Epidemic Intelligence Service Officer assigned to the National Center for Environmental Health of the Centers for Disease Control and Prevention in Atlanta, GA, United States.
Disasters. 2009 Oct;33(4):705-20. doi: 10.1111/j.1467-7717.2009.01105.x. Epub 2009 May 1.
This study examines health effects resulting from landslides in Chuuk during Tropical Storm Chata'an in July 2002, and suggests strategies to prevent future mortality. In August 2002, we conducted a cross-sectional survey to identify risk factors for mortality during landslides, which included 52 survivors and 40 surrogates for 43 decedents to identify risk factors for death. Findings suggest that 1) females had a higher mortality rate from this event than males, and 2) children aged 5-14 years had a 10-fold increase in mortality when compared with annual mortality rates from all causes. Awareness of landslides occurring elsewhere and knowledge of natural warning signs were significantly associated with lower risks of death; being outside during landslides was not associated with reduced mortality. In Chuuk, improving communication systems during tropical storms and increasing knowledge of natural warnings can reduce the risk for mortality during landslides.
本研究考察了 2002 年 7 月热带风暴“查塔安”期间楚克地区山体滑坡造成的健康影响，并提出了预防未来死亡的策略。2002 年 8 月，我们进行了一项横断面调查，以确定山体滑坡期间死亡的危险因素，其中包括 52 名幸存者和 40 名 43 名死者的代理人，以确定死亡的危险因素。研究结果表明：1）女性在该事件中的死亡率高于男性；2）与所有原因导致的年死亡率相比，5-14 岁的儿童死亡率增加了 10 倍。了解其他地方发生的山体滑坡和了解自然预警信号与降低死亡风险显著相关；山体滑坡期间在室外与降低死亡率无关。在楚克，在热带风暴期间改善通信系统并增加对自然警报的了解，可以降低山体滑坡期间的死亡率风险。
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