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2018 年北海道胆振东部地震期间的紧急医疗团队响应:J-SPEED 数据分析。

Emergency Medical Team Response during the Hokkaido Eastern Iburi Earthquake 2018: J-SPEED Data Analysis.

机构信息

Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

World Health Organization Centre for Health Development (WHO Kobe Centre), Kobe, Japan.

出版信息

Prehosp Disaster Med. 2023 Jun;38(3):332-337. doi: 10.1017/S1049023X23000432. Epub 2023 Apr 19.

Abstract

INTRODUCTION

In the last ten years, Japan has experienced several large-scale earthquakes with devastating social and health impacts. Earthquakes directly and indirectly cause a variety of health problems. Further investigation is required to increase preparedness and preventive efforts. In response to the Hokkaido Eastern Iburi Earthquake on September 6, 2018, 32 Emergency Medical Teams (EMTs) employed the Japanese version of Surveillance in Post-Extreme Emergencies and Disasters (J-SPEED) as a national standard daily reporting template, gathering data on the number and type of health problems treated.

STUDY OBJECTIVE

The purpose of the study is to conduct a descriptive epidemiology study using the J-SPEED data to better understand the health problems during the earthquake disaster.

METHODS

Reported items in J-SPEED (Ver 1.0) form were analyzed by age, gender, and time to better understand the health issues that have arisen from the earthquake.

RESULTS

Most consultations (721; 97.6%) occurred between Day 1 and Day 13 of the 32-day EMT response. During the response period, disaster stress-related symptoms were the most common health event (15.2%), followed by wounds (14.5%) and skin diseases (7.0%).

CONCLUSION

The most often reported health event during the response period was stress-associated illnesses related to disasters, followed by wounds and skin conditions. The health consequences of natural disasters depend on diverse local environment and population. As a result, this initial study was hard to generalize; however, it is expected that data accumulated using the J-SPEED system in the future will strengthen and extend the conclusions.

摘要

简介

在过去的十年中,日本经历了几次具有破坏性社会和健康影响的大规模地震。地震直接和间接导致了各种健康问题。需要进一步调查,以增强准备和预防工作。针对 2018 年 9 月 6 日北海道东部胆振地震,32 支紧急医疗团队(EMT)采用日本版的极端紧急情况和灾害后监测(J-SPEED)作为国家标准的日常报告模板,收集治疗的健康问题的数量和类型的数据。

研究目的

本研究旨在使用 J-SPEED 数据进行描述性流行病学研究,以更好地了解地震灾害期间的健康问题。

方法

分析 J-SPEED(Ver 1.0)表格中报告的项目,按年龄、性别和时间进行分析,以更好地了解地震引发的健康问题。

结果

大多数咨询(721;97.6%)发生在 32 天 EMT 响应的第 1 天至第 13 天。在响应期间,与灾难相关的应激症状是最常见的健康事件(15.2%),其次是伤口(14.5%)和皮肤病(7.0%)。

结论

在响应期间报告的最常见健康事件是与灾害相关的应激相关疾病,其次是伤口和皮肤状况。自然灾害的健康后果取决于不同的当地环境和人口。因此,这项初步研究很难推广;然而,预计未来使用 J-SPEED 系统积累的数据将加强和扩展结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1508/10267720/07827d0855d5/S1049023X23000432_fig1.jpg

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