Global & Disaster Medicine

Archive for the ‘Documents’ Category

“There is no such thing as Rohingya,” said U Kyaw San Hla, an officer in Rakhine’s state security ministry. “It is fake news.”

NY Times

  • “….human rights watchdogs warn that much of the evidence of the Rohingya’s history in Myanmar is in danger of being eradicated by a military campaign….”
  • “….Since late August, more than 620,000 Rohingya Muslims, about two-thirds of the population that lived in Myanmar in 2016, have fled to Bangladesh,……”


Brutal attacks on Rohingya meant to make their return almost impossible – UN human rights report

GENEVA (11 October 2017) – Brutal attacks against Rohingya in northern Rakhine State have been well-organised, coordinated and systematic, with the intent of not only driving the population out of Myanmar but preventing them from returning to their homes, a new UN report based on interviews conducted in Bangladesh has found.

The report by a team from the UN Human Rights Office, who met with the newly arrived Rohingya in Cox’s Bazar from 14 to 24 September 2017, states that human rights violations committed against the Rohingya population were carried out by Myanmar security forces often in concert with armed Rakhine Buddhist individuals. The report, released on Wednesday, is based on some 65 interviews with individuals and groups.

It also highlights a strategy to “instil deep and widespread fear and trauma – physical, emotional and psychological” among the Rohingya population.

More than 500,000 Rohingya have fled to Bangladesh since the Myanmar security forces launched an operation in response to alleged attacks by militants on 25 August against 30 police posts and a regimental headquarters. The report states the “clearance operations” started before 25 August 2017, and as early as the beginning of August.

The UN Human Rights Office is gravely concerned for the safety of hundreds of thousands of Rohingya who remain in northern Rakhine State amid reports the violence is still ongoing, and calls on authorities to immediately allow humanitarian and human rights actors unfettered access to the stricken areas.

The report cites testimony from witnesses that security forces scorched dwellings and entire villages, were responsible for extrajudicial and summary executions, rape and other forms of sexual violence, torture and attacks on places of worship. Eyewitnesses reported numerous killings, saying some victims were deliberately targeted and others were killed through explosions, fire and stray bullets.

A 12-year old girl from Rathedaung township described how “the [Myanmar security forces and Rakhine Buddhist individuals] surrounded our house and started to shoot. It was a situation of panic – they shot my sister in front of me, she was only seven years old. She cried and told me to run. I tried to protect her and care for her, but we had no medical assistance on the hillside and she was bleeding so much that after one day she died. I buried her myself.

The report states that in some cases, before and during the attacks, megaphones were used to announce: “You do not belong here – go to Bangladesh. If you do not leave, we will torch your houses and kill you.

Credible information indicates that the Myanmar security forces purposely destroyed the property of the Rohingyas, targeting their houses, fields, food-stocks, crops, livestock and even trees, to render the possibility of the Rohingya returning to normal lives and livelihoods in the future in northern Rakhine almost impossible.

UN Human Rights chief Zeid Ra’ad Al Hussein, who has described the Government operations in northern Rakhine State as “a textbook example of ethnic cleansing,” has also urged the Government to immediately end its “cruel” security operation. By denying the Rohingya population their political, civil, economic and cultural rights, including the right to citizenship, he said, the Government’s actions appear to be “a cynical ploy to forcibly transfer large numbers of people without possibility of return.”

The report indicates that efforts were taken to effectively erase signs of memorable landmarks in the geography of the Rohingya landscape and memory in such a way that a return to their lands would yield nothing but a desolate and unrecognizable terrain.

Information received also indicates that the Myanmar security forces targeted teachers, the cultural and religious leadership, and other people of influence of the Rohingya community in an effort to diminish Rohingya history, culture and knowledge.


To read the full report, see:

For more information and media requests, please contact:Rupert Colville – + 41 22 917 9767 / rcolville@ohchr.orgLiz Throssell – + 41 22 917 9466  /  Jeremy Laurence – + 41 22 917 9383 /


Pneumonia takes the lives of 920,000 children annually—a life every 2 minutes, more than malaria and diarrhea combined.

Global Health Now

  • While pneumonia deaths have dropped by nearly 50% since 2000, too many kids still don’t have access to vaccines that can prevent the disease from taking hold in the first place.
  • Approximately 1/2 of the world’s children are still not receiving PCV (pneumococcal conjugate vaccine).

Save The Children Fighting for Breath


A report from 13 U.S. federal agencies that called evidence of a global, long-term warming trend “unambiguous.”

Climate Science Special Report: Fourth National Climate Assessment, Volume I [Wuebbles, D.J., D.W. Fahey, K.A. Hibbard, D.J. Dokken, B.C. Stewart, and T.K. Maycock (eds.)]. U.S. Global Change Research Program, Washington, DC, USA, pp. 12-34, doi: 10.7930/J0DJ5CTG.

