Disaster scenario simulation of the 2010 cloudburst in Leh, Ladakh, India

Leh district in the Ladakh region of north-western India experienced a disaster when a cloudburst generated debris flows, killed hundreds of people, destroyed houses, and damaged the hospital, communication infrastructure, the bus station, and vital roads. A simulation of the Leh cloudburst disaster analysed the disaster itself, disaster risk reduction plans in the region, gaps in existing response mechanisms and reducing hazard impacts in the future. The participant group comprised academic researchers and industry experts in natural hazards, social vulnerability, engineering, historical and social sciences, education, journalism, disaster management and disaster risk reduction. Many of the participants had extensive local knowledge of Ladakh or comparable neighbouring Himalayan regions. Following the disaster, Leh Autonomous Hill Development Council (LAHDC), produced a District Disaster Management Plan (DDMP), which addressed many of the gaps identified in the simulation. Most importantly, the document outlined a civil protection mechanism to respond to future hazardous events. This was utilised to assess future disaster response in the simulation scenario. From analysis of the scenario simulation, the role of the army was found to be key in minimizing the impact of the 2010 disaster, although in the future, the army may coordinate with the civil protection body as set out in the DDMP. Participants identified the lack of a local formalized civil protection plan as a major vulnerability, and the most vulnerable populations as the migrant communities. The group also discussed evidence of resilience among the population such as the role of monasteries and spirituality in psychological recovery and the impact of the initial local response. From broader discussion of the simulation scenario, it was possible to identify aspects of resilience for further study in a wider research project, such as identifying hazardous slopes from satellite mapping, informing the fieldwork program, designing social questionnaires to understand risk perception and formulating questions to guide focus-group discussions on community resilience

Patient safety in dentistry: development of a candidate 'never event' list for primary care

Introduction The 'never event' concept is often used in secondary care and refers to an agreed list of patient safety incidents that 'should not happen if the necessary preventative measures are in place'. Such an intervention may raise awareness of patient safety issues and inform team learning and system improvements in primary care dentistry. Objective To identify and develop a candidate never event list for primary care dentistry. Methods A literature review, eight workshops with dental practitioners and a modified Delphi with 'expert' groups were used to identify and agree candidate never events. Results Two-hundred and fifty dental practitioners suggested 507 never events, reduced to 27 distinct possibilities grouped across seven themes. Most frequently occurring themes were: 'checking medical history and prescribing' (119, 23.5%) and 'infection control and decontamination' (71, 14%). 'Experts' endorsed nine candidate never event statements with one graded as 'extreme risk' (failure to check past medical history) and four as 'high risk' (for example, extracting wrong tooth). Conclusion Consensus on a preliminary list of never events was developed. This is the first known attempt to develop this approach and an important step in determining its value to patient safety. Further work is necessary to develop the utility of this method

Indigenous Mountain People’s Risk Perception to Environmental Hazards in Border Conflict Areas

This study aims to understand community risk perception to environmental hazards in a border conflict zone context in high-mountain areas. Participatory rural appraisal (PRA) tools were applied by the social science team. The results were validated with a hazard map prepared by a separate team comprised of geologists. Turtuk, the northernmost village in Ladakh, India located near the line of control with Pakistan was undertaken as a case study. Turtuk represents a high mountain indigenous rural community which has experienced several major disasters (flash flooding and landslides in 2010, 2014, and 2015) and territorial conflicts (wars in 1971 and 1999 with Pakistan) in recent times. The villagers were able to identify various environmental hazards and associated risk zones through participatory timeline, hazard and dream mapping exercises. The PRA maps matched the geological hazard map of Turtuk, demonstrating that community people are highly aware of surrounding hazards regardless of differences in age, sex, education, occupation, and religion. They apply indigenous knowledge to deal with the adverse climate and calamities. The technique, of analysing community vulnerability in the context of conflict and disasters by applying qualitative PRA tools and validating the mapping results, as piloted in this study is novel and replicable in similar settings

Developing agreement on never events in primary care dentistry:an international eDelphi study

