Organizing the health sector for response to disasters

Shoaf, Kimberley

doi:10.1590/1413-81232014199.03722014

Cited by 15 publications

(12 citation statements)

References 30 publications

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“…The direct health effects of a disaster are defined as external causes such as traumas and burns that can be attributed directly to the disaster 10. Elderly people are at greater risk of increased direct mortality after a disaster 11.…”

Section: Introductionmentioning

confidence: 99%

Excess mortality due to indirect health effects of the 2011 triple disaster in Fukushima, Japan: a retrospective observational study

Morita

Nomura

Tsubokura

et al. 2017

J Epidemiol Community Health

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Section: Introductionmentioning

confidence: 99%

Excess mortality due to indirect health effects of the 2011 triple disaster in Fukushima, Japan: a retrospective observational study

Morita

Nomura

Tsubokura

et al. 2017

J Epidemiol Community Health

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“…Brazil has used field hospitals in disasters and public health emergencies 14 , equipped by the Armed Forces. Field hospitals are mobile and flexible to need.…”

Section: Discussionmentioning

confidence: 99%

Preparedness for the Rio 2016 Olympic Games: hospital treatment capacity in georeferenced areas

et al. 2016

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Recently, Brazil has hosted mass events with recognized international relevance. The 2014 FIFA World Cup was held in 12 Brazilian state capitals and health sector preparedness drew on the history of other World Cups and Brazil's own experience with the 2013 FIFA Confederations Cup. The current article aims to analyze the treatment capacity of hospital facilities in georeferenced areas for sports events in the 2016 Olympic Games in the city of Rio de Janeiro, based on a model built drawing on references from the literature. Source of data were Brazilian health databases and the Rio 2016 website. Sports venues for the Olympic Games and surrounding hospitals in a 10km radius were located by geoprocessing and designated a "health area" referring to the probable inflow of persons to be treated in case of hospital referral. Six different factors were used to calculate needs for surge and one was used to calculate needs in case of disasters (20/1,000). Hospital treatment capacity is defined by the coincidence of beds and life support equipment, namely the number of cardiac monitors (electrocardiographs) and ventilators in each hospital unit. Maracanã followed by the Olympic Stadium (Engenhão) and the Sambódromo would have the highest single demand for hospitalizations (1,572, 1,200 and 600, respectively). Hospital treatment capacity proved capable of accommodating surges, but insufficient in cases of mass casualties. In mass events most treatments involve easy clinical management, it is expected that the current capacity will not have negative consequences for participants.

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“…Additionally, due to stress and the impact on the health system, chronic patients may suffer an exacerbation of their symptoms, destabilising their condition. Thus, disasters compromise the treatment of chronic diseases and ongoing physical rehabilitation processes as much as they bring about new rehabilitation demands [7, 8].…”

Section: Backgroundsmentioning

confidence: 99%

Physical rehabilitation in the context of a landslide that occurred in Brazil

2019

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BackgroundsThe efforts to develop research and training on physical rehabilitation in regards to disasters is considered recent worldwide. In the late evening of the 11th up until the 12th of January of 2011, the most massive natural disaster occurred in Brazil with extremely heavy downpour, abrupt flood, as well as landslides on multiple areas of the Mountain Region of Rio de Janeiro. The objective of this research was to investigate the challenges in terms of physical rehabilitation provided by this eventMethodsThe cross-sectional mixed method’s study, which was conducted in the city of Nova Friburgo, used two different data sources: hospital records on traumatic injuries pre and post disaster, and interviews with key informants - victims who suffered injuries related to the disaster, professionals from rehabilitation services in the municipality, and also the city’s health service management. Pearson’s chi-squared test was performed to evaluate statistical significance between the week of a given incident and the type of injury. Interviews were transcribed and analysed through content analysis.ResultsA total of 2326 hospital records and 27 interviews were analysed. The proportion of traumatic injury in the municipal emergency service increased from 16% in the prior week, to 40% in the week post-disaster (p < 0.0001). Different injuries were identified: multiple fractures, crushing, amputation, perforation of soft tissues, inhalation of dust and establishment of chronic conditions through stress. Despite this scenario, out of the 16 health professionals interviewed, twelve did not observe an increase in the demand for outpatient rehabilitation services after the disaster. Interviews with the victims revealed that the pathways for care ran into different barriers. From 11 victims interviewed, only one received complete physiotherapy care through the public health services in the city, while all others hired additional assistance, received volunteer services, had assistance in other cities or remained without rehabilitation.ConclusionsThe needs for rehabilitation increased after the disaster; however, the demand was repressed due to different barriers such as competing needs and possible lack of medical referral. Recommendations were made, including the action of performing a search of victims with rehabilitation needs.

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Organizing the health sector for response to disasters

Cited by 15 publications

References 30 publications

Excess mortality due to indirect health effects of the 2011 triple disaster in Fukushima, Japan: a retrospective observational study

Excess mortality due to indirect health effects of the 2011 triple disaster in Fukushima, Japan: a retrospective observational study

Preparedness for the Rio 2016 Olympic Games: hospital treatment capacity in georeferenced areas

Physical rehabilitation in the context of a landslide that occurred in Brazil

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