What Ails the Bhopal Disaster Investigations? (And Is There a Cure?)

What Ails the Bhopal Disaster Investigations? (And Is There a Cure?)
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博帕尔灾难调查有何问题?

DOI:
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发表时间:
2002
影响因子:
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通讯作者:
Ramana Ohara
Ramana Ohara
中科院分区:
医学4区
文献类型:
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作者:
Ramana Ohara

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摘要1984年印度博帕尔灾难对健康影响的回顾表明,在受影响人群中,多系统性疾病仍在继续。讨论了有关流行病学问题的科学问题,以期了解对灾害进行调查的适当方法。对其他重大化学品事故进行了审查,以注意到与灾害公共卫生调查有关的一些常见问题,其中包括缺乏事故相关和毒理学信息、专业知识和资金。博帕尔危机造成的严重死亡率和发病率,以及发生在一个在处理化学品灾害方面缺乏经验的发展中国家,突出表明了博帕尔危机的复杂性。从灾难中吸取的教训进行了讨论,与备灾,长期监测,康复和天然气受害者的治疗建议。
Abstract A review of the health effects of the 1984 disaster in Bhopal, India, shows continuing morbidity of a multi-systemic nature in the exposed population. Scientific questions about epidemiologic issues are discussed with a view to understanding appropriate methods of investigation into the disaster. Other major chemical incidents were reviewed to note some of the common problems associated with public health investigations of disasters, which have included the lack of accident-related and toxicologic information, expertise, and funds. The complexity of the Bhopal crisis was underscored by the severe mortality and morbidity it entailed as well as its occurrence in a developing nation that had little experience in dealing with chemical disasters. Lessons learned from the disaster are discussed, with recommendations for disaster preparedness, long-term monitoring, rehabilitation, and treatment of the gas victims.