[O2-16]
The tale of the two 2018 tsunamis in Indonesia from a health perspective.

[O2-16-01] The tale of the two 2018 tsunamis in Indonesia from a health perspective.

*Masdalina Pane^2,3,4, *Fiona Yin Mei Kong¹, *Tri Bayu^5,3, *Mugi Wahidin^2,3 (1. The Center for Applied One Health Research and Policy Advice, City University of Hong Kong, 2. The National Institute of Health Research and Development, Ministry of Health, Republic of Indonesia, 3. Perhimpunan Ahli Epidemiologi Indonesia (PAEI), 4. Sari Mutiara Indonesia University, 5. Sumatera Utara Islamic State University)

Keywords:tsunami , health capacities, disaster preparedness and mitigation, local health system

In 2018, there were two main destructive tsunamis in Indonesia. The first occurred in the Donggala Regency (Central Sulawesi province) in September and the second along the Sunda Strait (coastal regions of Banten and Lampung provinces) in December. In Donggala regency, the landslides, liquefaction and tsunami caused a total of 2,830 fatalities, 701 missing, 2,537 seriously injured and an estimated 1,016 victims buried in liquefaction. In Sunda Strait, there were 437 fatalities, 16 missing, 14,059 injured and 33,719 internally displaced persons (IDPs) due to the holiday peak season and festivities on the beaches. Due to the large numbers of IDPs, there was a high risk of both epidemic-prone and vaccine-preventable diseases (VPDs) as most areas had WASH issues, endemic vector-borne diseases, and less than 90% immunization coverage. The disaster preparedness and mitigation plans were limited to none in the affected districts and sub-districts which was further exacerbated by the manpower issues, lack of surge capacity in the local health system, and infrastructure damages. The aim is to detail the coping mechanisms and challenges for the health system and its capacities in a lower-middle-income country (LMIC) during a disaster based on the field assessments. The proposed session will be divided into four 20-25 minute components which will focus on: (1) the initial disaster assessments and how the assessments were further refined in the second tsunami; (2)an in-depth analysis of the impact on the local health systems and capacities in both areas (from the acute phase to a month); (3) the contribution of the NGOs to the acute phase of the disasters and the challenges which need to be further explored; (3) the comparison of health projections with ongoing issues in the recovery process; and conclude with (4) the lessons learnt to inform disaster risk reduction for similar high risk areas.