scholarly journals Impact assessment of mass gatherings using labelling procedure in ED, Nouvelle-Aquitaine, 2016

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Laure Meurice ◽  
Anne Bernadou ◽  
Antoine Tignon ◽  
Patricia Siguret ◽  
Stéphanie Vandentorren ◽  
...  
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Agency ◽  
Health Impact ◽  
Health Surveillance ◽  
Surveillance Systems ◽  
Mass Gathering ◽  
Potential Health ◽  
Medical Diagnoses ◽  
Labelling Procedure

ObjectiveTo access the potential health impact on the population during mass gathering over time using labelling procedure in emergency department (ED).IntroductionThe massive flow of people to mass gathering events, such as festivals or sports events like EURO 2016, may increase public health risks. In the particular context of several terrorist attacks that took place in France in 2015, the French national Public Health agency has decided to strengthen the population health surveillance systems using the mandatory notification disease system and the French national syndromic surveillance SurSaUD®.The objectives in terms of health surveillance of mass gathering are: 1/ the timely detection of a health event (infectious cluster, environmental exposure, collective foodborne disease…) 2/ the health impact assessment of an unexpected event such as a terrorist attack.In collaboration with the Regional Emergency Observatory (ORU), a procedure for the labeling of emergencies has been tested to identify the ED records that could be considered as linked to the event.MethodsDuring summer 2016, the procedure was tested on seven major festive events throughout the region. In addition to the main medical diagnosis, a specific ICD-10 code “Y3388” was chosen to be used in associated diagnosis for records that were supposed to linked to the event.Information on the labeling procedure was insured by the ORU to the emergency departments.All records with medical diagnoses or medical pattern beginning by Y33 have been analyzed.ResultsNo significant increase in the global indicator was observed in the ED impacted by mass gathering. The ED labelling procedure identified 260 records: two thirds corresponded to young men and 17% came from abroad. Among the 250 records labeled in associated diagnosis, 39% were associated to traumatisms and 31% corresponded to alcohol intake.ConclusionsThis study shows that a labelling procedure allows the identification, quantification and characterization of the population ED records associated with mass gathering. Additionally, a labelling procedure to assess a potential impact of an event as mass gathering can be implemented fairly rapidly. 

Public Health Preparedness for the World's Largest Mass Gathering: 2010 World Exposition in Shanghai, China

2012 ◽  
Vol 27 (6) ◽  
pp. 589-594 ◽  
Author(s):  
He Yi ◽  
Yuan Zheng'an ◽  
Wu Fan ◽  
Guo Xiang ◽  
Dong Chen ◽  
...  
Keyword(s):  
Public Health ◽  
Vaccination Campaign ◽  
Health Agency ◽  
Health Impact ◽  
Mass Gathering ◽  
Publication Type ◽  
Public Health Preparedness ◽  
Potential Health ◽  
Clear Cut ◽  
World Exposition

AbstractThe 2010 World Exposition in Shanghai China (Expo) was the largest mass gathering in world history, attracting a record 72 million visitors. More than 190 countries participated in the Expo, along with more than 50 international organizations. The 2010 Expo was six months in duration (May 1 through October 30, 2010), and the size of the venue site comprised 5.28 square kilometers. Great challenges were imposed on the public health system in Shanghai due to the high number and density of visitors, long duration of the event, and other risk factors such as high temperatures, typhoon, etc.As the major metropolitan public health agency in Shanghai, the Shanghai Municipal Center for Disease Control and Prevention (SCDC) implemented a series of actions in preparing for, and responding to, the potential health impact of the world's largest mass gathering to date, which included partnerships for capacity building, enhancement of internal organizational structure, risk assessment, strengthened surveillance, disaster planning and exercises, laboratory management, vaccination campaign, health education, health intervention, risk communication and mass media surveillance, and technical support for health inspection. The clear-cut organizational structures and job responsibilities, as well as comprehensive operational and scientific preparations, were key elements to ensure the success of the 2010 World Exposition.YiH, Zheng'anY, FanW, XiangG, ChenD, YongchaoH, XiaodongS, HaoP, MahanyM, KeimM. Public health preparedness for the world's largest mass gathering: 2010 World Exposition in Shanghai, China. Prehosp Disaster Med. 2012;27(6):1-6.

