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1.
Sci Total Environ ; 859(Pt 1): 160110, 2023 Feb 10.
Article in English | MEDLINE | ID: mdl-36370780

ABSTRACT

On December 15th 1952, at approximately 14:00 local time a mass of 5.9 × 106 m3 of permafrozen talus deposits failed in a landslide close to the Niiortuut mountain on the south coast of the Nuussuaq peninsula, central West Greenland. Between 1.8 and 4.5 × 106 m3 of the material entered the sea and generated a tsunami that propagated through the Vaigat strait (Sullorsuaq). Here we describe this catastrophic event for the first time by analysis of historical material supplemented by recent fieldwork and discuss the implications for the state of contemporary permafrozen slopes. The tsunami killed a fisherman working on the shore of southern Nuussuaq, 10 km south-east of the landslide. In the mining town of Qullissat, 30 km south of the landslide, it had a runup height of 2.2-2.7 m and caused minor material damage. Morphological evidence show that the basal surface of rupture was 80 m inside the permafrost cemented talus slope, whose degradation was a dynamic conditioning factor for the landslide. The 1952 Niiortuut landslide is the first historically recorded event of permafrost degradation induced landslide-tsunamis in the Arctic. We infer that the landslide and its cascading consequences occurred due to the early-twentieth century warming that started in the late 1910's in the Arctic. Warming is now increasingly affecting this region, as shown by an enhanced recent landslide activity.


Subject(s)
Disasters , Landslides , Permafrost , Tsunamis , Arctic Regions , Disasters/history , Greenland , Landslides/history , Tsunamis/history , Humans , Climate Change
2.
PLoS One ; 15(12): e0243619, 2020.
Article in English | MEDLINE | ID: mdl-33362214

ABSTRACT

Tsunami events in antiquity had a profound influence on coastal societies. Six thousand years of historical records and geological data show that tsunamis are a common phenomenon affecting the eastern Mediterranean coastline. However, the possible impact of older tsunamis on prehistoric societies has not been investigated. Here we report, based on optically stimulated luminescence chronology, the earliest documented Holocene tsunami event, between 9.91 to 9.29 ka (kilo-annum), from the eastern Mediterranean at Dor, Israel. Tsunami debris from the early Neolithic is composed of marine sand embedded within fresh-brackish wetland deposits. Global and local sea-level curves for the period, 9.91-9.29 ka, as well as surface elevation reconstructions, show that the tsunami had a run-up of at least ~16 m and traveled between 3.5 to 1.5 km inland from the palaeo-coastline. Submerged slump scars on the continental slope, 16 km west of Dor, point to the nearby "Dor-complex" as a likely cause. The near absence of Pre-Pottery Neolithic A-B archaeological sites (11.70-9.80 cal. ka) suggest these sites were removed by the tsunami, whereas younger, late Pre-Pottery Neolithic B-C (9.25-8.35 cal. ka) and later Pottery-Neolithic sites (8.25-7.80 cal. ka) indicate resettlement following the event. The large run-up of this event highlights the disruptive impact of tsunamis on past societies along the Levantine coast.


Subject(s)
Tsunamis , Archaeology , Geologic Sediments/analysis , History, Ancient , Humans , Israel , Luminescent Measurements , Tsunamis/history
3.
Sci Rep ; 8(1): 1156, 2018 01 18.
Article in English | MEDLINE | ID: mdl-29348632

ABSTRACT

Despite the growth in knowledge about the effects of a warming Arctic on its cold-adapted species, the mechanisms by which these changes affect animal populations remain poorly understood. Increasing temperatures, declining sea ice and altered wind and precipitation patterns all may affect the fitness and abundance of species through multiple direct and indirect pathways. Here we demonstrate previously unknown effects of rain-on-snow (ROS) events, winter precipitation, and ice tidal surges on the Arctic's largest land mammal. Using novel field data across seven years and three Alaskan and Russian sites, we show arrested skeletal growth in juvenile muskoxen resulting from unusually dry winter conditions and gestational ROS events, with the inhibitory effects on growth from ROS events lasting up to three years post-partum. Further, we describe the simultaneous entombment of 52 muskoxen in ice during a Chukchi Sea winter tsunami (ivuniq in Iñupiat), and link rapid freezing to entrapment of Arctic whales and otters. Our results illustrate how once unusual, but increasingly frequent Arctic weather events affect some cold-adapted mammals, and suggest that an understanding of species responses to a changing Arctic can be enhanced by coalescing groundwork, rare events, and insights from local people.


