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International Medical Response to a Natural Disaster: Lessons Learned from the Bam Earthquake Experience

Published online by Cambridge University Press:  28 June 2012

Hassan Abolghasemi
Affiliation:
Baqiyatallah Research Center, Baqiyatallah Hospital, Baqiyatallah Medical Sciences University, Mollasadra, Tehran, Iran
Mohammad Hadi Radfar*
Affiliation:
Iranian Pediatrics Hematology and Oncology Society, Tehran, Iran
Masoud Khatami
Affiliation:
Surgery Ward, Baqiyatallah Hospital, Baquiyatallah Medical Sciences University
Masoud Saghafi Nia
Affiliation:
Baqiyatallah Research Center, Baqiyatallah Hospital, Baqiyatallah Medical Sciences University, Mollasadra, Tehran, Iran
Ali Amid
Affiliation:
Iranian Pediatrics Hematology and Oncology Society, Tehran, Iran
Susan M. Briggs
Affiliation:
International Trauma and Disaster Institute, Massachusetts General Hospital, Boston, Massachusetts, USA
*
Mohammad Hadi Radfar International Pediatrics Hematology and Oncology Society, No. 32 Shahed Alley, Vesal Street, Keshavarez Boulevard Tehran, Iran Email: [email protected]

Abstract

An earthquake measuring 6.5 on the Richter scale devastated Bam, Iran on the morning of 26 December 2003. Due to the great health demands and collapse of health facilities, international aid could have been a great resource in the area. Despite sufficient amounts and types of resources provided by international teams, the efficacy of international assistance was not supported in Bam, as has been experienced in similar events in other countries. Based on the observations in the region and collecting and analyzing documents about the disaster, this manuscript provides an overview of the medical needs during the disaster and describes the international medical response. The lessons learned include: (1) necessity of developing a national search and rescue strategy; (2) designing an alarm system; (3) establishing an international incident command system; (4) increasing the efficacy of the arrival and implementation of a foreign field hospital; and (5) developing a flowchart for deploying international assistance.

