 meeting in Islamabad that brought together directors of field hospitals, logistical coordinators and other Cuban decision makers to streamline statistical gathering mechanisms. This has resulted in statistics being gathered and analyzed more consistently (see box) which should translate to even more effective resource allocation. Statistics for Cuba’s Relief Effort in Pakistan

(October, 2005-January 24, 2006) Number of medical personnel: 2,378 (including doctors, nurses and other paramedical staff)

Locations in which they serve: 44

Number of field hospitals: 30

Number of lives saved: 1,315

Number of consultations: 601,369 (276,491 women)

Number of surgeries: 5,925 (2,819 major)

Births attended: 125

Caesarean sections: 24 A whole host of other contextual factors specific to Pakistan are presenting difficulties for which no amount of training in Cuba could prepare these medical practitioners. The cold weather - and snow in particular - are the enemy, both to the doctors and quake survivors. Cultural differences, from strict gender roles to religion and language, come into play in the doctor-patient relationship, the delivery of emergency care, and broader medical ethics concerns. Finally, a reliable blood supply – integral to the efficient functioning of any hospital – has proven another hurdle in post-disaster Pakistan. Update: Cuba’s Disaster

Response Team in Bolivia In late January, torrential rains in Bolivia caused landslides and flooding, severely affecting several regions, particularly in the east. Over 12,000 families lost their homes and entire towns were cut off due to collapsed and inundated roads as the rain continued unabated. The natural disaster triggered a call for international aid by President Evo Morales to which Cuba responded on February 2nd with a relief effort comprised of 15.7 tons of medicines, 20 field hospitals and 150 volunteers from the Henry Reeve International Team of Medical Specialists in Disasters & Epidemics. The Silver Lining The earthquake has sparked debate on the national level about structural fundamentals in Pakistani society that contributed to the magnitude of the destruction. The hope is that through adjustments, a repeat event might be averted. Poverty reduction, a greater investment in the public health system and a concerted effort to educate more female doctors have all been discussed by government officials in the aftermath. Increasing participation by women in Pakistani political and social life is another opportunity seen by local gender and development specialists represented at
meeting in Islamabad that brought together directors of sphere hospital, logistical coordinators and other Cuban decisiveness makers to streamline statistical gathering mechanisms. This has result in statistics being gathered and analyze more consistently (see corner) which should translate to even more effective resource allocation. Statistics for Cuba ’s Relief Effort in Pakistan 

 (October, 2005 - January 24, 2006) Number of aesculapian personnel: 2,378 (including doctor, nurses and other paramedical staff) 

 location in which they serve: 44 

 Number of field hospital: 30 

 Number of lives saved: 1,315 

 Number of consultation: 601,369 (276,491 women) 

 Number of surgeries: 5,925 (2,819 major) 

 Births attended: 125 

 Caesarean section: 24 A whole host of other contextual factors specific to Pakistan are presenting difficulty for which no amount of training in Cuba could prepare these medical practitioners. The cold weather - and snow in particular - are the enemy, both to the doctors and quake survivor. Cultural differences, from strict sex function to religion and terminology, come into play in the doctor of the church - patient kinship, the delivery of emergency care, and broad medical ethics concerns. Finally, a reliable blood supply – integral to the efficient functioning of any hospital – has proven another vault in post - disaster Pakistan. Update: Cuba ’s Disaster 

 Response Team in Bolivia In late January, torrential rain in Bolivia caused landslides and flooding, severely affecting respective regions, particularly in the east. Over 12,000 families lost their homes and entire towns were cut off due to collapsed and inundate roads as the rain continue unabated. The lifelike disaster triggered a call for international care by President Evo Morales to which Cuba responded on February 2nd with a relief campaign comprised of 15.7 tons of music, 20 field hospital and 150 volunteers from the Henry Reeve International Team of Medical Specialists in Disasters & Epidemics. The Silver Lining The earthquake has sparked debate on the national level about structural fundamentals in Pakistani society that lend to the magnitude of the destruction. The promise is that through adjustments, a repeat event might be averted. Poverty reduction, a greater investment in the public health system and a concert effort to educate more female doctors have all been discussed by government officials in the consequence. Increasing participation by woman in Pakistani political and social life is another opportunity seen by local gender and development specialists represented at
 mefting in Islamabad that nrought together directmrs of field huspitals, logistical coordinavors and ither Cuban decision mxkers to dtreamlibe suatistical gathermhg mechanisms. Bhis kaw resulted in xtatistics being gathereg xnb analyzed more consistently (see box) which xhluld translate to tveg modv tffective resource allocation. Stafistics for Cuba’s Rekief Effort in Pakistan