Subject(s)
Climate Change/mortality , Disasters/history , Otters/physiology , Ruminants/physiology , Tsunamis/history , Whales/physiology , Animals , Arctic Regions , Body Size , Cold Climate , Female , History, 19th Century , History, 21st Century , Male , Rain , Snow
4.
PLoS One ; 11(1): e0145802, 2016.
Article in English | MEDLINE | ID: mdl-26815553

ABSTRACT

Although the Gulf of Aqaba-Eilat is located in the tectonically active northern Red Sea, it has been described as low-risk with regard to tsunami activity because there are no modern records of damaging tsunami events and only one tsunami (1068 AD) referred to in historical records. However, this assessment may be poorly informed given that the area was formed by and is located along the seismically active Dead Sea Fault, its population is known to fluctuate in size and literacy in part due to its harsh hyper-arid climate, and there is a dearth of field studies addressing the presence or absence of tsunamigenic deposits. Here we show evidence from two offshore cores for a major paleotsunami that occurred ~2300 years ago with a sedimentological footprint that far exceeds the scarce markers of the historically mentioned 1068 AD event. The interpretation is based on the presence of a laterally continuous and synchronous, anomalous sedimentological deposit that includes allochtonous inclusions and unique structural characteristics. Based on sedimentological parameters, these deposits could not be accounted for by other transport events, or other known background sedimentological processes.


Subject(s)
Tsunamis/history , Geologic Sediments/chemistry , History, Ancient , Indian Ocean
5.
Int J Soc Psychiatry ; 62(3): 271-80, 2016 May.
Article in English | MEDLINE | ID: mdl-26809470

ABSTRACT

BACKGROUND: Currently, the number of natural disasters has increased sixfold when compared to the 1960s. The 2004 Indian Ocean Tsunami offered provided an opportunity for scientifically investigating the effectiveness of post-disaster programs across countries with diverse ethnic, religious and cultural backgrounds. AIM: This study aimed to assess the effectiveness of psychological interventions focused on the prevention or reduction in post-traumatic stress disorder (PTSD) symptoms and/or enhancement of psychological well-being implemented after the 2004 Tsunami. METHODS: We systematically searched through MEDLINE, PsycINFO and The Published International Literature on Traumatic Stress (PILOTS) databases using the following keywords: 'tsunami' OR 'Indian Ocean', AND 'intervention'. RESULTS: Our systematic review included 10 studies which adopted 10 different psychological interventions. A total of 8 of the 10 studies reported positive results in reducing PTSD symptoms and most interventions showed high levels of cultural sensitivity. No significant harmful effects of the included interventions were identified although two studies used potentially harmful interventions. CONCLUSION: Evidence-based practice is a process of collaborative decision-making between the affected ones and interventionists. The practitioner assesses not only the availability of the level of evidence of the preferred interventions, but he or she also assesses his or her own expertise, the availability of resources, the surrounding context and the characteristics, values and preferences of relevant stakeholders.


