Haïti: tremblement de terre. Rapport de Situation nº 1 - 22 aout 2021 / Haiti: earthquake. Situation Report n ° 1 - August 22, 2021

Après qu'un puissant séisme de magnitude 7,2 et une dépression tropicale aient frappé Haïti les 14 et 17 août derniers, ne faisant qu'aggraver la misère et le dénuement causés par une intensification des déplacements liés aux gangs, une insécurité alimentaire chronique et des chocs climatiques récurrents, les besoins humanitaires augmentent rapidement, dépassant la vitesse à laquelle les autorités nationales et les partenaires humanitaires peuvent atteindre les populations touchées. Le passage de la dépression tropicale Grace n'a fait qu'aggraver les conditions sur le terrain après le tremblement de terre, en déversant des pluies extrêmement fortes dans les mêmes régions du sud du pays qui ont subi l'impact du tremblement de terre quelques jours plus tôt et en retardant le déploiement rapide des évaluations sectorielles et l'acheminement de l'aide humanitaire vitale. Alors que le département du Sud-Est a été largement épargné par les conséquences du séisme dévastateur, les pluies diluviennes de Grace ont déclenché des inondations dans le département qui ont touché des centaines de foyers, générant des besoins concurrents issus de crises qui se superposent. Au 21 août, le bilan s'élevait à 2 207 morts, 12 268 blessés et 344 disparus. Ces chiffres augmentent d'heure en heure, car les équipes de recherche et de sauvetage ont de plus en plus de mal à trouver des survivants. Alors que le nombre de personnes gravement blessées ne cesse d'augmenter, la capacité de réaction du système de santé, déjà limitée, est de plus en plus mise à l'épreuve. Beaucoup de celles et ceux qui ont eu la chance de s'en sortir vivants se retrouvent maintenant sans abri, sans accès à l'eau potable et à l'assainissement, et plus exposés aux violences et aux abus, y compris aux violences basées sur le genre (VBG), car l'environnement de protection reste précaire. Selon la Direction générale de la protection civile (DGPC), 650 000 personnes ont besoin d'une aide humanitaire d'urgence dans les trois départements les plus touchés (Sud, Grand'Anse et Nippes). L'agriculture et les moyens de subsistance qui y sont liés ont été durement frappés dans les zones sinistrées, ce qui risque d'aggraver la sécurité alimentaire dans un pays où 4,4 millions de personnes, soit près de 40 % de la population, souffraient déjà d'insécurité alimentaire aiguë. Certaines des zones les plus touchées, comme le département des Nippes, ont déjà été confrontées aux conséquences négatives des sécheresses cycliques et de l'érosion des sols ces dernières années, ce qui a probablement poussé de nombreuses personnes à recourir à des mécanismes d'adaptation négatifs, car elles n'ont pas la capacité de faire face à la dernière crise.

Haiti: earthquake situation. Report nº 2 - 26 August 2021

Nearly two weeks after a 7.2-magnitude earthquake rocked south-western Haiti, humanitarian assistance has begun reaching some of the hardest-to-reach areas, where the most vulnerable are still unable to meet their urgent need for food, basic sanitation and hygiene and life-saving health services. In some remote rural areas, response personnel and relief supplies have yet to reach those most in need. The compounded impacts of the earthquake and Tropical Depression Grace have greatly exacerbated pre-existing needs. The UN System in Haiti estimates 650,000 people are in need of emergency humanitarian assistance, a concerning figure considering that 634,000 people across the three most affected departments ­ Grand'Anse, Nippes and Sud ­ already needed multi-sectoral humanitarian assistance before the quake. As of the latest updates issued on 25 August, the Haitian Civil Protection General Directorate (DGPC) reported 2,207 deaths,12,268 injured and 320 missing. By 22 August, search-and-rescue crews had extracted 24 missing people from the rubble, including 4 children, who were airlifted to Camp-Perrin to receive emergency medical assistance. In the Sud Department, aftershocks continue almost two weeks after the initial quake on 14 August, creating widespread panic among the affected population. Some people whose homes are still standing in affected areas are choosing to sleep in the streets in fear that the structures may collapse at any moment.

