School of Public Health, Semnan University of Medical Sciences, Semnan, Islamic Republic of Iran.
Department of Disaster and Emergency Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
East Mediterr Health J. 2019 Mar 19;25(1):5-11. doi: 10.26719/2019.25.1.5.
Occupational chemical accidents have increased in recent years in the Islamic Republic of Iran. In June and August 2015, three large explosions occurred at chemical warehouses in Rey, Tehran Province, and toxic vapours were released.
This study reviewed the three chemical accidents and assessed the extent to which the requirements for chemical safety and preparedness for chemical incidents under the International Health Regulations (IHR) are in place, and implemented at local and national levels in the Islamic Republic of Iran.
Data were obtained from secondary data and field visits to selected chemical plants. The secondary data were used to complete a 33-item checklist based on the IHR and the Ministry of Health and Medical Education checklist. A sample of 15 warehouses in Kahrizak district, Rey County, were visited to assess their capacity in relation to the IHR using a 15-item checklist.
Some weaknesses were seen in the IHR capacity in the study area. The main weaknesses were lack of an effective surveillance system for chemical accidents and low levels of safety in chemical plants and warehouses. Other weaknesses included the lack of awareness of residents about chemical hazards and poorly equipped health centres for the management of victims of chemical accidents. The study area was not prepared for chemical accidents both within industrial plants and residential areas.
Action is needed to improve the areas of weakness so as to achieve the necessary capacities for chemical safety, and preparedness and response to chemical incidents in line with the IHR.
近年来,伊朗伊斯兰共和国的职业性化学事故有所增加。2015 年 6 月和 8 月,德黑兰省雷伊市的三个化学品仓库发生了三次大爆炸,释放出有毒蒸气。
本研究回顾了这三起化学事故,并评估了伊朗伊斯兰共和国在地方和国家各级执行《国际卫生条例(IHR)》规定的化学安全要求和化学事故准备情况的程度。
数据来自于对选定的化学工厂的二次数据和实地考察。利用二次数据,根据《国际卫生条例》和卫生部及教育部的清单,完成了一份包含 33 项内容的检查表。对雷伊县卡赫里扎克区的 15 个仓库进行了抽样调查,使用一份包含 15 项内容的检查表,评估其与《国际卫生条例》相关的能力。
在所研究的地区,《国际卫生条例》能力存在一些薄弱环节。主要的薄弱环节是缺乏对化学事故的有效监测系统,以及化学工厂和仓库的安全水平较低。其他薄弱环节包括居民对化学危害的认识不足,以及处理化学事故受害者的医疗中心设备简陋。该地区无论是在工业厂区还是居民区,都没有为化学事故做好准备。
需要采取行动,加强薄弱环节,以达到《国际卫生条例》所要求的必要的化学安全、事故准备和应对能力。