Sarani Arezoo, Tavan Asghar, Aminizadeh Mohsen, Moradi Seyed Mobin, Bahaadinbeigy Kambiz, Farahmandnia Hojjat
Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
J Educ Health Promot. 2025 Feb 28;14:60. doi: 10.4103/jehp.jehp_1588_23. eCollection 2025.
Exposure to dust can disrupt healthcare services and severely affect all activity domains of the health system. This study aimed to present an overview of mitigation strategies taken in healthcare centers during dust storms. A systematic review was conducted in November 2022 according to the Preferred Reporting Items for Systematic Reviews and Meta Analyses (PRISMA) guidelines. The keywords "Desert Dust," "Sand Storm," "Yellow Dust," "Yellow Sand," "Dust Storm," "Haboob," "Saharan Dust," "Risk," "Risk Management," "Risk Assessment," "Risk Reduction," "Risk Governance," "Risk Evaluation," "Mitigate," "Mitigated," "Mitigates," "Mitigating," "Mitigation*," "Mitigative," "Mitigator*," and "Mitigation strategy" were used in combination with Boolean operators OR and AND. ISI Web of Science, PubMed, Scopus, Scientific Information Database, Islamic World Science Citation Center, Magiran, Cochrane, and Google Scholar search engine were searched. The study was performed based on the PRISMA guidelines. The quality of the articles was assessed using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. A total of 601 documents were extracted and 10 articles including one case-control study, one cross sectional study, and eight retrospective studies that investigated the mitigation strategies taken in healthcare centers when exposed to dust storms were selected for the final analysis. A review of the selected articles showed that the most important mitigation measures by healthcare centers include risk assessment, establishment and improvement of the early warning system, and inter sectoral coordination between private and public sectors. The findings showed that adopting effective strategies and measures to reduce vulnerability to dust storms can help health policymakers and planners contribute to promoting the resilience of healthcare centers so that they can continue providing their services and reduce the economic, social, health, and functional consequences in the affected community.
接触灰尘会扰乱医疗服务，并严重影响卫生系统的所有活动领域。本研究旨在概述沙尘暴期间医疗中心采取的缓解策略。2022年11月，根据系统评价和荟萃分析的首选报告项目（PRISMA）指南进行了一项系统评价。使用关键词“沙漠尘埃”“沙尘暴”“黄尘”“黄沙”“沙尘暴”“哈布风暴”“撒哈拉尘埃”“风险”“风险管理”“风险评估”“风险降低”“风险治理”“风险评估”“缓解”“减轻”“减轻措施”“减轻策略”，并结合布尔运算符“或”和“与”。检索了科学引文索引（ISI Web of Science）、医学期刊数据库（PubMed）、Scopus数据库、科学信息数据库、伊斯兰世界科学引文中心、Magiran数据库、考克兰系统评价数据库以及谷歌学术搜索引擎。该研究是根据PRISMA指南进行的。使用流行病学观察性研究报告强化（STROBE）清单评估文章质量。共提取了601份文献，最终分析选取了10篇文章，包括1篇病例对照研究、1篇横断面研究和8篇回顾性研究，这些研究调查了医疗中心在遭受沙尘暴时采取的缓解策略。对所选文章的综述表明，医疗中心最重要的缓解措施包括风险评估、建立和完善预警系统以及公私部门之间的部门间协调。研究结果表明，采取有效的策略和措施来降低对沙尘暴的脆弱性，有助于卫生政策制定者和规划者促进医疗中心的恢复力，使其能够继续提供服务，并减少受影响社区的经济、社会、健康和功能后果。
