2019
DOI: 10.1136/bmjgh-2019-001493
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Towards resilient health systems: opportunities to align surgical and disaster planning

Abstract: Natural disasters significantly contribute to human death and suffering. Moreover, they exacerbate pre-existing health inequalities by imposing an additional burden on the most vulnerable populations. Robust local health systems can greatly mitigate this burden by absorbing the extraordinary patient volume and case complexity immediately after a disaster. This resilience is largely determined by the predisaster local surgical capacity, with trauma, neurosurgical, obstetrical and anaesthesia care of particular … Show more

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Cited by 20 publications
(24 citation statements)
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References 29 publications
(43 reference statements)
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“…In a health context, for example, this extends to looking at why are vulnerable populations worst affected or affected differently and how can everyone have access to healthcare in such a setting. Taking an example from a different disaster, during the post-earthquake (2015) zones of Nepal in February 2019, it became evident how difficult it is to reach many areas, given the difficult terrain and landscape of the landlocked country (Pyda et al 2019 ; Rolsted & Raju 2020 ). Health is not a stand-alone sector and access to healthcare is influenced by many factors that arise from sociopolitical, economic and cultural dimensions.…”
mentioning
confidence: 99%
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“…In a health context, for example, this extends to looking at why are vulnerable populations worst affected or affected differently and how can everyone have access to healthcare in such a setting. Taking an example from a different disaster, during the post-earthquake (2015) zones of Nepal in February 2019, it became evident how difficult it is to reach many areas, given the difficult terrain and landscape of the landlocked country (Pyda et al 2019 ; Rolsted & Raju 2020 ). Health is not a stand-alone sector and access to healthcare is influenced by many factors that arise from sociopolitical, economic and cultural dimensions.…”
mentioning
confidence: 99%
“…This also means to stop the blame game of coordination and collaboration and move towards a truly coherent and integrated approach to address health in DRR. The recent article by Pyda et al ( 2019 ) accounts for important progress in the field of surgical planning and disaster preparedness, which could serve a useful strategy in emergencies globally. The co-chair’s summary from the GP highlights that ‘[ p ]lanning and action to manage biological hazards, including epidemics and pandemics needs to be strengthened, whilst enhancing investments in resilient health facilities’ (UNDRR 2019a ).…”
mentioning
confidence: 99%
“…13 Building resilient health systems that include the provision of emergency and essential SOA care will be crucial to ensure an adequate response to natural disasters. 15 However, cli mate change also presents a challenge to robust health systems, as seen in the summer of 2018, when all operating rooms were closed in Sollefteå, Sweden, during a severe heatwave as the increased humidity prevented adequate sterility. 16 Resilient health systems will be needed to respond to climate change.…”
Section: Climate Change and Surgery Obstetric And Anaesthesia Carementioning
confidence: 99%
“…Based on the resilience of response, a local or regional response system releases endogenous surge capacity after launching an emergency response for a disaster. Endogenous augmentation of medical surge capacity refers to the increase in the medical surge capacity of a disaster response system through a self-buffer mechanism, which can also be called absorption capacity [10], which is inversely proportional to vulnerability and directly proportional to scalability. For example, in response to the Boston Marathon Bombing, due to the strong endogenous augmentation of medical surge capacity, the local medical response system had a favorable outcome with a low mortality rate of incident casualties [11].…”
Section: Precision Launching or Upgrading The Level Of Response To Rementioning
confidence: 99%