Disaster Epidemiology Lessons From Bam Earthquake Dec 26, 2003 Iran Part 2: Health and economical status of Bam before the earthquake 1 A. Ardalan MD, MPH, PhD student in Epidemiology

Learning objectives:  To view the economical status of Bam before the earthquake  To understand the health status of Bam before the earthquake 2

3 Geographic location of Bam  The Southeast of Kerman province, on the outskirts of the Dasht-e-Lut Desert in Southeast Iran. Distance from other cities:  220 Km from the city of Kerman  1,283 Km from Tehran

4 Demography of Bam district before the earthquake  Total population: 240,000  Urban population: 40.4%  Rural population: 59.6%

5 Economical status of Bam before the earthquake  Direct employment in agricultural sector: 25%  Most date farmers were small holders, and as such vulnerable in socio-economic terms.

6 Economical status of Kerman province  Unemployment rate: 25%  Population lived below the universal poverty line: 10%

7 Citadel of Bam and economy  The city of Bam is famous for its ancient architecture.  Bam’s 2500 year-old ancient citadel drew in about 15,000 foreign tourists last year and as many as three times the number of Iranian tourists.

8 Some Health Indicators of Kerman province compared with National level

9 Some Health Indicators of Kerman province compared with National level (Non- communicable diseases)

10 Some Health Indicators of Kerman province compared with National level (Infectious diseases)

11 Endemic and Epidemic Diseases The most endemic diseases:  Malaria  Cutaneous leishmaniasis Recently epidemics:  Typhoid fever  Cholera

12 Health care services of Bam before the earthquake

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