The Day After

Millions of voices, moaning in pain
raking the rubble, shouting in vain

On Oct 8, catastrophic event hit with no warning. In an instant, homes, communities and sense of well-being destroyed into rubble. With earthquake so many people dead, displaced from their home area and everything that was familiar to them has been frittered away. For those victims that stayed behind—witnessing death, homes destroyed and the grief of friends and family—the affects are overwhelming.

As the nation opened its doors and hearts to the victims, it is face to face with a flood of emotions. How we deal with the emotional flood may affect how well the victims recover from this natural disaster. There’s a need to go out into the effected areas to offer comfort to victims, who want and need to talk about their feelings and experiences. The job is not easy— offering emotional support to those who have lost family members, stock farm, homes and all their personal belongings. Through programs, evacuees need to be offered psychological first aid.

Provincial and local emergency management personnel generally conduct hazard analyses to determine which disasters are likely to occur in particular jurisdictions. But such activities take place where people are reagrded as human beings. Pakistan where apart from hollow verbosity, people are reagrded nothing more than sumpter horses, emergency management planning is alien.

While the quake has created demand that exceeded the normal capacity of the government, it has changed the number and structure of responding organizations which have resulted in the creation of new organizations, new tasks and engaged participants who are not ordinarily disaster responders. It has also compounded the difficulty of understanding who does what in disaster response due to the incapacity of the government.

The private sector has proved to be very efficient in providing relief to the quake-affected areas. Most TNCs are failing to respond to established corporate social responsibility programs. Only a few have contributed significant resources in terms of donations for affected areas. Both TNCs and smaller enterprises need to be closely involved in disaster relief as this is in their own long-term interest.

Regional economic integration should also be advanced through consolidation, expanding and deepening existing regional trading arrangements. The establishment of regional special economic zones for disaster-affected areas needs to be considered which would grant duty-free imports of capital equipment and raw materials for production within the zone.

In the wake of the tragedy many number of public-spirited institutions, voluntary organizations and citizens' groups have sprung into action to collect money and relief items. There is an obvious need for measures to guard against the misuse and abuse of the bestowal and to plug systemic loopholes and enforce stringent supervision.

Misuse of aid money by the relief organizations themselves or by employees within the structures of the organizations is quite common in Pakistan. An army general, in charge of an operation during Soviet aggression in Afghanistan died in an air crash, offers a classic example of misappropriation of aid money. His family turned billionaire overnight without any accountability. No one in Pakistan raised questions. The nation now hopes that this time plundering of the money meant for mustahqeens (earthquake victims) does not create more billionaires. We expect that there would be a mechanism to ensure that the amounts, which the government will spend in time and for the purpose for which they are intended.

To avoid misuse of funds, the government should have a minimum role. Private sector should be involved. A transparent criterion needs to be adopted. Representatives from Chambers of Commerce & Industry should watch over the observance of the criteria. Information on each and every allocation made from the fund(s) should be periodically laid before the legislature and intimated to the public through the media. The receipts, disbursements, the nature and extent of utilization should be audited by the Comptroller and Auditor General and his report should be scrutinized by the Public Accounts Committee and discussed in the legislatures. Contributions received in the context of earthquake should be put in a Fund specially constituted for that matter and administered as a distinct entity, instead of being mixed up with President’s general Relief Fund.

The operation has utterly failed in attending to the emergency measures of rescuing trapped survivors, treating the injured, and providing care and shelter for the needy. The government is focusing its attention on the long-term task of reconstruction and rehabilitation before even first reaching to the seriously injured. The prime minister has abruptly announced the $5 billion amount required for reconstruction. The criterion for his assessment at this stage is opaque. The rule: ‘first things first’ is being ignored.

Before planning there’s a need to first identify those who truly clamor for assistance and then provide them accordingly. A method for effective utilization of aggregate resources needs to be devised. Priority should be given to the employment of quake-area human resources in meeting the needs of reconstruction. Disaster victims also need to be encouraged to rely on their own efforts and strengths, and to join forces in rebuilding their home communities. Emphasis should be laid on assisting the psychological recovery of the survivors in disaster areas.

The media should play a role in providing adequate information to the public to inform them about recovery efforts, sources for relief assistance and how to cope during the recovery time.

The need has arisen to develop and enforce seismic safety codes for all new construction. An integrated approach should be used to design new facilities that consider all elements of the construction including structural and nonstructural elements, support systems, site improvements that contribute to seismic performance.

This disaster has demonstrated just one clean-cut feature of fraternal feeling that has made us realize how connected we are to the community. This social bond has enabled victims an opportunity to be supported but can lead to pain after social support is withdrawn. Asif J. Mir, Organizational Transformation

About Dengue Fever

Dengue Fever, seasonal viral infection characterized by fever, headache, extreme pain in the joints and muscles, and skin rash. A more serious but less common form of the disease, dengue hemorrhagic fever (DHF), may cause severe and fatal internal bleeding. Dengue fever and DHF are caused by any of four different viruses, and are transmitted from one person to another by the female mosquito of two species of the genus Aedes. Outbreaks of the disease usually occur in the summer when the mosquito population is at its peak. The infection cannot be transmitted directly from person to person and not all people who are bitten necessarily contract the disease. Dengue fever and DHF occur in many tropical and sub-tropical areas in Asia, Africa, Central and South America.

The incubation period (time between infection and onset of symptoms) of dengue fever is five to eight days. The fever typically runs its course in six to seven days, but convalescence is usually slow. Treatment for dengue fever is directed at reducing symptoms.

The incubation period of Dengue hemorrhagic is two to seven days. In the early stages the symptoms are very similar to those of dengue fever. The second stage symptoms include nausea, vomiting, and abdominal pain. The onset of hemorrhagic symptoms rapidly follows—bleeding nose and gums, bruising easily, and sometimes internal bleeding. The amount of blood circulating through the body is reduced, sometimes producing shock, characterized by pale, cold extremities; a rapid, weak pulse; and falling blood pressure. Treatment for these symptoms is a standard fluid rehydration therapy in order to maintain blood pressure. If circulatory failure is not reversed, death may follow.

The most effective preventive measure is the use of mosquito repellent. As yet no successful vaccine for dengue fever has been developed. According to the WHO, dengue fever and DHF are among the most rapidly increasing insect-borne illnesses today. Several factors are believed to contribute to the wide spread of dengue fever. Inadequate water and waste treatment facilities, along with insufficient pest control measures, promote the rapid increase of mosquito populations in certain areas. In addition, dwindling public health resources cannot keep up with the needs of growing urban populations that are susceptible to infection.

Complicating matters further are societal changes. Increased international travel accelerates the spread of both new and old diseases: A person infected with an unusual virus on one continent can arrive—with the virus—on another continent in a matter of hours. Ships, planes, and trucks can transport disease-carrying organisms just as easily. In 1985 tires imported into Texas from Asia carried larvae of the Asian tiger mosquito, which is a carrier of dengue fever and other tropical diseases. Within five years, Asian tiger mosquitoes were living in 17 states. The WHO estimates that there are some 50 million cases of dengue infection worldwide every year.

Out and out, the Dengue conundrum has sprung up as a threat to our people and a challenge to health community. It is pouncing on innocent lives it is curable though. This is because our population is unconscious about the source or symptoms. This calls for the need of awareness campaigns. More than treatment, at this moment in time there is a dire necessity to educate people about preventive methods people ought to adopt. Asif J. Mir, Organizational Transformation