BIDMC Disaster Medicine Fellowship, Boston, MA, USA.
Département de médecine de famille et médecine d'urgence, Faculté de médecine, Université de Sherbrooke, Sherbrooke, QC, Canada.
Disaster Med Public Health Prep. 2024 Mar 11;18:e50. doi: 10.1017/dmp.2024.38.
The mass gathering event (MGE) industry is growing globally, including in countries such as Canada. MGEs have been associated with a greater prevalence of injury and illness when compared with daily life events, despite most participants having few comorbidities. As such, adequate health, safety, and emergency medical planning is required. However, there is no single entity regulating these concerns for MGEs, resulting in the responsibility for health planning lying with event organizers. This study aims to compare the legislative requirements for MGE medical response systems in the 13 provinces and territories of Canada.
This study is a cross-sectional descriptive analysis of Canadian legislation. Lists of publicly available legislative requirements were obtained by means of the emergency medical services directors and Health Ministries. Descriptive statistics were performed to compare legislation.
Of the 13 provinces and territories, 10 responded. For the missing 3, a law library review confirmed the absence of specific legislation. Most ( = 6; 60%) provinces and territories referred to provisions in their Public Health laws. Four confirmed that MGE medical response was a municipal or local concern to be addressed by the event organizers.
No provinces could list specific legislation guiding safety, health, and medical response for an MGE.
大规模集会活动（MGE）产业在全球范围内不断发展，包括加拿大等国家。与日常生活事件相比，MGE 与更高的伤害和疾病发生率相关，尽管大多数参与者的合并症较少。因此，需要进行充分的健康、安全和紧急医疗规划。然而，没有一个单一的实体来规范这些 MGE 的关注点，这导致健康规划的责任落在活动组织者身上。本研究旨在比较加拿大 13 个省和地区的 MGE 医疗应急系统的立法要求。
本研究是对加拿大立法的横断面描述性分析。通过紧急医疗服务主任和卫生部获得了公开立法要求的清单。采用描述性统计方法比较立法。
在 13 个省和地区中，有 10 个做出了回应。对于另外 3 个，法律图书馆的审查证实了缺乏具体立法。大多数（=6；60%）省份和地区提到了其公共卫生法中的规定。有 4 个省和地区确认 MGE 医疗反应是市政或地方关切的问题，应由活动组织者来解决。
没有一个省份可以列出具体的立法来指导 MGE 的安全、健康和医疗反应。
