MCM Module 1 Risk management - World Health … training/MCM...MODULE 1 Sustainable Human...
Transcript of MCM Module 1 Risk management - World Health … training/MCM...MODULE 1 Sustainable Human...
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Risk Management
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Session 1: Common Terminology
Session 2: Risk Assessment Process
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Learning Objectives
• By the end of this module, the participant should be able to:
� Describe the basic terms and concepts used in risk
management
� Discuss the risk assessment process
� Do a simple community risk assessment
� Prepare a map of risk management
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Training/Learning Activity
This module will utilize:• lectures• small group activities • demonstration
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Key References
• Australia and New Zealand Risk Standard
• www.ema.gov.au
• www.fema.gov
• www.colorado.edu/hazards/
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SESSION I
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Sustainable Human Developmenthealth, education, governance, employment, environm ent (security)
public safety individuals
riskmanagement
emergencymanagement
hazard preventionand mitigation
emergencypreparedness
(readiness)
emergencyresponse and recovery
disaster emergencies non disasteremergencies
earthquakes (example) epidemics (example)
reconstruction andrehabilitation
vulnerabilityreduction
populations
+
++
+
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Questions and Answers
ACTIVITY
Use the cards provided to answer the 6 questions the facilitator will ask you.
Answer individually first, then work as a group to prepare a group answer.
Write your group answer on a flip chart.
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Disaster
is:
any actual threat to public safety/and or public health where local government
services are unable to meet the immediate needs of the community
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Coping with the Needs
Examples of what must be done in an emergency:� find and rescue victims
� evacuate victims to safe place
� provide first aid and medical transport
� treat the injured
� provide emergency shelter, sanitation, food and water
� provide care for the dead and manage the missing
� re-establish security
� re-establish essential services (water, energy, communications)
� repair essential infrastructure
� plan for recovery and reconstruction
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DisastersDate Place Hazard Deaths
1996 Kobe Earthquake 20,000
1999 Venezuela Flood 30,000
1985 Colombia Volcano 20,000
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Hazard
is:
any potential threat to public health and safety
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Hazards
There are 4 classes of hazard:
1. Natural hazards
2. Technological hazards
3. Biological hazards
4. Societal hazards
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Hazards• Some examples:
� Earthquakes
� Floods
� Volcanoes
� Civil unrest
� Sporting events
� Chemical factories
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An Emergency
is:
any actual threat to public health and safety
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EmergenciesSome examples:
� My son hasn’t come home from school
� A man is having a heart attack
� A plane is about to crash
� Gas is leaking from a factory
� An earthquake has happened in China
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Vulnerabilities
are:
Factors which determine the risks arising from a specific hazard in a specific community (determinants of risk)
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“Vulnerable Groups”
• Those who because of constraints of an economic, social, ethnic, biological, physical or geographical nature, are less able to cope with the impact of hazards than other members of their community or society
• Vulnerabilities are:� Intrinsic - specific to the individual - age, sex, health status,
mobility, literacy, habits, behaviour etc
� Extrinsic - shared by groups within a community - location, environment, poverty, availability of services, culture etc.
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Risks
are:
The probability and the consequences of exposure to a hazard
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Risks = Consequences
Some examples:� dead and missing
� injury (mental and physical)
� disease (mental and physical)
� secondary hazards (fire, disease etc.)
� contamination of the environment
� displacement
� breakdown in security
� damage to infrastructure
� breakdown in essential services
� loss of property
� loss of income …
MODULE 1MODULE 1A Community Consists of 5 Elements:
1. the people
2. their property (infrastructure, possessions and assets; public, private and cultural)
3. their services (government and non-government, commercial and voluntary)
4. their livelihoods (urban and rural, formal and informal)
5. their environment (air, water and soil; urban and rural, built and natural)
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Seven Fundamental Terms in Risk Management
A Logical Framework of Terminology (the relationships between the key words)
HazardAny potential threat to public safety and/or public health
RisksAnticipated consequences of a specific hazard interacting with a specific community (at a specific time)
EmergencyAn actual threat to public safety and/or public health
VulnerabilitiesFactors which increase the risks arising from a specific hazard in a specific community(risk modifiers)
DisasterAny actual threat to public safety and/or public health where local government and the emergency services are unable meet the immediate needs of the community
CapacitiesAn assessment of ability to manage to an emergency (a risk modifier) – total capacity is measured as readiness
Community is people, property, services, livelihoods and environment i.e. the elements exposed to hazards
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Logical Framework of Terminology
• COMMUNITY RISKS are proportional to
VULNERABILITIES
HAZARD X ÷READINESS
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SESSION II
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Demonstration
1. The facilitator will use a simple demonstration to illustrate the key terms in risk management
2. One of the participants will be asked to repeat the the demonstration and the others should comment on his/her presentation.
