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Lessons Learned From a Chlorine Gas Leakage in Dezful City, Iran

Published online by Cambridge University Press:  09 December 2020

Gholamreza Masoumi Open the ORCID record for Gholamreza Masoumi [Opens in a new window] ,
Mohammad Maniey ,
Hamidreza Aghababaeian Open the ORCID record for Hamidreza Aghababaeian [Opens in a new window] ,
Abbas Ostadtaghizadeh Open the ORCID record for Abbas Ostadtaghizadeh [Opens in a new window]  and
Ladan Araghi Ahvazi
Gholamreza Masoumi
Affiliation:
Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Mohammad Maniey
Affiliation:
Department of Disasters and Emergencies Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Department of Nursing and Emergency Medicine, Dezful University of Medical Sciences, Dezful, Iran
Hamidreza Aghababaeian
Affiliation:
Department of Disasters and Emergencies Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Department of Nursing and Emergency Medicine, Dezful University of Medical Sciences, Dezful, Iran
Abbas Ostadtaghizadeh*
Affiliation:
Department of Disasters and Emergencies Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Ladan Araghi Ahvazi
Affiliation:
Department of Nursing and Emergency Medicine, Dezful University of Medical Sciences, Dezful, Iran
*
Correspondence and reprint requests to Abbas Ostadtaghizadeh, Department of Health in Disasters and Emergencies, School of Public Health, Tehran University of Medical Sciences, Poorsina Ave., Tehran, Iran (e-mail: [email protected]).
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Abstract

Dezful is the capital of Dezful County, a city in Khuzestan Province, Iran. On August 12, 2017, after a chlorine gas leakage in Dezful, more than 475 people were affected by chlorine gas, and they all suffered from respiratory complications. A lot of problems were encountered in the preparation of the relief forces and organization of the blueprint on how to respond to the incident, such as lack of knowledge on establishment of danger zone, lack of warning system, lack of proper triage and absence of decontamination plans, lack of special chemical safety outfit and respiratory equipment for rescuers, lack of instructions for proper handling, lack of knowledge in dealing with this type of disaster, and inappropriate evacuation skills and failure to cordon off and insure the location of the incident. Although the initial measures to arrest this crisis was performed based on the health system’s instructions of the country with regard to all the possible risks, lack of a comprehensive inter-organizational program and prevention plans, lack of control plans, lack of adequate preparation and response to chemical poisoning, lack of foresight, lack of a risk plan, and lack of an intervention plan for these incidents were the reasons for the damages and problems encountered after the crisis.

Keywords

chemical hazardchlorine gasDezfuldisasteremergency
Type
Report from the Field
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 2 , April 2022 , pp. 818 - 824
Copyright
© 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Ciottone, GR, Biddinger, PD, Darling, RG, et al. Ciottone’s disaster medicine. Philadelphia: Elsevier Health Sciences; 2015.Google Scholar
Uemura, K, Isono, M, Kagohashi, K, et al. Bronchial damage and diffuse alveolar hemorrhage following chlorine gas inhalation: a case report. Exp Ther Med. 2017;14(5):5126-5128.Google ScholarPubMed
Ford, DA, Honavar, J, Albert, CJ, et al. Formation of chlorinated lipids post-chlorine gas exposure. J Lipid Res. 2016;57(8):1529-1540.CrossRefGoogle ScholarPubMed
Council, NR. Emergency and continuous exposure limits for selected airborne contaminants. Washington, DC: National Academies Press; 1984.Google Scholar
Howe, D. Planning scenarios: executive summaries: created for use in national, federal, state, and local homeland security preparedness activities. Washington, DC: Homeland Security Council; 2004. http://www.globalsecurity.org/security/library/report/2004/hsc-planning-scenarios-jul04_08.htm. Accessed August 19, 2016.Google Scholar
Van Sickle, D, Wenck, MA, Belflower, A, et al. Acute health effects after exposure to chlorine gas released after a train derailment. Am J Emerg Med. 2009;27(1):1-7.CrossRefGoogle ScholarPubMed
Becker, M, Forrester, M. Pattern of chlorine gas exposures reported to Texas poison control centers, 2000 through 2005. Tex Med. 2008;104(3):52-57, 1.Google Scholar
Horton, DK, Berkowitz, Z, Kaye, WE. The public health consequences from acute chlorine releases, 1993–2000. J Occup Environ Med. 2002;44(10):906-913.CrossRefGoogle ScholarPubMed
Matalon, S, Maull, EA. Understanding and treating chlorine-induced lung injury. Proc Am Thorac Soc. 2010;7(4):253.Google ScholarPubMed
Evans, RB. Chlorine: state of the art. Lung. 2005;183(3):151-167.CrossRefGoogle ScholarPubMed
Das, R, Blanc, PD. Chlorine gas exposure and the lung: a review. Toxicol Ind Health. 1993;9(3):439-455.CrossRefGoogle ScholarPubMed
Parimon, T, Kanne, JP, Pierson, DJ. Acute inhalation injury with evidence of diffuse bronchiolitis following chlorine gas exposure at a swimming pool. Respir Care. 2004;49(3):291-294.Google Scholar
Güloğlu, C, Kara IsH, Erten PG. Acute accidental exposure to chlorine gas in the Southeast of Turkey: a study of 106 cases. Environ Res. 2002;88(2):89-93.CrossRefGoogle Scholar
Soman, AR, Sundararaj, G. Accidental release of chlorine from a storage facility and an on-site emergency mock drill: a case study. Sci World J. 2015;epub, https://doi.org/10.1155/2015/483216.CrossRefGoogle Scholar
Culley, JM, Richter, J, Donevant, S, et al. Validating signs and symptoms from an actual mass casualty incident to characterize an irritant gas syndrome agent (IGSA) exposure: a first step in the development of a novel IGSA triage algorithm. J Emerg Nurs. 2017;43(4):333-338.CrossRefGoogle ScholarPubMed
Culley, JM, Svendsen, E, Craig, J, Tavakoli, A. A validation study of 5 triage systems using data from the 2005 Graniteville, South Carolina, chlorine spill. J Emerg Nurs. 2014;40(5):453-460.CrossRefGoogle ScholarPubMed
Mackie, E, Svendsen, E, Grant, S, et al. Management of chlorine gas-related injuries from the Graniteville, South Carolina, train derailment. Disaster Med Public Health Prep. 2014;8(5):411-416.CrossRefGoogle ScholarPubMed
Federal Emergency Management Agency. Disaster scenario exercise for community planning critical power failure. Washington, DC: FEMA; 2011. https://www.fema.gov/pdf/privatesector/ps_ttx_power_failure_jan_11.pdf. Accessed November 4, 2020.Google Scholar
Mitchell, CJ, Kernohan, WG, Higginson, R. Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents? Int Emerg Nurs. 2012;20(3):151-61.CrossRefGoogle Scholar
Darracq, MA, Clark, RF, Jacoby, I, et al. Disaster preparedness of poison control centers in the USA: a 15-year follow-up study. J Med Toxicol. 2014;10(1):19-25.CrossRefGoogle ScholarPubMed
CHEMM. Chlorine – prehospital management. Acute management overview: agent identification. U.S. Department of Health & Human Services. 2020. https://chemm.nlm.nih.gov/chlorine_prehospital_mmg.htm. Accessed March 10, 2020.Google Scholar