Abstract
This chapter summarises the previous chapters and outlines some of the limitations of systems failure. In doing so, this chapter proposes an emerging tool called ‘systems alignment’. Perfect systems alignment is neither proposed nor is it possible in this real world because of people’s subjective world views, different frames of reference, unique communication structures, cultures and the like. However, a weaker version of systems alignment, or some accommodation over the issue of reducing death can also lead to positive outcomes, as observed in the case of Cyclone Phailin by designing an overall goal of ‘zero casualty at any cost’ for the disaster management system. This chapter also outlines some organisational learnings that can take place from the findings of this research as well as some impact for policy and theory change in Odisha and beyond.
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Notes
- 1.
According to the international commitment through the Economic and Social Commission for Asia and the Pacific (ESCAP) Panel on Tropical Cyclones, the World Meteorological Organization’s Regional Specialized Meteorological Centre (RSMC-New Delhi) now issues information four to eight times a day to panel member countries when tropical cyclones form in the Bay of Bengal and the Arabian Sea (Pattie 2009). The panel member countries include: Thailand, Myanmar, Bangladesh, India , Pakistan, Sri Lanka, the Maldives and Oman (Pattie 2009). It is claimed that this core information made available by the World Meteorological Organization was vital to reducing human deaths during the cyclones Nargis in 2008 in Myanmar (Pattie 2009) and Mahasen in Bangladesh in 2013. The UN systems including the World Health Organization, United Nations Environment Programme, United Nations Development Programme, United Nations Food and Agricultural Organization, World Meteorological Organization, United Nations Educational, Scientific and Cultural Organization, United Nations International Strategy for Disaster Reduction, World Food Programme and The Famine Early Warning Systems Network – are now given a special charge by the aforementioned governments to foster awareness and develop the effective use of early warning systems in their institutional jurisdictions (Glantz 2009). In Sendai, the World Meteorological Organization announced more support to governments and others in developing multi-hazard early warning systems (UNISDR 2015b).
- 2.
Government of India modernised the Indian Meteorology Department by: ‘(i) commissioning 10 global positioning system stations; (ii) installing nine Doppler Weather Radars besides the existing five Doppler Weather Radars which have improved real time monitoring services; (iii) installing integrated Airport Meteorological Instruments at Mumbai, Hyderabad, Bangalore, Jaipur and Delhi airports; (iv) installing 550 Automatic Weather Stations apart from the existing 125, in addition to installation of 689 Automatic Rain Gauges; (v) commissioning of a set of four High Power Computers with a total installed capacity of 124 Teraflops for global data processing and Numerical Weather Prediction for weather forecasting services. A district-level agro-meteorological advisory service along with a five days in advance district-level weather forecast system, covering all the 555 districts, was launched for farmers in partnership with a number of Central Government ministries and organisations, state-level institutions, private agencies, non-governmental organizations, progressive farmers and the media . Over 3 million farmers have subscribed to receive this information through mobile phones’ (Planning Commission 2013a: 254).
- 3.
The Planning Commission of India has been renamed as Nitiyog by the current Prime Minister, Mr. Narendro Modi.
- 4.
- 5.
This mission systems approach was developed by Adolph Hitler’s military in Germany. The essence of this approach is that: “a subordinate commander, a subaltern […] should be trained to a level where he (or very rarely, she) could achieve the tactical goals of superior officers, with or without orders. […] Such a localised system of behavioural guidance makes heavy demands on the personal qualities of the superiors. A prerequisite is an extensive experience of the jobs carried out in the workplace of the conditions under which they are likely to be performed. […] Effective teams capable of operating autonomously when the circumstances demand it, need high quality leaders. This is in turn requires with the organisation invest heavily in the quality, motivation and experience – its first line supervisory” (Reason 1997: 218).
- 6.
- 7.
Author’s other respondents including the three District Emergency Officers , Deputy General Manager of Odisha State Disaster Management Authority and the Deputy Relief Commissioner were recruited through the Odisha State Civil Service exam. Besides this, the District Emergency Officers of Jagatsinghpur and Ganjam had M.Phil. from two prestigious Universities of India (Jawaharlal Nehru University and the Institute of Population Studies in Mumbai) and the Deputy General Manager of Odisha State Disaster Management Authority had a Ph.D. All the respondents were also highly educated .
- 8.
Until 2005 only Odisha , Gujarat and Maharashtra had state disaster management policies in India .
- 9.
