Review
BibTex RIS Cite

Natural Disasters and Lung Health: Focus on Earthquake-Related Respiratory Infections

Year 2026, Volume: 11 Issue: 1, 99 - 106, 15.03.2026
https://doi.org/10.26453/otjhs.1846497
https://izlik.org/JA42GB52KC

Abstract

Earthquakes are sudden natural disasters that not only cause immediate physical destruction but also pose substantial long-term public health challenges, particularly through respiratory infections. Crowded temporary shelters, inadequate ventilation, exposure to dust and debris, stress-induced immunosuppression, and disruptions in healthcare services significantly increase the risk of upper and lower respiratory tract infections and tuberculosis among affected populations. Vulnerable groups, including children, the elderly, and individuals with chronic diseases, are at heightened risk. Effective disaster response requires rapid medical interventions, vaccination campaigns, hygiene and ventilation improvements, crowd management, and continuity of care. Evidence-based strategies targeting these factors are essential to reduce post-earthquake respiratory morbidity and mortality and to strengthen preparedness for future disasters. Furthermore, establishing effective public health communication strategies to increase community awareness regarding hygiene, mask usage, and early symptom recognition is vital for mitigating post-disaster respiratory morbidity.

Ethical Statement

This is an invited review article by the Editor. Ethics committee approval is not required.

