Addressing the impact of disasters on public health infrastructure and noncommunicable diseases
Ryan, Benjamin J. (2018) Addressing the impact of disasters on public health infrastructure and noncommunicable diseases. PhD thesis, James Cook University.
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Abstract
Worldwide there has been a "disease transition" to noncommunicable diseases due to population aging, increasing obesity and decreasing physical activity. This combined with an increasing frequency of natural disasters has created challenges for disaster and health systems. Natural disasters can and do damage public health infrastructure such as services and supplies, resulting in acute exacerbation of noncommunicable diseases. To reduce the risk, this research explored the impact of cyclone, flood and storm related disasters on public health infrastructure and the management of noncommunicable diseases in Queensland, Australia, and used the findings to develop mitigation strategies. Data was collected, analysed and integrated over three sequential phases: literature reviews; focus groups and interviews; and a modified Delphi process. People with noncommunicable diseases found to be at greatest risk were those: with cardiovascular, respiratory and renal diseases; undergoing cancer treatment; and with unstable diabetes; and mental health conditions. There were 31 mitigation strategies identified across 12 public health infrastructure themes. Specific strategies include: designated primary healthcare hubs post disaster; streamlining processes for patients to access medication after a disaster; the need for water treatment plants to have back-up power; good hygiene practices implemented at evacuation centres; and consistent and clear messages about where people can go for assistance after a disaster. These findings informed development of a conceptual framework and options for implementing mitigation strategies to sustainably minimise the impact of disasters on people with noncommunicable diseases.
| Item ID: | 54840 |
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| Item Type: | Thesis (PhD) |
| Keywords: | Australia, chronic disease, cyclone, disaster planning, disaster preparedness, disasters, emergency preparedness, noncommunicable disease, public health infrastructure, public health service infrastructure, public health, Queensland |
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| Additional Information: | Publications arising from this thesis are available from the Related URLs field. The publications are: Chapter 3: Ryan, Benjamin J., Franklin, Richard C., Burkle, Frederick M., Watt, Kerrianne, Aitken, Peter, Smith, Erin C., and Leggat, Peter (2015) Analyzing the impact of Severe Tropical Cyclone Yasi on public health infrastructure and the management of noncommunicable Diseases. Prehospital and Disaster Medicine, 30 (1). pp. 28-37. Chapter 3: Ryan, Benjamin J., Franklin, Richard C., Burkle, Frederick M., Watt, Kerrianne, Aitken, Peter, Smith, Erin C., and Leggat, Peter (2016) Defining, describing, and categorizing public health infrastructure priorities for tropical cyclone, flood, storm, tornado, and tsunami-related disasters. Disaster Medicine and Public Health Preparedness, 10 (4). pp. 598-610. Chapter 3: Ryan, Benjamin, Franklin, Richard C., Burkle, Frederick M., Aitken, Peter, Smith, Erin, Watt, Kerrianne, and Leggat, Peter (2015) Identifying and describing the impact of cyclone, storm and flood related disasters on treatment management, care and exacerbations of non-communicable diseases and the implications for public health. PLoS Currents Disasters, 28 September 2015. Chapter 4: Ryan, Benjamin J., Franklin, Richard C., Burkle, Frederick M., Smith, Erin C., Aitken, Peter, and Leggat, Peter A. (2017) The role of environmental health in understanding and mitigating postdisaster noncommunicable diseases: the critical need for improved interdisciplinary solutions. Journal of Environmental Health, 80. pp. 38-48. Chapter 4: Ryan, Benjamin J., Franklin, Richard C., Burkle, Frederick M., Smith, Erin, Watt, Kerrianne, and Leggat, Peter (2016) Reducing disaster exacerbated non-communicable diseases through public health infrastructure resilience: perspectives of Australian disaster service providers. PLoS Currents Disasters (Edition 1). pp. 1-26. Chapter 5: Leggat, Peter A., Watt, Kerrianne, Aitken, Peter, Burkle, Federick M., Smith, Erin C., Ryan, Benjamin J., and Franklin, Richard C. (2018) Ranking and prioritizing strategies for reducing mortality and morbidity from noncommunicable diseases post disaster: An Australian perspective. International Journal of Disaster Risk Reduction, 27. pp. 223-238. |
| Date Deposited: | 30 Jul 2018 05:21 |
| FoR Codes: | 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111705 Environmental and Occupational Health and Safety @ 70% 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111709 Health Care Administration @ 30% |
| SEO Codes: | 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920407 Health Protection and/or Disaster Response @ 100% |
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