Subject(s)
Disasters/history , Psychotherapy , Stress Disorders, Post-Traumatic/epidemiology , Stress Disorders, Post-Traumatic/therapy , Tsunamis/history , Evidence-Based Practice , History, 21st Century , Humans , Indian Ocean , Randomized Controlled Trials as Topic , Treatment Outcome
6.
Tohoku J Exp Med ; 237(2): 91-102, 2015 10.
Article in English | MEDLINE | ID: mdl-26399180

ABSTRACT

The 2011 Tohoku-Oki Earthquake is a typical subduction-zone earthquake and is the 4th largest earthquake after the beginning of instrumental observation of earthquakes in the 19th century. In fact, the 2011 Tohoku-Oki Earthquake displaced the northeast Japan island arc horizontally and vertically. The displacement largely changed the tectonic situation of the arc from compressive to tensile. The 9th century in Japan was a period of natural hazards caused by frequent large-scale earthquakes. The aseismic tsunamis that inflicted damage on the Japan Sea coast in the 11th century were related to the occurrence of massive earthquakes that represented the final stage of a period of high seismic activity. Anti-compressive tectonics triggered by the subduction-zone earthquakes induced gravitational instability, which resulted in the generation of tsunamis caused by slope failing at the arc-back-arc boundary. The crustal displacement after the 2011 earthquake infers an increased risk of unexpected local tsunami flooding in the Japan Sea coastal areas.


Subject(s)
Earthquakes , Tsunamis , Earthquakes/history , Geology , History, 20th Century , History, 21st Century , Humans , Japan , Tsunamis/history
7.
Int J Soc Psychiatry ; 61(7): 645-52, 2015 Nov.
Article in English | MEDLINE | ID: mdl-25687577

ABSTRACT

BACKGROUND: Prolonged grief disorder (PGD), previously called complicated grief, is associated with significant distress and long-term disability, and it may complicate assessments for post-traumatic stress disorder (PTSD) after traumatic events. METHODS: In order to distinguish PGD from PTSD, we conducted a cross-sectional survey among tsunami survivors in five tsunami-affected coastal villages in India, 9 months after the Asian tsunami. RESULTS: Prevalence of PGD among 643 tsunami survivors was 14.2% (95% confidence interval (CI): 11.5%-16.9%) and among the 351 bereaved survivors was 25.9% (95% CI: 21.3%-30.5%). Spousal bereavement, extensive damage to homes, fewer years of education, and absence of tsunami-related physical injury differentiated those with PGD, after adjusting for potential confounders (p < .05). These factors were distinct from the factors associated with post-traumatic stress symptoms (PTSS) among these survivors. Scores on the avoidance, hyper-arousal and intrusion subscales of the Impact of Events Scale-Revised were significantly lower in those with PGD alone than in those with PTSS or with both disorders. CONCLUSION: Our findings support the validity of PGD in a non-Western post-disaster community and its distinctness from PTSD. They have important public health implications in planning responses to natural disasters and for future revisions of diagnostic classifications.


Subject(s)
Disasters/history , Grief , Stress Disorders, Post-Traumatic/epidemiology , Survivors/statistics & numerical data , Tsunamis/history , Adult , Asian People , Cross-Sectional Studies , Female , History, 21st Century , Humans , India/epidemiology , Logistic Models , Male , Middle Aged , Psychiatric Status Rating Scales , Risk Factors , Young Adult
8.
In. Bello Guti�rrez, Bruno. Eventos naturales, desastres y salubrismo. La Habana, ECIMED, 2015. .
Monography in Spanish | CUMED | ID: cum-61234
9.
Lancet ; 384(9960): 2095-8, 2014 Dec 13.
Article in English | MEDLINE | ID: mdl-25497189
10.
Sci Rep ; 4: 6773, 2014 Oct 27.
Article in English | MEDLINE | ID: mdl-25346468

ABSTRACT

To investigate the dynamics of social networks and the formation and evolution of online communities in response to extreme events, we collected three datasets from Twitter shortly before and after the 2011 earthquake and tsunami in Japan. We find that while almost all users increased their online activity after the earthquake, Japanese speakers, who are assumed to be more directly affected by the event, expanded the network of people they interact with to a much higher degree than English speakers or the global average. By investigating the evolution of communities, we find that the behavior of joining or quitting a community is far from random: users tend to stay in their current status and are less likely to join new communities from solitary or shift to other communities from their current community. While non-Japanese speakers did not change their conversation topics significantly after the earthquake, nearly all Japanese users changed their conversations to earthquake-related content. This study builds a systematic framework for investigating human behaviors under extreme events with online social network data and our findings on the dynamics of networks and communities may provide useful insight for understanding how patterns of social interaction are influenced by extreme events.


