Literature Review Strategic framework for the Medical Response and Public Health


This chapter of the dissertation focuses on integrating the information gathered from different scholarly articles together to provide meaningful knowledge about the subject that has to be studied in the research. This makes the inscription of the literature reviews include all the available information from relevant and authentic sources that keeps the research from drawing any irrelevant results or directions for the researchers which is the main purpose of exploring the literatures. In this literature review, the main purpose of the study is to understand the strategic planning at Oman and UK for controlling the major emergency management and medical assistance at the time of various emergencies. write my assignment

The major emergency, which are usually seen in these two regions, include a wide range, which includes hurricanes, earthquakes, floods, and many others. The focus in this literature review and the research paper would be remaining on the flood related emergency at both of these regions. More specifically the emergency of 2007 would be concerned that took place not only at Oman but also the UK was seen facing this emergency. The consequences of this emergency were as usual harmful and life threatening.

The use of this emergency in this research would be made in order to understand the major emergencies, emergency management, and medical strategic planning at Oman and the UK. Furthermore, this chapter would be comparing the emergency management and medical assistance provided at UK and Oman. For this purpose, the emergency management and medical assistance, the strategic frameworks, factors contributing in the enhancement of the medical responses management of the emergencies and other such aspects linked with the subject (Al-Shaqsi, Gauld, McBride, Al-Kashmiri,& Al-Harthy, 2014).

Component of major emergency management involves guaranteeing management of emergency and moderation is fundamental parts of advancement oblige basic bolster and activity. Thus, the emergency administration groups are obliged to give specialized backing to the nations. This issues has been found more importantly focussed at Oman and the UK that could be seen from the below provided information.

Emergency Management in Oman

Dr Margret Chan, who is the Chief General of World Health Organization (WHO), stated that during his visit to Oman, he found out about the result of a European Union/WHO activity to assemble the nation's ability to react to episodes and regular catastrophes. He regarded this as a magnificent sample of an entire of-government methodology. In order to assemble versatility there were more than 30 administrative areas and divisions cooperating (Al-Shaqsi, Gauld, McBride, Al-Kashmiri,& Al-Harthy, 2014).

This additionally mirrors the thorough orderly approach embraced by Oman more than two years with abnormal state national duty and coordinated effort with the WHO Regional Office and home office upheld by the WHO Representative for Oman, Dr Jihane Tawilah, which has achieved a viable and practical result for the nation. A comparative methodology is being connected in different nations in the Eastern Mediterranean Region. Types of emergencies that are usually Oman faces incorporate Cyclones and Floods, seismic tremors, Tsunamis, transport accidents, heat waves and epidemics (Singh, Tyagi, Kumar, Gupta,& Sharma, 2013). 

Emergence Risk Management in UK

The crisis administration arrangement of the United Kingdom (UK) has confronted huge changes. These changes could be seen since World War II with the essential point of diminishing human setbacks. The verifiable information in the course of the most recent decades shows the expanding recurrence and risk of real calamities, for example, common, organic, social, innovative, synthetic, concoction, or ecological occurrences influencing the UK. The likelihood of confronting dangers and crushing results after the 9/11 terrorist assaults and the experience of 2005 London bombings bring up the issue about the preparation of the UK to adequately manage expansive catastrophes and mass losses.

There are severe perils and defencelessness issues in the United Kingdom. It audits the historical backdrop of calamities, which are influencing UK, and the procedure of advancement of crisis administration strategy in the nation. The paper likewise portrays the nation's present structure of crisis administration framework and talks about future calamity challenges. The United Kingdom is a unitary state comprising of four nations that are England, Northern Ireland, Scotland, and Wales. It is represented by parliamentary framework, which is situated at the capital, London.

It is an island nation encompassed by the Atlantic Ocean, the North Sea, the English Channel and the Irish Sea. The Channel Tunnel through its biggest island connects the nation to France. The aggregate territory of the UK is 244,820 square kilometres (94,526 square mile) (Al-Busaidi, 2012). It has a calm atmosphere with copious precipitation. Eastern parts of the nation are moderately drier. Atlantic ebbs and flows, which are warmed by Gulf Stream, bring mellow and wet winters.For assistance buy thesis online. 