Flash appeal Haiti - 2021

Le 14 août à 8h30, heure locale, un séisme de magnitude 7,2 a frappé la côte sud-ouest d'Haïti, causant des dommages à grande échelle dans toute la péninsule sud du pays. Le puissant séisme de 10 km de profondeur s'est produit à 13 km au sud-est de PetitTrou- de-Nippes, dans le département des Nippes, une région déjà dévastée par l'ouragan Matthew en 2016. Deux jours seulement après le séisme, la dépression tropicale Grace a déversé des pluies extrêmement fortes dans le sud d'Haïti, provoquant des inondations dans les mêmes zones touchées par le séisme.

Flash appeal summary: Haiti earthquake

Humanitarian needs are rapidly growing in the aftermath of the 7.2 magnitude earthquake that struck south-west Haiti on 14 August 2021, badly affecting the departments of Grand'Anse, Nippes and Sud. The earthquake's devastating impact, while considered less catastrophic than the 2010 earthquake that left more than 220,000 people dead and 1.5 million injured, was later compounded with heavy rains from tropical depression Grace on 17 August. Overall, official reports indicate more than 2,200 deaths and more than 12,000 people injured. The consecutive impacts damaged or destroyed more than 130,000 homes, rendering thousands homeless and in urgent need of assistance.

Flash appeal Haiti: earthquake - August 2021

On 14 August at 8:30 am local time, a 7.2 magnitude earthquake struck the south-western coast of Haiti causing large-scale damage across the country's southern peninsula. The powerful 10 km deep earthquake occurred 13km southeast of Petit-Troude-Nippes, in the department of Nippes, the same region devastated by Hurricane Matthew in 2016. Only two days after the quake, Tropical Depression Grace dumped extremely heavy rains in southern Haiti, causing flooding in the same quake-affected areas. Despite being much less catastrophic than the 2010 earthquake which left more than 220,000 people dead and 1.5 million injured, the impact of the 14 August earthquake has been devastating. According to the latest reports issued by the Haitian Civil Protection on 21 August, the death toll has now surpassed 2,200 with more than 12,200 people injured. Almost 53,000 homes have been destroyed and more than 77,000 have sustained damage. About 800,000 people have been affected and an estimated 650,000 people ­ 40 per cent of the 1.6 million people living in the affected departments ­ are in need of emergency humanitarian assistance. The back-to-back disasters are exacerbating preexisting vulnerabilities. At the time of the disaster, Haiti is still reeling from the 7 July assassination of President Jovenel Moïse and still facing an escalation in gang violence since June that has affected 1.5 million people, with at least 19,000 displaced in the metropolitan area of Port-au-Prince. The compounded effects of an ongoing political crisis, socio-economic challenges, food insecurity and gang violence continue to greatly worsen an already precarious humanitarian situation. Some 4.4 million people, or nearly 46 per cent of the population, face acute food insecurity, including 1.2 million who are in emergency levels (IPC 4) and 3.2 million people at crisis levels (IPC Phase 3). An estimated 217,000 children suffer from moderateto-severe acute malnutrition.

Haiti earthquake: situation report 4 - 23 August 2021

As a result of the 7.2 magnitude earthquake on August 14, 2021, according to Haiti's Civil Protection agency (DGPC), 2,207 people have died, 12,268 people were injured, and 320 are missing. In the most affected departments ­ Sud, Grand'Anse and Nippes ­ around 53,000 houses were destroyed and more than 77,000 damaged. Rapid assessments reported 59 health facilities affected in Grand'Anse, Nippes and Sud Departments: 27 severely damaged and 32 slightly damaged. In the affected departments, health sector evaluators are carrying out assessments to gather data on injured patients (hospitalizations, types of injuries and demographics) and the degree of damage to health facilities and needs. Logistics and security challenges continue limiting the delivery of supplies, deployment of personnel to affected areas and the transfer of patients to hospitals that are not overwhelmed. Health sector needs include: medical personnel, medicines, supplies and stock management, mental health and psychosocial support initiatives, implementation of preventive and control measures for communicable diseases, WASH operations in health facilities and shelters, rehabilitation of injured patients, among others

La educación antisísmica con estudiantes de medicina a través de un proyecto comunitario / Anti-seismic education of medical students through a community project