Type
Special Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2006

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References

1.United States Geological Survey: Earthquakes with 1,000 or more deaths from 1900. Available at http://neic.usgs.gov/neis/eqlists/eqsmajr.html. Accessed April 2004.Google Scholar
2.Lechat, MF: Accident and disaster epidemiology. Public Health Rev 19931994; 21(3–4):243253.Google ScholarPubMed
3.Waisman, Y: Integration of foreign and local medical staff in a disaster area: The Honduras and El Salvador experiences. Eur J Emerg Med 2003;10(2):124129.CrossRefGoogle Scholar
4.Gunn, SWA: Multilingual Dictionary of Disaster Medicine and International Relief. Dordrecht, the Netherlands: Kluwer Academic Publisher, 1990.CrossRefGoogle Scholar
5.Lechat, MF: Disasters: A Public Health Problem. In: Workshop on Health Aspects of Disaster Preparedness. Trieste, Brussels: Centre for Research on the Epidemiology of Disasters; 1984.Google Scholar
6.Kirsch, TD: External emergency medical disaster response: Does a need exist? Ann Emerg Med 1996;28:220222.Google ScholarPubMed
7.de Ville de Goyet, C., Acosta, E, Sabbat, P, Pluut, E: SUMA (Supply Management Project), A management tool for post-disaster relief supplies. World Health Stat Q 1996;49(3–4):189194.Google Scholar
8.Rubin, M, Heuvelmans, JH, Tomic-Cica, A, Birnbaum, ML: Health-related relief in the former Yugoslavia: Needs, demands, and supplies. Prehosp Disast Med 2000;15(1):111.CrossRefGoogle ScholarPubMed
9.Seaman, J: Disaster epidemiology: Or why most international disaster relief is ineffective. Injury 1990;21(1):58; Discussion 15–16.CrossRefGoogle ScholarPubMed
10.Piero, Calvi-Parisetti: Workshop of lessons learnt on the national and international response to the Bam earthquake. Available at http://www.reliefweb.int/library/documents/2004/ocha-irn-15apr.pdf. Accessed June 2004.Google Scholar
11.Autier, P, Ferir, MC, Hairapetien, A, Alexanian, A, Agoudjian, V, Schmets, G, Dallemagne, G, Leva, MN, Pinel, J: Drug supply in the aftermath of the 1988 Armenian earthquake. Lancet 1990;335(8702):13881390.Google ScholarPubMed
12.Spiegel, PB, Burkle, FM Jr, Dey, CC, Salama, P: Developing public health indicators in complex emergency response. Prehosp Disaster Med 2001;16(4):281285.CrossRefGoogle ScholarPubMed
13.Van Rooyen, MJ, Hansch, S, Curtis, D, Burnham, G: Emerging issues and future needs in humanitarian assistance. Prehosp Disaster Med 2001;16(4):216222.CrossRefGoogle ScholarPubMed
14.de Ville de Goyet, C: Stop propogating disaster myths. Preshosp Disast Med 1999;14(4):213214.Google Scholar
15.Rapid health assessment from Iran earthquake 27 December 2003. Available at http://www.emro.who.int/eha/iran-HealthAssessmet.271203.pdf. Accessed January 2004.Google Scholar
16.World Health Organization (WHO): The Government of the Islamic Republic of Iran and World Health Organization Joint Project for: “Reconstruction of Health Services in Bam”. Available at http://www.emro.who.int/eha/BamPlan16.pdf. Accessed June 2004.Google Scholar
17.Office for the Coordination of Humanitarian Affairs: United Nations Disaster Assessment Coordination (United Nations Disaster Assessment and Coordination) Mission following the Bam Earthquake of 26 December 2003, 26 December 2003–9 January 2004, United Nations Disaster Assessment and Coordination Mission Report. Available at http://www.reliefweb.int/ochaunepnews/BamUNDACMissionReport.pdf. Accessed February 2004.Google Scholar
18.World Health Organization: World Health Organization joins international effort to help Bam earthquake survivors. Bull World Health Organ 2004;82(2):156.Google Scholar
19.World Health Organization: Preliminary indication of urgent requirements for those responding to the health needs of the affected population, 2003 14.45 Geneva Time. Available at http://www.emro.who.int/eha/BamEarthquake29dec03.pdf. Accessed January 2004.Google Scholar
20.United Nations: Flash Appeal Bam Earthquake of 26 December 2003 Islamic Republic of Iran Relief, Recovery and Immediate Rehabilitation. Available at http://www.unicef.org/emerg\bam-irn-8jan.pdf. Accessed January 2004.Google Scholar
21.International Federation of the Red Cross: Iran Bam Earthquake. IFRC Operations Update No.11. Available at http://www.ifrc.org/docs/appeals/03/250311.pdf. Accessed April 2004.Google Scholar
22.World Health Organization: Report by the World Health Organization Representative's Office in the Islamic Republic of Iran. Bam Earthquake, UN Flash Appeal: 90 Days, health, and nutrition. Available at http://www.emro.who.int/eha/BamFlashAppealWR.pdf. Accessed April 2004.Google Scholar
23.United Nations Office for the Coordination of Humanitarian Affairs: Iran— Earthquake Office for the Coordination of Humanitarian Affairs Situation Report No. 3. Available at http://www.reliefweb.int/w/rwb.nsf/0/a9a797ed8997ba2ac1256e090075ead a?OpenDocument. Accessed January 2004.Google Scholar
24.United Nations Office for the Coordination of Humanitarian Affairs Iran— Earthquake Office for the Coordination of Humanitarian Affairs Situation Report No. 6. Available at http://www.reliefweb.int/w/rwb.nsf/0/7303bb60f5d9b7d5c1256e0a006a059 2?OpenDocument. Accessed January 2004.Google Scholar
25.Iranian Red Crescent: Iranian Red Crescent Bam Earthquake Operation Report No 1. Available at http://www.reliefweb.int/w/rwb.nsf/0/2e242a1fcbaf60f3c1256e15004b669e?OpenDocument. Accessed February 2004.Google Scholar
26.Briggs, SM, Brinsfield, KH: Advanced Disaster Medical Response. Harvard Medical International Trauma and Disaster Institute 2003.Google Scholar
27.World Health Organization/PAHO: World Health Organization/PAHO guidelines for the use of foreign field hospitals in the aftermath of sudden-impact disasters. Prehosp Disast Med 2003;18(4):278290.CrossRefGoogle Scholar
28.Malilay, J: Public health assessments in disaster settings: recommendations for a multidisciplinary approach. Prehosp Disast Med 2000;15(4):167172.CrossRefGoogle ScholarPubMed
29.Moore, S, Eng, E, Daniel, M: International NGOs and the role of network centrality in humanitarian aid operations: A case study of coordination during the 2000 Mozambique floods. Disasters 2003;27(4):305318.CrossRefGoogle ScholarPubMed
30.Schnitzer, JJ, Briggs, SM: Earthquake relief—The US medical response in Bam, Iran. N Engl J Med 2004;350(12):11741176.CrossRefGoogle ScholarPubMed