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

描述(申请人提供)：2004年12月26日，苏门答腊岛-安达曼岛地震袭击印度洋，引发海啸，对该地区沿海地区造成严重破坏。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，将仔细记录灾难对个人、家庭和社区各级的死亡率、家庭中断和搬迁、身心健康以及经济和社会保障造成的直接、中期和长期后果。第二，该项目将跟踪灾后生活和生计的重建情况，注意应对灾害的不同行为的影响、亲属关系和社会网络的作用、经济资源水平以及接受和利用外部援助的情况。第三，我们将确定与减轻灾害负面后果相关的个人、家庭和社区的特征和行为。将特别注意家庭成员死亡的影响。这些证据将有助于撰写有关意外冲击对人口福祉影响的科学文献。为了实现这些目标，我们将对苏门答腊岛及附近地区海啸受灾地区近5万人的多波纵向调查数据进行设计、整理和分析。基线数据收集于2004年2月，也就是地震之前。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、恢复和恢复的演变，并确定哪些人最容易受到自然灾害的长期负面后果的影响。这些数据将公之于众，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。该项目将对2004年12月26日海啸对健康、死亡率以及其他社会和经济后果的后果进行估计。我们将确定受灾最严重的个人的特征，并跟踪五年来从海啸中恢复的过程，确定恢复最快的个人和社区。这些结果对于为这场危机和未来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.