Emergency Health Planning

This paper outlines the development of emergency health planning as a function of government. Ten provinces have the basic responsibility for the organization, preparation and operation of medical, nursing, hospital and public health services in an emergency. The Department of National Health and Welfare is responsible for the provision of advice and assistance to the provincial and municipal governments in such matters. Eight provinces have now hired full-time planning staffs to co-ordinate the health planning of the Provincial Departments of Health and Provincial Emergency Measures Organization.Four major programs have been established. The first program provides for the continuity of leadership and guidance by health authorities at the federal, provincial and municipal level. Essential records have been developed and emergency legislation prepared. This program, however, will be of little use unless health services are organized at the municipal level. In this organizational program, advice and assistance have been provided to existing hospitals and departments of health in the conduct of disaster planning. The efforts of these agencies are co-ordinated by municipal health authorities into a community disaster plan. The third program deals with information and education of the general public and the health workers. This program is designed to make the family unit self-sufficient for up to seven days and the health worker prepared to undertake his emergency role. The first three programs are directed to the organization and training of manpower; the fourth program provides the necessary supplies. From the national medical stockpile of $18,000,000, some $12,000,000 has been received, packaged for long-term storage and distributed to regional depots across the country. To ensure their ready availability in time of emergency an agreement has been reached with seven provinces for the release of hospital disaster kits.     

Emergency Health Supplies: Present Status of Procurement and Control

Until recently there was no substantial reserve of health supplies in Canada capable of supporting major peacetime or wartime disasters. In 1952, an $18,000,000 stockpile was authorized by the Federal Government of Canada. Purchases were made to a total of $15,500,000 with deliveries to exceed $13,000,000. Over $6,000000 worth of supplies was distributed to eight regional depots across Canada in safe and strategic locations. Plans were made for release and control of supplies to provincial governments for use at all levels of control, and a Resources Planning Unit has been organized. In Canada, undergraduate students in pharmacy receive special civil defence instruction in emergency health supplies service.     

Emergency and Disaster Planning at Ohio Animal Shelters

Results of a cross-sectional study to determine the level of emergency and disaster response planning at Ohio nonhuman animal shelters and the role Ohio agencies have in emergency and disaster response planning in their communities indicated a lack of preparedness coupled with underutilization of the agencies as a resource. A total of 115 agencies (68%) responded to a standardized survey mailed to 170 Ohio agencies. Most (68%) agencies agreed that emergency and disaster response planning was important to their organization, although only 13% of agencies had completed a written emergency and disaster response plan. The majority (80%) of agencies indicated they would provide critical resources in an emergency or disaster in their community. Only 38 (33%) of the responding agencies were aware of the PETS Act of 2006. Although many agencies indicated the importance of an emergency and disaster plan, there may be insufficient resources, including time and proper training, available to ensure plans are developed. Improved coordination among veterinarians, local veterinary medical associations, emergency preparedness agencies, and animal shelters would enhance the relief efforts in a crisis.     

MEDICAL PLANNING FOR DISASTER—Brief Résumé of Accomplishments in California 1950-1959

Extensive accumulation and dispersal of medical supplies and equipment has been carried out in this state since 1950. Although such medical supplies and equipment are inadequate for an all out war type disaster their addition to the medical disaster preparedness program represents a great contribution and efforts must be made to continually supplement them.All hospitals must have a disaster plan which is well understood and which must be tested by actual test exercises at least once each year.Preparations for major disasters of all types are costly and time-consuming but represent one of the best possible investments which we can make as insurance against the loss of thousands of casualties.It is the responsibility of each physician to prepare himself and his family in anticipation of being exposed to natural or man-made disasters.     

Role of medical teams in a community disaster plan.

In London, Ont. two mock disaster exercises have indicated the need for re-evaluating the role of medical disaster teams. To coordinate and direct these teams a medical on-site coordinating team, composed of three emergency physicians with an expanded and more clearly defined role, was formed. The role of the triage teams deployed from the hospital to assess and resuscitate casualties is reviewed in detail. In addition, the communication systems, availability and deployment of medical supplies, identification of medical personnel and tagging of casualties are discussed. Because a mass casualty episode is possible in any community, disaster planning and clear outlining of the role of medical disaster teams are needed.     

