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Background: Iran is a country with a high rate of natural disasters like earthquake. The environmental conditions slow down the delivery of health services, especially in the event of disasters. The modern technologies such as telemedicine are appropriate for facilitating disaster relief operations after an earthquake. This study aimed to develop a model for the implementation of telemedicine in an earthquake. Materials and Methods: The study was carried out using a mixed-methods research in three phases: 1. Review of the literature; 2. Qualitative study (modeling); and 3. Delphi method (validation of the model). Databases of Google Scholar, Web of Science, Scopus, and PubMed were searched from 1990 to 2019 with the keywords of "telemedicine" AND "disaster" OR "emergency" AND "earthquake". After screening of the retrieved records, 13 articles met the eligibility criteria and were included in the review study. Ten experts extracted all key elements of telemedicine in the disaster from the articles and categorized them in 6 themes with 38 subthemes. The model of telemedicine in the earthquake was finalized with 2 rounds of Delphi with groups of selected volunteer experts. Results: In the first phase of the study, 6 key themes (telecommunication infrastructure, technical infrastructure, financial infrastructure, health infrastructure, organizational infrastructure, social infrastructure, and cultural infrastructure) with 38 subthemes of telemedicine for implementing in the disaster were obtained. At the conclusion of the third phase of the study, 6 key themes with 33 subthemes contributed to the model of telemedicine in the earthquake. Telecommunication infrastructure with a maximum score of 9.24 earned the priority, and social and cultural infrastructure themes with the minimum score of 7.53 came in the end. Conclusion: The model derived from this study can be used as an applied telemedicine model in an earthquake. We suggest that the results of this study be implemented as a theoretical model, or in a pilot study in a region of the country, and to be evaluated by regarding mortality reduction. We also recommend that a comparative study for using telemedicine in other types of disasters be undertaken. [ABSTRACT FROM AUTHOR]

Background: Iran is one of the earthquake-prone countries in the world that have experienced earthquakes with a magnitude of more than seven on the Richter scale, which has caused significant financial, human, economic, and social losses in society. In earthquakes where the vital arterial system is severely damaged, the community's life is threatened and sometimes causes significant damage. The purpose of this study is to investigate the effect of the earthquake on vital arteries and to design a new approach to earthquake crisis management in the classification of vital arteries. Materials and Methods: This study was descriptive applied. The study population consisted of technicians and experts in management and civil engineering in Isfahan Province, Iran. Considering that the study population is 265 people, all of them were studied with the assumption of a confidence interval of 0.95 and an error of 0.05. The study data were collected by a questionnaire. Because of the normality of the data, the data were analyzed with the Pearson correlation coefficient in SPSS software. Results: The results of data analysis and Pearson correlation coefficient test show a significant relationship between the classification of vital arteries based on new structuring with crisis management and its key role in earthquake crisis control. The passive defense was the most important component and the most relevant among effective approaches to managing vital arteries crises. Conclusion: By creating this proposed model of earthquake crisis management, a new classification was made for the system of vital arteries. Also, It provides a proper performance in different situations of before, during, and after social crises. It is also necessary to form a headquarter called the Social Crisis Management Headquarter based on efficient strategies and the necessary implementation and training. [ABSTRACT FROM AUTHOR]

Background: Iran is an earthquake-prone country, and a considerable rural population lives in earthquake-prone areas. With many worn-out areas, incompetent houses, and relatively underdeveloped rural areas, it is necessary to pay special attention to risk reduction and subsequent measures in these areas. Materials and Methods: Among the current methods, HAZUS is one of the most common methods in estimating potential losses in an earthquake. We used it to calculate the buildings' estimated losses in the earthquake based on the instructions. Because one of the main issues in disaster management is to choose locations for emergency or temporary settlement of population affected by the distracter, this research tries to carry this out based on the derived results from the damage using fuzzy Analytic Hierarchy Process (AHP). After reviewing the previous studies and the experts' opinions, the major and minor criteria affecting the selection of temporary settlement locations were identified. Results: Results suggested that using the damage rate of the studied buildings in the studied area and after choosing six priorities in the pilot village of Vaneshan, priority number 1 was chosen as the best option for temporary settlement in this village. Ultimately, the required items for the evacuees were determined by using the standards of supplying the essentials for the evacuees. Conclusion: Regarding the study area, the results of the damage analysis of the area show that the rate of damage with extensive and complete levels in the villages is very high, which leads to a large number of homeless people with the urgent need to provide adequate shelter. This endower requires a lot of money, and the relevant managers should already be thinking about finding financial resources for it. This issue is not only related to the study area and applies to the whole of Iran. [ABSTRACT FROM AUTHOR]

Background: After the Kermanshah earthquake on November 12, 2017, Tabriz University of Medical Sciences dispatched a response team to the earthquake-stricken areas. This team provided the affected people with health services for 10 days. This article intends to examine the experience of this team in Kermanshah earthquake-stricken areas. Materials and Methods: After the team's return from Kermanshah, a meeting was held to examine the challenges and review the learned lessons with 60 participants, including authorities and the people who were members of the team. The discussed issues were coded using content analysis. The similar codes were merged, and then categories were extracted. Results: The analysis of discussions led to 9 categories of experiences that included delay in recalling process and its challenges, lack of preparedness, use of the virtual space capacity, lack of proper assessment of the health needs and the estimation of facilities, management experience of the team on the dispatch, shortcomings, and imperfections, managerial challenges, lack of coordination, and setting up of field hospitals without planning. Conclusion: Iran is susceptible to natural disasters, and from time to time, parts of the country are affected by these disasters. One of the priorities in these disasters is people's need for health services. Since health facilities in the area usually encounter problems in these circumstances, other medical universities should provide help and relief. The present experience shows that there are still many challenges that should be addressed. [ABSTRACT FROM AUTHOR]

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 Qasr-e Shirin (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. [ABSTRACT FROM AUTHOR]