Health System Response and Management: Lessons Learned From Iran's 2019 Floods

Khankeh, Hamidreza; Kolivand, Pirhossein; Ahmadi, Sina; Farzinnia, Babak; Bazyar, Jafar

doi:10.32598/hdq.5.4.355.1

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…Malaria outbreaks following floods and other hydrological disasters have not been reported in Iran, heretofore. Although just in 2019, 19 infectious epidemics were reported due to large and destructive floods in Iran ( 17 ). Global malaria outbreaks and climate change are significantly linked, although the causal mechanisms are not fully understood ( 71 – 73 ).…”

Section: Discussionmentioning

confidence: 99%

“…More than half of its region is at risk of floods ( 14 ), and it is estimated that the intensity of flash floods will increase in the future ( 15 , 16 ). In 2019, during one month, 20 provinces of the country were affected by large and destructive floods and 19 infectious epidemics were reported ( 17 ). In such cases, the conditions for the transmission of vector-borne diseases and the risk of infectious outbreaks Increase dangerously ( 18 ).…”

Section: Introductionmentioning

confidence: 99%

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Abstruse Side of Climate Change, Impact on Malaria: A Systematic Evidence Review Comparing Iran versus Globally

Bajerge,

Khankeh,

Dashtbozorgi

et al. 2024

ijph

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Background: Infectious outbreaks due to disrupted social and environmental conditions after climate change-induced events complicate disasters. This research aimed to determine the contentions of bioclimatic variables and extreme events on the prevalence of the most common Climate-Sensitive Infectious Disease (CSID); Malaria in Iran. Methods: The present narrative systematic review study was conducted on the bioclimatic variable impact on the prevalence of malaria, as a common CSID. The search was conducted in 3 sections: global climate change-related studies, disaster related, and studies that were conducted in Iran. The literature search was focused on papers published in English and Persian from Mar 2000 to Dec 2021, using electronic databases; Scopus, Web of Science, PubMed, Google Scholar, SID, Magiran, and IranDoc. Results: Overall, 41 studies met the inclusion criteria. The various types of climatic variables including; Temperature, rainfall, relative humidity, and hydrological events including; flood, drought, and cyclones has been reported as a predictor of malaria. The results of studies, inappropriately and often were inconsistent in both Iran and other parts of the world. Conclusion: Identifying malaria outbreak risks is essential to assess vulnerability, and a starting point to identify where the health system is required to reduce the vulnerability and exposure of the population. The finding of most related studies is not congruent to achieve reliable information, more extensive studies in all climates and regions of the country, by climatic models and high accuracy risk map, using the long period of bioclimatic variables and malaria trend is recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Abstruse Side of Climate Change, Impact on Malaria: A Systematic Evidence Review Comparing Iran versus Globally

Bajerge,

Khankeh,

Dashtbozorgi

et al. 2024

ijph

View full text Add to dashboard Cite

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Disaster Risk Management and Resilience Assessment of Small Communities in Iran

VALIBEIGI,

TAGHIPOUR,

AHMADI DEHRASHID

et al. 2024

Chn. J. Urb. Environ.Stud

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One of the main challenges facing rural areas in Iran is a lack of disaster risk management. This calls for a comprehensive framework for assessing resilience in small communities. This study seeks to establish such a framework based on the general principles of the Sendai Framework. So, an attempt is made to use a combination of quantitative and qualitative methods to operationalize and score indicators and risk management components, and then choose one of the rural areas in northern Iran as a sample for the framework’s implementation. The results show that a resilience assessment on small communities should do two things: outline the resilience situation and create a platform for dialogue and mutual thinking. Residents should be able to talk about risk reduction continuously and purposefully and take small, purposeful steps in this direction. It seems that Iran’s centralized planning system is more flexible in entrusting affairs to small communities and is more likely to form active cooperative cores. For this reason, it can be seen that voluntary activities have played an essential role in providing social services during the COVID-19 pandemic and quarantine period, and the volunteers themselves have also benefited from voluntary activities. As a result, volunteer groups have gained opportunities to promote local development and foster ownership and responsibility. However, there are concerns about the sustainability of these activities, which are related to the two issues of ensuring financial stability and providing volunteers in the long term.

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Prevalence and determinants of post-traumatic stress disorder five months after the 2019 huge flooding in Iran

Shabani,

Rasoulian,

Naserbakht

et al. 2024

BMC Public Health

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Background Despite the high occurrence of floods in Iran, its psychological consequences have been less discussed. The present paper addresses the prevalence of Post-traumatic Stress Disorder (PTSD) and its determinants among the affected adults by the huge flood of 2019. Methods An analytical cross-sectional study was conducted through household face-to-face surveys in August and September 2019. Individuals who were affected by floods and were at least 16 years old were randomly selected from three provinces in Iran: Lorestan and Khuzestan in the west and southwest, and Golestan in the northeast. The questionnaire of demographic and flood related variables in addition to the Impact of Event Scale-Revised (IES-R) were utilized to collect the data. We applied a complex sample analysis to describe the prevalence of PTSD and logistic regression analyses to find its determinants. Results Out of the 2,305 individuals approached for surveys, 1,671 (72.5%) adults affected by the floods participated in the study. The majority of participants were housewives, married, had either no formal education or primary education, and resided in rural areas. The prevalence of PTSD in the participants was 24.8% (CI 95%: 20.7–28.8%) and was significantly higher in Lorestan province (39.7%, P < 0.001). Determinants of PTSD, were unemployment (adjusted odds ratio [AOR] = 3.53, CI 95%: 1.38-9.00), primary (AOR = 2.44, CI 95%: 1.10–5.41) or high school (AOR = 2.35, CI 95%: 1.25–4.40) education (vs. university), a history of mental disorders (AOR = 2.36, CI 95%: 1.22–4.58), high damage to assets (AOR = 2.29, CI 95%: 1.40–3.75), limited access to health care services after the flood (AOR = 1.95, CI 95%: 1.20–3.19), not receiving compensation for flood damage (AOR = 1.94, CI 95%: 1.01–3.83), high wealth index (AOR = 1.90, CI 95%: 1.23–2.93), and flooded house with a height of more than one meter (AOR = 1.66, CI 95%: 1.02–2.76). Conclusion Results show a notable prevalence of PTSD, especially in Lorestan province, among adults affected by floods. Determinants of PTSD include unemployment, lower education, psychiatric history, extensive property damage, limited post-flood healthcare access, lack of compensation, and increased flood exposure. We recommend adopting an inclusive screening approach for high-risk groups and developing appropriate therapeutic and supportive interventions.

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Health System Response and Management: Lessons Learned From Iran's 2019 Floods

Cited by 3 publications

References 9 publications

Abstruse Side of Climate Change, Impact on Malaria: A Systematic Evidence Review Comparing Iran versus Globally

Abstruse Side of Climate Change, Impact on Malaria: A Systematic Evidence Review Comparing Iran versus Globally

Disaster Risk Management and Resilience Assessment of Small Communities in Iran

Prevalence and determinants of post-traumatic stress disorder five months after the 2019 huge flooding in Iran

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