Kuala Lumpur train collision during the COVID-19 pandemic

Background Two city trains collided in an underground tunnel on 24 May 2021 at the height of COVID-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia, immediately after the evening rush hours. We aim to evaluate the management of this mass casualty incident highlighting the lessons learned to be used in preparedness for similar incidents that may occur in other major cities worldwide. Methods Information regarding incident site and hospital management response were analysed. Data on demography, triaging, injuries and hospital management of patients were collected according to a designed protocol. Challenges, difficulties and their solutions were reported. Results The train's emergency response team (ERT) has shut down train movements towards the incident site. Red zone (in the tunnel), yellow zone (the station platform) and green zone (outside the station entrance) were established. The fire and rescue team arrived and assisted the ERT in the red zone. Incident command system was established at the site. Medical base station was established at the yellow zone. Two hundred and fourteen passengers were in the trains. Sixty-four of them were injured. They had a median (range) ISS of 2 (1–43), and all were sent to Hospital Kuala Lumpur (HKL). Six (9.4%) patients were clinically triaged as red (critical), 19 (29.7%) as yellow (semi-critical) and 39 (60.9%) as green (non-critical). HKL's disaster plan was activated. All patients underwent temperature and epidemiology link assessment. Seven (10.9%) patients were admitted to the hospital (3 to the ICU, 3 to the ward and 1 to a private hospital as requested by the patient), while the rest 56 (87.5%) were discharged home. Six (9.4%) needed surgery. The COVID-19 tests were conducted on seven patients (10.9%) and were negative. There were no deaths. Conclusions The mass casualty incident was handled properly because of a clear standard operating procedure, smooth coordination between multi-agencies and the hospitals, presence of a 'binary' system for 'COVID-risk' and 'non-COVID-risk' areas, and the modifications of the existing disaster plan. Preparedness for MCIs is essential during pandemics.

Green Zone Planning for City Sustainability

: The importance of research has emerged by focusing on sustainable green zone planning to solve the problem of degradation through sustainable strategies, to make green areas determine buildings, not the other way around using GIS, by working on a hypothesis (green areas planning according to an appropriate strategy can sustain cities). The principle of urban planning, urban sustainability, sustainable planning and sustainable cities, as well as urban sustainability and many strategies that support green zone planning and rely on a number of factors for sustainable cities, have been addressed. The research was based on how to plan green areas sustainably, what constraints the planners face in the Dora area south of Baghdad, and the reasons for their deterioration in the urban environment, and after analysing and comparing the changes that occurred over three periods of time (2004 and 2009 and 2019) for 10 residential stores to assess the state of the green areas during that period and how they changed, what problems led to the reduction of areas, increased areas built at their expense, compared to the standards of urban and rural housing in Iraq and the basic plan of the company Paul Servis in 1971, Sustainable planning thus creates a balance in the environment, economy and social values so that these new places meet the work and life needs of the local population and their interests, as one of the indicators of sustainable cities environmental, social and economic, measured by the availability of green and preserved areas relative to population density and coverage, which are one of the most important components of the blocs of urban areas to continue the quality of urban life and environmental and social sustainability, and the ratio of green areas to areas built in a sample of the shop Housing in the study area is very few in most stores and is not in line with international standards, so the current standards need to be adjusted and increased from what they are now, as well as laws in general need to be updated because they are in their current state to achieve the sustainability of green areas in the study area. The most important proposals and solutions that address the problems of green areas (developing a specific strategy, developing some laws on the protection of green areas and setting environmental performance standards for green areas). The research recommended the need to review the planning standard for the individual’s share of green spaces as it does not correspond to the increase in population density, and to guide the pursuit of sustainable strategies within the plans prepared by the long-term municipal departments supporting green areas and work to support environmental performance within municipal circles by presenting the award for outstanding environmental performance on conservation capacity and increasing green spaces, urging a focus on the sustainability of Iraqi cities as they suffer from increased desertification and dredging of green areas and current climate change.