La prevención ante los desastres acaecidos por sismos constituye una problemática en determinadas regiones vulnerables en Cuba, y una prioridad en la formación de estudiantes de medicina. En este trabajo, las opiniones de los autores se fundamentan en la influencia que tiene un proyecto comunitario, para actuar ante situaciones sísmicas, en la preparación de los estudiantes de medicina, pues favorece una mayor calidad profesional y contribuye a enriquecer su labor preventiva con la población. Como parte del proceso, participaron 46 estudiantes de cuarto año de la Facultad de medicina No. 1, de Santiago de Cuba, en el período comprendido entre septiembre de 2016 a febrero de 2018(AU)

Prevention of earthquake disasters is a problem in certain vulnerable regions of Cuba, and a priority in the training of medical students. In this work, the authors' opinions are based on the influence that a community project has, to act in seismic situations, in the preparation of medical students, since it favours a higher professional quality and contributes to enriching their preventive work with population. As part of the process, 46 fourth-year students from the Faculty of Medicine No. 1, Santiago de Cuba, participated in the period from September 2016 to February 2018(AU)

Percepción de funcionarios sobre la gestión del Sistema de Salud de Chone, ante el terremoto de Pedernales / Perception of officials on the management of the Chone Health System, in the face of the Pedernales earthquake

INTRODUCCIÓN. En abril de 2016 ocurrió en la provincia de Manabí-Ecuador un terremoto de 7,6 grados, escala de Richter. Afectó la gestión de entidades de salud de dicha provincia. El país viene implementando políticas para alcanzar acceso universal de atención de salud, pero, el sistema mantiene debilidades en el modelo de atención primaria. OBJETIVO. Describir los efectos del terremoto en la gestión del sistema de salud en el Distrito de Chone, en base a las percepciones de los funcionarios de salud. MATERIALES Y MÉTODOS. Estudio cualitativo. Se describió el evento desde la perspectiva de 11 funcionarios seleccionados de diferentes niveles de gestión técnica en el sistema de salud, que laboraron durante el terremoto. Datos obtenidos por una encuesta semiestructurada sobre las tres funciones del sistema de salud: Rectoría, Provisión de Servicios y Financiamiento. RESULTADOS. El terremoto profundizó las debilidades que ya existían, afectó la ejecución de los programas de salud. La gestión del nivel central del Ministerio de Salud Pública sobrecargó el trabajo del personal local y la asignación de recursos fue insuficiente. DISCUSIÓN. A pesar que la evidencia demostró que una adecuada atención primaria con suficiente personal de salud, mejora la respuesta ante desastres, sin embargo, esto no se dio y los efectos negativos del desastre se mantienen años después. CONCLUSIÓN. Las deficiencias en la atención primaria de salud, así como insuficiente preparación para la gestión adecuada ante un desastre natural, influyeron en la calidad de la respuesta del sistema de salud.

INTRODUCTION. In april 2016, an earthquake of 7.6 degrees, on the Richter scale, occurred in the province of Manabí-Ecuador. It affected the management of health entities in said province. The country has been implementing policies to achieve universal access to health care, but the system maintains weaknesses in the primary care model. OBJECTIVE. Describe the effects of the earthquake on the management of the health system in the Chone District, based on the perceptions of health officials. MATERIALS AND METHODS. Qualitative study. The event was described from the perspective of 11 officials selected from different levels of technical management in the health system, who worked during the earthquake. Data obtained by a semi-structured survey on the three functions of the health system: Stewardship, Provision of Services and Financing. RESULTS. The earthquake deepened the weaknesses that already existed, affected the execution of health programs. Management at the central level of the Ministry of Public Health overloaded the work of local staff and the allocation of resources was insufficient. DISCUSSION. Although the evidence showed that adequate primary care with sufficient health personnel improves the response to disasters, however, this did not occur and the negative effects of the disaster continue years later. CONCLUSION. Deficiencies in primary health care, as well as insufficient preparation to properly manage a natural disaster, influenced the quality of the health system response.

