[Script Info] Title: [Events] Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text Dialogue: 0,0:00:01.00,0:00:04.00,Default,,0000,0000,0000,,(English captions by Trisha Paul, University of Michigan.) Dialogue: 0,0:00:04.00,0:00:07.00,Default,,0000,0000,0000,,Floods and Landslides. Dialogue: 0,0:00:10.00,0:00:19.00,Default,,0000,0000,0000,,Flash floods are usually of rapid onset either\Nfrom rain or structural failure. Dialogue: 0,0:00:19.00,0:00:25.00,Default,,0000,0000,0000,,Brief duration, associated with steep terrains,\Nor canyons, or valleys. Dialogue: 0,0:00:25.00,0:00:31.00,Default,,0000,0000,0000,,There is little or no warning, and mortality\Nmay be high. Dialogue: 0,0:00:34.00,0:00:43.00,Default,,0000,0000,0000,,River floods are usually slow onset but of\Nlong duration, associated with low lying, concave Dialogue: 0,0:00:43.00,0:00:50.00,Default,,0000,0000,0000,,terrains, especially with people settling\Nin these areas, they usually provide some Dialogue: 0,0:00:50.00,0:00:55.00,Default,,0000,0000,0000,,warning. Dialogue: 0,0:00:55.00,0:01:09.00,Default,,0000,0000,0000,,Floods account for 40% of all world disasters,\Nand cause the most damage worldwide. Dialogue: 0,0:01:09.00,0:01:18.00,Default,,0000,0000,0000,,These are the most lethal floods that have\Noccurred in modern history. Dialogue: 0,0:01:18.00,0:01:26.00,Default,,0000,0000,0000,,In Uganda, as in other countries in Eastern\NAfrica, floods are an emerging public health Dialogue: 0,0:01:26.00,0:01:27.00,Default,,0000,0000,0000,,problem. Dialogue: 0,0:01:27.00,0:01:33.00,Default,,0000,0000,0000,,Every year, floods affect more and more people\Nin different localities. Dialogue: 0,0:01:33.00,0:01:41.00,Default,,0000,0000,0000,,They are closely associated with heavy rains,\Nthat is natural causes, and human settlement Dialogue: 0,0:01:41.00,0:01:47.00,Default,,0000,0000,0000,,patterns, technological causes. Dialogue: 0,0:01:47.00,0:01:57.00,Default,,0000,0000,0000,,An example of Uganda, floods occurred in Bududa, 2010,\NButalejja, 2010, Kisoro, 2010, Soroti, 2007, Dialogue: 0,0:01:57.00,0:02:05.00,Default,,0000,0000,0000,,Kumi, 2007, and they occur in \NKampala every year. Dialogue: 0,0:02:05.00,0:02:15.00,Default,,0000,0000,0000,,Landslides can be predicted and risk reduction\Nand mitigation activities can be initiated. Dialogue: 0,0:02:15.00,0:02:22.00,Default,,0000,0000,0000,,Factors that contribute to floods include\Ntopographical makeup of the area, and then they Dialogue: 0,0:02:22.00,0:02:28.00,Default,,0000,0000,0000,,may accompany other disasters like heavy rains\Nand river surges, breakdown of river embankments, Dialogue: 0,0:02:28.00,0:02:40.00,Default,,0000,0000,0000,,hurricane sea surges, earthquake-related tsunamis,\Nlandslides or volcanic eruptions. Dialogue: 0,0:02:40.00,0:02:49.00,Default,,0000,0000,0000,,Natural factors include geological factors,\Nseasonal variations, climatic factors, and Dialogue: 0,0:02:49.00,0:02:51.00,Default,,0000,0000,0000,,topographical factors. Dialogue: 0,0:02:51.00,0:02:59.00,Default,,0000,0000,0000,,Human factors include urbanization, deforestation,\Nover-grazing, improper construction, and inadequate Dialogue: 0,0:02:59.00,0:03:05.00,Default,,0000,0000,0000,,safeguards. Dialogue: 0,0:03:05.00,0:03:13.00,Default,,0000,0000,0000,,Most deaths occur in flash floods, and most\Ndeaths are due to drowning. Dialogue: 0,0:03:13.00,0:03:26.00,Default,,0000,0000,0000,,Death rates vary according to country, rate\Nof onset and community resilience. Dialogue: 0,0:03:26.00,0:03:31.00,Default,,0000,0000,0000,,Public health impact of floods includes medical\Nand public health needs that persist for many Dialogue: 0,0:03:31.00,0:03:38.00,Default,,0000,0000,0000,,months after the river floods, normal health\Ncare delivery may be disrupted, chronic illness Dialogue: 0,0:03:38.00,0:03:41.00,Default,,0000,0000,0000,,may be worsened in the long run. Dialogue: 0,0:03:41.00,0:03:50.00,Default,,0000,0000,0000,,However, serious infectious diseases are usually\Nrare in flood and landslide situations. Dialogue: 0,0:03:50.00,0:03:57.00,Default,,0000,0000,0000,,Water and food shortages often develop. Dialogue: 0,0:03:57.00,0:04:07.00,Default,,0000,0000,0000,,Key health issues and safety response issues\Nafter floods include water quality, food safety, Dialogue: 0,0:04:07.00,0:04:15.00,Default,,0000,0000,0000,,cleanup activity and safety, sanitation and hygiene,\Ndisease vectors, chemical hazards, mental Dialogue: 0,0:04:15.00,0:04:23.00,Default,,0000,0000,0000,,health for responders and victims, temporary\Nsettlement, and early warning for