Kuala Lumpur Train Collision During the COVID-19 Pandemic

Background: Two city trains collided in an underground tunnel on 24th May 2021 at the height of Covid-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia immediately after the evening rush hours. We aim to evaluate the management of this mass casualty incident highlighting the lessons learned to be used in preparedness for similar incidents that may occur in other major cities worldwide. Methods: Information regarding incident site and hospital management response were analysed. Data on demography, triaging, injuries and hospital management of patients were collected according to a designed protocol. Challenges, difficulties and their solutions were reported. Results: The train's emergency response team (ERT) has shut down train movements towards the incident site. Red zone (in the tunnel), yellow zone (the station platform) and green zone (outside the station entrance) were established. The fire and rescue team arrived and assisted the ERT in the red zone. Incident command system was established at the site. Medical base station was established at the yellow zone. 214 passengers were in the trains. 64 of them were injured. They had a median (range) ISS of 2 (1-43) and all were sent to Hospital Kuala Lumpur (HKL). Six (9.4%) patients were clinically triaged as red (critical), 19 (29.7%) as yellow (semi-critical) and 39 (60.9%) as green (non-critical). HKL's disaster plan was activated. All patients underwent temperature and epidemiology link assessment. Seven (10.9 %) patients were admitted to the hospital (3 to the ICU, 3 to the ward, and 1 to a private hospital as requested by the patient), while the rest 56 (87.5%) (56) were discharged home. Six (9.4%) needed surgery. The Covid-19 tests were conducted on seven patients (10.9%) and was negative There were no deaths. Conclusions: The mass casualty incident was handled properly because of a clear standard operating procedure, smooth coordination between multi-agencies and the hospitals, presence of a'binary' system for 'Covid risk' and 'non-Covid risk' areas, and the modifications of the existing disaster plan. Preparedness for MCIs is essential during pandemics.

PERAN AKTIF MAHASISWA DAN MASYARAKAT DALAM MENGHADAPI FENOMENA PANDEMI COVID-19 DI DESA TUWUNG KECAMATAN KAHAYAN TENGAH

In 2020, mankind throughout the world will be shaken by the Corona Virus (Covid-19) pandemic which has greatly affected people's lives and caused a lot of panic. Hundreds or even thousands of humans have been infected and many have died due to the Covid-19 Virus. Because the Corona Virus (Covid-19) also makes the people of Tuwung village, Kahayan Tengah district, Pulang Pisau Regency, they are limited in carrying out daily routines such as worship, school, teaching, even hobby activities such as playing volleyball and others. Another problem that occurs is that some of the people of Tuwung village also lack discipline in carrying out health protocols such as crowding in many people, not wearing protective masks, still shaking hands, and others. In this case, Palangka Raya University students do not remain silent, starting from providing many appeals, education and assistance to the community in overcoming the Covid-19 outbreak, the people of Tuwung village are maintained and safe through the KKN-T Period II activities of Palangka Raya University. The Indonesian government implements a home system where Indonesians are required to be quiet and work in their own homes. And with this rule, the KKN-T Period II Students of Palangka Raya University carry out activities that apply the Work from Home system and still follow the applicable health protocols. The purpose of this activity is to provide an example and understanding for the Tuwung village community in order to comply with the applicable regulations in the country of Indonesia. So that through this activity it can help the government and medical personnel to break the chain of spreading the Corona Virus (Covid-19) in Indonesia. And with this activity it will also make the public more aware of the importance of implementing health protocols both in the red zone and in the green zone.

Dampak Pandemi Covid-19 terhadap Peternakan Hewan Qurban di Kota Sukabumi dan Kabupaten Bogor, Studi Kasus: Zona Hijau dan Merah

Corona Virus Disease 2019 (Covid-19) has been declared by the World Health Organization (WHO) as a pandemic and Indonesia is one of the countries affected by the outbreak. This has a major impact on the social economic and the prosperous community, especially for sub sector livestock which contributes to the fulfillment of the nutritional value of animal protein and national food security. This study aims to determine the impact of the Covid-19 pandemic on the livestock sector, especially to the sacrificial animal farm. Direct interviews using a questionnaire were conducted with 36 sacrifial animal farmers in the area of the Covid-19 spread map in the red zone (Bogor Regency) and the green zone (Sukabumi City) from September to November, 2020. The questionnaire was divided into three parts, first part about characteristics of farmers, second part about farming activities, and the last about market of sacrificial animals. The pandemic has caused changes in livestock procurement in terms of input prices and sales of sacrificial animals. The price of livestock for the production input during the pandemic in the green zone is low, while in the red zone is high. The decrease in sales occurred in the green zone, while in the red zone is increase, both for sheep and cattle farmers. Most of sacrificial animal farmers (88.89%) did not change their sales method from the previous year. Sacrificial animal farmers also strongly agree that Covid-19 pandemic has an impact on the economic conditions of farmers.