Europe’s Meteosat Generation Satellite (MSG) and the American National Oceanic and Atmospheric Administration (NOAA) are both responsible for weather forecasting (DLR 2013). As part of the International Charter, ‘Space and Major Disasters ’ DLR’s Centre for Satellite-Assisted Crisis Information (ZKI) in Germany played a crucial role in supplying up-to-date satellite images (with the help of TerraSAR-Z and RapidEye) to the Japanese government in the aftermath of the Japan Tsunami in 2011. The satellite images led to the development of maps in order to supply relief forces with useful information immediately (DLR 2013).
- 10.
“Within the first 48 hours after Super Typhoon Haiyan’s landfall, nearly 230,000 tweets were published internationally containing a situationally relevant hashtag. From those tweets, over 600 written messages and 180 images were identified containing actionable information for emergency response planning” (Moore and Verity 2014: 3).
- 11.
Three hashtags for emergencies are: Early standardisation of the disaster name (e.g., #Fay), how to report non-emergency needs (e.g., #PublicRep) and requesting emergency assistance (e.g., #911US)” (Moore and Verity 2014: 2).
- 12.
Command and control (C2) is different from the ‘chain of command’ approach (Alberts and Hayes 2003). The chain of command (C) is a traditional approach where the commander (traditional leader —see Senge 1990) is in charge of decision making . Command usually subsumed control in this approach. In C2, on the other hand, the command and control responsibilities are shared. There is no longer one commander in charge rather a collection of individuals (primary and secondary responders) who are assigned to accomplish a mission. Actions, inactions, active errors, cultures and mental models are of equal importance in the operation of C2 (Alberts and Hayes 2003: 14–15).
- 13.
In a visit to the Royal Society in London in February 2014, the Special Representative of the Secretary-General for disaster risk reduction, Ms. Margareta Wahlström announced ‘that the second phase of the Hyogo Framework’ (now the Sendai Framework ) will be geared towards making Disaster Risk Reduction ‘trans-boundary’ by taking ‘systems view’. The focus will also be on building organisational resilience, in addition to building the resilience of at-risk communities (Kemp 2014). The author was extremely excited by this announcement. On 24 June 2015, Margareta Wahlström revisited the Royal Society of London again as part of the Policy Lab Meeting on ‘From Agreement to Action: What Next for the New Global Framework on Disasters ?’ The author attended this meeting. Margareta Wahlström provided an excellent synopsis of the Sendai Framework , one in which she recurrently emphasised the role of science in order to improve the disaster risk reduction practice.
After the meeting, the author spoke to Margareta Wahlström and reminded her of her earlier allusion to a systems view in February 2014. This is the summary of her response : ‘There were not enough systems thinkers to negotiate the consultation phase of the Sendai Framework in Geneva. Rather the emphasis of DRR moved to science. They were strong. Every word of the Sendai Framework is owned by someone or somebody in this world. I think, systems thinking is now implicit in the Sendai Framework rather than explicit. However, this should not stop anyone pursuing research on this topic’.
- 14.
The bureaucratic model, “rely more heavily on rules, precedent, and standard operating procedures. Less time and resources will be spent on decision making , and fewer alternatives will be considered before actions are taken” (Pfeffer 1981: 24). The political decision making model, presumes “that parochial interests and preferences control choice” (for details see Pfeffer 1981: 22).
- 15.
‘Strengthening disaster risk governance to manage disaster risk’ (Priority for Action 2).
- 16.
Scenario planning (Masys 2012) is essentially a story, describing potential future conditions and their emergence to facilitate sense making and to inform decision making . The thought process involved in scenario planning supports ‘thinking the unthinkable’ exploring uncertainty and challenging mental models and assumptions in order to recognise alternate futures in a space of possibilities (VCLL 2013). There are numerous approaches to scenario planning in the literature such as Schwartz’s 8-Step Scenario Building Model (see Schwartz 1996); Schoemaker’s 10-Step Scenario Building Model (see Schoemaker 1993); Avin’s 12-Step Scenario Building Model (see Avin 2007), and JISC’s (2007) 6-Step process for the development of scenarios. By revealing the uncertainty one opens up the notion that more than one future is potentially open (VCLL 2013).
- 17.
Casual Loop Diagrams are important tool that can provide a language for articulating our understanding of dynamic, interconnected situations. Through the ‘visual grammar’ of Casual Loop Diagram, it prepares the participants to challenge the linear cause and effect relationships and decipher various interconnected feedback loops (VCLL 2013). Sterman (2000) and Senge (1990) and Senge et al. (1994) provide an excellent resource for learning about Casual Loop Diagrams (VCLL 2013).
