Global & Disaster Medicine

Archive for the ‘Conflict’ Category

Post-ISIS: Yazidi women after 3 years of captivity displaying extraordinary signs of psychological injury.

NY Times



Hawaii is the first state to prepare the public for the possibility of a ballistic missile strike from North Korea.


DOD Hawaii

HI-EMA-guidance-analysis-nuclear-detonation-JUN-2017-1:  Document

Hawaii sector

Sirens sound Attack- Warning signal
Emergency Alert System (EAS) advisory
Wireless Emergency Alert (WEA) system advisory
Brilliant white light (flash) is observed

1. If you are indoors, stay indoors well away from windows. 2. If you are outdoors, seek immediate shelter in a building preferably a concrete structure such as a commercial building or parking structure. 3. If you are driving, pull safely to the side of the road and seek shelter in a nearby building or lie flat on the ground. 4. DO NOT look at the flash of light.

• Surviving the immediate effects of a nuclear detonation (blast, shock, thermal radiation, initial nuclear radiation) requires sheltering in resistant structures • You may have only minutes to take protective action – take immediate action without delay • There are no designated blast or fallout shelters in Hawaii • Light generated by the weapon will damage unprotected eyes

1. Remain sheltered until you are told it is safe to leave or two weeks (14 days) have passed, whichever comes first. 2. You may be advised that it is safe to leave your shelter for short periods of time to locate food, water and medical care. 3. Electrical, water and other utilities may be severely disrupted or unavailable.

• Following the detonation, sheltering from radioactive fallout for up to 14 days is critically important • Public may need to briefly leave their shelters to locate essential supplies and equipment • Emergency Management will assess residual radiation levels and advise when sheltering can be discontinued

1. Listen to local AM-FM radio stations for official information. 2. Cell phone, television, radio and internet services will be severely disrupted or unavailable. 3. Small portable walkie-talkies may give you communication with nearby shelters.

• Local AM-FM broadcast radio is most survivable and may be useful in advising the public post-detonation • Other communication technologies may be damaged by weapons effects such as EMP1 • FRS2 and GMRS radios are widely available in the community and may be useful in keeping people in communication with one another.


Mosul: Bombs, bullets, and mental trauma



June 4, 1989: Chinese army troops stormed Tiananmen Square in Beijing to crush the pro-democracy movement; hundreds – possibly thousands – of people died.

Famine: South Sudan

Famine-SouthSudan_Lancet-2017: Document (   Vol 389   May 20, 2017)

“South Sudan, together with Yemen, Somalia, and Nigeria pose what the UN calls the biggest humanitarian crisis since 1945 as millions flee conflict and drought…”


Helping hands across a war-torn border: the Israeli medical effort treating casualties of the Syrian Civil War


TreatingSyrianWarCasualties: Published article in Lancet

On the afternoon of May 7, 1915, the British ocean liner Lusitania is torpedoed without warning by a German submarine off the south coast of Ireland. Within 20 minutes, the vessel sank into the Celtic Sea. Of 1,959 passengers and crew, 1,198 people were drowned, including 128 Americans.

As many as 140 Afghan soldiers were killed on Friday by Taliban attackers apparently disguised in military uniforms

My Republica


More than 100 people, including 68 children, the vast majority being families evacuating from two Shiite villages, were killed in a suicide attack on Saturday in rebel-held northwestern Syria.



Turkish Health Ministry: “According to the results of preliminary tests, patients were exposed to chemical material (Sarin).”

NY Times

“….The Turkish statement said the sarin conclusion had been based on autopsies on three victims performed at Turkey’s Adana Forensic Medicine Institution with the participation of representatives from the World Health Organization and the Organization for the Prohibition of Chemical Weapons, a group based in The Hague that monitors compliance with the global treaty that bans such munitions…..”




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