Iran is one of the top ten countries most frequently stricken by natural disasters.
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Transcript of Iran is one of the top ten countries most frequently stricken by natural disasters.
Iran is one of the top ten countries most frequently stricken by natural disasters.
More than 120 000 killed in such disasters during the last century
in Iran, most commonly due to earthquakes.
ICEBERG OF TRAUMAS
During past 8 years:
924 earthquakes 3 -7.3 R
17686 dead (17% world )
53300 injured
275000 dwellings destroyed
2500 billion Rls damage
5 Different Proposals
Epidemiologic surveyDirect needs assessment surveyRescuers’ educational needs
assessmentObjective lossesQualitative research
1- Epidemiologic StudyHistorical cohort2 earthquake ridden areasGhaen - Birjand Ardabil1 year after eventCase : n=703Control: n=684Tools: GHQ-28 ,RUTTER,WATSON,YULE
Main Findings:GHQ-28: 34.1 VS 15.85 P<0.001
RUTTER: 13.08 VS 8.19 P<0.001
OR = 3.29 for adults
OR = 2.05 for children
PTSD IN CHILDREN(cut off point under consideration)
MILD44%
MODERATE
35%
SEVERE12%
NONE9%
PTSD IN ADULTS(cut off point under consideration)
MILD19%
MOD32%
SEV45%
NONE4%
Anniversary effect?
2- DIRECT NEEDS ASSESSMENT57 ITEM QUESTIONNAIREEXPOSURESINFORMATION NEEDSNEED FOR EMOTIONAL SUPPORTNEED FOR EDUCATION
VISUAL EXPOSURES
PEOPLE UNDER
RUBBLES27%
DEAD BODIES OR INJURIES
37%
DESTROYED HOUSES
15%OTHERS
5%ANIMAL BODIES
16%
NEED FOR INFORMATION
0
10
20
30
40
50
60
PERCENT
WHAT KIND OF INFORMATION ?
107.1
3.4
10.2
75.3
FAMILY MEMBERSHEALTH
RELIEF SERVICES
FINANCIAL DAMAGE
AFTERSHOCKS
OTHERS
NEED FOR COUNSELLING
0
10
20
30
40
50
60
70
PERCENT
WHO PROVIDED PSYCHOLOGICAL SUPPORT?
010203040506070
PERCENT
RECEIVED “DON’T CRY” ADVICE
YES = 63.7 %
NO =36.3
HAVE YOU BEEN PLAYING SINCE THE EVENT?
YES 43.7%NO 43.3%NO ANSWER 13.0%
WHO SAID "DON'T CRY"
RELATIVES81%
RESCUERS8%
OFFICIALS8%
STRANGERS3%
WHOM DID YOU EXPECT ?
PERCENT UNAWARE OF ROLES
GOV. AUTHORITIES 64.7 3.6 CLERGIES 53.2 4 PSYCHIATRISTS 22.0 5 SOCIAL WORKERS 19.04 46 PSYCHOLOGISTS 14.70 53.2
3- EDUCATIONAL NEEDS ASSESSMENT FOR RESCUERS
NOT MUCH DIFFERENT
RISK COMMUNICATION
MISINFORMING 20.5%GRADUAL BRIEFING 42.2%OUTRIGHT 6.5%
WHAT WOULD YOU DO ABOUT DRUG ABUSE TO COPE WITH THE STRESS?
I WOULD IGNORE? 5.3%NOT A PROBLEM FOR A LIMITED
PERIOD 11.5%I RECOMMEND THEM NOT TO DO?
83.2%
4- OBJECTIVE LOSSES
MORTALITYINJURIESNO OF DESTROYED HOUSESNO OF AFECTED FAMILIESNO OF KILLED CATTLETIME LAG TO RESCUE
QUALITATIVE STUDY
SOME FINDINGSMOST TRAUMATIC EXPERIENCE OF
LIFEWORRIES ABOUT CHILDRENDEPRESSIONACADEMIC DECLINEREEXPERIENCECONTINUITY OF SYMPTOMSSHELTERLACK OF PRIVACYPRAYING AND RELIGIOUS BELIEFSPS NEEDS NOT ADDRESSED