KJW presentatie2010
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Health information systems (HIS) in emergencies face a double dilemma: the information necessary to understand and
respond to humanitarian crises must be timely and detailed, whereas the circumstances of these crises makes it challenging to
collect it. Building on the technical work of the Health Metrics Network on HIS and starting with a systemic definition of HIS in
emergencies, this paper reviews the various data-collection platforms in these contexts, looking at their respective contributions to
providing what humanitarian actors need to know to target their intervention to where the needs really are. Although reporting or
sampling errors are unavoidable, it is important to identify them and acknowledge the limitations inherent in generalizing data that
were collected in highly heterogeneous environments. To perform well in emergencies, HIS require integration and participation.
In spite of notable efforts to coordinate data collection and dissemination practices among humanitarian agencies, it is noted
that coordination on the ground depends on the strengths and presence of a lead agency, often WHO, and on the commitment of
humanitarian agencies to investing resources in data production. Poorly integrated HIS generate fragmented, incomplete and often
contradictory statistics, a situation that leads to a misuse of numbers with negative consequences on humanitarian interventions.
As a means to avoid confusion regarding humanitarian health statistics, this paper stresses the importance of submitting statistics
to a rigorous and coordinated auditing process prior to their publication. The audit trail should describe the various steps of the
data production chains both technically and operationally, and indicate the limits and assumptions under which each number can
be used. Finally emphasis is placed on the ethical obligation for humanitarian agencies to ensure that the necessary safeguards on
data are in place to protect the confidentiality of victims and minority groups in politically sensitive contexts.Health information systemsumanitarian emergencies, by Michel Thieren MD
Health information systemsumanitarian emergencies, by Michel Thieren MDProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
Jones, N.P., E.K. Noji, F. Krimgold and G.S. Smith 1990. Considerations in the epidemiology of earthquake injuries. Earthquake Spectra 6: 507-528.
In July 1989, a workshop entitled "Earthquake Injury Epidemiology for Mitigation and Response" was held at The Johns Hopkins University in Baltimore, Maryland, U.S.A. The aim of the workshop was to gather a group of interested professionals, all directly or peripherally interested in the research, planning, mitigation, and response aspects associated witgh earthquake-induced injuries and deaths, to lay the foundations and begin to develop a research agenda for this emerging field.
Considerations in the epidemiology of earthquake injuries
Considerations in the epidemiology of earthquake injuriesProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
Recomendados
Health information systems (HIS) in emergencies face a double dilemma: the information necessary to understand and
respond to humanitarian crises must be timely and detailed, whereas the circumstances of these crises makes it challenging to
collect it. Building on the technical work of the Health Metrics Network on HIS and starting with a systemic definition of HIS in
emergencies, this paper reviews the various data-collection platforms in these contexts, looking at their respective contributions to
providing what humanitarian actors need to know to target their intervention to where the needs really are. Although reporting or
sampling errors are unavoidable, it is important to identify them and acknowledge the limitations inherent in generalizing data that
were collected in highly heterogeneous environments. To perform well in emergencies, HIS require integration and participation.
In spite of notable efforts to coordinate data collection and dissemination practices among humanitarian agencies, it is noted
that coordination on the ground depends on the strengths and presence of a lead agency, often WHO, and on the commitment of
humanitarian agencies to investing resources in data production. Poorly integrated HIS generate fragmented, incomplete and often
contradictory statistics, a situation that leads to a misuse of numbers with negative consequences on humanitarian interventions.
As a means to avoid confusion regarding humanitarian health statistics, this paper stresses the importance of submitting statistics
to a rigorous and coordinated auditing process prior to their publication. The audit trail should describe the various steps of the
data production chains both technically and operationally, and indicate the limits and assumptions under which each number can
be used. Finally emphasis is placed on the ethical obligation for humanitarian agencies to ensure that the necessary safeguards on
data are in place to protect the confidentiality of victims and minority groups in politically sensitive contexts.Health information systemsumanitarian emergencies, by Michel Thieren MD
Health information systemsumanitarian emergencies, by Michel Thieren MDProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
Jones, N.P., E.K. Noji, F. Krimgold and G.S. Smith 1990. Considerations in the epidemiology of earthquake injuries. Earthquake Spectra 6: 507-528.