Subject(s)
Earthquakes , Internet , Social Behavior , Social Networking , Tsunamis , Earthquakes/history , History, 21st Century , Humans , Japan , Models, Theoretical , Tsunamis/history
12.
Fukushima J Med Sci ; 60(1): 57-67, 2014.
Article in English | MEDLINE | ID: mdl-25030715

ABSTRACT

BACKGROUND: On 11 March 2011, the Great East Japan Earthquake followed by a gigantic tsunami hit the Pacific coast of Northeast Japan (Tohoku) and damaged Tokyo Electric Power Company's Fukushima Daiichi Nuclear Power Plant, causing a radiation hazard in the entire Fukushima Prefecture. The radiation dose exposed either externally and internally in Fukushima residents have been evaluated to be low so far and it is hardly believed that they may have any direct radiation risk on physical condition. The purpose of this report is, therefore, to describe results of a mental health and lifestyle survey intended to facilitate adequate care for residents who are at a higher risk of developing mental health problems after the complicated accident. PARTICIPANTS AND METHODS: The target population of this survey is the residents of evacuation zones including Hirono Town, Naraha Town, Tomioka Town, Kawauchi Village, Okuma Town, Futaba Town, Namie Town, Katsurao Village, Minamisoma City, Tamura City, Yamakiya district of Kawamata Town, and Iitate Village. The targeted population was 210,189 in fiscal year 2011 (FY2011) and 211,615 in fiscal year 2012 (FY2012). Questionnaires have been mailed since January 2012, and subsequently, January 2013, 10 and 22 months after the disaster. Among of them, children 63.4%, adults 40.7% for FY2011, and children 41.0%, adults 29.7% for FY2012 responded to the questionnaires mailed. RESULTS: Sociodemographic data showed that many evacuee households were separated after the disaster and had to move several times. K6 was used in this survey to estimate general mental health. The proportion (14.6% in FY2011 and 11.9% inFY2012) of adults who scored above the K6 cut-off (≥13) for general mental health was higher than usual, indicating severe mental health problems among evacuees. The proportion (21.6% in FY2011 and 18.3% inFY2012) of adults who scored above the cut-off (≥44) of PTSD checklist (PCL), reflecting traumatic symptoms, was almost equal to that of the workers after the 9.11 World Trade Center attacks. These results also indicate the presence of severe traumatic problems among evacuees. The proportions of children (4-6 years old) and children of primary school age (6-12 years old) who scored above the cut-off (≥16) of Strengths and Difficulties Questionnaire (SDQ) reflecting the mental health status in children, 24.4% and 22.0% in the survey of FY2011, were double the usual state respectively, whereas 16.6% in children of 4-6 years old and 15.8% in children of 6-12 years old in FY2012 were 1.5 times. These findings also disclosed the presence of severe mental difficulties in children, with relative improvement year by year. CONCLUSION: As revealed by the present mental health survey, the earthquake and tsunami followed by the nuclear accident caused psychological distress among residents in Fukushima prefecture. Continuous survey and mental care programs are required.


Subject(s)
Earthquakes , Fukushima Nuclear Accident , Stress, Psychological/etiology , Adolescent , Adult , Child , Child, Preschool , Earthquakes/history , Female , Health Surveys , History, 21st Century , Humans , Japan , Life Style , Male , Mental Health , Middle Aged , Stress, Psychological/history , Tsunamis/history
13.
Fukushima J Med Sci ; 60(1): 75-81, 2014.
Article in English | MEDLINE | ID: mdl-25030719

