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  • Title: Armenia 1988 earthquake and telemedicine: lessons learned and forgotten.
    Author: Nicogossian AE, Doarn CR.
    Journal: Telemed J E Health; 2011 Nov; 17(9):741-5. PubMed ID: 21861701.
    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.
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