Lai Ting-I, Shih Fuh-Yuan, Chiang Wen-Chu, Shen Shih-Tsuo, Chen Wen-Jone
Department of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Acad Emerg Med. 2003 Oct;10(10):1109-12. doi: 10.1111/j.1553-2712.2003.tb00583.x.
Natural disasters present significant potential for injuries and death. Unlike the experience of Hurricane Andrew that destroyed a vast surface area in the rural countryside, Typhoon Nari in Taipei proved that significant damages from natural disasters also can happen to modern health care systems in urban areas. To ameliorate such damages, specific structural, nonstructural, and administrative issues must be taken into account. Such issues include the location of the health facility, design of the infrastructure, storage of equipment and machines, maintenance, medical, and nonmedical operations. Specific considerations, such as early evacuation and securing the safety of the patients before a disaster, should be emphasized. Recovery plans that determine how soon medical service can be restored to the community should also be established. Emphasis on emergency-response preparedness, mitigation procedures, and recovery efforts should all be included in a comprehensive emergency plan against the destruction caused by natural hazards.
自然灾害具有造成伤亡的巨大潜在可能性。与安德鲁飓风在农村地区摧毁大片区域的情况不同，台北的纳莉台风证明，自然灾害造成的重大破坏也可能发生在城市地区的现代医疗系统。为减轻此类破坏，必须考虑特定的结构、非结构和管理问题。这些问题包括医疗机构的位置、基础设施设计、设备和机器的存储、维护、医疗及非医疗运营。应强调诸如灾难发生前的早期疏散和确保患者安全等具体考量因素。还应制定恢复计划，以确定医疗服务能多快恢复到社区。对自然灾害造成的破坏的全面应急预案应包括对应急响应准备、减灾程序和恢复工作的重视。
