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Iran is one of the top ten countries most frequently stricken by natural disasters.

Iran is one of the top ten countries most frequently stricken by natural disasters. More than 120 000 killed in such disasters during the last century in Iran, most commonly due to earthquakes. ICEBERG OF TRAUMAS. During past 8 years: 924 earthquakes 3 -7.3 R

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Iran is one of the top ten countries most frequently stricken by natural disasters.

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  1. Iran is one of the top ten countries most frequently stricken by natural disasters. More than 120 000 killed in such disasters during the last century in Iran, most commonly due to earthquakes.

  2. ICEBERG OF TRAUMAS • During past 8 years: 924 earthquakes 3 -7.3 R 17686 dead (17% world ) 53300 injured 275000 dwellings destroyed 2500 billion Rls damage

  3. 5 Different Proposals • Epidemiologic survey • Direct needs assessment survey • Rescuers’ educational needs assessment • Objective losses • Qualitative research

  4. 1- Epidemiologic Study • Historical cohort • 2 earthquake ridden areas • Ghaen - Birjand • Ardabil • 1 year after event • Case : n=703 • Control: n=684 • Tools: GHQ-28 ,RUTTER,WATSON,YULE

  5. Main Findings: GHQ-28: 34.1 VS 15.85 P<0.001 RUTTER: 13.08 VS 8.19 P<0.001 OR = 3.29 for adults OR = 2.05 for children

  6. PTSD IN CHILDREN(cut off point under consideration)

  7. PTSD IN ADULTS(cut off point under consideration)

  8. Anniversary effect?

  9. 2- DIRECT NEEDS ASSESSMENT57 ITEM QUESTIONNAIRE • EXPOSURES • INFORMATION NEEDS • NEED FOR EMOTIONAL SUPPORT • NEED FOR EDUCATION

  10. VISUAL EXPOSURES

  11. NEED FOR INFORMATION

  12. NEED FOR COUNSELLING

  13. WHO PROVIDED PSYCHOLOGICAL SUPPORT?

  14. RECEIVED “DON’T CRY” ADVICE • YES = 63.7 % • NO =36.3

  15. HAVE YOU BEEN PLAYING SINCE THE EVENT? • YES 43.7% • NO 43.3% • NO ANSWER 13.0%

  16. WHOM DID YOU EXPECT ? PERCENT UNAWARE OF ROLES • GOV. AUTHORITIES 64.7 3.6 • CLERGIES 53.2 4 • PSYCHIATRISTS 22.0 5 • SOCIAL WORKERS 19.04 46 • PSYCHOLOGISTS 14.70 53.2

  17. 3- EDUCATIONAL NEEDS ASSESSMENT FOR RESCUERS NOT MUCH DIFFERENT

  18. RISK COMMUNICATION • MISINFORMING 20.5% • GRADUAL BRIEFING 42.2% • OUTRIGHT 6.5%

  19. WHAT WOULD YOU DO ABOUT DRUG ABUSE TO COPE WITH THE STRESS? • I WOULD IGNORE? 5.3% • NOT A PROBLEM FOR A LIMITED PERIOD 11.5% • I RECOMMEND THEM NOT TO DO? 83.2%

  20. 4- OBJECTIVE LOSSES • MORTALITY • INJURIES • NO OF DESTROYED HOUSES • NO OF AFECTED FAMILIES • NO OF KILLED CATTLE • TIME LAG TO RESCUE

  21. QUALITATIVE STUDY

  22. SOME FINDINGS • MOST TRAUMATIC EXPERIENCE OF LIFE • WORRIES ABOUT CHILDREN • DEPRESSION • ACADEMIC DECLINE • REEXPERIENCE • CONTINUITY OF SYMPTOMS • SHELTER • LACK OF PRIVACY • PRAYING AND RELIGIOUS BELIEFS • PS NEEDS NOT ADDRESSED

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