Hanfling Dan, Bouri Nidhi
University of Pittsburgh Medical Center, Center for Health Security, Baltimore, Maryland.
Disaster Med Public Health Prep. 2013 Dec;7(6):555-62. doi: 10.1017/dmp.2013.95. Epub 2013 Oct 11.
Hurricane Katrina demonstrated that a catastrophic event in the continental United States (US) can overwhelm domestic medical response capabilities. The recent focus on response planning for a catastrophic earthquake in the New Madrid Seismic Zone and the detonation of an improvised nuclear device also underscore the need for improved plans. The purpose of this analysis is to identify the potential role of foreign medical teams (FMTs) in providing medical response to a catastrophic event in the US. We reviewed existing policies and frameworks that address medical response to catastrophic events and humanitarian emergencies and assess current response capabilities by a variety of FMTs. While several policies and plans outline the role of the US in providing medical assistance during foreign disasters, further planning is necessary to identify how the US will integrate foreign medical assistance during a domestic catastrophic event. We provide an overview of considerations related to federal roles and responsibilities for managing and integrating FMTs into the overarching domestic medical response to a catastrophic disaster occurring in the continental US.
卡特里娜飓风表明，美国本土发生的灾难性事件可能会压垮国内的医疗应对能力。最近对新马德里地震带灾难性地震应对计划的关注以及简易核装置的引爆也凸显了改进计划的必要性。本分析的目的是确定外国医疗队在美国应对灾难性事件中提供医疗援助方面的潜在作用。我们审查了应对灾难性事件和人道主义紧急情况的现有政策和框架，并评估了各类外国医疗队目前的应对能力。虽然有几项政策和计划概述了美国在外国灾难期间提供医疗援助的作用，但仍需要进一步规划，以确定美国在国内发生灾难性事件时将如何整合外国医疗援助。我们概述了与联邦政府在管理外国医疗队并将其纳入美国本土应对灾难性灾难的总体国内医疗响应中的作用和责任相关的考虑因素。
