Description

Following a natural disaster there is often a risk for communicable disease in survivors. Watson et al identified a number of risk factors for a increased communicable disease transmission after a natural disaster. The authors are from the World Health Organization (WHO) in Geneva.


 

Risk factors for communicable disease transmission:

(1) presence of endemic and epidemic diseases in the affected area

(2) living conditions of survivors, especially crowding and exposure

(3) presence or absence of safe water and sanitation facilities

(4) malnutrition and vitamin (vitamin A, other) deficiencies

(5) immunization coverage

(6) access to adequate healthcare, including personnel, equipment and resources

(7) duration and extent of interruption in utilities

(8) adequacy and timeliness of the response, including initiation of disease control measures

(9) presence of mosquitoes and other vectors for disease transmission

 

Hazards associated with contaminated water:

(1) cholera

(2) enterotoxigenic E. coli

(3) Cryptosporidium

(4) Salmonella and typhoid fever

(5) Shigellosis

(6) viral hepatitis A and E

(7) leptospirosis

(8) enteric viruses

 

Hazards associated with crowding:

(1) tuberculosis

(2) Neisseria meningitidis

(3) measles (especially in unvaccinated populations)

(4) acute respiratory infections, including influenza

(5) other viral infections, including adenovirus

 

Hazards of vector-borne disease:

(1) malaria

(2) dengue fever

 

Hazards of blood and body fluid borne pathogens:

(1) HIV

(2) hepatitis B and C

 


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