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Disaster law

Manar Khashram, Rachel Falconer, Afif Mahmud, Adib Khanafer, Peter Laws, Tim Beresford, Justin Roake
AIMS: Rapid access carotid endarterectomy (RACE) is the gold standard for stroke prevention in symptomatic patients with 50-99% internal carotid artery stenosis. Diagnosis and referral of eligible patients may be delayed by disruption to local health services. The aim of this study was to evaluate whether service provision was maintained at an appropriate standard (<2 weeks) following a natural disaster. METHODS: Consecutive symptomatic patients who underwent carotid endarterectomy (CEA) at a tertiary hospital between January 2006 and December 2014 were identified...
October 14, 2016: New Zealand Medical Journal
Tabassum Firoz, Marianne Vidler, Prestige Tatenda Makanga, Helena Boene, Rogério Chiaú, Esperança Sevene, Laura A Magee, Peter von Dadelszen, Khátia Munguambe
BACKGROUND: Mozambique has one of the highest rates of maternal mortality in sub-Saharan Africa. The main influences on maternal health encompass social, economic, political, environmental and cultural determinants of health. To effectively address maternal mortality in the post-2015 agenda, interventions need to consider the determinants of health so that their delivery is not limited to the health sector. The objective of this exploratory qualitative study was to identify key community groups' perspectives on the perceived determinants of maternal health in rural areas of southern Mozambique...
September 30, 2016: Reproductive Health
Alfredo Gragnani, Andrea Fernandes de Oliveira, Daniel Boro, Tam N Pham, Lydia Masako Ferreira
PURPOSE: A major fire occurred on January 27, 2013, at 02:30 at Kiss nightclub in the city of Santa Maria, State of Rio Grande do Sul, in Southern Brazil. In this retrospective report, we aimed to describe the nightclub fire event, its immediate consequences, and evaluated its impact on legislation. Our objective was to disseminate the lessons we learned from this large-scale nightclub fire disaster. METHODS: We conducted a literature review in PubMed and Lilacs database from 2013 to 2015 related to the nightclub Kiss, Santa Maria, fire, burns, and similar events worldwide over the past 15 years...
September 20, 2016: Burns: Journal of the International Society for Burn Injuries
Vibhuti Arya, Eric Medina, Allison Scaccia, Cathleen Mathew, David Starr
Hurricane Sandy was one of the most severe natural disasters to hit the Mid-Atlantic States in recent history. Community pharmacies were among the businesses affected, with flooding and power outages significantly reducing services offered by many pharmacies. The objectives of our study were to assess the impact of Hurricane Sandy on community pharmacies, both independently owned and chain, in the severely affected areas of New York City (NYC), including Coney Island, Staten Island, and the Rockaways, using qualitative methods, and propose strategies to mitigate the impact of future storms and disasters...
January 2016: American Journal of Disaster Medicine
John J Lowe, Keith F Hansen, Kristine K Sanger, Jannah M Obaid
This report outlines a 3-year health care coalition effort to advance and test community capacity for a large-scale hospital evacuation. The multi-year effort utilized a variety workshops, seminars, webinars, tabletops, functional exercises, and culminated with a full-scale exercise testing hospital evacuation. While most hospital evacuation exercises focus on internal movement of patients, this exercise process tested command-level decision making and it tested external partners such as transportation agencies, law enforcement, receiving hospitals, and local emergency management...
September 19, 2016: Prehospital and Disaster Medicine
Anamika Gupta, Gaurav Mishra, Hemant Bhutani, Chetan Hoshing, Ashish Bhalla
OBJECTIVES: With the growth of forensic odontology, dental records have become an essential source of information, especially for medicolegal cases in general practice. It is mandated by the law that every dentist must keep some kind of records for every patient they treat. After the death of an individual, remnants of teeth are usually damaged at the last among all body parts. Dental records assist in personal identification in cases of mass disasters, criminal investigations, and medicolegal issues...