ABSTRACT

BACKGROUND: On 11 March 2011, the Great East Japan Earthquake followed by a powerful tsunami hit the Pacific Coast of Northeast Japan and damaged Tokyo Electric Power Company's Fukushima Daiichi Nuclear Power Plant, causing a radiation hazard in Fukushima Prefecture. The objective of this report is to describe some results of a questionnaire-based pregnancy and birth survey conducted by the Radiation Medical Science Center for the Fukushima Health Management Survey. MATERIALS AND METHODS: Questionnaires were sent to women who received maternal and child health handbooks from municipal officers in Fukushima Prefecture between 1 August 2010 and 31 July 2011, with the aim of reaching those who were pregnant at the time of the disaster. Mailing began 18 January 2012. Data were analyzed separately for six geographic areas in Fukushima Prefecture. RESULTS: The total number of women meeting survey criteria was 15,972. The number of responses received to date is 9,298 (58.2%). Data from 8602 respondents were analyzed after excluding 634 invalid responses and 5 induced and 57 spontaneous abortions (less than 22 gestational weeks). The incidences of stillbirth (over 22 completed gestational weeks), preterm birth, low birth weight and congenital anomalies were 0.25%, 4.4%, 8.7% and 2.72%, respectively. These incidences are similar to recent averages elsewhere in Japan. CONCLUSION: Considering the pregnancy and birth survey data in aggregate, our disaster seemed to provoke no significant adverse outcomes over the whole of Fukushima prefecture. But post-disaster prenatal care and support intended for patients' safety and security should be coupled with ongoing surveillance and rigorous data analysis.


Subject(s)
Earthquakes , Fukushima Nuclear Accident , Adult , Congenital Abnormalities/epidemiology , Earthquakes/history , Female , Health Surveys , History, 21st Century , Humans , Infant, Low Birth Weight , Infant, Newborn , Japan/epidemiology , Pregnancy , Pregnancy Outcome , Premature Birth/epidemiology , Stillbirth/epidemiology , Tsunamis/history
14.
Tohoku J Exp Med ; 229(4): 287-99, 2013 04.
Article in English | MEDLINE | ID: mdl-23583960

ABSTRACT

Japan has a long history of fighting against great earthquakes that cause structural damage/collapses, fires and/or tsunami. On March 11, 2011 at 14:46 (Friday), the Great East-Japan Earthquake (magnitude 9.0) attacked the Tohoku region (northeastern Japan), which includes Sendai City. The earthquake generated a devastating tsunami, leading to unprecedented disasters (~18,500 victims) in coastal areas of Iwate, Miyagi and Fukushima prefectures, despite the fact that people living in the Tohoku region are well trained for tsunami-evacuation procedures, with the mindset of "Tsunami, ten-den-ko." This code means that each person should evacuate individually upon an earthquake. Sharing this rule, children and parents can escape separately from schools, houses or workplaces, without worrying about each other. The concept of ten-den-ko (individual evacuation) is helpful for people living in coastal areas of earthquake-prone zones around the world. It is also important to construct safe evacuation centers, because the March 11(th) tsunami killed people who had evacuated to evacuation sites. We summarize the current conditions of people living in the disaster-stricken areas, including the consequences of the Fukushima nuclear accident. We also describe the disaster responses as the publisher of the Tohoku Journal of Experimental Medicine (TJEM), located in Sendai, with online support from Tokyo. In 1923, the Great Kanto Earthquake (magnitude 7.9) evoked a massive fire that destroyed large areas of Tokyo (~105,000 victims), including the print company for TJEM, but the Wistar Institute printed three TJEM issues in 1923 in Philadelphia. Mutual aid relationships should be established between distant cities to survive future disasters.


Subject(s)
Disaster Planning/methods , Earthquakes/history , Fukushima Nuclear Accident , Relief Work , Tsunamis/history , Disaster Planning/trends , History, 20th Century , History, 21st Century , Japan , Periodicals as Topic
15.
Transfus Med Rev ; 27(1): 29-35, 2013 Jan.
Article in English | MEDLINE | ID: mdl-22901431

