scholarly journals On the Issue of Special Exercises in the Counterterrorism System Involving Specialists of Health Care Management Bodies, Medical Formations and Organizations

2021 ◽  
pp. 11-16
Author(s):  
I.G. Titov ◽  
Keyword(s):  
Health Care ◽  
Military Training ◽  
Disaster Medicine ◽  
Healthcare Management ◽  
Expert Assessment ◽  
Counter Terrorism ◽  
Organizational Issues ◽  
Medicine Service ◽  
The Subject ◽  
Terrorist Acts

The objectives of the study are to analyze the experience of exercises conducted in the counter-terrorism system by specialists of the regional Disaster Medicine Service, to identify key organizational issues of preparation and implementation of exercises; to develop proposals for their improvement in the subject of elimination of medical and sanitary consequences of terrorist acts committed with the use of conventional means of destruction. Materials and research methods. Sources of information and materials studied: normative and methodological documents regulating the procedures of organizing and conducting military training in the field of healthcare; materials of trainings performed by specialists from regional EMC on the subject of organizing the liquidation of medical and sanitary consequences of terrorist acts; data from expert evaluation maps on the subject of the study; scientific papers and publications on technologies of training and exercises involving specialists from healthcare management bodies, medical units and organizations. The following scientific methods were used in the research: content analysis method, expert assessment method, statistical method, logical and informational modeling, and analytical method. Results of research and their analysis. The results of the study of basic organizational issues of preparing and conducting special exercises (command-staff exercise, staff training, tactical and special exercises) conducted in the regions with the participation of specialists of public health authorities, medical formations and organizations within the framework of counter-terrorism are presented. Sound proposals were made to improve the technology of preparing and conducting special exercises and communicating their results to medical specialists. The results of the study showed that almost all the experts (98.0%) were in full agreement with the need, in order to maintain and increase the preparedness of health care authorities, medical organizations, including emergency medical care and the Disaster Medicine Service, to conduct regional trainings on the subject of medical support of the population during terrorist acts. And only 2.0% of the experts had difficulty in formulating a specific conclusion on this issue.

Terrorism-Related Chemical, Biological, Radiation, and Nuclear Attacks: A Historical Global Comparison Influencing the Emergence of Counter-Terrorism Medicine

2021 ◽  
pp. 1-4
Author(s):  
Derrick Tin ◽  
Fredrik Granholm ◽  
Alexander Hart ◽  
Gregory R. Ciottone
Keyword(s):  
Health Care ◽  
Grey Literature ◽  
Low Frequency ◽  
Disaster Medicine ◽  
Terrorist Attacks ◽  
Fecal Matter ◽  
Counter Terrorism ◽  
Global Comparison ◽  
State Terrorism ◽  
Fatal Injuries

Abstract Background: Terrorist attacks are growing in complexity, increasing concerns around the use of chemical, biological, radiation, and nuclear (CBRN) agents. This has led to increasing interest in Counter-Terrorism Medicine (CTM) as a Disaster Medicine (DM) sub-specialty. This study aims to provide the epidemiology of CBRN use in terrorism, to detail specific agents used, and to develop training programs for responders. Methods: The open-source Global Terrorism Database (GTD) was searched for all CBRN attacks from January 1, 1970 through December 31, 2018. Attacks were included if they fulfilled the terrorism-related criteria as set by the GTD’s Codebook. Ambiguous events or those meeting only partial criteria were excluded. The database does not include acts of state terrorism. Results: There were 390 total CBRN incidents, causing 930 total fatal injuries (FI) and 14,167 total non-fatal injuries (NFI). A total of 347 chemical attacks (88.9% of total) caused 921 FI (99.0%) and 13,361 NFI (94.3%). Thirty-one biological attacks (8.0%) caused nine FI (1.0%) and 806 NFI (5.7%). Twelve radiation attacks (3.1%) caused zero FI and zero NFI. There were no nuclear attacks. The use of CBRN accounted for less than 0.3% of all terrorist attacks and is a high-risk, low-frequency attack methodology. The Taliban was implicated in 40 of the 347 chemical events, utilizing a mixture of agents including unconfirmed chemical gases (grey literature suggests white phosphorous and chlorine), contaminating water sources with pesticides, and the use of corrosive acid. The Sarin gas attack in Tokyo contributed to 5,500 NFI. Biological attacks accounted for 8.0% of CBRN attacks. Anthrax was used or suspected in 20 of the 31 events, followed by salmonella (5), ricin (3), fecal matter (1), botulinum toxin (1), and HIV (1). Radiation attacks accounted for 3.1% of CBRN attacks. Monazite was used in 10 of the 12 events, followed by iodine 131 (1) and undetermined irradiated plates (1). Conclusion: Currently, CBRN are low-frequency, high-impact attack modalities and remain a concern given the rising rate of terrorist events. Counter-Terrorism Medicine is a developing DM sub-specialty focusing on the mitigation of health care risks from such events. First responders and health care workers should be aware of historic use of CBRN weapons regionally and globally, and should train and prepare to respond appropriately.

