Refugee rehabilitation & Disaster Management
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Transcript of Refugee rehabilitation & Disaster Management
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REFUGEE REHABILITATION & DISASTER MANAGEMENTDr A Adeniran MBBS, MPH, FMCPH
Consultant Public Health PhysicianLagos State University (College of Medicine)Nigeria
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Outline • Who is a refugee?• Causes of Refugee Situations/Disaster • Consequences• Disaster management• Rehabilitation: Definition, Types etc
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Who is a Refugee?• Someone who has fled their country of origin and is at risk
of persecution because of race, religion, political opinion, nationality, or membership of a particular social group.
• Persecution usually means execution, torture, imprisonment without trial, mistreatment and/or other serious denial of rights
• ‘Refugee’ is an internationally accepted legal term
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Causes of Refugees’ Situations• Man made Disasters: civil conflicts etc• Natural Disasters: earthquake, etc
• WHAT IS A DISASTER?
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Consequences of Refugees Experiences
• Psychological: - anxiety - panic attacks - startle responses - flashbacks - depression - grief reactions - dissociation or numbing - sleeping problems - irritability or aggressiveness - emotional stress - eating disorders - psycho-sexual problems - - inability to plan for the future- pre-occupation with the past.
- Some people may also have symptoms of post traumatic stress disorder (PTSD), including: ◗ intrusive thoughts, memories, flashbacks and nightmares of traumatic/persecutory content etc
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Consequences
Physical - poor dental health resulting from poor nutrition, - lack of fluoridated water, poor dental hygiene practices and
limited dental care - infectious diseases including tuberculosis or intestinal parasites - injuries and disabilities such as musculoskeletal pain or
deafness resulting from war or torture- undiagnosed/under-managed hypertension, diabetes and
chronic pain - delayed growth and development among children - low levels of
immunization - Others: FGM, Sexual assaults etc
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Consequences• Social- money - finding employment and being under-employed ◗- Housing – education & other lack of other social
protection
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DISASTER MANAGEMENTWHAT IS A DISASTER?
• Sudden, unexpected, and widespread Adverse Event that leads to disruption to normal patterns of life. Such disruption is usually severe and may also be sudden, unexpected, and widespread.
• A disaster is an occurrence disrupting the normal conditions of existence and causing a level of suffering that exceeds the capacity of adjustment of the affected community. WHO
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What Type of Disaster is this?- Earthquake - Volcanic eruption, - Tsunami, - Tropical cyclone (typhoon, hurricane), - Flood, - Landslide, - Bushfire (or wildfire), - Drought, - Epidemic, - Major accident,- Civil unrest.
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General Effects of Disaster• Loss of life• Injury, • Damage to and destruction of property, • Damage to and destruction of subsistence and cash
crops, • Disruption of production, • Disruption of lifestyle, • Loss of livelihood, • Disruption to
essential services, • Damage to national infrastructure and disruption to governmental systems,
• National economic loss, and • Sociological and psychological after effects.
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6 steps Cycle of Disaster Management
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Agencies Responsible in Nigeria
•NEMA