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last
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T
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T
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g
f
r
o
m
h
illy
c
o
n
to
u
r
s
o
n
th
e
e
d
g
e
to
lo
wlan
d
s
i
n
th
e
city
ce
n
ter
,
s
o
th
at
it lo
o
k
s
lik
e
a
b
o
wl
with
th
e
ce
n
ter
o
f
B
an
jar
m
asin
C
ity
at
th
e
b
o
tto
m
o
f
th
e
b
o
wl.
T
h
is
ca
u
s
es
th
e
r
iv
er
to
f
lo
w
f
ir
s
t
to
war
d
s
th
e
city
ce
n
ter
b
ef
o
r
e
en
d
in
g
at
th
e
s
ea
[
4
]
.
T
h
e
p
r
o
b
lem
f
ac
ed
b
y
r
esid
en
t
s
o
f
So
u
th
Kalim
an
tan
is
p
o
s
t
-
f
lo
o
d
waste
m
an
ag
em
en
t
wh
ich
h
as
n
o
t
y
et
b
ee
n
h
an
d
led
p
r
o
p
er
ly
.
Do
m
esti
c
waste
is
s
til
l
p
iled
u
p
o
n
th
e
s
id
e
o
f
th
e
r
o
ad
a
n
d
h
as
n
o
t
b
ee
n
co
m
p
letely
r
e
m
o
v
ed
.
Un
tr
ea
ted
p
o
s
t
-
f
lo
o
d
tr
ash
a
n
d
d
ir
ty
wate
r
h
a
v
e
a
h
u
g
e
p
o
ten
tial to
p
o
llu
te
g
r
o
u
n
d
wate
r
[
4
]
.
Hea
lth
p
r
o
b
lem
s
r
esu
ltin
g
f
r
o
m
f
lo
o
d
in
g
h
av
e
a
v
er
y
s
ig
n
if
i
ca
n
t
r
o
le
in
th
e
s
u
s
t
ain
ab
ilit
y
o
f
p
eo
p
le'
s
liv
es
[
5
]
.
A
s
tu
d
y
th
at
c
o
m
p
r
eh
en
s
iv
ely
r
e
v
iews
r
esear
ch
liter
atu
r
e
h
as
g
en
er
ally
s
u
m
m
ar
ized
th
e
h
ea
lt
h
im
p
ac
ts
o
f
f
lo
o
d
in
g
i
n
to
th
r
e
e
s
ec
tio
n
s
b
ased
o
n
tim
e,
d
ir
e
ct
im
p
ac
ts
;
m
ed
iu
m
ter
m
im
p
ac
t;
an
d
lo
n
g
-
ter
m
im
p
ac
ts
[
6
]
.
Hea
lth
im
p
ac
ts
th
at
ca
n
o
cc
u
r
im
m
ed
iately
wh
en
f
lo
o
d
in
g
o
cc
u
r
s
in
clu
d
e
d
r
o
w
n
in
g
,
in
ju
r
y
,
h
y
p
o
th
er
m
ia
an
d
an
im
al
b
ites
[
7
]
.
Hea
lth
r
is
k
s
ar
e
also
r
elat
ed
to
p
atien
t
ev
ac
u
atio
n
,
lo
s
s
o
f
h
ea
lth
p
er
s
o
n
n
el,
an
d
lo
s
s
o
f
h
ea
lth
in
f
r
astru
c
tu
r
e
in
clu
d
i
n
g
m
e
d
icin
es
an
d
o
th
er
ess
en
tial
s
u
p
p
lies
[
8
]
,
[
9
]
.
Du
r
i
n
g
th
e
ev
ac
u
atio
n
p
r
o
ce
s
s
,
at
-
r
is
k
ag
e
g
r
o
u
p
s
s
u
ch
as
p
r
eg
n
an
t
wo
m
en
,
to
d
d
ler
s
,
ch
ild
r
en
,
th
e
eld
er
ly
an
d
p
e
o
p
l
e
with
d
is
ab
ilit
ies
ar
e
at
r
is
k
o
f
h
ea
lth
p
r
o
b
lem
s
[
1
0
]
.
