Akbari M E, Farshad A A, Asadi-Lari M
Ministry of Health and Medical Education, Iran.
Public Health. 2004 Sep;118(6):403-8. doi: 10.1016/j.puhe.2004.05.010.
The appalling earthquake in the ancient city of Bam on December 27th 2003 was one of the worst disasters since the last century in Iran. Further to the chilling statistics of human loss, essential services including water supply, power, telephone, health care services, main roads, and the city's only airport were crippled. From the 'public health' and 'health emergency' perspectives, the initial priorities were to minimise avoidable further mortality and morbidity. This required prompt evacuation of the injured, defining catchment areas, establishment of efficient systems for disease control, organising a disaster management plan, out patient management, co-ordination of international aid, and re-organising the current PHC network in the district. The second stage, each department planning health delivery for the subsequent year, was rapidly initiated. This paper discusses these strategies, which were designed specifically for Bam but are likely useful in similar situations.
2003年12月27日发生在古城巴姆的那场可怕地震，是伊朗自上世纪以来最严重的灾难之一。除了令人心寒的人员伤亡统计数据外，包括供水、电力、电话、医疗服务、主要道路以及该市唯一机场在内的基本服务都陷入瘫痪。从“公共卫生”和“卫生应急”的角度来看，首要任务是尽量减少可避免的进一步死亡和发病情况。这需要迅速疏散伤者、确定集水区、建立有效的疾病控制体系、制定灾难管理计划、进行门诊管理、协调国际援助以及重新组织该地区现有的初级卫生保健网络。第二阶段，即各部门为次年的卫生服务提供进行规划，很快就启动了。本文讨论了这些专门为巴姆设计的策略，它们可能在类似情况下也有用。
