Miller Andrew C, Arquilla Bonnie
Department of Emergency Medicine, State University of New York Downstate Medical Center and Kings County Hospital Center, Brooklyn, New York 11203-2098, USA.
Prehosp Disaster Med. 2007 Jul-Aug;22(4):269-73. doi: 10.1017/s1049023x00004842.
In recent years, numerous catastrophic disasters caused by natural hazards directed worldwide attention to medical relief efforts. These events included the: (1) 2003 earthquake in Bam, Iran; (2) 2004 earthquake and tsunami in Southeast Asia; (3) Hurricanes Katrina and Rita in the southern United States in 2005; (4) 2005 south Asian earthquake; and (5) 2006 Indonesian volcanic eruption and earthquakes. Health disparities experienced by women during relief operations were a component of each of these events. This article focuses on the response of the Turkish Red Crescent Society's field hospital in northern Pakistan following the South Asian Earthquake of October 2005, and discusses how the international community has struggled to address women's health issues during international relief efforts. Furthermore, since many recent disasters occurred in culturally conservative South Asia and the local geologic activity indicates similar disaster-producing events are likely to continue, special emphasis is placed on response efforts. Lessons learned in Pakistan demonstrate how simple adjustments in community outreach, camp geography, staff distribution, and supplies can enhance the quality, delivery, and effectiveness of the care provided to women during international relief efforts.
近年来,自然灾害引发的众多灾难性事件使全球的注意力都集中到了医疗救援工作上。这些事件包括:(1)2003年伊朗巴姆地震;(2)2004年东南亚地震及海啸;(3)2005年美国南部的卡特里娜飓风和丽塔飓风;(4)2005年南亚地震;以及(5)2006年印度尼西亚火山爆发和地震。在这些事件中,妇女在救援行动中所经历的健康差异都是其中的一部分。本文重点关注2005年10月南亚地震后土耳其红新月会在巴基斯坦北部的野战医院的应对情况,并讨论国际社会在国际救援行动中如何努力解决妇女健康问题。此外,由于最近许多灾难发生在文化保守的南亚地区,而且当地的地质活动表明类似的灾害性事件可能会继续发生,因此特别强调应对措施。在巴基斯坦吸取的经验教训表明,在社区宣传、营地布局、人员分配和物资供应方面进行简单调整,就能提高国际救援行动中为妇女提供的护理质量、服务范围和效果。