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Evaluation of Health Care Services Provided in Political Public Meetings in Turkey: A Forgotten Detail in Politics

Published online by Cambridge University Press:  15 November 2018

Mehmet Ali Ceyhan ,
Gültekin Günhan Demir  and
Gamze Babur Güler
Mehmet Ali Ceyhan*
Affiliation:
Ankara Numune Training and Research Hospital, Department of Emergency Medicine, Ankara, Turkey
Gültekin Günhan Demir
Affiliation:
Istanbul Medipol Universitesi, Department of Cardiology, Istanbul, Turkey
Gamze Babur Güler
Affiliation:
Istanbul Medipol Universitesi, Department of Cardiology, Istanbul, Turkey
*
Correspondence: Mehmet Ali Ceyhan, MD Ankara Numune Training and Research Hospital Department of Emergency Medicine Ankara 06370, Turkey E-mail: [email protected]
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Abstract

Background

Political parties in Turkey execute political public meetings (PPMs) during their election campaign for members of the parliament (MoP). A great number of people attend these meetings. No guidelines exist regarding preparation and organization of health care services provided during these meetings. Furthermore, there is no study evaluating health care problems encountered in previous PPMs.

Objective

Political parties arranged PPMs in 2015 during the election campaign for general election of MoP. The present study aimed to investigate the context of health care services, the distribution of assigned health staff, as well as the number and the symptoms of patients admitted in health care tents in these PPMs.

Methods

Two general elections for MoP were done in Turkey on June 7, 2015 and November 1, 2015. Health care services were provided by the City Emergency Medical Services Department (CEMSD) in the cities. Demographic characteristics, symptoms, comorbid conditions, treatment, discharge, and hospital transfer of the patients were obtained from patient medical registration records. Information about the distribution and the number of the assigned staff was received from local CEMSDs. The impact of variables such as the number of attendees, heat index, humidity, and the day of the week on the number of patients and the patient presentation rate (PPR) were analyzed.

Results

A total of 97 PPMs were analyzed. The number of total attendees was 5,265,450 people. The number of patients seeking medical help was 1,991. The PPR was 0.5 (0.23-0.91) patients per 1,000 attendees. Mean age of the patients was 40 (SD=19) years old while 1,174 (58.9%) of the patients were female. A total of 1,579 patients were treated in the tents and returned to the PPM following treatment. Two-hundred and three patients were transferred to a hospital by ambulance. Transfer-to-hospital ratio (TTHR) was 0.05 (0.0-0.13) patients per 1,000 attendees. None of the patients suffered sudden cardiac death (SCD) or cardiac arrest. Medical conditions were the main cause for admission. The most common symptoms were dizziness, low blood pressure, fatigue, and hypertension, respectively. The most commonly used medical agents included pain killers and myorelaxants. The number of attendees, heat index, and weekend days were positively correlated with the number of the patients.

Conclusion

: The majority of medical conditions encountered in PPMs are easily treatable in health care tents settled in the meeting area. The number of attendees, heat index, and weekend days are factors associated with the number of patients.

CeyhanMA, DemirGG, GülerGB. Evaluation of Health Care Services Provided in Political Public Meetings in Turkey: A Forgotten Detail in Politics. Prehosp Disaster Med. 2018;33(6):607–613.

Keywords

emergency health servicesmass gatheringpolitical public meeting
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 33 , Issue 6 , December 2018 , pp. 607 - 613
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

