infections <strong>and</strong> pneumonia because of lack<br />

of safe water supply <strong>and</strong> sanitation facilities damage. Nonetheless, the current health <strong>and</strong> medical<br />

needs are relatively low. Although the storm resulted in a loss of electricity in many places, most<br />

hospitals <strong>and</strong> clinics were able to keep vaccines in cold temperature through the use of generators,<br />

cold boxes <strong>and</strong> other means. The pre-positioning of essential drugs <strong>and</strong> medicines including Water<br />

Purification Tablets was a major advantage in terms of preparedness <strong>and</strong> response.<br />

According to the UN Rapid Initial Assessment, approximately 1.5 million people in the nine surveyed<br />

districts are at risk of communicable diseases — diarrhea, dysentery, acute respiratory infection<br />

<strong>and</strong> pneumonia. Children aged five years or younger are especially vulnerable. In order to prevent<br />

an outbreak of diarrhea, emergency medical support needs to be continued, in addition to the<br />

provision of drinking water. Some of the hospitals in worst affected upazilas are partially damaged<br />

<strong>and</strong> are in need of immediate repair, as they are the only source of medical care service to those living<br />

in remote areas.<br />

Some 55,282 people who got injury during the cyclone may cause further deterioration in the health<br />

sector if the do not have proper treatment facilities.<br />

Response<br />

There were buffer medicine stocks available in Barisal, Khulna <strong>and</strong> Bagerhat headquarters be<strong>for</strong>e the<br />

cyclone hit. Medical personnel were dispatched to the area in advance to be ready <strong>for</strong> early response.<br />

A Pakistan medical team has been treating people with injuries in Bh<strong>and</strong>aria. The U.S. medical team<br />

at Patuakhali operated a 250 bed hospital. A detailed in<strong>for</strong>mation about the coordinated responses in<br />

medical support activities is given in Annex -5 (“Who, What, Where” <strong>for</strong> the Health Coordination).<br />

Figure 3.6: Health care provision in Sidr affected nine districts (out of twelve)<br />

Fifty-six hospitals are located in the worst affected Upazillas (Figure 3.6). Each of these hospitals has<br />

an average capacity of 30 – 50 beds <strong>and</strong> serves a population of around 250,000. Some of these<br />

hospitals have been damaged. Access to the more peripheral units is blocked momentarily, rendering<br />

serious shortage of medical care. It is estimated that the damages sustained by the hospitals of<br />

Morelgonj, Sharonkhola <strong>and</strong> Rampal are affecting at least 700,000 people.<br />

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