Disaster Medicine and Public Health Preparedness

Building Resilience: A Comprehensive Framework for Evaluating University Emergency Response to Major Emerging Infectious Diseases
Wu M, Sun H, Zheng S, Zhao F and Peng X
To develop an evaluative framework for assessing the emergency response capabilities of higher education institutions to major emerging infectious diseases, enabling institutions to identify preparedness gaps and prioritize improvements across the outbreak lifecycle.
Impact of COVID-19 Vaccine Mandates on COVID-19 Incidence and Deaths in Saskatchewan, Canada: Findings From the First Year Following Vaccine Rollout
Adeyinka DA, Olakunde BO, Ologunagba BO, Oladimeji O and Oluwole O
The COVID-19 pandemic significantly impacted Saskatchewan, resulting in high per capita case counts and COVID-19-related deaths. While vaccination mandates have been a key strategy to control the pandemic, their impact in Saskatchewan remains poorly documented. This study assessed the effect of COVID-19 vaccine mandates on the incidence of COVID-19 cases and deaths in Saskatchewan during the first year following vaccine rollout.
The Relationship Between Carbon Monoxide Poisoning and Air Pollution: A Multicenter Study in Provinces Affected by the February 6th Earthquake at the End of the First Year
Gulen M, Satar S, Sabak M, Acehan S, Yavuz E, Bozkurt M, Gurbuz M, Polat M, Gedik MS, Aytekin T, Koca AN, Akbaş İ, Nogay S and Esen CI
Building collapses, debris removal, new construction, and increased stove use for heating have elevated air pollution in regions affected by the February 6, 2023, Kahramanmaraş earthquake. This study examines the relationship between carbon monoxide (CO) poisoning and air pollution in these areas 1 year after the disaster.
Pediatric Decontamination Considerations in CBRN Events: A Scoping Review
Alshaikh E, Issa F, Hertelendy AJ, Davis T, Rizek J, DiGregorio D, Eboreime EA, Kung J, Voskanyan A and Ciottone G
Children are uniquely vulnerable to chemical, biological, radiological, and nuclear (CBRN) events due to anatomical, physiological, and psychological differences. Current decontamination practices are adapted from adult protocols.
Challenges, Biases, and Solutions in Using Large Language Models Like ChatGPT for Public Health Communication and Crisis Management
Rana U and Singh R
Evaluation of Pediatric Triage Decisions Using the SALT (Sort, Assess, Life-saving Intervention, Treatment/Transport) Triage System across Training Levels
Ren D, Breslin K, Goodwin T and Simpson J
Evaluate and improve the accuracy of disaster triage decisions for pediatric patients among clinicians of various training levels using the Sort, Assess, Life-Saving Intervention, Treatment/Transport (SALT) triage system.
Emergency Medical Services Perception of the Use of Wearables in Patient Management During Mass Casualty Incident Management
Tambini SS, Conti A and Caviglia M
This study explored Italian Emergency Medical Services (EMS) professionals' perceptions regarding a hypothetical wearable device during Mass Casualty Incidents (MCIs), aiming to improve MCI management and patient outcomes. The device includes patient identifier, vital sign monitoring, LED-based triage coding, geolocation, and real-time data transmission. Using the Technology Acceptance Model (TAM), perceived usefulness, perceived ease of use, and behavioral intention to use the device were measured.
Defining The Musculoskeletal Injuries of Survivors After Earthquakes; A Cross-sectional Analytic Study from Turkey
Sakinmaz F, Koca TT, Berk E and Koca Ö
The aim was to document sociodemographic and clinical data of patients with musculoskeletal injuries who applied to the Physical Medicine and Rehabilitation clinic after the earthquake, to share experiences, and thus contribute to preparation for subsequent disasters.
Depression, Anxiety, and PTSD Among Southern California Residents After the January 2025 Los Angeles Wildfires
Lee R, Unger JB, Soto DW, Kawaguchi E, Cockburn M, Paul S and Gilliland F
The January 2025 Los Angeles wildland-urban interface wildfires represent a significant environmental disaster, resulting in widespread evacuations. Beyond the immediate physical and economic devastation, wildfires can have profound and lasting impacts on the mental well-being of affected populations. This study compared mental health outcomes between Southern California residents who evacuated due to the fires and those who did not evacuate.
To Limit Healthcare Worker Attacks in Conflict and Humanitarian Settings Requires Immediate Action: Enough is Enough
Cuthbertson J and Weinstein ES
Prioritized Health Issues, Solutions, and Vulnerable Groups of Residents Recovering From Nuclear Disaster: A Qualitative Analysis of Interview Data
Kobashi Y, Susa N, Ryzhii E and Ito N
This study examined the health-related issues and proposed solutions among residents who returned or migrated to Namie in Fukushima Prefecture, Japan, after the evacuation order following the Fukushima Daiichi Nuclear Power Plant (FDNPP) accident was lifted. Moreover, this study assessed vulnerable groups comprising individuals who faced difficulties obtaining health services.
Integrating Social Determinants of Health into Australian Disaster Inquiry Recommendations Current Practice and Future Policy Directions
Cuthbertson J
This research evaluated Australian governmental disaster inquiries to identify evidence of application of the social determinants of health within their recommendations.
