Running head: VOLCANIC DISASTER Volcanic Disaster Management Plan Evaluation Michael Sibal COH 440-Preparedness & Disaster Management May 2nd, 2015 Sibal 2 Volcanic Disaster Volcanic Disaster Management Plan Evaluation Amid the many types of disasters that happen in our world today, volcanic eruptions are perhaps one of the most dangerous natural events that have the potential to threaten the public’s health, infrastructure, and the environment. According to the United States Geological Survey (USGS), since the 1980’s, volcanic activity worldwide has caused more than 29,000 fatalities, forced an estimated 1,000,000 families to flee from their homes, and has contributed to millions of dollars in economic losses (USGS, 2005). One of the most well known volcanic eruptions ever recorded is the Mt. Pinatubo eruption of 1991, which occurred in the Philippines (Asian Disaster Reduction Center, n.d.). While the eruption of Mt. Pinatubo amounted to 657 mortalities and 184 injured individuals, the preparedness plans that were implemented during this event successfully saved 75,000 people in evacuation centers before its climactic June 15 eruption (USGS, 2005). For the purposes of this paper, the successful disaster management efforts made during the Mt. Pinatubo eruption will be referenced, in order to thoroughly evaluate the processes and outcomes of a new volcanic disaster management plan that was used during the recent Mt. Miguel eruption in the Philippines. Moreover, this paper will discuss the various data collection methods that were used during the volcanic emergency, while also explaining how the disaster management team presented the evaluation results to all stakeholders involved in this event. Process Evaluation Based on the risk assessment done at the location of the volcanic eruption, it is evident that the most life loss, injuries, and infrastructural/environmental damages recorded were within the three provinces that border Mt. Miguel. In these provinces, program evaluators conducted key informant interviews with the mayors of each city, in order to attain accurate, primary Volcanic Disaster Sibal 3 accounts of the overall status of evacuation efforts within each town. In addition to conducting key informant interviews, program evaluators also assessed the effectiveness of the protective interventions/strategies that took place before and during the eruption. Like the Mt. Pinatubo eruption, the most significant protective intervention carried out by the disaster management team during the Mt. Miguel eruption was the opening of evacuation centers at safe distances from the volcano. In order to evaluate the effectiveness and progression of evacuation procedures and relocation to shelters, program evaluators conducted surveys with various focus groups made up of evacuees from each shelter. Within each survey, participants were asked 20 questions based on the overall process, organization, and helpfulness of disaster management personnel. Aside from key informant interviews and focus group surveys, program evaluators also reached out to a panel of experts made up of volcano specialists from the USGS, visiting representatives from the Federal Emergency Management Agency (FEMA), and respiratory disease specialists from the Centers for Disease Control and Prevention (CDC). From this collaborative group of experts, program evaluators were able to receive feedback of how they can improve their evacuation strategies in future volcanic emergencies. Moreover, based off the responses from the surveys given, FEMA offered suggestions of how evacuees can gather into shelters in more organized, and timely procedures. Additionally, FEMA suggested that disaster management planners in the Philippines create more awareness about family emergency kits. According to FEMA, preparing a disaster supply kit along with a family disaster plan will help Filipino families to be more prepared, knowledgeable, and calm in the event of another volcanic eruption (FEMA, 2015). Lastly, the CDC, in collaboration with the Republic of the Philippines Department of Health (DOH), actively observed the respiratory health conditions of individuals at each shelter. This was done in order to determine which medications, medical supplies and Volcanic Disaster Sibal 4 personnel are needed to treat adverse health conditions caused by inhalation of toxic volcanic ash. In addition, UNICEF Philippines also stepped in to provide clean water, sanitation and hygiene resources to evacuation centers, based on observations made by the DOH reporting a lack of overall sanitation at shelters and make shift clinics. Data Collection As with any emergency, data collection is extremely important and necessary for gathering information on disease surveillance, mortality rates, structural damage reports, evacuee counts, and other forms of statistical information that will be useful for evaluation purposes. In the case of the Mt. Miguel eruption, the first data that was collected by the Department of Social Welfare and Development (DSWD) was the number of displaced families after the eruption. Fortunately, following the positive example of Mt. Pinatubo’s evacuation efforts, the DSWD was able to successfully evacuate 60,705 individuals from the three mainly affected provinces. According to DSWD reports, 28 individuals were reported as missing or displaced two months after the event. In order to collect this data, the DSWD utilized both primary and secondary information gathered by the DOH on evacuee admission, while also using data gathered by the Philippine National Police Department from families who have reported missing loved ones. In addition to collecting data on missing individuals, the DOH in partnership with the CDC actively practiced disease surveillance methods to keep track of the various health complications, disease outbreaks, and injuries that resulted from the incident. In order to collect accurate, active surveillance data, the DOH made sure to constantly communicate with all health care providers, laboratories, and pharmacies working with each shelter, hospital, and clinic that housed evacuees. Surveillance information was then used to monitor rising disease trends, identify possible epidemics, plan for new treatments/protocol, and evaluate existing disaster management Volcanic Disaster Sibal 5 interventions. According to the DOH, the leading diseases found within evacuation centers included acute respiratory infections, diarrhea, and mosquito related diseases such as dengue and malaria. Aside from disease surveillance, the National Disaster Coordinating Council in partnership with the Philippine Department of Agriculture also used data collection methods in order to assess the amount of damages to houses, public buildings, agriculture, and natural resources such as local rivers and forests. Infrastructural, agricultural, and environmental damage data was collected via “classification of damage” techniques, which categorized the damages into 3 categories: total damage, severe damage, and partial damage (United Nations Development Program, 2014). Data collected from each category was then totaled and reported to the United Nations Development Program in the Philippines for further study and evaluation. Outcome Evaluation After the process evaluation and data collection have been completed, it is important for program evaluators to thoroughly assess the overall effectiveness of the volcanic disaster management plan by conducting an outcome evaluation. According to the World Health Organization (WHO), the first step program evaluators must do is choose the type of design that will be used to evaluate any changes and improvements made by the disaster management plan (WHO, 2000). In the case of the Mt. Miguel eruption, program evaluators have utilized a randomized experimental design. A randomized experimental design was chosen by evaluators in order to avoid any potential biases or judgments that may interfere with the data. Moreover, by using an experimental design, evaluators have a stronger control over confounding variables, while still producing defensible evidence of effectiveness. This particular design focused on the responses of multiple groups of evacuees, comparing the initial surveys taken at various shelters during the mitigation and response phase, to multiple groups of evacuees who took the survey Volcanic Disaster Sibal 6 during the recovery phase. Based on the comparison of survey responses recorded during the mitigation and recovery phase, it is evident that a majority of evacuees were satisfied with the disaster management personnel in both phases. According to a question on the survey asking participants to rate the overall helpfulness and care of the disaster management team from a 1-10 (10 being the best), 70% of surveys produced an average rating of 8.5. Contrastingly, the mitigation phase surveys convey that evacuees at centers felt as though the evacuation process was very disorganized and hectic, giving an average approval rating of 3. Additionally, recovery phase surveys make it clear that the various medical treatments and services given to evacuees during the response phase were very effective, and “comforting”. While results from the two random groups of evacuees differed from one another, both groups agreed that the disaster management team could improve its disaster warning strategies, in addition to its relocating procedures. Other suggestions made by both groups included choosing larger and cleaner evacuation centers, establishing better partitions in restroom areas, providing more food options to accommodate individuals with allergies, and bringing in electric fans or portable air conditioners into the shelters in order to avoid heat stroke. Lastly, program evaluators have also began to evaluate the effectiveness of relief efforts initiated in each province. Based off reports given by the Philippine Red Cross, program evaluators have seen successful allocation of relief goods/donations based on the specific needs of each community. Further supporting the successful outcome of relief efforts, the Catholic Relief Services (CRS) has also been instrumental at donating funds for building temporary shelters for disaster stricken areas. According to program evaluators, the CRS in partnership with the Philippine Red Cross, Action Against Hunger, and GlobalGiving have been the top contributors of funds, food, fuel, clean water, hygiene products, rehabilitation services and spiritual support to Mt. Miguel victims. Volcanic Disaster Sibal 7 Reporting Following the completion of the process and outcome evaluations, program evaluators, city mayors, members of various organizations, representatives from each community, and other important governmental and non-profit stakeholders gathered for a large post-event meeting. At this meeting, program evaluators presented a formally written “recovery report” packet to stakeholders, which discussed all disaster management details on the Mt. Miguel eruption. Aside from the general public who experienced the disaster first hand, additional important stakeholders who attended this meeting included the Philippine Red Cross, UNICEF Philippines, the CRS, the CDC, and the WHO. Within each packet, stakeholders were provided information that covered the nature of the disaster, along with data explaining the extent of overall damage on infrastructure, agriculture and human life. Furthermore, this report thoroughly discussed the various methods used to process evaluate the disaster management plan, including a copy of the survey questions given, documented versions of key informant interviews, and a list of suggestions/comments made by the recruited expert panel. Additionally, the outcome evaluation results were also included in this report for the purpose of conveying how effective and beneficial evacuation centers were during the event. Included in this section of the report were the concerns made by evacuees, in addition to feedback given by healthcare personnel on their experiences working in the shelters. In order to make the data and results from both evaluations more tangible, program evaluators constructed bar graphs, charts, and diagrams that illustrated the conditions of the three affected provinces before, during, and after the eruption. Moreover, colored photos of disaster damages, evacuation centers, and the disaster management team in action were also included in this packet. Aside from the packet of information, each stakeholder was given a clear and concise bulleted fact sheet, which briefly described the efforts, successes Volcanic Disaster Sibal 8 and weaknesses of the disaster management plan used during the event. Further supplementing the recovery packet and Mt. Miguel disaster management fact sheet, program evaluators also created a slide show presentation to engage stakeholders. Within this presentation, live footage of the disaster was shown, in addition to moving interviews of evacuees who thanked the disaster management team for all their services. Conclusion While volcanic eruptions are indeed public health emergencies that may greatly harm and destroy entire communities, the events of Mt. Pinatubo and Mt. Miguel convey that disasters such as these can certainly be addressed by effective disaster management planning. As with any public health threat, prevention, preparedness and community awareness are keys to reducing the amount of mortalities during an emergency, while also keeping populations safe and healthy before, during, and after the event. In the case of the Mt. Miguel eruption, carefully planned evacuation efforts helped the disaster management team evacuate more than 60,000 people, who were then safely relocated to designated evacuation centers. Additionally, due to proper training, protocol compliance, and genuine compassion for the victims of this disaster, medical personnel, volunteers, and members of various organizations were able to feed, treat, cure, and shelter families that make up three large provinces. After undergoing the appropriate program evaluations, it is evident that the Mt. Miguel disaster plan was successful at saving lives and keeping communities together in the midst of crisis. In conclusion, we as public health practitioners must look to the incident of the Mt. Miguel eruption as a reminder that effective disaster management is vital for ensuring that the populations we work with are protected, healthy, and prepared for any disaster. Sibal 9 Volcanic Disaster References ADRC. (n.d.). Eruption of mt. pinatubo . Retrieved April 25, 2015 from http://www.adrc.asia/publications/recovery_reports/pdf/Pinatubo.pdf FEMA. (2015). Volcanoes. Retrieved April 26, 2015 from http://m.fema.gov/volcanoes United Nations Development Program. (2014). Detailed infrastructure damage assessment. Retrieved April 25, 2015 from http://www.ps.undp.org/content/dam/papp/docs/Publications/UNDP-papp-researchdammageassessment2014.pdf USGS. (2005). Mobile response team saves lives in volcano crises . Retrieved April 25, 2015 from http://pubs.usgs.gov/fs/1997/fs064-97/ WHO. (2000). 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