subsequent Dialogue: 0,0:04:23.00,0:04:26.00,Default,,0000,0000,0000,,floods. Dialogue: 0,0:04:26.00,0:04:33.00,Default,,0000,0000,0000,,Outreach support after floods. Dialogue: 0,0:04:33.00,0:04:34.00,Default,,0000,0000,0000,,Not all victims can seek help. Dialogue: 0,0:04:34.00,0:04:43.00,Default,,0000,0000,0000,,They could be closed off due to geographical\Nlimits, monetary limits, or disability. Dialogue: 0,0:04:43.00,0:04:50.00,Default,,0000,0000,0000,,Prevent convergence on limited resources,\Nset up search and rescue efforts, set up immediate Dialogue: 0,0:04:50.00,0:04:59.00,Default,,0000,0000,0000,,relief efforts, enhance surveillance \Nand situational awareness. Dialogue: 0,0:04:59.00,0:05:03.00,Default,,0000,0000,0000,,Prevention and control measures for floods\Ninclude mitigation, surveillance and early Dialogue: 0,0:05:03.00,0:05:12.00,Default,,0000,0000,0000,,warning, rapid needs assessment, mechanisms\Nfor search and rescue, mechanisms for immediate Dialogue: 0,0:05:12.00,0:05:21.00,Default,,0000,0000,0000,,control of water surges, public information,\Nfloodplain management, and responsible management Dialogue: 0,0:05:21.00,0:05:25.00,Default,,0000,0000,0000,,of human settlements. Dialogue: 0,0:05:25.00,0:05:30.00,Default,,0000,0000,0000,,Landslides. Dialogue: 0,0:05:30.00,0:05:37.00,Default,,0000,0000,0000,,In Uganda, as an example, landslides are a\Nfocal problem in areas that have topographic Dialogue: 0,0:05:37.00,0:05:39.00,Default,,0000,0000,0000,,risk. Dialogue: 0,0:05:39.00,0:05:45.00,Default,,0000,0000,0000,,Due to population pressures and land-use implications,\Npeople are moving higher and higher into high Dialogue: 0,0:05:45.00,0:05:49.00,Default,,0000,0000,0000,,risk areas. Dialogue: 0,0:05:49.00,0:05:58.00,Default,,0000,0000,0000,,Landslides can be predicted and risk reduction\Nand mitigation activities can be initiated. Dialogue: 0,0:05:58.00,0:06:04.00,Default,,0000,0000,0000,,Secondary disaster can be caused by landslides\Nand these include fires and explosions, building Dialogue: 0,0:06:04.00,0:06:14.00,Default,,0000,0000,0000,,collapse, dam failures and floods, and release\Nof toxic materials. Dialogue: 0,0:06:14.00,0:06:21.00,Default,,0000,0000,0000,,Contributing natural factors include geophysical\Nfactors, topographic factors, and meteorological Dialogue: 0,0:06:21.00,0:06:26.00,Default,,0000,0000,0000,,factors. Dialogue: 0,0:06:26.00,0:06:37.00,Default,,0000,0000,0000,,Manmade factors include structural factors\Nlike types of houses, land-use patterns, demography, Dialogue: 0,0:06:37.00,0:06:43.00,Default,,0000,0000,0000,,and population pressures. Dialogue: 0,0:06:43.00,0:06:50.00,Default,,0000,0000,0000,,Health impacts of landslides may include minor\Ninjuries and lacerations, crush injuries to head Dialogue: 0,0:06:50.00,0:06:59.00,Default,,0000,0000,0000,,and chest, hemorrhage, bleeding, and hypovolemia,\Nasphyxia, and drowning, and burns. Dialogue: 0,0:06:59.00,0:07:06.00,Default,,0000,0000,0000,,Delayed impacts include dehydration, environmental\Nexposure, the crush syndrome in people who Dialogue: 0,0:07:06.00,0:07:18.00,Default,,0000,0000,0000,,are severely crushed, wound infection and sepsis,\Nand smoke and dust inhalation. Dialogue: 0,0:07:18.00,0:07:24.00,Default,,0000,0000,0000,,Landslides do not often create significant\Noutbreaks of new infectious diseases because Dialogue: 0,0:07:24.00,0:07:30.00,Default,,0000,0000,0000,,of the wash-out affect. Dialogue: 0,0:07:30.00,0:07:34.00,Default,,0000,0000,0000,,Prevention and control measures for landslides\Ninclude avoiding construction in areas of Dialogue: 0,0:07:34.00,0:07:44.00,Default,,0000,0000,0000,,high geological risk, safer construction,\Ndrills, scenarios and planning in areas that Dialogue: 0,0:07:44.00,0:07:53.00,Default,,0000,0000,0000,,are landslide prone, planning for displaced\Npopulations, planning for emergency services, Dialogue: 0,0:07:53.00,0:08:00.00,Default,,0000,0000,0000,,and planning for search & rescue. Dialogue: 0,0:08:00.00,0:08:03.00,Default,,0000,0000,0000,,Saving lives. Dialogue: 0,0:08:03.00,0:08:05.00,Default,,0000,0000,0000,,Landslides have potential to cause \NMass Casualty Incidents (MCIs). Dialogue: 0,0:08:05.00,0:08:13.00,Default,,0000,0000,0000,,There is need for rapid assessment of impact,\Ntimely and appropriate disaster response, surveillance Dialogue: 0,0:08:13.00,0:08:20.00,Default,,0000,0000,0000,,for injuries and diseases, dissemination of\Npublic health information, environmental health Dialogue: 0,0:08:20.00,0:08:24.00,Default,,0000,0000,0000,,and control measures, and follow up epidemiology.