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Anatomy of Risks Managementcommunityhazard consequences
indicators indicators
natural hazardsbiological hazardstechnological hazardssocietal hazards
probability of
1. probability of occurrence2. scale: magnitude, intensity3. area, spread, duration
death; injury (mental and physical); disease (mental and physical)
loss of lifelines (i.e. shelter, water, food, energy); population displacement;; loss of property; loss of income
secondary hazards; breakdown in security; damage to infrastructure; breakdown in services; environmental contamination; etc.
Monitor and evaluate by following hazard specific rates and trends:•events/year•cases and deaths/100,000/year•cases and deaths/1000 affected/year•cases and deaths/event/year
EXCESS injuries, disease, disability
biological hazards:season, infectivity, latency transmission, resistance, etc.
earthquakes; floods/storms; famine; diseases of epidemic potential; events/crowds; intoxication; infestations; transport accidents; structural failures; industrial accidents; pollution; refugees; war; terrorism
X =
MODULE 1MODULE 1 communityhazard x vulnerability / readiness = Community Risks
risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:
natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)
biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year
water/soil/air quality cases and deaths/1000 affected/year
vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability
Prevention and Mitigation
Programme+
Vulnerability Reduction Programme
+Emergency
Preparedness Programme
=Community Risk
Management
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Click to edit Master title style
•Click to edit Master text stylesSecond level
Third levelFourth level
Fifth level
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DISASTER MANAGEMENT
CYCLE
PreparednessResponse
Relief &Recovery
DevelopmentPrevention
Mitigation
Disaster Impact
MODULE 1MODULE 1Hazard mitigation Hazard mitigation Hazard mitigation Hazard mitigation
and preventionand preventionand preventionand prevention
Vulnerability Vulnerability Vulnerability Vulnerability reductionreductionreductionreductionEmergency Emergency Emergency Emergency
managementmanagementmanagementmanagement
Emergency preparedness Emergency preparedness Emergency preparedness Emergency preparedness activities & Readinessactivities & Readinessactivities & Readinessactivities & Readiness
disaster
+
+
+
Risk Management
Safer communities & Sustainable development
Positive contribution
Negative impact
RecoveryRecoveryRecoveryRecovery
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Vulnerabilities
are
determinants of risk
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Exercise
• Develop 3 indicators of vulnerability for people as one element of community.
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Indicators of Vulnerabilities (for people)
• Access to health care
• Measles vaccination coverage rate
• Under 5 nutrition rate
• Under 5 mortality rate
• Access to safe water
• Access to sanitation
• Access to adequate housing
• Access to regular source of income
• Female literacy rates
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Exercise
• Develop 3 indicators of capacity for a community.
MODULE 1MODULE 1 communityhazard x vulnerability / readiness = Community Risks
risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:
natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)
biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year
water/soil/air quality cases and deaths/1000 affected/year
vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability
Prevention and Mitigation
Programme+
Vulnerability Reduction Programme
+Emergency
Preparedness Programme
=Community Risk
Management
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Capacities
are:
determinants of risk
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Preparedness
is:
measures to build capacitiesto respond to, and recover from,
emergencies
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• Legal Framework
�Policies�Procedures�Guidelines
�Plans�Resources�Authority
�Knowledge�Skills�Awareness
Ten key elements of preparedness
National, provincial, local, agency and National, provincial, local, agency and
institutional levelinstitutional levelPersonal and Personal and
community levelcommunity level
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Emergency Management
• To protect public safety and public health, a community and its emergency services need:
� Capacity to respond
� Capacity to recover
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Questions and Answers
� What is risk management?