- 18.
Outcome Mapping was developed by the International Development Research Centre (IDRC) in Canada in support of development efforts around the world (IDRC 2001). The application of this methodology to the disaster management domain is particularly relevant to the notion of building/enabling resilience. Two of the key features or principles of Outcome Mapping that resonate with systems thinking are its recognition of the importance of embracing different world views and perspectives as well as the acceptance of non-linear (complex) causality. The 12 steps associated with the Outcome Mapping methodology are available at IDRC (see 2001).
- 19.
Assumption Based Planning (ABP) is an essential element in disaster management domain according to Dewar et al. (1993). It is a powerful tool to show how plans often fail because inadequate attention was paid to the underlying assumptions. This tool aims to capture the assumptions underlying plans that if invalid, could derail the plans and operations stemming from it. It is a systemic tool because it explores the interrelationships, perspectives and boundaries of an established plan to ensure the viability of that plan. Through this process, it recognises how ‘load bearing vulnerable assumptions’ require explicit analysis (see Dewar et al. 1993).
- 20.
“Indian states comprise a three-tier administrative structure . Several gram sansad (villages) or wards (hamlets) constitute a gram panchayat (GP), several GPs constitute a panchayat samiti (PS) or block, and several panchayat samiti constitute a zilla parishad or a district” (Ray-Bennett 2009a: 12).
- 21.
Indian Rupees 100,000.00 (approximately Great British Pound 1,025.00) for a death due to cyclone , Indian Rupees 150,000.00 (approximately GBP 1,500.00) due to lightening, Indian Rupees 10,000 (approximately Great British Pound 100.00) due to heat wave and Indian Rupees 100,000 due to a snakebite during floods (GoO 2014a).
References
Aalst MV, Kellett J, Pichon F, Mitchell T (2013) Incentives in disaster risk management and humanitarian response: background note for world development report. Overseas Development Institute, London
Agarwal B (1990) Social security and the family: coping with seasonality and calamity in rural India. J Peasant Stud 17(3):341–412
Alberts DS, Hayes RE (2003) Power to the edge: command, control in the information age. CCRP Publication Series. www.dodccrp.org. Accessed 6 Feb 2014
Avin U (2007) Using scenarios to make urban plans. In: Hopkins LD, Zapata M (eds) Engaging our futures: tools for effective planning practices. Lincoln Institute of Land Policy, Cambridge
Barik B (2014) Met Office goes digital. The Telegraph, 18 Feb
Benbabaali D (2008) Questioning the role of the Indian Administrative Services in national integration. South Asia Multidiscip Acad J. http://samaj.revues.org/633. Accessed 12 May 2015
Braman LM, Van Aalst MK, Mason SJ, Suarez P, Ait-Chellouche Y, Tall A (2008) Climate forecasts in disaster management: Red Cross flood operations in West Africa. Disasters 37(1):144–164. doi:10.1111/j.1467-7717.2012.01297.x
Checkland P (1985) From optimizing to learning: a development of systems thinking in the 1990s. J Oper Res Soc 36(9):757–767. doi:10.1057/jors.1985.141
Cockburn C (2004) The continuum of violence: a gender perspective on war and peace. In: Giles W, Hyndman J (eds) Sites of violence: gender and conflict zones. University of California Press, California
Comfort LK, Ko K, Zagoreck A (2004) Coordination in rapidly evolving disaster response systems: the role of information. Am Behav Sci 48(3):295–313. doi:10.1177/0002764204268987
Dekker S (2006) The field guide to understanding human error. Ashgate, Surrey
Dekker S, Cilliers P, Hofmeyr JH (2011) The complexity of failure: implications of complexity theory for safety investigations. Saf Sci 49(6):939–945. doi:10.1016/j.ssci.2011.01.008
Dewar JA, Builder CH, Hix WM, Levin MH (1993) Assumption-based planning: a planning tool for very uncertain times. RAND Corporation. http://www.rand.org/content/dam/rand/pubs/monograph_reports/2005/MR114.pdf. Accessed 5 Jan 2016
