@article{KriegGardemann2009, author = {Krieg, Christa Maria and Gardemann, Joachim}, title = {A record of morbidity and medical request profiles in international humanitarian aid, taking the earthquake in BAM in Iran in 2003 as an example}, series = {Nederlands Militair Geneeskundig Tijdschrift / Netherlands Military Medical Review}, volume = {62}, journal = {Nederlands Militair Geneeskundig Tijdschrift / Netherlands Military Medical Review}, publisher = {Director of Military Health Care}, address = {The Hague}, issn = {0369-4844}, doi = {10.25974/fhms-452}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4522}, pages = {180 -- 187}, year = {2009}, abstract = {A record of morbidity and medical request profiles in international humanitarian aid, taking the earthquake in BAM in Iran in 2003 as an example Objective: With the humanitarian work of the International Red Cross after the earthquake in BAM, Iran, it should be noted that international and national cooperation is possible according to recognised standards and concepts, and therefore morbidity records can be included uniformly in the context of day to day work even in post disaster situations. The data ascertained show changes in the disease spectrum. Basic health provision according to the primary health care concept has priority in the post disaster response (> 6 days) of the earthquake compared to more surgically oriented medical acute aid from abroad. Material and methodology: In the international consensus conference at the beginning of January 2004, uniform morbidity recording was fixed to simple standardised case definitions. The recording of traumatic, infectious and non-infectious diseases was carried out during the routine work in the out-patient facilities of the emergency response units of January 3 to 31, 2004 . Examination was according to the following indicators: Proportional morbidities, sum of the proportional morbidities. Results and discussion: 16677 new cases were included in the complete examination time period. The health facility rate only gradually increased. Temporal fluctuations in the numbers treated may be caused by secondary care of the injured, by a possible lack of accessibility (transport problems) or an increased acceptance of facilities. A written specification of the case definitions was not carried out in BAM, and so a comparison is not possible for recorded morbidities at the same time, and consistency cannot be reached for some of the data. Nine diagnoses/categories cover 98.68\% of the consultations in the complete time period. Non-traumatic health problems predominate for the whole of the month. The category "others" is too high with 57.94\%. Therefore, it may be assumed that certain diagnoses were overestimated, underestimated or not recognised. Vulnerable groups (children, women, the old), were not completely included. Conclusion: Standards and guidelines for health care in humanitarian aid exist, and are of help during planning, decision finding, execution and communication. Data acquisition instruments (registering books and patient files) should be developed and standardised by national and international humanitarian groups. The recording of morbidity is a simple instrument in the context of out-patient facilities with valuable information for further work during catastrophes.}, subject = {Katastrophenmedizin}, language = {en} } @article{GardemannMochMunz2009, author = {Gardemann, Joachim and Moch, Thomas and Munz, Richard}, title = {Nach dem Erdbeben im Iran: "Alltagsmedizin" hat Vorrang. Daten der Rotkreuz- und Rothalbmondf{\"o}deration zufolge ist die chirurgische Akuthilfe am Katastrophenort weniger gefragt}, series = {Deutsches {\"A}rzteblatt}, volume = {102}, journal = {Deutsches {\"A}rzteblatt}, number = {7}, publisher = {Deutscher {\"A}rzte-Verlag}, doi = {10.25974/fhms-454}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4544}, pages = {A410 -- A412}, year = {2009}, abstract = {Ein verheerendes Erdbeben zerst{\"o}rte am 26. Dezember 2003 die s{\"u}diranische Stadt Bam und forderte {\"u}ber 36000 Menschenleben. Unter Beteiligung von dreizehn freiwilligen Helfern des Deutschen Roten Kreuzes stellte die internationale Rotkreuz- und Rothalbmondf{\"o}deration die vollkommen vernichtete medizinische Infrastruktur im Erdbebengebiet f{\"u}r die verbliebene Bev{\"o}lkerung sicher. Das System schnell einsetzbarer mobiler Gesundheitseinrichtungen (Emergency Response Units) der Rotkreuzbewegung bew{\"a}hrte sich auch in Bam wieder. Erstmals gelang es hierbei, auch in der Akutphase der Katastrophe ein einheitliches und f{\"u}r alle Organisationen verbindliches t{\"a}gliches Berichtswesen durchzusetzen. Die hiermit erhobenen Fallzahlen belegen f{\"u}r die humanit{\"a}re Hilfe auch in einem Erdbebengebiet erneut die {\"u}berragende Bedeutung der Basisgesundheitsversorgung im Sinne des Primary-Health-Care-Konzeptes gegen{\"u}ber einer eher chirurgisch orientierten medizinischen Akuthilfe aus dem Ausland.}, language = {de} }