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Assessment of Disaster Medical Responses with Utstein Template : Comparison between in The Great Hanshin Earthquake in Japan and in Chi-Chi Earthquake in Taiwan

使用 Utstein 模板评估灾害医疗响应：日本阪神大地震与台湾集集地震的比较

基本信息

批准号：
12576013
负责人：
ISHII Noboru
金额：
$ 3.14万
依托单位：
Kobe University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (B)
财政年份：
2000
资助国家：
日本
起止时间：
2000 至 2003
项目状态：
已结题

项目摘要

Reviewing materials on the Great Hanshin Earthquake in Japan and Chi-Chi Earthquake in Taiwan, we applied Gothenburg and Madison versions of Utstein template to these earthquakes to quantify disaster severity and health disaster severity, focusing on their initial phase.The mean values of score for each indicator in the Great Hanshin Earthquake and in Chi-Chi Earthquake calculated with Gothenburg version template were as follows: 75:48 in medical indicators, 34:17 in public health indicators, 17:6 in impact on the health care system, 48:12 in preparedness, and 41:9 in deficiency in response, respectively. Their average value was 43.0 in Kobe and 18.4 in Chi-Chi. The score for each element in each earthquake calculated with Madison version template were as follows: 3:2 in Coordination-Control, 7:2 in Medical, 2:2 in Medical/Beds, 7:3 in Crude Mortality Rate, 5:3 in Hospital Mortality Rate, 0:0 in Immunization, 0:0 in Communicable Diseases, 2:1 in Health care providers, 3:2 in Health equipment/Electronics, 1:1 in Health supplies, Medicaments, Vaccines, 5:5 in Psychosocial, 2:1 in EMS, 1:1 in Preparedness/Plan, 1:1 in Preparedness/SAR & EMS, 4:2 in Preparedness/Hospital, 6:1 in Missing/Trapped, 0:0 in Nutrition, 7:6 in water, 6:6 in Water/distribution, 6:5 in Sanitation, 5:4 in Shelter/clothing, 6:5 in Food, 6:5 in Food/Distribution, 2:1 in Search & Rescue, and 87:59 in summation, respectively.These results show that the impact on health management was more serious in Kobe than in Chi-Chi. The primitive cause of these results must be that the Great Hanshin Earthquake hit urban areas and Chi-Chi Earthquake hit rural areas. The following causes, however, can be pointed out such as prompter response at national level, prompter establishment of emergency headquarters in affected regions, smoother transportation of relief goods and the wounded by army and police helicopters; better disaster preparedness in Chi-Chi Earthquake than in the Great Hanshin Earthquake.

回顾日本坂神大地震和台湾集集地震的资料，我们将哥德堡和麦迪逊版的Utstein模板应用于这些地震，以量化灾害严重度和健康灾害严重度，重点关注其初始阶段。使用哥德堡版模板计算的坂神大地震和集集地震中各指标得分的平均值如下：医疗指标为48分，公共卫生指标为34分：17分，对卫生保健系统的影响为17分：6分，准备程度为48分：12分，应对不足为41分：9分。科比的平均值为43.0，而集集的平均值为18.4。使用麦迪逊版模板计算的各地震要素得分如下：协调-控制3：2，医疗7：2，医疗/床位2：2，粗死亡率7：3，住院死亡率5：3，免疫0：0，传染病：0，卫生保健提供者：2：1，卫生设备/电子产品：3：2，卫生用品、药品、疫苗：1：1，心理社会：5：5，EMS：2：1，准备/计划：1：1，准备/SAR & EMS：1：1，准备/医院：4：2，失踪/被困1分，营养0分，水7分，水/分配6分，卫生6分，住所/衣物5分，食物6分，结果显示，科比市的卫生管理受到的影响比集集市严重。这些结果的根本原因是神户大地震袭击了城市地区，集集地震袭击了农村地区。但是，可以指出以下原因，例如国家一级的反应更迅速，受灾地区紧急总部的建立更迅速，军队和警察直升机运送救援物资和伤员更顺利，集集地震的灾难准备比神户大地震更好。