Multi-Hazard Management in Public Health Emergencies: A Case Study of Earthquake-Induced Dengue Outbreak in Bihar, India

On June 14, 2024, a 6.2 magnitude earthquake struck northeastern Bihar, India, followed by a dengue outbreak 20 days later, exacerbating public health challenges. This case study analyzes the multi-hazard scenario across four districts (A, B, C, D), which reported 56 earthquake-related deaths, over 420 injuries, 1,740 suspected dengue cases, 314 confirmed cases, and 7 dengue deaths. Key vulnerabilities included damaged infrastructure, water stag- nation, and strained health systems. Utilizing data from the Public Health Emergency and Disaster Management (PHEDM) Tier-III training, this paper examines risk assessment, preparedness, response, and recovery strategies. Findings highlight the need for integrated disaster and vector control plans, robust surveillance, and multi-sectoral coordination to mitigate secondary health crises post-disaster. Recommendations include resilient infrastructure, community engagement, and real-time data systems to enhance multi- hazard resilience.

Multi-Hazard, Management ,Public Health ,Emergencies, Earthquake-Induced

1. Aflatoonian, M. R., et al. A Review of Impact of Bam Earthquake on Cutaneous Leishmaniasis and Status: Epidemic of Old Foci, Emergence of New Foci and Changes in Features of the Disease. Journal of Arthropod-Borne Diseases, 2016. PMC free article. [Google Scholar] [Crossref]

2. District Action Plan on Climate Change and Human Health (DAPCCHH) Jehanabad, Bihar 2025-30. Bihar State Disaster Management Authority. [Google Scholar] [Crossref]

3. Dengue Epidemiological Trends in India. Indian Journal of Public Health, 2024. [Google Scholar] [Crossref]

4. Dengue - Global situation. World Health Organization, 2023. Available at: [Google Scholar] [Crossref]

5. Dengue Epidemiological Trends in India. Indian Journal of Public Health, 2024. [Google Scholar] [Crossref]

6. Delibas, O. E., et al. Vector-borne parasitic infections after the earth- quake. Marine and Freshwater Research, 2023. Available at: https://www. publish.csiro.au/ma/pdf/MA23058. [Google Scholar] [Crossref]

7. Earthquake Hazard Analysis. National Earthquake Engineering Simulation Consortium, 2023. [Google Scholar] [Crossref]

8. Historical Earthquake Records. Geological Survey of India, 2023. [Google Scholar] [Crossref]

9. Haiti Earthquake and Cholera Outbreak. Pan American Health Organization, 2010. [Google Scholar] [Crossref]

10. Integrated Health Information Platform (IHIP) Portal. Ministry of Health & Family Welfare, Government of India, 2024. [Google Scholar] [Crossref]

11. National Disaster Management Guidelines. National Disaster Management Authority, 2023. [Google Scholar] [Crossref]

12. Lessons from Disaster Response in India. National Disaster Management Authority, 2022. [Google Scholar] [Crossref]

13. 13 .Mavrouli, M., et al. The Impact of Earthquakes on Public Health: A Nar- rative Review of Infectious Diseases in the Post-Disaster Period Aiming to Disaster Risk Reduction. Microorganisms, 2023. doi: 10.3390/microorganisms11020419. [Google Scholar] [Crossref]

14. Multi-Sectoral Coordination in Disaster Response. Journal of Emergency Management, 2023. [Google Scholar] [Crossref]

15. National Vector Borne Disease Control Programme (NVBDCP) Portal. Ministry of Health & Family Welfare, Government of India, 2024. [Google Scholar] [Crossref]

16. Nepal Earthquake Impact Assessment. National Disaster Management Authority, 2015. [Google Scholar] [Crossref]

17. Post-1934 Bihar Earthquake Recovery Analysis. Disaster Management Archives, 2020. [Google Scholar] [Crossref]

18. Reina Ortiz, M., et al. Post-earthquake Zika virus surge: Disaster and public health threat amid climatic conduciveness. Scientific Reports, 2017. doi: 10.1038/s41598-017-15706-w. [Google Scholar] [Crossref]

19. Sadanandan, R., et al. post-flood infectious disease outbreaks in Kerala, India: A public health challenge. Indian Journal of Medical Research, 2019. [Google Scholar] [Crossref]

20. Saenz, R., et al. post-disaster malaria in Costa Rica. Prehospital and Disaster Medicine, 1995. doi: 10.1017/S1049023X00041935 [Google Scholar] [Crossref]

21. Sharifi, I., et al. Emergence of a new focus of anthroponotic cutaneous leishmaniasis due to Leishmania tropica in rural communities of Bam district after the earthquake, Iran. Tropical Medicine & International Health, 2011. doi: 10.1111/j.1365-3156.2011.02729. x. [Google Scholar] [Crossref]

22. Vasquez, V,et al. Impact of the 2016 Ecuador Earthquake on Zika Virus Cases. American Journal of Public Health, 2017. doi: 10.2105/AJPH.2017.303769. [Google Scholar] [Crossref]

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