NY Times

Full Report:


Healthier world, safer America: A US government roadmap for international action to prevent the next pandemic.

“PATH is the leader in global health innovation. An international nonprofit organization, we save lives and improve health, especially among women and children. We accelerate innovation across five platforms—vaccines, drugs, diagnostics, devices, and system and service innovations—that harness our entrepreneurial insight, scientific and public health expertise, and passion for health equity. By mobilizing partners around the world, we take innovation to scale, working alongside countries primarily in Africa and Asia to tackle their greatest health needs. Together, we deliver measurable results that disrupt the cycle of poor health.”

Preventing the Next Pandemic

PATH. Healthier world, safer America: A US government roadmap for international action to prevent the next pandemic. Oct 24, 2017 [Full text]

CDC: Dengue Management Guide (Clinical management tools for health care providers)

CDC-Dengue Management Guide


Life cycle of mosquitos in a diagram

Life cycle of mosquitos in jars



Honolulu, Hawaii: 14-day personal disaster kit advised

Honolulu Star-Ledger


Learn – Educate yourself on disasters that can affect you and your Family.
Plan – Create and exercise a Family Disaster Plan. Locate a secondary meeting place and designate an off island contact.
Individual, Family and Business Disaster Planning – Disaster planning is everyone’s business. Carefully review this information and take the time today to discuss preparedness planning with family, friends, neighbors and co-workers.


Video:  Learn – Educate yourself on disasters that can affect you and your Family.
Plan – Create and exercise a Family Disaster Plan. Locate a secondary meeting place and designate an off island contact.
Individual, Family and Business Disaster Planning – Disaster planning is everyone’s business. Carefully review this information and take the time today to discuss preparedness planning with family, friends, neighbors and co-workers.

Develop a 14-Day Disaster Supplies Kit
Your disaster supplies kit should contain enough of the following items to last for 14-days minimum:

Water – One gallon of water per person per day for 14 days for drinking and sanitation 

Food – Non-perishable food that does not require cooking. Survival foods such as Peanut Butter, Protein Shakes, Dried Fruits, Nuts 

Eating Utensils – Plates, mess kits, forks and chop sticks. Don’t forget a non-electric can opener for canned foods 

Radio – Battery-powered or hand crank radio with NOAA Weather alert 

Light – Flashlight and or a portable fluorescent light 

Spare batteries – Check annually 

First Aid – Get a good kit and consider enrolling in a certified first aid course 

Whistle – Important for signaling for help. A whistle carries much farther than the human voice and uses less energy than yelling

Dust Mask – Helps to filter contaminated air 

Sanitation – Moist towelettes, heavy duty garbage bags, hand sanitizer gel, toilet paper, baking soda/kitty litter to absorb orders, gloves and plastic ties for personal sanitation 

Tools – Wrench or pliers to turn off utilities, duct tape 

Maps – Local area maps 

Prescription – Special medications, glasses and medical devices 

Pets – Pet food and extra water for your pet 

Miscellaneous – Infant Formula, diapers, incontinent supplies, feminine products

Department of Emergency Management City and County of Honolulu Kirk Caldwell, Mayor 650 South King Street ♦ Honolulu, HI 96813 (808) 723-8960 ♦ Fax (808) 524-3439 email :

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.


Comprehensive Preparedness Guide 201: Threat and Hazard Identification and Risk Assessment Guide

Document:  HomelandSecurity-Haz_Risk_Assess-2013

CPG 201 provides a four-step process for conducting a Threat and Hazard Identification and Risk Assessment. Developing an understanding of its risks from natural, technological, and human-caused threats and hazards, allows a community to make informed decisions about how to manage risk and develop needed capabilities.

The Unified Victim Identification System (UVIS)

UVIS Information Guide_NYC

A system for identifying victims in a catastrophe is already deployed in the City of New York. The Unified Victim Identification System (UVIS), developed by Connecticut-based Sapphire International, Inc, is a disaster management system that manages and coordinates all of the activities related to missing persons reporting and victim identification. In concert with the City’s 311-call center, UVIS enables a centralized communications and data collection processes to support the family assistance center (FAC). This coordinated system is essential to developing an accurate manifest of potential victims – a critical step in victim identification. Most importantly, the coordinated UVIS-311 call center system keeps the lines of communication open to the families, friends and associates of possible victims. Such a resource is invaluable in the chaos that follows any tragic event.

What is UVIS?

The Unified Victim Identification System (UVIS) is a web browser-based application that can greatly enhance the victim identification process. UVIS was developed from knowledge gained during responses to major catastrophes, such as the September 11, 2001 attacks, the American Airlines Flight 587 crash in addition to lessons learned from national and international disasters. The City of New York Office of Chief Medical Examiner, the largest Medical Examiner operation in the nation, its Department of Forensic Biology, the New York Police Department (NYPD), the NYC Department of Information Technology and Telecommunications (DoITT), the NYC Office of Emergency Management (OEM), the NYC Mayor’s Office and other agencies throughout the City provided direct input into its development.

