Twin earthquakes in northwest Iran

ArticleinThe Lancet 380(9851):1384 · October 2012with14 Reads
Impact Factor: 45.22 · DOI: 10.1016/S0140-6736(12)61798-X · Source: PubMed
Abstract

overwhelmed by patients with non-urgent requirements. Two existing hospitals were greatly damaged by the earthquakes, highlighting the fact that health centres should be designed on the basis of safety guidelines for earthquakes. The initial shock has abated, but precautionary measures still need to be taken and reformed for the future. The concerns that should be addressed include rehabilitation and follow-up of the youngest and oldest victims, prevention of infectious disease epidemics, and further training of medical staff to overcome challenges they might encounter in similar situations. We declare that we have no confl icts of interest.

Full-text

Available from: Kamyar Ghabili, Jan 24, 2015
Correspondence
1384
www.thelancet.com Vol 380 October 20, 2012
5 WHO. The world health report 2008: primary
healthcare, now more than ever. Geneva:
World Health Organization, 2008.
3 Shah PS, Zao J, Al-Wassia H, Shah V, on behalf of
Knowledge Synthesis Group on Determinants
of Preterm/LBW Births. Pregnancy and
neonatal outcomes of aboriginal women:
a systematic review and meta-analysis.
Women’s Health Issues 2011; 21: 28–39.
4 Luo ZC, Wilkins R, Heaman M, et al.
Neighbourhood socioeconomic characteristics,
birth outcomes and infant mortality among First
Nations and non-First Nations in Manitoba,
Canada. Open J Women’s Health 2010; 4: 55–61.
5 Luo ZC, Senécal S, Simonet F, Guimond E,
Penney C, Wilkins R. Birth outcomes in the
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overwhelmed by patients with non-
urgent requirements. Two existing
hospitals were greatly damaged by
the earthquakes, highlighting the fact
that health centres should be designed
on the basis of safety guidelines for
earthquakes.
The initial shock has abated, but
precautionary measures still need
to be taken and reformed for the
future. The concerns that should be
addressed include rehabilitation and
follow-up of the youngest and oldest
victims, prevention of infectious
disease epidemics, and further
training of medical staff to overcome
challenges they might encounter in
similar situations.
We declare that we have no confl icts of interest.
Samad E J Golzari, *Kamyar Ghabili
kghabili@gmail.com
Medical Philosophy and History Research Center,
Tabriz University of Medical Sciences, Tabriz, Iran
(SEJG); and Physical Medicine and Rehabilitation
Research Center, Tabriz University of Medical
Sciences, Tabriz, Iran (KG)
Aboriginal infant
mortality rate in Canada
Paul Webster (June 9, p 2137)
1
reports
that “For Aboriginal people as a whole,
infant mortality is almost 20% higher
than among inhabitants in the rest
of Canada”. This gure is substantially
lower than the disparities between
Aboriginal and non-Aboriginal infant
mortality in Canada that have been
cited in recent reviews.
2,3
Inconsistent or absent identifi cation
of Aboriginal people in Canadian
health information systems precludes
the calculation of pan-Canadian
Aboriginal infant mortality rates.
However, peer-reviewed studies have
revealed infant mortality rates that
are 190% higher for First Nations
compared with non-First-Nations
4
and 360% higher for Inuit-inhabited
areas compared with non-Inuit-
inhabited areas.
5
Within the context of the massive
federal funding cuts to Aboriginal
health programming and advocacy
described in Webster’s report, it is of
particular importance to continue to
highlight this severe inequity in infant
mortality rate—which is quite shocking
given Canada’s relative affl uence.
I am supported by a Canadian Institutes of Health
Research New Investigator Award in Knowledge
Translation. I declare that I have no confl icts of
interest.
Janet Smylie
janet.smylie@utoronto.ca
Centre for Research on Inner City Health,
St Michael’s Hospital and Dalla Lana School of Public
Health, University of Toronto, Toronto, ON
M5B 1W8, Canada
1 Webster PC. Canada curbs Aboriginal health
leadership. Lancet 2012; 379: 2137.
2 Smylie J, Fell D, Ohlsson A, and the Joint
Working Group on First Nations, Indian, Inuit,
