Disaster Medicine and Public Health Preparedness最新文献

Objectives: This study investigates the public health implications of terrorist attacks on telecommunications infrastructure globally, assessing the direct and indirect impacts on emergency response and medical services.

Methods: Utilizing retrospective analysis, this research delves into incidents recorded in the Global Terrorism Database (GTD) from 1970 to 2020. The study employs descriptive statistical methods to identify patterns and examine the regional distribution and frequency of these attacks, alongside the types of weaponry used and the direct casualties involved.

Results: The analysis underscores a significant focus on telecommunications by terrorist groups, revealing a frequent use of high-impact weapons like explosives and incendiary devices aimed at maximizing disruption. The study highlights considerable regional variations in the frequency and nature of attacks, emphasizing the strategic importance of these infrastructures to public safety and health systems.

Conclusions: The findings demonstrate the critical need for robust security enhancements tailored to regional threats and the integration of advanced technologies in public safety strategies. The research advocates for enhanced international cooperation and policymaking to mitigate the impacts of these attacks, ensuring telecommunications resilience in the face of global terrorism.

Objectives: Many people who are rescued alive from rubble after earthquakes suffer from crush injuries and associated acute kidney injury (AKI). McMahon score is used to determine the risk of AKI and mortality due to rhabdomyolysis in hospitalized patients. In this study, we aimed to evaluate the clinical findings, biochemical characteristics, and outcomes of crush injury patients admitted to our tertiary hospital and the use of the McMahon score in determining the need for renal replacement therapy (RRT) in this patient group.

Methods: Sociodemographic, clinical, and biochemical parameters of 28 patients who had creatine kinase levels of 1000 U/L and above were recorded. Patients with crush injuries requiring and not requiring RRT were compared according to the McMahon Score.

Results: A total of 42% of patients developed AKI and 67% of them required renal replacement therapy. In crush injury patients requiring RRT, serum urea, creatinine, LDH, aspartate aminotransferase, alanine transaminase, phosphorus, and procalcitonin levels were significantly higher and albumin levels were significantly lower at admission compared to patients not requiring RRT. All patients who required RRT had a McMahon Score ≥6.

Conclusions: A high McMahon score at hospital admission is associated with an increased need for RRT.

Background: On July 28, 2022, floods in eastern Kentucky displaced over 600 individuals. With the goal of understanding mental health needs of affected families, we surveyed households living in flood evacuation shelters after the 2022 Kentucky floods.

Methods: Families experiencing displacement from the 2022 Kentucky floods currently living in three different temporary shelter locations were surveyed via convenience sampling. A rapid community needs assessment involving in-person interviews using modified two stage cluster methodology (CASPER) was conducted between September 6-9, 2022.

Results: Teams conducted 61 household interviews. Since the flood, 27.7% reported that their household received services from behavioral health and 19.6% received grief counseling. Experiencing agitation (36.7%), difficulty concentrating (47.5%), nightmares (62.3%), or suicidal thoughts/self-harm (6.6%) were reported by households surveyed. Over one-fourth (27.0%) of individuals surveyed reported being depressed nearly every day. Over 20% reported anhedonia (inability to feel pleasure) nearly every day. Over 75% of individuals surveyed reported being anxious several days or more over the last two weeks. Over one-third of individuals (34.0%) reported being unable to stop worrying nearly every day. Of those individuals surveyed, 36.1% reported barriers to mental health services.

Conclusions: Symptoms of depressed mood, anhedonia, anxiety, and nightmares were prevalent in displaced families six weeks after the 2022 Kentucky floods. Providing and encouraging access to mental health services are important priorities during disaster recovery.

Objectives: This study aimed to examine the effect of volunteers' health behaviors and disaster preparedness on disaster attitudes.

Methods: The sample comprised 378 volunteers aged 18 to 30 who were affiliated with the largest volunteer network in a non-governmental organization in Turkey. In the study, data were collected with Descriptive Information Form, the Disaster Preparedness Scale, and the Disaster Attitude Scale.

