Disaster Medicine and Public Health Preparedness最新文献

Objectives: In recent years, Japan has experienced a series of earthquakes and torrential rain disasters in various regions, and in Gifu City, there is concern about the possibility ofNankai Trough earthquakes in the near future. However, pharmacists' awareness of disaster preparedness and status of drug stockpiles in pharmacies are not clearly outlined.

Methods: A survey on disaster prevention and stockpiling was conducted in 286 pharmacies in Gifu City. Data were collected from August to the end of October 2022. A simple aggregate was used in the study.

Results: The response rate was 66.8% (191 pharmacies). Among them, 9.9% (19 pharmacies) had stockpiles of medicines for disasters, in which 33.3% of the medicines needed in the early stages of a disaster were above the average overall stockpiling rate. In addition, 2.1% (4 pharmacies) selected medicines according to national or prefectural manuals, and 96.3% (184 pharmacies) preferred to have the "national or local government" bear the cost of stockpiling.

Conclusions: This study allowed us to understand the stockpiling situation of pharmacies in Gifu City in event of a disaster such as the Nankai Trough earthquake, which is likely to occur in the future. Based on these results, it is necessary to consider measures for disaster stockpiling.

The Arbaeen ceremony is the largest annual mass gathering in the world, attracting millions of Muslim pilgrims each year. However, the event takes place during the summer in Iraq, coinciding with extreme heat and dust storms. Climate change hazards, such as heat waves and dust storms, can have destructive effects on human health, leading to increased mortality and the spread of various diseases. This manuscript recommends measures to stakeholders in emergency or public health management to develop a preventive plan for the Arbaeen ceremony. These measures include improving planning and risk assessment, enhancing capacities, reducing vulnerabilities, increasing knowledge and awareness among pilgrims, developing communication and support systems, ensuring compliance with safety protocols, and regularly assessing evacuation routes. Implementing these measures will contribute to ensuring the safety and well-being of participants during the Arbaeen ceremony in the years ahead.

We conducted a systematic review of the medical, nursing, forensic, and social science literature describing events and processes associated with what happens after a traumatic death in the socio-cultural context of largely Western and high-income societies. These include death notification, why survivors choose to view or not view the body, forensic practices affecting viewing the body, alternatives to viewing, and social and cultural practices following the death. We also describe how elements of these processes may act to increase or lessen some of the negative cognitive and emotional consequences for both survivors and providers. The information presented is applicable to those who may be faced with traumatic deaths, including those who work in medicine, nursing, and law enforcement, as well as first responders, forensic investigators, funeral directors, and the families of the deceased.

Continuing laboratory research into zoonotic diseases is necessary for public health preparedness. However, the COVID-19 pandemic has elevated existing concerns about the risks BSL-4 research facilities can pose to the surrounding community. This study places such concerns in the context of previous research regarding the construction of biosafety labs, as well as policy discussions related to other scientific controversies like gain of function research. Building on this prior knowledge as well as established theories in the field of communication, we propose using a Culture-Centered Approach paired with a Communication Complex approach to facilitate more meaningful and effective communication between researchers and community members, particularly those who tend to be marginalized in such conversations. The commentary concludes by outlining a risk assessment process using the CCA-Communication Complex Approach.

Objective: There are numerous factors that impact human health. Sanitary and hygienic conditions in the workplace and living environments, the state of the environment, and nutrition levels play a significant role in determining environmental quality. An integral part is also the organization of effective treatment and preventive health care services for the population. The purpose of this study is to analyze the sanitary and hygienic situation in the Republic of Kazakhstan.

Methods: The methodological framework employed general theoretical methods, statistical analysis, and techniques for systematizing information.

Results: During the study, it was determined that in several cities, high levels of respiratory and skin morbidity are recorded, linked to elevated concentrations of dust, ammonia, hydrogen fluoride, and nitrogen dioxide. As a consequence of chemical contamination of drinking water sources, there is an escalation in the incidence of nephritis and hepatitis, an upsurge in the number of toxicosis cases among pregnant women, and congenital anomalies. The sanitary condition of settlements greatly impacts the development of satisfactory living conditions.

Conclusions: Therefore, this research holds significant practical relevance, and the findings can be utilized by specialists in relevant fields to analyze and address the identified problems, as safeguarding public health, development, and improvement of its protection system is currently becoming one of the paramount tasks.

