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REFLECTIONS ON THE EARTHQUAKE . IN ABRUZZO LESSONS LEARNED 06/04/2009
30

Terremoto del 6 aprile

Jul 04, 2015

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Health & Medicine

Muzio Stornelli

Riflessioni sui piani assistenziali e sanitari realizzati in occasione della catastrofe del 6 aprile 2009 all'Aquila e provincia.
Come è stata realizzata l'assistenza alle popolazioni colpite dal terremoto
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Page 1: Terremoto del 6 aprile

R EFLEC TIO N S O N TH E EAR TH Q U AKE . IN AB R U ZZO

LE S S O N SLEAR N ED

06/04/2009

Page 2: Terremoto del 6 aprile

Abruzzo is located in central portion of Italy

Territory 65% mountainous 35% hilly countryside.

The surface area is 10794 Km2, while the population density is 124,4 ab./Km2

Mountains: 2 9 14 G r a n S a s s o m La 2 7 9 5 M a ie lla m

The main rivers: the - A t e r n o P e s c a r aand the S a n g r o e h ic h drain toward the Adriatic Sea, while the Lir i drains in the Tirreno.

Abruzzo Region: geography.

Page 3: Terremoto del 6 aprile

L'Aquila is the capital of the region

Pescara is the most populated city

Chieti and Teramo are other provinces in the region

Total Regional Population: 1.334.675 abitants as of December 31, 2008.

Regione Abruzzo: geografia.

Page 4: Terremoto del 6 aprile

Abruzzo Region: climate, agriculture, industry.

C lim a t e Two principal climatesi: the first is that along the coast , and the second is that of the mainland .Temperature:

• 8 – 12° in the mountain region•12 – 16* along the coast

Ag r ic u lt u r e There are approx. 83000 farms; l’80% of these sell their own products.

Breeding has had an important role particularly that of ovine breeding.

In d u s t r y Small and medium sized enterprises areparticularly developed along the coastal region

To u r is m Is growingg along the coastal region in the summer months and in the mountain regions in the winter season

Page 5: Terremoto del 6 aprile

Prior seismic events in AbruzzoIn the months of January and Febuary there were various tremors (the most violent occurred Feb. 2), that had about 8000 victims.

1 3 1 9 15J a n u a r y ( 7 on the Richter scale), 9.238 victims; in the remaining rest of Marsica regions 20.000 victims for a total of approx. 30 thousand wounded. Most of the wounded were transfered to the hospitals of Rome and the “Casa Famiglia Regina Elena” hospitalized the orphans of the earthquake .

Page 6: Terremoto del 6 aprile

April 6 2009 h 3:32

5,8 on the Richter Scale , Moment Magnitude of 6,3 and a depth of 8,8 Km.

Epicenter was located between L’Aquila, Lucoli and Tornimparte.

Number of victims 3 0 8

Number of wounded approx. 15 0 0

Homeless approx. 70.000.

Page 7: Terremoto del 6 aprile

April 6, 2009: the damages

Hundreds of buildings were either completely or partially destroyed

Thousands of buildings were declared uninhabitable

Municipalities mainly affected are about 20

L’ Aquila: the historical center was destroyed, Public Administration buildings were destroyed or rendered unusable.

In the town of Onna: 50% of the homes were destroyed, and 50% unuseable41 deaths, which was 12% of the entire population.

Page 8: Terremoto del 6 aprile

April 6, 2009: the response Emergency services were coordinated by “Protezione Civile” and the Italian Red Cross

Ambulance services “118” was organized through the Operational Headquaters of Teramo.

The Hospital San Salvatore was evacuated within 6 hrs of the onset of the tremors.

Realizzation of 2 PMA1 wqs run by ARES Marche, located near Hospital San Salvatore, operative after 22h1 run by Italian Red Cross togelther with the “118” of Teramo at Piazza d’Armi operative after 20 hrs.

Availability of emergency equipment offered by various volunteer Associations.

Page 9: Terremoto del 6 aprile

Evacuation of Hospital San Salvatore

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Field Hospital “San Salvatore”: initial emergency services more than 200 hospitalizzations

Follow up ambulatory activity:

Ares Marche

5000 emergency visits.

Page 11: Terremoto del 6 aprile

118 Teramo and Italian Red Cross

Positioning of P.M.A. in Piazza d’Armi

Operational Headquaters at Teramo with radio and cellular communications

Emergency Medical Services collaborated with the Fire Department

Page 12: Terremoto del 6 aprile

Acceptance of the wounded: ASL Teramo

medical bulletin of april 21Hospital Patients Intensive Care

Teramo 42 5

Atri 24 1

S.Omero 12 0

Giulianova 23 2

Day Hospital

Dialisis Oncologic therapy Hepatology ORL

19 8 1 1

Page 13: Terremoto del 6 aprile

Acceptante of the wounded: ASL Pescara

medical bulletin of april 7

Hospital Access E.R. Admissions

Pescara 98 52 46

Penne 10 8 2

Popoli 77 62 15

Central regional blood Bank Pescara: 170 unit 0 Rh/neg + 300 available

Page 14: Terremoto del 6 aprile
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Hospital Hospitalizations

Chieti 37

Guardiagrele 8

Ortona 14

Medical bulletin of april 9 h 13:00

Hospital Hospitalizations

Chieti 41

Guardiagrele 5

Ortona 11

Wounded Accepted at ASL Chieti medical bulletin of April 7th

Page 18: Terremoto del 6 aprile

Wounded Accepted ASL Chietimedical bulletin of april 10

Visits E.R. Hospitalizations

Page 19: Terremoto del 6 aprile

Wounded Accepted at : ASL Avezzano Sulmona

From April 6° to August 12° 2009

Page 20: Terremoto del 6 aprile

Reactivation of services

Page 21: Terremoto del 6 aprile

State of the art after 2 months29/05/09: 3 buildings reopened S. Salvatore

162 beds 51 hospital roomsmore acute diseases

Ordinary activities transferred to Villa Letizia 80 beds

Page 22: Terremoto del 6 aprile

State of the art after 3 months28/06/09: closed hospital Ares Marche

Page 23: Terremoto del 6 aprile

State of the art after 3 months02/07/09: mobile hospital Civil Protection

5 advanced medical center of the Italan Red Cross

Page 24: Terremoto del 6 aprile

ReconstructionTemporary housing modules

Page 25: Terremoto del 6 aprile

Distribution of the population covered structures26/08/2009

Page 26: Terremoto del 6 aprile

1° 2° 3° 4° 5° 6° 7° 8° 9° 10° 11° 12° 13° 14° 15° 16° 17° 18° 19° 20° 21°

weeks

Average weekly population assisted26/08/2009

Page 27: Terremoto del 6 aprile

Average monthly admissions structures 26/08/2009

Months

April May June July

Page 28: Terremoto del 6 aprile

What has been learned

Page 29: Terremoto del 6 aprile

Sitography1. www.protezionecivile.it

2. www.governo.it

3. www.regione.abruzzo.it

4. www.comune.avezzano.aq.it

5. www.asl-laquila.it

6. www.ausl.pe.it

7. www.aslteramo.it

8. www.asllancianovasto.it

9. www.ilcentro.it

10.www.aresmarche.it

11.www.cri.it

12.www.simeup.com

13.www.fimmg.org

14.www.ipasvi.it

15.www.cives-onlus.org

16.http://it.wikipedia.org

Page 30: Terremoto del 6 aprile

Muzio Stornelli

[email protected]