The 921 Earthquake, 1999

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The 921 Earthquake, 1999
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Need Assessment Questionnaire
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Need assessment

• Random sampling 100 households
• Interview face-to-face by structure questionnaire

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Assessment of post-earthquake needs
Items of Needs the most
-- Adequate no. of shower and
toilets in the shelter
63.8
-- Drinking water
47.8 -- The sanitation of
shower and toilets 36.2 --
The assurance of living in those home
33.3 -- The structural safety of homes
30.0 -- School of
children
18.8 -- Job
8.7
-- Tents
7.3 -- Food

2.9 -- Medication supply
2.9
-- Clothes for winter
2.9 -- Blanket

2.9
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The most needed from the government
Items
Household arranged
75.3 Reconstructure of home 13.0 Living
expense 10.1 Job
7.2 Schooling
of children 5.8
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Charts used in 921quake medical stations
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Establish active surveillance

• 25 monitor stations
• Staff from central and local Health Department
• Monitored diarrhea, respiratory illness,
  injuries, dermal conditions, 38 notifiable
  disease, chronic disease, drinking water, garbage
• Reporting every day

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Disease Surveillance Teams in Disaster Areas
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No. of Teams and Workers Assigned for Disease
Surveillance

• Supporting Agency No. of Teams No. of workers
  Duration
• 
  (person-times)
• CDC,DOH 3 77 29/9-16/10
• Health Bureau
• (less bureaus 7 141
  13/10-30/11
• in central part)
• one team a week teams worked together for one
  day for shift-relief

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Morbidity, percentage for selected diseases (from
Oct. 4 to Nov. 14)
DataWei-Jen Chen, M.D., Ph.D.
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Crude incidence for selected disease in
earthquake ARI
No. of cases (per sentinel physician per week)
Post-earthquake time
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Crude incidence for selected disease in
earthquake Acute gastroenteritis
No. of cases (per sentinel physician per week)
Post-earthquake time
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Cases of Shigellosis identified in Nantou
County during the quake
Distributed Area
No. of Cases
Nanfeng Village (???)
6
Chunyang Village (???)
2
Chingying Village (???)
5 Hetsuo Village (???)
1 Fahsiang. Village
(???) 1
Total
15_at_
Number of positive cases in the last three
years 36 (1996), 38 (1997), 28 (1998) one of
them lived in Puli (???) _at_ two were asymptomatic.
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Comparison of Shigella Dysentery Cases between
1997-1998 in Taichung and Nantou County
Reported Cases
Confirmed Cases
Taichung County
Nantou County
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Division heads visited the disaster areas for
supervision
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Team for Environmental Sanitation Survey
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Water supplies in disaster areas
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Donated mineral water in disaster area
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Vector control

• Insecticide spray

Disinfection of fields
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Immunization

• Vaccination
• Established temporary vaccination station
• Influenza vaccination for gt65 years old persons
• Hepatitis A vaccination for cook
• Keep routine immunization program
• influenza for the elderly
• additional 70,000 doses procured
• 50,292 persons immunized
• hepatitis A vaccines for food handlers
• 3,750 doses used

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Health Education for Public

• Provide the Information of Communicable Diseases
• Report of disease information
• Correct of Rumors
• Health education of the public

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Publishing a Manual on Disease Control at
Earthquake

• To educate the public how to handle food and
  drinking water, and how to dispose of refuses and
  human wastes to prevent communicable diseases

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Publishing a Manual on the Prevention and
Control of Communicable Diseases in Disaster Area

• To educate the public on the routes of
  transmission of various communicable diseases
  and ways to prevent and control them

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News Released