Neil Singh Bedi is with the Boston University School of Medicine, Boston, MA. Caleb Dresser and Satchit Balsari are with the Beth Israel Deaconess Medical Center/Harvard Medical School, Boston. Akash Yadav is with the Department of Epidemiology, Harvard University T. H. Chan School of Public Health, Boston. Andrew Schroeder is with Direct Relief, Santa Barbara, CA.
Am J Public Health. 2023 May;113(5):555-558. doi: 10.2105/AJPH.2023.307236. Epub 2023 Mar 2.
To assess wildfire risks to California inpatient health care facilities in 2022. Locations of inpatient facilities and associated inpatient bed capacities were mapped in relation to California Department of Forestry and Fire Protection fire threat zones (FTZs), which combine expected fire frequency with potential fire behavior. We computed the distances of each facility to the nearest high, very high, and extreme FTZs. Half (107 290 beds) of California's total inpatient capacity is within 0.87 miles of a high FTZ and 95% (203 665 beds) is within 3.7 miles of a high FTZ. Half of the total inpatient capacity is within 3.3 miles of a very high FTZ and 15.5 miles of an extreme FTZ. Wildfires threaten a large number of inpatient health care facilities in California. In many counties, all health care facilities may be at risk. Wildfires in California are rapid-onset disasters with short preimpact phases. Policies should address facility-level preparedness including smoke mitigation, sheltering measures, evacuation procedures, and resource allocation. Regional evacuation needs, including access to emergency medical services and patient transportation, must also be considered. (. 2023;113(5):555-558. https://doi.org/10.2105/AJPH.2023.307236).
评估 2022 年加利福尼亚州住院医疗设施的野火风险。住院设施及其相关住院床位容量与加利福尼亚林业和消防保护部的火灾威胁区(FTZ)相关联进行映射,这些 FTZ 将预期的火灾频率与潜在的火灾行为相结合。我们计算了每个设施到最近的高、极高和极端 FTZ 的距离。加利福尼亚州总住院容量的一半(107,290 张床位)距离高 FTZ 不到 0.87 英里,95%(203,665 张床位)距离高 FTZ 不到 3.7 英里。总住院容量的一半距离极高 FTZ 不到 3.3 英里,距离极端 FTZ 不到 15.5 英里。野火威胁着加利福尼亚州的大量住院医疗设施。在许多县,所有医疗设施都可能面临风险。加利福尼亚州的野火是突发性灾害,预影响阶段很短。政策应解决设施层面的准备工作,包括烟雾缓解、避难措施、疏散程序和资源分配。还必须考虑区域疏散需求,包括获得紧急医疗服务和患者运输。(。2023 年;113(5):555-558。https://doi.org/10.2105/AJPH.2023.307236)。