Rapid assessment of avoidable blindness in the Occupied Palestinian Territories.

BACKGROUND: There are no recent data on the prevalence and causes of blindness in the Occupied Palestinian Territories. The aim of our study was to estimate the prevalence and causes of blindness and visual impairment in the population aged 50 years and above in the Occupied Palestinian Territories using the Rapid Assessment of Avoidable Blindness (RAAB) survey method. METHODS AND FINDINGS: Clusters of 40 people who were 50 years and above were selected with probability proportionate to size using a multistage cluster random sampling method. Participants received a comprehensive ophthalmic examination in their homes, including visual acuity testing by one of three experienced ophthalmologists. The principal cause for visual loss was determined by an experienced ophthalmologist using portable diagnostic instruments. Information about previous cataract surgery, satisfaction with surgery and barriers to cataract surgery were collected. The prevalence of self-reported diabetes was also determined. The prevalence of bilateral blindness (VAor=3/60 and or=6/60 and or=6/18), 23.2% had a borderline outcome (VAor=6/60) and 22.3% had a poor outcome (VAor=50 year age group was 26.4% (95% CI: 24.9-27.9). CONCLUSIONS: The prevalence of blindness suggests that significant numbers of people in the Occupied Palestinian Territories exist who do not access eye care - predominantly women and those residing in Gaza. Programmes need to focus on maximizing the use of current services by these excluded groups

An integrated approach of flood risk assessment in the eastern part of Dhaka City

The flood risk is a function of the flood hazard, the exposed values, and their vulnerability. In addition to extreme hydrological events, different anthropogenic activities such as extensive urbanization and land use play an important role in producing catastrophic floods. Considerations of both physical and social dimensions are therefore equally important in flood risk assessment. However, very often the risk assessment studies focus either on physical or social dimensions. In addition, the available studies often focus on economic valuation of only direct tangible costs. In this study, we provide an integrated flood risk assessment approach that goes beyond the valuation of direct tangible costs, through incorporating physical dimensions in hazard and exposure and social dimensions in vulnerability. The method has been implemented in the Dhaka City, Bangladesh, an area internationally recognized as hot spot for flood risk. In this study, flood hazards for different return periods are calculated in spatial environment using a hydrologic model, HEC-RAS. Vulnerability is assessed through aggregation of various social dimensions, i.e., coping and adaptive capacities, and susceptibility. We assess vulnerability for both baseline and improved scenarios. In the baseline scenario, current early warning for study area is considered. In the alternative scenario, the warning system is expected to improve. Aggregating hazard, exposure and vulnerability, risk maps (in terms of both tangible and intangible costs) of several return period floods are produced for both baseline and improved scenarios. Compared to traditional assessments, the integrated assessment approach used in this study generates more information about the flood risk. Consequently, the results are useful in evaluating policy alternatives and minimizing property loss in the study area.The flood risk is a function of the flood hazard, the exposed values, and their vulnerability. In addition to extreme hydrological events, different anthropogenic activities such as extensive urbanization and land use play an important role in producing catastrophic floods. Considerations of both physical and social dimensions are therefore equally important in flood risk assessment. However, very often the risk assessment studies focus either on physical or social dimensions. In addition, the available studies often focus on economic valuation of only direct tangible costs. In this study, we provide an integrated flood risk assessment approach that goes beyond the valuation of direct tangible costs, through incorporating physical dimensions in hazard and exposure and social dimensions in vulnerability. The method has been implemented in the Dhaka City, Bangladesh, an area internationally recognized as hot spot for flood risk. In this study, flood hazards for different return periods are calculated in spatial environment using a hydrologic model, HEC-RAS. Vulnerability is assessed through aggregation of various social dimensions, i.e., coping and adaptive capacities, and susceptibility. We assess vulnerability for both baseline and improved scenarios. In the baseline scenario, current early warning for study area is considered. In the alternative scenario, the warning system is expected to improve. Aggregating hazard, exposure and vulnerability, risk maps (in terms of both tangible and intangible costs) of several return period floods are produced for both baseline and improved scenarios. Compared to traditional assessments, the integrated assessment approach used in this study generates more information about the flood risk. Consequently, the results are useful in evaluating policy alternatives and minimizing property loss in the study area