In July 1989, a workshop entitled "Earthquake Injury Epidemiology for Mitigation and Response" was held at The Johns Hopkins University in Baltimore, Maryland, U.S.A. The aim of the workshop was to gather a group of interested professionals, all directly or peripherally interested in the research, planning, mitigation, and response aspects associated witgh earthquake-induced injuries and deaths, to lay the foundations and begin to develop a research agenda for this emerging field.
Considerations in the epidemiology of earthquake injuries
Considerations in the epidemiology of earthquake injuriesProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
Super Typhoon Haiyan Leaves An Estimated 1,200 People Dead In The Philippines; Damage and casualty statistics predicted to increase dramatically. Storm now moving towards Vietnam November 8-9, 2013. Two Exacerbating Factors: (1) Another Typhoon With Approximately The Same Path Expected In 3-4 Days (2) Haiyan Followed A Damaging Quake. Presentation courtesy of Dr Walter Hays
Super Typhoon Haiyan update 9 November 2013
Super Typhoon Haiyan update 9 November 2013Professor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
A presentation on Change Management and Engagement for The Human Resource Professionals Association - Niagara. Change Management, 'What is Working in the Real World.'- HRPA Niagara - Septe...
Change Management, 'What is Working in the Real World.'- HRPA Niagara - Septe...Neil Thornton HBA, MA
Social media are forms of information and commu-nication technology disseminated through social interaction. Social media rely on peer-to-peer (P2P) networks that are collaborative, decentralized, and community driven. They transform people from content consumers into content producers. Popular networking sites such as MySpace™, Facebook™, Twitter™, and Google™are versions of social media that are most commonly used for connecting with friends, relatives, and employees. The role of social media in disaster management became galvanized during the world response to the 2010 Haiti earthquake. During the immediate aftermath, much of what people around the world were learning about the earthquake originated from social media sources. Social media became the new forum for collective intelligence, social convergence, and community activism. During the first 2 days following the earthquake, “texting” mobile phone users donated more than $5 million to the American Red Cross. Both public and private response agencies used Google Maps™. Millions joined MySpace™ and Facebook™ discussion groups to share information, donate money, and offer comfort and support. Social media has also been described as “remarkably well organized, self correcting, accurate, and concentrated,” calling into question the ingrained view of unidirectional, official-to-public information broadcasts. Social media may also offer potential psychological benefit for vulnerable populations gained through participation as stakeholders in the response. Disaster victims report a psychological need to contribute, and by doing so, they are better able to cope with their situation. Affected populations may gain resilience by replacing their helplessness with dignity, control, as well as personal and collective responsibility. However, widespread use of social media also involves several important challenges for disaster management. Although social media is growing rapidly, it remains less widespread and accessible than traditional media. Also, public officials often view P2P communications as “backchannels” with potential to spread misinformation and rumor. In addition, in absence of the normal checks and balances that regulate traditional media, privacy rights violations can occur as people use social media to describe personal events and circumstances. Key words: social media, resilience, vulnerability,Emergent use of social media: A new age of opportunity for disaster resilience
Emergent use of social media: A new age of opportunity for disaster resilienceProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
Background: Applied epidemiologists are increasingly working in areas of insecurity and active conflict to define the health risks, suggest feasible means to reduce these risks and, monitor the capacity and reconstruction of the public health system. In 2001, The Carter Center and the United States Institute for Peace sponsored a conference within which "Violence and Health" was discussed and a working group on applied epidemiology formed. The group was tasked to describe the skills that are essential to effective functioning in these settings and thereby provide guidance to the applied epidemiology training programs.
Methods: We conducted a literature review and consultation of a convenience sample of practitioners of applied epidemiology with experience in conflict areas.
