1. Tsunami: Dec. 26, 2004 Lessons for Public Health Mark Oberle MD, MPH moberle@u.washington.edu http://faculty.washington.edu/moberle/Tsunami

2. Surviving a Tsunami http://pubs.usgs.gov/circ/c1187/

3. Second wave recedes from pool area

4. Victims got splints and bandages in the lobby

5. Buses and boats blocked streets

6. Cars and steel slammed into buildings

7. Cars and debris filled pools and rooms

8. Rescue efforts Rescuers hopped on debris to get between flooded buildings, while smaller waves crashed into 1st floor

9. Water receding at our hotel

10. Tourists and Thais waited for next tsunami on the hillsides

11. Hourly panics => stampedes from beach

12. The search for the missing

13. Identifying remains, December 2004 (Photo: Mark Simmerman)

14. Processing remains, December 2004 (Photo: Mark Simmerman)

15. Thailand casualty data, 4 January 2005 (Photo: Mark Simmerman)

16. Public Health Concerns Preparedness planning Treatment of acute injuries Food, shelter, safe water Person-to-person transmission – e.g., measles Vector borne disease: malaria, dengue (?) Rehabilitation medicine Mental health services

17. Post-tsunami illnesses Source: MMWR January 28, 2005 / 54(03):61-64.

18. Lessons for all of us Tsunami warning signs Who are the first responders? Family Disaster Plan* Communications * For more information on family disaster plans: http://www.doh.wa.gov/phepr/handbook/family.htm

19. Technology

20. Large Tsunamis in Last 50 years Chile, 1960: 9.5 Prince William Sound, Alaska, 1964: 9.2 Indonesia, 2004: 9.0 – 9.3 Andreanof Islands, Alaska, 1957: 9.1

21. World Population Growth

22. Questions

23. Tsunami: Dec. 26, 2004 Lessons for Public Health Mark Oberle MD, MPH moberle@u.washington.edu http://faculty.washington.edu/moberle/Tsunami