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Dr. Natsukawa: Lessons learned from past disasters.
Proverbs in Japan, “one instance shows all,” and “History repeats itself.” This translates into the importance of learning from past disasters because the events will occur again.
Information sharing is important to enhance the national and regional capacity of disaster response and preparedness. Disasters will affect all countries in a region and should have shared counter measures for shared risks. It’s important to share lessons and good practice on disaster preparedness and response so holistically everyone can become better prepared.
Foreign Medical Teams (FMTs) were well coordinated in the past, but a challenge was a lack of appropriate registration and reporting systems for the FMTs. This problem could be addressed in the future by developing one organization to manage all the registration of FMTs. ASEAN countries can share this information between each other in advance so when a disaster happens, countries will already have a resource of FMT information and the appropriate paperwork for them to enter the affected country and begin their work.
The SPEED report system was a success to understand the situation, but the problem was there was no clear terminology. Standard terminology is important to prevent confusion and should be developed for the future.
Warning systems need to be widespread in the community, and it is recommended to use mobile phones to distribute early warning message in times of disaster.
It’s important that people are made aware of the evacuation routes in their community and this information should be consistently spread in the future. One way to do this is by painting arrows on the road so everyone knows how to evacuate. Regular drills should be used to practice evacuation.
The infrastructure to cope with disasters is a challenge. Proper infrastructure should be provided throughout the country, but specifically to those in high-risk areas. One way to do this is by elevating existing roads to serve as an escape route.
Logistics in the affected area had a challenge to deal with regional disparities in medical care. It’s suggested that transportation means should be brought to the affected area. Buses should be provided to bring people to hospitals.
Information management challenges include loose written data about vulnerable groups, who are the most in need. And this meant many people were overlooked and could not receive appropriate medical attention. It’s suggested that a web registration system should be used so people in leadership positions know where vulnerable people are. A website database should be created to collect the needs of the people.
Expectations for the ASEAN Disaster Medicine Network
Preparedness:
-To improve regional capacity of emergency medicine
-To build up relationship among disaster medicine personnel in the region
-To contribute for enhancing the disaster medicine globally
Response:
-To use geographic advantage for logistics cooperation
-To establish an effective patients transferring system
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