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Revisiting Blood Transfusion Preparedness: Experience from the Bam Earthquake Response

Published online by Cambridge University Press:  28 June 2012

Hassan Abolghasemi ,
Mohammad H. Radfar ,
Morteza Tabatabaee ,
Nasim S. Hosseini-Divkolayee  and
Frederick M. Burkle Jr.
Hassan Abolghasemi
Affiliation:
President, Iranian Blood Transfusion Organization, Pediatric Hematologist and Oncologist Iranian Blood Transfusion Organization Tehran, Iran
Mohammad H. Radfar*
Affiliation:
Iranian Blood Transfusion Organization Tehran, Iran Urology and Nephrology Research Center, Shaheed Labbafinejad Hospital, Shaheed Beheshty University (MC), Tehran, Iran Fellow, World Association for Disaster and Emergency Medicine 2007–2008
Morteza Tabatabaee
Affiliation:
Iranian Blood Transfusion Organization Tehran, Iran
Nasim S. Hosseini-Divkolayee
Affiliation:
Iranian Blood Transfusion Organization Tehran, Iran
Frederick M. Burkle Jr.
Affiliation:
Senior Fellow, Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts, USA
*
Urology WardShaheed Labbafinejad Hospital9th Boostan Alley, Pasdaran AvenueTehran, Iran E-mail: mhadirad@yahoo.com
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Abstract

Blood transfusion plays a critical role in the provision of medical care for disasters due to man-made and natural hazards. Although the short-term increase in blood donations following national disasters is well-documented, some aspects of blood transfusion during disasters remain under study. The 2003 earthquake in Bam, Iran resulted in the death of >29,000 people and injured 23,000. In total, 108,985 blood units were donated, but only 21,347 units (23%) actually were distributed to hospitals around the country. Kerman Province, the site of the disaster, received 1,231 (1.3%) of the donated units in the first four days after the disaster.The Bam experience revealed crucial missteps in the development of a post-event strategy for blood product management, and led to the development of a detailed disaster preparedness and response plan that addresses issues of donation, distribution, communication, transportation, and coordination. The current plan requires the Iranian Blood Transfusion Organization to convene a disaster task force immediately as the main coordinator of all disaster preparedness and response activities.

Keywords

blood transfusionsdisaster managementdisaster planningearthquakesnatural disasters
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 23 , Issue 5 , October 2008 , pp. 391 - 394
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2008

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References

1.JR, Hess, MJ, Thomas: Blood use in war and disaster: Lessons from the past century. Transfusion 2003;43(11):1622–1633.Google Scholar
2.PJ, Schmidt: Blood and disaster—Supply and demand. N Engl J Med 2002;346(8):617–620.Google Scholar
3.JV, Linden, RJ, Davey, JW, Burch: The September 11, 2001 disaster and the New York blood supply. Transfusion 2002;42(10):1385–1387.Google Scholar
4.PJ, Schmidt, WL, Bayer: Transfusion Support in a Community Disaster. In: PC, Das, S, Smit, MR, Halie, (eds): Supportive Therapy in Hematology. Boston, Mass: Martinus Nijhoff Publishers, 1985, pp 371–377.Google Scholar
5.Becker, C, Galloro, V: An overwhelming response within hours of the disaster, medical supplies were on their way to NY. Mod Health 2001:18–19.Google Scholar
6.JG, Gimble, Kline, L, Makris, N, et al. : Effects of new brochures on blood donor recruitment and retention. Transfusion 1994;34:586–591.Google Scholar
7.Sabzehchian, M, Abolghasemi, H, MH, Radfar, et al. : Pediatric trauma at tertiary-level hospitals in the aftermath of the Bam, Iran Earthquake. Prehospital Disast Med 2006;21(5):336–339.CrossRefGoogle Scholar
8.International Federation of Red Cross and Red Crescent Societies: Iran: Bam Earthquake Appeal No. 25/03 Interim Final Report. Available at http://www.reliefweb.int/rw/RWFiles2007.nsf/FilesByRWDocUnidFilename/RMOI-6ZZL8W-Full_Report.pdf/$File/Full_Report.pdf. Accessed January 2008.Google Scholar
9.Abolghasemi, H, MH, Radfar, Khatami, M, et al. : International medical response to a natural disaster: Lessons learned from the Bam earthquake experience. Prehospital Disast Med 2006;21(3):141–147.CrossRefGoogle ScholarPubMed
10.World Health Organization (WHO): The Government of the Islamic Republic of Iran and WHO Joint Project for: “Reconstruction of Health Services in Bam”.Available at http://www.emro.who.int/eha/BamPlan16.pdf. Accessed June 2004.Google Scholar
11.Abolghasemi, H, Poorheidari, G, Mehrabi, A, Foroutan, G: Iranian military forces in the Bam earthquake. Mil Med 2005;170(10):859–861.CrossRefGoogle ScholarPubMed
12.American Association of Blood Banks: Disaster Operations Handbook.Available at http://www.aabb.org/Content/Programs_and_Services/Disaster_Response/disastercontact.htm. Accessed June 2007.Google Scholar
13.RL, Jones: The social value of blood donation. Miami Herald Oct 8, 2001.Google Scholar
14.SA, Glynn, MP, Busch, GB, Schreiber, et al. : Effect of a national disaster on blood supply and safety:The September 11 experience. JAMA 2003;289(17):2246–2253.Google Scholar