救援人员的主要心理问题、相关因素与干预策略

救援人员泛指在各种紧急情况中提供救助的个体,其心理健康风险得到越来越多的关注.研究发现救援人员的心理问题主要是应激相关障碍,消极情绪以及倦怠感.不利的救援工作条件、创伤暴露与非适应性的情绪调节策略是救援人员心理健康主要的危险因素;救援工作中的有利条件、社会支持、心理弹性以及适应性情绪调节策略是心理健康的保护因素.对救援...     

‘Sea of blood’: the intended and unintended effects of criminalising humanitarian volunteers assisting migrants in distress at sea

This paper investigates the impact of the recent criminalisation of humanitarian actors engaged in the search for and rescue of migrants in distress in the Mediterranean Sea, focusing on the impact on the motivation and engagement of humanitarian volunteers in Greece. It argues that criminalisation is aimed at reducing search and rescue (SAR) activities and thus removing perceived ‘pull factors’ for migrants. The paper locates this phenomenon within the broader trend of policing and punishing those who assist migrants in order to deter them and prevent others from engaging in such endeavours. It finds that efforts to criminalise can have the unintended effects of encouraging and mobilising volunteers, as well as generating public attention and support for migrants. However, the negative consequences of criminalisation are far-reaching, including contributing to a high mortality rate among those crossing the Mediterranean without SAR capabilities and the heightened risk of violence against migrants and those who help them.     

A baseline assessment of emergency planning and preparedness in Italian universities

Besides offering teaching and research services, schools and universities also must provide for the safety and security of their employees, students, and visitors. This paper describes emergency preparedness in a sample of Italian universities. In particular it examines risk perception within a specific professional category (university safety and security officers) in a specific cultural context (Italy). In addition, it discusses the transposition and implementation in a European Union (EU) member state of EU Council Directive 89/391/EEC of 12 June 1989, on the introduction of measures to encourage improvements in the safety and health of workers. The findings highlight heterogeneous and fragmented emergency management models within the Italian university system, underlining the need for a stricter framework of standardised safety protocols and emergency management guidelines. The study also points out that enhancing emergency planning and preparedness in Italian universities entails increasing safety leadership, employee engagement and individual responsibility for safety and security; essentially, it necessitates improving the culture of risk prevention.     

Moderating effects of empathic concern and personal distress on the emotional reactions of disaster volunteers

This study examines stress and mood outcomes in community volunteers who undertook one week's worth of post‐disaster relief work in L'Aquila, Italy, which had been hit by an earthquake four months earlier. The study team obtained pre‐ and post‐relief work data from 130 volunteers involved in activities such as preparing food for the displaced, cleaning the camps and distributing clean linen. The Perceived Stress Scale, the State‐Trait Anxiety Inventory and the Profile of Mood States were administered at the start and at the end of the aid activities. Psychopathological symptoms and empathy were assessed in the beginning, using the Symptom Checklist 90 Revised and the Interpersonal Reactivity Index, respectively. The results show that, following the assistance work, volunteers displayed decreases in perceived stress, general distress, anxiety and anger, as well as increases in positive emotions. The empathy facets empathic concern and personal distress showed different patterns in modulating the post‐disaster relief work adaptation for some of the mood outcomes.     

Comparison of the expectations of residents and rescue providers of community emergency medical response after mudslide disasters

The integration of community resources is critical for emergency response. A thorough understanding of a community's requirements in advance is essential. This study examines communities that suffered mudslide disasters, and discusses expectations of the emergency medical response provided to the community from the perspectives of residents and rescue groups. The questionnaire used in the study was designed to adopt the Likert Scale for quantification purposes. Its content was divided into six categories based on emergency response. Both residents and rescue providers acknowledged that finance and reimbursement were the highest priority. Public information was regarded as the least important by both groups. Significant differences existed between the groups on patient care activities and supportive activities (P = 0.02 and 0.03, respectively), which were more appreciated by residents. We conclude that residents had higher expectations of evacuation, temporary relocation, lodging, food, and sanitary management than the rescue groups.     

应对河南省特大洪涝灾害救援药品保障目录的研究与实践

为提高中国救援队救援任务中的药品保障效率,建立洪涝灾害救援药品保障目录.查阅洪涝灾害医学及救援相关文献270余篇,统计分析洪涝灾害疾病谱及发生率.根据不同疾病类型的发生比例,采用决策分析法,确定洪涝灾害救援药品保障目录,搭建国内药品紧急响应平台.研究结果为:消化系统疾病、呼吸系统疾病及皮肤科疾病占据疾病谱前三位.参照疾...     

Psychological Consequences of the 1992 Erzincan (Turkey) Earthquake

The long-term psychological after-effects of the 1992 Erzincan earthquake are examined. 461 subjects from Erzincan were administered a semi-structured interview. Emotional distress was measured by a symptom checklist containing 40 items. 129 subjects from Ankara, the capital of Turkey, were also used as a comparison sample. The factor analysis revealed that distress symptoms can be grouped into phobic anxiety, somatization, depression and hostility. The comparison of the Erzincan and Ankara samples showed that the Erzincan sample had higher phobic anxiety scores, the females from Erzincan had higher distress as compared to the males from Erzincan and to both males and females from Ankara. Regression analyses showed that being female and evaluating one's home as insecure against future earthquakes were related to elevated levels of distress. Results showed that, even after sixteen months, Erzincan residents had higher phobic anxiety and that females seemed to be especially vulnerable to distress. Implications of the results for psychosocial intervention are discussed.     

