Hamidreza Khankeh - Research Center for Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Pirhossein Kolivand - Organization of Behavior Management, Payame Noor University, Tehran, Iran.
Shokoufeh Ahmadi - Research Center for Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Babak Farzinnia - Research Center for Environmental Pollutants, Qom University of Medical Sciences, Qom, Iran.
Jafar Bazyar - Research Center for Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Background: While the main concern of Iran has been the risk of drought, and the Iranian authorities are always trying to find the solutions and prepare projects for the supply of their citizens' water, this country suddenly experienced a massive flood that affected more than ۳۱ provinces in ۲۰۱۹. This study was conducted to extract lessons learned from the health system response and management of Iran in the ۲۰۱۹ floods.  Materials and Methods: This report was designed and implemented using a multi-method model with both quantitative and qualitative methods.  Results: In this year, more than ۴۲ million Iranian citizens were affected by the flood. The medical centers provided services for more than ۱۱۳۷۰۰۰ people. Also, ۸۵ people died and ۱۹ outbreaks were identified in the flooded areas.  Conclusion: Preventing flood victims to have access to humanitarian help and illegal measures concerning international cooperation seems to be immoral and at least sanctions should not be included in helping people in disasters, especially the health system is considered. Unfortunately, there is still a lack of ability to predict climate change, and it is necessary to focus on this issue. the “all-hazards” approach should be taken into consideration for the effective management of these incidents.

Disaster, Emergency, Incident, Flood, Health, Climate change