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PRESIDENT OBAMA CALLS ON MORE NATIONS TO HELP COMBAT EBOLA

REUTERS

NEW YORK/FREETOWN Thu Sep 25, 2014 8:04pm EDT

(Reuters) - President Barack Obamatoday  called on more nations to help fight the world's worst outbreak of the deadly Ebola virus, saying hundreds of thousands of lives were at stake.

The warning came shortly after the World Health Organisation gave a rare hint of optimism in the West African crisis, announcing that the spread of the disease in Guinea appeared to have stabilised.

"More nations need to contribute critical assets and capabilities -- whether it's air transport, medical evacuation, health care workers, equipment or treatment," Obama told a meeting on Ebola on the sidelines of the U.N. General Assembly.

"If unchecked, this epidemic could kill hundreds of thousands of people in the coming months."

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U.S. Hospitals Unprepared to Handle Ebola waste, Experts Say

      

As Emory was treating two US missionaries who were evacuated from West Africa in August, their waste hauler, Stericycle, initially refused to handle it. Photograph: Michael Duff/AP

REUTERS      September 24, 2014

CHICAGO (Reuters) - U.S. hospitals may be unprepared to safely dispose of the infectious waste generated by any Ebola virus disease patient to arrive unannounced in the country, potentially putting the wider community at risk, biosafety experts said.

Waste management companies are refusing to haul away the soiled sheets and virus-spattered protective gear associated with treating the disease, citing federal guidelines that require Ebola-related waste to be handled in special packaging by people with hazardous materials training, infectious disease and biosafety experts told Reuters.

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Dr. Gavin Macgregor-Skinner, an expert on public health preparedness at Pennsylvania State University, said there's "no way in the world" that U.S. hospitals are ready to treat patients with highly infectious diseases like Ebola.

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London Group Plans to Start First Clinical Tests of Ebola Drugs in West Africa

Washington Post

by Abby Ohlheiser September 23 at 11:45 AM

London based scientists, working with international aid groups, are planning to start the first clinical trials in West Africa for drugs to treat Eboa. The trials could begin in a matter of months.

Wellcome Trust's $5 million initiative will include drugs from Mapp Biopharmaceutical, Sarepta and Tekmira, according to Reuters. Mapp makes zMapp, the experimental cocktail administered to two Americans who contracted the disease in Liberia. Tekmira recently gained the approval of the U.S. Food and Drug Administration to use its TKM-Ebola treatment on confirmed or suspected cases of the disease.

Both drugs are still in the experimental phase; researchers have not yet determined the safety or effectiveness of the treatments.

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Some Examples of Structural Adaptivity - Part III

 

Here are 4 more examples of structural adaptivity for resilience.  As with the other examples presented previously, they only are intended to illustrate the concept of structural adaptivity for resilience.  They are intended to focus on the structure or structural elements of cities and/or regions.  Moreover, they are intended to demonstrate how such structural elements can be located, organized, or otherwise developed to have capacity to adapt to the continuing needs of the citizens - as the unknown and rapidly changing future unfolds.

 

Polycentric Urban Development.  Urban development need no longer be monocentric (having only one center).  In fact, such a pattern is not adaptive to meet the future.

 

Central business districts have traditionally been the home of government, financial institutions, offices, civic plazas and the like, as well as many commercial retail and services.  They have also often contained many churches, health care facilities, educational institutions, libraries, museums, convention centers, theatres, etc.

 

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Risk and Risk Underwriting

In writing about the importance of promoting private enterprise, as well as in many other sections of my work, I suggested an almost near certainty that the risk management industry eventually will facilitate resilience and structural adaptivity in our built environment.  In my larger draft, I included a short section about this, which I am posting below (somewhat revised).  I believe it is beneficial to share this section now in order to explain my optimism for resilience. (I also wrote short sections on Time, Rapid Change, Optimism, A Futurist Perspective, and The Human Factor but do not necessarily intend to post them here.)

 

The future will be all about risk and trying to find protection from the rapidly increasing threats to our world as we advance in population size, social/cultural/economic complexity, and cutting-edge science and technology.  Risk underwriting will play a big role in how well or how poorly we adapt to accelerating change. 

