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RESEARCH ARTICLE (Open Access)

Gastrointestinal infections after earthquake

Yeşim Beşli https://orcid.org/0000-0003-4574-6036 A * and Banu Sancak https://orcid.org/0000-0002-0098-4674 B
+ Author Affiliations
- Author Affiliations

A VKV American Hospital, İstanbul, Türkiye.

B Hacettepe University Medical School, Ankara, Türkiye.




Dr Yeşim Beşli is a medical doctor and microbiology specialist and works at the VKV American Hospital, İstanbul, Türkiye. Her academic and research interests include diagnostic microbiology, antimicrobial susceptibility testing, antimicrobial resistance and healthcare-related infections.



Prof. Banu Sancak is an infectious diseases and clinical microbiology specialist with 30 years of experience at the Hacettepe University Medical School in Ankara, Türkiye, at the Department of Clinical Microbiology. She is currently the Director of Microbiology Laboratory of the Medical School.

* Correspondence to: ysm5li@hotmail.com

Microbiology Australia 44(4) 193-196 https://doi.org/10.1071/MA23057
Submitted: 21 August 2023  Accepted: 10 September 2023  Published: 17 November 2023

© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of the ASM. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Natural disasters such as earthquakes resulting in infrastructural damage in affected areas can also result in outbreaks of infectious diseases, with infections usually beginning within 4 days of the initial impact. Gastrointestinal diseases are prevalent due to the lack of food and water supplies. The rates of diarrheal illnesses following natural disasters are mainly influenced by the (i) endemicity of intestinal pathogens before the disaster, (ii) the availability of safe water and sanitation facilities, (iii) the severity of the disaster, (iv) the degree of crowding and (v) the availability of healthcare resources. Among the causative agents of gastroenteritis, viral infections are the most common ones, followed by bacterial and parasitic infections. Maintenance of sanitation and availability of primary healthcare are critical for early diagnosis, treatment and prevention of infectious disease outbreaks following natural disasters.

Keywords: diarrhoeal illness, diarrhoea in resource-limited settings, earthquake, enteric pathogens, gastroenteritis, gastrointestinal illness, natural disaster, outbreak, public health.

Biographies

MA23057_B1.gif

Dr Yeşim Beşli is a medical doctor and microbiology specialist and works at the VKV American Hospital, İstanbul, Türkiye. Her academic and research interests include diagnostic microbiology, antimicrobial susceptibility testing, antimicrobial resistance and healthcare-related infections.

MA23057_B2.gif

Prof. Banu Sancak is an infectious diseases and clinical microbiology specialist with 30 years of experience at the Hacettepe University Medical School in Ankara, Türkiye, at the Department of Clinical Microbiology. She is currently the Director of Microbiology Laboratory of the Medical School.

References

Suk JE et al. (2020) Natural disasters and infectiousdisease in Europe: a literature review to identify cascading risk pathways. Eur J Public Health 30, 928-935.
| Crossref | Google Scholar | PubMed |

Linscott AJ (2007) Natural disasters – a microbe’s paradise. Clin Microbiol Newsl 29, 57-62.
| Crossref | Google Scholar |

Mavrouli M et al. (2023) The impact of earthquakes on public health: a narrative review of infectious diseases in the post-disaster period aiming to disaster risk reduction. Microorganisms 11, 419.
| Crossref | Google Scholar | PubMed |

Floret N et al. (2006) Negligible risk for epidemics after geophysical disasters. Emerg Infect Dis 12, 543-548.
| Crossref | Google Scholar | PubMed |

Charnley GEC et al. (2021) Traits and risk factors of post-disaster infectious disease outbreaks: a systematic review. Sci Rep 11, 5616.
| Crossref | Google Scholar |

Sack RB, Siddique AK (1998) Corpses and the spread of cholera. Lancet 352, 1570.
| Crossref | Google Scholar | PubMed |

Najafi S et al. (2022) Incidence of infectious diseases after earthquakes: a systematic review and meta-analysis. Public Health 202, 131-138.
| Crossref | Google Scholar | PubMed |