Dilley M and Grasso V.F. (2016) Disaster reduction, loss and damage data, and the post-2015 international policy agenda. Environ Sci Policy 61:74–76. doi:10.1016/j.envsci.2016.04.002
DFID (1999) ‘Framework’, sustainable livelihoods guidance sheets. http://www.livelihoods.org/info/info_guidancesheets.html. Accessed 22 October 2005
DFID (2012) Minimum standards for embedding disaster resilience in DFID country offices. DFID, London
DFID (2013) Helping developing countries deal with humanitarian emergencies. DFID, London
DLR (2013) Earth observation: discovering, surveying, and understanding our planet. Deutsches Zentrum fur Luft-und Raumfahrt e.V (DLR), Bonn
Eisenhart K (1989) Building theories from case study research. Acad Manag Rev 14(4):532–550. doi:10.5465/AMR.1989.4308385
Eklund L, Tellier S (2012) Gender and international crises response: do we have the data, and does it matter?. Disasters 36(4):589–608. doi:10.1111/j.1467-7717.2012.01276.x
Fakhruddin B, Murray V, Maini R (2017) Disaster loss data in monitoring the implementation of the Sendai Framework [Policy brief]. https://www.icsu.org/cms/2017/05/DRR-policy-brief-2-data.pdf. Accessed 25 June 2017
Farmer P (2004) Pathologies of power: health, human rights, and the new war on the poor. University of California Press, California
Flyvbjerg B (2006) Five misunderstandings about case study research. Qual Inquiry 12(2):219–245. doi:10.1177/1077800405284363
Galtung J (1969) Violence, peace, and peace research, J Peace Res 6(3):167–191. doi:10.1177/002234336900600301
Ghaye A, Ghaye K (1998) Teaching and learning through critical reflective practice. David Fulton Publishers, London
GIZ (2012) LFEWS: local flood and early warning system. GIZ Publication, Manila
GIZ (2015) Harmonisation of early warning alert levels. GIZ Publication, Manila
Glantz M (2009) Introduction. In: Glantz M (ed) Heads up!: early warning systems for climate, water and weather-related hazards. United Nations University Press, New York, pp 1–28
Global Emergency Group (undated) IASC real-time evaluation of the humanitarian response to the Horn of Africa drought crisis, Kenya. Interagency Standing Committee, Virginia
GoI (2008) History of civil services in India and reforms. ARC 10th report. www.arg.gov.in. Accessed 12 May 2015
GoO (1996) The Orissa relief code. Revenue Department, Bhubaneswar
GoO (2001) Creation of Orissa disaster rapid action force. Home Department Resolution No 939/CD Dated 7th June 2001. http://odishapolice.gov.in/?q=node/208. Accessed 28 May 2015
GoO (2002) Orissa state development report. Nabo Krishna Centre for Development Studies, Bhubaneswar
GoO (2012) District disaster management plan 2012–13: Cuttack. Emergency Operation Center (EOC) Collectorate Office, Cuttack
GoO (2013) District disaster management plan 2013–14: Jagatsinghpur District. District Emergency Operation Center, Jagatsinghpur
GoO (2014a) District disaster management plan 2014–15: Puri District. Emergency Operation Centre, Puri
GoO (2014b) Ganjam disaster district management plan 2014–15: Chatrapur District Emergency Operation Center, Chatrapur
GoO (2015) About department. Revenue and Disaster Management Department. http://www.odisha.gov.in/revenue/web/Aboutus.asp?GL=1&PL=1. Accessed 2 June 2015
Grint K (2008) Wicked problems and clumsy solutions: the role of leadership. Clin Lead I(II):11–15
Harriman L (2013) Cyclone Phyline in India: early warning and timely actions saves lives. UNEP Global Environmental Alert Services (GEAS). www.unep.org/geas. Accessed 20 May 2015
Herrmann S (2009) Remote sensing. In: Glantz M (ed) Heads up!: early warning systems for climate, water and weather-related hazards. United Nations University Press, New York, pp 10–11
IDRC (2001) Outcome mapping: building learning and reflection into development programs. IDRC. http://www.idrc.ca/EN/Resources/Publications/Pages/IDRCBookDetails.aspx?PublicationID=121. Accessed 5 Jan 2016
Integrated Research on Disaster Risk (2015) Guidelines on measuring losses from disasters: human and economic impact indicators (IRDR DATA Publication No. 2). Integrated Research on Disaster Risk, Beijing
Irwin A (1995) Citizen science: a study of people, expertise and sustainable development. Routledge, London