scholarly journals Methods to Conduct a Health Impact Assessment Learning Collaborative

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Cynthia Stone ◽  
Andrea Bochenek ◽  
Alison Redenz ◽  
Elinor Hansotte
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Health Sector ◽  
Health Impact ◽  
Learning Objectives ◽  
Public Health Department ◽  
Learning Collaborative ◽  
Potential Health ◽  
Marion County

Background: Indiana University Richard M. Fairbanks School of Public Health (IU FSPH) and the Health and Hospital Corporation of Marion County, through the Marion County Public Health Department (MCPHD), created a Health Impact Assessment (HIA) Learning Collaborative. The purpose of the HIA Learning Collaborative was to strengthen the capacity of both the academic and community partners to carry out HIAs. Entities recognize the value of creating a collaborative team to assure personnel are trained and available to provide time and expertise for plan reviews, formal feedback, data reports, literature summaries, and input in potential health/social impacts related to projects, which can ensure these impacts are considered in development work. In addition, the MCPHD and IU FSHP intend to increase HIA capacity in Indiana and remain committed to including health impact data into non-health sector decision making. Methods: The group planned to meet monthly over the year with the following learning objectives. A survey was created in Survey Monkey in order to evaluate the overall HIA Learning Collaborative experience and to assess whether or not the learning objectives were met. The survey consisted of 11 questions: nine were multiple choice and two were open-ended. Results: The majority of the objectives were met. Conclusion: There is interest in conducting HIAs in the future and several ideas were generated.

scholarly journals Health Impact Assessment (HIA) of a Fluvial Environment Recovery Project in a Medium-Sized Spanish Town

2020 ◽  
Vol 17 (5) ◽  
pp. 1484
Author(s):  
Cristina Casajuana Kögel ◽  
Tània Rodríguez Peña ◽  
Isabel Sánchez ◽  
Montserrat Tobella ◽  
José Alonso López ◽  
...  
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Local Level ◽  
Health Agency ◽  
Health Impact ◽  
City Council ◽  
Health Impacts ◽  
Health Determinants ◽  
Health In All Policies

Introduction: The Interdepartamental Public Health Plan of Catalonia (2014) seeks to enforce Health in All Policies (HiAP) at the regional and local levels. Within this context, the City Council of Sant Andreu de la Barca (SAB), the Metropolitan Area of Barcelona (MAB), and the Public Health Agency of Catalonia started a Health Impact Assessment (HIA) of an urbanistic redesign of the Llobregat fluvial area in SAB, the results of which are presented in this paper. Methodology: In 2018, after a HIA screening, a prospective nonquantitative HIA was conducted. Politicians, professionals, and citizens participated in identifying potential impacts. Impacts were prioritized and linked to health determinants, scientific evidence, and potentially affected social groups. Afterwards, recommendations were formulated in order to improve the health impacts of the project. Finally, indicators were selected to evaluate HIA implementation. Results: The HIA was successfully implemented with the participation of technicians and citizens of SAB. The health impacts identified were mainly related to environmental, public safety, lifestyle, socioeconomic, and political contexts. Ten recommendations were defined to minimize the potential negative health impacts of the project, with six of them directly included and only one dismissed due to incompatibility. Conclusion: A HIA was successfully carried out in the medium-sized town of Catalonia, promoting Health in all Policies at a local level and improving health impacts of an urbanistic project.

scholarly journals Syndromic surveillance and UEFA Euro 2016 in France – Health impact assessment

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Erica Fougère ◽  
Céline Caserio-Schönemann ◽  
Jamel Daoudi ◽  
Anne Fouillet ◽  
Marc Ruello ◽  
...  
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Santé Publique ◽  
Syndromic Surveillance ◽  
Health Impact Assessment ◽  
Health Impact ◽  
Health Surveillance ◽  
Syndromic Surveillance System ◽  
Health Event ◽  
Sante Publique

