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世界卫生组织应急医疗队最低数据标准在 2019 年莫桑比克应对热带气旋“伊代”中的首次启用。

First Activation of the WHO Emergency Medical Team Minimum Data Set in the 2019 Response to Tropical Cyclone Idai in Mozambique.

机构信息

Japan Disaster Relief Expert Team for Mozambique Cyclone Idai Response 2019.

Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

出版信息

Prehosp Disaster Med. 2022 Dec;37(6):727-734. doi: 10.1017/S1049023X22001406. Epub 2022 Nov 3.

Abstract

INTRODUCTION

During a disaster, comprehensive, accurate, timely, and standardized health data collection is needed to improve patient care and support effective responses. In 2017, the World Health Organization (WHO) developed the Emergency Medical Team (EMT) Minimum Data Set (MDS) as an international standard for data collection in the context of disasters and public health emergencies. The EMT MDS was formally activated for the first time in 2019 during the response to Cyclone Idai in Mozambique.

STUDY OBJECTIVE

The aim of this study was to analyze data collected through the EMT MDS during Cyclone Idai of 2019 and to identify the benefits of and opportunities for its future use.

METHODS

The EMT MDS was used for data collection. All 13 international EMTs deployed from March 27 through July 12 reported data in accordance with the EMT MDS form. The collected data were analyzed descriptively.

RESULTS

A total of 18,468 consultations, including delivery of 94 live births, were recorded. For children under-five and those five-years and older, the top five reasons for consultation were minor injuries (4.5% and 10.8%, respectively), acute respiratory infections ([ARI] 12.6% and 4.8%, respectively), acute watery diarrhea (18.7% and 7.7%, respectively), malaria (9.2% and 6.1%, respectively), and skin diseases (5.1% and 3.1%, respectively). Non-disaster-related health events accounted for 84.7% of the total health problems recorded. Obstetric care was among the core services provided by EMTs during the response.

CONCLUSION

Despite of challenges, the EMT MDS reporting system was found to support the responses and coordination of EMTs. The role of the Mozambican Ministry of Health (MOH), its cooperation with EMTs, and the dedicated technical support of international organizations enabled its successful implementation.

摘要

简介

在灾难期间,需要全面、准确、及时和标准化的健康数据收集,以改善患者护理并支持有效的应对措施。2017 年,世界卫生组织(WHO)制定了紧急医疗小组(EMT)最低数据集(MDS),作为在灾害和突发公共卫生事件背景下进行数据收集的国际标准。EMT MDS 于 2019 年在莫桑比克应对伊代气旋时首次正式启用。

研究目的

本研究旨在分析 2019 年伊代气旋期间通过 EMT MDS 收集的数据,并确定其未来使用的益处和机会。

方法

使用 EMT MDS 进行数据收集。3 月 27 日至 7 月 12 日部署的 13 支国际 EMT 小组均按照 EMT MDS 表格报告数据。对收集的数据进行描述性分析。

结果

共记录了 18468 次就诊,包括 94 例活产分娩。对于五岁以下和五岁以上的儿童,就诊的前五大原因分别是轻伤(分别为 4.5%和 10.8%)、急性呼吸道感染(分别为 12.6%和 4.8%)、急性水样腹泻(分别为 18.7%和 7.7%)、疟疾(分别为 9.2%和 6.1%)和皮肤病(分别为 5.1%和 3.1%)。非灾害相关的健康事件占记录的总健康问题的 84.7%。产科护理是 EMT 在应对期间提供的核心服务之一。

结论

尽管存在挑战,但 EMT MDS 报告系统被发现支持 EMT 的应对和协调。莫桑比克卫生部(MOH)的作用、与 EMT 的合作以及国际组织的专门技术支持使其得以成功实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4ad1/9726470/6563ee74a739/S1049023X22001406_fig1.jpg

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