Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-14T19:21:48.740Z Has data issue: false hasContentIssue false

Weapons of Mass Destruction Preparedness and Response for the XIV Pan-American Games, Santo Domingo, 2003

Published online by Cambridge University Press:  28 June 2012

Amado Alejandro Báez*
Affiliation:
Division of Trauma, Burns, and Surgical Critical Care, Harvard Medical School, Boston, Massachusetts, USA Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA Dominican Society of Prehospital Medicine, Santo Domingo, Dominican Republic
Matthew D. Sztajnkrycer
Affiliation:
Department of Emergency Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA
Ediza M. Giráldez
Affiliation:
Department of Emergency Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA Dominican Society of Prehospital Medicine, Santo Domingo, Dominican Republic
Hugo Pérez Comprés
Affiliation:
Dominican Society of Prehospital Medicine, Santo Domingo, Dominican Republic Central Armed Forces Hospital, Dominican Republic, Santo Domingo, Dominican Republic Dominican Air Force, Santo Domingo, Dominican Republic
*
Amado Alejandro Baez, MD, MSC Brigham and Women's Hospital, Neville House 226, 75 Francis Street, Boston, MA 02115, USA E-mail: [email protected]

Abstract

The Pan-American Games are considered to be the fourth most important international athletic event in the world. Hosted by the city of Santo Domingo, Dominican Republic, the XIV Pan-American Games lasted from 11–17 August 2003. In preparation for the Games, the Security Directorate developed and deployed a Weapons of Mass Destruction (WMD) Unit. For operational support, two strike teams (Alpha and Bravo) were active at any given time. Each team consisted of five members including a team leader, field physician, explosive ordinance disposal (EOD) officer, and two tactical offi-cers. Three hospitals—two military and one civilian—were designated as pri-mary medical centers for the event. With the assistance of the WMD Unit, emergency department staff were trained in the medical management of a WMD event, response protocols for WMD were created, and special decon-tamination areas were designated. Syndromic surveillance was performed by means of direct communications between the hospitals and units, as well as use of an electronic, Web-based surveillance tool.

Type
Special Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2006

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

1.Pan-American Games News Archive. Available at http://panamgames2003.com/news_archive.html. Accessed 19 August 2004.Google Scholar
2.Centers of Disease Control and Prevention (Centers for Disease Control and Prevention ) Emergency Preparedness and Response: Bioterrorism Agents and Diseases. Available at http://www.bt.cdc.gov/agent/agentlist.asp. Accessed 18 August 2004.Google Scholar
3.World Anti Doping Agency: World Anti-Doping Code. Available at http://www.wada-ama.org/en/dynamic.ch2?pageCategory_id=125. Accessed 18 August 2004.Google Scholar
4.Okumura, T, Suzuki, K, Fukuda, A, Kohama, A, Takasu, N, Ishimatsu, S, Hinohara, S: The Tokyo subway sarin attack: Disaster management, Part 2: Hospital response. Acad Emerg Med 1998;5(6):618624.CrossRefGoogle ScholarPubMed
5.Fleischauer, AT, Silk, BJ, Schumacher, M, Komatsu, K, Santana, S, Vaz, V, Wolfe, M, Hutwagner, L, Cono, J, Berkelman, R, Treadwell, T: The validity of chief complaint and discharge diagnosis in emergency department-based syndromic surveillance. Acad Emerg Med 2004;11(12):12621267.CrossRefGoogle ScholarPubMed
6.Barthell, EN, Aronsky, D, Cochrane, DG, Cable, G, Stair, T: Frontlines Work Group. The Frontlines of Medicine Project progress report: Standardized communication of emergency department triage data for syndromic surveil-lance. Ann Emerg Med 2004;44(3):247252.CrossRefGoogle Scholar
7.Foldy, S, Biedrzycki, PA, Barthell, EN, Healy-Haney, N, Baker, BK, Howe, DS, Gieryn, D, Pemble, KR: Syndromic surveillance using regional emergency medicine Internet. Ann Emerg Med 2004;44(3):242246.CrossRefGoogle ScholarPubMed
8.Irvin, CB, Nouhan, PP, Rice, K: Syndromic analysis of computerized emer-gency department patients' chief complaints: An opportunity for bioterror-ism and influenza surveillance. Ann Emerg Med 2003;41(4):447452.CrossRefGoogle Scholar
9.Suyama, J, Sztajnkrycer, M, Lindsell, C, Otten, EJ, Daniels, JM, Kressel, AB: Surveillance of infectious disease occurrences in the community: An analysis of symptom presentation in the emergency department. Acad Emerg Med 2003;10(7):753763.CrossRefGoogle ScholarPubMed
10.Chapman, WW, Dowling, JN, Wagner, WM: Classification of emergency department chief complaints into seven syndromes: A retrospective analysis of 527,228 patients. Ann Emerg Med 2005;46:445455.CrossRefGoogle Scholar