Earthquakes 2000 to 2005 From Indonesia to Pakistan Rashid A. Chotani, MD, MPH Director, Global Infectious Disease Surveillance & Alert System (GIDSAS) for Humanitarian Assistance 410-502-3116/410-322-7469 rchotani@jhsph.edu Rashid Chotani, Friday, November 18, 2005

Total Deaths due to earthquakes in 2000: 213 Date 2000/06/04 Region Southern Sumatera, Indonesia Magnitude 7.9 Number Killed 103 Total Deaths due to earthquakes in 2000: 213 Rashid Chotani, Friday, November 18, 2005

Total Deaths due to earthquakes in 2000: 21, 357 Date 2001/01/26 Region India Magnitude 7.7 Number Killed 20,023 Total Deaths due to earthquakes in 2000: 21, 357 Rashid Chotani, Friday, November 18, 2005

The WB and ADB estimated the damages at $2.3 billion. 26 January 2001: Gujarat Earthquake of magnitude 7.7 on Richter scale One of the worst Reported lives earthquakes in the lost ~ 20,000 last 180 years 167,000 persons Over 1 Million suffered injury homes affected by the calamity Over 50000 Over 10,000 small and classrooms, 5000 medium industrial units Around five million health units went out of production people needed to be damaged/destroyed 50000 artisans lost their given immediate relief livelihood The WB and ADB estimated the damages at $2.3 billion. . Rashid Chotani, Friday, November 18, 2005

Damage due to earthquake Rashid Chotani, Friday, November 18, 2005

Total Deaths due to earthquakes in 2002: 1,357 Date 2002/03/25 Region Hindu Kush Region, Afghanistan Magnitude 6.1 Number Killed 1,000 Total Deaths due to earthquakes in 2002: 1,357 Rashid Chotani, Friday, November 18, 2005

Total Deaths due to earthquakes in 2003: 33,819 Date 2003 12 26 Region Southeastern Iran Magnitude 6.6 Number Killed 31,000 Total Deaths due to earthquakes in 2003: 33,819 Rashid Chotani, Friday, November 18, 2005

On 26 December 2003, at 5:26 AM of local time, an earthquake measuring 6.6 on the Richter scale struck the city of Bam and surrounding villages in Kerman province in Southeastern Iran. ~40,000 Casualties Over 30,000 injured The Citadel of Bam which was once built up to save the lives of people, could not even save itself. Rashid Chotani, Friday, November 18, 2005

Total Deaths due to earthquakes in 2002: 284,010 Date 2004/12/26 Region Off the West Coast of Northern Sumatra Magnitude 9.0 Number Killed 283,106 Total Deaths due to earthquakes in 2002: 284,010 Rashid Chotani, Friday, November 18, 2005

Indonesia INCIDENCE OF COMMUNICABLE ILLNESS VS. NON-COMMUNICABLE (Disaster and non-disaster related) ILLNESS The NEW CLINIC Rashid Chotani, Friday, November 18, 2005

Sri Lanka Asia Relief in Sri Lanka: 1)  LITTLE DREAMS:  To restore quality-of-life- and to prevent poverty, crime, and widespread community depression-- we must restore the livelihoods of persons affected by the tsunami.  2)  HOUSING:  To provide shelter and restore dignity, we must construct houses in permanent community settings.  Rashid Chotani, Friday, November 18, 2005

Total Deaths due to earthquakes in 2005: 89,313 Date 2005 10 08 Region Pakistan Magnitude 7.6 Number Killed 87,351 Total Deaths due to earthquakes in 2005: 89,313 Rashid Chotani, Friday, November 18, 2005

Number of Earthquakes & Deaths Due to Earthquakes Worldwide for 2000 - 2005 Located by the US Geological Survey National Earthquake Information Center * * Preliminary Data Rashid Chotani, Friday, November 18, 2005

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Rashid Chotani, Friday, November 18, 2005

The Initial Shock Rashid Chotani, Friday, November 18, 2005

The Initial Shock Rashid Chotani, Friday, November 18, 2005

The Initial Shock Rashid Chotani, Friday, November 18, 2005

The Initial Shock Rashid Chotani, Friday, November 18, 2005

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Rashid Chotani, Friday, November 18, 2005

OVER 80,000 DEAD Rashid Chotani, Friday, November 18, 2005

OVER 80,000 DEAD Rashid Chotani, Friday, November 18, 2005

OVER 80,000 INJURED Rashid Chotani, Friday, November 18, 2005

OVER 80,000 INJURED Rashid Chotani, Friday, November 18, 2005

OVER 80,000 INJURED Rashid Chotani, Friday, November 18, 2005

Rashid Chotani, Friday, November 18, 2005

OVER 3 MILLION HOMELESS Rashid Chotani, Friday, November 18, 2005

OVER 3 MILLION HOMELESS Rashid Chotani, Friday, November 18, 2005

OVER 3 MILLION HOMELESS BASIC NEED SHORTAGE Rashid Chotani, Friday, November 18, 2005

Rashid Chotani, Friday, November 18, 2005

RESCUE OPERATIONS: MONEY RUNNING OUT Rashid Chotani, Friday, November 18, 2005

Rashid Chotani, Friday, November 18, 2005

Rashid Chotani, Friday, November 18, 2005

Tetanus & Gangrene Due to delay in care most wounds have become infected leading to gangrene The only remedy is amputation Limited supply of prosthetic devices Sharp injuries have lead to patients developing tetanus 113 Cases: 22 Deaths Rashid Chotani, Friday, November 18, 2005

Maternal & Child Health Maternal Mortality ratio = 540/100,000 births 40,000 pregnant women in the affected area Of the population affected by the earthquake, an estimated 161,000 women could become pregnant within the year (based on a crude birth rate of 35/1000 live births). 60% immunization coverage in the affected area – serious risk of measles outbreaks Rashid Chotani, Friday, November 18, 2005

Psychological Problems Of the affected population 150,000 (3-4%) may require treatment for sever mental disorders 600,000 (15%) may require treatment for mild to moderate mental disorders Rashid Chotani, Friday, November 18, 2005

Rashid Chotani, Friday, November 18, 2005