Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-23T15:04:09.156Z Has data issue: false hasContentIssue false

Medicine in Unplanned Mass Gatherings: A Qualitative Study of Health-Care Providers’ Response and Recommendations to Beirut’s Protests

Published online by Cambridge University Press:  21 July 2021

Farah Yassine
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Samer Bou Karroum
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Reem Amine
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Majid Chammas
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Hassan Dehaini
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Habib El-Khoury
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Andrea Haddad
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Joanna Khalifeh
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Maya Maaliki
Affiliation:
Faculty of Medicine, American University of Beirut, Beirut, Lebanon
Lilian Ghandour*
Affiliation:
Department of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon
*
Corresponding author: Lilian A. Ghandour, Email: [email protected].

Abstract

Objective:

This study aims at exploring the dynamics of health-care provision during recent unplanned public mass gatherings in Beirut, and how the health-care system adapts to mass movements in protests.

Methods:

A qualitative study was conducted using semi-structured interviews with 12 health-care providers who volunteered at medical tents set during protests in Beirut, Lebanon. Responses were transcribed and coded.

Results:

Three themes were noted: preparedness and logistics, encountered cases, and participants’ proposed recommendations. In terms of preparedness and logistics, participants lacked knowledge of field medicine protocols and an organizational structure. They faced difficulties in securing equipment and advertising their services. Most encountered cases were physical injuries rather than mental health problems. The participants proposed both short-term recommendations, including advice on how to boost care provided, and long-term recommendations on structuring the health-care system to be better prepared.

Conclusions:

On-site health-care provision during unplanned mass gatherings is a vital need. We recommend forming a task force of health-care workers from various fields led by the Ministry of Public Health in every respective country to plan protocols, train personnel, and secure resources beforehand.

Type
Original Research
Copyright
© Society for Disaster Medicine and Public Health, Inc. 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

World Health Organization. What is WHO’s role in mass gatherings? World Health Organization. 2016. http://www.who.int/features/qa/massgatherings/en/. Accessed November 28, 2019.Google Scholar
World Health Organization. Public health at mass gatherings: key considerations. World Health Organization. 2015. http://www.who.int/ihr/publications/WHO_HSE_GCR_2015.5/en/. Accessed November 28, 2019.Google Scholar
Ebrahim, SH, Memish, ZA, Uyeki, TM, et al. Pandemic H1N1 and the 2009 Hajj. Science. 2009;326(5955):938-940.CrossRefGoogle ScholarPubMed
Memish, ZA, Zumla, A, McCloskey, B, et al. Mass gatherings medicine: international cooperation and progress. Lancet. 2014;383(9934):2030-2032.CrossRefGoogle ScholarPubMed
Al-Tawfiq, JA, Memish, ZA. Mass gathering medicine: 2014 Hajj and Umra preparation as a leading example. Int J Infect Dis. 2014;27:26-31.CrossRefGoogle ScholarPubMed
Alaska, YA, Aldawas, AD, Aljerian, NA, et al. The impact of crowd control measures on the occurrence of stampedes during Mass Gatherings: the Hajj experience. Travel Med Infect Dis. 2017;15:67-70.CrossRefGoogle ScholarPubMed
Yancey, AH Jr, Fuhri, PD, Pillay, Y, et al. World Cup 2010 planning: an integration of public health and medical systems. Public Health. 2008;122(10):1020-1029.CrossRefGoogle ScholarPubMed
Eberhardt, KA, Vinnemeier, CD, Dehnerdt, J, et al. Travelers to the FIFA world cup 2014 in Brazil: health risks related to mass gatherings/sports events and implications for the Summer Olympic Games in Rio de Janeiro in 2016. Travel Med Infect Dis. 2016;14(3):212-220.CrossRefGoogle Scholar
Gutman, SJ, Schonnop, R, Stephens, T, et al. Medical support for the Special Olympics Canada 2014 Summer Games: unique requirements for a mass participation event with a specific population. Prehosp Disaster Med. 2017;32(S1):S139-S140.CrossRefGoogle Scholar
Mani, G. Mass gatherings: public health implications and opportunities. Public Health Indones. 2017;3(1):4-6.CrossRefGoogle Scholar
Memish, ZA, Stephens, GM, Steffen, R, et al. Emergence of medicine for mass gatherings: lessons from the Hajj. Lancet Infect Dis. 2012;12(1):56-65.CrossRefGoogle ScholarPubMed
Jabbour, S, Leaning, J, Nuwayhid, I, et al. The Lancet–American University of Beirut Commission on Syria: a new role for global health in conflict and a call for papers. Lancet. 2016;388(10063):2967-2968.CrossRefGoogle Scholar
American University of Beirut. Faculty of Health Sciences leads the Lancet Commission on Syria. 2017; https://www.aub.edu.lb/news/2016/Pages/lancet-syria.aspx. Accessed November 28, 2019.Google Scholar
Bou-Karroum, L, Daou, KN, Nomier, M, et al. Health care workers in the setting of the “Arab Spring”: a scoping review for the Lancet-AUB Commission on Syria. J Glob Health. 2019;9(1):010402.CrossRefGoogle ScholarPubMed
Krul, J, Sanou, B, Swart, EL, et al. Medical care at mass gatherings: emergency medical services at large-scale rave events. Prehosp Disaster Med. 2012;27(1):71-74.CrossRefGoogle ScholarPubMed
Braga, JM, Nhantumbo, L, Nhambomba, A, et al. Epidemiological profile of health consultations during the Mozambique 9th National Cultural Festival, August 2016. Pan Afr Med J. 2019;33:52.CrossRefGoogle ScholarPubMed
Civaner, MM, Vatansever, K, Pala, K. Ethical problems in an era where disasters have become a part of daily life: a qualitative study of healthcare workers in Turkey. PLoS One. 2017;12(3):e0174162.CrossRefGoogle Scholar
McConnell, J, Memish, Z. The Lancet conference on mass gatherings medicine. Lancet Infect Dis. 2010;10(12):818-819.CrossRefGoogle ScholarPubMed
Smith, WP, Tuffin, H, Stratton, SJ, et al. Validation of a modified medical resource model for mass gatherings. Prehosp Disaster Med. 2013;28(1):16-22.CrossRefGoogle ScholarPubMed
Smith, WP, Wessels, V, Naicker, D, et al. Development of a mass-gathering medical resource matrix for a developing world scenario. Prehosp Disaster Med. 2010;25(6):547-552.CrossRefGoogle ScholarPubMed