S29care, combined with the increasing overattending of emergency wards, indicated that the prehospital care structure was imperfect. Decision makers, who have in their charge to regulate the care system (Regional Union of the Social Security Offices [URCAM], Regional Hospitalization Agency [ARH]) used this study to establish an optimal organization for the use of emergency wards.
Abstracts -12th World Congress on Disaster and Emergency Medicine, Lyon, France eases, (2) pronounced increase in antibiotic resistant organisms and an urgent necessity to improve the control of inhospital infections, (3) profound and targeting extension of epidemiological surveillance and vaccination control of the lay public (4) considerable spread of tuberculosis (TB) as compared with the mean level for Europe, including drug resistant forms of TB, and (5) modernization of primary medical care (WHO definition) in the treatment of communicable diseases.A model scenario for the preparatory response stage, a process of making strategic decisions, and tactics of their implementation in the system of the Baltic Sea countries' readiness for predictable, ecosocial, epidemiological threat have been developed as a result of the situation analysis. Key words: assessment; Baltic countries; biological threat; communicable diseases; critical situations; data; epidemiological threats; epidemiology; HIV; primary care; sexual transmission; surveillance; tuberculosis; vaccination E-mail: rcdm.org@g23.relcom.ru Prehosp Disast Med2001;16(2):s38. Management Development Process in 2001 DisasterMedicine Gennady Kipor ARCDM "Zaschita", Moscow, RUSSIA Substantial growth of new technologies, the dynamics of society, and macroecological shifts connected with these processes, give rise to a great number of disasters. The main strategy of human "survival" in the next century inevitably will be associated with the formation of an international, sufficiently effective system for coping with emergencies and the provision of adequate preparedness for disasters. Otherwise, all accumulated income of the community would not be enough for emergency relief, including medico-sanitary relief and emergency aftermath operations.The main goal of this presentation is to discuss in principal improvements in management technologies in 2001-Disaster Medicine. A brief history of international management in humanitarian responses to emergency is provided. The most effective response structures and coordination hierarchy in large-scale emergencies are given when emergency relief operations are performed under the auspices of the UN Office for Coordination of Humanitarian Operations with involvement of the EHA/WHO experience, expertise, and medical humanitarian aid.A hierarchy of strategies at the international level of emergency humanitarian assistance and their brief characteristics is described. An original form of strategy for donation engaging, allocation, and formation of permanent committees providing management in the disaster prone countries is proposed. It also is discussed in each specific case to confirm the necessity to appoint at the level of a Prime Minister's Office, a permanent representative or coordinator-in-chief on emergency problems who is capable of managing preparedness processing and decisionmaking on strategies for safety promotion in emergencies. The establishment of regional task forces consisting of such representatives and worki...
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