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How should those who come out from under the rubble in an earthquake be fed? What is Refeeding Syndrome?

Many people lost their lives after the earthquake in Kahramanmaraş and its surrounding provinces. Those who remained under the rubble were removed days later. Experts pointed out that people who survived the disaster without eating for days in the wreckage may experience re-feeding syndrome. So, how should those who come out of the rubble in an earthquake be fed? Here are all the answers:

It has been a matter of curiosity whether re-feeding syndrome will be seen in people who were rescued from the rubble and starved for a long time after the Kahramanmaraş earthquake that took place in the past days. When dozens of people waiting to be rescued under the rubble are hungry and thirsty for days, they are first examined immediately. However, experts said that attention should be paid to this syndrome, which occurs after long-term malnutrition. So, what is the refeeding syndrome seen in earthquake victims after the body is exhausted? How to overcome refeeding syndrome?

What is Refeeding Syndrome?


Refeeding syndrome is a condition that occurs when the stomach is empty for a long time, especially in disasters. This syndrome, which is caused by malnutrition, appears as soon as one starts to eat again. The reason for its emergence is that some electrodes and fluids that provide digestion in the human body change very quickly. It is possible to understand whether the person has re-feeding syndrome or not by having their blood phosphate values ​​checked.

  • weakness in breathing
  • high blood pressure
  • seizures
  • Rhythm disorders in the heart
  • heart failure
  • Coma
  • Tiredness
  • Weakness
  • confusion


In case of emergency, nutrition services are organized in two phases so that people who are pulled out from under the rubble can best overcome the psychological and physiological effects of an earthquake. In these stages, which are divided into two as short-term and long-term nutrition, nutrition distribution should be done by considering the negative conditions. Short-term nutrition covers the first few weeks. At this stage, first of all, it is of great importance to carry healthy water. While it is necessary to consume 3 liters of water per day in temperate seasons, this increases up to 6 liters in hot seasons. Hot tea or soup should be served as the first step in the short-term feeding to be carried out after the disaster. These foods, which will make you feel good psychologically, are of great importance in terms of health for the first time. On the second day, you can switch to solid foods. These are bread, cheese, olives or prepared foods; Foods that are difficult to spoil such as biscuits, pasta, dried legumes should be preferred.

How should nutrition be after earthquake?


Fresh fruits and vegetables should not be consumed until they have healthy water and a suitable kitchen environment.
After a few months after the disaster period, the registration of those who eat should be taken and it should be checked whether there is a risk during this process.
Proper nutrition should be done to prevent diseases that can seriously affect health problems such as diarrhea, tuberculosis or hepatitis.
Pregnant and lactating women should follow their diet and add nutrients to their daily diets.
The daily energy requirement for a healthy adult is 2100 calories. This calorie should be obtained from 450 g of grain, 25 g of fat and 50 g from legumes.
Packaged foods, such as milk and dairy products, which spoil quickly, should be consumed quickly.
The consumption of suspicious, moldy, changed appearance and odor foods should be avoided.

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