A scoping review of post-earthquake healthcare for vulnerable groups of the 2023 Turkey-Syria earthquakes

BACKGROUND

Identifying healthcare services and also strengthening the healthcare systems to effectively deliver them in the aftermath of large-scale disasters like the 2023 Turkey-Syria earthquakes, especially for vulnerable groups cannot be emphasized enough. This study aimed at identifying the interventions undertaken or proposed for addressing the health needs or challenges of vulnerable groups immediately after the occurrence of the 2023 Turkey-Syria earthquakes, as well as for prioritizing their healthcare service delivery in the post-Turkey-Syria earthquake.

METHODS

In this scoping review compiled with the five steps of the Arksey and O'Malley framework, five databases, including PubMed, Science Direct, Web of Science, OVID, and Google Scholar, were searched for studies published between March and April 2023 in line with the eligibility criteria. Interventions for enhancing post-earthquake healthcare services (PEHS) were grouped into seven (7) categories, adopted from previous guidelines and studies. Each one was assigned a default score of a value equal to one (1), which, in the end, was summed up.

RESULTS

Of the 115 total records initially screened, 29 articles were eligible for review. Different interventions they reported either undertaken or proposed to address the healthcare needs and challenges, especially faced by the most vulnerable groups in the aftermath of the Turkey-Syria earthquakes, were categorized into 7 PEHS. They were ranked with their scores as follows: humanitarian health relief (25); medical care (17); mental health and psychosocial support (10); health promotion, education, and awareness (9); disease surveillance and prevention (7); disability rehabilitation (7); and sexual and reproductive health (5).

CONCLUSION

Since there are no proper guidelines or recommendations about the specific or most significant PEHS to prioritize for vulnerable groups after the occurrence of large-scale earthquakes, this scoping review provides some insights that can help inform healthcare service delivery and prioritization for vulnerable groups in the post-2023 Turkey-Syria earthquakes and other similar disasters.

Post-earthquake damage classification and assessment: case study of the residential buildings after the M w = 5 earthquake in Mila city, Northeast Algeria on August 7, 2020

On August 7th, 2020, a magnitude Mw = 5.0 earthquake shook 5 km north of Mila city center, northeast of Algeria, causing substantial damage directly to structures, and indirectly from induced impacts of landslides and rock falls, ultimately disrupt to everyday civilian life. Given the recent significant seismic occurrences in the region, a detailed and comprehensive examination and assessment of post-earthquake damage is critical to Algeria. This is primarily because masonry, concrete, and colonial-era structures are sensitive to horizontal motions caused by seismic waves, and because masonry and concrete structures constitute a substantial portion of today's Algeria's build environment. We present a post-earthquake investigation of the Mila earthquake, starting from the earthquake source, and a catalogue of buildings type, damage categorization, and failure patterns of residential structures in Mila's historic old town, where colonial-era brick buildings prevail. We find that structures that represent notable architectural achievements were severely damaged as a result of the earthquake. Data acquired during the immediate post-earthquake analysis was also evaluated and discussed. The graphical representations of the damages are detailed and complemented by photos. This seismic event has shown the fragility of Algeria's building stock, which must be addressed properly in future years. This study reports on an overall estimate of residential buildings in Mila's lower city, as well as an evaluation of the seismic vulnerability of three neighborhood towns (El-Kherba, Grareme-Gouga, and Azzeba). A generic database for graphical surveys and geometric research was developed and implemented making it possible to evaluate the shear strength on-site. The broad observations, collated data, and consequences were then loaded into the 3Muri structural verification program. Nonlinear static analysis was conducted to analyze probable failure paths and compare the real damage to the software results.

Hydrochemical changes of a spring due to the May 30, 2014 Ms 6.1 Yingjiang earthquake, southwest China

Groundwater chemistry can be affected by and related to earthquakes, thus it is crucial to understand the hydrochemical changes and associated processes caused by earthquakes for post-seismic groundwater utilization. Here we reported the major ion concentrations changes of the Ganze Spring in response to the May 30, 2014 Ms 6.1 Yingjiang earthquake, southwest China based on the daily time series (from 1st January 2012 to 20th July 2014) of Ca²⁺, Mg²⁺ and HCO₃^- concentrations, as well as data of bulk strain and Peak Ground Velocity (PGV) recorded at a nearby station. The results showed that the entire hydrochemical response process can be divided into two stages after the earthquake occurred: 1). decline stage which was characterized by an increasingly decline of the three ion concentrations, indicating a gradually significant dilution effect. At first, the relationship of molar concentrations of ions showed no obvious changes; but later as the rate of decrease in ion concentrations increased, the relationship between Ca²⁺ and HCO₃^- reversed from Ca²⁺ excess to HCO₃^- excess, probably resulting from a relatively decreased Ca²⁺ contribution from dissolution of gypsum and dolomite due to dilution in mixing water. 2). recover stage when the ion concentrations recovered gradually with relatively lower values than that at pre-earthquake, revealing the reduction of dilute water inflow. In combination with the bulk strain and PGV data, the study suggested that major ion concentrations changes are attributed to dilution effect due to new fracture creation or unclogging/clogging of fractures triggered by the earthquake. The results could enhance the understanding of earthquake induced water chemistry changes and could have implications for water resources management and security in tectonically active areas.

The association between exposure and psychological health in earthquake survivors from the Longmen Shan Fault area: the mediating effect of risk perception

Background

In this study, exposure refers to survivors who suffered from life-changing situations, such as personal injuries, the deaths or injury of family members, relatives or friends or the loss of or damage to personal or family property, as a result of the earthquake. The mediating effect of risk perception on the exposure and psychological health in survivors from the Longmen Shan Fault area and the moderating effect of social support on the relationship between risk perception and psychological health were both examined.

Method

A cross-sectional survey was conducted in a local Longmen Shan Fault area near the epicenter of the 2008 Wenchuan earthquake. The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), the standard Chinese 12-item Short Form (SF-12v2), and the Social Support Rating Scale (SSRS) were used to interview 2,080 earthquake survivors in the period one-year after the earthquake. Based on the environment and the characteristics of the Longmen Shan Fault area, a risk perception questionnaire was developed to evaluate survivor risk perception. Factor and regression analyses were conducted to determine the hypothetical relations.

Results

The analyses provided effective support for the hypothesized model. Survivor risk perception was classified into direct risk perception and indirect risk perception. Survivor direct risk perception was found to play a partial mediating role in the relationship between exposure and the two domains (Physical component summary (PCS) and the Mental component summary (MCS)) of psychological health. Survivor indirect risk perception was found to have a only partial mediating effect on the association between exposure and MCS. Social support was found to moderate the influence of risk perception on psychological health.

Conclusion

Risk communication should be considered in future post-earthquake psychological assistance programs and social support strategies could also be useful in improving psychological health.