Results and conclusions: The health programs designed to prevent and mitigate conflict are in their early stages of implementation and the evaluation measures for success are still being defined. The practice of epidemiology in conflict must occur within a larger humanitarian and political context to be effective. The skills required extend beyond the normal epidemiological training that focuses on the valid collection and interpretation of data and fall into two general categories: (1) Conducting a thorough assessment of the conflict setting in order to design more effective public health action in conflict settings, and (2) Communicating effectively to guide health program implementation, to advocate for needed policy changes and to facilitate interagency coordination. These are described and illustrated using examples from different countries.The role of the applied epidemiologist in armed conflict
The role of the applied epidemiologist in armed conflictProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
'Standing Out in a Crowded Marketplace'
Presentation for Lakelands Real Estate Association - Deerhurst Resort - April 2015Standing Out in a Crowded Marketplace - Lakelands Real Estate Association - 2015
Standing Out in a Crowded Marketplace - Lakelands Real Estate Association - 2015Neil Thornton HBA, MA
The art and science of identifying and eliminating vulnerabilities. Important questions that must be addressed: 1. What level of casualties will occur in a future earthquake if the vulnerabilities in the built environment are not fixed? 2. What level of economic losses will occur in a future earthquake if the vulnerabilities in the built environment. are not fixed? Presentation courtesy of Dr. Walter Hays, Global Alliance for Disaster ReductionThe Art And Science Of Identifying And Eliminating Vulnerabilities
The Art And Science Of Identifying And Eliminating VulnerabilitiesProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
A thorough look at what is required to drive change through leadership and culture. Presented to the Ontario Chamber Executives, November 2014Leading Today's Teams - Cultivating a culture that embraces change - Ontario ...
Leading Today's Teams - Cultivating a culture that embraces change - Ontario ...Neil Thornton HBA, MA
A case-control study of injuries arising from the earthquake in Armenia, 1988
H.K. Armenian, E.K. Noji, & A.P. Oganesian.
Bulletin of the World Health Organization, 70(2): 251-257 (1992)
The study attempts to identify predictors of injuries among persons who were hospitalized following the Armenian earthquake of 7 December 1988. A total of 189 such individuals were identified through neighbourhood polyclinics in the city of Leninakan and 159 noninjured controls were selected from the same neighbourhoods. A standardized interview questionnaire was used. Cases and controls shared many social and demographic characteristics; however, 98% of persons who were hospitalized with injuries were inside a building at the time of the earthquake, compared with 83% of the controls (odds ratio = 12.20, 95% confidence interval (Cl) = 3.62-63.79). The odds ratio of injuries for individuals who were in a building that had five or more floors, compared with those in lower buildings, was 3.65 (95% Cl = 2.12-6.33). Leaving buildings after the first shock of the earthquake was a protective behaviour. The odds ratio for those staying indoors compared with those who ran out was 4.40 (95% Cl = 2.24-8.71). A case-control study of injuries arising from the earthquake in Armenia, 1988
A case-control study of injuries arising from the earthquake in Armenia, 1988Professor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
A disease outbreak like a natural disaster impacts all elements of society. There is a common agenda for societal sustainability whether preparing for outbreaks of Ebola or pandemics of influenza or earthquakes. The principles of strengthening community resilience are the same for natural disasters as they are for epidemics of communicable disease. The successful response to a deadly epidemic and a catastrophic natural disaster depends on community participation, education, awareness of the threat, what to expect and early warning. Presentation courtesy of Dr. Walter Hays, Global Alliance for Disaster ReductionTHE 2014 OUTBREAK OF EBOLA: UNDERSTANDING DISEASE AND DISASTER RISK AND RISK ...
THE 2014 OUTBREAK OF EBOLA: UNDERSTANDING DISEASE AND DISASTER RISK AND RISK ...Professor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
In the aftermath of disasters, public health services must address the effects of civil strife, armed conflict, population migration, economic collapse, and famine. In modern conflicts civilians are targeted deliberately, and affected populations may face severe public health consequences, even without displacement from their homes. For displaced people, damage to health, sanitation, water supplies, housing, and agriculture may lead to a rapid increase in malnutrition and communicable diseases. Fortunately, the provision of adequate clean water and sanitation, timely measles immunisation, simple treatment of dehydration from diarrhoea, supplementary feeding for the malnourished, micronutrient supplements, and the establishment of an adequate public health surveillance system greatly reduces the health risks associated with the harsh environments of refugee camps.Public health in the aftermath of disasters
Public health in the aftermath of disastersProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
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Super Typhoon Haiyan Leaves An Estimated 1,200 People Dead In The Philippines; Damage and casualty statistics predicted to increase dramatically. Storm now moving towards Vietnam November 8-9, 2013. Two Exacerbating Factors: (1) Another Typhoon With Approximately The Same Path Expected In 3-4 Days (2) Haiyan Followed A Damaging Quake. Presentation courtesy of Dr Walter Hays
Super Typhoon Haiyan update 9 November 2013
Super Typhoon Haiyan update 9 November 2013Professor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
A presentation on Change Management and Engagement for The Human Resource Professionals Association - Niagara. Change Management, 'What is Working in the Real World.'- HRPA Niagara - Septe...
