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BMC Public Health
Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Research article

Emergency preparedness for infant and young child feeding in emergencies (IYCF-E): an Australian audit of emergency plans and guidance

Authors: Karleen Gribble, Mary Peterson, Decalie Brown

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

Australia experiences a high incidence of natural emergencies and Australian governments have committed significant investment into emergency preparedness and response. Amongst the population groups most vulnerable to emergencies are infants and young children with their vulnerability centering around their specific food and fluid needs. For this reason, the World Health Assembly has urged all member states to develop and implement infant and young child feeding in emergency (IYCF-E) plans in line with international guidance. This study aimed to determine the degree to which Australia has complied with this direction by conducting an audit of Australian emergency plans and guidance.

Methods

Australian Federal, State/Territory and a sample of Local government emergency plans and guidance were located via web searches. Documents were searched for key words to identify content dealing with the needs of infants and young children. Plans and guidance were also searched for content dealing with the needs of animals as a comparison.

Results

While plans and guidance contained numerous pointers to the desirability of having plans that address IYCF-E, there was a dearth of planning at all levels of government for the needs of infants and young children. Guidance related to heat waves contained information that could prove dangerous to infants. No agency at Federal or State/Territory had designated responsibility for IYCF-E or children in general. This was in stark contrast to the situation of animals for which there was widespread and comprehensive planning at all levels of government with clear designation of organisational responsibility.