The historical backdrop of diverse sorts of debacles in the UK incorporates a wide mixed bag of episodes running from regular dangers and the risk of artificial catastrophes. Because of its topographical area, atmosphere warming, precipitation power and ocean level ascent, it is practically unimaginable actually and financially to keep all results from normal fiascos. For example, significant flooding, serious tempests and storms, tenacious low temperatures, substantial snow, warmth waves, dry spell, fires and other extreme climate occurrences in the UK(Ghimire, Ferreira,& Dorfman, 2015).

The flood occasions of 2007 alone brought about harm to more than 55,000 properties, took the life of 13 individuals, left 350,000 individuals without water supply, influenced 7,300 organizations, and created billions of spending by central government (Pei& Zheng, 2015). The danger of flood occasions is not new and has truly been trademark for the UK. Today more than 5 million individuals live in danger territories in England and Wales, which makes extra attentiveness toward central government to react. The coastline locales are typically influenced via ocean floods, high tides, and intense winds (Sternberg& Batbuyan, 2013).

Extreme tempests and winds can influence a large portion of the nation for no less than 6 hours on end. Most inland zones and districts experience storms with rate of 55 mph and blasts, which surpass 85 mph. disregarding moderately little effects, warmth waves, and dry spells are likewise trademark challenges for UK. The effect of a worldwide temperature alteration likewise causes roundabout consequences for human wellbeing, and builds the likelihood of some normal calamities as floods, ascending of ocean levels, and so on. Because of extreme warmth, the UK government makes genuine moves to counteract elderly, youthful, and other helpless populace losses through open mindfulness and training (Abosuliman, 2014). 

Despite of those normal catastrophes, transportation incidents have been given expanded consideration after some time. There have been various cataclysmic transportation incidents in the course of the most recent decades. The recurrence of air accident incidents, ocean transportation fatalities and rail street occurrences has put their disgrace on the UK calamity administration history. Extreme climate conditions and different reasons took lives of numerous individuals and brought on property harm (Singh, Tyagi, Kumar, Gupta,& Sharma, 2013). These emergencies were said to be usually occurred in 1988 and said to be the Pleasure Boat occurrence. Furthermore, it has been found that it took 56 lives, a rail accident of 1988, which took 34 lives, and an air accident of 1989, which murdered 29 individuals and harmed 70 more (Al-Busaidi, 2012).

Uproars, dissents and comparative crusades have likewise been considered as episodes with noteworthy effect and harms in the course of the most recent decades. Samples are mobs of 1985 and fuel barricade emergency of 2000, which brought about number of passing, property harm, losses, disagreeability, and disturbance of government capacities.

 A group smash episode of 1989 and the late risk of avian flu give the fundamental discernment around an extensive variety of debacles, which have a major effect on government and residents in this country (Ball, Werritty,& Geddes, 2013). The UK government confronts difficulties of mixed bag of crisis circumstances that require successful reaction covering an all-perils accentuation.

Notwithstanding talked about catastrophes and emergencies, terrorism assumes a vital part in the fiasco environment of the United Kingdom. The UK beforehand was a casualty of terrorist incidents like the assaults of 1987 in Enniskillen, Northern Ireland, where 11 individuals passed on and 50 were harmed. Another event of the bombarding of 1988 Omagh, Northern Ireland where 8 individuals kicked the bucket and 21 were harmed .

Another event of the terrorist shelling the airplane occurred at Lockerbie, Scotland in which 281 individuals were brutally killed. Be that as it may, since the 9/11 assaults in the United States and London Bombing of 2005, the central administration of the UK needed to reevaluate viability and limit of its crisis administration reaction and the potential danger and result of terrorist activity.  

Oman to Form Committee for Emergency Management

In Muscat, Sultan Qaboos Bin Saeed, Oman’s leader has issued requests to shape a national level advisory group to manage characteristic catastrophes. In the most recent three years, Oman has been hit by two dangerous tropical violent winds as well, one in these were Gonu in 2007 and the tornado Phet in year 2010, in which it was guaranteed that 24 lives were taken and harmed the base(Al-Shaqsi, Gauld, McBride, Al-Kashmiri,& Al-Harthy, 2014).