Baker S, The HC (2018) Recent insights into Shigella: a major contributor to the global diarrhoeal disease burden. Curr Opin Infect Dis 31, 449-454.
| Crossref | Google Scholar | PubMed |

Nigro G et al. (2016) Pediatric epidemic of Salmonella enterica serovar typhimurium in the area of L’Aquila, Italy, four years after a catastrophic earthquake. Int J Environ Res Public Health 13, 475.
| Crossref | Google Scholar | PubMed |

10  Centers for Disease Control and Prevention (2009) Interim immunisation recommendations for individuals displaced by a disaster. https://www.cdc.gov/disasters/disease/vaccrecdisplaced.html

11  World Health Organization (2006) Communicable diseases following natural disasters. Technical Document. https://www.who.int/publications/i/item/communicable-diseases-following-natural-disasters

12  World Health Organization (2018) Typhoid vaccines. WHO Position Paper – March 2018. Wkly Epidemiol Rec 93, 153-172.
| Google Scholar |

13  World Health Organization (2021) Guidance on preparing for national response to health emergencies and disasters. WHO, Geneva, Switzerland.

14  Christaki E et al. (2020) The impact of climate change on cholera: a review on the global status and future challenges. Atmosphere 11, 449.
| Crossref | Google Scholar |

15  Tappero JW, Tauxe RV (2011) Lessons learned during public health response to cholera epidemic in Haiti and the Dominican Republic. Emerg Infect Dis 17, 2087-2093.
| Crossref | Google Scholar | PubMed |

16  Pandey P (2015) Letter from Nepal, August 12, 2015 – cholera in post-earthquake Kathmandu. Travel Med Infect Dis 13, 425.
| Crossref | Google Scholar | PubMed |

17  World Health Organization Eastern Mediterranean Region (2023) WHO and UNICEF launch cholera vaccination campaign in northwest Syria amidst earthquake. https://www.unicef.org/press-releases/who-and-unicef-launch-cholera-vaccination-campaign-northwest-syria-amidst-earthquake (accessed 10 September 2023)

18  Ergönül Ö et al. (2023) The challenges in the monitoring of infectious diseases after the earthquake in Türkiye in 2023. Lancet Infect Dis 23, e482-e488.
| Crossref | Google Scholar | PubMed |

19  Karadenizli A et al. (2005) Outbreak of tularaemia in Golcuk, Turkey in 2005: report of 5 cases and an overview of the literature from Turkey. Scand J Infect Dis 37, 712-716.
| Crossref | Google Scholar | PubMed |

20  Karmakar S et al. (2008) Post-earthquake outbreak of rotavirus gastroenteritis in Kashmir (India): an epidemiological analysis. Public Health 122, 981-989.
| Crossref | Google Scholar | PubMed |

21  Sencan I et al. (2004) Assessment of HAV and HEV seroprevalence in children living in post-earthquake camps from Düzce, Türkiye. Eur J Epidemiol 19, 461-465.
| Crossref | Google Scholar | PubMed |

22  Lora-Suarez F et al. (2002) Giardiasis in children living in post-earthquake camps from Armenia (Colombia). BMC Public Health 2, 5.
| Crossref | Google Scholar | PubMed |

23  Oztürk CE et al. (2004) Intestinal parasitic infection in children in post-disaster situations years after earthquake. Pediatr Int 26, 656-662.
| Crossref | Google Scholar | PubMed |

24  Ayhan FY (2023) Disaster management in clinical laboratories and blood banks. Microbiol Aust 44(4), 190-192.
| Crossref | Google Scholar |

25  Viswanathan R et al. (2021) Active support after natural disasters: a review of a microbiologist’s role. Trans R Soc Trop Med Hyg 115, 110-116.
| Crossref | Google Scholar | PubMed |

26  Watson JT et al. (2007) Epidemics after natural disasters. Emerg Infect Dis 13, 1.
| Crossref | Google Scholar | PubMed |