Duclos P J, Ing R T
Division of Environmental Hazards and Health Effects, Centers for Disease Control, Atlanta, GA 30333.
Int J Epidemiol. 1989 Mar;18(1):213-9. doi: 10.1093/ije/18.1.213.
On 29 May 1982, a tornado struck Marion, Illinois. As a result, ten people were killed, 38 were hospitalized, and 196 were examined in hospital emergency rooms. In order to describe injuries and to identify risk factors that might have increased or reduced the risk of injuries, we (1) conducted a telephone survey of all persons we could identify who were in the path of the tornado and (2) reviewed the emergency room logs and records and admission files of hospitals that provided initial care. Overall, 19.3% of people who were in the path of the tornado were injured during the impact. Only 39.0% of people examined in emergency rooms were injured as a direct result of the impact. The remainder were injured while rescuing, cleaning up, or just walking in the disaster area. Behaviours that were most protective were being in a house on the lowest floor, staying underground in a basement, protecting one's body with something like a blanket, and staying away from windows. Neither lying down nor opening doors or windows seemed to decrease the risk of being injured. Our results emphasize the need for early warnings and public education about protective behaviours.
1982年5月29日,一场龙卷风袭击了伊利诺伊州的马里恩。结果,10人死亡,38人住院,196人在医院急诊室接受检查。为了描述受伤情况并确定可能增加或降低受伤风险的危险因素,我们(1)对所有我们能找到的处于龙卷风路径上的人员进行了电话调查,(2)查阅了提供初始治疗的医院的急诊室日志、记录和入院档案。总体而言,处于龙卷风路径上的人员中有19.3%在龙卷风袭击期间受伤。在急诊室接受检查的人员中,只有39.0%是直接因龙卷风袭击而受伤。其余人员是在救援、清理或只是在灾区行走时受伤。最具保护作用的行为是待在最低楼层的房屋内、躲在地下室、用毯子之类的东西保护身体以及远离窗户。躺下以及打开门窗似乎都不能降低受伤风险。我们的结果强调了早期预警和对保护行为进行公众教育的必要性。