Irwin A, Wynne B (1996) Introduction. In: Irwin A, Wynne B (eds) Misunderstanding science?: the public reconstruction of science and technology. Cambridge University Press, Cambridge, pp 1–18
Jackson MC (1991) The origins and nature of critical systems thinking. Syst Pract 4(2):131–149. doi:10.1007/BF01068246
Jenkins GM (1969) The systems approach. J Syst Eng 1:3–49
JISC (2007) Scenario planning. JISC. www.jiscinfonet.ac.uk/tools/scenario-planning.pdf. Accessed 5 Jan 2016
Kalsi SR (2003) Monitoring and forecasting of tropical cyclones and their associated effects. In: Gupta HK (ed) Disaster management. Universities Press, Mumbai
Kemp R (2014) Building within the scaffolding: The architecture of the new Hyogo Framework for Action. The Royal Society. http://blogs.royalsociety.org/in-verba/2014/03/24/new-hyogo-framework/?utm_source=social_media=hootsuite&utm_campaign=standard. Accessed 26 Feb 2014
Lass W, Haas A, Hinkel J, Jaeger C (2011) Avoiding the avoidable: towards a European heat waves risk governance. Int J Disaster Risk Sci 2(1):1–14. doi:10.1007/s13753-011-0001-z
Latour B (2005) Reassembling the social: an introduction to actor-network theory. Oxford University Press, Oxford
MacLean J (2015) Can standardised hashtags be effective in emergency responses?. Communications technology and security risk management blog. http://commstech-hub.eisf.eu/news—blog. Accessed 1 Apr 2015
Masys AJ (2012) The emergent nature of risk as a product of “heterogeneous engineering”: a relational analysis of oil and gas industry safety culture. In: Bennett S (ed) Innovative thinking in risk, crisis, and disaster management. Gower, Surrey, pp 35–46
Mingers JC (1980) Towards an appropriate social theory for applied systems thinking: critical theory and soft systems methodology. J Appl Syst Anal 7:41–49
Moore R and Verity A (2014) Hashtag standards for emergencies: OCHA policy and studies brief. United Nations Office for the Coordination of Humanitarian Affairs (OCHA), Geneva
OSDMA (2002a) Managing disasters in Orissa: background, challenges and perspectives. OSDMA Publication, Bhubaneswar
OSDMA (2002b) Disaster preparedness day. The response. Q Newslett 11(3):1–12
OSDMA (2011) GoI-UNDP disaster risk reduction programme in Orissa: an overview. OSDMA, Bhubaneswar
OSDMA (2012) GoI-UNDP disaster risk reduction programme in Odisha: annual report. OSDMA, Bhubaneswar
Pattie D (2009) Cyclone Nargis. In: Glantz M (ed) Heads up!: early warning systems for climate, water and weather-related hazards. United Nations University Press, New York, pp 38–41
Perrow C (1999) Normal accidents: living with high-risk technologies, 2nd edn. Princeton University Press, Princeton
Pfeffer J (1981) Power in organization. Pitman Publishing Inc, London
Commission Planning (2013a) Twelfth five year plan 2012–2017: faster, more inclusive and sustainable growth: vol 1. Sage, New Delhi
Commission Planning (2013b) Twelfth five year plan 2012–2017: economic sectors, vol 2. Sage, New Delhi
Prizza R (2007) The role of coordination in disaster management. In: Pinkowski J (ed) Disaster management handbook. CRC Press, New York, pp 75–96
Ray-Bennett NS (2009) Caste, class and gender in multiple disasters: the experiences of women-headed households in an Oriya village. VDM Verlag, Saarbrucken
Ray-Bennett NS, Masys AJ, Shiroshita H, Jackson P (2014a) Hyper-risks in a hyper connected world: a call for critical “reflective response” to develop organisational resilience. Input paper prepared for the Global Assessment Report on Disaster Risk Reduction 2015. UNISDR, Geneva
Ray-Bennett NS, Masys AJ, Shiroshita H, Jackson P (2014b) ‘Reactive to pro-active to reflective disaster response: introducing critical reflective practices in disaster risk reduction’. In: Collins AE, Samantha J, Manyena B, Jayawickrama J (eds) Natural Hazards, Risks, and Disasters in Society: A Cross-Disciplinary Overview, Amsterdam: Elsevier, pp 99–114
Ray-Bennett NS (2016) Learning from deaths in disasters: the case of Odisha, India. MEI Middle East-Asia Project (MAP) on humanitarian assistance and disaster relief: rising to the challenge?. MAP Bulletin. http://www.mei.edu/content/map/learning-deaths-disasters-case-odishaindia