基于多元统计分析的火灾灾后抢险物资配送模型研究

传统物资配送方法存在配送物资效率低、配送成本高等缺点,为了及时确定抢险物资应急救援路线,向火灾受灾点快速配送抢险物资,提出基于多元统计分析的火灾灾后抢险物资配送模型。建模时采用多元统计分析法分析火灾受灾点救援需求和配送路线连通随机性,以及救援出发点对受灾点的最大覆盖范围的限制,利用加权贝叶斯算法将物资配送多目标规划问题转变成单目标规划问题,建立抢险物资配送单目标规划模型;运用遗传算法对模型求解,并采用惩罚函数处理模型中的约束条件,实现物资在受灾点之间均衡分配。     

1989～2005年中国启动地震应急预案的研究

制定地震应急预案是地震应急的行动纲领。过去重“救”轻“防”,而且“救”的程序也缺少规范。地震应急预案将“防、抗、救一作了规范．对每个职能部门的应急工作都作了部署。全国地区（市）级颁布地震预案267个,县级颁布地震预案1603个。据不完全统计,1989-2005年,全国共计启动地震应急预案56次。其中,1989～1993年年均启动0．8次,1994-1998年2．2次,1999-2003年4．2次,2004～2005年10次。     

城市重大环境风险事故应急救援系统的设计--以大连市为例

根据联合国"阿佩尔计划"(APELL),环境风险事故管理的一个重要方法是建立面向地区的应急0援系统.以大连市环境污染事故风险预警的实际工作为例,在研究环境事故应急管理现状的基础上,分析了救援系统支持平台GIS的优势,论述了该系统的需求、功能、数据库及救援网络等设计内容,完善了环境事故管理的方法研究,为环境风险事故应急管理提供了较理想的实用型管理手段.     

Earthquake drills and simulations in community-based training and preparedness programmes

The San Francisco, California, bay area is subject to continuous seismic risk. One particular response has been the development of community-based training programmes designed to teach residents basic emergency response skills. Citizens are taught emergency medical techniques, search and rescue, fire suppression and other fundamental response skills. Current estimates in the Bay Area place the number of programmes at more than 100. Many programmes now include an annual community drill to reinforce the training and to evaluate the programme. The study described here is based on an evaluation of an effort initiated by BayNET (Bay Area Neighborhood Emergency Training), a voluntary association of communities with community-based disaster preparedness programmes. In April 1996, BayNET asked all of its members to hold a community earthquake drill. After the drill, a mail survey was conducted of all programme managers. The survey examined the structure and administration of the programmes, training efforts and other related components. This paper describes the typology of drill formats that communities used, the role of the simulation in the city's preparedness efforts, the qualitative costs and benefits, as well as an assessment of the drill based on survey respondents.     

Implementation of a medical command and control team in Switzerland

In case of a major incident or disaster, the advance medical rescue command needs to manage several essential tasks simultaneously. These include the rapid deployment of ambulance, police, fire and evacuation services, and their coordinated activity, as well as triage and emergency medical care on site. The structure of such a medical rescue command is crucial for the successful outcome of medical evacuation at major incidents. However, little data has been published on the nature and structure of the command itself. This study presents a flexible approach to command structure, with two command heads: one emergency physician and one experienced paramedic. This approach is especially suitable for Switzerland, whose federal system allows for different structures in each canton. This article examines the development of these structures and their efficiency, adaptability and limitations with respect to major incident response in the French‐speaking part of the country.     

VTOL aircraft in emergency planning and management: a model for a helipad network

The scientific literature regarding HEMS (Helicopter Emergency Medical Service) planning lacks a method for defining optimal sites for helipads that takes into account risk distribution and hospital location. Such a method could minimise overall rescue time in emergency situations. In this paper a method that supports the decisions taken by disaster planners and managers is developed, focusing on the quantification of necessary air resources for the management of some probable calamities. Given a region characterised by a natural and non-natural disaster risk map, along with a comprehensive transport system (also characterised by a risk map), a set of emergency destinations (hospitals), a set of heliports/helipads dislocated on the territory and a number of available HEMS rotorcraft, the aim of the paper is to assess the adequacy of the VTOL/FATO (Vertical Take-Off and Landing/Final Take-Off and Landing Area) system in order to deal with a set of possible emergencies.     

