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National, International, Armenia, and Community News and Opinion

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The <strong>Armenia</strong>n Reporter | December 13, 2008 17<strong>Armenia</strong>December 7, 198820 years onA doctor’s journey into devastationDr. VartiterKotcholosianHovannisian’sefforts in <strong>Armenia</strong>Dr. Vartiter Kotcholosian Hovannisian,an internist, was one of thosevaliant <strong>Armenia</strong>n professionalswho, when the earthquake struckher homel<strong>and</strong> 20 years ago, didn’twait for a call to arms, but rathertook the initiative to become engagedin one of her nation’s greatesttragedies.At an address, which she gaveat the <strong>International</strong> Conferenceon Emergency Health Care Developmentin Washington in August1989, Dr. Hovannisian recountedhow she became part of the USAIDteam to <strong>Armenia</strong>.“The tragedy triggered a broadspectrum of responses worldwide.In my case, after numerous calls toWashington to offer my services,it was with the assistance of the<strong>Armenia</strong>n Assembly of Americathat at 5 P.M. on December 13, Iwas asked to join the U.S. aid teamof 21 medical <strong>and</strong> disaster specialists.The chartered American TransAir carrier touched down in <strong>Armenia</strong>at 2:25 P.M.. on December 17,<strong>and</strong> the same evening was to takehomeward the first U.S. Search <strong>and</strong>Rescue team <strong>and</strong> medical relief personnelwho, on December 12 hadjoined their European counterpartsin frantic search efforts <strong>and</strong>were then instructed to ab<strong>and</strong>ontheir mission on Friday, December16, 1988.”During this presentation, Dr.Hovannisian painstakingly explainedhow events unfolded inthe country. “The capital, Yerevan,itself devoid of disaster preparedness<strong>and</strong> shaken vigorously by thetemblor, learned of the gravity ofthe situation by 3:00 P.M., at whichtime individuals <strong>and</strong> institutionsalike frantically rushed to the rescue,immediately clogging the insufficientroads,” she states.“The earthquakestruck at 11:41 A.M.,figuring decisivelyin the demographicdistribution ofcasualties as theeducation <strong>and</strong> workestablishments, aswell as the newsubst<strong>and</strong>ard highriseapartments,had become instantgraveyards. Had therebeen four minutes ofgrace time, thous<strong>and</strong>sof schoolchildren <strong>and</strong>factory workers wouldhave been on theirbreak time <strong>and</strong> out ofdoors....”“Hundreds of patients arrivedwith complex injuries: multiplelimb trauma, amputations, pneumothorax,head trauma, abdominalinjury, hemorrhagic shock, burn,etc. The most critical cases wereflown to Moscow <strong>and</strong> other Sovietspecialized medical centers.“Having met the challenge of acutetrauma care, the next phase wasmarked by the sudden emergency<strong>Armenia</strong>n-bound USAID chartered American Trans Air Carrier. December 16,1988 (21 medical <strong>and</strong> disaster specialists <strong>and</strong> supplies traveled from Los Angeles-Florida-Belgrade-Yerevan). Mother <strong>and</strong> son (Raffi Hovannisian) meet en route.With Dr. Vartiter Hovannisian (st<strong>and</strong>ing, center) are an international disasterspecialist; a John Hopkins MD; young Russian musicians who had hitchikedfrom Leningrad – as volunteers – <strong>and</strong> local bus driver, with a cigarette (a nationalsymbol).Leninakan. No bulldozers. Only bare h<strong>and</strong>s searching for a sign of life. Aflickering fire.of crush injury manifestations,which dem<strong>and</strong>ed prompt diagnosis<strong>and</strong> treatment by dialysis. Just asthe 72-hour delay in marshalling acoordinated rescue effort resultedin the failure to retrieve thous<strong>and</strong>sof victims crying out from underthe rubble, so too many died unnecessarilybecause of the delayedarrival of U.S. <strong>and</strong> European dialysissystems,” she recalled.“The world response to this catastrophewas undoubtedly facilitatedby the political climate. The...earthquake provided the dramaticclimax for the U.S.A. - U.S.S.R. NewYork summit. It opened the firsteast-west window of unprecedentedcooperation, with all politicalbarriers lifted temporarily. TheYerevan (then truly) <strong>International</strong>Airport witnessed the unhinderedarrival of aircraft of some 40 countries,whose private sector rescue<strong>and</strong> relief teams worked tirelessly,oblivious to the freezing temperatures<strong>and</strong> curfew imposed by armoredmilitary throughout thel<strong>and</strong>locked, politically troubled Republic.”She remembers Prime MinisterRyzhkov’s “most commendable<strong>and</strong> lifesaving leadership,” <strong>and</strong>the humanitarian work down bythe League of Red Cross <strong>and</strong> RedContinued on page 18 mA panorama of destruction in Leninakan (present day Gyumri).Spitak leveled. Total destruction of a school. Torn notebooks carried by icy windabove the ruins, which cover hundred of suffocated youngsters. And the clock ofdeath. Photos: Personal archives of Dr. Vartiter Hovannisian.

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