DISASTER CARE FOR 15 MILLION CALIFORNIANS

The urgency of the crisis following a nuclear attack staggers the imagination. We would have thousands or millions of survivors making a desperate struggle to survive. Safe water supplies and waste-disposal systems would be gone. In some areas, there would be little or no food or shelter.Yet California has already manned a medical arsenal that is second to none in the United States. We have stored 115 emergency hospitals at strategic points, and through the county medical associations we have appointed cadres including physicians, nurses and technicians. Plans have been made for workers who will assist in setting up the hospitals and first aid stations.In our future operations we will continue to place strong emphasis on the medical phase of our program of disaster care.The program would be just as essential in the event of major natural disaster as nuclear war.Our objective is a simple one. We are seeking to preserve the human resources which are necessary for recovery.California''s medical profession, with the allied professions of nursing and technical skills, has a vital interest in continuing operations to the maximum extent even under the most trying conditions.     

MEDICAL PREPAREDNESS FOR DISASTER

The Federal Civil Defense Administration has been consolidated under the President''s Reorganization Plan No. 1 of 1958 with the Office of Defense Mobilization. The new organization, the Office of Civil and Defense Mobilization, should be able to deal more efficiently with the problem of mobilization and management of all resources and production of the nation in time of disaster. As preparation for possible enemy attack, organized plans entailing training, supplies, equipment and communications for use in major peacetime disasters—floods, earthquakes, tornado damage—should be carried forward vigorously. Apathy must be overcome. From the local to the highest level all civil defense and disaster plans must be developed and kept flexible enough to be operable during any kind of emergency.Physicians must learn as much as they can about the mass care of casualties, how to survive under the most trying of circumstances. Drills in dealing with simulated disaster are of utmost importance for finding out ahead of time what must be done and the personnel and supplies needed for doing it.     

Information Dissemination Analysis of Different Media towards the Application for Disaster Pre-Warning

Knowing the information dissemination mechanisms of different media and having an efficient information dissemination plan for disaster pre-warning plays a very important role in reducing losses and ensuring the safety of human beings. In this paper we established models of information dissemination for six typical information media, including short message service (SMS), microblogs, news portals, cell phones, television, and oral communication. Then, the information dissemination capability of each medium concerning individuals of different ages, genders, and residential areas was simulated, and the dissemination characteristics were studied. Finally, radar graphs were used to illustrate comprehensive assessments of the six media; these graphs show directly the information dissemination characteristics of all media. The models and the results are essential for improving the efficiency of information dissemination for the purpose of disaster pre-warning and for formulating emergency plans which help to reduce the possibility of injuries, deaths and other losses in a disaster.     

The evolution of law in biopreparedness

The decade following the terrorist attacks on September 11, 2001, and ensuing anthrax exposures that same fall has seen significant legal reforms designed to improve biopreparedness nationally. Over the past 10 years, a transformative series of legal changes have effectively (1) rebuilt components of federal, state, and local governments to improve response efforts; (2) created an entire new legal classification known as "public health emergencies"; and (3) overhauled existing legal norms defining the roles and responsibilities of public and private actors in emergency response efforts. The back story as to how law plays an essential role in facilitating biopreparedness, however, is pocked with controversies and conflicts between law- and policymakers, public health officials, emergency managers, civil libertarians, scholars, and others. Significant legal challenges for the next decade remain. Issues related to interjurisdictional coordination; duplicative legal declarations of emergency, disaster, and public health emergency; real-time legal decision making; and liability protections for emergency responders and entities remain unresolved. This article explores the evolving tale underlying the rise and prominence of law as a pivotal tool in national biopreparedness and response efforts in the interests of preventing excess morbidity and mortality during public health emergencies.     

