Authors
- Zahra Jalou 1
- Mohsen Nouri
- Marzieh Rohani-Rasaf
- Somaieh Roohani- Majd
- Mohammad Dashti
- Mina Abbas Zadeh
- Saeed Fallah
- Rozita Firooznia
- Nima Danaei 2
1 1 School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 7School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Abstract
Introduction: Natural disasters are usually a series of unpredictable incidents, which do not originate from humans. With regard to the occurrence of unexpected factors such as earthquakes, floods, and fires, individual and social preparations must be increased in the crisis management.
Methods: The aim of this cross-sectional study was to evaluate the preparation of operational teams to provide an effective response to earthquakes. The statistical population included the experts of environmental health and disaster risk reduction management in the healthcare centers of Tabriz University of Medical Sciences. The participants were categorized into 20 operational teams. The necessary equipment of the participating teams was evaluated by checklists.
Results: The results showed that 76.2 percent of the teams had the required equipment to control the drinking water and dispose the wastewater. Furthermore, 58 percent had the required equipment for disasters' conditions and 78.1 percent had the equipment to spray and disinfect in the emergency situations. In addition, about 90 percent of the vehicles used in training were appropriate for emergencies, 95 percent of teams observed the standards to setup tents, deployed the equipment, and had the needed proficiency skills. Moreover, 81.3 percent of the operational team authorities had sufficient skills to work with technical equipment.
Conclusion: The presence of teams in the response phase in the East Azerbaijan earthquake in 2011 and the acquisition of field experiences led to their technical coherence, made them familiar with facilities, and equipped the operational teams. We suggest the authorities to conduct executive training according to the designed twice a year based on the response plan of the deputy of health department two times a year.
Keywords
Operational Teams' Preparation in Environmental Health Rapid Response: Tabriz University of Medical Sciences in Response to the Earthquake Scenario (Designing an Exercise)
Zahra Jalou1, Mohsen Nouri2, Marzieh Rohani-Rasaf3, Somaieh Roohani- Majd4,
Mohammad Dashti2, Mina Abbas Zadeh 2, Saeed Fallah5, Rozita Firooznia6, Nima Danaei*7 $('.collapse').on('shown.bs.collapse', function(){ $(this).parent().find(".glyphicon-plus").removeClass("glyphicon-plus").addClass("glyphicon-minus"); }).on('hidden.bs.collapse', function(){ $(this).parent().find(".glyphicon-minus").removeClass("glyphicon-minus").addClass("glyphicon-plus"); });
- United Nations International Strategy for Disaster Reduction. UNISDR terminology for disaster risk redution. Geneva, Switzerland: 2009
- Coppola DP. Introduction to international disaster management. 3, editor: Butterworth-Heinemann; Elsevier; 2007.
- Jahangiri K, Tabibi S, Maleki MR, et al. A comparative study on community-based disaster management (cbdm) in selected countries and proposing a model for iran.Payesh. 2009; 8(1): 49-57.[Persian]
- Ardalan A, Rajaei MH, Masoumi G, et al. 2012-2025 Roadmap of I.R.Iran's Disaster Health Management. PLoS currents. 2012; 4: e4f93005fbcb34.
- Mohebbifar R, Tabibi S, Asefzadeh S. Designing a structure of disaster management for Iran. Journal of Health Administration. 2008; 11(33): 47-56.
- Khankeh HR, Khorasani-Zavareh D, Johanson E, et al. Disaster health-related challenges and requirements: a grounded theory study in Iran. Prehospital and Disaster Medicine. 2011;26(3): 151-8. [DOI:10.1017/S1049023X11006200] [PMID]
- Koenig KL, Schultz CH. Koenig and Schultz's disaster medicine: comprehensive principles and practices. Cambridge University Press. 2010. p75-82. [PMID]
- Nasiri Pour A, Reisi P, Nouri S. Providing a Standard Operating Process for Health & Care Rapid Response Teams in Iran. Journal of Rescue & Relief. 2010; 2(2): 11-26.[Persian]
- Reilly MJ, Markenson DS. Health care emergency management: Principles and practice: Jones & Bartlett Publishers; 2010.
- Gebbie KM, Valas J, Merrill J, et al. Role of exercises and drills in the evaluation of public health in emergency response. Prehospital and Disaster Medicine. 2006; 21(3): 173-82. [DOI:10.1017/S1049023X00003642] [PMID]
- Agboola F, McCarthy T, Biddinger PD. Impact of emergency preparedness exercise on performance. Journal of Public Health Management and Practice. 2013; 19: S77-S83 [DOI:10.1097/PHH.0b013e31828ecd84] [PMID]
- Fowkes V, Blossom HJ, Sandrock C, et al. Exercises in emergency preparedness for health professionals in community clinics. J Commun Health. 2010; 35: 512-518. [DOI:10.1007/s10900-010-9221-1] [PMID]
- Biddinger PD, Savoia E, Mass SB, et al. Public health emergency preparedness exercises: Lesson Learned. Public Health Report. 2010: 5(125): 100-106 [DOI:10.1177/00333549101250S514] [PMID]
- Arab M, Zeraati H, Akbari Haghighi F, et al. A study on the executive managers' knowledge and performance, and their hospitals preparedness against earthquake events and their relationships at public hospitals (affiliated by Tehran University of Medical Sciences (TUMS: 2005-2006). Journal of Health Administration. 2009; 11(34):7-14. [Persian] 15-Kaveh Firouz Z, ZAkariaee L, Sepasi Moghaddam H, et al. Evaluate the view of students of 10th overall maneuver of earthquake and safety in the schools. Quarterly Journal of Rescue & Relief. 2009; 1 (3):1-10 .[Persian]
- Zeinalzadeh A, Alizadeh BM, Raeisi P, et al. Environmental health assessment 200 days after earthquake-affected region in East Azerbaijan earthquake, North-Western of Iran, 2012. Turkish Journal of Public Health. 2017; 15(1): 47-57. [DOI:10.20518/tjph.326814]
- Babaei J, Ostadtaghizadeh A, Moeradian MJ, et al. Assessment of the first national manor about Operations Team of Environmental Health Emergency. Proceedings of the 16th Nathional Conference on environmental health; 2013 Oct 1-3; Tabriz University of Medical Science, Tabriz, Iran; 2013: 1-13. [Persian] Avilabe at: {https://www.civilica.com/Paper-NCEH16-NCEH16_347.html}
- Nouri M, Sabaghian M, Taifeh A, et al. Mobilize the medical society. Survey of disaster management exercises in Qazvin University of medical sciences.[Poster] at: Proceedings of the 6th International Congress of health in disaster; 2013Feb5-7; Razi, Tehran, Iran, 2013: 378. [Persian] Avilabe at: {http://iched.ir/files/site1/files/Kholase_maghalat_92__END.pdf}
- Babaei J, Moradian MJ. Need for uniform for public health workers in disasters; A Lesson learned of East Azerbaijan earthquake. Journal of Health Information Management. 2013; 10(3): 369-370.[Persian]
- Dausey DJ, Buehler JW, Lurie N. Designing and conducting tabletop exercises to assess public health preparedness for manmade and naturally occurring biological threats. BMC public health. 2007; 7(1): 92. [DOI:10.1186/1471-2458-7-92] [PMID]