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

Published online by Cambridge University Press:  04 September 2014

Adam Lund ,
Sheila A. Turris  and
Ron Bowles
Adam Lund*
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada Office of Applied Research & Graduate Studies, Justice Institute of British Columbia, New Westminster, Canada
Sheila A. Turris
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada Office of Applied Research & Graduate Studies, Justice Institute of British Columbia, New Westminster, Canada
Ron Bowles
Affiliation:
Office of Applied Research & Graduate Studies, Justice Institute of British Columbia, New Westminster, Canada
*
Correspondence: Adam Lund, BSc, MD, MEd, FRCPC Emergency Department Royal Columbian Hospital 330 East Columbia Street New Westminster British Columbia V3L 3W7 Canada E-mail [email protected]
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Abstract

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.

Keywords

community impactmass-gathering healthmass-gathering medicinemass gatheringsspecial events
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 29 , Issue 5 , October 2014 , pp. 525 - 531
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2014 

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References

1.Turris, SA, Lund, A. Mass casualty incidents at mass gatherings: a review of the literature. Disaster Med Public Health Prep. (In press).Google Scholar
2. World Health Organization Web site. http://www.who.int/publications/en/. Accessed November 13, 2013.Google Scholar
3.Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med. 2004;19(3):208-212.CrossRefGoogle ScholarPubMed
4.Arbon, P, Cusack, L, Verdonk, N. Mass gathering public health and emergency medicine literature review: levels of evidence. Austalasian J Paramed. 2013;10(1):1-5.Google Scholar
5.Grant, WK, Nacca, NE, Prince, LA, Scott, JM. Mass-gathering medical care: retrospective analysis of patient presentations over five years as a multi-day mass gathering. Prehosp Disaster Med. 2010;25(2):183-187.CrossRefGoogle ScholarPubMed
6.Gutman, SJ, Lund, A, Turris, SA. Mass medical support for the 2009 World Police and Fire Games: a descriptive analysis of a large scale participation event and its impact. Prehosp Disaster Med. 2011;26(1):33-39.CrossRefGoogle Scholar
7. Mass Gathering Medicine Interest Group Web site. http://www.mgmcanada.ca/. Accessed November 13, 2013.Google Scholar
8. British Columbia Ambulance Service Web site. http://www.bcas.ca/services/special-operations/. Accessed November 6, 2013.Google Scholar
9.Botelho-Nevers, E, Gautret, P. Outbreaks associated to large open air festivals, including music festivals, 1980-2012. Eurosurveill. 2013;18(11):1-10.CrossRefGoogle Scholar
10. Centers for Disease Control and Prevention Web site. http://wwwnc.cdc.gov/travel/yellowbook/2014/chapter-8-advising-travelers-with-specific-needs/travel-to-mass-gatherings. Accessed November 13, 2013.Google Scholar
11.Chowell, G, Nishiura, H, Viboud, C. Modeling rapidly disseminating infectious disease during mass gatherings. BMC Med. 2012;10:159-169.CrossRefGoogle ScholarPubMed
12.Memish, ZA. The hajj: communicable and non-communicable health hazards and current guidance for pilgrims. Euro Surveill. 2010;15(39):196.CrossRefGoogle ScholarPubMed
13. GI outbreak still under investigation. Pique Newsmagazine Web site. http://www.piquenewsmagazine.com/whistler/gi-outbreak-still-under-investigation/Content?oid=2157528. Accessed November 13, 2013.Google Scholar
14.Tam, JS, Barbeschi, M, Shapovalova, N, Briand, S, Memish, ZA, Kieny, MP. Research agenda for mass gatherings: a call to action. Lancet. 2012;12(3):231-239.CrossRefGoogle ScholarPubMed
15. World Health Organization Web site. http://www.who.int/csr/mass_gatherings/en/. Accessed November 13, 2013.Google Scholar
16.Jangi, S. Under the medical tent at the Boston Marathon. N Engl J Med. 2013;368(21):1953-1955.CrossRefGoogle ScholarPubMed
17. Egyptian soccer fans stampede after game, 73 dead. BBC News Service Web site. http://www.bbc.co.uk/news/world-middle-east-16845841. Accessed May 14, 2013.Google Scholar
