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A Retrospective Analysis of Mortality From 2015 Gorkha Earthquakes of Nepal: Evidence and Future Recommendations

Published online by Cambridge University Press:  26 March 2020

Bipin Adhikari Open the ORCID record for Bipin Adhikari [Opens in a new window] ,
Parash Mani Bhandari ,
Dipika Neupane  and
Shiva Raj Mishra
Bipin Adhikari*
Affiliation:
Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK Nepal Community Health and Development Centre, Balaju, Kathmandu, Nepal
Parash Mani Bhandari
Affiliation:
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC
Dipika Neupane
Affiliation:
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC
Shiva Raj Mishra
Affiliation:
Nepal Development Society, Bhratpur-10, Nepal
*
Correspondence and reprint requests to Bipin Adhikari, Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, OX1 3SY, UK (e-mail: biopion@gmail.com).
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Abstract

Objective:

The aim of this study was to explore the mortality pattern due to Gorkha earthquakes in 2015 and review the response and recovery efforts immediately following the earthquakes.

Methods:

Data from published reports of the Nepal Police showed over 8000 deaths. These death counts were categorized by gender, ethnicity, and age groups (interval of 5 years). The mortality rate was calculated (per 100 000 population), using the projected population as the denominator as of April 2015.

Results:

Children < 10 years and older adults > 55 years showed a higher rate of deaths, with similar trends for the most affected districts. Almost 8 more females’ deaths were reported per 100 000 population compared with their male counterparts. There was a higher death rate from Province 3 with a notable gender difference: Nearly 20 more females’ deaths were reported per 100 000 population compared with their male counterparts. There was a higher death rate in mountains (542.4 per 100 000) compared with hills (55.0 per 100 000) and the southern Terai region (0.96 per 100 000) of Nepal.

Conclusions:

Young and older adults, female, and residents of remote, mountainous regions of Nepal were vulnerable to the earthquakes. Future earthquake preparedness should focus on the vulnerable population by age and gender and the geographical accessibility.

Keywords

earthquakesmortalityNepalpopulationpreparednessvulnerability

Information

Type
Report from the Field
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 1 , February 2021 , pp. 127 - 133
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