References

  • 1. Mavrouli M, Mavroulis S, Tsakris A, Lekkas E. Respiratory infections following earthquake-induced tsunamis. Int J Environ Res Public Health. 2021;18(9):4952. doi:10.3390/ijerph18094952
  • 2. Balbay EG, Kayalar Ö, Balbay Ö, Dikensoy Ö, Arbak P, Bayram H. Impact of earthquakes on lung health. Thorac Res Pract. 2024;25(2):89 98.
  • 3. Avcu G. Infections after the earthquake disaster. J Pediatr Res. J Pediatr Res 2023;10(4):235-237.
  • 4. Pei Y, Zhang Y, Li P, et al. Shelter management and strategies for the prevention and control of COVID-19 during natural disasters. Disaster Med Public Health Prep. 2022;16(5):2124-2129.
  • 5. Kouadio IK, Aljunid S, Kamigaki T, Hammad K, Oshitani H. Infectious diseases following natural disasters: prevention and control measures. Expert Rev Anti Infect Ther. 2012;10(1):95-104.
  • 6. Noji EK. The public health consequences of disasters. Prehosp Disaster Med. 2000;15(4):147-157.
  • 7. Baran A, Özer A. Prevention of infectious diseases after an earthquake. Cam Sakura Med J. 2023;3(Suppl 1):42 47.
  • 8. Balbay EG, Annakkaya AN, Balbay O. Earthquake and sleep health effects. J Turk Sleep Med. 2024;11(3):141-146.
  • 9. Najafi S, Akahavan Rezayat A, Beyzaei SF, et al. Incidence of infectious diseases after earthquakes: a systematic review and meta-analysis. Public Health. 2022;202:131-138.
  • 10. Woersching JC, Snyder AE. Earthquakes in El-Salvador: a descriptive study of health concerns in a rural community and the clinical implication, part I. Disaster Manag Response. 2003;1:105-109.
  • 11. Akbari ME, Farshad AA, Asadi-Lari M. The devastation of Bam: an overview of health issues 1 month after the earthquake. Public Health. 2004;118:403-408.
  • 12. Arbak PM, Balbay EG, Gulhan PY, Balbay O, Annakkaya AN, Bayram H. Assessment of respiratory health among volunteers involved in search and rescue operations during a severe earthquake. J Occup Environ Med. 2025;67(11):e771-e776.
  • 13. Dogantekin E, Caliskanturk G, Aslan S, Dogantekin A. Epidemiology of respiratory infection pathogens using multiplex RT-qPCR in big earthquakes Area in Turkey (2023). Clin Epidemiol Glob Health. 2024;29:101753.
  • 14. Robinson B, Alatas MF, Robertson A, Steer H. Natural disasters and the lung. Respirology. 2011;16(3):386-395.
  • 15. Kun P, Wang Z, Chen X, et al. Public health status and influence factors after 2008 Wenchuan earthquake among survivors in Sichuan province, China: cross-sectional trial. Public Health. 2010;124(10):573-580.
  • 16. Jibson RW. A public health issue related to collateral seismic hazards: the valley fever outbreak triggered by the 1994 Northridge, California earthquake. Surv Geophys. 2002;23:511528. doi:10.1023/A:1021226827679
  • 17. Azap A. Alt solunum yolu enfeksiyonları. In: Erbaycu AE, ed, Göğüs Hastalıkları ve Deprem, 1th ed. Ankara, Türkiye Klinikleri; 2024:9-12.
  • 18. Watson JT, Gayer M, Connolly MA. Epidemics after natural disasters. Emerg Infect Dis. 2007;13(1):1-5.
  • 19. Ohkouchi S, Shibuya R, Yanai M, et al. Deterioration in regional health status after the acute phase of a great disaster: respiratory physicians' experiences of the Great East Japan Earthquake. Respiratory investigation. 2013;51(2):50-55.
  • 20. Aoyagi T, Yamada M, Kunishima H, et al. Characteristics of infectious diseases in hospitalized patients during the early phase after the 2011 great East Japan earthquake: pneumonia as a significant reason for hospital care. Chest. 2013;143(2):349-356.
  • 21. Güngör Ö, Erçen Diken Ö, Berik Safcı S, Avcı A, Aslan Aİ. Respiratory diseases and mortality in non-traumatic patients exposed to the 2023 Türkiye earthquake disasters: a retrospective observational study. BMJ Open. 2025;15(4):e092177. doi:10.1136/bmjopen-2024-092177
  • 22. Balbay O, Balbay EG, Arbak P, Annakkaya AN, Bilgin C. The effects of two sequential earthquakes on tuberculosis patients: an experience from Duzce earthquake. HealthMED. 2011;5(3):589-595.
  • 23. Kanamori H, Hatakeyama T, Uchiyama B, et al. Clinical and molecular epidemiological features of tuberculosis after the 2011 Japan earthquake and tsunami. Int J Tuberc Lung Dis. 2016;20(4):505-514.
  • 24. Koenig SP, Rouzier V, Vilbrun SC, et al. Tuberculosis in the aftermath of the 2010 earthquake in Haiti. Bull World Health Organ. 2015;93(7):498-502.
  • 25. World Health Organization. Tuberculosis prevention and control in disaster-affected populations. Geneva: WHO; 2018.
  • 26. Güleç Balbay E. Earthquake and the lung. Duzce Med J. 2023;25(1):1-5.
  • 27. Güleç Balbay E, Kurutkan MN, Yıldız P, Balbay Ö. Earthquake-related lung diseases; A bibliometric analysis of publications. Value Health Sci. 2024;14(1):8-17.

Doğal Afetler ve Akciğer Sağlığı: Depremle İlişkili Solunum Yolu Enfeksiyonlarına Odaklanma

Year 2026, Volume: 11 Issue: 1, 99 - 106, 15.03.2026
https://doi.org/10.26453/otjhs.1846497
https://izlik.org/JA42GB52KC