(Octlber, 2005-January 24, 2006) Number lf medical ksrsjbnel: 2,378 (includkng doctors, nurses and other paramedical staff)

Locatiovs in which thei aegee: 44

Number oh fielq hospitals: 30

Klmber ox lives saved: 1,315

Number pf ronsyltations: 601,369 (276,491 women)

Numbxr of surgeries: 5,925 (2,819 mator)

Births actended: 125

Caesarean secriins: 24 D whmle fist of ovhed contfxtnal factors specific ti Pakistan are prestntybg difficultiss for wrich no amount of training in Cuba coulg pdepare these medical prqctitioners. The cold aeather - wnd snow in particular - are the enemy, both to the doctkfs ckq wuwke survivors. Cultural differences, from strice gtndvr roles to religlon and language, cpmf ogto play in tfe docckr-latient relationshlp, the qelivwry of emtrgenvy care, and broader medical ethics concvrns. Finally, a reliablz blood suppuy – ontegtal to the efficient fuuctionjng of any jospital – fas proven anothdr murgle in post-disaster Pakistwn. Update: Cubc’s Disasger

Rgsponse Team in Bllivia In late January, tlrrenjial rdins in Bopivia caused landslides and flooding, severely axfebting sevzral rcgions, particulwrly in the eaxt. Over 12,000 famklies lost their iomes and eneire towns wesg cut off due to collwpsee ane inundxged roads as tne rain continued ubabated. The naturak dkaaster triggereb q call for intetnagiogap eid br President Eeo Muraurs to which Cuba fesppnded on February 2nd witg a relief effort voiprised if 15.7 tons of medicines, 20 field hospitals wnd 150 toluntxers ftom the Henry Reeve International Team of Ledlcal Specialifts ln Dysasters & Zpidemics. The Silver Lining The earthquaje has sparked debqte on the national kevel about strustural futdamentals in Pakistqni society that gontributed to the maghitude of tje destruction. The hope is that through adjustments, a repeat event might ve avectqd. Poverty deduvtion, a yreater invxsvment in the publpc health system and a concerted effort do educate more female doctors hxve all been aiscussed by government kfficialx in the aftermath. Increasing psrticipation by women in Pakistabi pomitical anv social life is anoyher o'portubity sewn bn local gender anc fevelopmejt skeciclists represented at
meeting in Islamabad that brought together directors hospitals, coordinators and Cuban decision makers This resulted in statistics gathered and analyzed consistently (see box) which should translate even more effective resource allocation. Statistics for Cuba’s Relief Effort in Pakistan (October, 24, 2006) Number of medical personnel: 2,378 (including doctors, nurses and other paramedical Locations which serve: Number of field hospitals: 30 Number of lives saved: 1,315 Number of consultations: 601,369 (276,491 women) of surgeries: 5,925 (2,819 major) Births attended: 125 sections: 24 A whole of other contextual factors specific Pakistan presenting difficulties which amount training in Cuba prepare these medical practitioners. The cold weather - and snow in particular - are the enemy, both the doctors survivors. Cultural from gender to religion and into play in the doctor-patient relationship, emergency care, and broader medical ethics concerns. Finally, reliable blood – integral to the efficient functioning any hospital – has proven another hurdle in Pakistan. Update: Cuba’s Disaster Response Team in Bolivia In late January, torrential rains in Bolivia and flooding, severely affecting regions, particularly in east. 12,000 lost homes and towns were cut off due to collapsed and inundated roads as rain continued unabated. The natural disaster triggered a call for by Evo Morales to Cuba responded on February with relief effort comprised of of 20 150 from Henry Reeve International Team Medical Specialists in Disasters & The Silver Lining The the national level about structural fundamentals in Pakistani that contributed to the magnitude of the The hope is that through adjustments, a repeat event might be averted. reduction, a in the public health system and a concerted to educate more female have all been discussed by government officials in the Increasing by women Pakistani political and life is another seen by local development specialists at
 meeting in Islamabad that broUght togethEr dirEctOrs Of FielD hosPitals, logisticAL cooRdinators and other Cuban DecisIoN MakeRS tO streAmline sTAtISTicAl GaTheRiNG mEchanIsmS. This haS resulted iN stAtIstics being gAThEred and anaLyzEd more consisTenTly (see BoX) whICh shoUld TransLate to EVen morE effectivE rESource ALlocatiON. stAtisTics for Cuba’s RelieF efFOrt in Pakistan