Results: The mean total score of the participants in the Disaster Attitude Scale was 3.06 ± 0.73 (1-5). The mean total scale score of the participants in the Disaster Preparedness Scale was 33.21 ± 8.02 (13-54). Notably, factors such as using alcohol, the status of general health checkups status, and scores on the physical protection and assistance subscales the Disaster Preparedness Scale were significantly associated with the Disaster Attitude Scale total score (P < 0.05).

Conclusions: In this study, regular general health check-ups, alcohol use in general, and physical protection and assistance sub-scales are critical determinants of volunteers' attitudes toward disasters. The disaster volunteers, health professionals particularly nurses, should develop training programs to enhance volunteers' disaster attitudes focusing on promoting disaster preparedness and positive health behaviors in both governmental and non-governmental organizations.

Objectives: A useful way to prepare the public for disasters is to teach them where to get information. The purpose of this study is to evaluate the readability and appropriateness of the content of websites prepared for the public on disaster preparedness.

Methods: In September-October 2022, we evaluated 95 disaster preparedness websites (intended for the public) using the Ateşman Readability Index, JAMA criteria, DISCERN, and a new researcher-created content comparison form. Evaluation scores were compared according to information sources.

Results: Of the websites included in the research, 45.2% represented government institutions (GIG), 38.0% non-profit organizations (NPOG), 8.4% municipal organizations (MOG), and 8.4% other organizations (OG). Those which scored above average on the websites were 36.8% on the content evaluation, 51.6% on the DISCERN scale, 53.7% on the Ateşman Readability Index, and 55.8% on the JAMA criteria. The content evaluation form showed that the scores of the websites belonging to the MOG were higher than the scores of the other websites. Others group websites also scored higher than altered websites on the JAMA criteria.

Conclusions: The study revealed that websites created to increase public knowledge on disaster preparedness are not good enough in terms of readability, quality, and content.

On February 6, 2023, a Mw 7.8 earthquake struck southern and central Turkey and northern and western Syria. Over 50 000 people were confirmed dead, and nearly 130 000 were injured. The Turkish government was leading the response there through coordination by the Disaster and Emergency Management Agency (AFAD). A massive search and rescue operation continued, and humanitarian partners were rapidly ramping up efforts to provide life-saving assistance. Over 53 000 Turkish emergency workers were deployed to the regions affected by the earthquakes. More than 100 nations and international organizations mounted a massive, unprecedented response. Among them, the State of Israel dispatched 2 missions, with the first on the ground the same day as the earthquake. Under guidance of the local health authorities, it was determined that the most effective approach would be to support an existing medical facility rather than establishing a standalone field operation. Teams responding to disaster zones should arrive only after a formal request and deploy after full coordination with the local country. The devastated country understands best what is really needed. Deploying in full collaboration has an advantage of better cultural understanding and long-term effect in restoring the local needs.

On January 1, 2024, an earthquake with a maximum seismic intensity of 7 struck the Noto Peninsula in Ishikawa Prefecture, Japan, causing significant casualties and displacement. The Noto Peninsula has a high aging rate, with 49.5% of its population aged 65 or older. This case study focuses on a 68-year-old woman who developed aspiration pneumonia after being admitted to a welfare shelter. The case highlights the challenges of managing chronic medical care during disasters, particularly for the elderly.

Objectives: Natural disasters are frequent occurrences worldwide and can influence fertility preferences. This study aimed to assess the impact of disaster preparedness training on the disaster readiness levels of women of reproductive age and their fertility and childbearing attitudes.

Methods: The study employed a classic experimental design with a pre-test and post-test control group. The sample consisted of women of reproductive age in Turkey, determined through the G-Power 3.1.9.7 program, with intervention (n = 88) and control (n = 88) groups totaling 176 participants. Data were collected using a "Preliminary Evaluation Form," "Descriptive Information Form," "Disaster Preparedness Scale (DPS)," and "Attitudes Toward Fertility and Childbearing Scale (AFCS)."

Results: In the intervention group, the post-test scores significantly increased for the DPS and the AFCS sub-scale on the importance of fertility for the future (P<0.05).

Conclusions: The study found that disaster preparedness training provided to women of reproductive age improved their disaster readiness levels. Following the training, the women's knowledge about physical protection during disasters, assistance in disasters, and disaster warnings and systems also increased. Additionally, the training enhanced the positive attitudes of these women toward childbearing.