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Disaster Preparedness of Poison Control Centers in the USA: A 15-year Follow-up Study
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  • 作者:Michael A. Darracq (1) (2)
    Richard F. Clark (1) (2)
    Irving Jacoby (1)
    Gary M. Vilke (1)
    Gerard DeMers (3)
    F. Lee Cantrell (1) (2)
  • 关键词:Poison Control Center ; Disasters ; Disaster planning ; Terrorism ; Mass casualty incidents
  • 刊名:Journal of Medical Toxicology
  • 出版年:2014
  • 出版时间:March 2014
  • 年:2014
  • 卷:10
  • 期:1
  • 页码:19-25
  • 全文大小:980 KB
  • 参考文献:1. Nathan AR, Olson KR, Everson GW et al (1992) Effects of a major earthquake on calls to regional poison control centers. West J Med 56:278-80
    2. Forrester MB (2008) Impact of Hurricane Rita on Texas poison center calls. Prehosp Disaster Med 233:256-62
    3. Forrester MB (2008) Impact of Hurricane Ike on Texas poison center calls. Disaster Med Public Health Prep 3(3):151-57 CrossRef
    4. Vilke et al (1996) Disaster preparedness of poison control centers in The United States. Clin Toxicol 34(1):53-8 CrossRef
    5. Vassilev ZP, Kashani J, Ruck B, Hoffman RS, Marcus SM (2007) Poison control center surge capacity during an unusual increase in call volume–results from a natural experiment. Prehosp Disaster Med 22(1):55-8
    6. AAPCC (2008) Application for accreditation as a regional poison control center. Available via https://aapcc.s3.amazonaws.com/pdfs/member-resources/Accreditation_Application_6-3-08.pdf. Accessed 28 Nov 2012
    7. AAPCC Board of Directors (2005) American Association of Poison Control Centers: criteria for certification of poison centers and poison center systems. Available via https://aapcc.s3.amazonaws.com/pdfs/member-resources/Certification_Criteria__rev__7_2005.pdf. Accessed 28 Nov 2012
    8. American Association of Poison Control Centers (AAPCC) (1988) Criteria and certification as a regional poison center. Vet Hum Toxicol 30:385-87
    9. Auf der Heide, E. Disaster response: principles of preparation and coordination. Available via http://aresalaska.org/docs/Disaster_Response_Principals.pdf. Accessed 27 March 2012
    10. Klein KR, Herzog P, Smolinske S et al (2003) Demand for poison control center services “surged-during the 2003 blackout. 2007. Clin Toxicol (Phila) 45(3):248-54 CrossRef
    11. Sutter ME, Bronstein AC, Heard SE et al (2010) The role of clinical toxicologists and poison control centers in public health. Am J Prev Med 38(6):658-62 CrossRef
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  • 作者单位:Michael A. Darracq (1) (2)
    Richard F. Clark (1) (2)
    Irving Jacoby (1)
    Gary M. Vilke (1)
    Gerard DeMers (3)
    F. Lee Cantrell (1) (2)

    1. Department of Emergency Medicine, University of California, San Diego, San Diego, CA, USA
    2. San Diego Division, California Poison Control System, San Diego, CA, USA
    3. Naval Medical Center San Diego, San Diego, CA, USA
  • ISSN:1937-6995
文摘
There is limited published literature on the extent to which United States (US) Poison Control Centers (PCCs) are prepared for responding to disasters. We describe PCCs' disaster preparedness activities and compare and contrast these results to those previously reported in the medical literature. We also describe the extent to which PCCs are engaged in disaster and terrorism preparedness planning and other public health roles such as surveillance. An electronic questionnaire was sent via email to the managing directors of the 57 member PCCs of the American Association of Poison Control Centers. Collected data included the population served and number of calls received, extent of disaster preparedness including the presence of a written disaster plan and elements included in that plan, the presence and nature of regular disaster drills, experience with disaster including periods of inability to operate, involvement in terrorism and disaster preparedness/response policy development, and public health surveillance of US PCCs. Descriptive statistics were performed on collected data. Comparisons with the results from a previously published survey were performed. A response was obtained from 40/57 (70?%) PCCs. Each PCC serves a larger population (p-lt;-.0001) and receives more calls per year (p--.0009) than the previous descriptions of PCC preparedness. More centers report the presence of a written disaster plan (p-lt;-.0001), backup by another center (p-lt;-.0001), regular disaster drills (p-lt;-.0001), and comfort with ability to operate in a disaster (p-lt;-.0001) than previously described. PCCs are involved in disaster (34/40, 85?%) and terrorism (29/40, 73?%) preparedness at the local, state, or federal levels. PCCs (36/40, 90?%) are also involved in public health functions (illness surveillance or answering “after hours-public health calls). Despite an increase in calls received and population served per center as compared to previous descriptions, more PCCs report the presence of a written disaster plan, backup by another center, regular disaster drills, and comfort in ability to operate in a disaster. PCCs are actively involved in terrorism and disaster preparedness and response planning and traditional public health responsibilities such as surveillance.

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