Género, desastres y mortalidad: Sismo en Ciudad de México, 19/septiembre/2017 / Gender, disasters and mortality: Earthquake in Mexico City, September 19th, 2017

Resumen El objetivo de este trabajo fue explicar por qué murieron más mujeres en el sismo del 19 de septiembre de 2017 en la Ciudad de México. La metodología fue mixta, cuantitativa con datos epidemiológicos y estadísticos, y cualitativa con una revisión hemerográfica sobre la influencia del género en la mortalidad derivada de los sismos. Los resultados indican para la parte cuantitativa que la diferencia en las defunciones entre las mujeres respecto de las presentadas entre los hombres no puede atribuirse ni a cuestiones de distribución poblacional ni al azar. Los resultados indican para la parte cualitativa que hay muchos datos que indican que el género es un determinante social importante para explicar por qué es más frecuente que mueran más mujeres que hombres tras un sismo. Se recomienda entonces que deben considerarse estos datos de manera responsable para mejorar las acciones de prevención y de intervención a futuro.

Abstract This paper aimed to explain why more women died in the earthquake of September 19, 2017, in Mexico City. We adopted a mixed quantitative-qualitative method, with epidemiological and statistical data and a hemerographic review about the influence of gender on earthquake-derived mortality. In the quantitative part, the results show that the difference in deaths among women compared to those among men cannot be attributed to population distribution or randomization issues. In the qualitative part, the results show that many data are evidencing that gender is an essential social determinant that can explain why more women die than men after an earthquake. Therefore, we recommend that these data be considered responsibly to improve future prevention and intervention actions.

El terremoto de 1746 y su impacto en la salud en la ciudad de Lima / The earthquake of 1746 and its impact on health in the city of Lima

RESUMEN Durante el siglo XVIII la ciudad de Lima fue afectada por una serie de desastres de origen natural y de epidemias que mermaron tanto la población como la producción agrícola. A continuación, analizaremos el caso del terremoto producido en Lima el 28 de octubre de 1746 y su impacto en el sistema de salud de la ciudad. Dada la magnitud de su destrucción en la infraestructura y el alto número de muertes, marcó un hito en la sociedad limeña de la época.

ABSTRACT During the 18th century, the city of Lima was affected by a series of natural disasters and epidemics that depleted both the population and agricultural production. Next, we will analyze the case of the earth quake in Lima on October 28, 1746 and its impact on the city's health system, given the magnitude of the destruction of infrastructure and the high number of deaths it marked a milestone in Lima's society at the time.

Fukushima: lecciones japonesas para la Salud Pública colombiana. Reporte de caso / Fukushima: japanese lessons to colombian Public Health

Resumen Introducción: Durante el 21o. Congreso Mundial de Epidemiología, organizado por la Asociación Internacional de Epidemiología (IEA) en Saitama-Japón en agosto de 2017, se aceptó invitación de los organizadores para visitar la Planta Nuclear # 1 de Fukushima. Objetivo: Explorar la situación operacional y de salud pública en el área de la prefectura de Fukushima y su planta nuclear #1, sitio afectado por el terremoto y tsunami de 2011. Métodos: Salida de inspección de campo (Inspection Tour) y encuentro con representantes de TEPCO (Tokyo Energy Power Company) en área de control; explicación didáctica de antecedentes y situación actual zonal, e instrucciones (briefing) para acceso. Visita con explicación de zonas de atención de salud y trabajos realizados. Recorrido en autobús especialmente adaptado al perímetro de cada reactor, portando dosímetro individual. Reunión final para resolución de dudas e inquietudes y lecciones del caso. Resultados: Visita y reuniones ejecutadas; exposición personal = 0,01 mSv/h. Radiación por zonas de reactor: central=230 mSv/h; paredes=40 mSv/h; planta=0,26 mSv/h, periferia=0,26 mSv/h. Zona de exclusión=20 km. Políticas de salubridad basadas en limpieza y remoción de fuentes de contaminación; aislamiento de aguas y bombeo de fuentes subterráneas; prevención y contención de escapes. Conclusión: La prevención lo es todo en asuntos industriales, sean nucleares o no; la colaboración interpersonal e interagencias es esencial en el manejo a muy largo plazo de desastres similares; debe evitarse incorporar técnicas o tecnologías industriales desconocidas o foráneas sin antes valorar su costo, alcance y posibles riesgos de salud individual, pública o medio-ambiental.