July 2016: Journal of International Society of Preventive & Community Dentistry
Perihan Elif Ekmekci
Disease outbreaks have attracted the attention of the public health community to early warning and response systems (EWRS) for communicable diseases and other cross-border threats to health. The European Union (EU) and the World Health Organization (WHO) have published regulations in this area. Decision 1082/2013/EU brought a new approach the management of public health threats in EU member states. Decision 1082/2013/EU brought several innovations, which included establishing a Health Security Committee; preparedness and response planning; joint procurement of medical countermeasures; ad hoc monitoring for biological, chemical, and environmental threats; EWRS; and recognition of an emergency situation and interoperability between various sectors...
August 11, 2016: Disaster Medicine and Public Health Preparedness
Alba Ripoll Gallardo, Frederick M Burkle, Luca Ragazzoni, Francesco Della Corte
The current humanitarian crisis in Yemen is unprecedented in many ways. The Yemeni War tragedy is symptomatic of gross failures to recognize, by combatants, existing humanitarian law and the Geneva Convention that have become the new norm in unconventional armed conflicts and are increasingly replicated in Africa, Afghanistan, and other areas of the Middle East with dire consequences on aid workers and the noncombatant population. The health and humanitarian professions must take collective responsibility in calling for all belligerent parties to cease the massacre and commit to guaranteed medical assistance, humanitarian aid, and the free flow of information and respect for the humanitarian principles that protect the neutrality and impartiality of the humanitarian workforce...
August 11, 2016: Disaster Medicine and Public Health Preparedness
Selim Suner
Initial stage of a disaster is managed with existing resources. The following stages of disaster response often involve assistance from outside of the disaster zone. This may consist of mutual aid from neighboring communities for small-scale incidents but in major disasters, the response is from federal or international agencies or often both. Rapid needs assessment after an incident is a collaborative effort between responding agencies and local emergency preparedness and health authorities. Ideally, a team from responding agencies with intimate knowledge and experience regarding the capabilities and assets of the responding entity along with local authorities, with decision making capacity, who have knowledge of the community, the limitations of the responding agencies and can obtain near real-time information about the incident and subject matter experts (engineering, medical, law enforcement, etc...
October 2015: Turkish Journal of Emergency Medicine
Lainie Rutkow, Alexandra Jabs
OBJECTIVE: We sought to systematically identify and analyze state-level legislative responses to Ebola from April 2014 through June 2015. METHODS: Using standardized search terms, we searched the LexisNexis State Capital database to identify bills or resolutions that explicitly mentioned Ebola or viral hemorrhagic fever in all 50 US states and Washington, DC, from April 2014 through June 2015. Information was abstracted from relevant bills or resolutions by using an electronic data collection form...
August 2016: Disaster Medicine and Public Health Preparedness
Curtis Harris, Tawny Waltz, James Patrick O'Neal, Kelly Nadeau, Matthew Crumpton, Sara Ervin
The watershed events of September 11, 2001; the anthrax attacks; Hurricane Katrina; and H1N1 necessitated that the United States define alternative mechanisms for disaster response. Specifically, there was a need to shift from a capacity building approach to a capabilities based approach that would place more emphasis on the health care community rather than just first responders. Georgia responded to this initiative by creating a Regional Coordinating Hospital (RCH) infrastructure that was responsible for coordinating regional responses within their individual geographic footprint...
February 2016: Disaster Medicine and Public Health Preparedness
Minoru Sugita, Michiko Miyakawa
INTRODUCTION: There are various risks involved in corporate activities conducted both within and outside the corporation. Among these, health risks are very important and should be managed effectively as an integral part of corporate social responsibility (CSR). A corporation is responsible for health impairments caused by its activities and suffers great moral and economic loss when they occur. It is essential that corporate management takes proper preventive measures against such risks...
2016: Nihon Eiseigaku Zasshi. Japanese Journal of Hygiene
Tim Twigg
It only takes one unhappy or disgruntled person to create a legal nightmare for you. There's no need to take this gamble. All it takes is awareness, commitment and action on your part. Once you have your HR house in order and have implemented a sound HR program in your practice, you also can feel good about knowing you are giving your staff every protection due to them under the law and every opportunity to be happy and successful in your practice. For yourself, you will be minimizing your risks and protecting your most valuable asset--your practice...
