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Abdollah Dargahi, Mehrdad Farrokhi, Mohsen Poursadeghiyan, Mir Mohammad Hossein Ahagh, Amir Karami,
Volume 2, Issue 4 (Summer 2017 -- 2017)
Abstract

Background: Every year, accidents and disasters occur in Iran and result in death and injuries of common people. People’s demand for health care units involves not only the requirement for medical centers but also staffs to work in them. Therefore, the purpose of this study is to investigate the performance readiness and non-structural functional safety of different health care centers and units of Kermanshah University of Medical Sciences in dealing with natural disasters.
Materials and Methods: This is a cross-sectional descriptive and analytical study conducted in connection with the non-structural safety status of 837 health care centers and facilities at the headquarters of Kermanshah University of Medical Sciences in 2015. Established checklists were distributed among 24 assessment teams and completed by trained experts after assessing the status quo of the health units with relevance to the checklist.
Results: The results showed that in terms of natural hazards, the highest and lowest likelihood of occurrences were related to earthquake (75%) and landslide (20%), respectively. In the field of functional readiness of health units and various other departments at the headquarters of health centers, fire extinguishing section had the highest percentage of readiness with 68%. However, the risk reduction measures and health insurance coverage had the lowest percentage of readiness in responding to disasters with 3% and 0%, respectively. The non-structural sanitary homes recorded 48% of readiness, whereas the network headquarters and health centers recorded 35% of readiness, which denoted the highest and lowest rate in the context of vulnerability, respectively. 
Conclusion: In general, the results showed that the average performance percentage and non-structural vulnerability of health units and various other departments are moderate at the headquarters of health centers. According to the study results, disasters like earthquake, dust, flood, and landslide frequently required preparedness in the whole region.

Abdollah Dargahi, Susan Bagheri, Mohsen Poursadeghiyan, Mir Mohammad Hosseini Ahagh, Mehrdad Farrokhi,
Volume 3, Issue 1 (Autumn 2017 -- 2017)
Abstract

Background: Health measures in an emergency are one of the cases where damage caused by disasters can be reduced with proper implementation, and the health crisis can be controlled. This requires awareness and knowledge of health and rescue authorities, students, and even people in an emergency situation. Therefore, the purpose of this study was to investigate knowledge of students’ and attitude in Khalkhal Medical School in the field of emergency health measures.
Materials and Methods: This is a descriptive-cross sectional study, which was conducted in the 2013-2014 school year in Khalkhal Medical School using a researcher-made questionnaire. Designed questionnaire include questions about personal information, level of knowledge (10 questions) and attitude (10 questions) towards health measures in an emergency. This study was conducted among 200 students who were either in semester 5 or higher. The sampling method was of census-type. To determine the reliability of the questionnaire, Alpha Cronbach’s Coefficient obtained to be 0.8. To compare mean scores in different groups, one-way ANOVA, chi-square test, and independent T-test were used.
Results: The results showed that 8% of students were well aware, 65.5% were moderately aware, and 26% were poorly aware. In addition, 29% of them had right attitude, 15% had moderate attitude, and 9% had a poor attitude towards health measures in emergencies. Among different disciplines regarding knowledge and attitude, no significant difference was observed (P<0.05) and there was a significant difference between age groups regarding the level of knowledge and attitude (P<0.05).
Conclusion: The results of the study showed that there was no significant difference in knowledge and attitude towards health measures in emergencies among students. Moreover, the results showed that some of the fields under study had a relatively small understanding of health measures in emergencies. Therefore, to enhance their level of knowledge, the need for more detailed planning is felt, and courses should be included for students of the University of Medical Sciences in this regard.

Amir Karami, Abdollah Dargahi, Mehrdad Farrokhi, Mohsen Poursadeghian, Reyhaneh Ivanbagha, Parvin Mostafaei, Leila Tabandeh,
Volume 4, Issue 1 (Autumn 2018)
Abstract

Background: Natural disasters are out of human control, often leading to loss of life and property, and particularly affecting public health. Natural disasters influence human lives in different ways. They may have severe, obvious, or hidden consequences. Therefore, the present study aimed at examining the environmental health condition of the cities affected by 2017 earthquake in Kermanshah Province.
Materials and Methods: This was a cross-sectional study. The environmental health experts gathered and analyzed the study data regarding the environment health condition of public places, food safety, solid waste management, types and number of water supplies, number of healthcare facilities and local health centers, etc. 
Results: According to the results, the lowest and highest number of damaged villages in Kermanshah Province were located in Sarpol-e Zahab (205 villages) and Ghasreshirin (29 villages), respectively. In addition, Eslamabad-e Gharb and Salas-e Babajani had the highest and lowest urban and rural populations, respectively. A total of 138564 people were affected by the earthquake. The improved water sources in the affected areas included 51 low-risk water sources, 171 moderate-risk water sources, 2 high-risk water sources, and 0 very high-risk water sources. In addition, 5059 m3 water was chlorinated by the environmental health experts and 1805 households were under the coverage of methoxymethyl chloride. Moreover, public healthcare centers (1059 intact and 605 damaged), 4564 food safety centers (3204 intact and 1360 damaged), and 20 solid waste management centers (16 intact and 4 damaged) were available in the area after the earthquake.
Conclusion: Overall, the results indicate that the environmental health activities in the areas affected by the earthquake were adequate in terms of providing healthy drinking water, garbage and wastewater management, distribution of healthy foods, and so on. Thus it can be used as a good model to response the needs of the survivors from the future natural disasters and crises.


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