Longer Term Effects of a Natural Disaster on Health and Socio-Economic Status

描述（由申请人提供）：2004年12月26日苏门答腊-安达曼地震袭击了印度洋，并产生了海啸，对该地区的沿海地区造成了严重破坏。在世界范围内，伤亡人数估计超过25万人，其中大部分在印度尼西亚，这是该项目的重点。我们有三个主要目标。首先，将认真记录灾害对死亡率、家庭破裂和搬迁、身心健康以及个人、家庭和社区一级的经济和社会保障的直接、中期和长期影响。第二，本项目将追踪灾后生活和生计的重建，关注各种应对灾害行为的影响、亲属关系和社交网络的作用、经济资源水平以及接受和利用外部援助的情况。第三，我们将确定个人、家庭和社区的特征和行为，这些特征和行为与减轻灾害的负面后果有关。将特别注意家庭成员死亡的影响。这些证据将有助于编写关于意外冲击对人口福祉影响的科学文献。为了实现这些目标，我们将设计，现场和分析数据从多波纵向调查近50，000人在苏门答腊岛和附近地区的海啸受灾地区。2004年2月地震前收集了基线数据。第一次重新调查目前正在实地进行。我们将再进行四次年度后续调查，以衡量灾害的长期后果、复原和恢复的进展情况，并确定最容易受到自然灾害长期负面后果影响的人。这些数据将被置于公共领域，并将成为更好地了解自然灾害对人口福祉影响的重要科学资源。该项目将提供2004年12月26日海啸对健康、死亡率和其他社会和经济后果的估计。我们将查明受灾最严重的个人的特点，并追踪五年来海啸后的恢复过程，查明恢复最快的个人和社区。这些结果对于为这场危机和今后的自然灾害设计有效的救济工作至关重要。

DESCRIPTION (provided by applicant): The Sumatra-Andaman earthquake struck in the Indian Ocean on December 26, 2004 and generated a tsunami that wreaked havoc in coastal areas in the region. Worldwide, casualties are estimated to be over 250,000, mostly in Indonesia, the focus of this project. We have three main goals. First, the immediate, medium-term and longer-term consequences of the disaster on mortality, family disruption and relocation, physical and mental health as well as economic and social security at the individual, family and community level will be carefully documented. Second, the project will trace the reconstruction of lives and livelihoods in the aftermath of the disaster, paying attention to the effects of different behaviors in response to the disaster, the roles of kinship and social networks, levels of economic resources, and receipt and leveraging of external aid. Third, we will identify the characteristics and behaviors of individuals, households and communities that are associated with mitigating the negative consequences of the disaster. Special attention will be paid to the impact of death of family members. The evidence will contribute to the scientific literature on the effects of unanticipated shocks on population well-being. To fulfill these goals, we will design, field and analyze data from a multi-wave longitudinal survey of almost 50,000 individuals in tsunami-affected areas of Sumatra and nearby areas. Baseline data were collected in February 2004, prior to the earthquake. The first re-survey is currently in the field. We will conduct four additional annual follow-up surveys to measure the longer term consequences of the disaster, the evolution of rehabilitation and recovery, and identify those who are most vulnerable to longer-term negative consequences of natural disasters. The data will be placed in the public domain arid will be an important scientific resource for better understanding the impact of a natural disaster on population well- being. This project will provide estimates of consequences of the December 26, 2004 tsunami for health, mortality, and other social and economic outcomes. We will identify the characteristics of the individuals who were hardest hit and trace the process of recovery from the tsunami over five years, identifying those individuals and communities that recovered most quickly. These results are essential for designing effective relief efforts for this crisis and for future natural disasters.