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Operation Navajeevan: A Public-Private Partnership Model for Disaster Relief in Kozhikode, India

Published online by Cambridge University Press:  01 May 2020

Sonia Haris ,
Venugopalan Poovathumparambil ,
Naveen Anaswara ,
Samantha Noll ,
Aditi Ghatak-Roy ,
Nicholas Dreyer ,
Nehal Naik Open the ORCID record for Nehal Naik [Opens in a new window] ,
Katherine Douglass ,
Janice Blanchard  and
Kevin Davey Open the ORCID record for Kevin Davey [Opens in a new window]
Sonia Haris
Affiliation:
Saint Peter’s Hospital, Emergency Department, Chertsey, Surrey, UK
Venugopalan Poovathumparambil
Affiliation:
Aster DM Healthcare Hospitals, Department of Emergency Medicine, Calicut, Kerala, India
Naveen Anaswara
Affiliation:
National Health Mission, Calicut, Kerala, India
Samantha Noll
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Aditi Ghatak-Roy
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Nicholas Dreyer
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Nehal Naik
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Katherine Douglass
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Janice Blanchard
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
Kevin Davey*
Affiliation:
George Washington University, Department of Emergency Medicine, Washington DC
*
Kevin Davey, MD George Washington University Department of Emergency Medicine 2120 L Street NW, Suite 450 Washington, DC20037USA E-mail: kdavey0210@gmail.com
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Abstract

Introduction:

In August 2018, India’s southern state of Kerala experienced its worst flooding in over a century. This report describes the relief efforts in Kozhikode, a coastal region of Kerala, where Operation Navajeevan was initiated.

Sources:

Data were collected from a centralized database at the command center in the District Medical Office as well as first-hand accounts from providers who participated in the relief effort.

Observations:

From August 15 through September 8, 2018, 36,846 flood victims were seen at 280 relief camps. The most common cause for presentation was exacerbation of an on-going chronic medical condition (18,490; 50.2%). Other common presentations included acute respiratory infection (7,451; 20.2%), traumatic injuries (3,736; 10.4%), and psychiatric illness (5,327; 14.5%).

Analysis:

The prevalence of chronic disease exacerbation as the primary presentation during Operation Navajeevan represents an epidemiologic shift in disaster relief in India. It is foreseeable that as access to health care improves in low- and middle-income countries (LMICs), and climate change increases the prevalence of extreme weather events around the world, that this trend will continue.

Keywords

disaster responseemergency medicineflood reliefglobal health
Type
Field Report
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 3 , June 2020 , pp. 346 - 350
Copyright
© World Association for Disaster and Emergency Medicine 2020

