MMWR Morb Mortal Wkly Rep. 2005 Jan 28;54(3):61-4.
On December 26, 2004, an earthquake triggered a devastating tsunami that caused an estimated 225,000 deaths in eight countries (India, Indonesia, Malaysia, Maldives, Seychelles, Somalia, Sri Lanka, and Thailand) on two continents. In Thailand, six provinces (Krabi, Phang-Nga, Phuket, Ranong, Satun, and Trang) were impacted, including prominent international tourist destinations. The Thai Ministry of Public Health (MOPH) responded with rapid mobilization of local and nonlocal clinicians, public health practitioners, and medical supplies; assessment of health-care needs; identification of the dead, injured, and missing; and active surveillance of syndromic illness. The MOPH response was augmented by technical assistance from the Thai MOPH-U.S. CDC Collaboration (TUC) and the Armed Forces Research Institute of Medical Sciences (AFRIMS), with support from the office of the World Health Organization (WHO) representative to Thailand. This report summarizes these activities. The experiences in Thailand underscore the value of written and rehearsed disaster plans, capacity for rapid mobilization, local coordination of relief activities, and active public health surveillance.
2004年12月26日，一场地震引发了一场毁灭性的海啸，造成两大洲8个国家（印度、印度尼西亚、马来西亚、马尔代夫、塞舌尔、索马里、斯里兰卡和泰国）约22.5万人死亡。在泰国，包括著名国际旅游目的地在内的6个省份（甲米、攀牙、普吉、拉廊、沙敦和董里）受到影响。泰国公共卫生部迅速动员当地和外地的临床医生、公共卫生从业人员及医疗物资；评估医疗需求；确认死亡、受伤和失踪人员；并对症状性疾病进行主动监测。泰国公共卫生部与美国疾病控制与预防中心的合作项目（TUC）以及武装部队医学科学研究院（AFRIMS）提供的技术援助，在世卫组织驻泰国代表处的支持下，增强了泰国公共卫生部的应对能力。本报告总结了这些活动。泰国的经验凸显了书面且经过演练的灾难计划、快速动员能力、当地救援活动协调以及主动公共卫生监测的价值。
