Monday 28 March 2016

House of Lords - Questions for Short Debate

The Earl of Selborne submitted a question for short debate to ask: “Her Majesty’s Government what progress has been made towards implementing the Sendai Framework for Disaster Risk Reduction 2015–2030.” The short debate was held in the House of Lords in the Parliament of the UK. I had the opportunity to attend the debate as a member of the public.

The Sendai Framework, signed in Japan in March 2015, and endorsed by the United Nations General Assembly, is a 15-year non-binding agreement which “recognizes that the State has the primary role to reduce disaster risk but that responsibility should be shared with other stakeholders including local government, the private sector and other stakeholders. It aims for the following outcome: The substantial reduction of disaster risk and losses in lives, livelihoods and health and in the economic, physical, social, cultural and environmental assets of persons, businesses, communities and countries.”

A few challenges to progress and priorities for action were raised during the debate such as challenges for early and accurate warning for earthquakes (deemed quite impossible?) and for disaster risks to be incorporated into development planning in cities, such as strengthening building codes and land use. Speakers also emphasized importance for partnership with other countries in order to strengthen each other’s systems, especially for developing countries where disasters are costing big portion of their GDP. These actions are high in priority for the UK, and the UK has contributed immensely through science and technology and on monetary terms in the DRR field.

Hong Kong is in the heart of DRR development in Asia, where it has the capacity to provide scientific and technological aid to those in need, there should be more discussions on how Hong Kong, as a global player can contribute to the field of DRR particularly in places of need such as in South-East Asia and China.

On the other hand, Hong Kong should also perhaps assess whether its DRR measures are up to par to international standards and develop in areas where it does not have adequate procedures (perhaps due to perceived unimportance) such as standards for bicycle use during times of disaster or  warning systems for uncommon natural disasters.

Friday 18 March 2016

Heatwave Plan

I attended the annual Heatwave Plan Seminar conducted by the Extreme Events and Health Protection team of Public Health England this Monday. This seminar reviewed the 2015 Heatwave plan for England. Around sixty professionals attended from a wide sector of the health and local authority community and these were supported by academics and government officials. The findings from this seminar will be added to the evolution of the Heatwave Plan for England that will be published in May 2016 by Public Health England and its wider partners including the National Health Service for England and Local Authorities.

As Hong Kong, being in the subtropical climate, is also very prone to heatwaves in the summers, it was interesting to see what England does as a nation to reduce excess mortality and adverse health effects associated with heat and I found it an opportunity for learning on how science can inform policy and practice and its evaluation takes place with Public Health England. I had the opportunity to be a rapporteur for two sessions which allowed me to participate in the process more fully.

During the summer of 2003 a heatwave in August caused a high excess mortality across the whole of Europe. The Heatwave Plan in England started in 2004 as a response to this event. It has since been updated annually to reflect issues identified in the previous year, accommodating new relevant scientific evidence and renewing actions for the year. This has been crucial in in reducing heatwave impact despite England being in a relatively cool climate.

Unlike Hong Kong, England is not as hot and humid. However, with the temperatures rising each summer, overheating is a looming problem in England, coupled with the inadequate ventilation in buildings, especially in single aspect dwellings and high rise blocks on urban heat islands. One of the main recommendations in England is for improved building standards, with designs for passive cooling systems and green areas in its surrounding environments. The use of air-conditioning is also not as common as in Hong Kong as it is not a long term sustainable solution to the heat, due to the amount of power it consumes and related issues of fuel poverty. One of Hong Kong’s main issues is its high reliance on air-conditioning indoors. On top of that, in Hong Kong, like England, the population most vulnerable to heatwaves – the elderly – often do not see themselves as susceptible to heat-related illnesses and often are not willing to turn on their air-conditioners in order to cut costs. Hence there may be a need for a comprehensive heatwave plan in Hong Kong.

The Heatwave Plan Seminar identified as one of the challenges that a lot of useful data and recommendations does not appear to be reaching those who are actually affected by the heat, such as elderly living in social isolation, and may stop at higher levels such as managers of care homes rather than getting used by their staff and residents. Overheating in care homes has been identified as a problem, so a need to raise awareness is important and even to encourage more effective sharing of the leaflet designed for guidance to case home managers and their staff. Therefore the question of how to effectively deliver the message and have greater involvement of the community and the private sector (such as the housing sector) to mainstream the awareness of keeping cool during the summer remains a priority.

Monday 7 March 2016

Keeping Quality

I had the honour of playing the role of an observer in two quality governance meetings within the organisation recently. Before that, I had little idea how quality is kept for work done within PHE.

Some of the key messages I got out of these two meetings was that even though it was absolutely necessary to celebrate good practice, it was also important to record and learn lessons from instances that did not go well and communicate these lessons. 

This has again reminded me the importance of dissemination of information between different groups. In order to keep accountability of an organisation, a culture of quality-keeping and good governance must be maintained, with a comprehensive plan of communication reaching all levels, not only reaching those in senior roles, in order to allow higher transparency of the quality keeping agenda.

As there is no comprehensive plan for disaster risk reduction in HK yet, when establishing such plan, it would be vital to also incorporate a plan for quality control across departments in order to maintain accountability of all actions and publications carried out.