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Hospital Disaster Planning in the Western Cape, South Africa

Published online by Cambridge University Press:  07 October 2011

Melanie Stander ,
Lee Alan Wallis  and
Wayne Patrick Smith
Melanie Stander*
Affiliation:
Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa
Lee Alan Wallis
Affiliation:
Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa
Wayne Patrick Smith
Affiliation:
Division of Emergency Medicine, Stellenbosch University, Cape Town, South Africa
*
Correspondence: Melanie Stander PO Box 1297Durbanville7551Cape TownSouth Africa E-mail: [email protected]
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Abstract

Introduction: The aim of this study was to describe the current state of disaster preparedness in hospitals in the public sector in the Western Cape, South Africa with the advent of the FIFA 2010 Soccer World Cup. The objectives included the completion of a self-reported assessment of readiness at all Western Cape public sector hospitals, to identify best practice and shortfalls in these facilities, as well as putting forward recommendations for improving disaster preparedness at these hospitals.

Methods: The National Department of Health, as part of the planning for the FIFA 2010 World Cup, appointed an expert committee to coordinate improvements in disaster medicine throughout the country. This workgroup developed a Self Reported Hospital Assessment Questionnaire, which was sent to all hospitals across the country. Data only were collected from public hospitals in the Western Cape and entered onto a purpose-built database. Basic descriptive statistics were calculated. Ethical approval was obtained from the Health Sciences Faculty Research Committee of the University of Cape Town.

Results: Twenty-seven of the 41 (68%) public hospitals provided completed data on disaster planning. The study was able to ascertain what infrastructure is available and what planning already has been implemented at these institutions.

Recommendations: Most hospitals in the Western Cape have a disaster plan for their facility. Certain areas need more focus and attention; these include: (1) increasing collaborative partnerships; (2) improving HAZMAT response resources; (3) specific plans for vulnerable populations; (4) contingency plans for communication failure; (5) visitor, media and VIP dedicated areas and personnel; (6) evacuation and surge capacity plans; and (7) increased attention to training and disaster plan exercises.

Keywords

FIFA World Cuphospital disaster planningmass gatheringsoccer
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 26 , Issue 4 , August 2011 , pp. 283 - 288
Copyright
Copyright Stander © World Association for Disaster and Emergency Medicine 2011

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References

FIFA Official Website. Available at http://www.fifa.com. Accessed 6 November 2009.0Google Scholar
South Africa 2010. Available at http://www.sa2010.gov.za. Accessed 06 November 2009.Google Scholar
Department of Health: Strategic priorities for the national health system 2004–2009. Availlable at http://www.doh.gov.za/docs/policy/stratpriorities.pdf. Accessed 04 November 2009.Google Scholar
Statistics South Africa: Mid-year population estimates, 31 July 2008. Available at http://www.statssa.gov.za/publications/P0302/P03022008.pdf. Accessed 20 October 2009.Google Scholar
Western Cape Department of Health. Available at http://www.capegateway.gov.za. Accessed 06 November 2009.Google Scholar
Disaster Medicine Institute of South Africa (DMISA). Available at http://www.disaster.co.za. Accessed 06 November 2009.Google Scholar
Disaster Management Act (no 57 of 2002). Available at http://www.info.gov.za/gazette/acts/2002/a57-02.pdf. Accessed 06 November 2009.Google Scholar
Carley, S, Mackway-Jones, K: Are British hospitals ready for the next major incident? Analysis of hospital major incident plans. BMJ 1996;313:1242–1242.CrossRefGoogle ScholarPubMed
Edwards, AG, Donaldson, O, Walsh, E, Karantana, A: Medical staff need to be aware of major incident planning. BMJ 2003;326:762.CrossRefGoogle ScholarPubMed
Carr, E, Chathrath, P, Palan, P: Audit of doctors’ knowledge of major incident policies. Ann R Coll Surg Eng 2006;88:313–315.CrossRefGoogle ScholarPubMed
Smart, CJ, Maconochie, I: How and why do you declare a major incident? Prehosp Disaster Med 2008;23(1):70–75.CrossRefGoogle Scholar
Clarke, SF, Chilcott, RP, Wilson, JP, et al: Decontamination of multiple casualties who are chemically contaminated: A challenge for acute hospitals. Prehosp Disaster Med 2008;23(2):175–181.CrossRefGoogle ScholarPubMed
Mackway-Jones, K, Carley, SD, Robson, J: Planning for major incidents involving children by implementing a Delphi study. Arch Dis Child 1999;80:410–413.CrossRefGoogle ScholarPubMed
Carley, S, Mackway-Jones, K, Donnan, S: Delphi study into planning for care of children in major incidents. Arch Dis Child 1999;80:406–409.CrossRefGoogle ScholarPubMed
Zane, RD, Biddinger, P, Ide, L, et al: Use of “shuttered” hospitals to expand surge capacity. Prehosp Disaster Med 2008;23(2):121–127.CrossRefGoogle Scholar
Moser, C, Connelly, C, Baker, L: Development of a state medical surge plan, Part II: Components of a medical surge plan. Disaster Manag Response 2006;4(1):19–24.CrossRefGoogle ScholarPubMed
Clarke, SFJ, Chilcott, RP, Wilson, JC, et al: Decontamination of multiple casualties who are chemically contaminated: A challenge for acute hospitals. Prehosp Disaster Med 2008;23(2):175–181.CrossRefGoogle ScholarPubMed
Bartley, BH, Stella, JB, Walsh, LD: What a disaster?! Assessing utility of simulated disaster exercise and educational process for improving hospital preparedness. Prehosp Disaster Med 2006;21(4):249–255.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed