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A case study of complex disasters within the resilience framework in Zagreb, Croatia: Two earthquakes in one pandemic.
Svetina, Lucija; Kosec, Andro; Curkovic, Marko; Nola Iskra, Alexandra.
  • Svetina L; Department of Cardiac Surgery, University Hospital Center Zagreb, Kispaticeva 12, 10 000, Zagreb, Croatia; University of Applied Health Sciences, Mlinarska Street 38, 10 000, Zagreb, Croatia.
  • Kosec A; University of Zagreb, School of Medicine, Salata 2, 10 000, Zagreb, Croatia; Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Center Sestre Milosrdnice, Vinogradska Cesta 29, 10 000, Zagreb, Croatia.
  • Curkovic M; University of Zagreb, School of Medicine, Salata 2, 10 000, Zagreb, Croatia; University Psychiatric Hospital Vrapce, Bolnicka Cesta 32, 10 090, Zagreb, Croatia.
  • Nola Iskra A; University of Zagreb, School of Medicine, Salata 2, 10 000, Zagreb, Croatia; Andrija Stampar School of Public Health, Department of Environmental and Occupational Health and Sports Medicine, Rockefeller Street 4, 10 000, Zagreb, Croatia. Electronic address: iskra.nola@snz.hr.
Environ Res ; 204(Pt B): 112079, 2022 03.
Article in English | MEDLINE | ID: covidwho-1433210
ABSTRACT
This paper is an analysis of complex crisis management and the importance of resilience on the example of co-occurring disasters. A resilience framework model was analyzed based on epidemiologic data and the interplay of several disasters; the COVID-19 pandemic and two 2020 Zagreb, Croatia earthquakes. A dose-response principle may be applied to a complex crisis scenario, within a resilience-vulnerability framework. The available data present the concept of balance between vulnerability and resilience of the population affected by complex crises as well as possible adaptation mechanisms. Multiple disasters that last for a prolonged period reduce the populations' resilience and increase the risk of the next crisis becoming a disaster as well. Such complex disasters should not be approached by multiple risk management protocols, but rather by a single, multilayered protocol. Health policies that predict the possible effects of complex disasters on health risk management need to provide measures to maintain and promote resilience instead of collapse. These is a clear need to adopt green environmental policies, reduce socioeconomic inequality, train volunteer managers during crises, introduce timely evidence-informed policies and transfer new research and innovations in society rapidly.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Disaster Planning / Disasters / Earthquakes / COVID-19 Type of study: Case report / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Environ Res Year: 2022 Document Type: Article Affiliation country: J.envres.2021.112079

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Disaster Planning / Disasters / Earthquakes / COVID-19 Type of study: Case report / Observational study / Prognostic study Limits: Humans Country/Region as subject: Europa Language: English Journal: Environ Res Year: 2022 Document Type: Article Affiliation country: J.envres.2021.112079