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基于《2015-2030年仙台减少灾害风险框架》首要行动重点的伊朗国家健康导向型危害评估

National Health-Oriented Hazard Assessment in Iran Based on the First Priority for Action in Sendai Framework for Disaster Risk Reduction 2015-2030.

作者信息

Khankeh Hamidreza, Akbari Shahrestanaki Yousof, Bahrampouri Saiedeh, Beyramijam Mehdi

机构信息

Health in Emergency and Disaster Research Center, The University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.

出版信息

Emerg Med Int. 2021 Sep 28;2021:5593223. doi: 10.1155/2021/5593223. eCollection 2021.

Abstract

BACKGROUND

Understanding disaster risk is the first priority for action based on the Sendai Framework for Disaster Risk Reduction 2015-2030 (SFDRR), and hazard assessment is the first step in the assessment of disaster risks. Therefore, assessing health-oriented hazards is the first measure in disaster risk assessment in the medical universities area in Iran. This article introduces a national experience and results obtained from designing a national tool for defining and assessment of health-oriented hazards in Iran.

METHODS

In the present study, a National Health-Oriented Hazard Assessment tool (NHHAT) was developed by experts and implemented by the Iranian Ministry of Health for gathering data according to frequency, probability, magnitude, and vulnerability of the hazards to identify the first ten hazards of medical universities in the two decades ago (2000-2021). Finally, the top 20 health-oriented hazards were identified among the ten hazards reported by each university.

RESULTS

According to the findings, the four most important hazards were road traffic accidents, earthquakes, drought, and seasonal floods. Nevertheless, the hazards such as desertification, tunnel events, soil liquefaction, mass population movement, and sea progression were among the rarest ones reported in the medical universities in Iran.

CONCLUSION

Many functional aspects of disaster risk management depend on the realistic and accurate information related to the main elements of risk, especially the probable hazards in the communities. The comprehensive hazard assessment can only provide such information using context-bond tools. This is an applied study and a national implementation to fulfill the priority of the Sendai framework (i.e., understanding disasters risk) in Iran. It is suggested that other countries should also compile standard tools to explore the hazards for designing up-to-date hazard maps.

摘要

背景

了解灾害风险是基于《2015-2030年仙台减少灾害风险框架》(SFDRR)采取行动的首要任务,而灾害评估是灾害风险评估的第一步。因此,评估以健康为导向的灾害是伊朗医科大学地区灾害风险评估的首要措施。本文介绍了在伊朗设计一种用于定义和评估以健康为导向的灾害的国家工具所获得的国家经验和成果。

方法

在本研究中,专家们开发了一种国家健康导向灾害评估工具(NHHAT),并由伊朗卫生部实施,以根据灾害的频率、概率、规模和脆弱性收集数据,从而确定二十年前(2000-2021年)医科大学的前十位灾害。最后,在各大学报告的十种灾害中确定了前20种以健康为导向的灾害。

结果

根据研究结果,四个最重要的灾害是道路交通事故、地震、干旱和季节性洪水。然而,荒漠化、隧道事件、土壤液化、大规模人口流动和海水入侵等灾害是伊朗医科大学报告中最罕见的灾害之一。

结论

灾害风险管理的许多功能方面取决于与风险主要要素相关的现实和准确信息,特别是社区中可能发生的灾害。全面的灾害评估只能使用与背景相关的工具来提供此类信息。这是一项应用研究,也是在伊朗实施的一项国家行动,以实现仙台框架的优先事项(即了解灾害风险)。建议其他国家也应编制标准工具,以探索灾害,从而绘制最新的灾害地图。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/508b/8494568/7e63638a23af/EMI2021-5593223.001.jpg

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