Counter-Terrorism Medicine: Creating a Medical Initiative Mandated by Escalating Asymmetric Attacks

2020 ◽  
Vol 35 (6) ◽  
pp. 595-598 ◽  
Author(s):  
Michael Court ◽  
Brydie Edwards ◽  
Fadi Issa ◽  
Amalia Voskanyan ◽  
Gregory Ciottone
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Disaster Medicine ◽  
The Body ◽  
Health Care Planning ◽  
Counter Terrorism ◽  
Definition Of ◽  
Discrete Part ◽  
Heath Care ◽  
Political Health

AbstractIntroduction:Since 2001, a burgeoning interest by health care professionals in the growing asymmetrical terrorist threat and its impact on health care preparation and response has seen significantly increased academic output around this nebulous subject. Despite this, there has failed to be a consolidation of this sub-specialty.Discussion:This editorial argues for the consolidation of the body of experience gathered since 2001 into an initiative called Counter-Terrorism Medicine (CTM). It proposes that previously discrete sub-specialty areas can be consolidated, with improvements in collective understanding, and can build on previous work to provide a non-political health care focused definition of terrorist events, based on the triad of Violence, Intent, and Heath Care Impact. It notes the importance this defining triad has in health care planning and response considerations. Finally, it defines the parameters of CTM within the larger specialty of Disaster Medicine (DM).Conclusion:There is a growing body of academic work on the health care implications of terrorism. The time is right to coalesce these into an initiative referred to as CTM and to consider this as a discrete part of DM.

scholarly journals ACTUAL ISSUES OF EMERGENCY MEDICAL CARE ORGANIZATION IN VARIOUS MODES OF ACTIVITY

2018 ◽  
Vol 18 (4) ◽  
pp. 4-9
Author(s):  
S. F. Goncharov ◽  
M. V. Bystrov ◽  
B. V. Bobiy
Keyword(s):  
Medical Care ◽  
Emergency Situation ◽  
Disaster Medicine ◽  
Expert Assessment ◽  
Care Organization ◽  
Emergency Medical Care ◽  
Survey Analysis ◽  
Emergency Situations ◽  
Organizational Issues ◽  
Emergency Medical

The results of the research conducted at the All-Russian Centre for Disaster Medicine “Zaschita” are presented. Goal of research: study of organizational issues of the system of emergency medical care for the persons injured in emergency situations, study of participation of territorial centers for disaster medicine in organization and rendering of emergency medical care to patients and persons injured during their work in the ordinary course of their day-to-day activities, study of models of functioning and interaction of emergency medical services in the course of their work in various modes of activity in the subjects of the Russian Federation. In conduct of the research the method of expert assessment by questioning of the experts participating in the organization and provision of emergency medical care in 58 subjects was applied. 242 experts participated in the survey. Analysis of the results of the research confirms the necessity of the further development and introduction into practice of the certain organizational activities aimed at perfection of the system of emergency medical care for the population both in the emergency situation and in the mode of daily activities. Thus, this refers to the construction of a functional vertical of the system of coordination and monitoring of the emergency medical care provision in various modes of activity with interrelated and well-functioning regional and federal segments.

