Asunto(s)
COVID-19/epidemiología , Planificación en Desastres/organización & administración , Equidad en Salud/organización & administración , Administración Hospitalaria , Administración en Salud Pública , Comunicación , Competencia Cultural , Desastres , Humanos , Pandemias , Desarrollo de Programa , Evaluación de Programas y Proyectos de Salud , SARS-CoV-2 , Estados Unidos/epidemiologíaAsunto(s)
Comités Consultivos , Consenso , Incidentes con Víctimas en Masa , Heridas por Arma de Fuego , Connecticut , Humanos , TerrorismoRESUMEN
The post-September 11 era has prompted unprecedented attention to medical preparations for national special security events (NSSE), requiring extraordinary planning and coordination among federal, state, and local agencies. For an NSSE, the US Secret Service (USSS) serves as the lead agency for all security operations and coordinates with relevant partners to provide for the safety and welfare of participants. For the 2004 Democratic National Convention (DNC), designated an NSSE, the USSS tasked the Boston Emergency Medical Services (BEMS) of the Boston Public Health Commission with the design and implementation of health services related to the Convention. In this article, we describe the planning and development of BEMS' robust 2004 DNC Medical Consequence Management Plan, addressing the following activities: public health surveillance, on-site medical care, surge capacity in the event of a mass casualty incident, and management of federal response assets. Lessons learned from enhanced medical planning for the 2004 DNC may serve as an effective model for future mass gathering events.
Asunto(s)
Aniversarios y Eventos Especiales , Medicina de Desastres/organización & administración , Planificación en Desastres/organización & administración , Servicios Médicos de Urgencia/organización & administración , Medidas de Seguridad/organización & administración , Boston , Medicina de Desastres/métodos , Planificación en Desastres/métodos , Servicios Médicos de Urgencia/métodos , Monitoreo del Ambiente/métodos , Implementación de Plan de Salud , Humanos , Relaciones Interinstitucionales , Vigilancia de la Población , Evaluación de Programas y Proyectos de Salud , Ataques Terroristas del 11 de SeptiembreRESUMEN
The federally funded Cities Readiness Initiative (CRI) requires seamless federal, state, and local public health coordination to provide antibiotics to an entire city population within 48 hours of an aerosolized release of anthrax. We document practical lessons learned from the development and implementation of the Boston CRI plan. Key themes center on heightened emphasis on security, a new mass protection model of dispensing, neighborhood-centric clinic site selection, online training of Medical Reserve Corps volunteers, and the testing of operations through drills and exercises. Sharing such lessons can build national preparedness.