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Oxford Textbook of Medicine$
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Edited by David A. Warrell, Timothy M. Cox, John D. Firth

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Latest update

The May 2013 update sees updates to chapters focusing on Respiratory Medicine and Haematology.

Respiratory Medicine updates include substantial updates to key chapters and new material on a wide range of topics including: new bronchoscopic techniques for early detection of lung cancer, specific causes of effusion and pleural disease, and chronic obstructive pulmonary disease.

Haematology updates include extensive revisions of key chapters on chronic myeloid leukaemia, aplastic anaemia and bone marrow failure disorders, and blood transfusion, with new information on a wide range of matters.

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Disclaimer

Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Contents

Disasters: earthquakes, volcanic eruptions, hurricanes, and floods

Chapter:
Disasters: earthquakes, volcanic eruptions, hurricanes, and floods
Author(s):

Peter J. Baxter

DOI:
10.1093/med/9780199204854.003.0905012

Natural disasters (earthquakes, volcanic eruptions, hurricanes, floods) affect the lives of hundreds of millions of people every year, and their impact is increasing year on year because of continuing expansion of human populations into increasingly exposed areas, with environmental degradation making these settlements more vulnerable, especially in heavily urbanized areas. Future climate change may exacerbate matters, with many forecasts predicting an increase in hurricanes, severe wind storms, flooding and droughts.

Disasters are chaotic, but communities can plan and prepare to reduce their impacts. Most deaths in sudden disasters happen before outside aid arrives, hence building local response capacity is crucial. However, international disaster relief can be rapidly and effectively dispatched to needy countries that are politically willing to accept it, and relief teams have an important role in restoring roads and bridges, bringing in potable water, ensuring solid waste management, food protection, vector control, and sanitation. Attendances at medical facilities may return to normal within a few days of a disaster, and restoration of primary care then becomes the priority, rather than emergency treatment.

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