Change Management, 'What is Working in the Real World.'- HRPA Niagara - Septe...Neil Thornton HBA, MA
Social media are forms of information and commu-nication technology disseminated through social interaction. Social media rely on peer-to-peer (P2P) networks that are collaborative, decentralized, and community driven. They transform people from content consumers into content producers. Popular networking sites such as MySpace™, Facebook™, Twitter™, and Google™are versions of social media that are most commonly used for connecting with friends, relatives, and employees. The role of social media in disaster management became galvanized during the world response to the 2010 Haiti earthquake. During the immediate aftermath, much of what people around the world were learning about the earthquake originated from social media sources. Social media became the new forum for collective intelligence, social convergence, and community activism. During the first 2 days following the earthquake, “texting” mobile phone users donated more than $5 million to the American Red Cross. Both public and private response agencies used Google Maps™. Millions joined MySpace™ and Facebook™ discussion groups to share information, donate money, and offer comfort and support. Social media has also been described as “remarkably well organized, self correcting, accurate, and concentrated,” calling into question the ingrained view of unidirectional, official-to-public information broadcasts. Social media may also offer potential psychological benefit for vulnerable populations gained through participation as stakeholders in the response. Disaster victims report a psychological need to contribute, and by doing so, they are better able to cope with their situation. Affected populations may gain resilience by replacing their helplessness with dignity, control, as well as personal and collective responsibility. However, widespread use of social media also involves several important challenges for disaster management. Although social media is growing rapidly, it remains less widespread and accessible than traditional media. Also, public officials often view P2P communications as “backchannels” with potential to spread misinformation and rumor. In addition, in absence of the normal checks and balances that regulate traditional media, privacy rights violations can occur as people use social media to describe personal events and circumstances. Key words: social media, resilience, vulnerability,Emergent use of social media: A new age of opportunity for disaster resilience
Emergent use of social media: A new age of opportunity for disaster resilienceProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
Background: Applied epidemiologists are increasingly working in areas of insecurity and active conflict to define the health risks, suggest feasible means to reduce these risks and, monitor the capacity and reconstruction of the public health system. In 2001, The Carter Center and the United States Institute for Peace sponsored a conference within which "Violence and Health" was discussed and a working group on applied epidemiology formed. The group was tasked to describe the skills that are essential to effective functioning in these settings and thereby provide guidance to the applied epidemiology training programs.
Methods: We conducted a literature review and consultation of a convenience sample of practitioners of applied epidemiology with experience in conflict areas.
Results and conclusions: The health programs designed to prevent and mitigate conflict are in their early stages of implementation and the evaluation measures for success are still being defined. The practice of epidemiology in conflict must occur within a larger humanitarian and political context to be effective. The skills required extend beyond the normal epidemiological training that focuses on the valid collection and interpretation of data and fall into two general categories: (1) Conducting a thorough assessment of the conflict setting in order to design more effective public health action in conflict settings, and (2) Communicating effectively to guide health program implementation, to advocate for needed policy changes and to facilitate interagency coordination. These are described and illustrated using examples from different countries.The role of the applied epidemiologist in armed conflict
The role of the applied epidemiologist in armed conflictProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
'Standing Out in a Crowded Marketplace'
Presentation for Lakelands Real Estate Association - Deerhurst Resort - April 2015Standing Out in a Crowded Marketplace - Lakelands Real Estate Association - 2015
Standing Out in a Crowded Marketplace - Lakelands Real Estate Association - 2015Neil Thornton HBA, MA
The art and science of identifying and eliminating vulnerabilities. Important questions that must be addressed: 1. What level of casualties will occur in a future earthquake if the vulnerabilities in the built environment are not fixed? 2. What level of economic losses will occur in a future earthquake if the vulnerabilities in the built environment. are not fixed? Presentation courtesy of Dr. Walter Hays, Global Alliance for Disaster ReductionThe Art And Science Of Identifying And Eliminating Vulnerabilities
The Art And Science Of Identifying And Eliminating VulnerabilitiesProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
A thorough look at what is required to drive change through leadership and culture. Presented to the Ontario Chamber Executives, November 2014Leading Today's Teams - Cultivating a culture that embraces change - Ontario ...