Reason J (1997) Managing the risks of organisational accidents. Ashgate, Aldershot
Romo-Murphy E, James R, Adams M (2011) Facilitating disaster preparedness through local radio broadcasting. Disasters 35(4):801–815. doi:10.1111/j.1467-7717.2011.01234.x
Sanchez C, Lee TS, Young S, Batts D, Benjamin J, Malilay J (2009) Risk factors for mortality during the 2002 landslide in Chuuk, Federated States of Micronesia. Disasters 33(4):705–720. doi:10.1111/j.1467-7717.2009.01105.x
Samal KC (2003) Coping strategy of weaker sections (dalits and women) in post super-cyclone Orissa (case study of Ersamma block). Nabo Krishna Centre for Development Studies Publication, Bhubaneswar
Schoemaker P (1993) Multiple scenario development: its conceptual and behavioral foundation. Strateg Manag 14(3):193–213. doi:10.1002/smj.4250140304
Schön DA (1983) The reflective practitioner: how professionals think in action. Ashgate Publishing Ltd, London
Schwartz P (1996) The art of the long view: planning for the future in an uncertain world. Doubleday, New York
Sen A (1999) Health in development. Bull World Health Organ 77(8):619–623. http://cdrwww.who.int/bulletin/archives/77(8)619.pdf. Accessed 02 June 2017
Sen AK (2003) Forward. In: Farmer P (ed) Pathologies of power: health, human rights, and the new war on the poor. University of California Press, California
Sen AK (2009) The idea of justice. Penguin Books, London
Senge P (1990) The leader’s new work: building learning organizations. Sloan Manag Rev 32(1990):7–23
Senge PM, Kleiner A, Roberts C, Ross RB, Smith BJ (1994) The fifth discipline fieldbook. Doubleday, New York
Srivastava SK (2009) Making a technological choice for disaster management and poverty alleviation. Disasters 33(1):58–81. doi:10.1111/j.1467-7717.2008.01062.x
Sterman JD (2000) Business dynamics: systems thinking and modelling for a complex world. McGraw-Hill Publishing, Boston
Taleb NN (2007) The black swan: the impact of the highly improbable. Penguin Books Ltd, London
The Royal Society (1992) Risk: analysis, perception and management. The Royal Society, London
UN (2005) Hyogo framework for action 2005–2015: building the resilience of nations and communities to disasters. In: World conference on disaster reduction, Kobe, Hyogo, Japan, 18–22 Jan 2005
UN (2015) Sendai framework for disaster risk reduction 2015–2030. UNISDR, Geneva. http://www.unisdr.org/we/coordinate/sendai-framework. Accessed 24 June 2016
UNDP (2007) Human development report 2007/08. Human solidarity in a divided world. Palgrave Macmillan, New York, Fighting Climate Change
UNISDR (2015) Japan provides early warning example. In: UN world conference in disaster risk reduction 2015 Sendai Japan. Third UN World conference on disaster risk reduction. www.wcdrr.org. Accessed 16 March 2015
UPSC (2015) Civil services. UPSC Guide.com. www.upscguide.com. Accessed 12 May 2015
VCLL (2013) Practising reflection: reflective practises in disaster risk reduction: Short course handbook. University of Leicester, Leicester
Vickers G (1983) Human systems are different. J Appl Syst Anal 10(1983):3–13
Wahlström M (2015) From agreement to action: what next for the new global framework on disasters?. The Policy Lab Meeting at the Royal Society, London, 24 June
Weick KE (1988) Enacted sensemaking in crisis situations. J Manag Stud 25(4):305–317. doi:10.1111/j.1467-6486.1988.tb00039.x
White D (1995) Application of systems thinking to risk management. Manag Decis 33(10):35–45. doi:10.1108/EUM0000000003918
WHO (2002) Gender and health in natural disasters. WHO: gender, equity, human rights. http://www.who.int/gender/other_health/en/genderdisasters.pdf. Accessed 9 Dec 2014
Yin RK (2009) Case study research: design and methods, 4th edn. Sage, London
Yin RK (2012) Applications of case study research, 3rd edn. Sage, London
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Ray-Bennett, N.S. (2018). Systems Failure Revisited. In: Avoidable Deaths . SpringerBriefs in Environmental Science. Springer, Cham. https://doi.org/10.1007/978-3-319-66951-9_5
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