Abstract

Depremler, yalnızca ani fiziksel yıkıma neden olmakla kalmaz, aynı zamanda özellikle solunum yolu enfeksiyonları aracılığıyla uzun dönem halk sağlığı sorunları da yaratır. Kalabalık geçici barınaklar, yetersiz havalandırma, toz ve moloz maruziyeti, stres kaynaklı bağışıklık baskılanması ve sağlık hizmetlerine erişim kesintileri, etkilenen nüfusta üst ve alt solunum yolu enfeksiyonları ile tüberküloz riskini önemli ölçüde artırır. Çocuklar, yaşlılar ve kronik hastalığı olan bireyler en savunmasız gruplardır. Etkili afet yanıtı, hızlı tıbbi müdahaleler, aşı kampanyaları, hijyen ve havalandırma iyileştirmeleri, kalabalık yönetimi ve hasta bakımının sürekliliğini gerektirir. Bu faktörlere yönelik kanıta dayalı stratejiler, deprem sonrası solunum yolu morbidite ve mortalitesini azaltmak ve gelecekteki afetlere hazırlığı güçlendirmek için kritik öneme sahiptir. Ayrıca, hijyen, maske kullanımı ve semptomların erken fark edilmesi konularında toplumsal farkındalığı artırmak için etkili halk sağlığı iletişim stratejilerinin oluşturulması, afet sonrası solunum yolu morbiditesinin azaltılması açısından hayati önem taşımaktadır.

Ethical Statement

Bu, Editör tarafından davet edilen bir derleme makalesidir. Etik kurul onayı gerekmemektedir.

References

  • 1. Mavrouli M, Mavroulis S, Tsakris A, Lekkas E. Respiratory infections following earthquake-induced tsunamis. Int J Environ Res Public Health. 2021;18(9):4952. doi:10.3390/ijerph18094952
  • 2. Balbay EG, Kayalar Ö, Balbay Ö, Dikensoy Ö, Arbak P, Bayram H. Impact of earthquakes on lung health. Thorac Res Pract. 2024;25(2):89 98.
  • 3. Avcu G. Infections after the earthquake disaster. J Pediatr Res. J Pediatr Res 2023;10(4):235-237.
  • 4. Pei Y, Zhang Y, Li P, et al. Shelter management and strategies for the prevention and control of COVID-19 during natural disasters. Disaster Med Public Health Prep. 2022;16(5):2124-2129.
  • 5. Kouadio IK, Aljunid S, Kamigaki T, Hammad K, Oshitani H. Infectious diseases following natural disasters: prevention and control measures. Expert Rev Anti Infect Ther. 2012;10(1):95-104.
  • 6. Noji EK. The public health consequences of disasters. Prehosp Disaster Med. 2000;15(4):147-157.
  • 7. Baran A, Özer A. Prevention of infectious diseases after an earthquake. Cam Sakura Med J. 2023;3(Suppl 1):42 47.
  • 8. Balbay EG, Annakkaya AN, Balbay O. Earthquake and sleep health effects. J Turk Sleep Med. 2024;11(3):141-146.
  • 9. Najafi S, Akahavan Rezayat A, Beyzaei SF, et al. Incidence of infectious diseases after earthquakes: a systematic review and meta-analysis. Public Health. 2022;202:131-138.
  • 10. Woersching JC, Snyder AE. Earthquakes in El-Salvador: a descriptive study of health concerns in a rural community and the clinical implication, part I. Disaster Manag Response. 2003;1:105-109.
  • 11. Akbari ME, Farshad AA, Asadi-Lari M. The devastation of Bam: an overview of health issues 1 month after the earthquake. Public Health. 2004;118:403-408.
  • 12. Arbak PM, Balbay EG, Gulhan PY, Balbay O, Annakkaya AN, Bayram H. Assessment of respiratory health among volunteers involved in search and rescue operations during a severe earthquake. J Occup Environ Med. 2025;67(11):e771-e776.
  • 13. Dogantekin E, Caliskanturk G, Aslan S, Dogantekin A. Epidemiology of respiratory infection pathogens using multiplex RT-qPCR in big earthquakes Area in Turkey (2023). Clin Epidemiol Glob Health. 2024;29:101753.
  • 14. Robinson B, Alatas MF, Robertson A, Steer H. Natural disasters and the lung. Respirology. 2011;16(3):386-395.
