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Disaster risk reduction is central to managing the risks of climate change at global, national, and sub-national levels. The operationalization of disaster risk reduction, however, has been met with challenges that have restricted successful policy implementation. Drawing from document analyses and Delphi studies with government practitioners, this article examines the policy context for disaster risk reduction in Canada and Australia and investigates the state of flood and drought planning and preparedness. Results are organized around two central themes: risk (ownership and sensitivity) and engagement (stakeholder involvement and capacity-building). The findings show that public policies on disaster risk reduction in Canada and Australia reflect international discourse that advocates for a whole-of-society, risk-sensitive, and risk-informed approach. However, implementing this approach in household planning and preparedness, cross-sector planning and policy integration, terminology, and socio-cultural representation, has been hampered by several factors. Government practitioners in both countries argued that while disaster risk reduction and climate risk management continue to evolve in multi-level governance, policy implementation is constrained by the legacies of past governance arrangements that have enabled disaster risk creation and accumulation. The results presented herein suggest a need for institutional reform that better reflects the holistic and systemic relationships between disaster risk, climate change, and other policy problems. We argue that disaster risk reduction and climate risk management policies require bridging governance arrangements between these and related policy domains to foster effective multi-level implementation. Key policy insights Implementing disaster risk reduction has been inconsistent, exacerbating exposure to climate change and increasing socio-economic vulnerabilities to disaster impacts. Managing climate and disaster risk requires a holistic approach that targets vulnerable groups, tackles underlying drivers of risk, and builds capacities to support disaster risk reduction. Although disaster risk reduction and climate risk management policies continue to evolve, implementation is hindered by legacy governance arrangements that favour economic growth over sustainable, climate-sensitive disaster risk management. Transformation through the integration of disaster risk reduction and human development offers potential pathways to reduce vulnerabilities via a holistic disaster risk and climate policy approach. [ABSTRACT FROM AUTHOR]

The cataclysmic COVID-19 pandemic erupted silently causing colossal impact worldwide, the repercussions of which indicated a lackadaisical vigilance in preparation for such a pandemic. This review assessed the measures taken by nations to contain this pandemic. A literature review was conducted using Medline, Google Scholar, Science Direct, Scopus, and WHO website. There were 8 nations (selected from the GHS index list) appraised for containment strategies. This was achieved by using mortality rate (per million) as the primary endpoint. The nations which were proactive, initiated scientific strategies earlier with rigor, appeared to have succeeded in containing the pandemic, although it is still too early to arbitrate a verdict. The so called "pandemic war" mandates international, interdisciplinary, and interdepartmental collaboration. Furthermore, building trust and confidence between the government and the public, having transparent communication, information sharing, use of advanced research-technology, and plentiful resources are required in the fight against COVID-19. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to explore whether a relationship exists between the number of disasters a jurisdiction has experienced and the presence of disaster-specific pharmacy legislation. Methods: Pharmacy legislation specific to disasters was reviewed for five countries: Australia, Canada, UK, US and New Zealand. A binary logistic regression test using a generalised estimating equation was used to examine the association between the number of disasters experienced by a state, province, territory or country and whether they had disaster-specific pharmacy legislation. Results: Three of six models were statistically significant, suggesting that the odds of a jurisdiction having disaster-specific pharmacy legislation increased as the number of disasters increased for the period 2007–17 and 2013–17. There was an association between the everyday emergency supply legislation and the presence of the extended disaster-specific emergency supply legislation AH19093_IE1.gif. Conclusions: It is evident from this review that there are inconsistencies as to the level of assistance pharmacists can provide during times of crisis depending on their jurisdiction and location of practice. It is not a question of whether pharmacists have the skills and capabilities to assist, but rather what legislative barriers are preventing them from being able to contribute further to the disaster healthcare team. What is known about the topic?: The contributing factors to disaster-specific pharmacy legislation has not previously been explored in Australia. It can be postulated that the number of disasters experienced by a jurisdiction increases the likelihood of governments introducing disaster-specific pharmacy legislation based on other countries. What does this paper add?: This study compared five countries and their pharmacy legislation specific to disasters. It identified that as the number of disasters increases, the odds of a jurisdiction having disaster-specific emergency supply or disaster relocation or mobile pharmacy legislation increases. However, this is likely to be only one of many factors affecting the political decisions of when and what legislation is passed in relation to pharmacists' roles in disasters. What are the implications for practitioners?: Pharmacists are well situated in the community to be of assistance during disasters. However, their ability to help patients with chronic disease management or providing necessary vaccinations in disasters is limited by the legislation in their jurisdiction. Releasing pharmacists' full potential in disasters could alleviate the burden of low-acuity patients on other healthcare services. This could subsequently free up other healthcare professionals to treat high-acuity patients and emergencies. [ABSTRACT FROM AUTHOR]

Background Globally, disasters are on the rise. Nurses play a significant role in responding to such events but little is known about rural and remote nurses' experiences. Methods A national cross-sectional survey of regulated nurses (registered nurses, registered psychiatric nurses, licensed practical nurses and nurse practitioners) in rural and remote Canada provided the data (n = 2465) for the logistic regression of predictors of assisting with a disaster event within the last five years. The types of disaster events were also examined and open-ended responses were explored to reveal nurses' perspectives. Results Nurse type, age, region of employment, employment status, number of rural communities worked, distance to advanced referral centre, remote community, personal-professional boundaries, burnout and work engagement were significant factors related to assisting with a disaster event. Open-ended data alluded to the importance of pre-disaster preparation, and the difficulties experienced when personal-professional relationships are impacted during a disaster. Conclusions Nursing education curricula needs to include information about disasters and the nurse's role. Continuing education opportunities and preparation for nurses should be offered in the workplace. Psychosocial supports to assist rural nurses who attend to disasters in their workplace will help them deal with issues such as the blurring of personal-professional relationships. [ABSTRACT FROM AUTHOR]

Heat waves result in significant excess mortality, particularly amongst elderly people. This article examines selected heat wave response plans at national, state/provincial, and municipal levels, with a particular focus on specific responses aimed at residents of aged care facilities. We sourced heat wave response plans from several countries that are experiencing a demographic transition that features a growing aging population. We collected a total of 23 heat wave response plans; most of the plans were from Australia, with only three plans each available from Canada and the UK, and only two available from the U.S. Key components found across the plans were analysis of temperature thresholds, heat stress prevention measures, and communication strategies. Only three heat wave response plans that we analyzed included specific guidance for aged care facilities. Projected increases in frequency and duration of heat waves in coming decades underline the need for governments to implement effective guidelines that include specific provisions for aged care facilities. [ABSTRACT FROM AUTHOR]

The paper reviews the role of the Commonwealth in responding to natural disasters in Australia and argues that the Commonwealth can and should legislate to define its role, powers and responsibilities. In the absence of legislation governments may be able to rely on non-statutory authority to manage emergencies but it is considered prudent to ensure that the necessary powers are enshrined in legislation, before a disaster strikes. Examples from Canada and the United States are given to show how these federated states have approached the need to empower their federal governments to respond to an emergency. [ABSTRACT FROM AUTHOR]