Vorbereitung auf eine Pandemie

Pandemien sind unvorhersehbare Ereignisse, die erhebliche Auswirkungen auf die weltweite Gesundheit und Gesellschaft haben können. Sie ereignen sich, wenn ein Pathogen auftritt, gegen das der Mensch keine oder nur eine geringe Immunität besitzt. Planung und Vorbereitung sind wesentliche Schritte, um das Risiko und die Auswirkungen einer Pandemie zu mindern, die Reaktion zu steuern und ein normales Leben wiederherzustellen.

Abstract

The current COVID-19 pandemic has contributed to millions of deaths globally and it is estimated that the hit to the global economy could reach more than twelve trillion US-dollars. Disease outbreaks have often pushed weak health systems to a breaking point, as witnessed during cholera, Ebola and Zika virus upsurges. The preparation of a plan involves the analysis of a scenario divided into the disaster cycle’s four phases: preparation, response, recovery, and mitigation. Several levels of planning are recognised according to the goals to be reached: strategic plans are directed to define the organisational context and overall aims, operational plans with putting the strategy into place, tactical plans explain how resources will be allocated and managed, as well as provide essential instructions to the responders. The hospital surge capacity relies on the reorganisation of resources according to four categories: system, staff, stuff (supplies), and space. Each of these components needs to be analysed, implemented, and tested during the preparation phase to reduce the occurrence of a critical overrun of the response capabilities, as this will trigger the recourse of contingency plans. The response to pandemics must be associated with public health and social measures, as well as with initiatives to support the psycho-physical health of healthcare workers.

Schlüsselwörter

Pandemie - Vorbereitung des Gesundheitssystems - Notfallplanung - Kapazitätserweiterung - Katastrophenmedizin

Key words

pandemic - healthcare preparedness - emergency planning - surge capacity - disaster medicine

Publication History

Article published online:
12 February 2024

• Literatur

• 1 Klein MG, Cheng CJ, Lii E. et al. COVID-19 Models for Hospital Surge Capacity Planning: A Systematic Review. Disaster Med Public Health Prep 2022; 16: 390-397 DOI: 10.1017/dmp.2020.332.
• 2 Coccolini F, Cicuttin E, Cremonini C. et al. A pandemic recap: lessons we have learned. World J Emerg Surg 2021; 16: 46 DOI: 10.1186/s13017-021-00393-w.
• 3 Todorovic J, Piperac P, Terzic-Supic Z. Emergency management, mitigation for COVID-19 and the importance of preparedness for future outbreaks. Int J Health Plann Manage 2020; 35: 1274-1276 DOI: 10.1002/hpm.3011.
• 4 Wilder-Smith A, Osman S. Public health emergencies of international concern: a historic overview. J Travel Med 2020; 27: taaa227 DOI: 10.1093/jtm/taaa227.
• 5 Robert Koch-Institut. Nationaler Pandemieplan Teil II – Wissenschaftliche Grundlagen. Berlin: Robert Koch-Institut; 2016. DOI: 10.17886/rkipubl-2016-004.4
• 6 Robert Koch-Institut. Nationaler Pandemieplan Teil I – Strukturen und Maßnahmen. Berlin: Robert Koch-Institut; 2017. DOI: 10.17886/rkipubl-2017-005
• 7 Robert Koch-Institut. Ergänzung zum Nationalen Pandemieplan – COVID-19 – neuartige Coronaviruserkrankung. 04.03.2020. Zugriff am 12. April 2023 unter: http://www.rki.de/DE/Content/InfAZ/N/Neuartiges_Coronavirus/Ergaenzung_Pandemieplan_Covid.pdf?__blob=publicationFile
• 8 Ciottone GR. Chapter 1 – Introduction to Disaster Medicine. Ciottone GR. Ciottone’s Disaster Medicine. 2 ed.. Philadelphia: Elsevier; 2016: 2-5 DOI: 10.1016/B978-0-323-28665-7.00001-7
• 9 World Health Organisation. Pandemic influenza preparedness and response: a WHO guidance document. 2009. Zugriff am 12. April 2023 unter: http://apps.who.int/iris/handle/10665/44123
• 10 World Health Organisation. Pandemic influenza risk management: a WHO guide to inform and harmonize national and international pandemic preparedness and response. Geneva: World Health Organisation; 2017
• 11 Keim M. Disaster Planning: A Practical Guide for Effective Health Outcomes. Cambridge: Cambridge University Press; 2021. DOI: 10.1017/9781009004213
• 12 Thomasian NM, Madad S, Hick JL. et al. Hospital Surge Preparedness and Response Index. Disaster Med Public Health Prep 2021; 15: 398-401 DOI: 10.1017/dmp.2021.190.
• 13 Durski KN, Osterholm M, Majumdar SS. et al. Shifting the paradigm: using disease outbreaks to build resilient health systems. BMJ Global Health 2020; 5: e002499 DOI: 10.1136/bmjgh-2020-002499.
• 14 Institute of Medicine. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press; 2013. DOI: 10.17226/18338
• 15 Einav S, Hick JL, Hanfling D. et al. Surge capacity logistics: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement. Chest 2014; 146: e17S-e43S DOI: 10.1378/chest.14-0734.
• 16 Jerg-Bretzke L, Kempf M, Jarczok MN. et al. Psychosocial Impact of the COVID-19 Pandemic on Healthcare Workers and Initial Areas of Action for Intervention and Prevention – The egePan/VOICE Study. Int J Environ Res Public Health 2021; 18: 10531 DOI: 10.3390/ijerph181910531.
• 17 Wang J, Wang Z. Strengths, Weaknesses, Opportunities and Threats (SWOT) Analysis of China’s Prevention and Control Strategy for the COVID-19 Epidemic. Int J Environ Res Public Health 2020; 17: 2235 DOI: 10.3390/ijerph17072235.
• 18 Turcato G, Zaboli A, Pfeifer N. The COVID-19 epidemic and reorganisation of triage, an observational study. Intern Emerg Med 2020; 15: 1517-1524 DOI: 10.1007/s11739-020-02465-2.