Abstract Introduction. During the 21st. International Epidemiology Association (IEA) World Congress of Epidemiology at Saitama (Japan), celebrated in August 2017, an invitation from its organizers to visit Fukushima Nuclear Plant # 1 was accepted. Objective: To explore operational and public health situation at the area of the Fukushima Prefecture and its nuclear plant #1, place affected by the 2011 earthquake and tsunami. Methods. Inspection tour and appointment with representatives of TEPCO (Tokyo Energy Power Company) at the control area; explanation on background and actual situation, and briefing before access. Guided visit to areas dedicated to healthcare and workers' attention, and work done. Tour by specially adapted autobus to the perimeter of each reactor, using individual dosimeter. Final meeting to solve questions and lessons of this case. Results. Visit and meetings were executed; individual exposure = 0,01 mSv. Radioactivity by reactor zones: central (inside) =230 mSv/h; walls =40 mSv/h; plant =0,26 mSv/h, perimeter =0,26 mSv/h. Exclusion zone =20 km. Public Health policies in place based upon cleansing and removal of sources of contamination; water isolation and subterranean sources pumping; prevention and containment of leaks. Conclusion. About industrial issues, prevention is everything, whether they be nuclear or not; interpersonal / interagencies' cooperation is paramount when dealing with similar disasters at a very long term; unknown or poorly understood industrial techniques or technologies should be avoided before a proper evaluation of their risk/benefit balance, scope and possible health risks to subjects, communities or environment.

Voluntariado, millenials y estrés postraumático. Terremoto en la ciudad de México / Volunteering, Millennials and Post-traumatic Stress. Mexico City Earthquake

El sismo ocurrido el 19 de septiembre del presente año en la ciudad de México, a 32 años del ocurrido en la misma fecha y en el mismo lugar, ha motivado una respuesta intensa de voluntariado en la generación llamada millenials; las redes sociales invitaron a participar y localizar las áreas geográ ficas más necesitadas de apoyo de brigadistas e insumos, y el poder de convocatoria y el espíritu de solidaridad fue ejemplar, incluso rebasando el número solicitado para dichas actividades. Analizando este fenómeno, es de considerar la respuesta a la siguiente pregunta: ¿la generación millenial es la más prepa rada para afrontar un desastre de esta magnitud?

The earthquake that occurred on September 19 of this year in Mexico City, 32 years after that occurred on the same date and in the same place, has motivated an intense volunteer response in the generation called millennials; Social networks invited people to participate and locate the geographic areas most in need of support from brigades and supplies, and the convening power and spirit of solidarity was exemplary, even exceeding the number requested for such activities. Analyzing this phenomenon, it is necessary to consider the answer to the following question: is the millennial generation the most prepared to face a disaster of this magnitude?

La prensa y la participación social frente a los desastres: desde el sismo de Oaxaca de 1787 al sismo de Tehuantepec de 2017 / A Imprensa E A Participação Social Diante Dos Desastres: Do Terremoto De Oaxaca De 1787 Ao Terremoto De Tehuantepec Em 2017 / The Press And Social Participation In The Face Of Disasters: From The Oaxaca Earthquake Of 1787 To The Tehuantepec Earthquake Of 2017

A través de su historia, México se ha caracterizado por ser un país vulnerable a la ocurrencia de diversos eventos de origen meteorológico y geofísico debido a su ubicación geográfica.

The press and social participation in the face of disasters: from the Oaxaca earthquake of 1787 to the Tehuantepec earthquake of 2017.

A imprensa e a participação social diante dos desastres: do terremoto de Oaxaca de 1787 ao terremoto de Tehuantepec em 2017.

