Deprem Sonrası Oluşabilecek Gastroenterit Enfeksiyonları ve Önlemleri


Creative Commons License

Bostan N. G.

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, sa.23, ss.920-930, 2024 (TRDizin)

Özet

The potential infectious diseases that may arise after a disaster are significant threats to public health. Natural disasters increase the risk of exposure to pathogens. The earthquake disaster centered around Kahramanmaraş, affecting many provinces including Hatay, Gaziantep, Adana, Osmaniye, Diyarbakır, Malatya, and Şanlıurfa, has impacted thousands of individuals in our country. Some earthquake survivors  have been forced to settle in tents or prefabricated structures, relying on communal facilities for toilets, personal hygiene, and food needs. These survivors are now facing a different yet equally critical risk. There is a high risk of contamination of water and sewage systems rendered dysfunctional by the earthquake. Due to inadequate access to food, clean water, and hygiene, the number of infectious diseases, particularly gastroenteritis infections, can be substantial. Cases of diarrhea can range from self-limiting short-term infections to dysentery, which can lead to severe dehydration. Even in cases of mild diarrhea, insufficient hygiene can lead to transmission to otherwise healthy individuals, potentially resulting in outbreaks in the region. The primary pathogens involved in gastroenteritis infections include Escherichia coli, Vibrio cholerae, Shigella species, Giardia intestinalis, Entamoeba histolytica, Hepatitis A, Hepatitis E, and Rotaviruses. Inevitably, gastroenteritis infections occur when the needs for water, food, shelter, and hygiene are not adequately met in the aftermath of a disaster. Particularly in crowded living spaces such as tent cities, earthquake survivors are always at risk when using communal facilities for toilets, personal hygiene, and food. Looking at the diarrheal outbreaks following natural disasters up to the present day, the primary cause is primarily attributed to unplanned and inadequate disaster management. It is crucial for healthcare and food workers operating in disaster areas to exercise diligence in this regard, alongside raising awareness among the public. Keywords: Earthquake, infection, gastroenteritis, diarrhea