18. M5 crash: fireworks display organizer charged with manslaughter. Daily Telegraph Web site. http://www.telegraph.co.uk/news/uknews/crime/9622177/M5-crash-fireworks-display-organiser-charged-with-manslaughter.html. Accessed May 14, 2013.Google Scholar
19. Women die in Indian train stampede. BBC News Service Web site. http://news.bbc.co.uk/2/hi/south_asia/7026262.stm. Accessed May 14, 2013.Google Scholar
20.Illiyas, FT, Mani, SK, Pradeepkumar, AP, Mohan, K. Human stampedes during religious festivals: a comparative review of mass gathering emergencies in India. Int J Risk Red. 2013;5:10-18.Google Scholar
21.Kerr, GW. Emergency medical planning at soccer matches. Int J Sports Med. 2003;4(1):1-5.Google Scholar
22.Turris, SA, Lund, A. Mass casualty incidents in the setting of mass gatherings (abstract). Prehosp Disaster Med. 2013;28(1):S6.Google Scholar
23.Lund, A, Gutman, SJ, Turris, SA. Mass gathering medicine: a link to disaster preparedness. CJEM. 2011;13(4):231-236.CrossRefGoogle ScholarPubMed
24. British Columbia's Mobile Medical Unit Web site. http://www.bcmmu.ca/default.htm. Accessed November 13, 2013.Google Scholar
25.Tewari, S, Khan, S, Hopkins, N, Narayanan, S, Reicher, S. Participation in mass gatherings can benefit well-being: longitudinal and control data from a North Indian Hindu pilgrimage event. PLoS One. 2012;7(10):e47291.CrossRefGoogle ScholarPubMed
26.Ranse, J, Hutton, A. Author reply: minimum data set for mass-gatherings health research and evaluation: the beginning of an international dialogue. Prehosp Disaster Med. 2013;28(2):193.Google ScholarPubMed
27.Ranse, J, Hutton, A. Minimum data set for mass-gatherings health research and evaluation: a discussion paper. Prehosp Disaster Med. 2013;27(5):1-8.Google Scholar
28.Turris, SA, Lund, A. Minimum data set for mass-gatherings health research and evaluation: a response. Prehosp Disaster Med. 2013;28(2):191-193.CrossRefGoogle ScholarPubMed
29.Carley, S, Mackway-Jones, K, Donnan, S. Major incidents in Britain over the past 28 years: the case for the centralized reporting of major incidents. J Epidemiol Community Health. 1998;52(6):392-398.CrossRefGoogle ScholarPubMed
30.Lennquist, S. Protocol for reports from major accidents and disasters in the International Journal of Disaster Medicine. Eur J Trauma Emerg Surg. 2008;34(5):486-492.CrossRefGoogle ScholarPubMed
31.McCarthy, M, Ravelli, RJ, Sinclair, W. Health impact assessment of the 2012 London Olympic transport plans. Eur J Pub Health. 2012;20(6):619-624.CrossRefGoogle Scholar
32.Deering, KN, Chettiar, J, Chan, K, Taylor, M, Montaner, JS, Shannon, K. Sex work and the public health impacts of the 2010 Olympic Games. Sex Transm Infect. 2012;88(4):301-303.CrossRefGoogle ScholarPubMed
33.Wellings, K, Datta, J, Wilkinson, P, Petticrew, M. The 2012 Olympics: assessing the public health effect. Lancet. 2011;378(9797):1193-1195.CrossRefGoogle ScholarPubMed
34. ORiEL Project Web site. http://www.qmul.ac.uk/research/olympics/olympic_stories/57531.html. Accessed October 3, 2013.Google Scholar
35.Ackermann, O, Lahm, A, Pfohl, M, et al. Patient care at the 2010 Love Parade in Duisburg, Germany. Dtsch Arztebl Int. 2011;108(28-29):483-489.Google ScholarPubMed
36.Engledow, S, Yancey, A. EMS to the extreme: extreme sporting events can overwhelm a small department. Partnerships with outside agencies can help. Firechief. 2012;56(12):30-36.Google Scholar
37.Rubin, AL. Safety, security, and preparing for disaster at sporting events. Curr Sports Med Rep. 2004;3(3):141-145.CrossRefGoogle ScholarPubMed
38.Zeitz, KM, Schneider, DPA, Jarrett, D, Zeitz, CJ. Mass gathering events: retrospective analysis of patient presentations over seven years at an agricultural and horticultural show. Prehosp Disaster Med. 2002;17(3):147-150.CrossRefGoogle Scholar
39.Holtzhausen, LM. Emergency medical coverage for road races. International J Sportsmed. 2003;4(1):1-14.Google Scholar
40.Leonard, RB, Winslow, JE, Bozeman, WP. Planning medical care for high-risk mass gatherings. Internet J of Rescue & Disaster Med. 2007;6(1):1-15.Google Scholar