Conclusions

Lack of planning for IYCF-E in Australia places infants and young children at serious risk of adverse health consequences in emergencies. Australian Federal, State/Territory and Local governments need to take action to ensure that IYCF-E plans and guidance are developed and deployed in line with international standards. The pathway to successful integration of animal welfare plans provides a method for a similar integration of IYCF-E plans. Government health authorities are best placed to lead and be responsible for IYCF-E in Australia. National governments internationally should similarly take action to ensure that their youngest, most vulnerable citizens are protected in emergencies.
Literature
1.
Guha-Sapir D, Hoyois P, Wallemacq P, Below R: Annual Disaster Statistical Review 2016: The numbers and trends. Brussels: Centre for Research on the Epidemiology of Disasters.
2.
Ladds M, Keating A, Handmer J, Magee L. How much do disasters cost? A comparison of disaster cost estimates in Australia. Int J Disaster Risk Reduction. 2017;21:419–29.CrossRef
3.
Maarten KVA. The impacts of climate change on the risk of natural disasters. Disasters. 2006;30(1):5–18.CrossRef
4.
Attorney General’s Department of Australia. National Strategy for Disaster Resilience: Companion booklet. Canberra: Commonwealth of Australia; 2012.
5.
Council of Australian Governments. National Strategy for Disaster Resilience. Canberra: Commonwealth of Australia; 2011.
6.
Wisner B, Blaikie P, Cannon T, Davis I. At risk: Natural hazards, people’s vulnerability and disasters, 2nd Edition. London: Routledge; 2004.
7.
UNISDR. Sendai Framework for Disaster Risk Reduction 2015–2030. Geneva: UNISDR; 2015.
8.
Masozera M, Bailey MT, Kerchner C. Distribution of impacts of natural disasters across income groups: A case study of New Orleans. Ecol Econ. 2006;63:299–306.CrossRef
9.
Hemingway L, Priestly M. Natural hazards, human vulnerability and disabling societies: a disaster for disabled people? Rev Disabil Stud. 2014;2(3):57–67.
10.
Neumayer E, Plümper T. The gendered nature of natural disasters: the impact of catastrophic events on the gender gap in life expectancy, 1981–2002. Ann Assoc Am Geogr. 2007;97(3):551–66.CrossRef
11.
Cornell V, Cusack L, Arbon P. Older people and disaster preparedness: A literature review. Aust J Emerg Manag. 2012;27(3):49–53.
12.
Sammy Z, Lori P, Samuel DB. Youth mortality by forces of nature. Child Youth Environ. 2008;18(1):371–88.
13.
WHO Collaborative Study Team on the Role of Breastfeeding on the Prevention of Infant Mortality. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet. 2000;355(9202):451–5.CrossRef
14.
World Health Organization. Infant and Young child feeding: Model chapter for textbooks for medical students and allied health professionals. Geneva: World Health Organization; 2009.
15.
Kouadio IK, Aljunid S, Kamigaki T, Hammad K, Oshitani H. Infectious diseases following natural disasters: Prevention and control measures. Expert Rev Anti Infect Ther. 2012;10:95+.CrossRefPubMed
16.
Creek TL, Kim A, Lu L, Bowen A, Masunge J, Arvelo W, Smit M, Mach O, Legwaila K, Motswere C, et al. Hospitalization and mortality among primarily nonbreastfed children during a large outbreak of diarrhea and malnutrition in Botswana, 2006. J Acquir Immune Defic Syndr. 2010;53(1):14–9.CrossRefPubMed
17.
Yip R, Sharp TW. Acute malnutrition and high childhood mortality related to diarrhea. Lessons from the 1991 Kurdish refugee crisis. JAMA. 1993;270(5):587–90.CrossRefPubMed
18.
Hipgrave DB, Assefa F, Winoto A, Sukotjo S. Donated breast milk substitutes and incidence of diarrhoea among infants and young children after the may 2006 earthquake in Yogyakarta and Central Java. Public Health Nutr. 2012;15(2):307–15.CrossRefPubMed
19.
Murray KO, Kilborn C, desVignes-Kendrick M, Koers E, Page V, Selwyn BJ, Shah UA, Palacio H. Emerging disease syndromic surveillance for hurricane Katrina evacuees seeking shelter in Houston's astrodome and Reliant Park complex. Public Health Rep. 2009;124(3):364–71.CrossRefPubMedPubMedCentral
20.
Newby R: Infant and young child feeding during Queensland's summer of disasters: challenges and outcomes. In: Nutrition Society of Australia Annual Scientific Meeting. Wollongong; 2012.
21.
Gribble KD, McGrath M, MacLaine A, Lhotska L. Supporting breastfeeding in emergencies: protecting women's reproductive rights and maternal and infant health. Disasters. 2011;35(4):720–38.CrossRefPubMed
22.
Gribble KD. Mechanisms behind breastmilk’s protection against, and artificial baby milk's facilitation of, diarrhoeal illness. Breastfeed Rev. 2011;19(2):19–26.PubMed
23.
24.
DeYoung SE, Chase J, Branco MP, Park B. The effect of mass evacuation on infant feeding: the case of the 2016 Fort McMurray wildfire. Matern Child Health J. 2018;22(12):1826–33.CrossRefPubMed
25.
Dell R, Williams D: Public health response to the February 22 Christchurch earthquake: Progress report. 2011.
26.
Bartle C. Infant feeding in emergencies: reflections on the Christchurch earthquake. Midwifery News. 2011;61:31–2.
27.
IFE Core Group: Infant and Young Child Feeding in Emergencies: Operational Guidance for Emergency Relief Staff and Program Managers, Version 3; 2017.
28.
Sixty-Third World Health Assembly: Infant and Young Child Nutrition. WHA 6323 2010.
29.
NHMRC. Infant feeding guidelines for Health workers. Canberra: Commonwealth of Australia; 2013.
30.
WBTi Steering and Core Groups. World breastfeeding trends initiative UK report. UK: WBTi; 2016.
31.
White S. Companion animals, natural disasters and the law: an Australian perspective. Anim. 2012;2(3):380–94.CrossRef
32.
Taylor M, Eustace G, Mc Carthy M. Animal emergency Management in Australia: an audit of current legislation, plans, policy, community engagement resources, initiatives, needs and research dissemination. Canberra: BNHCRC; 2015.
33.
Australian Government. COMDISPLAN 2017: Australian government disaster response plan. Canberra: Emergency Management Australia; 2017.
