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3 results

  • Chapter 27 - Business Considerations in Mass Gathering Medicine

  • Edited by William J. Brady, University of Virginia, Mark R. Sochor, University of Virginia, Paul E. Pepe, Metropolitan EMS Medical Directors Global Alliance, Florida, John C. Maino II, Michigan International Speedway, Brooklyn, K. Sophia Dyer, Boston University Chobanian and Avedisian School of Medicine, Massachusetts
  • Book:
    Mass Gathering Medicine
    Published online:
    11 April 2024
    Print publication:
    18 April 2024, pp 401-405

  • Summary

    Mass gatherings and special events are commonplace in the U.S. and require the coordinated efforts of a multitude of people, including EMS, to make for a successful event. As the medical director of the EMS, it is important to understand not only the medical problems that could occur at these events but also a basic knowledge of the business behind their planning. Constant interaction with event promoters and sponsors can help the director get a feel of the safety concerns and how funding of the event will occur. These interactions can help directors determine the size, recurrence, and risks of the event providing them with the necessary information of how much manpower will be needed and the costs of the services to be provided and will give them the power to have successful negotiations with a well thought out event plan.

  • Conceptualizing the Impact of Special Events on Community Health Service Levels: An Operational Analysis

  • Adam Lund, Sheila A. Turris, Ron Bowles
  • Journal:
    Prehospital and Disaster Medicine / Volume 29 / Issue 5 / October 2014
    Published online by Cambridge University Press:
    04 September 2014, pp. 525-531
    Print publication:
    October 2014

  • Mass gatherings (MG) impact their host and surrounding communities and with inadequate planning, may impair baseline emergency health services. Mass gatherings do not occur in a vacuum; they have both consumptive and disruptive effects that extend beyond the event itself. Mass gatherings occur in real geographic locations that include not only the event site, but also the surrounding neighborhoods and communities. In addition, the impact of small, medium, or large special events may be felt for days, or even months, prior to and following the actual events. Current MG reports tend to focus on the events themselves during published event dates and may underestimate the full impact of a given MG on its host community.

    In order to account for, and mitigate, the full effects of MGs on community health services, researchers would benefit from a common model of community impact. Using an operations lens, two concepts are presented, the “vortex” and the “ripple,” as metaphors and a theoretical model for exploring the broader impact of MGs on host communities. Special events and MGs impact host communities by drawing upon resources (vortex) and by disrupting normal, baseline services (ripple). These effects are felt with diminishing impact as one moves geographically further from the event center, and can be felt before, during, and after the event dates. Well executed medical and safety plans for events with appropriate, comprehensive risk assessments and stakeholder engagement have the best chance of ameliorating the potential negative impact of MGs on communities.

    LundA, TurrisSA, BowlesR. Conceptualizing the Impact of Special Events on Community Health Service Levels: An Operational Analysis. Prehosp Disaster Med. 2014;29(5):1-7.

  • Public Health in the Field and the Emergency Operations Center: Methods for Implementing Real-Time Onsite Syndromic Surveillance at Large Public Events

  • Kristen Pogreba-Brown, Kyle McKeown, Sarah Santana, Alisa Diggs, Jennifer Stewart, Robin B. Harris
  • Journal:
    Disaster Medicine and Public Health Preparedness / Volume 7 / Issue 5 / October 2013
    Published online by Cambridge University Press:
    23 August 2013, pp. 467-474
  • Objective

    To develop an onsite syndromic surveillance system for the early detection of public health emergencies and outbreaks at large public events.

    Methods

    As the third largest public health jurisdiction in the United States, Maricopa County Department of Public Health has worked with academic and first-response partners to create an event-targeted syndromic surveillance (EVENTSS) system. This system complements long-standing traditional emergency department-based surveillance and provides public health agencies with rapid reporting of possible clusters of illness.

    Results

    At 6 high profile events, 164 patient reports were collected. Gastrointestinal and neurological syndromes were most commonly reported, followed by multisyndromic reports. Neurological symptoms were significantly increased during hot weather events. The interview rate was 2 to 7 interviews per 50 000 people per hour, depending on the ambient temperature.

    Discussion

    Study data allowed an estimation of baseline values of illness occurring at large public events. As more data are collected, prediction models can be built to determine threshold levels for public health response.

    Conclusions

    EVENTSS was conducted largely by volunteer public health graduate students, increasing the response capacity for the health department. Onsite epidemiology staff could make informed decisions and take actions quickly in the event of a public health emergency. (Disaster Med Public Health Preparedness. 2013;0:1–8)