1. The document summarizes research on the health impacts of various natural disasters such as earthquakes, floods, and hurricanes. 2. It finds that under-five mortality generally increases between 3-10% after disasters, while maternal mortality increases 1-8% and adult mortality, especially from cardiovascular disease, increases 1-6%. 3. Tuberculosis incidence and prevalence also increase after earthquakes and floods, while immunization levels decrease by 1-9% depending on the type of disaster.

3. 1. On disaster site a kind of medical assistances
provided by foreign and national medical teams
has been variable.
2. Greater part of foreign field hospitals has been
organized for emergency medical care and life-
saving intervention only.

4. Have been research a Health impact after
natural disasters:
1.Earthquakes – 42
2.Floods – 38
3.Hurricane and Storms -37

8. Disaster

9. Under-five mortality rate: ＋ 6.7%
Where and why it happened –
1. In some remote region
2. Among specifically inhabitants
(Romani)

10. Direct cause (80%)
• Bleeding – 25%
• Infection (sepsis) -15%
• Dangerous abortion – 13%
• Hypertension disorder
(eclampsia) – 12%
• Delivery complication – 8%
Indirect cause (20%)
• Malaria
• AIDS
• Cardiovascular disorder

11. MDG: to reduce worldwide maternal
mortality on 75%
1.Earthquake countries (68%) has
increased ＋ 7.8%.
2.Floods (37%) - ＋ 6.0%
3.Hurricanes (storm) (37%) - ＋ 6.0%
Disaster

12. Maternal mortality - ＋ 3.1%
Why it happened?
Extra genital pathology:
1)Influenza H1N1 (2009) - 33.9% (38 death
from 112)
2)Pulmonary Embolism – 7%

14. 1. Earthquake areas: ＋ 4.3% : Why? -Dirrect hit
on inhabitant, environmental and medical
facilities destroyed.
2. Floods (90%): ＋ 1.6%: Why? Access
restriction to PH services.
3. Hurricanes (storm) (23%): ＋ 5.8%
Disaster

15. 1. Cardiovascular disease – 47.2%
2. Cancer - 21.1%
3. Respiratory disease – 11.7%
4. Diabetes – 3.6%
These four groups are a main cause of deaths
from Noncommunicable disease (≈ 80%)

16. • Cardiovascular disease morbidity: ＋ 3.01-
9.4%. Among cardiovascular decease – Acute
Miocardial Infarction (AMI): ＋ 5.8-40.5%.
• Cardiovascular mortality: ＋ 3.3 – 75.5%.
• Respiratory morbidity: ＋ 11.8 – 15.6%.
• Skin disease morbidity: ＋ 5.0 – 8.0 %.
• Psyhobehavioral disorder: ＋ 11-23%.
• Infection disease: ＋ 2.9 – 5.7%

17. 1. The Natural Disaster do not influence on the total
amount of patients with acute surgical disease.
2. On the flooded area the level of needs for urgent
surgery is the same level such as before
disaster.
3. On the flooded area amount of hospitalized
patient later than 24 hours grew up: ＋ 2.3% –
20.01%

18. 1. Hernia strangulates:+17,3±5,9%.
2. Intestinal obstruction:+12,6±6,2%.
3. Acute pancreatitis: + 10,4±1,1%.
4. Acute cholestitis: +6,32±4,4%.
5. Gastro-enteric bleeding: 5,6±2,6%.

19. • Earthquakes:
1)Tbc incident: ＋ 5.3%.
2) Tbc prevalence: ＋ 15.8%.
• Floods:
1)Tbc incident: ＋ 16.2%
2)Tbc prevalence: ＋ 5.4%
• Hurricane:
1)Tbc incident: 0
2)Tbc prevalence (17%): 0

20. Immunization level decrease:
1.Earthquake: DTP: － 5.0%
MCV: － 3.7%
2. Flood: DTP: － 9.0%
MCV: － 6.0%
3. Hurricane: DTP: － 1.9%
MCV: － 3.7%

21. 1. Public Health could be able to provide primary
medical health for Noncommunicable disease
patients after natural disaster.
2. After flood a total number of emergency surgery
patients are the same before disaster.
3. International field medical team could be ready to
provide not only life saving intervention but
• Primary medical aid.
• Immunization campaign.

22. Indicator Quake
(world
)
Flood
(world)
Hurrican
e
(world)
Flood
(Ukr)
Under-five mortality
rate
+ 4,8% +9,3% +6,7% 0
Maternal mortality
rate
+7,5% +6% +3,1% + 98%
Adult mortality +4,3% +1,6% +5,8% +1.7 %
(cardio)
Tbc incidence +5,3% +16,2% 0 0
Tbc prevalence +15,8% +5,4% 0 0

23. • Our researches has evidenced the
different level of health changes among
suffering population after Natural disaster.