1. Disaster-relief activities should in no way be exempt from the attention of disease control programs

As seen earlier in our experience disaster relief accounted for most of the disease outbreaks. It also caused a considerable part of potential disease problems (such as the contaminated portable water tanks in Dominica). Epidemiologic surveillance should also focus on disaster relief activities and personnel. They should be monitored for their environmental health impact and should be subject to the routine public health program analysis or standards of the country.