An earthquake measuring 7.7 magnitude on the Richter scale occurred at 04:17am on February 6, 2023 in the Pazarcık district of Kahramanmaraş province Turkey. In the hours following the 7.7 magnitude event in Kahramanmaraş, a second 7.6 magnitude earthquake struck the region and a third 6.4 magnitude earthquake struck Gaziantep, causing extensive damage and death. A total of ten provinces directly experienced the earthquake, including Kahramanmaraş, Hatay, Gaziantep, Osmaniye, Malatya, Adana, Diyarbakır, Şanlıurfa, Adıyaman, and Kilis. The official figures indicate 31,643 people were killed, 80,278 were injured, and 6,444 buildings were destroyed within seven days of the earthquakes (as of 12:00pm/noon on Monday, February 13th). The area affected by the earthquake has been officially declared to be 500km in diameter. This report primarily relies on observations made by pioneer Emergency Physicians (EPs) who went to the disaster areas shortly after the first earthquake (in the early stages of the disaster). According to their observations: (1) Due to winter conditions, there were transportation problems and a shortage of personnel reaching disaster areas on the first day after the disaster; (2) On the second day of the disaster, health equipment was in short supply; (3) As of the third day, health workers were unprepared in terms of knowledge and experience for the disaster; and (4) The subsequent deployment of health personnel to the disaster area was uncoordinated and unplanned on the following days, which resulted in the health personnel working there not being able to meet even their basic needs (such as food, heating, and shelter). During the first week, coordination was most frequently reported as the most significant problem.

Türkiye has a long history of devastating earthquakes, and on February 6, 2023, the region experienced two major earthquakes with magnitudes of 7.7 and 7.6, striking Pazarcık and Elbistan, Kahramanmaraş, respectively, on the East Anatolian Fault Zone. These earthquakes resulted in significant loss of life and property, impacting multiple cities across 11 cities, and leaving a lasting impact on the country. The 2023 Kahramanmaraş Earthquakes rank among the deadliest and most damaging earthquakes in Türkiye, alongside the historical significance of the 1939 Erzincan Earthquake and the 1999 Marmara Earthquake. Despite reforms following the 1999 Marmara Earthquake in disaster policy and preparedness, the scale of damage from the February 6 earthquakes has been shocking, necessitating further insights and lessons for future earthquake management. This paper presents the outcomes of immediate response efforts organized after the 2023 Kahramanmaraş earthquakes to elucidate emergency response activities and their impacts on communities, considering the substantial size and severity of the damages. The study focuses on evaluating the emergency response provided within the first 24 h, 3 days, and 2 weeks after the earthquakes, aiming to promptly identify the nature and effectiveness of these responses, as well as the conditions that hindered their efficacy. By shedding light on the specific experiences and challenges faced during these crucial timeframes, the research aims to offer valuable insights and lessons learned. These findings contribute to improved preparedness strategies and more efficient emergency response measures needed in responding to future disaster scenarios. Ultimately, this study provides a useful resource for all stakeholders involved in emergency response and disaster management, offering valuable guidance to enhance resilience and preparedness in the face of seismic hazards.

Objective: Health-care workers (HCWs) are often seen as the most reliable source of vaccine-related information for their patients; nevertheless, various studies show that HCWs experience vaccine hesitation. In this study, the aim was to determine the reasons for vaccine hesitation among HCWs working in a large public hospital and its affiliated units in Istanbul.Methods: A descriptive method for collecting qualitative data was designed for this study. The data of the HCWs were analyzed in line with the vaccine hesitancy factors put forward by the World Health Organization (WHO).Results: The most important vaccine hesitancy theme that emerged was the fear and lack of confidence in the vaccines, which was expressed at a higher rate than any other theme in all HCWs. The most cited reason for fear/lack of confidence in the vaccine was the fear of its side effects. It was observed that the HCWs who reported hesitation about vaccination due to pregnancy and breastfeeding consisted of women. The second most common theme for vaccine hesitation was reported as an inconvenience in accessing the vaccines. Although HCWs have priority, they stated that their reason for vaccine hesitancy was due to heavy personal issues or workloads. The final theme was about complacency, or thinking they do not need the vaccine.Conclusions: Vaccine hesitation is a challenge that can be overcome with detailed monitoring and policy-making. Although the vaccine seems to be more significant, we do not want to see vaccine hesitancy grow more than the vaccine itself.

This compilation covers emergency medical management lessons from the February 6^th Kahramanmaraş earthquakes. The objective is to review relevant literature on emergency services patient management, focusing on Koenig’s 1996 Simple Triage and Rapid Treatment (START) and Secondary Assessment of Victim Endpoint (SAVE) frameworks. Establishing a comprehensive seismic and mass casualty incident (MCI) protocol chain is the goal. The prehospital phase of seismic MCIs treats hypovolemia and gets patients to the nearest hospital. START-A plans to expedite emergency patient triage and pain management. The SAVE algorithm is crucial for the emergency patient secondary assessment. It advises using Glasgow Coma Scale, Mangled Extremity Severity Score, Burn Triage Score, and Safe Quake Score for admission, surgery, transfer, discharge, and outcomes. This compilation emphasizes the importance of using diagnostic tools like bedside blood gas analyzers and ultrasound devices during the assessment process, drawing from 6 February earthquake research. The findings create a solid framework for improving emergency medical response strategies, making them applicable in similar situations.