Obeagu Emmanuel Ifeanyi
Department of Biomedical and Laboratory Science, Africa University, MUutare, Zimbabwe.
Ann Med Surg (Lond). 2025 Jun 12;87(9):5588-5597. doi: 10.1097/MS9.0000000000003475. eCollection 2025 Sep.
Cyclone disasters pose significant health challenges, including severe hematological emergencies resulting from trauma, infections, and systemic inflammatory responses. Injuries sustained during cyclones can lead to trauma-induced coagulopathy, acute anemia, and disseminated intravascular coagulation (DIC), requiring immediate intervention. Additionally, post-disaster conditions such as malnutrition, dehydration, and poor sanitation contribute to increased susceptibility to infections, further exacerbating blood-related disorders. Hematologists play a vital role in diagnosing and managing these complications through rapid hematological assessments, transfusion support, and coagulation monitoring. Disaster preparedness is crucial in mitigating the impact of cyclone-induced hematological disorders. Ensuring an adequate blood supply, establishing emergency transfusion protocols, and collaborating with disaster response teams are essential pre-disaster strategies. Post-cyclone responses require hematologists to triage affected individuals, manage thromboembolic risks, and monitor sepsis-related hematological dysfunctions. Long-term rehabilitation efforts should focus on nutritional support, anemia management, and continuous surveillance of blood disorders in displaced populations to prevent chronic hematological complications.
气旋灾害带来了重大的健康挑战，包括由创伤、感染和全身炎症反应导致的严重血液学紧急情况。气旋期间遭受的损伤可导致创伤性凝血病、急性贫血和弥散性血管内凝血（DIC），需要立即进行干预。此外，诸如营养不良、脱水和卫生条件差等灾后状况会增加感染易感性，进一步加重血液相关疾病。血液科医生通过快速血液学评估、输血支持和凝血监测，在诊断和处理这些并发症方面发挥着至关重要的作用。灾害准备对于减轻气旋引发的血液学疾病的影响至关重要。确保充足的血液供应、制定紧急输血方案以及与灾害应对团队合作是重要的灾前策略。气旋过后的应对措施要求血液科医生对受影响个体进行分诊、管理血栓栓塞风险以及监测脓毒症相关的血液学功能障碍。长期康复工作应侧重于营养支持、贫血管理以及对流离失所人群的血液疾病进行持续监测，以预防慢性血液学并发症。