L
ater
e
f
f
ec
ts
,
in
th
e
m
ed
iu
m
ter
m
,
c
an
in
clu
d
e
in
f
ec
ted
wo
u
n
d
s
,
i
n
ju
r
y
co
m
p
licatio
n
s
,
p
o
is
o
n
i
n
g
,
p
o
o
r
m
en
tal
h
ea
l
th
,
in
f
ec
tio
u
s
d
is
ea
s
es
an
d
s
tar
v
atio
n
.
W
h
ile
in
r
ef
u
g
ee
ca
m
p
s
,
ea
tin
g
a
n
d
d
r
i
n
k
in
g
f
r
o
m
p
u
b
lic
k
itch
en
s
wh
o
s
e
s
af
ety
o
r
h
ea
lth
is
u
n
ce
r
tai
n
[
1
1
]
.
T
h
e
im
p
ac
ts
o
f
f
lo
o
d
in
g
co
n
ti
n
u
e
lo
n
g
-
ter
m
,
s
u
ch
as
th
e
e
m
er
g
en
ce
o
f
c
h
r
o
n
ic
d
is
ea
s
es,
d
is
ab
ilit
y
,
p
o
o
r
m
en
tal
h
ea
lth
,
a
n
d
p
o
v
e
r
ty
-
r
elate
d
d
is
ea
s
es
in
clu
d
in
g
m
aln
u
tr
itio
n
[
1
2
]
.
Me
n
tal
h
ea
l
th
p
r
o
b
lem
s
ar
e
o
n
e
o
f
th
e
is
s
u
es
th
at
is
wid
ely
d
is
cu
s
s
ed
af
ter
d
is
aster
s
,
in
clu
d
in
g
f
lo
o
d
s
[
1
3
]
.
T
h
e
r
elatio
n
s
h
ip
b
etwe
en
f
lo
o
d
s
an
d
m
en
tal
h
ea
lth
co
n
clu
d
ed
th
at
th
e
m
ain
m
en
tal
h
ea
lth
d
is
o
r
d
er
s
th
at
o
cc
u
r
r
e
d
d
u
r
in
g
an
d
af
ter
f
lo
o
d
d
is
aster
s
wer
e
p
o
s
t
-
tr
au
m
atic
s
tr
ess
d
is
o
r
d
er
,
d
ep
r
ess
io
n
an
d
an
x
iety
[
1
4
]
.
T
h
e
n
u
r
s
in
g
d
iag
n
o
s
es
th
at
m
ay
ap
p
ea
r
in
ea
c
h
p
er
s
o
n
is
ce
r
ta
in
ly
n
o
t
ju
s
t
o
n
e
b
u
t
ca
n
v
ar
y
an
d
it
d
ep
en
d
s
o
n
th
e
i
n
d
iv
id
u
al'
s
r
esp
o
n
s
e
[
1
5
]
.
T
h
e
r
e
i
s
s
t
il
l
n
o
n
u
r
s
i
n
g
r
e
s
e
a
r
c
h
o
n
n
u
r
s
i
n
g
o
u
t
c
o
m
e
s
i
n
p
o
s
t
-
f
l
o
o
d
a
r
e
a
s
.
R
e
s
e
a
r
c
h
e
r
s
h
a
v
e
c
a
r
r
i
e
d
o
u
t
r
e
s
e
a
r
c
h
t
o
i
d
e
n
t
i
f
y
n
u
r
s
i
n
g
d
i
a
g
n
o
s
es
an
d
o
u
t
c
o
m
e
s
t
h
a
t
e
m
e
r
g
e
i
n
p
o
s
t
-
f
l
o
o
d
c
o
m
m
u
n
i
t
i
es
i
n
S
o
u
t
h
K
a
l
i
m
a
n
ta
n
.
2.
M
E
T
H
O
D
T
h
is
s
tu
d
y
u
s
ed
cr
o
s
s
s
ec
tio
n
al
d
esig
n
co
n
d
u
cted
in
B
an
ja
r
an
d
Hu
lu
Su
n
g
ai
T
e
n
g
ah
D
is
tr
ict
s
in
So
u
th
Kalim
an
tan
.