  • 15. Kun P, Wang Z, Chen X, et al. Public health status and influence factors after 2008 Wenchuan earthquake among survivors in Sichuan province, China: cross-sectional trial. Public Health. 2010;124(10):573-580.
  • 16. Jibson RW. A public health issue related to collateral seismic hazards: the valley fever outbreak triggered by the 1994 Northridge, California earthquake. Surv Geophys. 2002;23:511528. doi:10.1023/A:1021226827679
  • 17. Azap A. Alt solunum yolu enfeksiyonları. In: Erbaycu AE, ed, Göğüs Hastalıkları ve Deprem, 1th ed. Ankara, Türkiye Klinikleri; 2024:9-12.
  • 18. Watson JT, Gayer M, Connolly MA. Epidemics after natural disasters. Emerg Infect Dis. 2007;13(1):1-5.
  • 19. Ohkouchi S, Shibuya R, Yanai M, et al. Deterioration in regional health status after the acute phase of a great disaster: respiratory physicians' experiences of the Great East Japan Earthquake. Respiratory investigation. 2013;51(2):50-55.
  • 20. Aoyagi T, Yamada M, Kunishima H, et al. Characteristics of infectious diseases in hospitalized patients during the early phase after the 2011 great East Japan earthquake: pneumonia as a significant reason for hospital care. Chest. 2013;143(2):349-356.
  • 21. Güngör Ö, Erçen Diken Ö, Berik Safcı S, Avcı A, Aslan Aİ. Respiratory diseases and mortality in non-traumatic patients exposed to the 2023 Türkiye earthquake disasters: a retrospective observational study. BMJ Open. 2025;15(4):e092177. doi:10.1136/bmjopen-2024-092177
  • 22. Balbay O, Balbay EG, Arbak P, Annakkaya AN, Bilgin C. The effects of two sequential earthquakes on tuberculosis patients: an experience from Duzce earthquake. HealthMED. 2011;5(3):589-595.
  • 23. Kanamori H, Hatakeyama T, Uchiyama B, et al. Clinical and molecular epidemiological features of tuberculosis after the 2011 Japan earthquake and tsunami. Int J Tuberc Lung Dis. 2016;20(4):505-514.
  • 24. Koenig SP, Rouzier V, Vilbrun SC, et al. Tuberculosis in the aftermath of the 2010 earthquake in Haiti. Bull World Health Organ. 2015;93(7):498-502.
  • 25. World Health Organization. Tuberculosis prevention and control in disaster-affected populations. Geneva: WHO; 2018.
  • 26. Güleç Balbay E. Earthquake and the lung. Duzce Med J. 2023;25(1):1-5.
  • 27. Güleç Balbay E, Kurutkan MN, Yıldız P, Balbay Ö. Earthquake-related lung diseases; A bibliometric analysis of publications. Value Health Sci. 2024;14(1):8-17.
There are 27 citations in total.

Details

Primary Language English
Subjects Respiratory Diseases, Infectious Diseases, Medical Microbiology (Other)
Journal Section Review
Authors

Ege Güleç Balbay 0000-0002-1557-7019

Nevin Ince 0000-0002-0129-4536

Emel Çalışkan 0000-0002-9451-7865

Submission Date December 21, 2025
Acceptance Date February 22, 2026
Publication Date March 15, 2026
DOI https://doi.org/10.26453/otjhs.1846497
IZ https://izlik.org/JA42GB52KC
Published in Issue Year 2026 Volume: 11 Issue: 1

Cite

AMA 1.Güleç Balbay E, Ince N, Çalışkan E. Natural Disasters and Lung Health: Focus on Earthquake-Related Respiratory Infections. OTJHS. 2026;11(1):99-106. doi:10.26453/otjhs.1846497

Creative Commons License

Online Türk Sağlık Bilimleri Dergisi [Online Turkish Journal of Health Sciences (OTJHS)] is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open-access journal distributed under the terms of the Creative Commons Attribution License (CC BY-NC 4.0). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Click here to get help about article submission processes and "Copyright Transfer Form".