scholarly journals Some Issues of Optimizing Management Activities in Organizing Provision of Medical Care to Victims of Terrorist Acts

2021 ◽  
pp. 29-34
Author(s):  
S.F. Goncharov ◽  
◽  
B.V. Bobiy ◽  
I.G. Titov ◽  
M.S. Samoylova ◽  
...  
Keyword(s):  
Medical Care ◽  
Information Modeling ◽  
Terrorist Attacks ◽  
Expert Assessment ◽  
Medical Evacuation ◽  
Emergency Situations ◽  
Organizational Issues ◽  
Health Authorities ◽  
Conventional Weapons ◽  
Terrorist Acts

The purpose of the study is to develop and to substantiate proposals for optimizing management activities for organizing the provision of medical care and medical evacuation of victims of terrorist attacks with the use of explosive devices and conventional weapons. Materials and research methods. Research materials: normative and methodological documents regulating the procedure for management activities in the medical provision of the population affected in emergency situations; data of expert assessment maps on the research topic; scientific works and publications devoted to topical issues of management activities in the framework of the issue under study. In the course of the study, the following scientific methods were used: methods of content analysis and expert assessment, statistical method, method of logical and information modeling, analytical method. Research results and their analysis. The results of the study showed that one of the organizational issues in the system of countering terrorism and of organizing the elimination of medical and sanitary consequences of terrorist attacks is the presence of a coordinating management body, on which it is advisable to assign the appropriate functions to coordinate the activities of medical forces and means. In the course of the study, the rank value of each medical brigade and medical unit participating in the elimination of medical and sanitary consequences of terrorist attacks was determined; quality of methodological support for predicting medical and sanitary consequences of terrorist attacks and for planning the organization of medical assistance to victims of terrorist attacks has been studied; main methodological approaches that should be taken into account when planning the organization of medical care and medical evacuation of victims of terrorist attacks in each constituent entity of the Russian Federation were formulated; a list of most effective measures has been identified, which make it possible to increase the readiness of health authorities, medical units and organizations to work to save lives and to preserve the health of victims of terrorist attacks, etc.

scholarly journals Catastrophic Household Expenditure Associated with Out-of-Pocket Healthcare Payments in Spain

2021 ◽  
Vol 18 (3) ◽  
pp. 932
Author(s):  
Samuel López-López ◽  
Raúl del Pozo-Rubio ◽  
Marta Ortega-Ortega ◽  
Francisco Escribano-Sotos
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Regression Models ◽  
Financial Risk ◽  
Household Expenditure ◽  
Financial Protection ◽  
Logistic Regression Models ◽  
Ordered Logistic Regression ◽  
Out Of Pocket Payments ◽  
The Subject

Background. The financial effect of households’ out-of-pocket payments (OOP) on access and use of health systems has been extensively studied in the literature, especially in emerging or developing countries. However, it has been the subject of little research in European countries, and is almost nonexistent after the financial crisis of 2008. The aim of the work is to analyze the incidence and intensity of financial catastrophism derived from Spanish households’ out-of-pocket payments associated with health care during the period 2008–2015. Methods. The Household Budget Survey was used and catastrophic measures were estimated, classifying the households into those above the threshold of catastrophe versus below. Three ordered logistic regression models and margins effects were estimated. Results. The results reveal that, in 2008, 4.42% of Spanish households dedicated more than 40% of their income to financing out-of-pocket payments in health, with an average annual gap of EUR 259.84 (DE: EUR 2431.55), which in overall terms amounts to EUR 3939.44 million (0.36% of GDP). Conclusion. The findings of this study reveal the existence of catastrophic households resulting from OOP payments associated with health care in Spain and the need to design financial protection policies against the financial risk derived from facing these types of costs.

