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For example, after the 1968 earthquake south of Khorasan, Iran, only 368 (3.3%) of 11,254 people injured required inpatient care (30). A similar pattern of injuries is discussed in reports by Durkin, Thiel, et al., which indicated that following the 1989 Loma Prieta earthquake as many as 60% of those with earthquake-related injuries either treated themselves or received treatment in nonhospital settings (31). These findings suggest that a substantial number of earthquake-related injuries are treated outside the formal health care system.