Myanmar Earthquake: Fears of Aftershocks Drive Patients to Seek Care in Car Parks Over Hospitals in Mandalay

Introduction

On March 28, 2025, a devastating 7.7 magnitude earthquake struck central Myanmar, causing widespread destruction and panic. The epicenter was near Mandalay, Myanmar's second-largest city, where the disaster has left thousands injured and displaced. Amid the chaos, the health system faces an unprecedented challenge as patients increasingly prefer receiving medical care in car parks over hospitals, fearing further tremors that could collapse already fragile medical infrastructure.

The Impact of the Earthquake on Health Services

The recent earthquake has exacerbated the existing strain on Myanmar's healthcare system, which has been under relentless attack by the military junta since the 2021 coup. More than 3,500 people have been confirmed dead, with 5,000 injured and 210 still missing as of the latest reports[1][2]. The damage to hospitals and clinics is significant, with at least 167 facilities affected[2]. This scenario has led to a severe shortage of safe and reliable health services in areas most affected by the disaster.

Key Statistics on Earthquake Damage

• Death Toll: Over 3,500 confirmed dead.
• Injuries: More than 5,000 people injured.
• Missing Persons: At least 210 individuals remain unaccounted for.
• Infrastructure Damage:
• Over 5,200 buildings damaged.
• Nearly 1,800 schools affected.
• Hundreds of hospitals and clinics impacted.

Fears of Aftershocks

In the immediate aftermath of the quake, aftershocks as strong as 6.7 magnitude have continued to shake the region, keeping the population on edge. These repeated tremors have heightened fears among the public, leading many to avoid structures that might collapse, including hospitals. This fear is compounded by the recent history of healthcare facilities being targeted during the ongoing conflict, further eroding trust in the safety of medical buildings.

Healthcare Delivery in the Open

Given the fear of aftershocks and the precarious state of buildings, health workers have been forced to innovate and deliver care in unconventional settings. In Mandalay, medical teams are providing essential services in open areas such as car parks, where patients feel safer than in potentially unstable hospital buildings.

Challenges in Providing Healthcare

• Lack of Infrastructure: Damaged hospitals limit safe treatment spaces.
• Fear of Collapses: Continuous aftershocks deter people from entering buildings.
• Resource Constraints: Medical supplies and personnel are stretched thin due to the crisis.

Efforts to Support Healthcare

International aid has been arriving in Myanmar, with countries like China and Russia sending disaster-response teams. However, challenges persist due to the military junta's control over aid distribution, often prioritizing areas under their control over those most in need[1][3].

Global Response

• International Aid: Teams from several countries are assisting in the disaster response.
• Aid Challenges: Political tensions and bureaucratic obstacles hinder the effective distribution of aid.

Weather Forecast Adds to Misery

Compounding the challenges faced by those affected is a forecast of rain and thunderstorms for the coming week. Heavy rains and strong winds have begun disrupting rescue operations, adding another layer of hardship for those without shelter[2]. The public has been warned of possible landslides and other hazards associated with the weather, further compounding the crisis.

Conclusion

The recent earthquake in Myanmar has highlighted the vulnerabilities of both the country's infrastructure and its healthcare system. As patients opt for safer, outdoor locations over hospitals due to fear of aftershocks, it underscores the dire need for urgent support and international cooperation to ensure that aid reaches those who need it most. The situation in Myanmar remains critical, with the international community urged to unite in addressing this deepening humanitarian crisis.

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