Report by the Oman News Agency indicates that the Sultan's requests incorporate the reformulation of the national arrangement for emergency administration (Connolly, 2015). The powers are likewise taking a gander at setting up a changeless focus that would be prepared to oversee regular emergencies. Quick reaction groups would likewise be framed if there should arise an occurrence of looming crisis.

Oman’s Warning System for Addressing Natural Emergencies

On the March 23rd 2009, the Sultanate of Oman dispatched a National Multi Hazard Early Warning System (NMHEWS). This framework, executed with the specialized backing of the Intergovernmental Oceanographic Commission of UNESCO, was intended to react to common dangers, including torrents, violent winds and glimmer floods (Pei& Zheng, 2015).

This framework is the after-effect of cooperation between IOC-UNESCO (Intergovernmental Oceanographic Commission of UNESCO) and Oman that started in 2009. It will bolster observing, information preparing and Standard Operating Procedures, and preparing of work force and the operation of ocean level stations (Sternberg& Batbuyan, 2013). Since 2010, IOC-UNESCO and the Omani government have additionally been teaming up in the improvement of a Tsunami Early Warning System as a major aspect of the general multi-danger early cautioning framework.

Vladimir Ryabinin, Executive Secretary of IOC-UNESCO, pointed out that one of the finishes of the third UN World Conference on Emergency Risk Reduction. This shut only a couple of days before in Sendai, Japan, was that multi-peril early cautioning frameworks, for example, this one ought to be the standard methodology in managing normal fiascos and with danger connected with human exercises (Wex, Widder, Liebmann,& Neumann).

Multi-danger frameworks permit Oman to address numerous beachfront zone chances effectively, and Oman is presently a glad administrator of a standout amongst the most cutting edges among such frameworks. This collaboration venture, on the setup of the notice framework, has additionally been unique for IOC (Wex, Widder, Liebmann,& Neumann). The Government of Oman is currently welcoming neighbouring nations to share information to enhance the administration dangers identified with waves and tropical typhoons in the area.

The dispatch of the framework agreed with a two-day logical provincial meeting (on 22-23 March 2009), trailed by the tenth Session of the Intergovernmental Coordination Group for the Indian Ocean Tsunami Warning and Mitigation System (ICG/IOTWS-X) on 24-26 March 2009, which will unite delegates of more than 20 of the nations in the area (Singh, Tyagi, Kumar, Gupta,& Sharma, 2013). The local meeting entitled Reducing Tsunami Risk in the Western Indian Ocean will cover, specifically, the historical backdrop of Makran tidal waves, common peril appraisal in the area, and the elements of the recently executed cautioning framework.

The Makran Subduction Zone, a dynamic limit between tectonic plates, is accepted to represent a tidal wave danger in the western Indian Ocean, yet the way of this peril is still inadequately caught on. The plate-limit push in the eastern piece of the zone delivered a tremor and related wave in 1945(Xu, Wang, Xie, Chen,& Kim, 2013). A littler wave happened in the same area a great deal all the more as of late, in September 2013, in conjunction with the arrangement of a vaporous island off the bank of Pakistan. Oman is additionally subject to far-field torrents from the Sunda Trench, and in addition tropical tornados and glimmer floods (Sternberg& Batbuyan, 2013).

Strategy Framedfor Flood Management in Oman

For over 40 years, numerous parts of Oman's urban areas and provincial territories have been consistently overwhelmed amid substantial downpours and the tempests cause broad property harms as well as loss of lives the country over. The remarkable illustration is Al Nahda Hospital in Ruwi (Xu, Wang, Xie, Chen,& Kim, 2013). Some time back, it was overwhelmed with water once more after substantial downpours. The routine is the same. Police helicopters need to empty patients to different healing centres and in spite of the fact that authorities said there was no harm, it makes no sense that the legislature would not have to burn through cash to repair the offices (Khailani& Perera, 2013).