T
h
e
1
4
0
s
am
p
les
in
th
is
s
tu
d
y
wer
e
tak
en
u
s
in
g
co
n
s
ec
u
tiv
e
s
am
p
lin
g
tech
n
iq
u
e
u
s
in
g
a
q
u
esti
o
n
n
air
e
with
2
0
7
ass
ess
m
en
t
item
s
o
n
n
u
r
s
in
g
o
u
tc
o
m
es
class
if
icatio
n
(
NO
C
)
[
1
6
]
.
T
h
e
in
cl
u
s
io
n
cr
iter
ia
in
t
h
is
s
tu
d
y
we
r
e:
i
)
Prim
ar
y
h
ea
lth
n
u
r
s
es
wh
o
wo
r
k
i
n
ar
ea
s
th
at
h
av
e
b
ee
n
af
f
ec
ted
b
y
f
l
o
o
d
i
n
g
,
n
am
ely
p
r
im
ar
y
h
ea
lth
ca
r
e
f
ac
ilit
y
in
B
an
jar
R
eg
en
cy
an
d
Hu
lu
Su
n
g
ai
T
en
g
ah
Dis
tr
ict
in
So
u
th
Kalim
an
tan
;
ii
)
Dip
lo
m
a
3
in
Nu
r
s
in
g
,
B
ac
h
elo
r
o
f
Nu
r
s
in
g
,
o
r
Nu
r
s
in
g
Pro
f
ess
io
n
al
;
an
d
iii
)
W
illi
n
g
to
b
e
a
r
esear
ch
s
am
p
le.
T
h
e
d
ata
an
a
ly
s
is
u
s
ed
was
u
n
iv
ar
iate
an
aly
s
is
o
f
th
e
d
em
o
g
r
a
p
h
ic
d
ata
o
f
r
esear
ch
s
am
p
les
an
d
ea
ch
n
u
r
s
in
g
p
r
o
b
lem
t
h
at
em
er
g
ed
in
p
o
s
t
-
f
lo
o
d
co
m
m
u
n
ities
.
T
h
is
r
esear
ch
h
a
d
b
ee
n
d
ec
lar
ed
eth
ically
f
ea
s
ib
le
b
y
th
e
E
th
ics
C
o
m
m
is
s
io
n
o
f
th
e
Facu
lty
o
f
M
ed
icin
e
in
Un
iv
er
s
itas
L
am
b
u
n
g
Ma
n
g
k
u
r
at
with
r
ef
er
en
ce
n
u
m
b
e
r
No
.
2
5
4
/KE
PK
-
FK U
L
M/E
C
/VI
I
I
/2
0
2
2
.
3.
RE
SU
L
T
S AN
D
D
I
SCU
SS
I
O
N
3
.
1
.
Sa
m
ple dem
o
g
r
a
ph
ic
cha
ra
ct
er
is
t
ics
M
o
s
t
n
u
r
s
es
c
a
m
e
f
r
o
m
p
r
i
m
a
r
y
h
e
a
l
t
h
c
a
r
e
f
a
c
i
li
t
y
o
f
B
a
n
j
a
r
D
i
s
t
r
i
c
t
wa
s
1
2
0
n
u
r
s
e
s
w
h
i
l
e
2
0
n
u
r
s
e
s
f
r
o
m
H
u
l
u
S
u
n
g
a
i
T
e
n
g
a
h
D
i
s
tr
i
c
t
.
M
a
l
e
n
u
r
s
e
s
we
r
e
6
0
n
u
r
s
e
s
,
w
h
i
le
t
h
e
r
e
w
e
r
e
8
0
f
e
m
a
l
e
n
u
r
s
e
s
.