 

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Structural Adaptivity Thinking

Here, I would like to explain more extensively my thinking about structural adaptivity as a critical aspect of resilience.  (In researching this subject, I was surprised by the lack of information/ideas conveniently available about the characteristics of adaptivity or adaptability. The following are my own preliminary conceptions.  I hope others will improve upon them.)

 

The world is changing so fast that our government, think tanks, universities and research institutions, business leaders, builders and developers, and “planners” have no hope of being able to keep up with it.  Many thinkers describe our world as actually undergoing rapidly accelerating change.  To be able to plan for the change, or even to be able to react to such transformation while it is happening, we need to do more than just keep up with it.  We need to jump out in front of it.

 

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Structural Adaptivity Facilitation Examples - Part II

Here are some more Facilitation Examples.  By Facilitation I am meaning general activities by planners, and others that cause or guide development, to influence the development of the built environment toward structural adaptivity as we progress into an ever more uncertain and unpredictable future.  Some might call them implementation strategies or “calls to action.”

 

These examples have not been identified or studied by teams of experts; they are only my personal ideas intended to illustrate possibilities.  Hopefully, however, they will convey a sense of the real prospects for structural adaptivity to be achieved.  I believe that structural adaptivity is critical to resilience over the long term.

 

Promote the Futurist Perspective.  With more attention in our society to the “futurist perspective,” sooner rather than later, such attention will also come to focus on the need for all forms of adaptivity, including structural adaptivity in our urban areas and regions.  Structural adaptivity is the most, if not only, logical approach to facing a future that now is uncertain, unpredictable and rapidly changing.

 

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Some Examples of Structural Adaptivity - Part II

Here are some more examples of how I propose that structural adaptivity could be applied as a leading principle for resilient development in the US over the next 20-50-100 years.  These are intended to support my conviction that structural adaptivity is the only logical approach to advancing our built environment for a rapidly changing, uncertain, unpredictable future.  I am hoping that others will review these concepts and propose their own personal and team-researched applications of the principle.

 

In re-balancing our nation, do so by major watersheds.  I propose that the re-balancing of our nation’s urban development (as I discussed before) should be based on the locations and characteristics of our major watersheds.  All major urban development regions should have a long-term dependable natural source of fresh water. 

 

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Conflicting Scenarios Exercise

I have been proposing that, rather than trying to foresee the future, we consider accepting and conducting further research on a much more fundamental, all-encompassing and long-term-resilient approach to our built environment.  I have been proposing that such an elemental approach should be structural adaptivity.  I believe that our world must and will give maximum adaptivity to the basic elements of our built environment to adjust to and meet our needs for the unpredictable, rapidly changing world over the next 50-100 years. 

 

 

In working on this, I conducted an Exercise.  I experimented with a number of different future conditions, or scenarios, that I think are quite possible.  The first two that drew my strongest concern were the conflicting scenarios of: (1) how planners might address our urban areas after global warming has abated – and the problem is continuous hot weather and more storms – as opposed to (2) how planners are now addressing the need to stop or slow down global warming.  I also experimented with additional scenarios that I do not think we are able to, presently, forecast accurately.  Most of them, however, I believe will surface eventually, in one way or another, and cause huge problems.

 

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SOME FACILITATION EXAMPLES FOR STRUCTURAL ADAPTIVITY

  

I believe that structural adaptivity will become generally accepted in our world even without conscious effort.  As change continues speeding up, and as planners, developers, futurists, risk managers, and many others come to recognize that change is coming at an accelerating rate and that the future is ever more uncertain and unpredictable, they will focus on adaptivity.  However, the longer we wait for people to realize this, the greater the chances are that much harm will occur that should have been avoided or mitigated by the resilience we should have been already building.

 

The facilitation strategies and techniques that I propose are primarily intended to show some logical possibilities.  Hopefully other people will be better able than I am to come up with the best ones. 

 

For now, I will present the full list of the possibilities that I have come up with and then present a discussion of a few of them. <!--break-->

 

My full list:

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