PREPARATION FOR DISASTER IN CALIFORNIA

The operational plan for medical preparedness in California is divided into three main divisions, viz: Expansion of existing medical facilities, augmentation of practicing health personnel, scope of service expected.Medical and health personnel and facilities will be expected to modify and adjust their care of casualties according to the situation present such as strategic warning, alert signal (yellow), take cover signal (red), and the post-attack period.This service is concerned with conservation of resources (human) and must do everything possible to return people to a status where they can help rebuild our nation.Supplies already obtained and stored throughout the state consist of first aid stations, emergency hospitals, blood procurement equipment, sanitation units.Over a half million first aiders and more than 96,000 home nurses have been trained by the local chapters of the American National Red Cross.     

Guidelines for hurricane and disaster preparation for animal facilities

Animal facilities are vulnerable to hurricanes and other natural disasters, which can endanger lives and disrupt critical animal care routines. Facility managers must therefore prepare a rigorous emergency plan that ensures human safety while considering the specific needs of all animals on site. The author presents guidelines and recommendations for disaster preparedness based on her experience at a facility in Florida, where hurricanes are relatively common. An effective plan must include a priority system, a well-trained emergency response team, efficient communication methods and concrete provisions for animals and employees.     

Are community health centers prepared for bioterrorism?

Community health centers (CHCs) are essential in the delivery of primary care services to underserved populations. Given the critical function of CHCs, surprisingly little is known about their role in preparing for or responding to acts of terrorism. This survey-based study examines the state of CHCs in terrorism preparedness and assesses their training needs. Of the administrators who responded to the survey, 87% indicated that their centers had an emergency response or disaster plan. Of those, 78% indicated they had updated their plans within the past year. Among those who had a written plan, 41% addressed bioterrorism preparedness, 38% had contingencies for a mass influx of patients, and 3% indicated that their plans addressed increasing operational capacity. Additionally, while 48% reported having assessed the education and training needs of their professional staff in the area of disease surveillance and reporting, only 24% had assessed these needs in relation to bioterrorism. Our findings suggest that CHCs have made great strides in preparing for some emergencies but that preparedness does not yet extend to specifically include terrorism events. Policy and practice recommendations are included to more fully develop CHCs as a resource.     

三级医院急诊科护士灾害护理能力现状及影响因素分析

目的 调查国内三级医院急诊科护士灾害护理能力现状及其影响因素.方法 采用一般情况资料表、临床护士灾害护理能力评估量表对12个省市、18家三级医院的418名急诊科护士进行问卷调查,并对回收问卷数据进行统计分析.结果 急诊护士灾害护理能力总体评分为(114.55±7.70)分,最高分和最低分别为159、93分.得分较高的灾...     

Adipose tissue,the immune system and exercise fatigue: how activated lymphocytes compete for lipids

Adipose depots that contain lymph nodes, and probably intermuscular fat in skeletal and cardiac muscle, are specialized to provision adjacent tissue in a paracrine mode. Perinodal adipocytes respond selectively to various cytokines and incorporate proportionately more polyunsaturated fatty acids. Lipolysis in the adipocytes of node-containing depots can be stimulated via inflammation of the enclosed lymph nodes. Repeated immune stimulation elicits properties characteristic of perinodal adipocytes in those elsewhere in the same depot, and hours later in other node-containing depots, but not in nodeless depots. Such site-specific properties of adipose tissue enable partitioning of dietary and metabolic supplies of fatty acids between competing tissues. Local interactions emancipate the peripheral immune system from competing with other tissues for lipids during immune responses, and may be especially important during periods of high demand, such as strenuous exercise. Biopsies of subcutaneous adipose tissue from sites remote from lymph nodes do not adequately represent the composition of fatty acids available to the immune system in situ, and perhaps that supplied to other tissues. Intermuscular fat in skeletal and cardiac muscle may also indicate paracrine relationships between adipocytes and "end-user" tissues. The concept of paracrine interactions between certain adipocytes and "user" tissue may account for the widespread contiguity between these tissues in vivo.     