T
h
e
l
e
v
e
l
o
f
e
d
u
c
a
t
i
o
n
w
a
s
d
is
t
r
i
b
u
t
e
d
t
o
ce
r
t
a
i
n
l
e
v
e
ls
s
u
c
h
u
s
D
i
p
l
o
m
a
i
n
N
u
r
s
i
n
g
(
n
=
9
5
)
,
N
u
r
s
i
n
g
P
r
o
f
e
s
s
i
o
n
a
l
(
n
=
3
0
)
,
w
h
i
l
e
1
5
n
u
r
s
e
s
w
it
h
a
B
a
c
h
el
o
r
o
f
N
u
r
s
i
n
g
.
A
l
m
o
s
t
al
l
n
u
r
s
e
s
a
r
e
m
a
r
r
i
e
d
e
x
c
e
p
t
3
5
u
n
m
a
r
r
ie
d
n
u
r
s
e
s
a
s
s
h
o
wn
i
n
T
a
b
l
e
1
.
T
h
e
s
e
c
i
r
c
u
m
s
t
a
n
c
es
m
a
y
h
a
v
e
a
n
i
m
p
a
c
t
o
n
n
u
r
s
es
’
a
c
t
i
o
n
s
[
1
7
]
.
S
t
e
p
s
t
o
p
r
o
t
e
c
t
i
n
d
i
v
i
d
u
a
l
s
a
t
r
i
s
k
o
f
d
e
a
t
h
w
e
r
e
n
o
t
e
d
,
a
l
o
n
g
w
i
t
h
a
n
e
n
d
e
a
v
o
r
t
o
r
e
a
c
h
i
s
o
l
a
t
e
d
a
r
e
a
s
[
1
8
]
.
T
o
g
e
t
h
e
r
w
i
t
h
th
e
s
o
c
i
a
l
as
s
i
s
t
a
n
c
e
w
o
r
k
f
o
r
c
e
,
n
u
r
s
e
s
w
e
r
e
e
a
g
e
r
to
a
s
s
is
t
t
h
e
u
n
d
e
r
p
r
i
v
i
l
e
g
e
d
b
y
s
u
p
p
l
y
i
n
g
a
n
d
d
i
s
t
r
i
b
u
t
i
n
g
n
e
ce
s
s
i
t
i
es
.
Di
r
e
c
t
h
e
l
p
w
i
t
h
w
o
u
n
d
c
a
r
e
,
v
a
c
c
i
n
at
i
o
n
s
,
p
s
y
c
h
o
l
o
g
i
c
a
l
s
u
p
p
o
r
t
,
a
n
d
r
e
f
e
r
r
a
l
s
w
h
e
n
n
e
c
es
s
a
r
y
w
e
r
e
a
l
l
u
s
e
d
t
o
d
e
li
v
e
r
h
e
a
l
t
h
c
a
r
e
[
1
9
]
.
F
o
r
t
h
e
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Evaluation Warning : The document was created with Spire.PDF for Python.
IS
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2
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T
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n
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ican
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ef
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t
h
ey
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ea
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c
h
f
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to
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[
2
2
]
.
Asi
d
e
f
r
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m
th
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f
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at
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cr
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f
in
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is
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s
ar
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m
o
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lik
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r
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p
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tr
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atic
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ess
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is
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[
2
3
]
.
W
h
en
it
co
m
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s
to
ac
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r
ies,
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tem
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[
2
4
]
.
T
h
e
n
u
r
s
in
g
d
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o
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es
th
at
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f
o
u
n
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o
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t
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is
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r
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ar
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ity
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ch
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h
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p
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s
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itu
al
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atis
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tio
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a
n
d
co
m
f
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tatu
s
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s
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elief
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h
o
p
e,
an
d
e
x
p
r
e
s
s
io
n
o
f
o
p
tim
is
m
)
[
1
6
]
,
[
2
1
]
.
I
n
th
e
alter
n
ativ
e
,
a
n
u
r
s
in
g
d
iag
n
o
s
is
o
f
co
n
tam
in
atio
n
h
as
th
r
ee
n
u
r
s
in
g
o
u
tco
m
e
lab
els:
g
astro
in
test
in
al
f
u
n
ctio
n
(
f
r
e
q
u
en
cy
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n
s
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ten
cy
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d
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r
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th
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to
o
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h
o
m
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v
ir
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m
e
n
tal
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ety
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n
lin
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,
h
an
d
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ail
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lace
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n
t,
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d
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s
e
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ath
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o
r
m
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to
th
e
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n
v
ir
o
n
m
en
t,
u
s
in
g
s
tr
ateg
ies
to
p
r
ev
en
t
Evaluation Warning : The document was created with Spire.PDF for Python.
