Unit for Research in Emergency and Disaster, Department of Medicine, University of Oviedo, Oviedo, Spain.
Health Service of the Principality of Asturias (SAMU-Asturias), Oviedo, Spain.
Prehosp Disaster Med. 2023 Apr;38(2):264-269. doi: 10.1017/S1049023X23000225. Epub 2023 Mar 13.
The aim of this study was to establish the frequency and profile of disasters and to analyze trends in disasters and their impact on Spanish public health.
Retrospective observational study of disasters that occurred in Spain from 1950 through 2020 was conducted. The variables studied for each episode were number of people affected, number of injured/sick, and number of deaths. Absolute and relative frequencies, population rates, mean, median, standard error of the mean (SEM), and 95% confidence intervals (CI) were used, and trend analysis was performed using exponential smoothing and linear regression.
A total of 491 disasters were identified in Spain. Of these, 255 (51.9%) were natural disasters, 224 (45.7%) technological disasters, and 12 (2.4%) man-made disasters. The average number of disasters per year was 7.01 (95% CI, 5.99-9.34). These disasters affected a total of 820,489 people, with an average of 3,491 people (SEM = 2.18) per episode. There was a significant increase (P <.001) in the total frequency of disasters in Spain during the period studied.
Spain has a disaster profile of mixed type, combining natural with technological disasters. From 1950 through 2020, there was a significant increase in the number of disasters, with an overall profile similar to that of Europe, with climatological disasters being the most frequent type.
本研究旨在确定灾害的频率和类型,并分析灾害趋势及其对西班牙公共卫生的影响。
对 1950 年至 2020 年期间在西班牙发生的灾害进行回顾性观察研究。对每个事件研究的变量为受影响人数、受伤/患病人数和死亡人数。使用绝对和相对频率、人口率、平均值、中位数、平均值的标准误差(SEM)和 95%置信区间(CI),并使用指数平滑和线性回归进行趋势分析。
共确定了西班牙 491 起灾害。其中,255 起(51.9%)为自然灾害,224 起(45.7%)为技术灾害,12 起(2.4%)为人为灾害。平均每年发生灾害 7.01 次(95%CI,5.99-9.34)。这些灾害共影响了 820489 人,平均每次灾害影响 3491 人(SEM=2.18)。在所研究期间,西班牙灾害的总频率显著增加(P<.001)。
西班牙的灾害类型为混合类型,既有自然灾害,也有技术灾害。从 1950 年到 2020 年,灾害数量显著增加,整体情况与欧洲相似,以气候灾害最为常见。