Overview of the critical disaster management challenges faced during Van 2011 earthquakes

Tolon, Mert; Yazgan, Ufuk; Ural, Dilek; Goss, Cem Kay C.

doi:10.5055/jem.2014.0164

Cited by 2 publications

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“…The accumulation of delta hepatitis in the urban area was unexpected and contrary to the clinical trial data [ 12 ]. This result can possibly be explained by the socioeconomic turmoil due to the recent Van earthquake [ 13 ]. This phenomenon may also be linked to the geo-political crisis in the region.…”

Section: Discussionmentioning

confidence: 99%

High prevalence of chronic hepatitis D virus infection in Eastern Turkey: urbanization of the disease

Dülger¹,

Suvak²,

Gönüllü³

et al. 2016

aoms

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IntroductionBoth hepatitis B virus (HBV) and hepatitis D virus (HDV) infection play an increasingly important role in liver diseases. The main objective of this study was to investigate the socio-epidemiological, laboratory and radiological aspects of both HBV and HDV infection near the Iranian border of Turkey.Material and methodsThe study included 3352 patients with HBV and HDV infection. Socioepidemiological, laboratory and radiological aspects of the study subjects were retrospectively examined. Comorbid metabolic diseases were not assessed due to the retrospective design of the study.ResultsMost of the study subjects were HBe antigen negative. No significant difference in terms of HBV-DNA levels or HBe antigen seropositivity was detected between the city centre and rural areas (p > 0.005). The mean HBV-DNA level in the anti-HDV-positive group was significantly lower than in the anti-HDV-negative group (p < 0.001). The rate of HDV-RNA positivity in women was higher than in their male counterparts (p = 0.017). Anti-HDV-IgG was detected in 18.4% of tested subjects who came from an urban area. In contrast, 12.5% of subjects of the rural group had a positive result for anti-HDV-IgG. Among 134 ultrasonographically evaluated delta hepatitis patients, 37.3% had liver cirrhosis. On the other hand, in 1244 patients with hepatitis B monoinfection, there were 90 patients with liver cirrhosis. Radiologically, the rate of hepatic steatosis in delta hepatitis patients was lower than in those with HBV monoinfection.ConclusionsHepatitis D virus infection was particularly prevalent among the urban population as well as in female subjects. More broadly, the current observations are the first to suggest an inverse correlation between delta hepatitis and ultrasonography-proven hepatic steatosis.

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Section: Discussionmentioning

confidence: 99%

High prevalence of chronic hepatitis D virus infection in Eastern Turkey: urbanization of the disease

Dülger¹,

Suvak²,

Gönüllü³

et al. 2016

aoms

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“…On October 23, 2011, a 7.2-magnitude earthquake killed more than 1,000 people in the eastern Anatolian city of Van; this was one of Turkey's worst natural disasters. More than 60,000 residents of the city lived in make-shift houses and containers under unfavorable climatic conditions 7 . Furthermore, people in the disaster-stricken areas faced many health problems, mostly due to overcrowding in temporary, make-shift dwellings and other unfavorable accommodations.…”

Section: Introductionmentioning

confidence: 99%

The prevalence of helicobacter pylori among dyspeptic patients in an earthquake-stricken area

Suvak

Dülger

Suvak

et al. 2015

Clinics

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OBJECTIVES:Helicobacter pylori is a gram-negative, spiral-shaped, urease-producing bacterium with multiple unipolar flagella. Humans are a major reservoir for H. pylori; however, there are no data on the prevalence of H. pylori among dyspeptic patients who have experienced natural disasters. Therefore, the aim of this study was to examine the prevalence of H. pylori in dyspeptic patients who survived a recent natural disaster and to compare the data between the pre-disaster and post-disaster periods.METHODS:Between December 2011 and February 2012 (∼ one month following an earthquake), 209 dyspeptic patients who underwent gastroscopy were included in the study. For microorganism identification, gastric biopsy materials from the 209 disaster survivors with dyspeptic complaints were tested for urease activity in a medium containing urea and a pH indicator. The obtained results were compared with pre-disaster data from dyspeptic patients in the same city during the corresponding period of the previous year. Furthermore, the current H. pylori prevalence was evaluated among 139 dyspeptic patients between January 2014 and May 2014.RESULTS:We found a significantly higher prevalence of H. pylori in disaster survivors with dyspepsia compared with dyspeptic patients in the pre-disaster period (p<0.005). Interestingly, the current H. pylori prevalence was found to be significantly higher than the prevalence in both the disaster and pre-disaster periods (p<0.005).CONCLUSION:These results suggest that a recent earthquake could contribute to the development of H. pylori infection in subjects who live in the disaster-stricken area. These data also highlight the exceptionally high H. pylori prevalence in dyspeptic patients. Regional variations require further analyses.

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Overview of the critical disaster management challenges faced during Van 2011 earthquakes

Cited by 2 publications

References 0 publications

High prevalence of chronic hepatitis D virus infection in Eastern Turkey: urbanization of the disease

High prevalence of chronic hepatitis D virus infection in Eastern Turkey: urbanization of the disease

The prevalence of helicobacter pylori among dyspeptic patients in an earthquake-stricken area

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