Mishra, SR, Adhikari, B. Planetary health in Nepal’s post-earthquake rebuilding agenda: progress and future directions. Lancet Planet Health. 2019;3(2):e55-e56.CrossRefGoogle ScholarPubMed
Elliott, JR, Jolivet, R, Gonzalez, PJ, et al. Himalayan megathrust geometry and relation to topography revealed by the Gorkha earthquake. Nat Geosci. 2016;9(2):174-180.CrossRefGoogle Scholar
Adhikari, B, Mishra, SR, Raut, S. Rebuilding earthquake struck Nepal through community engagement. Front Public Health. 2016;4:121.CrossRefGoogle ScholarPubMed
Adhikari, B, Mishra, SR, Babu Marahatta, S, et al. Earthquakes, fuel crisis, power outages, and health care in Nepal: implications for the future. Disaster Med Public Health Prep. 2017;11(5):625-632.CrossRefGoogle ScholarPubMed
National Seismological Centre. Earthquakes – 2019. 2019. http://seismonepal.gov.np/earthquakes. Accessed February 3, 2019.Google Scholar
Gutierrez, E, Taucer, F, De Groeve, T, et al. Analysis of worldwide earthquake mortality using multivariate demographic and seismic data. Am J Epidemiol. 2005;161(12):1151-1158.CrossRefGoogle ScholarPubMed
Koyama, M, Yoshimura, A, Kiyono, J, et al. An analysis of the circumstances of death in the 2011 Great East Japan Earthquake. 15th World Conference on Earthquake Engineering (Lisbon); 2012.Google Scholar
Doocy, S, Cherewick, M, Kirsch, T. Mortality following the Haitian earthquake of 2010: a stratified cluster survey. Popul Health Metr. 2013;11(1):5.CrossRefGoogle ScholarPubMed
Chou, YJ, Huang, N, Lee, CH, et al. Who is at risk of death in an earthquake? Am J Epidemiol. 2004;160(7):688-695.CrossRefGoogle Scholar
Chan, EY, Gao, Y, Griffiths, SM. Literature review of health impact post-earthquakes in China 1906–2007. J Public Health (Oxf). 2010;32(1):52-61.Google ScholarPubMed
Armenian, HK, Melkonian, A, Noji, EK, Hovanesian, AP. Deaths and injuries due to the earthquake in Armenia: a cohort approach. Int J Epidemiol. 1997;26(4):806-813.CrossRefGoogle ScholarPubMed
Wagle, S, Amnatsatsue, K, Adhikari, B, et al. Health related quality of life after the Gorkha earthquakes-2015 among older adults living in Lalitpur district of Central Nepal. Disaster Med Public Health Prep. 2020. doi:10.1017/dmp.2019.154.CrossRefGoogle ScholarPubMed
Central Bureau of Statistics, Government of Nepal. National population and housing census 2011 (National Report). Kathmandu, Nepal 01 NHPC 2011; 2012.Google Scholar
Zdeb, M. The basics of map creation with SAS/GRAPH. Tutorials 1991. https://support.sas.com/resources/papers/proceedings/proceedings/sugi29/251-29.pdf. Accessed March 18, 2019.Google Scholar
Alcantara-Ayala, I. Geomorphology, natural hazards, vulnerability and prevention of natural disasters in developing countries. Geomorphology. 2002;47(2-4):107-124.CrossRefGoogle Scholar
Bartels, SA, VanRooyen, MJ. Medical complications associated with earthquakes. Lancet. 2012;379(9817):748-757.Google ScholarPubMed
Aida, J, Hikichi, H, Matsuyama, Y, et al. Risk of mortality during and after the 2011 Great East Japan Earthquake and Tsunami among older coastal residents. Scientific Rep. 2017;7(1):16591.CrossRefGoogle ScholarPubMed
Ramirez, M, Peek-Asa, C. Epidemiology of traumatic injuries from earthquakes. Epidemiol Rev. 2005;27:47-55.CrossRefGoogle ScholarPubMed
Ghimire, S, Baral, BK, Pokhrel, BR, et al. Depression, malnutrition, and health-related quality of life among Nepali older patients. BMC Geriatr. 2018;18(1):191.CrossRefGoogle ScholarPubMed
Adhikari, B, Pokharel, S, Mishra, SR. Shrinking urban greenspace and the rise of non-communicable diseases in South Asia: an urgent need for an advocacy. Front Sustain Cities. 2019;1:5.CrossRefGoogle Scholar
USAID. Disaster risk reduction – South Asia. September 30, 2012. https://www.usaid.gov/sites/default/files/documents/1866/09.30.12%20-%20USAID-DCHA%20South%20Asia%20DRR%20Fact%20Sheet%20%231%20-%20FY%202012.pdf. Accessed July 7, 2019.Google Scholar
Aryal, D, Acharya, SP, Shrestha, GS, et al. Nepal after the disaster. Insider points of view for the future of critical care medicine. Am J Respir Crit Care Med. 2015;192(7):781-784.CrossRefGoogle ScholarPubMed
Adhikari, B, Mishra, SR. Urgent need for reform in Nepal’s medical education. Lancet. 2016;388(10061):2739-2740.CrossRefGoogle ScholarPubMed
Neumayer, E., Plümper, T. The gendered nature of natural disasters: the impact of catastrophic events on the gender gap in life expectancy, 1981–2002. Ann Assoc Am Geograph 2007;97(3):551-566.Google Scholar
Adhikari, B, Mishra, SR. Culture and epidemiology of diabetes in South Asia. J Glob Health. 2019;9(2):020301.CrossRefGoogle ScholarPubMed
Nepal School of Social Workers. Nepal earth quake: the critical first week. 2015. https://www.aasw.asn.au/document/item/7390. Accessed February 14, 2019.Google Scholar
Giri, S, Risnes, K, Uleberg, O, et al. Impact of 2015 earthquakes on a local hospital in Nepal: a prospective hospital-based study. PLoS One. 2018;13(2):e0192076.CrossRefGoogle ScholarPubMed
Lee, AC. Barriers to evidence-based disaster management in Nepal: a qualitative study. Public Health. 2016;133:99-106.CrossRefGoogle ScholarPubMed
British Broadcasting Corporation. Nepal quake: airport customs holding up aid relief – UN. 2015. https://www.bbc.co.uk/news/world-asia-32564891. Accessed February 14, 2019.Google Scholar
Independent. Nepal earthquake: humanitarian aid is piling up unused at Kathmandu airport because of import restrictions, UN warns. 2015. https://www.independent.co.uk/news/world/asia/nepal-earthquake-humanitarian-aid-is-piling-up-unused-at-kathmandu-airport-because-of-import-10223038.html. Accessed February 14, 2019.Google Scholar
ABC. Nepal earthquake: anger as corruption, red tape holds up aid delivery in remote areas. 2015. https://www.abc.net.au/news/2015-05-19/corruption,-red-tape-holds-up-nepal-earthquake-aid-delivery/6479052. Accessed February 14, 2019.Google Scholar
Goyet, S, Rayamajhi, R, Gyawali, BN, et al. Post-earthquake health-service support, Nepal. Bull World Health Organ. 2018;96(4):286-291.CrossRefGoogle ScholarPubMed
The National. Nepal’s earthquake amputees look ahead. 2015. https://www.thenational.ae/world/nepal-s-earthquake-amputees-look-ahead-1.109882. Accessed February 14, 2019.Google Scholar
The Kathmandu Post. Fewer amputation surgeries than anticipated after quake. 2016. http://kathmandupost.ekantipur.com/printedition/news/2016-01-13/fewer-amputation-surgeries-than-anticipated-after-quake.html. Accessed February 14, 2019.Google Scholar
Mishra, SR, Khanal, P, Khanal, V. Sustained neglect in mental health during Nepal’s crises. Health Prospect. 2018;17(1):4-7.Google Scholar
Chan, EYY, Man, AYT, Lam, HCY. Scientific evidence on natural disasters and health emergency and disaster risk management in Asian rural-based area. Br Med Bull. 2019;129(1):91-105.CrossRefGoogle ScholarPubMed
Adhikari, B, Pell, C, Phommasone, K, et al. Elements of effective community engagement: lessons from a targeted malaria elimination study in Lao PDR (Laos). Glob Health Action. 2017;10(1):1366136.CrossRefGoogle Scholar
Adhikari, B, James, N, Newby, G, et al. Community engagement and population coverage in mass anti-malarial administrations: a systematic literature review. Malaria J. 2016;15(1):523.CrossRefGoogle ScholarPubMed
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