Towards a safer Bajhang

The pages that follow present an earthquake scenario for the district of Bajhang, Nepal. It tells the story of three people, and what happens to them and their families during a plausible but hypothetical earthquake. This is not a prediction. This story, and the study upon which it is based, are intended as an example of what may happen if a major earthquake strikes Bajhang in the near future. Bajhang will always face a risk of earthquakes. The Main Himalayan Thrust fault, which underlies much of Nepal, is the source for potentially very damaging earthquakes. The last very large earthquake in this region occurred in BS 1562 / 1505 AD. 1 Another earthquake could occur any time, because strain has been increasing on the fault ever since. This scenario shows the consequences of such an event, and the knowledge can be used to plan for safer outcomes. The story incorporates insights from professionals around the world who study earthquake effects, research on historic earthquakes, and documented experiences from the 2015 Gorkha earthquake. The consequences are based on standard methods that engineers and scientists use to estimate the shaking, damage and human impact a given earthquake may cause. The scenario earthquake strikes on a weekday in May at 1:35 PM. Across the district, adults are working, and children are on recess at school. Measuring magnitude 7.8, the earthquake originates approximately 100 kilometers northwest of Jayaprithivi on the Main Himalayan Thrust fault. It is not the worst earthquake that could happen, but it causes serious losses and suffering. Shaking throughout Bajhang and most of Sudurpashchim Pradesh is very strong, causing the consequences explained in this narrative: casualties, damaged buildings, landslides, fire, isolation, loss of power and water, and economic hardship.

Stress induced cardiomyopathy due to a Mexican earthquake / Cardiomiopatía por estrés inducida por el terremoto en México

Abstract Takotsubo Cardiomyopathy mainly occurs in postmenopausal women, with or with- out cardiovascular disease, and is commonly associated with emotional or physical stress. After nearly 27 years of extensive efforts towards a better understanding of this disorder, current knowledge remains limited. Many people suffer post-traumatic stress, and this situation can be associated to stress cardiomyopathy. The case is presented of a female who suffers stress asso- ciated with the earthquake of 19 September 2017 in Mexico City, and arrived in the Emergency Department in cardiogenic shock.

Resumen La miocardiopatía de Takotsubo ocurre principalmente en mujeres posmenopáusicas con o sin enfermedad cardiovascular, y se asocia comúnmente con estrés emocional o físico. Después de casi 27 an˜os de esfuerzos extensos para una mejor comprensión de este trastorno, el conocimiento actual sigue siendo limitado. Muchas personas sufren estrés postraumático y esta situación puede estar asociada a la cardiomiopatía por estrés. Presentamos el caso clínico de una mujer que sufrió estrés relacionado con el pasado terremoto del 19 de septiembre en la Ciudad de México y llegó al servicio de urgencias en choque cardiogénico.

O sismo de 1755: a atuação do enfermeiro na assistência aos feridos de Lisboa / The 1755 Lisbon earthquake: the work of nurses in the care provided to the wounded

Este estudo teve por objetivo analisar o cuidado prestado por enfermeiros aos feridos e enfermos do terramoto de 1755, em Lisboa. Realizou-se uma pesquisa documental das fontes primárias identifi cadas, utilizaram-se as Portarias do Governo sobre o tratamento dos feridos, a assistência aos enfermos e a sua situação após o terramoto. Foi ainda analisado o livro das Enfermarias das Portas de Santo Antão, da Casa dos Almadas no Rossio e em São Bento da Saúde, após o terramoto, em 1755. A análise destes documentos permitiu desvelar várias dimensões da assistência pós-terramoto, nomeadamente no que respeitou à admissão e registo das entradas nas enfermarias provisórias. Conclui-se que houve enfermeiros religiosos e leigos do Hospital Real de Todos os Santos envolvidos na assistência a feridos e enfermos, com a clara indicação de que esses enfermeiros eram treinados

Developing messages for protective actions to take during earthquake shaking

This document provides guidance on developing messages about what people should do during earthquake shaking to protect themselves from injury or death. The document refers to this behavior as protective action. The guidance is not designed to advocate one protective action over another. Rather, it describes a process to use and key considerations for creating effective protective actions messages that serve different contexts. This document focuses on actions to take during an earthquake, because information on what to do before and after is available elsewhere and generally better agreed upon. In contrast, messaging agencies around the world advocate a variety of different protective actions. Messages for what to do during earthquake shaking form one part of a broader earthquake safety messaging campaign, as Figure 1 shows. Protective actions messages must complement mitigation and preparedness efforts that will make people much safer from earthquakes in the long term. This document is the result of the project "Guidance on Developing Messages for Protective Actions to Take during Earthquake Shaking" funded by USAID/OFDA. There is no single perfect protective action message, for any nation, or for any jurisdiction. Jurisdictions have different customs, beliefs, buildings, geology, and capacities, and therefore different messaging needs. It is absolutely essential that people understand their specific circumstances and situations and make decisions based on that understanding.

