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Klein A, Heuser J, Henning E, et al. A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts. J Occup Med Toxicol. 2021;16(1):36doi: 10.1186/s12995-021-00324-0.
Klein, A., Heuser, J., Henning, E., Sprössel, N., Kordsmeyer, A. C., Oldenburg, M., Mojtahedzadeh, N., Heidrich, J., Militzer, K. C., Belz, L., von Münster, T., Harth, V., Ehlers, L., de Boer, J., Kleine-Kampmann, S., Boldt, M., Dirksen-Fischer, M., Haralambiev, L., Gümbel, D., Ekkernkamp, A., & Bakir, M. S. (2021). A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts. Journal of occupational medicine and toxicology (London, England), 16(1), 36. https://doi.org/10.1186/s12995-021-00324-0
Klein, Angelina, et al. "A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts." Journal of occupational medicine and toxicology (London, England) vol. 16,1 (2021): 36. doi: https://doi.org/10.1186/s12995-021-00324-0
Klein A, Heuser J, Henning E, Sprössel N, Kordsmeyer AC, Oldenburg M, Mojtahedzadeh N, Heidrich J, Militzer KC, Belz L, von Münster T, Harth V, Ehlers L, de Boer J, Kleine-Kampmann S, Boldt M, Dirksen-Fischer M, Haralambiev L, Gümbel D, Ekkernkamp A, Bakir MS. A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts. J Occup Med Toxicol. 2021 Aug 31;16(1):36. doi: 10.1186/s12995-021-00324-0. PMID: 34465347; PMCID: PMC8406386.
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J Occup Med Toxicol. 2021 Aug 31;16(1):36. doi: 10.1186/s12995-021-00324-0.

A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts.

Journal of occupational medicine and toxicology (London, England)

Angelina Klein, Julian Heuser, Esther Henning, Nadine Sprössel, Ann-Christin Kordsmeyer, Marcus Oldenburg, Natascha Mojtahedzadeh, Jan Heidrich, Kristina Carolin Militzer, Lukas Belz, Thomas von Münster, Volker Harth, Lena Ehlers, Jens de Boer, Scarlett Kleine-Kampmann, Matthias Boldt, Martin Dirksen-Fischer, Lyubomir Haralambiev, Denis Gümbel, Axel Ekkernkamp, M Sinan Bakir

Affiliations

  1. Department of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
  2. Institute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
  3. Hamburg Port Health Center, Institute for Hygiene and Environment, Hamburg, Germany.
  4. Department of Trauma Surgery and Orthopedics, BG Hospital Unfallkrankenhaus Berlin gGmbH, Berlin, Germany.
  5. Department of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany. [email protected].
  6. Department of Trauma Surgery and Orthopedics, BG Hospital Unfallkrankenhaus Berlin gGmbH, Berlin, Germany. [email protected].

PMID: 34465347 PMCID: PMC8406386 DOI: 10.1186/s12995-021-00324-0

Abstract

BACKGROUND: The project "ARMIHN" (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes.

METHODS: A selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed.

RESULTS: The current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations (n = 18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35 min. Based on their specialist expertise, 14 of the 31 listed clinics were selected.

CONCLUSION: The purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID.

© 2021. The Author(s).

Keywords: Civil protection; Emergency management; Infectious outbreak; Maritime medicine; Mass casualty incident; Medical hazard prevention; Port

References

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