Earthquakes cause devastating effects, resulting in the deaths of thousands of people each year. Understanding the full range of impacts, including fatalities, and the pathophysiological mechanisms underlying these effects is crucial for mitigating the aftermath of earthquakes. Therefore, this review aims to: delineate the critical golden time periods following earthquakes and identify the most effective responses and resilience factors during these periods; accurately define the terminology for injuries sustained post-earthquake; elucidate the basic pathophysiology of CRUSH injury-induced myopathy, one of the most significant pathologies in post-earthquake patient management; explore the role of nitric oxide (NO) mechanisms in crush injuries, which are believed to be fundamental to the "smiling death phenomenon" and represent the unseen part of the iceberg; and highlight the importance of the 3 main phenomena responsible for mortality-acidosis, coagulopathy, and hypothermia-during disasters. This comprehensive review, based on the latest literature, encompasses search and rescue, pre-hospital processes, emergency department procedures, and subsequent internal and surgical management algorithms.

Objectives: This study aims to identify midwives' post-earthquake caregiving experiences.

Methods: A phenomenological study was undertaken in May-June 2023. The participants of the study consisted of 15midwives who were included in the study with the purposeful sampling method and volunteered to provide care during the earthquake. Data were collected by an in-depth interview method using a demographic information form and a semi-structured interview form. Thematic analysis was conducted on interview transcripts.

Results: The research identified 2main themes: difficulties in managing midwifery care and the psychological impact of the earthquake on midwives. Challenges included issues with disaster organization, management, and coordination; communication gaps; insufficient medical supplies; harsh environmental conditions; inability to fulfill basic needs; lack of disaster-related knowledge and experience among midwives; and the overall survival conditions of disaster victims. The disaster caused several psychological effects on midwives, including shock, surprise, sadness, confusion, feelings of inadequacy, insomnia upon returning from the disaster area, nightmares, difficulty adapting, guilt about returning, feelings of helplessness, and experiences of loss and mourning.

Conclusions: This study detailed midwives' experiences during disasters, difficulties, and barriers to effective care. It is crucial to record midwives' experiences during disasters and use this information and solutions to prepare for future disasters. Disaster preparedness training for midwives should be planned to increase physical and emotional resilience.

This study aimed to examine the effect of disaster preparedness literacy on individual disaster resilience and related factors. The universe of the research consists of individuals between the ages of 18-52. Software packages AMOS 23 and SPSS 26 were used to analyze the study's data. Mann Whitney U test and Kruskal Wallis H test were used for non-parametric variables, whereas the T test and ANOVA were used for parametric variables. The associations between variables were investigated using correlation analysis and basic linear regression analysis. According to the findings, as disaster literacy increases, individual disaster resilience increases. The individual disaster resilience level of males was higher than that of females, the individual disaster resilience level of married individuals was higher than that of single individuals, and those who have experienced a disaster before have a higher level of individual disaster resilience than those who haven't experienced a disaster. Males have higher levels of disaster literacy than females. Married individuals have higher disaster literacy levels than singles. As the age increases, the level of individual disaster resilience and disaster literacy increases. It is considered important to develop community-based disaster awareness training programs and strategies to increase individual disaster resilience.

Health care and health security are the fundamental pillars of disaster preparedness and crisis management. An established routine health care is necessary for any society, enabling full access to care and fulfilling the rights of every individual. Health security, on the other hand, is what a society needs to be flexible in managing an unexpected situation. To overcome a disaster with minimal damage or to avert such a critical situation, health care and health security should exist simultaneously. Thus, resilience in disaster preparedness and crisis management requires investment in both health care and health security. This ensures local public health services and infrastructure, local ambulances, both acute and chronic care referral systems, prompt vaccinations, and prevention of communicable diseases to name but a few. These measures which have proven to be the most sensitive evaluation of fair governance are critically absent in several nations, particularly in areas with long-standing conflicts. Strengthening health care and health security measures are paramount to the maintenance of the health system in peace and recovery of health delivery post-conflict and require political and economic considerations.

Objectives: This study was conducted to determine the relationships between nurses' competency, motivation, and stress levels in disaster management, as well as to shed light on the establishment of effective disaster management programs.

Methods: In our research we used a correlational, descriptive, cross-sectional design. The sample of the study was composed of 498 nurses working in Turkey. The "Descriptive and Professional Characteristics and Disaster Experiences of Nurses" form, the "Competencies for Disaster Nursing Management Questionnaire," the "Perceived Stress Scale," and the "Nurses Job Motivation Scale" were used in data collection.

Results: Nurses' disaster management competency and motivation levels were found to be adequate, and their stress levels were found to be moderate. A weak positive correlation was found between disaster management competency and motivation, but a weak negative correlation was found between stress levels. Age, education level, experience level, training in disaster nursing, and knowledge of duties and responsibilities in disasters were associated with significant differences in terms of disaster competency and its dimensions, motivation, and stress levels.

Conclusions: The study found that nurses' disaster experiences impacted their competency, feeling of preparedness, and stress and motivation levels, and motivation was found to be a predictor of increasing competency.