Implementation workbook: developing messages for protective actions to take during earthquake shaking

GeoHazards International (GHI) prepared the tools in this workbook as part of a USAID Office of Foreign Disaster Assistance (OFDA)­funded project to implement protective actions guidance developed in an earlier USAID/OFDA project. The implementation project took place in Anse­a­Veau, Nippes Department, Haiti. The Government of Haiti selected this location because the south peninsula region had not had prior earthquake safety programs, and an ongoing earthquake swarm was causing great concern among local residents. Earlier versions of the worksheets in this document were used in the Anse­a­Veau implementation, and subsequently revised based on that experience. The examples in this workbook were prepared based on the Anse­a­Veau implementation.

Experiencia de un equipo médico de emergencia del IMSS durante el sismo en México en setiembre de 2017 / The experience of a medical emergency team belonging to the Mexican Social Security Institute during the earthquake in Mexico in September 2017 / Experiência de uma equipe médica de emergência do IMSS no terremoto do México em setembro de 2017

RESUMEN El objetivo de este trabajo es describir las acciones desarrolladas por el equipo médico de emergencia (EMT por sus siglas en inglés) del Instituto Mexicano del Seguro Social (IMSS) durante la emergencia derivada del sismo del 7 de setiembre de 2017, el cual tuvo una magnitud de 8,2 grados con epicentro a 133 km al suroeste de Pijijiapan, Chiapas, México. Una vez realizada la evaluación inicial intersectorial de la emergencia, se activó el sector salud. Dentro de esta respuesta, y una vez determinado un número elevado de lesionados y un riesgo alto para la salud pública de la población afectada, el IMSS desplegó en la región un EMT capacitado y entrenado para apoyar en la respuesta de atención médica y quirúrgica de lesionados. Las acciones del EMT, conformado por especialistas en urgencias médico-quirúrgicas y desastres, incluyeron la atención médica de 252 pacientes, la gestión del traslado de 57 pacientes y la colaboración en la habilitación de un hospital provisorio. Para mejorar la respuesta en situaciones de desastres, se requiere seguir el proceso de integración, registro y capacitación de los EMT a nivel nacional e internacional.(AU)

ABSTRACT The objective of this article is to describe the actions undertaken by the emergency medical team (EMT) of the Mexican Social Security Institute (MSSI) during the emergency caused by the earthquake of September 7, 2017 (magnitude 8.2; epicenter 133 km southwest of Pijijiapan, Chiapas, Mexico). After the initial intersectoral assessment of the emergency had been conducted, the health sector stepped in. As part of this response effort, and once it was determined that a large number of people had been injured and that the health risks facing the affected population were substantial, the MSSI deployed an EMT equipped and trained to provide support in the medical and surgical treatment of injured people. The actions of the EMT, composed of specialists in medical and surgical emergencies and disaster situations, included providing medical care to 252 patients, managing the transfer of 57 patients, and helping to set up an emergency hospital. To improve response efforts during disaster situations, it is necessary to follow the process of forming, registering, and training EMTs at the national and international levels.(AU)

RESUMO O propósito deste artigo é descrever as ações empreendidas pela equipe médica de emergência (EMT) do Instituto Mexicano de Seguro Social (IMSS, instituição pública que presta serviços de saúde) na crise de emergência causada pelo terremoto de 7 de setembro de 2017, com magnitude de 8,2 graus e epicentro a 133 km a sudoeste de Pijijiapan, Chiapas, México. Após a avaliação intersetorial inicial de emergência, o setor da saúde foi ativado. Como parte da resposta, diante do elevado número de feridos e alto risco para a saúde pública da população afetada, o IMSS mobilizou uma EMT na região, capacitada e treinada para dar apoio à resposta de atendimento médica e cirúrgica das vítimas. A EMT, formada por especialistas em emergências médico-cirúrgicas e desastres, prestou atendimento médico a 252 pacientes, coordenou a transferência de 57 pacientes e também colaborou na preparação de um hospital provisório. A fim de melhorar a resposta a desastres, é necessário prosseguir com o processo de integração, cadastramento e capacitação das EMT ao nível nacional e internacional.(AU)