家庭醫學科於災難救助中的角色－－以莫拉克風災為例

The Role of Family Physician at a Disaster: the Example of Typhoon Morakot

颱風是台灣地區最常見的自然災害，全球暖化和未來氣候變遷將使颱風帶來暴雨的侵襲更加嚴重。2009年8月莫拉克颱風是台灣近五十年來傷亡人數最慘重的風災。南部某醫學中心家庭醫學部，當時奉派負責規劃與支援高雄縣六龜鄉災區的後續醫療照顧工作，以全人照顧模式協助災區民眾的健康維護和心理重建。三個月期間，總共服務了民眾1,342人，協助災區疫病的篩檢，並且對於有中重度經濟損失、有家人失蹤和具有憂鬱和創傷後壓力症候群之可能個案，列入為精神科心理重建追蹤對象。本報告說明家庭醫學的訓練內涵讓家庭醫學科醫師在災難救助中占有一席一地，並且建議將來在家庭醫學教育中，可以增加災難醫學之相關訓練。

Typhoons are the most frequent natural disasters in Taiwan, and, in the future, global warming and climate change may lead to an increase in the amount of rainfall and number of storms. Typhoon Morakot struck Taiwan in August 2009 and caused unprecedented flooding and the most casualties in half a century. A medical center in southern Taiwan assigned its department of family medicine to plan and implement medical services in the immediate recovery phase in Liouguei township of Kaohsiung County. We served a total of 1,342 trapped villagers during a 3 month period. Victims who reported economic loss, missing family members, or symptoms of depression or posttraumatic stress disorder were all listed as high-risk groups for further psychological rehabilitation. These services not only revealed the breadth of knowledge and skills that family physicians possess is an invaluable asset given the inherent multidimensional injuries of a disaster but also suggested the need for disaster-related education in family medicine in Taiwan.