International Federation of Red Cross and Red Crescent Societies (IFRC) International Federation of Red Cross and Red Crescent Societies (IFRC)
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Disaster management
Responding to disasters 
Services for the disaster-affected: Emergency health


Health care is also critical for survival in the emergency phase. Disasters almost always have significant impacts on the health and well-being of affected populations, including direct impacts such as injury and psychological trauma and indirect impacts such as increased rates of infectious diseases, malnutrition and complications of chronic diseases. The indirect impacts are usually related to factors such as the inadequate quantity and quality of water, the breakdown of sanitation systems, the interruption of food supplies, the disruption of health services, overcrowding and displacement.

In disaster situations there are both immediate and long-term health effects and risks, requiring different approaches. Short-term effects (such as injury, lack of water, epidemics etc.) require prompt action. Long-term effects (sanitation problems, communicable diseases, food security, the destruction of traditional social systems, disrupted schooling, the growth of dependence etc.) can cause new health problems thus delaying or complicating return to normal life.

In times of emergency, the International Federation is ready to respond and provides quick and effective health relief. Health response aims to fill temporary gaps in basic health care services that are caused by damaged and often overloaded health care systems in the affected countries.

The focus is on community health care, supported by basic clinics. Referral hospitals (field hospitals) can carry out emergency surgery and deal with gynaecological and obstetric complications. Paediatric care, treatment of infectious diseases and Maternal and Child health care are particularly important considerations in times of emergency. Many disasters generate large population displacements and can spread outbreaks of measles and other infectious diseases.

The Red Cross Red Crescent employs standards laid down by the World Health Organization (WHO) with regard to treatment of patients and selection of essential drugs. It also applies technical standards as outlined by the Sphere Project's humanitarian charter and minimum standards in disaster response. All Federation emergency operations and management tools adapt to these standards, including Field Assessment and Coordination Teams, Emergency Response Units and the process for designing emergency appeals for funding operations.

A Red cross heath worker prepares  to vaccinate residents in the village of Pokal in the Allai Valley, North western Pakistan which is still recovering from the effects of the earthquake in October 2005. Photo: David Bebber/International Federation (p15557)

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