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chapter 4 - DRK

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Strictly under embargo until Wednesday 22 September at 00:01 GMT (02:01 Geneva time)in informal settlements than in the rest of the city although its quality and coverage arealways limited by what local inhabitants can afford.Disasters also provide obvious challenges for services: not only do they have to respondto the emergency but they also have to restore healthcare for displaced people andthose with chronic diseases who need regular treatment and medicines. After the January2010 earthquake in Haiti, there was much concern about the disruption to treatmentfor people living with HIV/AIDS and tuberculosis. Another problem that occurswhen settlements need to be evacuated is assisting people who need help to move.The provision of efficient emergency services is an essential role of city and municipalgovernments in furthering disaster risk reduction.Many city and municipal governments do risk management at the local level but notlocal risk management. They support projects that contribute to aspects of risk reduction(local organization for prevention and mitigation, reforestation, building codes,land-use norms, physical protection works and early warning systems) but these donot as yet contribute to, or become embedded in, local development. Similarly, mostnational systems and the international community support some elements of locallyimplemented risk reduction but do not address the social vulnerability which defineslevels of disaster risk and which is often associated with prevailing chronic or everydayrisk conditions. Local risk reduction will be a priority for local actors according to howWorld Disasters Report 2010 – Focus on urban risk151

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