NDLI: Armenia 1988 earthquake and telemedicine: lessons learned and forgotten.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Nicogossian, Arnauld E. Doarn, Charles R.
Spatial Coverage	United States Armenia USSR
Description	Country affiliation: United States Author Affiliation: Nicogossian AE ( Center for the Study of International Medical Policies and Practices, School of Public Policy, George Mason University, Arlington, Virginia 22201, USA. anicogos@gmu.edu)
Abstract	PURPOSE: To showcase the observations and lessons learned from the first large-scale international telemedicine program addressing the medical and health consequences of disasters. BACKGROUND: Almost 24 years ago a major earthquake devastated the northwestern region of Soviet Armenia. The National Aeronautics and Space Administration deployed a telemedicine spacebridge, which operated uninterrupted for 3 months, extending its services to the remote region of Ufa to help the burn victims, mostly children, from a railroad explosion accident. Expert consultations were provided by four major medical center from the United States and several military and civilian medical services of the Soviet Union. LESSONS LEARNED: Disasters continue to contribute to increased morbidity and mortality with significant economic impacts worldwide. Psychological, physical, and social sequelae persist years after the events. Many pre-existing socioeconomic conditions are aggravated following disasters. Telemedicine is a useful medical and public health technology that continues to be underutilized due to the lack of inclusion in the preparedness planning, training, availability of networks, and connectivity costs. POLICY IMPLICATIONS: Natural and human-made disasters require both near-term and long-term interventions to reduce morbidity and mortality among the surviving victims. Telemedicine, information technology, and modern portable communication devices should be incorporated in disaster preparedness and recovery training and operations.
File Format	HTM / HTML
ISSN	15305627
Issue Number	9
Volume Number	17
e-ISSN	15563669
Journal	Telemedicine and e-Health
Language	English
Publisher	Mary Ann Liebert, Inc.
Publisher Date	2011-11-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Discipline Medical Informatics Computer Communication Networks Organization & Administration Disaster Planning Earthquakes Telemedicine Armenia Clinical Protocols Emergency Medical Services Humans Relief Work Rural Health Services Time Factors Ussr United States United States National Aeronautics And Space Administration Journal Article
Content Type	Text
Resource Type	Article
Subject	Health Information Management Health Informatics

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