ফিলিপিন মাত্র ৮ দিনে সকল তথ্য সংগ্রহ এবং দেশী বিদেশী সংস্থাকে দিতে পারে , কিন্তু বাংলাদেশের লাগে কয়েক বছর। বাংলাদেশে এই কাজের জন্যে আবার কয়েটা উপ কমিটি ও করা হয় !!! আমলাতন্ত্রের নামে হাস্যকর কাজ।

লিখেছেন লিখেছেন মাহফুজ মুহন ১৮ নভেম্বর, ২০১৩, ০৯:০৯:৫৩ রাত

বাংলাদেশের আমলা , মন্ত্রী , এমপিরা অভিজ্ঞতা অর্জনের নামে বিদেশে স্বপরিবারে ভ্রমন করেন। কিন্তু কাজের কাজ শূন্য। একটা রানা প্লাজা ধ্বংস হলো , কিন্তু জাতি দেখলো , সরকারী প্রসাশন কত অসহায়। তাহলে যদি আমাদের দেশে ফিলিপিনের মত কিছু হয় তাহলে উপায় ?

জনগণ মারা গেলে কি হবে। মন্ত্রী , এমপিদের তো কিছু হয় না। পারলে ক্ষমতা চিরকাল এক হাতে রেখে আমরণ ক্ষমতার স্বাদ ভোগ করতে যা ইচ্ছে তাই করে যাচ্ছেন।

একটু দেখুন। ফিলিপিনের সরকারী কাজ। এত ভয়াবহ অবস্থার মধ্যে ও তাদের কাজের গতি এবং পদ্ধতি।

এই লিখাটি যখন লিখছি , ঠিক তখন আমাদের পুরো ঠিম আহত মানুষের পাশে বসে তাদের চিকিত্সা , খাবার সহ অন্য প্রয়োজনীয় বিষয় গুলো মনিটরিং করছি। একটু অবসরে বসে এই লিখা। দাবী একটাই আমাদের বাংলাদেশ সরকার গুলো যেন একটু চিন্তা করেন , জাতির বিপদের সময় আমাদের কি হতে পারে।

লিখাটির উদ্দেশ্য - সিডর , আইলা , সহ কত দুর্যোগ আমাদের বাংলাদেশের উপর দিয়ে যায় , যখন দুর্যোগ দেখা দেয় , তখন কিছু চিত্কার , লিখা লিখি , আমলা , মন্ত্রীদের টিভি ভাষণ হয়। তার পর সব কিছু ভুলে ক্ষমতার লড়াই শুরু হয়। জাতির বিপদের কথা তারা মনে রাখেন না।

গত - ১৬ নভেম্বর ২০১৩ সরকারী ভাবে বিভিন্ন বিদেশী সাহায্য কারী দেশের কাছে তুলে দেয়া তথ্য হুবহু -

Public health risk assessment and interventions

–Typhoon Haiyan, Philippines

----- 16November 2013---

Executive summary ...

The Philippines archipelago was hit by category 5 hurricane on 8 November 2013,

affecting over 18 million people living in a large swathe across the center of the island group. There is substantial damage, and all homes and buildings in the path of the storm have been significantly damaged or destroyed. A large storm surge also hit the city of Tacloban, washing entire communities away. Most areas have no water,power or communications, little fuel, and access is hampered by the severely

damaged infrastructure :

principal health Issue :

(a) Wound sand injuries as a direct result

of the storm, or associated with post-event flooding

(b)Lack of food,water,sanitation and hygiene facilities,and related food and water-borne illnesses

(c)Problems associated with pregnancy and childbirth

(d)Respiratory infections associated with overcrowding, especially acute respiratory infections in children

(e)Measles, and potentially polio due to importation, are risks

(f) Malnutrition, especially of infants and young children, leading to increased and more severe disease

(g) Mental health and psychosocial conditions

(h).Leptospirosis from exposure to rodent excreta or contaminated water

(i)vector-borne diseases, especially dengue and chikungunya fevers.Malaria risks absent or low, except in a few affected provinces

(j.)Sexually transmitted disease immediate priorities

(a)Provision of food, safe drinking water, appropriate sanitation, shelter, and other essential non-food items including fuel for cooking

(b)Trauma care for the wounded with tetanus prevention

(c) Provision of medicines and medical supplies

(d)Establishment of emergency primary and secondary care for medical, surgical and obstetric emergencies

(e) Risk communication to the public

(f) Management of dead bodies with

retrieval and identification of victims

(g) Measles vaccination, and polio vaccination in high risk are

(h)Establishment of an early warning system for

early detection and response to outbreaks

(i) Infection control in healthcare units including safe blood transfusion and medical waste management, as well as sufficient water supply and sanitation

(j) Management of acute malnutrition including medical complications

(k) Continuity of treatment for chronic diseases and chronic infections such as tuberculosis

Short term priorities :

(a) Re-establishment of essential

health care services (primary ,referral and hospital care)

(b) emergency mental health care and psychosocial support

(c). Waste management

(d) Vector control and provision of personal protection against vector- borne disease

Medium term priorities :

(a) Post-surgical care and management of disabilities

(b) Routine immunization

(c) Health of victims who have migrated and potential returnees A national list of case definitions for likely conditions has been defined for clinical and epidemiological purposes

( WHO recommended case definitions for reference)

.

Laboratory diagnostic support is limited and clinical definitions are therefore essential for disease management. Staff deploying to the Philippines should be appropriately vaccinated and offered

malaria prophylaxis when required.

Prevention and management of malnutrition:

• Infants should normally start breastfeeding within one hour of birth and continue breastfeeding exclusively (with no food or liquid other than breast milk, not even water) until 6 months of age.