Health care Online

2000 ◽  
Vol 1 (2) ◽  
pp. 24-25
Keyword(s):  
Health Care ◽  
Health Care Policy ◽  
Central Government ◽  
Medical Profession ◽  
Medical Opinion ◽  
Proactive Approach ◽  
The United Kingdom ◽  
Wide Range ◽  
On Line ◽  
The Subject

The BMJ has always been recognised as a leading medical journal for a wide range of subjects, and has always been useful for nurses to access for up to date and current medical opinion. Recently the BMJ has diversified to take on a more political nature, with its content reflecting a more proactive approach to influencing health care policy in the United Kingdom by the medical profession. As such the BMJ has become extremely useful for identifying opinions of current ‘hot topics’ for nurses that are headline news such as nurse consultants, hospital administration and central government policy. However, one problem remains, trying to find the original copy in the library will remain difficult. After spending the best part of an hour to suddenly realise that ‘how silly you are for not realising that BMJ March 1997 is filed in the British Journal of Nursing section 1998!!’ is often a frustrating and demoralising experience - particularly if after finding the article you find it has nothing to do with the subject that you are researching. This problem is to be banished forever with the BMJ website. The full BMJ is available free on line. The excellent search engine is particularly useful and is accurate when matching target articles. All articles are available for ‘full text’ downloads free of charge.

Disaster medicine service doctors

1999 ◽  
Vol 80 (2) ◽  
pp. 140-142
Author(s):  
S. V. Trifonov
Keyword(s):  
Disaster Medicine ◽  
Additional Training ◽  
Medicine Service ◽  
Quantitative Indicators

According to E.I. Pogorelova et al. [1], only general quantitative indicators, which are clearly insufficient to determine the need for additional training of doctors of this service and its planning.

scholarly journals The pre-eminence of patient safety in health care governance

2017 ◽  
Vol 22 (1) ◽  
pp. 61-66
Author(s):  
Fiona MacVane Phipps
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Design Methodology ◽  
Current Issue ◽  
Common Theme ◽  
Review Section ◽  
Content Type ◽  
Review Editor ◽  
The Subject ◽  
Health Care Governance

Purpose The purpose of this paper is to identify a common theme linking the articles in this issue of IJHG. The review editor elucidates on this topic while presenting key findings from the articles which comprise the current issue. Design/methodology/approach The design is a general review describing the articles under review while expanding on the subject matter through reference to other authors. Social implications The Review provides readers with a brief overview of the current articles enabling them to select the ones which reflect their needs or interests. Originality/value IJHG is the only Emerald journal providing a Review section of this type.

THE WIDENING GYRE: COUNTER-TERRORISM, HUMAN RIGHTS AND THE RULE OF LAW

2008 ◽  
Vol 67 (1) ◽  
pp. 69-91 ◽  
Author(s):  
Arthur Chaskalson
Keyword(s):  
Human Rights ◽  
Rule Of Law ◽  
The Internet ◽  
The Rule Of Law ◽  
Counter Terrorism ◽  
Daunting Task ◽  
The Subject ◽  
Google Search ◽  
Is Value ◽  
Do So

There are two themes that recur in previous Sir David Williams lectures. First, that it is a considerable honour to be invited to give the lecture. Secondly, that it is a daunting task to do so in the presence of Sir David, particularly in a field in which he has expertise. Since that covers most of the law there is no escape from this dilemma. Let me then acknowledge the privilege of having been asked to give this year's lecture, and confess that it is with some trepidation that I do so. The subject, terrorism and human rights, is not exactly uncharted territory. When I looked into the internet for some guidance on what might be relevant to terrorism and human rights, the response to my Google search informed me that in .03 seconds 32,900,000 references had been found. This seemed to indicate that it was unlikely that I would be able to say anything that has not already been said. But there are some subjects that are of such importance that there is value in reminding ourselves of the issues that are at stake, and if necessary for that purpose, repeating what others have said. And it is with that in mind that I approach my chosen topic.

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