Community governance with habitus in bonding to prevent SARS-CoV-2 pandemic transmission

Many areas at lowest level like kampong and village have initiatives in community governance terminology to prevent the SARS-CoV-2 transmission in their neighborhood formerly constituting green zone. Community governance will be followed by bonding containing habitus inherent to society structure. This research was conducted in some villages throughout Surakarta Ex-Residency, involving observation and documentattion in Gatak, Banaran, Mojolaban Sub District of Sukoharjo Regency, Karangpandan Sub District of Karanganyar Regency and Kranggan Village of Polanharjo Sub District of Klaten Regency. Data was collected through interview, observation, and documentation. The result of study showed that innovation and productivity arose in community governance in Kranggan Village of Klaten Regency, as indicated with the presence of Karantani program. It is the planting or farming program for Persons under Surveillance or nomads (wanderers) going back to their village. Community leadership, community empowerment and community ownership arise in community governance in Kranggan Village. Furthermore, people should rekindle habitus related to embung (water reservoir), lumbung (communal rice barn), and saung (hut) post-pandemic considered as important in this Covid-19 pandemic period.

SP4.2.4 Single centre experience of ‘Green Zone’ elective general surgery after the first wave of COVID-19

Introduction Elective surgery came to a halt during the first wave of COVID-19. The safe resumption of elective surgery with COVID-19 prevalent in the community, remains a significant challenge. The aim of this study was to look into the outcomes of elective general surgery in a dedicated ‘Green Zone’ following the first wave of COVID-19. Methods A ‘Green Zone’ pathway was drafted which was meant to provide a COVID-free environment for patients. Prospective data was collected on consecutive patients who underwent elective general surgical procedure at a single NHS trust over a 10-week period (1st Sept 2020 - 10th Nov 2020). The primary outcome was 30-day COVID-19 mortality. Secondary outcomes included 30-day nonCOVID-19 mortality, readmissions and complications. Results The study included 185 patients with a median age 55 years (IQR 41-67); 96 (52%) were females. Majority of the patients were ASA 2 (n = 98, 53%) followed by equal number of ASA 1 and ASA 3 (n = 42, 23%). 33 patients (18%) had been shielding earlier in the year. 96% underwent general anaesthetic. Most of the cases were day cases (n = 131, 71%). There was no 30-day COVID-19 or nonCOVID-19 mortality. One patient developed COVID-19 three weeks after the index operation. 30-day readmission and complication rate were 5% (n = 10) and 10% (n = 18). Most of the complications were Clavien-Dindo grade 1(n = 8, 4%) and 2(n = 8, 4%). Conclusion This study has shown that dedicated ‘Green Zone’ elective operating pathway is safe provided a balanced risk assessment approach is adopted.

Environmental properties of Phaeozems humus horizons of the Voronezh upland oak forest (Russia)

Within Voronezh city there is a green zone, the core of which are forest clusters of natural origin. The study sites are located in the recreational area of an upland oak forest. In such conditions, the forest litter and the upper soil horizon first experience transformation. All results were processed by StatSoft STATISTICA for Windows 10.0. In this study we found that low-thickness forest litter was formed in the Voronezh oak forest, in which the average content of macronutrients was (%): C – 2.91, N – 1.11, K – 0.32, and P – 0.18. These elements can be arranged in a variation series C > N > K > P. It is established that the edaphotope of oak forests of the forest-steppe has a favorable regime for the destruction of organic substances and the accumulation of decomposition products. The content of macronutrients in the forest litter and the upper part of the humus horizon is arranged in the same row N > K > P, which indicates their genetic relationship. The obtained data on the ecological state of the forest litter and the humus horizon of the gray forest soils of the oak forests of the megalopolis are important for understanding the biological cycle under conditions of technogenic and recreational loads.

THE ROLE OF THE GOVERNMENT IN THE PROTECTION OF COMMUNITY LAND ON GREEN-ZONE

Land rights are one of the rights of life of the community. This right should have been protected by the state as the implementation of Article 33 paragraph (3) of the 1945 Republic of Indonesia Constitution that the earth and natural wealth in it are protected by the state and used for the people's prosperity. This right is violated by the determination of land owned by the people declared in the green zone so that its use and allocation is limited by the government. On the other hand, when the land will be used in the framework of government planning, the status of the land will change according to the interests of the government. This phenomenon illustrates that the law that should support the state to give a sense of justice to the people on the contrary makes people's rights not fulfilled. The aim to be achieved in this study is to analyze the role of the government in protecting community land rights in the green zone. This research is normative legal research. Based on the research, it was concluded that community welfare and community justice were not well accommodated by the government regarding land in the green zone because there was a lack of clear arrangements regarding the ability to transfer the land.