I
n
t J Pu
b
lic
Hea
lth
Sci
I
SS
N:
2252
-
8
8
0
6
N
u
r
s
in
g
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mes g
u
id
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e
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ma
jo
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403
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v
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o
n
m
en
tal
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n
tam
in
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n
)
[
1
6
]
,
[
2
1
]
.
Please
r
ef
er
to
T
ab
le
3
(
s
ee
in
Ap
p
en
d
ix
)
f
o
r
m
o
r
e
d
etails
o
f
n
u
r
s
in
g
o
u
tco
m
es lab
els
in
p
o
s
t
-
f
lo
o
d
s
co
m
m
u
n
ities
.
I
s
o
lated
r
u
r
al
l
o
ca
tio
n
s
,
ex
p
o
s
u
r
e
to
life
-
th
r
ea
ten
in
g
co
n
d
itio
n
s
,
g
o
in
g
tem
p
o
r
ar
ily
o
r
p
e
r
m
an
en
tly
f
r
o
m
o
n
e'
s
h
o
m
e,
m
ed
icatio
n
s
h
o
r
tag
es,
wo
u
n
d
s
,
d
e
r
m
atitis
,
in
f
ec
tio
u
s
an
d
r
esp
ir
ato
r
y
illn
ess
es,
wate
r
b
o
r
n
e
in
f
ec
tio
n
s
,
zo
o
n
o
s
is
an
d
v
en
o
m
o
u
s
an
im
al
m
is
h
ap
s
,
an
d
waste
d
is
p
o
s
al
wer
e
am
o
n
g
th
e
s
itu
atio
n
s
r
ep
o
r
ted
[
2
5
]
.
Po
s
t
-
f
lo
o
d
in
g
p
s
y
ch
o
s
o
c
ial
an
d
m
en
tal
h
ea
lth
o
u
tco
m
e
s
,
r
esp
o
n
s
es,
an
d
r
ec
o
v
er
y
ar
e
in
f
lu
en
ce
d
b
y
t
h
e
s
p
ec
if
ic
n
ee
d
s
,
co
n
tex
tu
al
cir
cu
m
s
tan
ce
s
,
r
eso
u
r
ce
s
,
an
d
p
r
io
r
ities
o
f
ea
ch
co
m
m
u
n
ity
[
2
6
]
.
Un
d
e
r
s
tan
d
in
g
th
e
lo
ca
l
ar
ea
an
d
co
m
m
u
n
it
y
was
ess
en
tia
l
to
r
esp
o
n
d
in
g
to
p
s
y
ch
o
s
o
cial
an
d
m
e
n
tal
h
ea
lth
is
s
u
es
an
d
r
ec
o
v
er
in
g
f
r
o
m
th
em
[
2
7
]
.
T
h
is
r
eq
u
ir
e
d
d
eter
m
in
in
g
th
e
a
f
f
ec
ted
c
o
m
m
u
n
ity
'
s
p
r
io
r
ities
,
s
u
ch
as
h
o
u
s
in
g
o
r
clea
n
wate
r
,
as
well
as
th
e
c
u
r
r
en
t
lea
d
er
s
in
th
e
co
m
m
u
n
ity
[
2
8
]
.
T
h
e
u
s
e
o
f
f
r
am
e
wo
r
k
s
with
o
n
g
o
in
g
co
m
m
u
n
ity
en
g
a
g
em
en
t is n
ec
ess
ar
y
to
g
u
id
e
p
s
y
s
io
lo
g
y
a
n
d
m
en
tal
h
ea
lth
in
ter
v
en
tio
n
s
[
2
9
]
.