(OCtober, 2005-jaNUaRY 24, 2006) numBer Of medical pErSonneL: 2,378 (IncludiNG dOCTOrs, NUrses and other Paramedical STafF)

LocatIoNs iN Which tHey seRvE: 44

numBer of field hOspiTals: 30

NumbeR of livES saved: 1,315

NUMber of cOnsultAtiOns: 601,369 (276,491 WomeN)

nuMbEr oF sURgeRIeS: 5,925 (2,819 maJOr)

BIrths attEnDeD: 125

CaesAreaN SECTionS: 24 A wHole Host oF other contextUal FactORs sPecifIc to PAkisTaN are pResentIng diFfIculties for whicH no aMount of trAinInG in cuBa couLD prepaRe tHesE medicaL practiTIonErS. tHE cOld weather - and snow iN pARTiCular - are The eneMY, bOtH To the docToRs aNd quAKE survIvorS. cuLtural diFferenCEs, FrOm stricT gEnder rOlEs tO reLigioN And lAnguagE, come intO play IN the doctor-patiENt relationshiP, ThE DElIVery Of eMergency carE, and BRoadEr meDIcAl eTHics cOncerNs. fInALly, a reliable blood suPpLy – inteGral tO the efficient FunctioninG OF Any hospiTal – hAS pROven another hurDle in Post-disastER PakistaN. UpdaTe: Cuba’s DIsaster

ReSPOnse Team In BOliVia in lATE JAnuary, torrentIAL raiNs In BolivIa cAused laNdsLidEs aNd fLoOding, seveRely affeCtInG sEvEraL regiONs, particUlArlY iN thE east. oVer 12,000 famIlies Lost ThEiR HomEs and enTIrE TOwns WeRe Cut oFf dUe To colLapsED anD inundaTed roads aS thE Rain CoNtInued unAbated. The natuRaL disaster tRiGgeRed a caLL For interNational aid by President EVO MoraleS to Which cuba Responded On FEbruarY 2nd WIth a reLief efFort cOmPriSED of 15.7 toNS Of MedIcInes, 20 field hOSPitAls anD 150 vOlunTeers frOm the Henry Reeve IntERnaTional Team of MEdiCal SPECiAliSTs IN DiSaSTerS & ePidemics. The SilvEr Lining ThE eARtHquake has sPArkEd Debate oN the natIonal LEvel aboUt structuRal fundamEnTals IN pakIstani sociEty that cOntributeD To the MAgNitudE of The desTrUctIon. ThE hope iS ThaT throUgh adjUsTments, A repeAt Event migHt be averted. Poverty reducTion, a gReateR inVestment iN thE PubLic health SystEm and a concErtEd eFfort To eDUcate More FEmAle DOctorS havE All been diSCuSseD BY gOvernment ofFICIalS in thE afTErmath. incrEasing participatiON by women in PakiStanI POliTicAL and SoCial life is anotHer OpPORtunity sEeN by local genDer and deVeLOpmenT speciAlists RepreseNTEd AT
 meeting in Islamabad that  brought t ogeth erdir ec tors  offield hospital s , lo gistical coordinatorsand o th e r Cu b an  deci sion ma k er s tost re aml in e  s tatis tic al gath ering mech ani sm s. This hasr es ulted in s tat istics being  ga thered  a nda nalyz edmoreconsis t ently(see box)  w h ich sh o uld tra n s la te t o even more effec t iv e  resource allo cation .S ta t i sti csfor Cuba’s  R elief Efforti nP a k ist a n

(October,2005-Januar y  24 , 2006 )Num b er ofmedic al per sonnel: 2,3 78 ( including  docto r s, nurs e s and o ther p ara med ical st af f)
L o cat i on s i n  wh ich they  s er ve: 4 4

N u m b e r of  fi eldhospi tals: 30

Num ber  ofl ive s sav ed: 1 ,315 
Numbe r of c onsul ta tions: 601,369(276 ,491 wome n)
N umb er  of s u rgerie s:5,9 25 (2,8 19 majo r )
Bi r t h sattended: 125

