No abstract

The Sendai Framework for Disaster Risk Reduction 2015-2030 recognizes the strong connection between health and disasters and promotes the concept of health resilience throughout. Several of the seven global targets stated in the Sendai Framework are directly related to health in terms of reducing disaster mortality, the number of affected people, disaster damage to critical infrastructure, and disruption of basic services such as health facilities. The Sendai Framework also maintains close coordination with other United Nations landmark agreements relevant to health such as the Sustainable Development Goals. However, the measurement of healthrelated indicators is challenging. Issues arise, for example, in linking deaths to disasters because of the complex interplay between exposure, risk, vulnerability, and hazards. The lack of a universal classification of disasters also means that recording of health data in disasters is not standardized. Developing the guidelines to enable data on the indicators to be collected and reported to support the Sendai targets requires detailed thinking, time, and consultation with a diverse range of stakeholders. Strong collaboration and partnership will be vital to achieving success.

The controlled complex coacervation of oppositely charged hyaluronic acid (M ≈ 800-1000 kg mol) and chitosan (M ≈ 160 kg mol, degree of acetylation = 15%) led to hydrogels with controllable properties in terms of elasticity and strength. In this work, we performed desalting by dialysis of high ionic strength solutions of mixed polyelectrolytes and showed that the control of the pH during the polyelectrolyte assembly greatly impacts the mechanical properties of the hydrogel. First, for pHs from 5.5 to 7.5, a slight coacervation was observed due to low chitosan protonation and poor polyelectrolyte associations. Then, for pHs from 3.0 to 5.5, coacervation and syneresis led to free-standing and easy to handle hydrogels. Finally, for pHs from 2.0 to 3.0 (close to the pK of the hyaluronic acid), we observed the unusual stretchability of these hydrogels that could arise from the pre-folding of hyaluronic acid chains while physical crosslinking was achieved by hyaluronic acid/chitosan polyelectrolyte complexation.

This article explores the role of public health systems before, during, and after disasters, particularly within the scope of the United Nations Post-2015 Framework for Disaster Risk Reduction. It also examines the role of scientific and technological developments in assisting with improving the resilience of public health professionals and the communities they work in. In addition, it explores how the wide-ranging activities in public health have already contributed to the improved management of disasters and a decrease in associated risks. The article identifies areas of synergy in five key areas of recent policy and practice in public health (the health systems approach, risk assessments, the WHO/UNISDR/HPA Disaster Risk Management fact sheets, chronic disease and disasters, and mental health impacts following disasters) and makes suggestions based on lessons identified from the previous (2005) global disaster risk reduction framework. In particular, we advocate the use of scientific evidence that addresses health and disaster risk simultaneously to increase the effectiveness of policy and practice in disaster risk reduction, health, and public health.

The dominant discourse of gender focuses on the binary of woman/man, despite the known additional risks for diverse sexualities and gender minorities in disasters. Given the small but growing body of literature concerning gender minorities in disasters, this paper sets out to explore the place of sex and gender minorities in disasters and to examine whether a binary definition needs to be extended. A five-stage rapid review was undertaken following Arksey and O’Malley’s method. Peer-reviewed journal articles in English language were sought that included disaster and gender terms in the title, abstract, and/or body of the article published between January 2015 and March 2019. The search included MEDLINE and Scopus databases. Relevant information from the studies were charted in Microsoft Excel, and results were summarized using a descriptive analytical method. In total, 729 records were identified; 248 that did not meet the inclusion criteria were excluded and 166 duplicates were removed. A total of 315 records were sourced and their full text was reviewed. Of those, only 12 journal articles included content relative to more than two genders. We also recognized that sex and gender terms were used interchangeably with no clear differentiation between the two. We recommend that disaster scholars and practitioners adopt correct terminology and expand their definition of gender beyond the binary; utilize work on gender fluidity and diversity; and apply this to disaster research, policy, and practice.

Among successful entrepreneurs with key characteristics and traits, many of them do not view themselves as being “entrepreneurial,” but just as small business owners.

The recently adopted United Nations' Sendai Framework on Disaster Risk Reduction 2015-2030 has a much greater emphasis on science compared with other global policy frameworks. It builds on the idea that science and evidence are essential for effective policy-making to improve lives, livelihoods and health. It was the first UN landmark agreement of the year 2015, the other two being the Sustainable Development Goals (agreed September 2015) and the Climate Change Agreements (agreed December 2015). This article explores key synergies across these agreements that are articulated in the Sendai Framework to support joint policy-making. The article outlines the opportunities and challenges for scientific research and its translation into policy and practice; proposes scientific activities for developing Disaster Risk Reduction science, and makes suggestions for how to take these forward into the 2015-2030 period. This article is published as part of a thematic collection dedicated to scientific advice to governments.

Disasters exact a heavy toll globally. However, the degree to which we can accurately quantify their impact, in particular mortality, remains challenging. It is critical to ensure that disaster data reliably reflects the scale, type, and distribution of disaster impacts given the role of data in: (1) risk assessments; (2) developing disaster risk management programs; (3) determining the resources for response to emergencies; (4) the types of action undertaken in planning for prevention and preparedness; and (5) identifying research gaps. The Sendai Framework for Disaster Risk Reduction 2015-2030s seven global disaster-impact reduction targets represent the first international attempt to systematically measure the effectiveness of disaster-impact reduction as a means of better informing policy with evidence. Target A of the Sendai Framework aims to ''substantially reduce global disaster mortality by 2030, aiming to lower the average per 100,000 global mortality rate in the decade 2020-2030 compared to the period 2005-2015.'' This article provides an overview of the complexities associated with defining, reporting, and interpreting disaster mortality data used for gauging success in meeting Target A, acknowledging different challenges for different types of hazard events and subsequent disasters. It concludes with suggestions of how to address these challenges to inform the public health utility of monitoring through the Sendai Framework.