Pro
v
id
in
g
b
asic
n
ec
es
s
ities
lik
e
f
o
o
d
,
d
r
in
k
,
s
h
elter
,
an
d
th
e
p
r
ev
en
tio
n
o
f
wate
r
-
b
o
r
n
e
illn
ess
es
was
th
e
to
p
p
r
io
r
ity
f
o
r
n
u
r
s
es
d
u
r
in
g
th
e
r
esp
o
n
s
e
p
h
ase
[
3
0
]
.
Alth
o
u
g
h
ch
a
llen
g
es
lik
e
a
s
en
s
e
o
f
h
el
p
less
n
ess
an
d
a
p
e
r
ce
p
tio
n
o
f
th
eir
p
r
ac
tice
’
s
lim
itatio
n
s
wer
e
m
en
tio
n
ed
,
a
s
o
lid
co
n
n
ec
tio
n
with
th
e
g
en
er
al
p
o
p
u
latio
n
an
d
its
ter
r
ito
r
y
h
e
lp
ed
to
f
ac
ilit
ate
th
e
r
esp
o
n
s
e
[
3
1
]
.
T
h
e
a
b
s
en
ce
o
f
g
u
id
elin
es
to
ass
is
t
th
em
in
th
eir
p
r
ac
tice
was
an
o
t
h
er
is
s
u
e
[
1
5
]
.
W
h
en
h
a
n
d
lin
g
f
o
o
d
,
wate
r
,
clea
n
i
n
g
,
a
n
d
h
y
g
i
en
e
p
r
ac
tices
wer
e
tau
g
h
t,
t
h
ey
in
d
icate
d
th
at
t
h
ey
n
ee
d
ed
ass
is
tan
ce
with
th
e
s
e
ac
tiv
ities
[
3
]
,
[
3
2
]
.
T
h
e
team
r
ec
eiv
e
d
h
ea
lth
ed
u
ca
tio
n
in
o
r
d
er
to
g
et
th
em
r
ea
d
y
to
cr
ea
te
co
m
m
u
n
ity
ed
u
ca
tio
n
in
itiativ
es.
Me
etin
g
s
wer
e
h
eld
at
th
e
s
h
elter
s
,
at
th
e
h
o
m
es o
f
t
h
e
af
f
ec
ted
in
d
iv
id
u
als,
an
d
at
t
h
e
h
ea
lth
s
er
v
ices.
Flo
o
d
m
a
n
ag
em
en
t
ca
lls
f
o
r
c
o
m
p
eten
ce
,
s
k
ill,
an
d
k
n
o
wle
d
g
e
[
1
7
]
.
W
h
en
it
co
m
es
to
c
ar
r
y
in
g
o
u
t
n
u
r
s
in
g
ac
tio
n
s
an
d
in
ter
v
en
t
io
n
s
th
a
t
ar
e
ce
n
ter
e
d
o
n
n
u
r
s
in
g
m
an
a
g
em
en
t
in
c
u
r
ativ
e
an
d
p
r
e
v
en
tativ
e
h
ea
lth
ca
r
e
s
er
v
ices,
n
u
r
s
es
h
a
v
e
f
aith
in
th
e
n
u
r
s
in
g
p
r
o
ce
s
s
[
3
3
]
.
Ho
wev
er
,
th
e
p
o
s
itio
n
m
ay
b
eg
in
in
s
tep
o
n
e
o
f
th
e
ty
p
ical
n
u
r
s
in
g
p
r
o
ce
s
s
es
:
An
aly
ze
th
e
d
iag
n
o
s
is
an
d
th
e
ac
t
u
al
ev
en
ts
—
w
h
at
is
s
u
e
wo
u
ld
ar
is
e
in
o
r
d
er
to
e
v
alu
ate
th
e
is
s
u
e
th
at
h
as e
m
er
g
ed
?
Step
two
is
d
ef
i
n
in
g
th
e
g
o
als an
d
o
b
jectiv
es f
o
r
th
e
ac
tu
al
g
o
als
th
at
n
ee
d
to
b
e
m
et
[
1
8
]
.
