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. 2023 Sep 1;11:1215929. doi: 10.3389/fpubh.2023.1215929

Table 4.

Recommended actions in order to prevent and control EIDs/REIDs in wars and natural disasters.

Action Recommendations
Development of a generic national action plan
  • Risk assessment for different scenarios (conflict, earthquake, flood, etc.)

  • Mechanism for action

  • Determination of roles and responsibilities of each sector

  • Establishment of a coordination mechanism

  • Standard algorithms for EIDs/REIDs prevention and control

  • Mobile teams for active case detection such as malaria, cutaneous leishmaniasis

  • Coordination with Non-Governmental Organizations and international agencies (WHO, ECDC, etc.)

  • Defining supply management system (laboratory equipment and kits, treatment drugs, vaccine, vector and rodent control equipment and products, etc.), etc.

Preparation of provincial/regional action plans
  • Consideration of local conditions such as epidemiology of EIDs/REIDs

  • Specification of vector and reservoir species and their distribution

  • Assessment of response capacity and additional needs

Establishment or adaptation of the current EIDs/REIDs surveillance and early warning system
  • Flexible surveillance system (computerized, paper-based, etc.)

  • Determination of data sources

  • Syndromic surveillance

  • Enhanced laboratory services

  • Mobile laboratories

  • Field laboratories

  • Special arrangements to specimen transport

Environmental health measures
  • Supply of safe drinking water

  • Basic sanitation facilities

Planning of vector and rodent control
  • Regularly disposal of excreta, wastewater, and solid wastes

  • Vector control in the affected area

  • Rodent control in the affected area especially around the temporary shelters

Planning of free-roaming-animal control
  • Planning of new settlements far from wildlife

  • Shelters for domestic animals

  • Vaccination, anti-parasite medication, etc. services to animals hosted in shelters

Arising awareness and capacity building
  • Training of health staff

  • Public awareness and education programs