Leading Today's Teams - Cultivating a culture that embraces change - Ontario ...Neil Thornton HBA, MA
A case-control study of injuries arising from the earthquake in Armenia, 1988
H.K. Armenian, E.K. Noji, & A.P. Oganesian.
Bulletin of the World Health Organization, 70(2): 251-257 (1992)
The study attempts to identify predictors of injuries among persons who were hospitalized following the Armenian earthquake of 7 December 1988. A total of 189 such individuals were identified through neighbourhood polyclinics in the city of Leninakan and 159 noninjured controls were selected from the same neighbourhoods. A standardized interview questionnaire was used. Cases and controls shared many social and demographic characteristics; however, 98% of persons who were hospitalized with injuries were inside a building at the time of the earthquake, compared with 83% of the controls (odds ratio = 12.20, 95% confidence interval (Cl) = 3.62-63.79). The odds ratio of injuries for individuals who were in a building that had five or more floors, compared with those in lower buildings, was 3.65 (95% Cl = 2.12-6.33). Leaving buildings after the first shock of the earthquake was a protective behaviour. The odds ratio for those staying indoors compared with those who ran out was 4.40 (95% Cl = 2.24-8.71). A case-control study of injuries arising from the earthquake in Armenia, 1988
A case-control study of injuries arising from the earthquake in Armenia, 1988Professor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
A disease outbreak like a natural disaster impacts all elements of society. There is a common agenda for societal sustainability whether preparing for outbreaks of Ebola or pandemics of influenza or earthquakes. The principles of strengthening community resilience are the same for natural disasters as they are for epidemics of communicable disease. The successful response to a deadly epidemic and a catastrophic natural disaster depends on community participation, education, awareness of the threat, what to expect and early warning. Presentation courtesy of Dr. Walter Hays, Global Alliance for Disaster ReductionTHE 2014 OUTBREAK OF EBOLA: UNDERSTANDING DISEASE AND DISASTER RISK AND RISK ...
THE 2014 OUTBREAK OF EBOLA: UNDERSTANDING DISEASE AND DISASTER RISK AND RISK ...Professor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
In the aftermath of disasters, public health services must address the effects of civil strife, armed conflict, population migration, economic collapse, and famine. In modern conflicts civilians are targeted deliberately, and affected populations may face severe public health consequences, even without displacement from their homes. For displaced people, damage to health, sanitation, water supplies, housing, and agriculture may lead to a rapid increase in malnutrition and communicable diseases. Fortunately, the provision of adequate clean water and sanitation, timely measles immunisation, simple treatment of dehydration from diarrhoea, supplementary feeding for the malnourished, micronutrient supplements, and the establishment of an adequate public health surveillance system greatly reduces the health risks associated with the harsh environments of refugee camps.Public health in the aftermath of disasters
Public health in the aftermath of disastersProfessor Eric K. Noji, M.D., MPH, DTMH(Lon), FRCP(UK)hon
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Change Management, 'What is Working in the Real World.'- HRPA Niagara - Septe...
Change Management, 'What is Working in the Real World.'- HRPA Niagara - Septe...
Emergent use of social media: A new age of opportunity for disaster resilience
Emergent use of social media: A new age of opportunity for disaster resilience
The role of the applied epidemiologist in armed conflict
The role of the applied epidemiologist in armed conflict
Standing Out in a Crowded Marketplace - Lakelands Real Estate Association - 2015
Standing Out in a Crowded Marketplace - Lakelands Real Estate Association - 2015
The Art And Science Of Identifying And Eliminating Vulnerabilities
The Art And Science Of Identifying And Eliminating Vulnerabilities
LinkedIn for Buisness - Half Day Workshop Design - Trigger Strategies
LinkedIn for Buisness - Half Day Workshop Design - Trigger Strategies
Leading Today's Teams - Cultivating a culture that embraces change - Ontario ...
Leading Today's Teams - Cultivating a culture that embraces change - Ontario ...
A case-control study of injuries arising from the earthquake in Armenia, 1988
A case-control study of injuries arising from the earthquake in Armenia, 1988
THE 2014 OUTBREAK OF EBOLA: UNDERSTANDING DISEASE AND DISASTER RISK AND RISK ...
THE 2014 OUTBREAK OF EBOLA: UNDERSTANDING DISEASE AND DISASTER RISK AND RISK ...
KJW presentatie2010
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