References

1. Arbon, P. Mass-gathering medicine: a review of the evidence and future directions for research. Prehosp Disaster Med. 2007;22(2):131-135.Google Scholar
2. World Health Organization. Communicable disease alert and response for mass gatherings. Epidemic and Pandemic Alert and Response. Technical Workshop. Geneva, Switzerland; 2008.Google Scholar
3. Milsten, AM, Maguire, BJ, Bissell, RA, Seaman, KG. Mass-gathering medical care: a review of the literature. Prehosp Disaster Med. 2002;17(3):151-162.Google Scholar
4. Milsten, AM, Seaman, KG, Liu, P, Bissell, RA, Maguire, BJ. Variables influencing medical usage rates, injury patterns, and levels of care for mass gatherings. Prehosp Disaster Med. 2003;18(4):334-346.Google Scholar
5. Hnatow, DA, Gordon, DJ. Medical planning for mass gatherings: a retrospective review of the San Antonio Papal Mass. Prehosp Disaster Med. 1991;6(4):443-450.Google Scholar
6. Thierbach, AR, Wolcke, BB, Piepho, T, Maybauer, M, Huth, R. Medical support for children’s mass gatherings. Prehosp Disaster Med. 2003;18(1):14-19.Google Scholar
7. De Lorenzo, RA. Mass gathering medicine: a review. Prehosp Disaster Med. 1997;12(1):68-72.Google Scholar
8. Arbon, P, Bridgewater, FH, Smith, C. Mass gathering medicine: a predictive model for patient presentation and transport rates. Prehosp Disaster Med. 2001;16(3):150-158.Google Scholar
9. Zeitz, KM, Schneider, DP, Jarrett, D, Zeitz, CJ. Mass gathering events: retrospective analysis of patient presentations over seven years. Prehosp Disaster Med. 2002;17(3):147-150.Google Scholar
10. Zeitz, KM, Zeitz, CJ, Arbon, P. Forecasting medical work at mass-gathering events: predictive model versus retrospective review. Prehosp Disaster Med. 2005;20(3):164-168.Google Scholar
11. Grant, WD, Nacca, NE, Prince, LA, Scott, JM. Mass-gathering medical care: retrospective analysis of patient presentations over five years at a multi-day mass gathering. Prehosp Disaster Med. 2010;25(2):183-187.Google Scholar
12. Feldman, MJ, Lukins, JL, Verbeek, RP, MacDonald, RD, Burgess, RJ, Schwartz, B. Half-a-million strong: the emergency medical services response to a single-day, mass-gathering event. Prehosp Disaster Med. 2004;19(4):287-296.Google Scholar
13. Grange, JT, Green, SM, Downs, W. Concert medicine: spectrum of medical problems encountered at 405 major concerts. Acad Emerg Med. 1999;6(3):202-207.Google Scholar
14. Pérez-Gómez, HR, Ramos-Zúñiga, R, Gutiérrez-Padilla, JA, Gutiérrez-González, H, del Mar González-De la Peña, M, Preciado-Figueroa, JP. Mass-gathering medical strategies: the experience in the International Book Fair in Guadalajara. Gac Med Mex. 2015;151(4):519-524.Google Scholar
15. Varon, J, Fromm, RE, Chanin, K, Filbin, M, Vutpakdi, KJ. Critical illness at mass gatherings is uncommon. Emerg Med. 2003;25(4):409-413.Google Scholar
16. Alquthami, AH, Pines, JM. A systematic review of noncommunicable health issues in mass gatherings. Prehosp Disaster Med. 2014;29(2):167-175.Google Scholar
17. Michael, JA, Barbera, JA. Mass gathering medical care: a twenty-five-year review. Prehosp Disaster Med. 1997;12(4):305-312.Google Scholar
18. De Lorenzo, RA, Gray, BC, Bennet, PC, Lamprella, VJ. Effect of crowd size on patient volume at a large, multipurpose, indoor stadium. J Emerg Med. 1989;7(4):379-384.Google Scholar
19. Krul, J, Sanou, B, Swart, EL, Girbes, AR. Medical care at mass gatherings: emergency medical services at large-scale rave events. Prehosp Disaster Med. 2012;27(1):71-74.Google Scholar
20. Perron, A, Brady, W, Custalow, CB, Johnson, D. Association of het index and patient volume at a mass gathering. Prehosp Emerg Care. 2005;9(1):49-52.Google Scholar
21. Locoh-Donou, S, Yang, G, Berry, T, et al. Mass gathering medicine: event factors predicting patient presentation rates. İntern Emerg Med. 2016;11(5):745-752.Google Scholar
22. Grange, JT, Baumann, GW, Vaezazizi, R. On-site physicians reduce ambulance transports at mass gatherings. Prehosp Emerg Care. 2003;7(3):322-326.Google Scholar
23. Sanders, AB, Criss, E, Steckl, P, Meislin, HW, Raife, J, Allen, D. An analysis of medical care at mass gatherings. Ann Emerg Med. 1986;15(5):515-519.Google Scholar
24. New York State Department of Health: Chapter I of Title 10 (HEALTH) of the Official Compilation of Codes, Rules and Regulations New York State Sanitary Code PART- 18. 18.4 Emergency Health Care Requirements. New York, USA.Google Scholar
25. Meites, E, Brown, JF. Ambulance need at mass gatherings. Prehosp Disaster Med. 2010;25(6):511-514.Google Scholar