ABSTRACT
Background: Occupational chemical accidents have increased in recent years in the Islamic Republic of Iran. In June and August 2015, three large explosions occurred at chemical warehouses in Rey, Tehran Province, and toxic vapours were released.
Aims: This study reviewed the three chemical accidents and assessed the extent to which the requirements for chemical safety and preparedness for chemical incidents under the International Health Regulations (IHR) are in place, and implemented at local and national levels in the Islamic Republic of Iran.
Methods: Data were obtained from secondary data and field visits to selected chemical plants. The secondary data were used to complete a 33-item checklist based on the IHR and the Ministry of Health and Medical Education checklist. A sample of 15 warehouses in Kahrizak district, Rey County, were visited to assess their capacity in relation to the IHR using a 15-item checklist.
Results: Some weaknesses were seen in the IHR capacity in the study area. The main weaknesses were lack of an effective surveillance system for chemical accidents and low levels of safety in chemical plants and warehouses. Other weaknesses included the lack of awareness of residents about chemical hazards and poorly equipped health centres for the management of victims of chemical accidents. The study area was not prepared for chemical accidents both within industrial plants and residential areas.
Conclusions: Action is needed to improve the areas of weakness so as to achieve the necessary capacities for chemical safety, and preparedness and response to chemical incidents in line with the IHR