Today, UVIS is ready to assist in the event of a terrorist attack, hurricane, earthquake, pandemic flu event or other mass fatality incident. UVIS can deal with both open and closed manifest incidents (i.e., when there are no decedent/missing person’s lists, and when a decedent/missing persons list is available) and includes a built-in Dental Identification Module (UDIM).

UVIS is designed to handle multiple types of scenarios, and can manage up to 156 simultaneous events if needed. For example a terrorist operation may target different discrete areas of a large city (multiple incidents), as was the case on July 7th 2005 when a series of coordinated bomb blasts hit London’s public transport system during the morning rush hour resulting in more that 121,000 call center reports.

Most importantly, UVIS enables the OCME to meet its primary objectives following a catastrophic incident. They include:

• Investigate, Recover & Process Decedents in a Dignified and Respectful Manner

• Accurately Determine Cause & Manner of Death

• Perform Accurate & Efficient Identification of Victims

• Provide Families with Factual & Timely Information in a Compassionate Manner

• Conduct Rapid Return of Victims to their Legal Next of Kin

2017 Wildland Fires and Potential Impacts to Critical Infrastructure

2017+Wildland+Fires+and+Potential+Impacts+to+Critical+Infrastructure:  Document

2017 Wildland Fires and Potential Impacts to Critical Infrastructure – 8 June 2017, has been posted to the Office of Cyber and Infrastructure Analysis (OCIA) page on the HSIN-Critical Infrastructure (CI) portal. This new product can be found under the Recent OCIA Products section of the portal.  

Scope Note
This product provides an overview of the National Interagency Fire Center (NIFC) Predictive Services Unit’s National Significant Wildland Fire Potential Outlook for June through September 2017. It examines the potential effects to U.S. critical infrastructure and is an update to the May 2016 Office of Cyber and Infrastructure Analysis (OCIA) Wildland Fires and Potential Impacts to Critical Infrastructure infographic. This update supports U.S. Department of Homeland Security (DHS) leadership; DHS Protective Security Advisors; and other Federal, State, and local agencies.
Key Findings
  • For June through September 2017, the NIFC predicts above normal fire potential across parts of Arizona, California, Florida, Georgia, Hawaii, Nevada, and New Mexico as fine fuels (twigs, needles, and grasses that ignite and burn rapidly) become available to burn.
  • Most areas of the United States are expected to see normal significant wildland fire potential throughout the fire season. It is important to note that normal fire activity still represents significant numbers of fires and acres burned.
  • OCIA assesses the critical infrastructure sectors most vulnerable to wildland fires are Emergency Services, Food and Agriculture, Healthcare and Public Health, Transportation Systems, and Water and Wastewater Systems.
Please read the attached document for further information regarding 2017 Wildland Fires Outlook.
Current Drought Conditions
According to the NIFC, overall drought conditions improved in May 2017. Southern Georgia and Florida saw preexisting extreme drought conditions worsen while abnormally dry conditions along the Mexico border with Arizona and New Mexico developed into a moderate drought. Abnormally dry conditions were also observed across portions of central and southern Texas as well as across portions of the Alaskan interior.
Please read the attached document for more information on the effects of wildland fires on critical infrastructure.
This product was developed in coordination with the DHS/National Protection and Programs Directorate/Office of Infrastructure Protection/Sector Outreach and Programs Division, DHS/Federal Emergency Management Agency, U.S. Fire Administration, U.S. Department of the Interior/Office of Wildland Fire, and NIFC.
If you did not receive this OCIA New Product Alert directly, you can join the Critical Infrastructure Community of Interest (HSIN-CI) by sending your first and last name, your e-mail address, and your reason for requesting access to HSIN-CI to BOTH of the following addresses: and HSIN-CI members can access all of OCIA’s past products and join Sector-specific COIs.
Access to the site will require the use of your assigned HSIN-CI user name and password. Upon linking directly to the site, the user can then also navigate within HSIN-CI as well as within those Communities of Interest to which they have access.
If you need to update your HSIN password, please click here to be directed to a self-service portal.  For technical assistance, you may contact the HSIN Help Desk or toll free at (866) 430-0162.
Please take the time and fill out the NPPD Customer Feedback Survey located on the last page of the product. Please direct any additional comments you were unable to address regarding the newly posted product to OCIA
The 2017 Wildland Fires and Potential Impacts to Critical Infrastructure Report is wholly UNCLASSIFIED and is approved for the widest dissemination.
2017 Wildland Fires and Potential Impacts to Critical Infrastructure Report can be accessed via the OCIA HSIN-CI page by clicking the following link:
This and other OCIA products are visible at the following websites:
Please include feedback and suggestions using the NPPD Feedback Survey located as a second attachment compared to its usual location on the last page of the product.


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