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References

Baynes, C. Worst floods in nearly a century kill 44 in India’s Kerala state amid torrential monsoon rains. The Independent. August 15, 2018.Google Scholar
Death toll in Kerala floods rises to 417, 36 people still missing. India Today; New Delhi. August 24, 2018.Google Scholar
National Disaster Management Authority. On Twitter. Accessed April 11, 2019.Google Scholar
Elrod, JK, Fortenberry, JL. The hub-and-spoke organization design: an avenue for serving patients well. BMC Health Services Research. 2017;17(S1):457.CrossRefGoogle ScholarPubMed
Devarakonda, S. Hub and spoke model: making rural healthcare in India affordable, available and accessible. Rural Remote Health. 2016;16(1):3476.Google ScholarPubMed
Wilson, RK. Operation TOMODACHI: A Model for American Disaster Response Efforts and the Collective use of Military Forces Abroad. Cambridge, Massachusetts USA: Harvard University; 2012.10.21236/ADA567991CrossRefGoogle Scholar
Birla, B, Taneja, U. Public Private Partnerships for healthcare delivery in India. Internet J World Health Soc Politics. 2008;7(1).Google Scholar
International Financial Corporation. India’s New Health Care PPP Mends Medical Infrastructure. May 2017. https://www.ifc.org/wps/wcm/connect/news_ext_content/ifc_external_corporate_site/news+and+events/news/impact-stories/health-care-ppp-jharkhand-india. Accessed August 19, 2019.Google Scholar
Raman, AV. Public-Private Partnership in Healthcare: Context, Models, and Lessons. Geneva, Switzerland: World Health Organization.CrossRefGoogle Scholar
UNISDR. Making Development Sustainable: The Future of Disaster Risk Management. Global Assessment Report on Disaster Risk Reduction. Geneva, Switzerland: United Nations Office for Disaster Risk Reduction (UNISDR); 2015.Google Scholar
Angeline, N, Azbazhagan, S, Surekha, A, Joseph, S, Kiran, PR. Health impact of Chennai floods 2015: observations in a medical relief camp. Int J Health System Disaster Manag. 2017;5(2):46–48.Google Scholar
Pal, S, Juyal, D, Sharma, M, et al.An outbreak of hepatitis A virus among children in a flood rescue camp: a post-disaster catastrophe. Indian J Med Microbiology. 2016; 34(2):233.Google Scholar
Saulnier, DD, Brolin Ribacke, K, von Schreeb, J. No calm after the storm: a systematic review of human health following flood and storm disasters. Prehosp Disaster Med. 2017;32(5):568–579.CrossRefGoogle ScholarPubMed
United Nations Office for the Coordination of Humanitarian Affairs. Mozambique Cyclone Idai & Floods - Situation Report No. 18. Published April 22, 2019.Google Scholar
Sur, D, Dutta, P, Nair, GB, Bhattacharya, SK. Severe cholera outbreak following floods in a northern district of West Bengal. Indian J Med Res. 2000;112:178–182.Google Scholar
Karande, S, Bhatt, M, Kelkar, A, Kulkarni, M, De, A, Varaiya, A. An observational study to detect leptospirosis in Mumbai, India, 2000. Arch Dis Child. 2003;88(12):1070–1075.CrossRefGoogle Scholar
Engelgau, MM, El-Saharty, S, Kudesia, P, Rajan, V, Rosenhouse, S, Okamoto, K. Capitalizing on the demographic transition: tackling noncommunicable diseases in South Asia. eSocialSciences. 2011.Google Scholar
Ayushman Bharat Health Insurance: Who All It Covers, How to Apply. Economic Times of India. December 31, 2018.Google Scholar
Primary Health Care Performance Initiative. Kerala, India: decentralized governance and community engagement strengthen primary care. 2018. https://improvingphc.org/promising-practices/kerala. Accessed August 19, 2019.Google Scholar
Sauvaget, C, Ramadas, K, Fayette, JM, Thomas, G, Thara, S, Sankaranarayanan, R. Socio-economic factors & longevity in a cohort of Kerala State, India. Indian J Med Res. 2011;133(5):479–486.Google Scholar
Nabae, K. The health care system in Kerala-its past accomplishments and new challenges. J National Institute Public Health. 2003;52(2).Google Scholar
Ringel, JS, Chandra, A, Leuschner, KJ, et al.Lessons Learned from the State and Local Public Health Response to Hurricane Katrina. Santa Monica, California USA: RAND Corporation; 2007.Google Scholar
Peters, MN, Moscona, JC, Katz, MJ, et al.Natural disasters and myocardial infarction: the six years after Hurricane Katrina. Mayo Clin Proc. 2014;89(4):472–477.CrossRefGoogle ScholarPubMed
Ford, ES, Mokdad, AH, Link, MW, et al.Chronic disease in health emergencies: in the eye of the hurricane. Prev Chronic Dis. 2006.Google ScholarPubMed
Ryan, B, Franklin, RC, Burkle, FM Jr., et al.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 Curr. 2015;7.Google ScholarPubMed
Miller, AC, Arquilla, B. Chronic diseases and natural hazards: impact of disasters on diabetic, renal, and cardiac patients. Prehosp Disaster Med. 2008;23(2):185–194.CrossRefGoogle ScholarPubMed
Math, SB, John, JP, Girimaji, SC, et al.Comparative study of psychiatric morbidity among the displaced and non-displaced populations in the Andaman and Nicobar Islands following the tsunami. Prehosp Disaster Med. 2008;23(1):29–34.CrossRefGoogle ScholarPubMed
Math, SB, Girimaji, SC, Benegal, V, Uday Kumar, GS, Hamza, A, Nagaraja, D. Tsunami: psychosocial aspects of Andaman and Nicobar Islands. Assessments and intervention in the early phase. Int Rev Psychiatry. 2006;18(3):233–239.CrossRefGoogle ScholarPubMed
Goenjian, AK, Molina, L, Steinberg, AM, et al.Posttraumatic stress and depressive reactions among Nicaraguan adolescents after hurricane Mitch. Am J Psychiatry. 2001; 158(5):788–794.10.1176/appi.ajp.158.5.788CrossRefGoogle ScholarPubMed
World Health Organization, Office of the United Nations High Commissioner for Refugees. MhGAP humanitarian intervention guide (mhGAP-HIG): clinical management of mental, neurological and substance use conditions in humanitarian emergencies. 2015. http://www.who.int/mental_health/publications/mhgap_hig/en/. Accessed September 20, 2019.Google Scholar
IPCC. Global Warming of 1.5°C. https://www.ipcc.ch/sr15/. Accessed August 21, 2019.Google Scholar
IPCC. Special Report on Climate Change, Desertification, Land Degradation, Sustainable Land Management, Food Security, and Greenhouse gas fluxes in Terrestrial Ecosystems. https://www.ipcc.ch/srccl. Accessed August 21, 2019.Google Scholar
IPCC. Managing the Risks of Extreme Events and Disasters to Advance Climate Change Adaptation. https://www.ipcc.ch/report/managing-the-risks-of-extreme-events-and-disasters-to-advance-climate-change-adaptation/. Accessed August 21, 2019.Google Scholar
Guha-Sapir, D, Hoyois, P, Wallemacq, P, Below, R.Annual Disaster Statistical Review 2016: The Numbers and Trends. Brussels, Belgium: CRED; 2016.Google Scholar