ObjectiveTo describe the surveillance indicators implemented for the healthimpact assessment of a potential health event occurring before, duringor after the UEFA Euro 2016 football matches in order to timelyimplement control and prevention measures.IntroductionFrance hosted 2016 UEFA European Football Championshipbetween June 10 and July 10. In the particular context of severalterrorist attacks occurring in France in 2015 [1], the French nationalpublic health agency « Santé publique France » (formerly FrenchInstitute for Public Health Surveillance-InVS) was mandated bythe Ministry of Health to reinforce health population surveillancesystems during the UEFA 2016 period. Six French regions and10 main stadiums hosted 51 matches and several official andnonofficial dedicated Fan Zones were implemented in many citiesacross national territory. Three types of hazard have been identified inthis context: outbreak of contagious infectious disease, environmentalexposure and terrorist attack.The objectives of health surveillance of this major sportingevent were the same as for an exceptional event including massgathering [2] : 1/ timely detection of a health event (infectiouscluster, environmental pollution, collective foodborne disease...)to investigate and timely implement counter measures (control andprevention), 2/ health impact assessment of an unexpected event.The French national syndromic surveillance system SurSaUD® wasone of the main tools for timely health impact assessment in thecontext of this event.MethodsFrench national syndromic SurSaUD® system has been setup in 2004 and supervised by Santé publique France for 12 years.It allows the daily automatic collation of individual data from over650 emergency departments (ED) involved in the OSCOUR®network and 61 emergency general practitioners’ (GPs) associations(SOS Médecins) [3]. About 60,000 attendances in ED (88% of thenational attendances) and 8,000 visits in SOS Médecins associations(95% of the national visits) are daily recorded all over the territoryand transmitted to Santé publique France.Medical information such as provisional medical diagnosiscoded according to the International Classification of Diseases, 10thRevision (ICD-10) for EDs and specific thesaurus for SOS Médecinsis routinely monitored through different syndromic indicators (SI).SI are defined by medically relevant clusters of one or severaldiagnoses, serving as proxies for conditions of public health interest.From June 10 to July 10, 19 SI were daily analyzed throughautomatic national and regional dashboards. SI were divided into3 groups of public health surveillance interest :1/ description of population health: injuries, faintness, myocardialinfarction, alcohol, asthma, heat-related symptoms, anxious troubles ;2/ infectious diseases/symptoms with epidemic potential ordiseases/symptoms linked with an environmental exposure: fever,fever associated with cutaneous rash, meningitis, pneumonia,gastroenteritis, collective foodborne disease ;3/ symptoms potentially linked with a CBRN-E exposure:influenza-like illness, burns, conjunctivitis, dyspnea/ difficultybreathing, neurological troubles, acute respiratory failure.Daily analysis were integrated into specific UEFA 2016surveillance bulletins and daily sent to the Ministry of Healthincluding week-ends.ResultsSI followed during the UEFA Euro 2016 period were nonspecificand potentially affected or influenced by several events appart fromthe championship. Between June 10 and July 10, two moderateheat-wave periods occurred on a large part of mainland France : thefirst one from June 22 to 25 (beginning in the West-South of Franceand then moving North and East of the country) and the secondone from July 8 to 11 in the East-South. An increase in heat-relatedindicators (hyperthermia/heat stroke, dehydration, hyponatremia andburns) has been observed during both periods in five French regionsincluding four hosting regions. Only minor increases in the other SIfollowed during the Euro 2016 period were observed.ConclusionsHealth surveillance implemented during 2016 UEFA EuropeanFootball Championship through a daily analysis of non-specificSI from the French syndromic surveillance system SurSaUD® didnot show any major variation associated with the sporting event.The observed variations were related with specific environmentalconditions (heat-waves). Together with the health surveillancesystem, preventive plans were set up during the event essentially byoffering flyers with information and useful tips on the main preventiveattitudes and measures to adopt in a summer festive context (risksassociated with alcohol and drug intake, injuries, heat and sunexposure, dehydration, unprotected sexual behaviour...).

scholarly journals Evaluation of the Health impact assessment (HIA) deployment process in a French region

