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Á¦¸ñ   DPRK Ryongchon Train Disaster: Situation Report #4 (WHO) - May 7, 2004
ÀÛ¼ºÀÚ WHO (2004.05.17) Á¶È¸ 2266
Source: World Health Organization
Date: 07 May 2004




1. WHO has conducted two field assessments in Ryongchon and
Sinuiju during the past week. The Medical Officer for
Communicable Diseases/Communicable Disease Surveillance and
Response spent four days providing technical advice to the
Sinuiju hospitals where the injured are being treated, and
working with the Ryongchon county health authorities in
strengthening disease surveillance. The WHO Representative of
DPRK was in Ryongchon and Sinuiju on 5-6 May and had
discussions with the county and provincial authorities to
assess the need for further assistance in the health sector.
2. About 450 families are still living in temporary shelters,
mainly under plastic sheets, located in the streets of
Ryongchon. There is concern regarding access to safe water and
sanitation conditions for the people in temporary shelters.
While the Red Cross is increasing their efforts to provide safe
water, it is advisable that these residents move to more
appropriate temporary shelters as soon as possible.

3. About 400 injured are still in six hospitals in Sinuiju, the
provincial capital. Some of the hospitals have limited
diagnostic facilities (e.g. X-ray) and this complicates proper
handling of patients. About 5-7% of the injured remain in
serious condition. Some, particularly children, are now
recovering and can be discharged soon. It was advised to avoid
early discharge of the injured from the hospital due to limited
health facilities in Ryongchon and the problems with the
temporary shelters.

4. There is currently no shortage of essential medicines and
medical supplies as substantial support has been received
through international organizations and through bilateral
assistance. WHO has delivered the remaining Emergency Health
Kits provided with support of the Japan International
Cooperation Agency (JICA) and some eye preparations and
instruments, including a slit lamp, for eye injury follow-up
examinations. All the supplies provided WHO has been accounted
for in the field and equipment, supplies and medicines have
been observed in use. The County Hospital Kit has proven to be
especially useful, with its combination of surgical
instruments, other medical equipment and the large quantity of
consumables. The cost of the three County Hospital Kits
provided was paid from funds provided by Republic of Korea to
WHO for the Ryongchon disaster.

5. There is concern that national health personnel might be
unfamiliar with some of medicines supplied through bilateral
channels and other sources for the Ryongchon train explosion.
WHO has offered assistance to the Ministry of Public Health in
developing technical guidelines for medicines not previously
used in DPRK.

6. The Ryongchon County Hospital is now functioning, and has
currently about 100 inpatients. Due to structural damage to the
building, it is only to be used temporarily. Mobile health
teams and temporary tent clinics are being used to accommodate
some of the health services needs in the county. Disease
surveillance, with a particular focus on diarrhoeal and
respiratory diseases, is being carried out, and WHO will
conduct further training for the Hygiene and Anti-Epidemic
Station.

7. Large-scale clearing of the rubble and the tearing down of
damaged buildings is now ongoing at the explosion site.
Official estimates from the Government of DPRK assess the
economic losses at US$ 93 million. About 40% of the
construction materials needed have been mobilized by the
Government from national/local resources as well as external
assistance. This includes US$ 25 million of construction
materials and equipment committed by the Republic of Korea.

8. WHO will support the reconstruction of a new county hospital
in Ryngchon in cooperation with ADRA, a Swiss NGO. The aim
would be to design a hospital that could address some of the
issues for hospitals in the country, such as the lack of proper
water and sanitation conveniences, lack of isolation rooms and
inadequate facilities for surgery. In this sense, it could
serve as a model if other county hospitals were to be
constructed in the future.

9. Strong efforts by the Government and large-scale
international support have limited the devastating effects of
this disaster, as did the disaster preparedness activities of
Korean Red Cross, with support of IFRC. It was crucial that
some supplies, such as the WHO County Hospital Kits already in
the country, could be relocated to the hospitals handling the
injured on short notice. Storing 15 WHO Emergency Health Kits
(basic and supplementary kits) for future emergency use is
recommended if funds can be obtained. This is particularly
important because of the need of basic supplies and essential
medicines in health facilities throughout the country.

10. Because of the current status of the health sector in DPRK,
the country has limited capacity to handle severe accidents and
disasters. The health sector remains under-funded; WHO has
received less than 50% of the funds for the projects under the
UN Consolidated Appeal (CAP) for 2004, and this will be
highlighted in the forthcoming mid-term review of CAP. The
strong international support after the Ryongchon train
explosion should also be reflected in stronger support for the
health and social sectors in DPRK.

Contact in DPRK Korea: Dr Eigil Sorensen

WHO Representative to DPR Korea World Health Organization
Munsudong, Pyongyang DPR Korea Phone: 850-2-381 7914 Fax: 850-2-
381 7916


¹øÈ£Á¦¸ñÀÛ¼ºÀÚÆÄÀϵî·ÏÀÏÁ¶È¸
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