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Risks Management
1. Brings all these concepts and terms together into a common framework
and
2. Provides a practical tool to collect evidence to guide policy makers and planners
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Risks Management Process
Risk assessment and analysis
Risk communication
Risk reduction
Risk monitoring
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Risks Assessment Process
1. Prepares hazard profiles
2. Maps the distribution of those hazards
3. Identifies the elements of the community exposedto those hazards
4. Predicts the consequences of a hazard interacting with that community at a certain time (e.g. in a certain season)
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Risks Assessment Process
5. Analyses each of the 5 elements of community in terms of
that hazard to identify the factors which will lead to each
consequence i.e. determines the vulnerabilities of each
element
6. Assesses risk reduction capacities within communities
The information from a Risk Assessment is used to undertake interventions to reduce risks by reducing exposure to hazards, reducing vulnerabilities and building capacities
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Risks Analysis
• COMMUNITY RISKS are proportional to
VULNERABILITIES
HAZARDS X ÷READINESS
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Risks Reduction
• The purpose of a risks analysis is to guide communities in planning for community risks reduction activities (protecting health and safety) by developing and maintaining 3 sets of plans:
� Hazard Reduction Plans (reduce exposure)
� Vulnerability Reduction Plans (reduce consequences)
� Emergency Preparedness Plans (increase capacity for response and
recovery)
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Outcome of a Risks Approach to Planning
Risks Interventions Responsible Agencies
Resources needed
Time needed Indicators
Injuries in a volcanic eruption
x, h, f A, C 1,2,3 P 5, i, %
Burns in factory fires y, a, n B 4,5,6 Q 7, m, *
Drowning during floods
z, d, e A, B, C, E 7,8,9 R 9, g, @
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Outcome of a Risks Management Approach
Safer and healthier communities
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Group exercise
Prepare a “map” of risk management.1. Make a 4 column table linking indicators of
hazard, vulnerabilities, capacities and risks2. In the first column, list the indicators of hazard3. In columns 2 and 3, list the indicators of
community – vulnerabilities and capacities4. In column 4 list the risks that result from
exposure to hazards5. Hazard + Community → RISKS
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Key Learning Points
• At community level, the Risks Management Framework uses :
• 4 classes of hazard• 5 elements of community
• 10 components of preparedness
to produce :
1 community risks reduction plan with 3 components
to protect public health and safety in communities
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• Legal Framework
�Policies�Procedures�Guidelines
�Plans�Resources�Authority
�Knowledge�Skills�Awareness
Ten key elements of preparedness
National, provincial, local, agency and National, provincial, local, agency and
institutional levelinstitutional levelPersonal and Personal and
community levelcommunity level
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Learning Objectives
• By the end of this module, the participant should be able to:
� Describe the basic terms and concepts used in risk
management
� Discuss the risk assessment process
� Do a simple community risk assessment
� Prepare a map of risk management
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WE PREVENT DISASTERS
IF
WE MANAGE EMERGENCIES
MODULE 1MODULE 1 communityhazard x vulnerability / readiness = Community Risks
risk initiator risk modifier risk modifierindicators: indicators: indicators: indicators:
natural hazards people: laws, policy, guidelines, procedures probability of:biological hazards: access to health care authority, resources, plans deathtechnological hazards measles vaccination knowledge, skills, attitudes injury (mental and physical)societal hazards under 5 nutrition multisectoral, all hazards disease (mental and physical)1. probability of occurrence under 5 mortality legislation2. scale: magnitude, intensity access to clean water national and sectoral policy loss of lifelines ie3. area, spread, duration access to sanitation administrative procedures (shelter, water, food, energy)
biological hazards: adequate housing response and recovery plans population displacementsseason, infectivity, latency employment/income preparedness plans loss of propertytransmission, resistance, etc female literacy technical guidelines loss of income earthquakes property: management structure floods/storms health infrastructure institutional arrangements secondary hazards famine vehicles information systems breakdown in security diseases of epidemic potential medical equipment/supplies warning systems damage to infrastructure events/crowds services: human resources breakdown in services intoxification curative care services material resources environmental contamination infestations ambulance services financial resources etc transport accidents public health services simulations and training structural failures health information system education industrial accidents livelihoods: public information pollution formal community participation Monitor and evaluate by following refugees informal research hazard specific rates and trends: war environment: publications events/year terrorism natural/built/urban/rural private sector role cases and deaths/100000/year
water/soil/air quality cases and deaths/1000 affected/year
vector habitats cases and deaths/event/yearforestry, agriculture EXCESS injuries; disease; disability
Prevention and Mitigation
Programme+
Vulnerability Reduction Programme
+Emergency
Preparedness Programme
=Community Risk
Management
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RISK MANAGEMENT
Thank you