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F Jabot ◽  
J Romagon ◽  
G Dardier
Keyword(s):  
Impact Assessment ◽  
Success Factors ◽  
Health Impact Assessment ◽  
Local Level ◽  
Health Agency ◽  
Health Impact ◽  
Evaluation Framework ◽  
Added Value ◽  
Cross Sectional ◽  
Potential Health

Abstract Background Health impact assessment is a method aimed at identifying the potential health impacts of policies and projects before their implementation and suggesting proposals in order to mitigate negative impacts and enhance positive ones. HIA is growing in France mainly at the local level. The Pays de la Loire Regional Health Agency (PDL-HRA) took an early interest in HIA and supported three experiments proposed by the town councils. An assessment was performed to judge its added value, identify success factors and draw lessons for the development of the practice. Methods An evaluation framework was built based on standards and literature. Using a qualitative multiple case study design, a cross-sectional analysis of the HIAs was carried out in order to compare the implementation process in their respective contexts, the governance arrangements and the changes introduced as a result of the HIA. Evaluation draws upon HIA reports, workshops, field observation and 40 interviews that were analysed with NVivo. Results While the conduct of HIAs is generally in line with standards of practice, the analysis of the relevance of HIA and impact characterization remain insufficiently documented. Implementation and success factors depend on the political context, the culture of institutions, actors and the purpose of HIA. Recommendations have been taken into account and changes are emerging. The stakeholders indicate their interest in HIA insofar as it is a meeting point between the concerns of institutions regarding health equity and democracy and it provides tools for action. Conclusions Although the approach is unanimously valued, it faces time, resource and competition with other activities. The continuation of the approach depends on the HRA policy specifying the aims, resources, fields of application and positioning with regard to the partners.These findings are consistent with other French work and literature data. French experience coulfd benefit from that of other countries. Key messages Skills of professionals have to be reinforced in order to make appropriate and quality HIAs. Evaluation is useful for understanding the development of an emerging practice and for supporting a decision-making in terms of scaling up, integration, role assigned to the health sector.

scholarly journals Epidemic intelligence: a new framework for strengthening disease surveillance in Europe

2006 ◽  
Vol 11 (12) ◽  
pp. 5-6 ◽  
Author(s):  
C Paquet ◽  
D Coulombier ◽  
R Kaiser ◽  
M Ciotti
Keyword(s):  
Public Health ◽  
Disease Surveillance ◽  
Public Health Surveillance ◽  
Health Surveillance ◽  
Control Measures ◽  
Surveillance Systems ◽  
Potential Health ◽  
Member States ◽  
Epidemic Intelligence ◽  
Event Based

In a rapidly changing environment, national institutions in charge of health security can no longer rely only on traditional disease reporting mechanisms that are not designed to recognise emergence of new hazards. Epidemic intelligence provides a conceptual framework within which countries may adapt their public health surveillance system to meet new challenges. Epidemic intelligence (EI) encompasses all activities related to early identification of potential health hazards, their verification, assessment and investigation in order to recommend public health control measures. EI integrates both an indicator-based and an event-based component. ‘Indicator-based component’ refers to structured data collected through routine surveillance systems. ‘Event-based component’ refers to unstructured data gathered from sources of intelligence of any nature. All EU member states have long-established disease surveillance systems that provide proper indicator-based surveillance. For most countries, the challenge lies now in developing and structuring the event-based component of EI within national institution in charge of public health surveillance. In May 2006, the European Union member states committed to comply with provisions of the revised International Health Regulations (IHR(2005)) considered relevant to the risk posed by avian and potential human pandemic influenza. This provides for the European Centre for Disease Prevention and Control (ECDC) with an opportunity to guide member states in developing and/or strengthening their national EI , in addition to the ECDC’s task of developing an EI system for the EU.

scholarly journals Evaluation of Measles Surveillance Systems in Ginnir District, Bale Zone, Southeast Ethiopia: A Concurrent Embedded Mixed Quantitative/Qualitative Study 