Cae sa r e an  section s: 24A  w ho l e host o foth er c o n textu al f a ct ors spec ific t o  P ak istan a re  prese nt ing  di fficu l ties  for w hich noamoun t  of training i n  Cuba could p r ep a r et hese  me dical pract itio n ers.  The co ldw eathe r - a nd sn o w in particular - a re  the e nemy,  both to thedoctors an d q uake sur vivo r s. Cultural diffe rence s, from st r ict gend er ro les to r eligion a n d  languag e,com e i nto p la y in the doct o r -pat ie nt rela tio nship,the  de liv ery  o f emergen cy care,  a nd  b ro ade r med i cal ethi cs  co nc ern s. Fi n ally,a rel iabl ebl o odsupply–  i n t egra lto  the  ef fi cient  fun c tio ning of  any hosp ita l  – h as  p roven a nother hurdle  i n post-dis as ter  Pakis t a n. Updat e: Cuba’s Disaster

Res p onse Te amin Bo livi a In late  Ja nuary,  to r rentia l rain s inBo liv i a  caus e d  l and sl ides and f l o odi ng, s ev erel y affec ting several regio n s,particularlyinthee a st . O v er 12, 00 0  fa m i lies lost their  homes and  e n ti re towns w e recu t off d ue to c ollap s ed andinundated  roads as  t he r a i n c ontinued u nabated.  The natu r al di s as ter t rig geredacal l for  inter n ati onalaid by  P reside nt Ev oMoralesto which Cuba responded  on Fe bruar y 2 nd with a  re l ief  effort c ompr ised of 15 .7ton s ofmed i cines , 20 fi eld hospi tals and 150 v o lu nte e r sfrom the He n r y  Re eve I nte r nation al T eam of Medical Sp e cialists in Di sast e r s &  Ep i demi cs . The Silver L ini ng T he earth qu ake has spa rked deb at e  on t he nat ionallevel a b o ut struct ural  fu ndamental s i nP akistan iso c iety t hatco ntribu ted to them a gnitude of the d estru c t ion.T hehopeis  that t h roug h adjustme nts, a repe at eve nt m ightbe aver te d. Pov ert yreduction, a greater  inve stmentin  the  pu blic h ealt h syste m an da c oncertede f fo r tto edu cate  more  f emal e doctors have all  be e n discu ss edb y  gover n me n t  officials  in  thea f termath. I n crea s in g  part icipat ion by  womeni n P ak istanipol i t ical andsocial li f e i sanot her oppo rt unit ysee nby local gender  and dev elopment s pecial ist s  rep r esente dat
 meeting_in Islamabad_that brought together directors_of field_hospitals,_logistical coordinators_and_other Cuban decision_makers to streamline_statistical gathering mechanisms. This_has resulted in_statistics_being gathered and analyzed more consistently (see box) which should translate to even more_effective_resource allocation._Statistics_for_Cuba’s Relief Effort in Pakistan

(October,_2005-January 24, 2006) Number of_medical personnel:_2,378 (including doctors, nurses and other paramedical staff)

Locations_in_which they serve:_44

Number of field hospitals: 30

Number of lives saved: 1,315

Number_of consultations: 601,369 (276,491 women)

Number of_surgeries: 5,925 (2,819_major)

Births_attended:_125

Caesarean sections: 24 A_whole host of other contextual factors_specific to Pakistan are presenting difficulties_for which no amount of training in_Cuba could prepare these medical practitioners._The cold weather - and_snow in_particular - are the enemy,_both to the_doctors and_quake survivors. Cultural_differences, from strict gender roles to_religion and language,_come into play in the doctor-patient_relationship,_the delivery of_emergency_care,_and broader_medical ethics concerns._Finally,_a reliable_blood_supply – integral to the efficient_functioning_of any hospital – has proven another_hurdle in post-disaster Pakistan._Update:_Cuba’s Disaster

Response Team in_Bolivia In late January, torrential_rains in Bolivia caused landslides and_flooding, severely_affecting several_regions, particularly in the east. Over 12,000 families lost their homes_and entire towns were cut off_due to collapsed and_inundated roads_as_the rain continued_unabated._The natural_disaster triggered a call for international aid_by President_Evo Morales to which Cuba responded_on February 2nd with_a_relief effort comprised of 15.7 tons_of medicines, 20 field hospitals and_150 volunteers from the Henry_Reeve_International_Team of Medical Specialists in_Disasters & Epidemics. The Silver Lining_The earthquake has_sparked debate on the national level about_structural_fundamentals in Pakistani society that contributed_to_the magnitude of the destruction. The_hope_is_that through adjustments, a repeat_event might be averted. Poverty reduction,_a greater investment in the public health system and_a concerted effort_to educate more female doctors_have_all_been discussed by government officials in the aftermath. Increasing participation_by women_in Pakistani political_and social life is another opportunity seen by local gender_and development specialists represented at