Introduction: Never events (NEs) are a subset of serious patient safety incidents that should not occur if appropriate preventive measures are implemented. Although there is a consensus in medicine, there is no agreement on NEs in dentistry. Aim: To identify NEs in primary care dentistry. Method: We undertook an electronic Delphi exercise to develop an international agreement on NEs for primary care dentistry. Results: We initially identified candidate NEs through a scoping review of the literature and then analysed dentistry-related reports in a national incident reporting system. Next, we invited an international panel of 41 experts to complete two rounds of questionnaires; 32 agreed to participate (78%) and completed the first round and 29/41 (71%) members completed the second round. We provided anonymised controlled feedback between rounds and used a cut-off of 80% agreement to define consensus. Consensus was achieved for 23 out of 42 candidate NEs. These related to routine assessment, and pre-operative, intra-operative and post-operative stages of dental procedures. Discussion and conclusion: To our knowledge, this is the first international expert consensus-based approach that has identified NEs for primary care dentistry. We suggest that dental regulators consider these to support quality assessment and governance activities

Making subaltern shikaris: histories of the hunted in colonial central India

Academic histories of hunting or shikar in India have almost entirely focused on the sports hunting of British colonists and Indian royalty. This article attempts to balance this elite bias by focusing on the meaning of shikar in the construction of the Gond ‘tribal’ identity in late nineteenth and early twentieth-century colonial central India. Coining the term ‘subaltern shikaris’ to refer to the class of poor, rural hunters, typically ignored in this historiography, the article explores how the British managed to use hunting as a means of state penetration into central India’s forest interior, where they came to regard their Gond forest-dwelling subjects as essentially and eternally primitive hunting tribes. Subaltern shikaris were employed by elite sportsmen and were also paid to hunt in the colonial regime’s vermin eradication programme, which targeted tigers, wolves, bears and other species identified by the state as ‘dangerous beasts’. When offered economic incentives, forest dwellers usually willingly participated in new modes of hunting, even as impact on wildlife rapidly accelerated and became unsustainable. Yet as non-indigenous approaches to nature became normative, there was sometimes also resistance from Gond communities. As overkill accelerated, this led to exclusion of local peoples from natural resources, to their increasing incorporation into dominant political and economic systems, and to the eventual collapse of hunting as a livelihood. All of this raises the question: To what extent were subaltern subjects, like wildlife, ‘the hunted’ in colonial India

Jurassic–Cretaceous biostratigraphy of Norway, with comments on the British Rasenia cymodoce Zone

Volume: 21Start Page: 31End Page: 6

The Jurassic (Pliensbachian to Kimmeridgian) palynology of the Algarve Basin and the Carrapateira outlier, southern Portugal

The palynology of the Jurassic (Upper Pliensbachian to Lower Kimmeridgian) fill of the Algarve Basin and the Carrapateira outlier, southern Portugal was investigated. Samples were collected from Armação Nova Bay, Mareta Beach, Cilheta Beach and the Carrapateira outlier. At Armação Nova Bay the Upper Pliensbachian–Lower Toarcian succession proved barren, or yielded sparse, non age-diagnostic palynomorphs. Dinoflagellate cysts are confined to the Upper Bajocian to Upper Callovian sedimentary rocks exposed at Mareta and Cilheta beaches and the Lower Kimmeridgian strata of the Carrapateira outlier. At Mareta Beach, the Upper Bajocian, Bathonian and Callovian produced relatively low to moderate diversity dinoflagellate cyst assemblages. Several key bioevents confirm the Bathonian and Callovian ages of the succession; no age-significant Late Bajocian bioevents were noted. The Upper Callovian of Cilheta Beach yielded moderately diverse dinoflagellate cyst associations dominated by Ctenidodinium spp. Key Late Callovian bioevents confirm the age of this succession. Many familiar marker forms known from northwest Europe were not encountered. No typically Arctic forms were recovered throughout the Upper Bajocian to Callovian of this part of the Algarve Basin. It is clear that there was no significant Late Bajocian to Late Callovian dinoflagellate cyst provincialism within southern and northern Europe and adjacent regions. The Carrapateira outlier yielded a moderately diverse Early Kimmeridgian dinoflagellate cyst flora. The Early Kimmeridgian age assessment based on corals and foraminifera is confirmed. Amphorula and Histiophora are present; these are typical of the Late Jurassic of the Tethyan Realm, and their presence is consistent with Late Jurassic provincialism within Europe. The relatively low diversity nature of these Late Bajocian to Early Kimmeridgian dinoflagellate cyst floras is probably mainly due to the relatively deep water, partially enclosed depositional setting. The partially enclosed nature of this part of the Algarve Basin and the Carrapateira outlier seems to have prevented the free migration of dinoflagellates between southern Portugal and elsewhere in Europe