The aim should be to create and sustain an environment that encourages frequent breastfeeding for children up to 2 years of age. Infants who are not breastfed are vulnerable to infection and diarrhea

.

• Exclusive breastfeeding (for under 6-month-olds) and continued breastfeeding

should be encouraged and supported. Donations of milk powder supplies usually increase in emergency situations and contribute to a higher number of infants with diarrhea and pneumonia.

It also further exacerbates the low percentage of exclusively breastfed infants. For those unable to be breastfed, the following hierarchy of feeding should be followed:

(1) expressed breast milk by mother,

2)breastfeeding from surrogate donors and donor expressed breast milk. The few infants who have no access to breast milk require an adequate supply of infant formula, safe water and clean utensils. For those few cases,

health-care providers, including mothers, should be provided with guidance on the safe preparation of infant formula products.

•Many adults will have been or will now also be of borderline nutritional status, and given that

diarrhea disease will further compromise this, attention must be paid not only to the equitable distribution of food, but also to maintaining adequate nutrition of nursing mothers.

•Bacterial infections are very common in severely malnourished children on initial

admission to hospital. Clinical management of severely malnourished patients, including fluid management, must be thorough, carefully monitored and supervised. Common problems encountered in severe malnutrition include hypothermia, hypoglycemia, dehydration and electrolyte disturbances.

It is important that the phases and principles of management of severely malnourished children are followed as outlined in WHO guidelines.

• Populations dependent on food aid need to be given a food ration that is safe and ad

equate in terms of quantity and quality (covering macro-and micro-nutrient needs). Infants from 6 months onwards and older children need

hygienically prepared, and easy-to-eat, digestible foods that nutritionally complement breast milk. Regular assessments of households' access to food

(including market prices) need to be undertaken and emergency food aid need to be adapted accordingly. Households' access to facilities for the safe preparation of their food should also be assessed on a regular basis and emergency supplies of necessary utensils and appropriate energy sources for cooking should be adapted accordingly.

•After the acute phase of the emergency, efforts should be made to improve household access to food in a more sustainable way (e.g. seed distribution, land/crop management, income-generation activities) and to institute appropriate child-feeding and caring practices, including diversifying diets and

improved hygiene. It is important to emphasize that poor hand hygiene exacerbates the spread of diarrhea diseases, even in the presence of adequate nutrition

Essential Health service :

Good case management is predicated on ensuring access to care. Access to health clinics for the affected population is critical, including case-management protocols and medications/material to treat likely high-burden conditions (trauma/wounds, communicable and non-communicable diseases, emergency reproductive health services).

•Priority must be given to providing

emergency medical and surgical care to people with traumatic injuries, which account for many of the health-care needs among those requiring medical attention in the immediate aftermath of the event.

Falling structures cause crush injuries, fractures, and a variety of open and closed wounds. Appropriate medical and surgical treatment of these injuries is vital to improving survival, minimizing future functional impairment and disability and ensuring as full a return as possible to community life. In order to prevent avoidable death and disability, field health personnel dealing with injured survivors should observe the following basic principles of trauma care.

•Patients should be categorized by the severity of their injuries and treatment prioritized in terms of available resources and chances for survival. The underlying principle of triage is allocation of resources in a manner ensuring the greatest health benefit for the greatest number. Open wounds must be

considered as contaminated and should not be closed. Debarment of dead tissue is essential which, depending on the size of the wound, may necessitate a surgical procedure undertaken in appropriate (e.g. sterile) conditions. Any associated involvement of organs, neurovascular structures, or open

fractures will also necessitate appropriate surgical care.

•After debarment and removal of dead tissue and debris, wounds should be dressed with sterile dressings and the patient scheduled for delayed primary closure.

•Patients with open wounds should receive tetanus prophylaxis (vaccine and/or immune globulin depending on vaccination history). Antibiotic prophylaxis or treatment will likely be indicated.

Risk communication :

Risk communication is a critical tool for effective management of public health emergencies. When the public is at risk of a real or potential health threat, treatment options may be limited, direct interventions may take time to organize and resources maybe few. Communicating advice and guidance, therefore, is often the most important public health tool in managing a risk.

• Sleep under an insecticide-treated bed net.

•Make sure your house or tent/shelter has been properly sprayed with insecticide during the transmission season.

•Wear protective clothing at times when mosquitoes and other biting insects are active.

•Stay indoors when outdoor biting mosquitoes are most active.

•Use insect repellents and mosquito coils if available.

•Remove, destroy or empty small rain-filled containers near the house or tent/shelter. Diagnosis and treatment of fever, diarrhea and other illnesses should be within 24 hours from observation of first signs of symptoms.

•For diarrhea, oral dehydration salts made with safe (boiled and chlorinated) water should be consumed

Surveillance/early warning and response system:

The purpose of the surveillance/early warning and response system is to detect disease outbreaks. Rapid detection of cases of epidemic-prone diseases is essential to ensure rapid control. The local system, SPEED (Surveillance in Post Extreme Emergencies & Disasters) is designed for this purpose and will be utilized. Co-ordination of surveillance information through the health cluster (Department of Health and WHO) will be done to provide a more comprehensive coverage. The surveillance system will inform risk assessments of any disease incident, allowing resources to be allocated proportionally and appropriately

প্রতিটি জনগনের এই বিষয়ে যতেষ্ট সচেতন হতে হবে , বিশেষ করে আমাদের দেশের (প্রয়োজনীয় ও সংক্ষিপ্ত )

বিষয়: বিবিধ

১৪২৫ বার পঠিত, ০ টি মন্তব্য