Morabia A, Selleger C, Landry J C, Conne P, Urban P, Fabre J
Policlinique de Médecine, Hôpital Cantonal Universitaire, Genève.
Int J Epidemiol. 1988 Mar;17(1):148-52. doi: 10.1093/ije/17.1.148.
In November 1984, because of an accident at a chemical plant, the population of a large area in the town of Geneva, Switzerland, was exposed to toxic bromine gas during several hours at concentrations above the short-term exposure limit. We describe the development of the disaster, the reactions of the fire brigade, the police and the first aid services as well as the breakdown of communications that occurred. On-the-spot epidemiological assessment of the exposed area and of the characteristics of the exposure syndrome was combined with the emergency care of 91 self-referred patients that were seen at the University Hospital. Follow-up was obtained one month later. The clinical course was moderate (eyes and upper airways irritation) and self-limiting in all cases. Immediate definition of the exposed population permitted effective follow-up. Such early evaluation could prove to be of crucial importance for managing more serious accidents of a similar nature.
1984年11月，由于一家化工厂发生事故，瑞士日内瓦镇大片区域的居民在数小时内暴露于浓度超过短期接触限值的有毒溴气中。我们描述了这场灾难的发展过程、消防队、警方和急救服务部门的反应以及所发生的通讯中断情况。对暴露区域和暴露综合征特征进行了现场流行病学评估，并结合了在大学医院诊治的91名自行前来就诊患者的急救情况。一个月后进行了随访。所有病例的临床病程均为中度（眼睛和上呼吸道刺激）且为自限性。对暴露人群的即时界定使得有效的随访成为可能。这种早期评估对于处理更严重的类似性质事故可能至关重要。
