@incollection{DiewergeGardemannSchleidenSchmidt2009, author = {Diewerge, Christine and Gardemann, Joachim and Schleiden-Schmidt, Ilse}, title = {Pharmazie in der Internationalen Hilfe und Entwicklungszusammenarbeit; weltweite Hilfe bei Katastrophen und Notsituationen im Gesundheitswesen}, series = {Pharmazeutisches Notfallmanagement}, booktitle = {Pharmazeutisches Notfallmanagement}, publisher = {Bundesamt f{\"u}r Bev{\"o}lkerungsschutz und Katastrophenhilfe}, address = {Bonn}, organization = {Bundesamt f{\"u}r Bev{\"o}lkerungsschutz und Katastrophenhilfe, Deutsche Gesellschaft f{\"u}r Katastrophenmedizin e.V}, doi = {10.25974/fhms-461}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4613}, publisher = {FH M{\"u}nster - University of Applied Sciences}, pages = {175 -- 193}, year = {2009}, abstract = {Katastrophen sind außergew{\"o}hnliche Schadenereignisse mit Dimensionen, die das Leben und die Sicherheit von zahlreichen Menschen und Tieren gef{\"a}hrden und eine Vernichtung von zahlreichen materiellen G{\"u}tern bewirken. Die Auswirkungen von Katastrophen sind mit dem lokal oder regional vorhandenen Potenzial an Rettungskr{\"a}ften, Material und Ger{\"a}t sowie mit den vorhandenen Versorgungsstrukturen nicht mehr beherrschbar. Zur Bew{\"a}ltigung bedarf es daher massiver Hilfe von außerhalb der Schadensregion und ungew{\"o}hnlicher Maßnahmen. Das betrifft in besonderer Weise L{\"a}nder mit unterentwickelten Strukturen der Notfallvorsorge und des Gesundheitswesens; hier ist die Hilfe der internationalen Gemeinschaft gefordert. Nach Ansicht der Kommission f{\"u}r Internationale Zusammenarbeit (KIZ) der Deutschen Gesellschaft f{\"u}r Public Health (DGPH) ist es priorit{\"a}re Aufgabe, den fließenden {\"U}bergang zwischen Nothilfe und Entwicklungszusammenarbeit verst{\"a}rkt wahrzunehmen und zu untersuchen. Zur Pr{\"a}vention unerw{\"u}nschter pharmakologischer und volkswirtschaftlicher Langzeiteffekte in diesem Zusammenhang ist ein verantwortungsvoller und mit den lokalen Behandlungsrichtlinien und Aufsichtsbeh{\"o}rden abgestimmter Umgang mit Arzneimittelimporten anl{\"a}sslich internationaler Nothilfeprogramme von besonderer Bedeutung.}, subject = {Deutsche Gesellschaft f{\"u}r Katastrophenmedizin}, language = {de} } @article{KriegGardemann2009, author = {Krieg, Christa Maria and Gardemann, Joachim}, title = {A record of morbidity and medical request profiles in international humanitarian aid, taking the earthquake in BAM in Iran in 2003 as an example}, series = {Nederlands Militair Geneeskundig Tijdschrift / Netherlands Military Medical Review}, volume = {62}, journal = {Nederlands Militair Geneeskundig Tijdschrift / Netherlands Military Medical Review}, publisher = {Director of Military Health Care}, address = {The Hague}, issn = {0369-4844}, doi = {10.25974/fhms-452}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4522}, pages = {180 -- 187}, year = {2009}, abstract = {A record of morbidity and medical request profiles in international humanitarian aid, taking the earthquake in BAM in Iran in 2003 as an example Objective: With the humanitarian work of the International Red Cross after the earthquake in BAM, Iran, it should be noted that international and national cooperation is possible according to recognised standards and concepts, and therefore morbidity records can be included uniformly in the context of day to day work even in post disaster situations. The data ascertained show changes in the disease spectrum. Basic health provision according to the primary health care concept has priority in the post disaster response (> 6 days) of the earthquake compared to more surgically oriented medical acute aid from abroad. Material and methodology: In the international consensus conference at the beginning of January 2004, uniform morbidity recording was fixed to simple standardised case definitions. The recording of traumatic, infectious and non-infectious diseases was carried out during the routine work in the out-patient facilities of the emergency response units of January 3 to 31, 2004 . Examination was according to the following indicators: Proportional morbidities, sum of the proportional morbidities. Results and discussion: 16677 new cases were included in the complete examination time period. The health facility rate only gradually increased. Temporal fluctuations in the numbers treated may be caused by secondary care of the injured, by a possible lack of accessibility (transport problems) or an increased acceptance of facilities. A written specification of the case definitions was not carried out in BAM, and so a comparison is not possible for recorded morbidities at the same time, and consistency cannot be reached for some of the data. Nine diagnoses/categories cover 98.68\% of the consultations in the complete time period. Non-traumatic health problems predominate for the whole of the month. The category "others" is too high with 57.94\%. Therefore, it may be assumed that certain diagnoses were overestimated, underestimated or not recognised. Vulnerable groups (children, women, the old), were not completely included. Conclusion: Standards and guidelines for health care in humanitarian aid exist, and are of help during planning, decision finding, execution and communication. Data acquisition instruments (registering books and patient files) should be developed and standardised by national and international humanitarian groups. The recording of morbidity is a simple instrument in the context of out-patient facilities with valuable information for further work during catastrophes.}, subject = {Katastrophenmedizin}, language = {en} }