34.
Department of Health A. Australian Health management plan for pandemic influenza. Canberra: Commonwealth of Australia; 2014.
35.
Australian Institute for Disaster Resilience. Australian emergency management arrangements, handbook 9. Canberra: Commonwealth of Australia; 2014.
36.
Australian Institute for Disaster Resilience. Community recovery handbook. Canberra: Commonwealth of Australia; 2018.
37.
Australian Institute for Disaster Resilience. Disaster health handbook. Canberra: Commonwealth of Australia; 2011.
38.
Department of Family and Communities. National guidelines for managing donated goods. Adelaide: Government of South Australia; 2011.
39.
Australian Institute for Disaster Resilience. Communities responding to disasters: Planning for spontaneous volunteers. Canberra: Commonwealth of Australia; 2017.
40.
Saffi P. People with vulnerabilities in disasters. Adelaide: Department of Communities and Social Inclusion; 2013.
41.
Emergency Management Victoria. Emergency Management Manual Victoria. Melbourne: Victoria State Government; 2018.
42.
Department of Health and Human Services. Psychosocial support: A framework for emergencies. Melbourne: Victorian Government; 2014.
43.
Health and Human Services Emergency Management. Emergency management planning for children and young people: Planning Guide for Local Government. Melbourne: State Government of Victoria; 2013.
44.
State Emergency Management Committee. State emergency management plan. Perth: Government of Western Australia; 2018.
45.
Government of Western Australia State Emergency Management Committee. Western Australia community evacuation in emergencies guideline. Perth: Government of Western Australia; 2018.
46.
Department of Communities. Local emergency management plan for the provision of welfare support. Midland Region: Government of Western Australia; 2017.
47.
Australian Red Cross. Queensland evacuation centre field guide. Brisbane: Australian Red Cross; 2017.
48.
Queensland Fire and Emergency Services. Queensland public cyclone shelters operations guidelines. Brisbane: State of Queensland; 2015.
49.
Queensland Fire and Emergency Services. Queensland public cyclone shelter operations guidelines 2nd edition. Brisbane: State of Queensland; 2015.
50.
Queensland Fire and Emergency Services. Queensland prevention, preparedness, response and recovery disaster management guideline. Brisbane: State of Queensland; 2018.
51.
Department of Human Services. Emergency relief handbook: a planning guide 2013. Melbourne: State of Victoria; 2013.
52.
Queensland Health. Heatwave response plan. Brisbane: Government of Queensland; 2015.
53.
Health and Human Services. Heat health plan for Victoria. Melbourne: State of Victoria; 2015.
54.
NSW Ministry of Health. Babies and children in hot weather. Sydney: NSW Government; 2015.
55.
56.
57.
58.
59.
60.
Tasmania S. Home of business emergency Kit for any emergency; 2013.
61.
Government of South Australia: Emergency Kit. 2018.
62.
63.
64.
65.
66.
National Advisory Committee for Animals in Emergencies: National Planning Principles for Animals in Disasters: World Society for the Protection of Animals; 2014.
67.
Primary Industries and Regions SA. Managing animals in emergencies: A framework for South Australia. Adelaide: Government of South Australia; 2018.
68.
Department of Economic Development Jobs Transport and Resources. Victorian emergency animal welfare plan. Melbourne: State of Victoria; 2018.
69.
70.
Davie S. Don’t leave me alone: Protecting children in Australian disasters and emergencies. Save the Children: Melbourne; 2013.
71.
Seventy-First World Health Assembly: Infant and young child feeding. WHA719 2018.
72.
Pawsey C. A state plan for animal welfare in emergencies: Victoria's experience in developing and implementing a state animal welfare emergency plan. Aust J Emerg Manag. 2015;30(2):9–12.
73.
Young C, Pyke J, Maharaj N, Rassmussen B, Jones R. Diversity and inclusion: Building strength and capability literature review. Melbourne: Bushfire and Natural Hazards CRC; 2018.
74.
Reynolds B, Tyler M: Applying a gendered lens to the stay and defend or leave early approach to bushfire safety. Aust J Public Adm. 2018, Early online (0).
75.
Bruce RC, Kliegman RM. Hyponatremic seizures secondary to oral water intoxication in infancy: Association with commercial bottled drinking water. Pediatr. 1997;100(6):E4.CrossRef
76.
CDC. Hyponatremic seizures among infants fed with commercial bottled drinking water — Wisconsin, 1993. MMWR Morb Mortal Wkly Rep. 1994;43(35):641–3.
77.
Australian Institute for Health and Welfare. 2010 Australian national infant feeding survey. Canberra: AIHW; 2011.
78.
79.
Xu Z, Sheffield PE, Su H, Wang X, Bi Y, Tong S. The impact of heat waves on children’s health: a systematic review. Int J Biometeorol. 2014;58(2):239–47.CrossRefPubMed
80.
Abu-Ekteish F, Zahraa J. Hypernatraemic dehydration and acute gastro-enteritis in children. Ann Trop Paediatr. 2002;22(3):245–9.CrossRefPubMed
81.
Arvelo W, Kim A, Creek T, Legwaila K, Puhr N, Johnston S, Masunge J, Davis M, Mintz E, Bowen A. Case-control study to determine risk factors for diarrhea among children during a large outbreak in a country with a high prevalence of HIV infection. Int J Infect Dis. 2010;14(11):e1002–7.CrossRefPubMed
82.
Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–90.CrossRefPubMed
83.
Gupta A, Suri S. Has your nation done enough to bridge the gaps? 84 country report on the status and progrss of implementation of the global strategy for infant and young child feeding 2008-2016: IBFAN and BPNI; 2016.
84.
World Health Organization: (2018) Global Nutrition Policy Review 2016–2017.
Metadata
Title
Emergency preparedness for infant and young child feeding in emergencies (IYCF-E): an Australian audit of emergency plans and guidance
Authors
Karleen Gribble
Mary Peterson
Decalie Brown
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7528-0

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