Experience demonstrates that Oman should not be hit by disastrous monstrosity climate, for example, Cyclone Gonu in 2007 or Phet three years after the fact to bring about bedlam in the foundation framework. To offer credit to the administration, the state has spent a considerable measure of cash to construct flood safeguard frameworks, however, it is the administration of the offices that should be amplified (Ghimire, Ferreira,& Dorfman, 2015). We know there are no brisk fixes for the compelling rains however when the issue continues over decades then without a doubt there was sufficient time to control the vast majority of the great cases throughout the years (Moore, 2012).

The Shura Council individuals made an imperative point when they said their suggestions in 2012 to alter the Al Nahda Hospital flooding for good was disregarded by the legislature (Sternberg& Batbuyan, 2013). Presently the administration says it would direct a review to consider whether to move the healing centre or fabricate a powerful waste framework (Al-Badi, Ashrafi, Al-Majeeni,& Mayhew, 2009).

Flood Lessons

The Shura Council just implies that nobody is gaining from the flood lessons and a large number of rails are set down the channel to repair the harms each time there is a genuine storm. Not simply government's structures stay defenceless amid the downpours yet the street systems and extensions too (Al Maini, et al., 2015). Digging and boundaries are not sufficiently solid to contain the issue, which put the wellbeing of drivers at danger. Muscat is particularly defenceless against water (Neumayer, Plümper,& Barthel, 2014)moving down coercively from the Al Hajar Mountains amid the downpour that drags sand and rock to the streets (Neumayer, Plümper,& Barthel, 2014).

A portion of the scaffolds of the ways out is creating breaks on the grounds that their establishments stand on the pathway of the floods. Underground water channels top off and break through the surface to overflow (Al-Busaidi, 2012). The same submerged channels cause issues to the establishments of numerous base, incorporate the development of the airplane terminals. Numerous boulevards are overwhelmed on the grounds that there are no seepage frameworks to deplete the water away (Hoffmann, Grützner, Reicherter,& Preusser, 2015).

Power blackout is another issue amid the tempests. Gravely uncovered electrical links get pulled off from their shafts under the sheer constrain of the solid winds. Transformers, then again, are not legitimately protected and it is not remarkable to see sparkles taking off from electrical associations (Wex, Widder, Liebmann,& Neumann). Electrical controllers and wires get over-burden to bring about force floods in our homes. Passing is brought about by electric shock are basic among individuals who cross the wades when such electrical establishments get submerged in the water (Ghimire, Ferreira,& Dorfman, 2015).

Wadi Passings

As indicated by a study by the Sultan Qaboos University, the greatest executioners amid the tempests are the wadis when solid water streams going at more than 100 km for each hour clear away autos and everything in its way. Ranchers are likewise left to tally the misfortunes. The harms of products, cultivating apparatuses and structures keep running into a huge number of rails (Abosuliman, 2014). In any case, the greatest peril with the floods in the cultivating terrains is not blow-back but rather, as indicated by the Ministry of Agriculture and Fisheries are chemicals. Numerous agriculturists use pesticides, development promoters, and store substantial stocks in their sheds. Amid the tempest, the water washes away the concoction from the homesteads (Al-Busaidi, 2012).

The profoundly dangerous and seriously polluted water hurries to the towns to the neighbourhood populace. Villagers utilized the same water overflow to the Falaj framework watering system framework. In many towns, individuals there utilize the Falaj water for their products as well as for local utilization too (Ghimire, Ferreira,& Dorfman, 2015). We all comprehend that the administration needs to make troublesome choices regarding needs on which territory needs the most assurance. It remains that individuals and their homes, not just the framework, are at hazard each time the Met Office issues an awful climate cautioning unless the administration manufacture a more grounded flood protection framework (Kumar, 2013).

UK forms Emergency Policy

The development of crisis administration of the UK made its first strides after World War II. The developing danger of atomic assault prompted the Civil Defence Act of 1948, which expected to diminish the likelihood of non-military personnel losses amid the Cold War. The government felt sure about letting neighbourhood offices manage and oversee conceivable crises (Smith, 2013). Despite the fact that nearby associations and offices were adaptable in asking for local and national assets through proper lead government offices, the central government did not put compulsory necessities for them to collaborate and coordinate neighbourhood endeavours (Connolly, 2015).

