A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts
Abstract Background The project “ARMIHN” (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks...
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| Format: | Article |
| Language: | English |
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BMC
2021-08-01
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| Series: | Journal of Occupational Medicine and Toxicology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12995-021-00324-0 |
| _version_ | 1797999537700208640 |
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| author | Angelina Klein Julian Heuser Esther Henning Nadine Sprössel Ann-Christin Kordsmeyer Marcus Oldenburg Natascha Mojtahedzadeh Jan Heidrich Kristina Carolin Militzer Lukas Belz Thomas von Münster Volker Harth Lena Ehlers Jens de Boer Scarlett Kleine-Kampmann Matthias Boldt Martin Dirksen-Fischer Lyubomir Haralambiev Denis Gümbel Axel Ekkernkamp M. Sinan Bakir |
| author_facet | Angelina Klein Julian Heuser Esther Henning Nadine Sprössel Ann-Christin Kordsmeyer Marcus Oldenburg Natascha Mojtahedzadeh Jan Heidrich Kristina Carolin Militzer Lukas Belz Thomas von Münster Volker Harth Lena Ehlers Jens de Boer Scarlett Kleine-Kampmann Matthias Boldt Martin Dirksen-Fischer Lyubomir Haralambiev Denis Gümbel Axel Ekkernkamp M. Sinan Bakir |
| author_sort | Angelina Klein |
| collection | DOAJ |
| description | Abstract Background The project “ARMIHN” (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes. Methods A selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed. Results The current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations (n = 18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35 min. Based on their specialist expertise, 14 of the 31 listed clinics were selected. Conclusion The purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID. |
| first_indexed | 2024-04-11T11:06:15Z |
| format | Article |
| id | doaj.art-4d9a5f6fc646474b9ea364357e0cbf03 |
| institution | Directory Open Access Journal |
| issn | 1745-6673 |
| language | English |
| last_indexed | 2024-04-11T11:06:15Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Occupational Medicine and Toxicology |
| spelling | doaj.art-4d9a5f6fc646474b9ea364357e0cbf032022-12-22T04:28:21ZengBMCJournal of Occupational Medicine and Toxicology1745-66732021-08-0116111010.1186/s12995-021-00324-0A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency conceptsAngelina Klein0Julian Heuser1Esther Henning2Nadine Sprössel3Ann-Christin Kordsmeyer4Marcus Oldenburg5Natascha Mojtahedzadeh6Jan Heidrich7Kristina Carolin Militzer8Lukas Belz9Thomas von Münster10Volker Harth11Lena Ehlers12Jens de Boer13Scarlett Kleine-Kampmann14Matthias Boldt15Martin Dirksen-Fischer16Lyubomir Haralambiev17Denis Gümbel18Axel Ekkernkamp19M. Sinan Bakir20Department of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE)Hamburg Port Health Center, Institute for Hygiene and EnvironmentHamburg Port Health Center, Institute for Hygiene and EnvironmentHamburg Port Health Center, Institute for Hygiene and EnvironmentHamburg Port Health Center, Institute for Hygiene and EnvironmentHamburg Port Health Center, Institute for Hygiene and EnvironmentDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine GreifswaldAbstract Background The project “ARMIHN” (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes. Methods A selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed. Results The current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations (n = 18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35 min. Based on their specialist expertise, 14 of the 31 listed clinics were selected. Conclusion The purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID.https://doi.org/10.1186/s12995-021-00324-0Civil protectionMass casualty incidentMaritime medicineEmergency managementMedical hazard preventionPort |
| spellingShingle | Angelina Klein Julian Heuser Esther Henning Nadine Sprössel Ann-Christin Kordsmeyer Marcus Oldenburg Natascha Mojtahedzadeh Jan Heidrich Kristina Carolin Militzer Lukas Belz Thomas von Münster Volker Harth Lena Ehlers Jens de Boer Scarlett Kleine-Kampmann Matthias Boldt Martin Dirksen-Fischer Lyubomir Haralambiev Denis Gümbel Axel Ekkernkamp M. Sinan Bakir A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts Journal of Occupational Medicine and Toxicology Civil protection Mass casualty incident Maritime medicine Emergency management Medical hazard prevention Port |
| title | A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts |
| title_full | A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts |
| title_fullStr | A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts |
| title_full_unstemmed | A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts |
| title_short | A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts |
| title_sort | mass casualty incident of infectious diseases at the port of hamburg an analysis of organizational structures and emergency concepts |
| topic | Civil protection Mass casualty incident Maritime medicine Emergency management Medical hazard prevention Port |
| url | https://doi.org/10.1186/s12995-021-00324-0 |
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