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June, 2003

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Disaster aid for Iran
Children's staff provide disaster aid

Just hours after the December 26 earthquake devastated the Iranian city of Bam, five Children's Hospital Boston staff members were on their way to join medical teams from across the world to provide emergency relief.

When Alan Bouchard, RN, Renee Charbonneau, RN, Gary Fleisher, MD, Mark Waltzman, MD, and Debra Weiner, MD, PhD„all members of Children's Division of Emergency Medicine„arrived in Bam, they found the city in ruin. Seventy percent of homes had been leveled, more than 40,000 residents were dead and the city's hospital had been destroyed, killing half of the doctors who had worked there.

The clinicians worked up to 18 hours a day for 10 days, setting up field hospitals and treating over 700 patients for neglected lacerations, fractures and paralyzed extremities, crush injuries, kerosene ingestion (secondary to the use of space heaters in tents) and a variety of other quake-related problems. In addition to treating disaster-related injuries, the team treated many common infections such as streptococcal pharyngitis, otitis media, bronchiolitis and gastroenteritis. ñWe also had the opportunity to treat a number of interesting cases that are quite rare in the U.S.,î says Dr. Fleisher. ñFor example, we treated a child with thalassemia for a pathological fracture caused by the bone weakening symptomatic to that disease.î

Above and beyond any medical problems, many of the children treated by the team had lost their entire families in the disaster. ñPart of me just wanted to reach out and hug them and take them home,î says Dr. Fleisher. ñThat was the most difficult part for me.î

Despite severe conditions, limited resources and freezing temperatures, Dr. Weiner is grateful for the opportunity to help. ñThe people were in desperate need, but they were also incredibly welcoming and grateful for our presence,î she says ñThis is one experience that I will never forget.î