TY  - CHAP
A1  - Diewerge, Christine
A1  - Gardemann, Joachim
A1  - Schleiden-Schmidt, Ilse
T1  - Pharmazie in der Internationalen Hilfe und Entwicklungszusammenarbeit; weltweite Hilfe bei Katastrophen und Notsituationen im Gesundheitswesen
T2  - Pharmazeutisches Notfallmanagement
N2  - Katastrophen sind außergewöhnliche Schadenereignisse mit Dimensionen, die das Leben und die Sicherheit von zahlreichen Menschen und Tieren gefährden und eine Vernichtung von zahlreichen materiellen Gütern bewirken. Die Auswirkungen von Katastrophen sind mit dem lokal oder regional vorhandenen Potenzial an Rettungskräften, Material und Gerät sowie mit den vorhandenen Versorgungsstrukturen nicht mehr beherrschbar. Zur Bewältigung bedarf es daher massiver Hilfe von außerhalb der Schadensregion und ungewöhnlicher Maßnahmen. Das betrifft in besonderer Weise Länder mit unterentwickelten Strukturen der Notfallvorsorge und des Gesundheitswesens; hier ist die Hilfe der internationalen Gemeinschaft gefordert. Nach Ansicht der Kommission für Internationale Zusammenarbeit (KIZ) der Deutschen Gesellschaft für Public Health (DGPH) ist es prioritäre Aufgabe, den fließenden Übergang zwischen Nothilfe und Entwicklungszusammenarbeit verstärkt wahrzunehmen und zu untersuchen. Zur Prävention unerwünschter pharmakologischer und volkswirtschaftlicher Langzeiteffekte in diesem Zusammenhang ist ein verantwortungsvoller und mit den lokalen Behandlungsrichtlinien und Aufsichtsbehörden abgestimmter Umgang mit Arzneimittelimporten anlässlich internationaler Nothilfeprogramme von besonderer Bedeutung.
KW  - Deutsche Gesellschaft für Katastrophenmedizin
KW  - Katastrophenmedizin
KW  - Katastrophenschutzrecht
KW  - Pharmazie
KW  - Katastrophenpharmazie
Y1  - 2009
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-4613
SP  - 175
EP  - 193
PB  - Bundesamt für Bevölkerungsschutz und Katastrophenhilfe
CY  - Bonn
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  -