Risk Management Behind Kuwait's Firefighting Emergency Plan

There are usually only about 12–30 oil-well blowouts per year worldwide. Thus, the situation in which 608 wells were burning at the same time in Kuwait, due to the implementation of the “Scorched-Earth” threat by the retreating Iraqi forces, was not only unique but was also beyond the capabilities of any nation to deal with. This article reviews the published literature on prominent oil-well blowouts both worldwide and in Kuwait before the 1991 environmental disaster, and describes the situation in the country and the status of the oil fields after the catastrophe, which prompted the development of a strategic emergency plan. The important measures adopted as part of the strategy to manage the risk of the environmental disaster and to extinguish and cap Kuwait's oil fires are detailed in this article.     

灾难及突发事件住院信息管理系统研究现状及趋势

信息工作是决策的依据和先导,如何准确、及时、高效地收集、整理、分析灾难及突发事件信息、伤病员基本信息、救治信息等,已成为医院管理信息学的研究热点问题,也是医院在灾难和突发事件大量伤员信息管理中面临的难点问题。本文就灾难及突发事件住院信息管理系统研究现状及趋势进行综述。     

Hématome pharyngolaryngé asphyxiant durant l'anticoagulothérapie.

Canada has a good National Medical Stockpile valued at 21 million dollars and consisting of packaged emergency medical units ready for use in peacetime or wartime disaster. These units are available for release to provinces for pre-positioning in selected communities provided that certain storage conditions are met and that physicians and other key health workers are prepared to take operational charge of the equipment. The major packaged units are the Emergency Hospital with a capacity of 200 beds, the Advanced Treatment Centre with equipment to give emergency medical care to 500 casualties, the Casualty Collecting Unit with equipment to give first-aid care to 500 casualties, the Emergency Blood Depot, the Emergency Clinic and the Emergency Public Health Laboratory. In addition, training equipment, supplies and units are provided.The value of the stockpile has already been demonstrated in disasters occurring inside and outside Canada. Ten Emergency Hospitals have been shipped to South Vietnam for civilian use. A similar Emergency Hospital was flown to Yellowknife, N.W.T., within 24 hours of the destruction, by fire, of the Stanton Yellowknife Hospital in May 1966.     

我国“十三五”时期重要外来物种入侵防控科技进展与展望

随着经济全球化快速发展,外来物种入侵危害日益严重。“十三五”时期,我国针对当前面临的重大外来物种入侵威胁,按照基础前沿、共性关键技术与重大产品研发、典型应用示范研究3个层面,部署了一系列科技项目,取得了一批重大科研成果:阐明了入侵物种的入侵机理和进化机制,以及入侵植物与脆弱生态系统互作的调控机制;建立了潜在农业入侵生物信息分析平台,新发外来入侵物种的风险预测与评估模型,重大外来入侵物种的快速检测识别与监测预警技术,以及综合防控技术体系;围绕豚草、空心莲子草、苹果蠹蛾、番茄潜叶蛾、甜菜孢囊线虫等危害特点,开展全程防控技术应用示范。“十三五”期间,基本实现了潜在入侵物种数据量持续丰富完善,新发/突发入侵物种应急防控技术产品有效储备能力增强,重大入侵物种综合防控技术体系逐步健全的良好格局。面向“十四五”,建议继续支持外来物种入侵防控研究,推动“关口前移、疆域监控、灭除阻截、联控减灾”等核心技术的研发,实现有效防控生物入侵的重大目标。     

Pediatric terrorism preparedness national guidelines and recommendations: findings of an evidenced-based consensus process

A cadre of experts and stakeholders from government agencies, professional organizations, emergency medicine and response, pediatrics, mental health, and disaster preparedness were gathered to review and summarize the existing data on the needs of children in the planning, preparation, and response to disasters or terrorism. This review was followed by development of evidence-based consensus guidelines and recommendations on the needs of children in disasters, including chemical, biological, and radiological terrorism. An evidence-based consensus process was used in conjunction with a modified Delphi approach for selection of topic areas and discussion points. These recommendations and guidelines represent the first national evidence-based standards for pediatric disaster and terrorism preparedness.