Coordinated disaster response

1. The local capacity for disaster management was overwhelmed by the magnitude and suddenness of the tsunami, and the subsequent global response was viewed as having been uncoordinated, congested, and competitive for scarce resources.

2. One of the major concerns was the administrative burden imposed on the health-care relief workers at the time that they were needed for response to the acute disaster.

3. It is acknowledged that coordination and supervision requires the consent and cooperation of all stakeholders, and the WHO, representing the UN, is generally seen by most governments as the authoritative source. It was also noted that many countries are now revamping their national and local coordination structures, based on the tsunami experience, with a disaster management center under the guidance of the WHO.

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