摘要：After negotiations at the World Con- ference on Disaster Risk Reduction in March 2015, a new framework was ad- opted by 187 Member St ates. 1 The Sendai framework for di saster risk reduction 2015–2030 highlights concerns on hu- man health and well-being that are com- mon to disaster risk reduction, climate change and sustainable development. 2 A substantial emphasis on health is a welcome development , given the relative lack of attention to health issues in its predecessor, the Hyogo framework for action 2005–2015. 3 The Hyogo frame- work did succeed in galvanizing many stakeholders including governments, scientists, the commercial sector and nongovernmental organizations to make progress on disaster risk reduction. 1 , 4 However, more progress is needed in addressing underlying vulnerability from poverty, inequity or poor urban planning and land use. 5 Disaster impacts are strongly influenced by physical, social, economic and environmental fac- tors. 6 Reducing dis aster risk, therefore, requires concerted action across a wide range of sectors, institutions and disci- plines. The Sendai framework is relevant within and beyond the health sector. There are more than 30 explicit refer- ences to health, referring to the imple- mentation of an all-hazards approach to managing dis aster risk, including links to epidemics and pandemics, several references to the International health regulations (2005) 7 and to rehabilitation as part of disaster recovery.
