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Chapter 9 - Epidemiology of Disasters and the Spitak Earthquake

Published online by Cambridge University Press:  20 May 2022

By
Vahe Khachadourian  and
Haroutune K. Armenian
Edited by
Armen Goenjian ,
Alan Steinberg  and
Robert Pynoos
Armen Goenjian
Affiliation:
David Geffen School of Medicine; UCLA/Duke University National Center for Child Traumatic Stress
Alan Steinberg
Affiliation:
UCLA/Duke University National Center for Child Traumatic Stress
Robert Pynoos
Affiliation:
UCLA/Duke University National Center for Child Traumatic Stress
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Summary

Disasters have short and long-term negative effects on a large array of physical and mental health outcomes. Epidemiology offers a variety of tools and methodologies for conducting a needs assessment, surveillance, and longitudinal research aimed at identifying adverse outcomes and developing strategies for preventing disease and promoting health. The application of epidemiological methods has advanced our understanding of pervasive morbidity and mortality often experienced in the aftermath of disasters. Findings from epidemiological studies have implications for improving the allocation of resources and developing interventions targeting these adverse outcomes. In this chapter, we briefly highlight developments in the epidemiology of disasters. We present common study designs employed in disaster response and research and provide examples of applications of these methods in studying the consequences of the 1988 Spitak earthquake in Armenia. The chapter concludes with a brief discussion of recent developments in research methodology and their potential implications for disaster researchers and public health practitioners focusing on prevention and mitigation.

Keywords

disasterepidemiologySpitak earthquakeobservational studiescausal inferenceresearch methods
Type
Chapter
Information
Lessons Learned in Disaster Mental Health
The Earthquake in Armenia and Beyond
 , pp. 152 - 161
Publisher: Cambridge University Press
Print publication year: 2022