Before the end of Cold War the Civil Defence in Peacetime Act of 1986 enacted the current framework and perceived central and nearby government obligation approach. There were various cases, for example, common debacles, which prompted the audit of the current crisis administration framework in 1989 and 1991(Anderson& Adey, 2012). On the other hand, no noteworthy change was set aside a few minutes.

The survey procedure of crisis administration framework included a reaction at neighbourhood level, as well as built up a central centre and system for reacting and get ready for crises at national, territorial, and nearby levels. Consequently, in July of 2001 Civil Contingencies Secretariat (CCS), inside of Cabinet Office was set up, and lead obligations were exchanged to this association (Anderson& Adey, 2012).

The fallout of 9/11 terrorist assaults and expanding danger of artificial fiascos realized inquiry the status and adequacy of the UK government crisis administration structure with the expectation of giving successful common insurance. The worry of terrorism and foundation of viable fiasco reaction system prompted basic change and reorganization.

The Civil Contingencies Act (CCA) of 2004 presented a solitary structure for common security in UK and conveyed new changes to the table, for example, supplanting and upgrading previous Civil Defense and Emergency Power enactments. The CCA is presently made out of two sections. Section 1 characterizes regulations, direction, clear arrangement of objectives, and obligations regarding every single included association at the nearby level.

The nearby responders are separated into diverse areas and classes in light of their particular obligations and parts. Section 2 overhauls Emergency Power Act of 1920 and spotlights on most genuine crises and future danger profile.

Organisation of Emergency Management in UK

A crisis, as characterized in CCA, is a circumstance or arrangement of occasions that undermines or reasons genuine harm to human welfare, the earth, or security in the United Kingdom.” The information and authentic way of crises demonstrates once again that the recurrence of fiascos is constantly expanding in the UK. Environmental change, vulnerability of climate, and rising ocean levels because of the effect of high temperature are a portion of the huge dangers for powerless society (Sheldon, 2012).

Additionally, the potential future danger of terrorism, medications, ceaselessly evolving demographics, novel advances, and social issues makes unconventionality in setting up more maintainable and strong society. Along these lines, common insurance and crisis reaction and administration arrangement of UK has experienced gigantic changes and changes (Ball, Werritty,& Geddes, 2013). Moreover, the general structure of calamity administration has continued as before. The central government has satisfied its role as being part of organizer and giving direction, while neighbourhood offices and governments manage and react to catastrophe (Othman& Beydoun, 2013).

The structure of crisis administration in UK is decentralized. Most crises and episodes, taking into account scale or multifaceted nature, are taken care of at nearby level with no inclusion of Central Government. Nearby organizations are dependably the people on call and the ones who convey the weight of crisis administration. As a rule, the police are viewed as one of the main reacting on-screen characters in neighborhood debacles . At the point when police are given the undertaking of reacting to debacles at the neighborhood level, the Police Gold Commander is named by the nearby Chief Officer with the essential mission of dealing with the reaction. The Police Gold Commander is typically led by Strategic Coordination Group (SCG), which contains senior delegates and official power from neighborhood associations.

The SCG ordinarily arranges its exercises with COBR, if actuated, through Government Liaison Officer (GLO). Nevertheless, in diverse catastrophe cases as creature ailment episode, if nearby police are not the prime reacting office, the administration of debacles is performed through neighborhood workplaces of the lead governments with the backing from fitting Government Offices.

In the event that the effect of the crises is inside of the limits or capacities of neighborhood government, proper nearby crisis administrations and powers are being initiated to take control of the circumstance . In any case, if the episodes and crises are of more effect that is significant and losses, the bolster, contribution and coordination of Central Government gets to be essential and crucial.

The coordination and reaction of Central Government, through suitable Lead Government Department (LGD), is given when the effect degree, scale and intricacy of fiascos is moderately difficult to oversee. By the contribution of Central Government, the COBR is being enacted to bolster coordination and choice making of LGDs. The LGD or Developed Administration office is being assigned, by the Central Government, for general administration and reaction to the occurrences.


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