TY - JOUR A1 - Gardemann, Joachim T1 - Solferino 1859 und Münster 1648 in ihrer Bedeutung für die heutige Zeit JF - Idee und Tat Y1 - 2009 IS - 2 ER - TY - JOUR A1 - Gardemann, Joachim T1 - Migration und Gesundheit als Aufgabe des Roten Kreuzes JF - Idee und Tat Y1 - 2009 IS - 1 ER - TY - JOUR A1 - Wahrburg, U T1 - Die Ampel zeigt grün. Worauf es bei der Kennzeichnung von Lebensmitteln ankommt. JF - Herz heute Y1 - 2009 VL - 29 SP - 25 EP - 28 ER - TY - JOUR A1 - Krieg, Christa Maria A1 - Gardemann, Joachim T1 - A record of morbidity and medical request profiles in international humanitarian aid, taking the earthquake in BAM in Iran in 2003 as an example T1 - Opgedane ervaringen met een morbiditeitsregistratiesysteem na deaardbeving in Bam, Iran, 2003 JF - Nederlands Militair Geneeskundig Tijdschrift / Netherlands Military Medical Review N2 - 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. KW - Katastrophenmedizin KW - Erdbeben KW - Epidemiologie KW - Iran KW - earthquake KW - disaster KW - epidemiology Y1 - 2009 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-4522 SN - 0369-4844 VL - 62 SP - 180 EP - 187 PB - Director of Military Health Care CY - The Hague ER - TY - JOUR A1 - Gardemann, Joachim A1 - Moch, Thomas A1 - Munz, Richard T1 - Nach dem Erdbeben im Iran: "Alltagsmedizin" hat Vorrang. Daten der Rotkreuz- und Rothalbmondföderation zufolge ist die chirurgische Akuthilfe am Katastrophenort weniger gefragt JF - Deutsches Ärzteblatt N2 - Ein verheerendes Erdbeben zerstörte am 26. Dezember 2003 die südiranische Stadt Bam und forderte über 36000 Menschenleben. Unter Beteiligung von dreizehn freiwilligen Helfern des Deutschen Roten Kreuzes stellte die internationale Rotkreuz- und Rothalbmondföderation die vollkommen vernichtete medizinische Infrastruktur im Erdbebengebiet für die verbliebene Bevölkerung sicher. Das System schnell einsetzbarer mobiler Gesundheitseinrichtungen (Emergency Response Units) der Rotkreuzbewegung bewährte sich auch in Bam wieder. Erstmals gelang es hierbei, auch in der Akutphase der Katastrophe ein einheitliches und für alle Organisationen verbindliches tägliches Berichtswesen durchzusetzen. Die hiermit erhobenen Fallzahlen belegen für die humanitäre Hilfe auch in einem Erdbebengebiet erneut die überragende Bedeutung der Basisgesundheitsversorgung im Sinne des Primary-Health-Care-Konzeptes gegenüber einer eher chirurgisch orientierten medizinischen Akuthilfe aus dem Ausland. N2 - On December 26th, 2003, a devastating earthquake destroyed the town of Bam in southern Iran, killing at least 36000 humans. The International Federation of Red Cross and Red Crescent Societies, including thirteen volunteers of the German Red Cross, replaced the totally annihilated medical infrastructure for the remaining population in the region. As before, the system of the rapidly deployable Emergency Response Units of the Red Cross demonstrated its practical usefulness also in Bam. For the first time a compulsory standardized health reporting system on a daily base was introduced. The reported incidence data clearly indicate for an earthquake-affected region the very importance of primary health care activities in comparison with imported surgical care and facilities. Y1 - 2009 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-4544 VL - 102 IS - 7 SP - A410 EP - A412 PB - Deutscher Ärzte-Verlag ER -