Improving Disaster Response Efforts Through the Development of a Disaster Health Care Response System

Wilson, J. A.; McKenzie, Louise; McLeod, W Terry; Darsey, Damon A.; Craig, Jim

doi:10.1017/dmp.2016.192

Cited by 7 publications

(7 citation statements)

References 5 publications

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“…To some extent, this fact reveals that the healthcare systems in Asia and West Africa lack prior preparedness. Response activities to disease outbreaks should always be emphasized even if there is no imminent risk [29]. Studies reviewed herein show that HAIs of these 3 fatal diseases can be prevented by using basic prevention strategies, such as hand hygiene protocols.…”

Section: Lack Of Case Definitionmentioning

confidence: 96%

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Strategy and technology to prevent hospital-acquired infections: Lessons from SARS, Ebola, and MERS in Asia and West Africa

et al. 2017

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Hospital-acquired infections (HAIs) are serious problems for healthcare systems, especially in developing countries where public health infrastructure and technology for infection preventions remain undeveloped. Here, we characterized how strategy and technology could be mobilized to improve the effectiveness of infection prevention and control in hospitals during the outbreaks of Ebola, Middle East respiratory syndrome (MERS), and severe acute respiratory syndrome (SARS) in Asia and West Africa. Published literature on the hospital-borne outbreaks of SARS, Ebola, and MERS in Asia and West Africa was comprehensively reviewed. The results showed that healthcare systems and hospital management in affected healthcare facilities had poor strategies and inadequate technologies and human resources for the prevention and control of HAIs, which led to increased morbidity, mortality, and unnecessary costs. We recommend that governments worldwide enforce disaster risk management, even when no outbreaks are imminent. Quarantine and ventilation functions should be taken into consideration in architectural design of hospitals and healthcare facilities. We also recommend that health authorities invest in training healthcare workers for disease outbreak response, as their preparedness is essential to reducing disaster risk.

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Section: Lack Of Case Definitionmentioning

confidence: 96%

“…1a) [18]. Timely communication among healthcare facilities, public organizations, and government was the key factor of emergency response [29]. To ensure the initial case and suspected outbreak can be identified in time, report procedures should be known by all members of a healthcare institution.…”

Section: Strategy Factorsmentioning

confidence: 99%

Strategy and technology to prevent hospital-acquired infections: Lessons from SARS, Ebola, and MERS in Asia and West Africa

et al. 2017

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“…Several reports and evidence are available regarding the success of Iran's healthcare network [20], which is considered the pride of the country by international organizations. However, the authors did not find any evidence that investigates the efficacy of the health system in response to disasters and regards the potential ability of the primary healthcare network and its staff.…”

Section: Introductionmentioning

confidence: 99%

Experience of Primary Health Care Workers’ Involvement in Response to Arasbaran Twin Earthquakes in 2012

Babaie

Golizadeh

Doshmangir

2020

HDQ

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Background: One of the most important concerns after disasters is managing their health consequences. This study examines the experiences of Primary Healthcare Workers (PHCWs) who involved in managing the health effects of the Arasbaran twin earthquakes of August 2012. Materials and Methods: This study was conducted using a qualitative approach. Data were collected through semi-structured deep interviews. The collected data were analyzed by content analysis using the code extraction of subthemes and themes. Study participants included health managers, healthcare workers, and individuals who received the health services in response to the health effects of the Arasbaran twin earthquakes. A total number of 16 participants were interviewed. The study sample was selected purposefully. Results: Interview analysis provided 14 subthemes and five main themes, including the lack of preparedness, the challenges of the PHCWs’ contributions in providing healthcare, the inessentiality of the PHCWs’ involvement in health response, the continuity of healthcare by the PHCWs, and the facilitation of coordination. Conclusion: The involvement of the PHCWs in managing the health effects of the earthquakes was a successful experience that could prevent health problems. Challenges faced during this experience were mainly caused by the lack of preparedness.

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“…ealth and treatment services have always been considered as the most important demands of the people in the event of incidents and disasters, because among their numerous consequences, the most important concern is injuries inflicted on people's health and life [1]. Today, the incidence of disasters in large scale has led to injury and harm inflicted upon a great number of people and makes it imperative to use considerable amount of emergency health services [2]. Especially in an earthquake that is one of the most destructive natural disasters, a significant number of affected people may need health services.…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, delivering health and treatment services in earthquake has significant differences with other situations [1]. This issue is very important that disruption in providing health services in an earthquake will lead to a great challenge in the life of vulnerable people, therefore, its occurrence in the current extensive scale requires earnest presence of health and treatment services on the scene of such events [2].…”

Section: Introductionmentioning

confidence: 99%

Kermanshah Health Care Services: A Lesson Learned From Iran’s Recent Earthquake

Khankeh

Kolivand

Jam

et al. 2018

Health Emerg. Disast.

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Background: Earthquake has always been a serious threat for humans' health and properties. In this regard, the most urgent services for people after the occurrence of incidents and disasters, especially earthquake, is health services. Iran due to its geographic location along the Alpine-Himalayan belt is vulnerable to the occurrence of earthquakes with magnitudes of 6 and 7 on the Richter scale. Prevention of earthquake is impossible; however, it is important to use the lessons learned to reduce the physical and financial damages in similar future incidents. This study was conducted with the objective of examining the lessons learned by the workgroup of Health and Treatment in response to 7.3 magnitude Kermanshah Province earthquake. Materials and Methods: In This case study, the triangulation method including interview, participatory observation and expert panel in three sections of prehospital emergency services, medical center, and health and treatment centers, was used to assess the performance of health and treatment workgroup in response to Kermanshah earthquake. For this purpose, in addition to recording the information resulting from observation by the researchers, the reports related to EOC (Emergency Operations Center) of Kermanshah and expert assessors were examined. Furthermore, interviews were conducted with experts, directors, commanders and responsible authorities in the field of incident and the State Emergency Organization central headquarters' staff. Finally, the collected data were analyzed. Results: Based on the study findings, the positive points were the rapid response by the Emergency and Health system organization, effective command on the scene of incident from the first moments, fine management of human resources and the injured within reasonable time, dispatching more than 7350 injured people to treatment centers in less than 20 hours, carrying out 1980 successful operations in less than 3 days, establishing and running 6 mobile hospitals in less than 12 hours, complete supply of blood and blood derivatives, medicines, equipments and specialist force, and sustainability of health and treatment services in less than 24 hours. However, the most important problems were deficiency in protocol, absence of special assessment team and failure to use rapid assessment national standard, lack of national response plan in crisis management and the high vulnerability of hospitals' infrastructures. Conclusion: Although in this earthquake, thanks to positive steps taken by health and treatment workgroup, great progress was observed in response operations in the area of health; based on the study findings, there are challenges that the health system should resolve in order to improve health services in incidents and disasters. Developing the emergency organization and especially emergency air service, advancement of the status of the State Crisis Management Organization, accurate planning for aid services such as temporary sheltering and provision of latrines and bath and establishing mobile hospitals...

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Improving Disaster Response Efforts Through the Development of a Disaster Health Care Response System

Cited by 7 publications

References 5 publications

Strategy and technology to prevent hospital-acquired infections: Lessons from SARS, Ebola, and MERS in Asia and West Africa

Strategy and technology to prevent hospital-acquired infections: Lessons from SARS, Ebola, and MERS in Asia and West Africa

Experience of Primary Health Care Workers’ Involvement in Response to Arasbaran Twin Earthquakes in 2012

Kermanshah Health Care Services: A Lesson Learned From Iran’s Recent Earthquake

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