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Survey of Bam Earthquake Survivors' Opinions on Medical and Health Systems Services

Published online by Cambridge University Press:  17 February 2017

Masoud Saghafi Nia ,
Nahid Nafissi  and
Yashar Moharamzad
Masoud Saghafi Nia*
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran
Nahid Nafissi
Affiliation:
Iranian Mine Victim Research Center (IMC), Tehran, Iran
Yashar Moharamzad
Affiliation:
Trauma Research Center, Baqiyatallah Medical Sciences University, Tehran, Iran
*
Masoud Saghafi Nia, MD, Trauma Research Center, Baqiyatallah Medical Sciences University, Molla-sadra Ave., Vanak Sq, Tehran, Iran, Box Number: 19945/581, E-mail: [email protected]
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Abstract

Introduction: On 26 December 2003, a catastrophic earthquake measuring 6.6 on the Richter scale devastated large areas of the city of Bam in south-eastern Iran. More than 40,000 people died, tens of thousands were injured, and almost 20,000 homes were destroyed.

Many national and international search-and-rescue teams were dispatched to the area to provide medical and health services and assist in the evacuation of survivors to undamaged areas.

Problem: The purpose of the study was to evaluate the opinions of survivors about medical responses provided, and the process of reconstruction of health infrastructures.

Methods: This was a descriptive study performed two years after the earthquake. Stratified, two-stage area sampling was used to enroll 211 survivors into the survey. A designed questionnaire was applied to evaluate the respondents' opinions about medical and health responses. The respondents were asked to score their satisfaction on a variety of services on a five-point scale, with 1 being “very poor” and 5 being “very good”.

Results: Family members and relatives comprised the majority of first responders for those injured or trapped (127, 60.2%). Field hospitals deployed by the Red Crescent, international relief teams, and military forces were the first medical facilities for 98 (46.4%) of the casualties. As denoted by the mean values for the satisfaction scores, transportation by aircraft to the backup hospitals received the highest score (4.2), followed by international assistance (4.1), first medical care (3.5), search and rescue (3.3), primary transportation (3.1), and reconstruction and the quality of access to the infrastructures of the city (2.6). Two years after the earthquake, 151 (71.5%) respondents still were living in connexes (temporary accommodations or shelters for victims to live in; resemble a small hotel), only 33 (15.6%) had access to safe drinking water, and 44 (20.9%) did not have sufficient supplies of sanitary food.

Conclusions: In addition to reinforcing the medical and health infrastructures of a society in accordance with geographical and architectural characteristics, effective air evacuation and relief missions carried out by experienced international relief teams can play an important role in the appropriate management of approximately 30,000 casualties after a catastrophic event, such as experience with the Bam Earthquake.

Keywords

air evacuationBam earthquakeinternational responsemedical disaster responseprimary health facility
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 23 , Issue 3 , June 2008 , pp. 263 - 268
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2008

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References

1. Reitherman, R: How to prepare a hospital for an earthquake. J Emerg Med 1986; 4: 119–131.Google Scholar
2. Mahoney, LE, Reutershan, TP: Catastrophic disasters and the design of disaster medical care systems. Ann Emerg Med 1987; 16: 1085–1091.CrossRefGoogle ScholarPubMed
3. Alexander, D: The health effects of earthquakes in the mid-1990s. Disasters 1996; 20: 231–246.Google Scholar
4. Peek-Asa, C, Kraus, JF, Bourque, LB, et al. : Fatal and hospitalised injuries resulting from the 1994 Northridge earthquake. Int J Epidemiol 1998; 27: 459–465.CrossRefGoogle ScholarPubMed
5. Tanaka, H, Iwai, A, Oda, J, et al. : Overview of evacuation and transport of patients following the 1995 Hanshin-Awaji earthquake. J Emerg Med 1998; 16: 439–444.Google Scholar
6. Schultz, CH: Medical Disaster Response: An Educational Model for the Management of Earthquake Victims. 11th World Congress on Disaster and Emergency Medicine. Available at http://www.pdm.medicine.wisc.edu/schultz.htm. Accessed 12 June 2007.Google Scholar
7. de Ville de Goyet, C: Health lessons learned from the recent earthquakes and Tsunami in Asia. Prehospital Disast Med 2007; 22: 15–21.Google Scholar
8. Sengezer, B, Koc, E: A critical analysis of earthquakes and urban planning in Turkey. Disasters 2005; 29: 171–194.Google Scholar
9. Hsu, EB, Ma, M, Lin, FY, et al. : Emergency medical assistance team response following Taiwan Chi-Chi earthquake. Prehospital Disast Med 2002; 17: 17–22.CrossRefGoogle ScholarPubMed
10. World Health Organization: WHO joins international effort to help Bam earthquake survivors. WHO Bull 2004; 82: 156.Google Scholar
11. International Federation of Red Cross and Crescent Societies: Iranian Red Crescent Bam Earthquake Appeal No. 25/03. Available at http://www.reliefweb.int/rw/RWB.NSF/db900SID/RMOI-6ZZL8W?OpenDocument. Accessed 05 April 2007.Google Scholar
12. Abolghasemi, H, Poorheidari, G, Mehrabi, A, Foroutan, G: Iranian military forces in the Bam earthquake. Mil Med 2005; 170: 859–861.Google Scholar
13. Office for the Coordination of Humanitarian Affairs: United Nations Disaster Assessment Coordination (UNDAC) Mission following the Bam Earthquake of 26 December 2003, 26 December 2003–09 January 2004, UNDAC Mission Report. Available at http://www.reliefweb.int/ochaunepnews/BamUNDACMissionReport.pdf. Accessed February 2004.Google Scholar
14. Schnitzer, JJ, Briggs, SM: Earthquake relief-the U.S. medical response in Bam, Iran. N Engl J med 2004; 350: 1174–1176.Google Scholar
15. Abolghasemi, H, Radfar, MH, Khatami, M, et al. : International medical response to a natural disaster: Lessons learned from the Bam earthquake experience. Prehospital Disast Med 2006; 21: 141–147.Google Scholar
16. WHO Representative's Office in the Islamic Republic of Iran: Earthquake in Bam: A brief summary of WHO's immediate response and longer term plans. Available at http://www.emro.who.int/eha/BamWHOresponse.pdf. Accessed 23 August 2007.Google Scholar
17. Iranian Red Crescent: Iranian Red Crescent Bam Earthquake Operation Report No 1. Available at http://www.reliefweb.int/w/rwb.nsf/0/2e242alfcbaf60f3cl256el5004b669e?OpenDocument. Accessed 26 February 2004.Google Scholar
18. Mentes, MO, Akinci, H: Aeromedical evacuation of critically ill and injured patients. Ulus Travma Acil Cerrahi Derg 2006; 12: 1–8. [in Turkish]Google Scholar
19. Alkins, SA, Reynolds, AJ: Long-distance air evacuation of blast-injured sailors from the USS Cole. Aviat Space Environ Med 2002; 73: 677–680.Google Scholar
20. Turkan, H, Sener, S, Tugcu, H, Pauldine, R: Considerations in the aeromedical evacuation of a critically ill blast victim: Lessons learned. Mil Med 2006; 171: 586–588.Google Scholar
21. Akbari, ME, Asadi Lari, M, Montazeri, A, et al. : Evaluation of Health System Responsiveness to the 2003 Bam, Iran Earthquake. Earthquake Spectra 2005; 21: s469–s474.Google Scholar
22. Chen, KT, Chen, WJ, Malilay, J, Twu, SJ: The public health response to the Chi-Chi earthquake in Taiwan, 1999. Public Health Rep 2003; 118: 493–499.Google Scholar