Institute of Naval Medicine, Gosport, UK
Emergency Department, Basingstoke and North Hampshire Hospital, Basingstoke, UK.
BMJ Mil Health. 2020 Apr;166(2):95-98. doi: 10.1136/jramc-2019-001233. Epub 2019 May 31.
Following the deliberate chemical attacks in Salisbury last year, a review of UK resilience to chemical incidence was undertaken. The scope was not limited to deliberate attacks, related to terrorism, but was to include non-deliberate and accidental events. Chemical incidents have wide-reaching consequences irrespective of whether they are deliberate or not. The effects of these incidents manifest themselves in terms of immediate health consequences and will also include economic, political and public health effects that may have a much longer impact than the initial disruption. The economic consequences of the Novichok attack were devastating to the local population and businesses in both the short term and the long term, being felt over a year later. This review discusses the effects of these incidents on infrastructure, healthcare provision, law and order, economics and government at a local, regional and national level. The NHS Emergency Preparedness, Resilience and Response Framework was reviewed, and this provides a basic outline of advice for local government to follow in the case of chemical incidents. However, the wider issues of interdepartmental co-operation and how to maintain a response in the long term require further thought. Moreover, the methods by which interagency and regional resilience is maintained in preparing for such an event require a clearer guideline.
去年索尔兹伯里蓄意化学袭击事件发生后，英国对化学事件的抵御能力进行了审查。审查范围不仅限于与恐怖主义有关的蓄意袭击，还包括非蓄意和意外事件。无论是否蓄意，化学事件都会产生广泛的后果。这些事件的影响体现在直接的健康后果上，还将包括经济、政治和公共卫生方面的影响，这些影响可能比最初的破坏持续更长时间。Novichok 袭击事件对当地居民和企业造成了短期和长期的毁灭性经济影响，一年多后仍能感受到其影响。本综述讨论了这些事件对基础设施、医疗保健提供、法律和秩序、经济以及地方、地区和国家各级政府的影响。审查了国民保健制度应急准备、恢复力和应对框架，该框架为地方政府在发生化学事件时提供了遵循的基本建议。然而，部门间合作的更广泛问题以及如何长期保持应对能力需要进一步思考。此外，在为应对此类事件做准备时，维持机构间和区域恢复力的方法需要更明确的指导方针。