T
o
en
s
u
r
e
th
at
th
e
in
ter
v
e
n
tio
n
p
r
o
d
u
ce
s
h
ig
h
-
q
u
ality
r
esu
lts
,
g
o
als
an
d
o
b
jectiv
es
m
u
s
t b
e
b
a
s
ed
o
n
an
a
d
eq
u
ate
co
m
p
r
eh
e
n
s
io
n
o
f
th
e
s
itu
atio
n
,
p
r
ac
tice,
a
n
d
tim
e
lim
itatio
n
s
[
3
4
]
.
T
h
e
ass
ess
m
en
t
o
f
th
e
f
lo
o
d
an
d
d
is
aster
ev
id
e
n
ce
m
u
s
t
co
m
e
f
ir
s
t
in
o
r
d
er
to
i
n
itiate
th
e
im
p
lem
en
tatio
n
o
f
ac
tio
n
an
d
s
etu
p
[
3
4
]
.
A
s
s
ess
in
g
th
e
ex
te
n
t
o
f
u
n
d
e
r
s
tan
d
in
g
o
n
f
lo
o
d
i
s
s
u
es,
s
u
ch
as
th
e
ca
u
s
e
b
eh
in
d
th
e
f
lo
o
d
.
W
h
ic
h
k
in
d
o
f
f
l
o
o
d
—
a
n
atu
r
al
f
l
o
o
d
o
r
a
m
a
n
-
m
ad
e
f
lash
f
l
o
o
d
—
was
o
cc
u
r
r
i
n
g
?
T
h
e
lev
el
o
f
s
ev
er
ity
o
f
t
h
e
f
l
o
o
d
d
is
aster
—
m
ild
,
m
o
d
er
ate,
o
r
s
ev
er
e
[
3
5
]
.
T
h
e
r
atio
n
ale
b
eh
in
d
t
h
e
p
la
n
n
in
g
,
p
r
ep
ar
atio
n
,
an
d
in
ter
v
en
tio
n
,
as
well
a
s
th
e
ac
tio
n
,
wh
eth
er
it
in
v
o
lv
ed
a
s
m
all
o
r
lar
g
e
co
m
m
u
n
ity
,
th
e
n
u
m
b
er
o
f
v
ictim
s
,
th
e
lev
el
o
f
v
ictim
s
,
th
e
v
ictim
s
in
v
o
lv
e
d
,
th
e
ty
p
e
o
f
c
o
m
m
u
n
ity
,
t
h
e
f
in
an
cial
lev
el,
an
d
an
y
p
e
o
p
le
d
ir
ec
tly
a
f
f
ec
ted
b
y
th
e
f
lo
o
d
[
3
5
]
.
I
n
ad
d
itio
n
to
h
elp
in
g
a
n
d
s
u
p
p
o
r
tin
g
d
is
aster
v
ictim
s
,
p
r
im
ar
y
h
ea
lth
n
u
r
s
es
wer
e
cr
u
cial
in
s
ettin
g
u
p
th
e
s
af
ety
s
y
s
tem
f
o
r
n
u
r
s
in
g
s
taf
f
an
d
v
ictim
s
o
f
d
is
aste
r
s
,
s
u
m
m
ar
izin
g
th
e
o
u
tco
m
es
o
f
d
is
aster
o
p
er
atio
n
s
with
in
th
e
n
u
r
s
in
g
o
r
g
an
izatio
n
,
p
r
o
v
id
in
g
n
u
r
s
in
g
s
er
v
ices
with
r
elate
d
n
etwo
r
k
s
af
ter
th
e
d
is
aster
,
an
d
r
esto
r
in
g
th
e
en
v
ir
o
n
m
en
t
an
d
s
er
v
ices
[
1
7
]
.
T
h
ey
wer
e
also
in
c
h
ar
g
e
o
f
ass
ig
n
in
g
n
u
r
s
in
g
s
taf
f
an
d
m
an
a
g
in
g
u
tili
ties
an
d
r
es
o
u
r
ce
s
[
3
5
]
.