Health and social impacts of a flood disaster: responding to needs and implications for practice

Carlisle in northwest England suffered its worse floods for more than 180 years in 2005. A study, reported here, was undertaken to assess the health and social impacts of these floods via in‐depth, taped individual and focus‐group interviews with people whose homes had been flooded and with agency workers who helped them. Respondents spoke of physical health ailments, psychological stress, water health‐and‐safety issues related to the floods, and disputes with insurance and construction companies, which they felt had caused and exacerbated psychological health problems. Support workers also suffered from psychological stress. Furthermore, it was found that people had low expectations of a flood and were not prepared. The findings are presented in five sections covering flood risk awareness, water contamination issues, physical health, mental health, and impact on frontline support workers. The discussion focuses on the implications of the findings for policy and practice vis‐à‐vis psychological health provision, contamination issues, training and support for frontline support workers, matters relating to restoration, and preparation for flooding.     

Risk factors for long‐term post‐traumatic stress disorder among medical rescue workers appointed to the 2008 Wenchuan earthquake response in China

This study aims to determine the risk factors for clinically‐significant post‐traumatic stress disorder (PTSD) among Chinese medical rescue workers one year after the response to the Wenchuan earthquake on 12 May 2008. A sample of 337 medical workers who performed response work within the first three months of the event completed an online questionnaire, which included information on demographics, social support, the management and organisation of the disaster response, and an assessment of PTSD. Symptoms consistent with PTSD were prevalent in 17 per cent of the rescue workers. Those who developed PTSD symptoms were more likely to have been injured, experienced a water shortage, been disconnected from family and friends during the response, and have passive coping styles and neurotic personalities. Factors that cannot be changed easily, such as personality traits, should be evaluated prior to deployment to ensure that rescue workers at higher risk of PTSD are provided with adequate support before and during deployment.     

地震灾害心理伤害的相关问题研究

结合唐山地震灾区社会恢复与社会行为问题研究,对将近2000份有关地震社会问题的问卷进行了重新统计、整理,归纳提炼出了与地震灾害心理伤害相关的内容。作者作为地震灾害的幸存者,与灾民相伴,对他们进行了相关的心理帮助,并作了大量和深入的调查研究,了解灾害造成的心理伤害程度,同时进行了灾害心理统计与分析,总结研究了地震发生前后的各种经验教训。     

Health effects of relocation following disaster: a systematic review of the literature

This paper reviews the literature on the effects of post-disaster relocation on physical and mental heath, and develops a conceptual framework to guide future research. Forty articles were selected for full-text review and incorporation into the conceptual framework. Twenty-four articles were reviewed for results and methodology. These overwhelmingly tracked mental health outcomes. Only four (16 per cent) focused on physical health. Eight of ten showed an association between relocation and psychological morbidity. Certain outcomes (such as mortality, injury and cardiovascular disease risk factors) revealed inconsistent results, but these were rarely studied. Despite the frequency of post-disaster relocation and evidence of its effect on psychological morbidity, there is a relative paucity of studies; the few examples in the literature reveal weak study designs, inconsistent results, and inattention to physical health impacts and the challenges facing vulnerable populations. Further research guided by theory is needed to inform emergency preparedness and recovery policy.     

L'Aquila's reconstruction challenges: has Italy learned from its previous earthquake disasters?

Italy is an earthquake‐prone country and its disaster emergency response experiences over the past few decades have varied greatly, with some being much more successful than others. Overall, however, its reconstruction efforts have been criticised for being ad hoc, delayed, ineffective, and untargeted. In addition, while the emergency relief response to the L'Aquila earthquake of 6 April 2009—the primary case study in this evaluation—seems to have been successful, the reconstruction initiative got off to a very problematic start. To explore the root causes of this phenomenon, the paper argues that, owing to the way in which Italian Prime Minister Silvio Berlusconi has politicised the process, the L'Aquila reconstruction endeavour is likely to suffer problems with local ownership, national/regional/municipal coordination, and corruption. It concludes with a set of recommendations aimed at addressing the pitfalls that may confront the L'Aquila reconstruction process over the next few years.     

地震灾区救援力量优化调配模型

从救援对象的确定、救援队伍的需求和救援力量的调配三个方面,较为全面的讨论了地震灾区如何根据灾害情况和救援资源的分布,科学合理地开展救援力量的优化调配,以达到快速营救受困人员的目的。根据受灾情况确定对救援队伍的实际需求是分配救援力量的前提,从对象的确定和需求经验关系的给出两方面,讨论了如何根据地震破坏和灾区实际情况确定灾区对救灾力量,尤其是专业救援队伍的具体需求。队伍的优化调配是运筹学中运输问题的求解,基于现有线性优化算法,在地理信息平台上,建立了队伍优化分配的模型和软件。采用汶川地震的实际数据进行了实例计算和分析,给出了今后在救灾过程中科学调配救援力量的可参考样本。     

Pollution by halogenated aromatic compounds at Trissino: A case study of groundwater contamination and rehabilitation

An investigation is presented on industrial contamination by benzotrifluoride percolation into ground water used for drinking water, in a populated area of 20 km² at Trissino, north Italy, due to improper chemical waste disposal. Hydrogeological features of the situation are reported, as well as the emergency action taken, such as the surveys made and their analytical results. The epidemiology of the emergency is examined and rehabilitation measures are presented and discussed. Fortunately no major ecological or social disaster occurred, In part thanks to the speed and efficiency with which the affair was handled. It is notable that the authorities kept the public duly informed and thus retained their confidence.