and Métis Infant Mortality of the Canadian
Perinatal Surveillance System. A review of
Aboriginal infant mortality rates in Canada—
striking and persistent Aboriginal/non-
Aboriginal Inequities. Can J Public Health 2010;
101: 143–48.
Twin earthquakes in
northwest Iran
At 1653 h and 1704 h on Aug 11, East
Azerbaijan Province in Iran was hit by
twin earthquakes measuring 6·3 and
6·4, respectively, on the Richter scale.
300 people died and thousands were
injured, mostly in rural areas. However,
these casualty fi gures are low compared
with the last major earthquakes in Iran,
perhaps because the incident happened
in the middle of the day when men
were working their fi elds. Nevertheless,
the earthquake’s magnitude was so
intense that 20 villages were entirely
attened, and more than 100 villages
were 70–90% ruined.
The offi cial disaster mitigation
committee assembled soon after the
incident to decide the immediate
measures to take. Preformed rescue
teams were called to the aff ected areas
to search for victims trapped under
the rubble. Abundant emergency
shelters and basic needs (water and
food) were provided for the survivors
by both governmental organisations
and ordinary people rushing from
all over the country. Triage teams
consisting of experienced medical
staff were established in the area.
They transferred around 1000 severely
injured people to the previously
evacuated referral hospitals in Tabriz,
the capital of East Azerbaijan Province.
Overall, three eld hospitals were
established within the fi rst day after the
event, providing primary-care services
for the victims, thus preventing
the referral hospitals from being
Physical activity for
people with disabilities
One of the main factors that
James Rimmer and Alexandre Marques
do not consider in their Comment
on physical activity for people with
disabilities (July 21, p 193)
1
is the fact
that many physiotherapists, general
practitioners, and sport trainers are not
prepared to advise on physical activity
in individuals with comorbidities
unless they have a doctor’s letter
to indicate what is safe for them
to undertake. Cardiac disease is an
exception, much work having been
done by the British Heart Foundation.
This is one of the reasons why, in
the UK, a decision was made a few
years ago that the discipline of sports
medicine should be replaced by sport
and exercise medicine.
When the intercollegiate Faculty
of Sport and Exercise Medicine was
established in 2006, one of our main
aims was to train future consultants in
Page 1
    • "Infectious Threats After Iran's Bushehr Earthquake TO THE EDITOR—While the country had yet to fully recover from the devastating twin earthquakes in 20121234, Kaki (in Bushehr province, Iran) was jolted by a 6.1-magnitude earthquake on 9 April 2013, leaving 37 people dead and more than a thousand injured. Within few hours from the incident, immediate rescue measures were taken and the survivors were temporarily sheltered. "
    Full-text · Article · May 2013 · Clinical Infectious Diseases
    0Comments 2Citations
    • "As capnography is in close relation with cardiac output and a minimum of 30% of the normal cardiac output is required to maintain the activity of vital organs including the heart and brain, ETCO 2 should be about 30% or 10-15 mmHg in each chest compression [9]. This is of great importance in emergency situations and natural disasters (earth quake, flood and etc.) in which physicians are overwhelmed by the magnitude of the event and the number of the ones in need of medical care [10]. "
    Full-text · Dataset · Dec 2012
    0Comments 0Citations
    • "As capnography is in close relation with cardiac output and a minimum of 30% of the normal cardiac output is required to maintain the activity of vital organs including the heart and brain, ETCO 2 should be about 30% or 10-15 mmHg in each chest compression [9]. This is of great importance in emergency situations and natural disasters (earth quake, flood and etc.) in which physicians are overwhelmed by the magnitude of the event and the number of the ones in need of medical care [10]. "
    Full-text · Article · Jan 2012
    0Comments 17Citations
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