The public health response to the Chi-Chi earthquake in Taiwan, 1999
The public health response to the Chi-Chi earthquake in Taiwan, 1999
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DOI：
10.1093/phr/118.6.493
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发表时间：
2003-11-01
影响因子：
3.3
通讯作者：
Twu, SJ
中科院分区：
文献类型：
--
作者：
Chen, KT;Chen, WJ;Twu, SJ
Objective. 1999年9月21日凌晨1点47分，台湾中部集集地区发生里氏七点三级地震。本研究探讨了公共卫生部门对地震的反应。本研究采用改良整群抽样法，于地震发生五天后，在南投县与台中县的避难所进行社区需求评估。25个临时医疗服务系统（TMSS）在地震后一周内开展了选定疾病和死亡的监测，并通过伙伴制，允许受灾县向受灾县提供支持。震后阶段，灾区急性呼吸道感染和急性胃肠炎病例数高于邻近的未受灾县（p0.05）。1999年的年龄调整死亡率显著高于1998年同期（OR = 2.11，95%CI 1.99，2.24）。应急准备工作必须建立在仔细考虑的优先事项、信息和通信基础上，必须提高能力，以迅速建立一个紧急公共卫生网络。在台湾未来的灾害事件规划中，应考虑对这一事件的紧急响应-包括TMSS，伙伴系统和通信系统。
Objective. On September 21, 1999, at 1:47 a.m., an earthquake measuring 7.3 on the Richter scale struck the middle Chi-Chi region of Taiwan. The present study examines the response of the public health sector to the earthquake.Methods. A community needs assessment using modified cluster sampling was performed in shelters of Nantou and Taichung Counties five days after the earthquake struck. Twenty-five temporary medical service systems (TMSSs) conducted surveillance for selected diseases and mortality within one week post-earthquake aided by a buddy system that allowed unaffected counties to provide support to affected counties.Results. The number of cases of acute respiratory infections and acute gastroenteritis in the affected area was higher than that of neighboring unaffected counties in the post-earthquake phase (p0.05). The age-adjusted mortality rate was significantly higher in 1999 (odds ratio [OR]= 2.11; 95% CI 1.99, 2.24) than in a comparable period in 1998.Conclusion. Emergency preparedness must be based on carefully conceived priorities, information, and communications, and improved capabilities must be developed to rapidly implement an emergency public health network. The emergency response to this event-consisting of TMSSs, a buddy system, and a communication system-should be considered in planning for future disaster events in Taiwan.