Real-time Innovative Solutions for Ensuring Continuity and Safety of Medical Care in a Hospital Under Wartime Physical Threat
Bar-On E, Shapira S, Barkai G, Halpern N, Mazaki-Tovi S, Har-Even Y, Vivante A, Grinberg A, Frenkel Nir Y, Semo-Oz R, Luttinger A, Loebenstein R, Manor U, Bitan O, Kreiss Y and Pessach I
The recent conflict in the Middle East posed unprecedented threats, with hundreds of long-range ballistic missiles launched toward Israel, targeting military and civilian facilities including hospitals. Organizational and logistic actions were taken in Sheba Medical Center, both pre-emptively and during the conflict, preparing for a mass casualty incident while maintaining routine medical care to the population and maintaining safety of patients and staff. These included discharging patients and increasing home hospitalizations, ward evacuations, transferring patients to protected areas, and classifying patients by their vulnerability and status of protection, accelerated structural adaptation of underground spaces to house patients, and construction of a tented field hospital underground. An effective command and control system was in place to monitor protective status, and an ethical committee was convened to assist in decision-making. These measures enabled continued delivery of emergency and medical care under fire while ensuring the safety of patients and staff.
Iodine Status in Pregnant Women Living in the Region After the Earthquake in Eastern Mediterranean Turkey (Kahramanmaraş Province): A Cross-Sectional Study
Oguz A, Ozer A, Kilinc M, Doganer A, Ozbay UN and Gul K
To assess the iodine status of pregnant women from disadvantaged groups in Kahramanmaraş Province 1 year after the earthquake, including factors affecting iodine status.
EMCON: A Comprehensive Emergency Response System for Low- and Middle-Income Countries
Rafaqat W, Abidi SMA, Lee J, Javed AA and Mian AI
Emergency medical care in Pakistan remains uncoordinated due to the absence of a platform to connect hospitals, patients, and ambulances. Consequently, during periods of resource shortage and crowding of the emergency department at hospitals, patients and ambulances are unable to select the best site for patient management or transfer of patients, resulting in suboptimal care and poor outcomes.
Field Work Experience in the Delayed Period of Earthquake Response in Syria
Sayfullin RF, Kolodkin AA, Zamyatin MN and Plutnitskiy AN
To describe the results of the Federal Center for Disaster Medicine field hospital work in an outpatient setting in Aleppo, Syria, during the delayed period after the earthquake (from days 33 to 67) for 35 days.
Temporary Housing Negatively Affects the Clinical Follow-up and Outcome of Myocardial Infarction Patients after the 2023 Türkiye-Syria Earthquake
Faideci EM, Güzel S, Hancıoğlu E, Maraşlı MB, Ziyrek M and Okuyan E
This study aimed to evaluate the impact of temporary housing challenges (THC) after the February 6, 2023, Türkiye earthquake on clinical follow-up non-adherence (CFNA), low-density lipoprotein cholesterol (LDL-C) target achievement, and major adverse cardiac events (MACE) in patients with myocardial infarction (MI).
European Approach for Acute Radiation Syndrome's Management Facing Radiological and Nuclear Threats: A Call for Arms
Benderitter M, Arnautou P, Bartels C, Benchetrit D, Bordea L, Buruiana S, Cessac B, Choquet S, Klymenko S, Lyzinski K, Malfuson JV, Morel Y, Mothy M, Nica S, Philippe JM, Powles R, Smallwood C, Stenke LP, Steponkus T, Tamarat R, Tanase A, Trzos A and Kenbaeva Z
The increasing concern related to radiological and nuclear threats within the European Union (EU) has intensified the regional preparedness needs. The anticipated number of injured, contaminated, and irradiated individuals may range from a few to hundreds of thousands, necessitating immediate emergency medical care and hospitalization. Given this potential influx of casualties, the medical teams responsible for initial management may become rapidly overwhelmed, facing immense pressure to formulate appropriate response strategies and treatment options. Therefore, it is critical to establish appropriate supra-national recommendations and appropriate national protocols to guide medical decision-making in such extraordinary circumstances. The EU is proactively preparing for this worst-case scenario. Drawing on a robust and remaining state-of-the-art reference consensus regarding the medical management of mass radiation exposure, a well-established network of 550 European Society for Bone and Marrow Transplantation (EBMT) centers and emergency medicine specialists, and two decades of collective experience in managing acute radiation syndrome (ARS) patients. The European Commission (EC), in collaboration with the World Health Organization (WHO) Europe, is accelerating the dissemination of medical response protocols. This initiative includes the education of healthcare professionals and the implementation of a strategic stockpile of medical countermeasures to address nuclear-related threats effectively.
Evaluation of Factors Influencing the Quality of Life of Older Adult Earthquake Survivors in Türkiye: A Cross-Sectional Interview-Based Study
Buran C, Tosun B, Pehlivan Hatipoglu K, Atay E and Yava A
Due to frailty, chronic health issues, limited mobility, dependence on assistive devices, and polypharmacy, the geriatric population is more susceptible to the adverse effects of earthquakes. The aim of this study was to determine the factors affecting the quality of life of older adults who experienced the Kahramanmaraş-centered earthquakes in Türkiye on February 6, 2023.
Strength Under Pressure: Exploring Resilience and Mental Health in Spanish Nursing Students During the COVID-19 Pandemic
Robles-Bello MA, Sánchez-Teruel D, Mendoza-Bernal I, Sarhani-Robles A and Sarhani-Robles M
The COVID-19 pandemic has placed unprecedented strain on global health systems, significantly affecting both the physical and emotional well-being of populations. Nursing students represent a particularly vulnerable group due to the pandemic’s impact on their mental health and academic progression. This study aims to assess the level of resilience among Spanish university nursing students during the pandemic.
Stampede: An Avoidable Disaster and Important Public Health Challenge for India
Sharma M, Golechha M and Mavalankar D