2020 ◽  
Author(s):  
Falaho Sani ◽  
Mohammed Hasen ◽  
Mohammed Seid ◽  
Nuriya Umer
Keyword(s):  
Public Health ◽  
Qualitative Study ◽  
Surveillance System ◽  
Public Health Surveillance ◽  
Health Surveillance ◽  
Health Facilities ◽  
Surveillance Data ◽  
Surveillance Systems ◽  
Southeast Ethiopia ◽  
Bale Zone

Abstract Background: Public health surveillance systems should be evaluated periodically to ensure that the problems of public health importance are being monitored efficiently and effectively. Despite the widespread measles outbreak in Ginnir district of Bale zone in 2019, evaluation of measles surveillance system has not been conducted. Therefore, we evaluated the performance of measles surveillance system and its key attributes in Ginnir district, Southeast Ethiopia.Methods: We conducted a concurrent embedded mixed quantitative/qualitative study in August 2019 among 15 health facilities/study units in Ginnir district. Health facilities are selected using lottery method. The qualitative study involved purposively selected 15 key informants. Data were collected using semi-structured questionnaire adapted from Centers for Disease Control and Prevention guidelines for evaluating public health surveillance systems through face-to-face interview and record review. The quantitative findings were analyzed using Microsoft Excel 2016 and summarized by frequency and proportion. The qualitative findings were narrated and summarized based on thematic areas to supplement the quantitative findings.Results: The structure of surveillance data flow was from the community to the respective upper level. Emergency preparedness and response plan was available only at the district level. Completeness of weekly report was 95%, while timeliness was 87%. No regular analysis and interpretations of surveillance data, and the supportive supervision and feedback system was weak. The participation and willingness of surveillance stakeholders in implementation of the system was good. The surveillance system was found to be useful, easy to implement, representative and can accommodate and adapt to changing conditions. Report documentation and quality of data was poor at lower level health facilities. Stability of the system has been challenged by shortage of budget and logistics, staff turnover and lack of update trainings.Conclusions: The surveillance system was acceptable, useful, simple, flexible and representative. Data quality, timeliness and stability of the system were attributes that require improvement. The overall performance of measles surveillance system in the district was poor. Hence, regular analysis of data, preparation and dissemination of epidemiological bulletin, capacity building and regular supervision and feedback are recommended to enhance performance of the system.

scholarly journals Health Impact Assessment and City Council Policy: Identifying Opportunities to Address Local Social Determinants of Health & Place-Health Relationships, 10 Years Later

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Ryan Petteway ◽  
Shannon Cosgrove
Keyword(s):  
Impact Assessment ◽  
Social Determinants ◽  
Health Impact Assessment ◽  
Health Impact ◽  
City Council ◽  
Health Impacts ◽  
Potential Health ◽  
Baltimore City ◽  
Local Public Health ◽  
Health Related

Background: Health Impact Assessment (HIA) can be used to assess any type of policy/program related to social determinants (SDH).  However, local public health departments (LHDs) have been slow to adopt formal use of HIA in efforts to address local SDH, even with growing evidence linking SDH and place-health relationships. Ten years ago we completed a review of Baltimore City Council policies to advance this conversation within the LHD. Our goal here is to revisit this review and, again, outline a process by which LHDs can: a) monitor local policies in regard to SDH and b) identify opportunities for potential HIA use. Methods:  We reviewed all policies introduced into Baltimore City Council in calendar years 2008 and 2009. We reviewed each policy to identify those with potential health impacts. We then categorized these policies as: a) “explicitly health-related” or b) “related to SDH.” We then tabulated the number and sub-types of these policies that were referred for LHD review. Results: We identified and reviewed 597 total policies. 89 policies (15%) were identified as “explicitly health-related,” 34 (38%) of which were referred for LHD review. 208 policies (35%) were identified as “related to SDH,” 13 (6%) of which were reviewed. Overall, 297 (50%) policies were identified as having potential health impacts, 47 (16%) of which were reviewed. Conclusion: This work represents a potentially replicable process to identify HIA opportunities, and potential launch point for health-in-all-policies efforts. In Baltimore, it facilitated dialogue with Baltimore City officials and led to the LHD’s first HIA grant.

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