Prehospital and Disaster Medicine

Table of Contents
September–October 2007

Editor’s Corner
Challenges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347
Marvin L. Birnbaum, MD, PhD

Papers from the First Annual Humanitarian Health Conference
Challenges of Humanitarian Health Response to Disasters and Crises. . . . . . . . . . . . . . . . . . . . . . . . . 349
P. Gregg Greenough, MD, MPH; Michael J. VanRooyen, MD, MPH; James C. Stickler, MD;
Richard Brennan, MBBS, MPH

Facing the Challenges in Human Resources for Humanitarian Health. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .351
Hani Mowafi, MD, MPH; Kristin Nowak, MS; Karen Hein; Human Resources Working Group

Professionalization of Disaster Medicine—An Appraisal of Criterion-Referenced Qualifications. . . . . . . . .360
David A. Bradt, MD, MPH, FACEM, FAFPHN, DTM&H;
Christina M. Drummond, MBBS, DObstRCOG, DTM&H, FRACP, MPH, MAE, FAFPHM

Non-Governmental Organizational Health Operations in Humanitarian Crises:The Case
for Technical Support Units. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .369
P. Gregg Greenough, MD, MPH; Rahim Nazerali, MHS; Sheri Fink, MD, PhD; Michael J. VanRooyen, MD, MPH

Health Tracking for Improved Humanitarian Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .377
Nancy Mock, DrPH; Richard Garfield, RN, DrPH

Advances in Monitoring have not Translated into Improvements in Humanitarian
Health Services . . . . . . . . . . . . . . . . . . . . . . . . . .384
Les Roberts, PhD

Expanding the Scope of Humanitarian Program Evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390
Paul Bolton, MBBS, MPH; Judith Bass, PhD; Laura Murray, PhD; Katharine Lee, MA, MPH;
William Weiss, DrPH, MA; Sharon M. McDonnell, MD, MPH

Measuring Health Program Effectiveness in the Field: An Assessment Tool. . . . . . . . . .396
Sharon M. McDonnell, MD, MPH: Abdiaziz S. Yassin, MA, PhD; Wayne G. Brown, MA;
Helen N. Perry, MA, PhD(Cand); Stephen B.Thacker, MD, MPH

Information for Disasters, Information Disasters, and Disastrous Information. . . . . . . . . .406
Sharon M. McDonnell, MD, MPH; Helen N. Perry, MA, PhD (Cand); Brooke McLaughlin, MPH;
Bronwen McCurdy, MPH; R. Gibson Parrish, MD

Enhancing Collaboration during Humanitarian Response: An Interim Report from
Stakeholders Survey. . . . . . . . . . . . . . . . . . . . . . . . . . . . .414
Shivani Parmar, MPH; Ano Lobb, MPH; Susan Purdin, RN, MPH; Sharon McDonnell, MD, MPH

The Dilemma of Neutrality . . . . . . . . . . . . . . . . . . . . . . . . . . . . .418
Jennifer Leaning, MD, SMH

Dialogue is Destiny: Managing the Message in Humanitarian Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . .418
Ano Lobb, MPH; Nancy Mock, DrPH

Special Report
Medical Care for a Mass Gathering:The Suwa Onbashira Festival . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .431
Kazuyuki Yazawa, MD; Yukihiro Kamijo, MD; Ryuichi Sakai, MD; Masahiko Ohashi, MD; Mafumi Owa, MD

Financing Hospital Disaster Preparedness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .436
LTC Colonel Robert A. DeLorenzo, MD, FACEP

Task Force St. Bernard: Operational Issues and Medical Management of a National Guard
Disaster Response Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .440
Carl J. Bonnett, MD; Tony R. Schock; Kevin E. McVaney, MD; Christopher B. Colwell, MD, Christopher Depass

Original Research
Preparing for Burn Disasters: Predictors of Improved Perceptions of Competency after
Mass Burn Care Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .448
Ruth Wetta-Hall, RN, PhD, MPH, MSN; Gina M. Berg-Copas, PhD(C); Janet Cusick Jost, RN, MS,
Gary Jost, MD, FACS

Usefulness of a DSM Criteria-Based Inventory for Screening of Post-Traumatic
Stress Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .454
Benedetto Farina, MD, MPH; Piero Venturi, MD; Antonio Onofri, MD; Michele Raja, MD;
Massimo Di Giannontonio, MD

Case Report
Psychological Trauma in a Relief Worker—A Case Report from Earthquake-Struck Areas of
North Pakistan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .458
Muhammad Sami Bilal; Mowadat Huassain Rana; Sajid Rahim; Sohail Ali

Brief Report
Preliminary Investigation into the Role of Physiotherapists in Disaster Response . . . . . . . . . . . . . . . . . . . . .462
Rosalind M. Harrison, BSc (Hons), Physiotherapy
Editorial Comments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466
Graeme McColl

Understanding Barriers to Emergency Care in Low-Income Countries: View from the Front Line . . . . . .467
Adam C. Levine, MD, MPH; David Z. Presser, MD, MPH; Stephanie Rosborough, MD, MPH;
Tedros A. Ghebreyesus, PhD; Mark A. Davis, MD, MS