I
n
o
r
d
er
to
en
s
u
r
e
co
m
m
u
n
ity
r
esil
ien
ce
d
u
r
in
g
th
e
f
lo
o
d
d
is
aster
,
th
e
r
esp
o
n
s
e
team
m
u
s
t
co
llab
o
r
ate
with
m
u
ltip
le
s
tak
eh
o
l
d
er
s
f
r
o
m
th
e
p
r
iv
ate
s
ec
to
r
,
lo
ca
l
g
o
v
er
n
m
en
ts
,
non
-
g
o
v
er
n
m
en
tal
o
r
g
an
izatio
n
s
,
an
d
th
e
co
m
m
u
n
ity
at
lar
g
e
[
1
8
]
.
All
ty
p
es
o
f
in
d
iv
id
u
als
wer
e
n
ee
d
ed
to
m
an
ag
e
th
e
d
is
aster
an
d
d
ea
l
with
th
e
lar
g
e
n
u
m
b
er
o
f
v
ictim
s
wh
o
ex
p
er
ien
ce
d
lo
s
s
es
an
d
d
am
ag
es.
Nu
r
s
in
g
p
r
ac
tice
r
eq
u
ir
es
co
llab
o
r
ativ
e
r
elatio
n
s
h
ip
s
with
p
u
b
lic
h
ea
l
th
n
u
r
s
es
(
PHNs
)
,
p
u
b
lic
h
ea
lt
h
d
o
cto
r
s
(
PHDs
)
,
ep
id
em
io
lo
g
is
ts
(
E
PIs)
,
en
v
ir
o
n
m
en
tal
m
en
tal
h
ea
lth
o
f
f
ice
r
s
(
E
HOs),
f
o
o
d
s
af
ety
o
f
f
icer
s
(
FS
Os),
an
d
o
th
er
s
wh
o
ar
e
d
ir
ec
tly
in
v
o
lv
ed
in
d
is
aster
r
elief
[
3
3
]
.
T
h
is
s
tu
d
y
h
as
v
a
r
io
u
s
r
a
m
if
icatio
n
s
f
o
r
e
n
h
an
ci
n
g
n
u
r
s
in
g
o
u
tco
m
es
in
d
is
aster
ar
ea
s
af
f
ec
ted
b
y
f
lo
o
d
in
g
ac
r
o
s
s
th
e
g
lo
b
e
;
i
)
C
r
ea
te
g
u
id
elin
es
f
o
r
p
o
s
t
-
f
lo
o
d
d
is
aster
n
u
r
s
in
g
as
well
a
s
o
n
g
o
in
g
tr
ain
in
g
an
d
ed
u
ca
tio
n
f
o
r
em
p
lo
y
ee
s
;
ii
)
Ma
k
e
im
p
r
o
v
em
en
ts
t
o
th
e
s
y
s
tem
s
o
th
at
n
u
r
s
es
ca
n
f
u
n
c
tio
n
well
in
s
id
e
th
e
h
ea
lth
ca
r
e
s
y
s
tem
an
d
ar
e
n
o
t
co
n
f
u
s
ed
b
y
a
lack
o
f
co
o
r
d
in
atio
n
;
iii
)
B
ased
o
n
th
e
r
eq
u
ir
em
en
ts
an
d
w
ea
k
n
ess
es
id
en
tifie
d
b
y
r
is
k
ass
es
s
m
en
ts
,
en
h
an
ce
th
e
d
is
aster
p
lan
;
an
d
iv
)
E
n
h
an
ce
t
h
e
d
is
aster
n
u
r
s
in
g
p
o
licies
an
d
p
r
o
ce
d
u
r
es
to
g
u
ar
an
tee
th
at
th
e
r
e
ar
e
n
o
eth
ic
al
o
r
co
n
f
lictin
g
i
n
ter
ests
am
o
n
g
th
e
n
u
r
s
es.
T
h
is
s
tu
d
y
f
o
c
u
s
ed
o
n
n
u
r
s
in
g
o
u
tc
o
m
es
in
co
m
m
u
n
ities
th
at
wer
e
af
f
ec
ted
b
y
f
lo
o
d
in
g
,
s
o
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[
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3
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[
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5
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[
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[
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[
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R
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2
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[
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[
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4
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