ABSTRACT

BACKGROUND: The Great East Japan Earthquake of March 11, 2011, and subsequent tsunami took nearly 20 000 lives in Tohoku, the northeastern part of Japan's main island. Most victims were either carried away by the tsunami or drowned. The ability to collect blood was disrupted on the Pacific coast of Tohoku. Inland areas were less affected, but allogeneic blood collected in Tohoku is tested at the Miyagi Red Cross Blood Center (Miyagi Center) in the coastal city of Sendai. Miyagi Center was damaged and could not test for 2 months. OBJECTIVES: The aims of this study are as follows: (1) to assess transfusion practice at 8 disaster response hospitals in Tohoku's Fukushima Prefecture, for equal intervals before and after March 11, 2011; (2) to report activities related to blood collection and distribution in response to the disaster; and (3) to describe the Great East Japan Earthquake in the context of other disasters. METHODS: Data were collected through a survey of transfusion services at 8 major disaster response hospitals, communication at transfusion conferences, and literature review. RESULTS: Transfused patients and units transfused were about 70% and 60% of normal in the surveyed hospitals because this was a disaster of mass casualty rather than mass injury, and patients requiring chronic care were evacuated out. A nationally coordinated effort allowed excess blood collected outside Tohoku to be transported in, despite infrastructure damage. CONCLUSION: Japan's national system of blood collection and distribution responded effectively to local needs after the Great East Japan Earthquake. Disasters such as Japan's 3.11 should guide discourse about emergency preparedness and centralization of services.


Subject(s)
Blood Banks , Blood Transfusion , Disaster Planning , Disasters , Earthquakes , Tsunamis , Blood Banks/organization & administration , Blood Banks/statistics & numerical data , Blood Banks/supply & distribution , Blood Transfusion/statistics & numerical data , Communication , Disasters/history , Disasters/statistics & numerical data , Earthquakes/history , Earthquakes/statistics & numerical data , Female , Health Services Accessibility/organization & administration , Health Services Accessibility/statistics & numerical data , History, 21st Century , Hospitals, Public/organization & administration , Hospitals, University/organization & administration , Humans , Infant, Newborn , Japan , Male , Mass Casualty Incidents/history , Patient Transfer , Pregnancy , Red Cross/organization & administration , Relief Work/organization & administration , Rescue Work/organization & administration , Transportation , Triage , Tsunamis/history , Tsunamis/statistics & numerical data
16.
Rev Panam Salud Publica ; 30(2): 160-6, 2011 Aug.
Article in Spanish | MEDLINE | ID: mdl-22159726

ABSTRACT

OBJECTIVE: Understand the health system and international cooperation response to the catastrophic situation left by the earthquake and tsunami of 27 February 2010 in Chile, and draft proposals for improving strategies to mitigate the devastating effects of natural disasters. METHODS: Descriptive and qualitative study with a first phase involving the analysis of secondary information-such as news articles, official statements, and technical reports-and a second phase involving semistructured interviews of institutional actors in the public health sector responsible for disaster response and users of the health system who acted as leaders and/or managers of the response. The study was conducted between May and October 2010, and information-gathering focused on the Maule, Bío Bío, and Metropolitan regions. RESULTS: Procedures for recording, distributing, and controlling donations were lacking. The health services suffered significant damage, including the complete destruction of 10 hospitals. The presence of field hospitals and foreign medical teams were appreciated by the community. The family health model and the commitment of personnel helped to ensure the quality of the response. While public health management was generally good, problems dealing with mental health issues were encountered due to a lack of local plans and predisaster simulations. The poor were the most affected. Women became social leaders, organizing the community. CONCLUSIONS: Although the health response to the emergency was satisfactory, both the health system and the mobilization of international assistance suffered from weaknesses that exacerbated existing inequities, revealing the need for multisectoral participatory mitigation plans for better disaster preparedness.


