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Challenges for Nepal Earthquake Response Continue

Thanks to extensive eye- witness video and the presence of US Search and Rescue teams already on the ground, the second major earthquake in less than three weeks in Nepal briefly brought the nation back into the 24 hour news cycle.  Our thoughts and prayers go out to the Nepalese people and to the

 

Series of Nepal Earthquakes

From the Overseas Security Advisory Council (OSAC)

A 7.8-magnitude earthquake hit Nepal on April 25, leaving nearly 8,000 people dead and well over 14,000 injured, and these numbers are expected to rise. In the aftermath, the U.S. Embassy issued a Travel Warning on May 1, advising against non-essential travel and authorizing departure for Embassy family members. Further, the U.S. Centers for Disease Control & Prevention (CDC) has issued a Level 3 Traveler’s Health Notice against non-essential travel.

Major issues:

1. Lack of clean water resulting in diarrheal disease.  This will worsen in the next several weeks with the upcoming monsoon season.

“The government is conducting public health messaging to reduce the risk of disease outbreak. Humanitarian aid workers are working to prevent the outbreak of communicable diseases – primarily cholera, dysentery, enteric ailments, typhoid fever, and respiratory infections. They are handing out bottled water and purification tablets and educating on basic hygiene techniques. However, according to the South Asia technical advisor for WaterAid, “We are going to get a cholera outbreak.” Cholera outbreaks globally often begin in rural areas where fresh water access and safe hygienic practices are less common.

The government is conducting public health messaging to reduce the risk of disease outbreak. Humanitarian aid workers are working to prevent the outbreak of communicable diseases – primarily cholera, dysentery, enteric ailments, typhoid fever, and respiratory infections. They are handing out bottled water and purification tablets and educating on basic hygiene techniques. However, according to the South Asia technical advisor for WaterAid, “We are going to get a cholera outbreak.” Cholera outbreaks globally often begin in rural areas where fresh water access and safe hygienic practices are less common. However, there are increasing reports of enteric diseases (diarrhea) in Khokana in the Kathmandu Valley.”

2.  Destruction of infrastructure: Roads are out and the KTM airport is taking a beating with the massive influx of heavy lift planes bringing aid.  The remoteness of Nepal, a key attraction to adventure tourists and expeditions, is also a major challenge in this crisis response.

“A World Health Organization (WHO) rapid assessment on May 1 reported that hospitals in the four most-affected districts (Ramechhap, Nuwakot, Chautara, and Rasuwa) were “completely
destroyed or too badly damaged to function,” and that five major hospitals (Gorkha District Hospital, Patan Academy of Health Sciences, Dhading District Hospital, Hetauda District
Hospital, and Alka Hospital in Lalitpur) were “in [urgent] need of further medical supplies.”

 

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Rural Nepal Hardest Hit: Carolinas Medical Center Disaster Medicine Docs on Scene

May 1 (D+6)

Carolinas Medical Center Division of Operational and Disaster Medicine physicians supporting Team Rubicon have moved to the Sindhupalchowk district outside of Kathmandu. Reports indicate that within the city, hospitals and communication infrastructure are functioning adequately and USAR activities are robust.

Recognizing that assessments of the rural areas were limited and the communities largely not yet accessed by relief workers, our team moved rapidly to assist with both assessments and provision of care. Team Rubicon’s is moving quickly and updates can be found on their website.

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Raw update from people on the ground (reported through CAN-USA personnel)

this post).

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Carolinas Disaster Medicine Docs arrive in Nepal

April 29, 2015 1500 EST

Four Emergency Medicine physicians from the Carolinas Medical Center Division of Operational

Medicine have arrived in Nepal in support of Team Rubicon’s Operation Tenzing. We are awaiting the initial situation report and continuing to track the ongoing response requirements. A good summary of the eathquake can be found at

If you are interested, please considering donating to support the mission (.

 

 

 

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Nepal Earthquake Response

Dr. David Callaway

Carolinas Medical Center- Main, Charlotte, NC

 

On April 25th, 2015 an earthquake of magnitude 7.8 struck Nepal with the epicenter west of the capital of Kathmandu. Within 12 hours, the Carolinas ODM team was working in coordination with , the American Nepalese Medical Foundation, The Computer Association of Nepal-USA, and the Nepalese diaspora to provide medical and technical expertise for a rapid response reconnaissance team. Within 24 hours of the event, the Division coordinated the deployment of Dr. Sapana Adhikari, a Nepalese-American Emergency Medicine physician from Charlotte to support Team Rubicon Operation Tenzing .

Efforts are ongoing with an additional team of 3 physicians

of revolutionary technologies and strategies are being deployed in response to the tragic Nepal earthquake.

See work by Patrick Meier, PhD
Blog:
Book:

Unmanned Aerial Vehicles (UAV) Work in Humanitarian Crisis

 

 

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