March 2016: Today's FDA: Official Monthly Journal of the Florida Dental Association
Miguel Antonio Salazar, Arturo Pesigan, Ronald Law, Volker Winkler
BACKGROUND: In 2011, the Health Emergency Management Bureau (HEMB) created the Surveillance for Post Extreme Emergencies and Disasters (SPEED), a real-time syndromic surveillance system that allows the early detection and monitoring of post-disaster disease trends. SPEED can assist health leaders in making informed decisions on health systems affected by disasters. There is a need for further validation of current concepts in post-disaster disease patterns in respect to actual field data...
2016: Global Health Action
Shauhrat S Chopra, Trent Dillon, Melissa M Bilec, Vikas Khanna
Modern society is increasingly dependent on the stability of a complex system of interdependent infrastructure sectors. It is imperative to build resilience of large-scale infrastructures like metro systems for addressing the threat of natural disasters and man-made attacks in urban areas. Analysis is needed to ensure that these systems are capable of withstanding and containing unexpected perturbations, and develop heuristic strategies for guiding the design of more resilient networks in the future. We present a comprehensive, multi-pronged framework that analyses information on network topology, spatial organization and passenger flow to understand the resilience of the London metro system...
May 2016: Journal of the Royal Society, Interface
Jonas Gros, Christopher M Reddy, Robert K Nelson, Scott A Socolofsky, J Samuel Arey
With the expansion of offshore petroleum extraction, validated models are needed to simulate the behaviors of petroleum compounds released in deep (>100 m) waters. We present a thermodynamic model of the densities, viscosities, and gas-liquid-water partitioning of petroleum mixtures with varying pressure, temperature, and composition based on the Peng-Robinson equation-of-state and the modified Henry's law (Krychevsky-Kasarnovsky equation). The model is applied to Macondo reservoir fluid released during the Deepwater Horizon disaster, represented with 279-280 pseudocomponents, including 131-132 individual compounds...
July 19, 2016: Environmental Science & Technology
Meghan D McGinty, Thomas A Burke, Beth A Resnick, Katherine C Smith, Daniel J Barnett, Lainie Rutkow
Hospitals were once thought to be places of refuge during catastrophic hurricanes, but recent disasters such as Hurricanes Katrina and Sandy have demonstrated that some hospitals are unable to ensure the safety of patients and staff and the continuity of medical care at key times. The government has a duty to safeguard public health and a responsibility to ensure that appropriate protective action is taken when disasters threaten or impair the ability of hospitals to sustain essential services. The law can enable the government to fulfill this duty by providing necessary authority to order preventive or reactive responses--such as ordering evacuation of or sheltering-in-place in hospitals--when safety is imperiled...
March 2016: Health Security
Joachim Gardemann, Thomas Wilp
BACKGROUND: In recent refugee migration into Germany the responsibilities and reactions of health authorities are still lacking general co-ordination. PROBLEM: Can the ethical and technical standards of international humanitarian assistance serve as an appropriate and even a compulsory guideline for relief agencies, public health and regulatory authorities in Germany? METHODS: Documents from the field of medical ethics, medical law, international humanitarian law and disaster medicine will be examined and checked for practicability by consulting experiences during the 1990s Balkan wars refugee movement and international missions of relief agencies...
May 2016: Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
Tina Batra Hershey, Elizabeth Van Nostrand, Rishi K Sood, Margaret Potter
During disaster response and recovery, legal issues often arise related to the provision of health care services to affected residents. Superstorm Sandy led to the evacuation of many hospitals and other health care facilities and compromised the ability of health care practitioners to provide necessary primary care. This article highlights the challenges and legal concerns faced by health care practitioners in the aftermath of Sandy, which included limitations in scope of practice, difficulties with credentialing, lack of portability of practitioner licenses, and concerns regarding volunteer immunity and liability...
June 2016: Disaster Medicine and Public Health Preparedness
Joshua S Ng-Kamstra, Johanna N Riesel, Sumedha Arya, Brad Weston, Tino Kreutzer, John G Meara, Mark G Shrime
BACKGROUND: Charitable organizations may play a significant role in the delivery of surgical care in low- and middle-income countries (LMICs). However, in order to quantify their collective contribution, to account for the care they provide in national surgical plans, and to maximize coordination between organizations, a comprehensive database of these groups is required. We aimed to create such a database using web-available data. METHODS: We searched for organizations that meet the United Nations Rule of Law definition of non-governmental organizations and provide surgery in LMICs...
August 2016: World Journal of Surgery
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