Evidence based disaster management and the Triangle of Life
One of the big drawcards for me to disaster management is that it is such an interdisciplinary career. It brings together expertise in economics, geography, psychology, sociology, geophysics, meteorology, climate science, technology, business management, information technology, public policy, statistics, anthropology, gender and sexuality studies, culture and ethnography, engineering, environmental science, health, education, agriculture and more.
In a field that draws on so many areas of knowledge, research is critically important. This includes research that may not immediately be identified to have an emergency management impact.
As emergency management has so much knowledge to draw on I often ask myself why there isn’t a stronger engagement between practitioners and researchers in the field.
Conferences seem to be dominated by consultants and professional speakers (often those leaders who presided over emergency management disasters). Governments and NGOs in these times of austerity are cutting budgets and emergency management organisations aren’t immune. In any budget cuts, research is often the first to go.
Part of the problem is that large parts of academia, including many emergency management trade journals are walled off behind expensive paywalls. This problem is particularly acute for those working in developing countries who don’t have alternative means of access to this knowledge. Subsidised journals like the Australian Journal of Emergency Management are extremely important, as they enable any emergency manager to access high quality research and researchers to reach a broad emergency management audience.
Yet few publications see emergency management practitioners and researchers collaborating on papers, or indeed researching areas of interest to local practitioners.
The problem extends beyond that though. Emergency management lacks the culture of critical thinking common to the sciences. This tends to lead to an over-reliance on good ideas, historical practice and ‘common-sense’ which may in reality turn out to be ineffective or worse, actually harmful.
The Triangle of Life: Where’s the evidence?
In a place like Kathmandu earthquakes are never too far away as a discussion topic. In a couple of different conversations the ‘triangle of life’ idea has come up. This concept basically states that you should seek shelter next to heavy objects in an earthquake, as this will be where the survival spots are if the building collapses. I always thought that the concept had some utility in developing countries, without the enforcement of building codes in places like the US and Japan.
The concept first surfaced in an email chain letter (and continues to do the rounds, with elements of it popping up in this recent youtube video) authored by self-proclaimed rescue expert Doug Copp. The triangle of life idea has been thoroughly refuted by every government emergency management agency and experienced NGO I’ve been able to find. Some of the advice in the email is consistent with that of most earthquake preparedness experts, however most of it and especially the triangle of life are absolute nonsense. The credibility of the author is also highly questionable.
But what does the evidence say?
The Triangle of Life has an intrinsic appeal to some urban search and rescue practitioners who focus on rescuing people from collapsed structures. (On the other hand plenty have put together excellent rebuttals). However the people that these professionals rescue are not typical survivors. Most will either not be trapped or be rescued by other survivors using hands and basic tools.
By the time heavy Urban Search and Rescue teams arrive on the scene very few survivors will be found. Those that are found by these rescuers will be in voids within the collapsed structures – aka triangles of life.
This produces a sampling bias, the people in these voids are not representative of the total population of survivors.
The only experimental evidence for triangle of life came from an exercise in Turkey, which Copp was involved with (Unfortunately the links to all the primary source material on this exercise are broken). Dummies were placed within a structure, which was then collapsed. They found that the dummies placed in ‘duck, cover, hold’ positions were crushed and those placed in ‘triangle of life’ positions were not. Now by collapsed I mean demolished with conventional demolition techniques. Unfortunately this does not simulate how buildings fail in earthquakes, so little can be drawn from the results.
The other aspect of a controlled collapse is that the voids are much more predictable. Now I’m not suggesting that the ‘experimenters’ deliberately placed the dummies in these locations but subconsciously the experimenter effect could have come into play.
So the only piece of evidence for this advice is seriously flawed at best. The ‘triangle of life’ is already on shaky ground.
The other problem with this concept is that as an earthquake survival strategy the triangle of life will only protect you in the event of a building collapse. Odds are a total structural collapse will very likely ruin your day, despite what the theory claims. Any survival strategy will only increase your chances of survival, not guarantee it, in the event of a building collapse.
But what about if your building doesn’t collapse?
Most of the injuries (and some of the deaths) from an earthquake are caused by non-structural items such as bookcases, shelves, cabinets and the items on them. Many injuries are also caused by people fleeing (often without shoes) and cutting themselves on broken glass and other falling debris. This is precisely what the ‘duck, cover, hold’ strategy is aimed at avoiding.
For example in the 1994 Northridge Earthquake most fatalities were caused by building collapse, most injuries by falling over and being hit by falling objects. There were about 4 times more injuries than fatalities.
Researchers in Iran calculated that for a large earthquake there the number of people in areas exposed to falling debris (and not building collapse) would be 12,000 times the number of people exposed to building collapse. (Unfortunately this is the only scholarly article that I’ve found that directly compares ‘duck, cover, hold’ with ‘triangle of life’.)
So when the shaking starts, odds are that ‘duck, cover, hold’ will be the most appropriate strategy.
But what about community education? Could ‘triangle of life’ be explained too,allowing people to choose their own strategy?
Trying to communicate anything about earthquake preparedness is difficult enough. You could take a mixed strategy, that attempted to explain where the limited applicability of the triangle of life might be useful. However, this would only end up confusing most of the target audience, who may end up doing nothing or panicking. To reach the broadest audience any disaster preparedness message needs to be simple and the advice that will be applicable to the largest number of people is ‘duck, cover, hold’.
There’s no evidence to suggest that the triangle of life is any better than chance.
Which brings me back to my initial discussion:
Many career paths into disaster management don’t provide a strong background in research methods or critical thinking skills. When you combine this with the poor engagement between researchers and disaster managers and the difficulty in accessing scholarly publications its no wonder that rumours like the triangle of life to continue to circulate, even among disaster management professionals.
Research accessibility, critical thinking skills and cross sector engagement all need to be addressed to ensure disaster management is evidence based and thus successful.