Stewart Matthew, Grahmann Bridget, Fillmore Ariel, Benson L Scott
1Division of Emergency Medicine,University of Utah Hospital,Salt Lake City,UtahUSA.
2Department of Family and Preventive Medicine: Masters of Public Health,University of Utah,Salt Lake City,UtahUSA.
Prehosp Disaster Med. 2017 Aug;32(4):387-392. doi: 10.1017/S1049023X17006380. Epub 2017 Apr 11.
Introduction Disasters will continue to occur throughout the world and it is the responsibility of the government, health care systems, and communities to adequately prepare for potential catastrophic scenarios. Unfortunately, low-and-middle-income countries (LMICs) are especially vulnerable following a disaster. By understanding disaster preparedness and risk perception, interventions can be developed to improve community preparedness and avoid unnecessary mortality and morbidity following a natural disaster. Problem The purpose of this study was to assess disaster preparedness and risk perception in communities surrounding Trujillo, Peru.
After designing a novel disaster preparedness and risk perception survey based on guidelines from the International Federation of Red Cross and Red Crescent Societies (IFRC; Geneva, Switzerland), investigators performed a cross-sectional survey of potentially vulnerable communities surrounding Trujillo, Peru. Data were entered and analyzed utilizing the Research Electronic Data Capture (REDCap; Harvard Catalyst; Boston, Massachusetts USA) database.
A total of 230 study participants were surveyed, composed of 37% males, 63% females, with ages ranging from 18-85 years old. Those surveyed who had previously experienced a disaster (41%) had a higher perception of future disaster occurrence and potential disaster impact on their community. Overall, the study participants consistently perceived that earthquakes and infection had the highest potential impact of all disasters. Twenty-six percent of participants had an emergency supply of food, 24% had an emergency water plan, 24% had a first aid kit at home, and only 20% of the study participants had an established family evacuation plan.
Natural and man-made disasters will remain a threat to the safety and health of communities in all parts of the world, especially within vulnerable communities in LMICs; however, little research has been done to identify disaster perception, vulnerability, and preparedness in LMIC communities. The current study established that selected communities near Trujillo, Peru recognize a high disaster impact from earthquakes and infection, but are not adequately prepared for potential future disasters. By identifying high-risk demographics, targeted public health interventions are needed to prepare vulnerable communities in the following areas: emergency food supplies, emergency water plan, medical supplies at home, and establishing evacuation plans. Stewart M , Grahmann B , Fillmore A , Benson LS . Rural community disaster preparedness and risk perception in Trujillo, Peru. Prehosp Disaster Med. 2017;32(4):387-392.
引言 世界各地将持续发生灾害,政府、医疗保健系统和社区有责任为潜在的灾难性情况做好充分准备。不幸的是,中低收入国家在灾害发生后尤其脆弱。通过了解灾害准备情况和风险认知,可以制定干预措施来提高社区的准备程度,并避免自然灾害后不必要的死亡和发病情况。问题 本研究的目的是评估秘鲁特鲁希略周边社区的灾害准备情况和风险认知。
根据红十字与红新月国际联合会(IFRC;瑞士日内瓦)的指导方针设计了一项新颖的灾害准备情况和风险认知调查后,研究人员对秘鲁特鲁希略周边潜在脆弱社区进行了横断面调查。数据使用研究电子数据采集(REDCap;哈佛催化剂;美国马萨诸塞州波士顿)数据库进行录入和分析。
共对230名研究参与者进行了调查,其中男性占37%,女性占63%,年龄在18至85岁之间。那些曾经历过灾害的被调查者(41%)对未来灾害发生以及灾害对其社区的潜在影响有更高的认知。总体而言,研究参与者一致认为地震和感染在所有灾害中潜在影响最大。26%的参与者有应急食品储备,24%有应急用水计划,24%家中有急救箱,只有20%的研究参与者制定了家庭疏散计划。
自然和人为灾害将继续对世界各地社区的安全和健康构成威胁,尤其是中低收入国家的脆弱社区;然而,在确定中低收入国家社区的灾害认知、脆弱性和准备情况方面,所做的研究很少。当前研究表明,秘鲁特鲁希略附近的特定社区认识到地震和感染带来的高灾害影响,但对未来潜在灾害准备不足。通过确定高风险人群,需要有针对性的公共卫生干预措施,以便在以下方面帮助脆弱社区做好准备:应急食品供应、应急用水计划、家中医疗用品以及制定疏散计划。斯图尔特·M、格拉曼·B、菲尔莫尔·A、本森·L·S。秘鲁特鲁希略农村社区的灾害准备情况和风险认知。《院前灾难医学》。2017年;32(4):387 - 392。