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References

Armenian, H. K. (2009). The Case-Control Method: Design and Applications. New York, NY: Oxford University Press.CrossRefGoogle Scholar
Armenian, H. K., Noji, E. K., & Oganesian, A. P. (1992). A case-control study of injuries arising from the earthquake in Armenia, 1988. Bulletin of the World Health Organization, 70 (2), 251–257.Google Scholar
Armenian, H. K., Melkonian, A., Noji, E. K., & Hovanesian, A. P. (1997). Deaths and injuries due to the earthquake in Armenia: a cohort approach. International Journal of Epidemiology, 26 (4), 806–813.Google Scholar
Armenian, H. K., Melkonian, A. K., & Hovanesian, A. P. (1998). Long term mortality and morbidity related to the degree of damage following the 1988 earthquake in Armenia. American Journal of Epidemiology, 148 (11), 1077–1084.CrossRefGoogle Scholar
Armenian, H. K., Morikawa, M., Melkonian, A. K., Hovanesian, A. P., Haroutunian, N., Saigh, P. A., Akiskal, K., & Akiskal, H. S. (2000). Loss as a determinant of PTSD in a cohort of adult survivors of the 1988 earthquake in Armenia: implications for policy. Acta Psychiatrica Scandinavia, 102 (1), 58–64.CrossRefGoogle Scholar
Armenian, H. K., Morikawa, M., Melkonian, A. K., Hovanesian, A., Akiskal, K., & Akiskal, H. S. (2002). Risk factors for depression in the survivors of the 1988 earthquake in Armenia. Journal of Urban Health, 79 (3), 373–382.Google Scholar
Centers for Disease Control and Prevention (CDC). (2012). Principles of epidemiology in public health practice. In An Introduction to Applied Epidemiology and Biostatistics. Atlanta, GE: U.S. Department of Health and Human Services.Google Scholar
Centers for Disease Control and Prevention (CDC). (2019). Community Assessment for Public Health Emergency Response (CASPER) Toolkit: Third edition. www.cdc.gov/nceh/casper/default.htmGoogle Scholar
de Ville de Goyet, C. (1979). Communicable diseases and epidemiological surveillance in relation to natural disasters. Bulletin of the World Health Organization, 57 (2), 153–165.Google Scholar
Demirchyan, A., Petrosyan, V., Armenian, H. K., & Khachadourian, V. (2015). Prospective study of predictors of poor self-rated health in a 23-year cohort of earthquake survivors in Armenia. Journal of Epidemiology and Global Health, 5 (3), 265–274.Google Scholar
Eitinger, L., & Storm, A. (1973). Mortality and Morbidity after Excessive Stress. New York, NY: Humanities Press.Google Scholar
Global Facility for Disaster Reduction and Recovery. (2013). Post-Disaster Needs Assessment Guidelines. Available at: www.undp.org/content/undp/en/home/librarypage/crisis-prevention-and-recovery/pdna.html.Google Scholar
Goenjian, A. K., Pynoos, R. S., Steinberg, A. M., Najarian, L. M., Asarnow, J. R., Karayan, I., Ghurabi, M., & Fairbanks, L. A. (1995). Psychiatric comorbidity in children after the 1988 earthquake in Armenia. Journal of the American Academy of Child & Adolescent Psychiatry, 34 (9), 1174–1184.CrossRefGoogle ScholarPubMed
Goenjian, A. K., Steinberg, A. M., Najarian, L. M., Fairbanks, L. A., Tashjian, M., & Pynoos, R. S. (2000). Prospective study of posttraumatic stress, anxiety, and depressive reactions after earthquake and political violence. American Journal of Psychiatry, 157 (6), 911–916.Google Scholar
Goenjian, A. K., Khachadourian, V., Armenian, H. K., Demirchyan, A., & Steinberg, A. M. (2018). Posttraumatic stress disorder 23 years after the 1988 Spitak earthquake in Armenia. Journal of Traumatic Stress, 31 (1), 47–56.Google Scholar
Guha-Sapir, D., & Lechat, M. F. (1986). Information systems and needs assessment in natural disasters: an approach for better disaster relief management. Disasters, 10 (3), 232–237.CrossRefGoogle ScholarPubMed
Hayward, P., Peck, E., & Smith, H. (1993). Qualitative and quantitative approaches to needs assessment in mental health: creating a common currency. Journal of Mental Health, 2 (4), 287–294.Google Scholar
Katsouyanni, K., Kogevinas, M., & Trichopoulos, D. (1986). Earthquake-related stress and cardiac mortality. International Journal of Epidemiology, 15 (3), 326–330.Google Scholar
Khachadourian, V., Armenian, H., Demirchyan, A., et al. (2015). Loss and psycho-social factors as determinants of quality of life in a cohort of earthquake survivors. Health and Quality of Life Outcomes, 13, 13. https://doi.org/10.1186/s12955-015-0209-5.Google Scholar
Khachadourian, V., Armenian, H. K., Demirchyan, A., Melkonian, A., & Hovanesian, A. (2016). A post-earthquake psychopathological investigation in Armenia: methodology, summary of findings, and follow-up. Disasters, 40 (3), 518–533.CrossRefGoogle ScholarPubMed
Khachadourian, V. (2019). Effect of earthquake-related losses and post-earthquake events on morbidity and mortality: causal mediation analysis of the prospective cohort data of the 1988 earthquake survivors in Armenia. University of California, Los Angeles.Google Scholar
Lechat, M. F. (1976). The epidemiology of disasters. Proceedings of the Royal Society of Medicine, 69 (6), 421–426.Google Scholar
MacKinnon, D. P., Kisbu-Sakarya, Y., & Gottschall, A. C. (2013). Developments in Mediation Analysis, in The Oxford Handbook of Quantitative Methods, edited by Little, T. D.. New York, NY: Oxford University Press.CrossRefGoogle Scholar
Ochieng, P. A. (2009). An analysis of the strengths and limitations of qualitative and quantitative research paradigms. Problems of Education in the 21st Century, 13, 13–18.Google Scholar
Pearl, J. (2014). Is scientific knowledge useful for policy analysis? A peculiar theorem says: no. Journal of Causal Inference, 2 (1), 109–112.CrossRefGoogle Scholar
Radloff, L. S. (1977). The CES-D Scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1 (3), 385–401.Google Scholar
Reviere, R., Berkowitz, S., Carter, C. C., & Ferguson, C. G. (eds.). (1996). Needs Assessment: A Creative and Practical Guide For Social Scientists. Abingdon: Taylor & Francis.Google Scholar
Saylor, L. F., & Gordon, J. E. (1957). The medical component of natural disasters. The American Journal of the Medical Sciences, 234 (3), 342–362.Google ScholarPubMed
Schnall, A., Nakata, N., Talbert, T., Bayleyegn, T., Martinez, D., & Wolkin, A. (2017). Community Assessment for Public Health Emergency Response (CASPER): an innovative emergency management tool in the United States. American Journal of Public Health, 107 (S2), S186–S192.Google Scholar
Shiba, K., Aida, J., Kondo, K., Nakagomi, A., Arcaya, M., James, P., & Kawachi, I. (2020). Mediation of the relationship between home loss and worsened cardiometabolic profiles of older disaster survivors by post-disaster relocation: a natural experiment from the Great East Japan earthquake and tsunami. Health & Place, 66, 102456.Google Scholar
Sleezer, C. M., Russ-Eft, D. F., & Gupta, K. (eds.) (2011). A Practical Guide to Needs Assessment (3rd ed.). New York, NY: John Wiley & Sons.Google Scholar
Sommer, A., & Mosley, W. (1972). East Bengal Cyclone of November, 1970. Lancet, 299 (7759), 1030–1036.CrossRefGoogle Scholar
Trevisan, M., Celentano, E., Meucci, C., Farinaro, E., Jossa, F., Krogh, V., Giumetti, D., Panico, S., Scottoni, A., & Mancini, M. (1986). Short-term effect of natural disasters on coronary heart disease risk factors. Arteriosclerosis, 6 (5), 491–494.Google Scholar
Trevisan, M., Jossa, F., Farinaro, E., Krogh, V., Panico, S., Giumetti, D., & Mancini, M. (1992). Earthquake and coronary heart disease risk factors: a longitudinal study. American Journal of Epidemiology, 135 (6), 632–637.CrossRefGoogle ScholarPubMed
Tutty, L. M., & Rothery, M. A. (2001). Needs assessments. In The Handbook of Social Work Research Methods, edited by Thyer, B. A. (pp. 160–175). London: SAGE Publications, Inc.CrossRefGoogle Scholar
Vanderweele, T. J. (2015). Explanation in Causal Inference: Methods for Mediation and Interaction. New York, NY: Oxford University Press.Google Scholar
Western, K. A. (1982). Epidemiology surveillance after a natural disaster. Washington, DC: Pan American Health Organization.Google Scholar
World Health Organization. (2001). Protocol for the assessment of national communicable disease surveillance and response systems: guidelines for assessment teams. Available at: https://apps.who.int/iris/bitstream/handle/10665/66787/WHO_CDS_CSR_ISR_2001.2_eng.pdf?sequence=3&isAllowed=y.Google Scholar

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