Subject(s)
Delivery of Health Care , Disasters , Earthquakes , International Cooperation , Relief Work/organization & administration , Tsunamis , Chile , Data Collection , Delivery of Health Care/history , Developing Countries , Disaster Planning , Disasters/history , Earthquakes/history , Emergency Medical Services/organization & administration , Foreign Professional Personnel , Gender Identity , Health Services Needs and Demand , History, 21st Century , Humans , International Cooperation/history , Leadership , Poverty , Public Health Administration , Relief Work/history , Socioeconomic Factors , Tsunamis/history
18.
Rev. panam. salud pública ; 30(2): 160-166, agosto 2011. tab
Article in Spanish | LILACS, BDS | ID: lil-608301

ABSTRACT

OBJETIVO: Conocer la respuesta que dieron el sistema de salud y la cooperación internacional a la situación de catástrofe generada por el terremoto y el tsunami ocurridos el 27 de febrero de 2010 en Chile, y elaborar propuestas para mejorar las estrategias dirigidas a reducir los efectos devastadores de los desastres naturales. MÉTODOS: Estudio descriptivo y cualitativo con una primera fase de análisis de información secundaria -como artículos de prensa, discursos oficiales e informes técnicos- y una segunda fase de aplicación de entrevistas semi-estructuradas a actores institucionales encargados de la respuesta al desastre desde el sector salud y a usuarios del sistema de salud que actuaron como líderes y/o dirigentes en dicha respuesta. La investigación se desarrolló entre mayo y octubre de 2010 y el levantamiento de información se focalizó en las regiones Maule, Bío Bío y Metropolitana. RESULTADOS: Faltaron procedimientos para el registro, la distribución y el control de las donaciones. Los servicios de salud sufrieron daños importantes, incluida la destrucción total de 10 hospitales. Los hospitales de campaña y los equipos médicos extranjeros fueron valorados por la comunidad. El modelo de salud familiar y el compromiso del personal facilitaron la calidad de la respuesta. Si bien hubo un buen manejo sanitario, se registraron dificultades para enfrentar los problemas de salud mental por la inexistencia de planes locales y de simulacros previos. La población más afectada fue la que vivía en condiciones de pobreza. Las mujeres se convirtieron en líderes sociales organizando a la comunidad. CONCLUSIONES: Aun cuando la respuesta sanitaria frente a la emergencia fue satisfactoria, tanto el sistema de salud como la movilización de la asistencia internacional acusaron falencias que reforzaron inequidades previamente instaladas, demostrando la necesidad de construir planes preventivos multisectoriales y participativos para estar mejor preparados frente a los desastres.


OBJECTIVE: Understand the health system and international cooperation response to the catastrophic situation left by the earthquake and tsunami of 27 February 2010 in Chile, and draft proposals for improving strategies to mitigate the devastating effects of natural disasters. METHODS: Descriptive and qualitative study with a first phase involving the analysis of secondary information-such as news articles, official statements, and technical reports-and a second phase involving semistructured interviews of institutional actors in the public health sector responsible for disaster response and users of the health system who acted as leaders and/or managers of the response. The study was conducted between May and October 2010, and information-gathering focused on the Maule, Bío Bío, and Metropolitan regions. RESULTS: Procedures for recording, distributing, and controlling donations were lacking. The health services suffered significant damage, including the complete destruction of 10 hospitals. The presence of field hospitals and foreign medical teams were appreciated by the community. The family health model and the commitment of personnel helped to ensure the quality of the response. While public health management was generally good, problems dealing with mental health issues were encountered due to a lack of local plans and predisaster simulations. The poor were the most affected. Women became social leaders, organizing the community. CONCLUSIONS: Although the health response to the emergency was satisfactory, both the health system and the mobilization of international assistance suffered from weaknesses that exacerbated existing inequities, revealing the need for multisectoral participatory mitigation plans for better disaster preparedness.


Subject(s)
Humans , History, 21st Century , Delivery of Health Care , Disasters , Earthquakes , International Cooperation , Relief Work/organization & administration , Tsunamis , Chile , Data Collection , Delivery of Health Care/history , Developing Countries , Disaster Planning , Disasters/history , Earthquakes/history , Emergency Medical Services/organization & administration , Foreign Professional Personnel , Gender Identity , Health Services Needs and Demand , International Cooperation/history , Leadership , Poverty , Public Health Administration , Relief Work/history , Socioeconomic Factors , Tsunamis/history
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