Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-10T13:55:56.183Z Has data issue: false hasContentIssue false

The Use of Haddon’s Matrix to Plan for Injury and Illness Prevention at Outdoor Music Festivals

Published online by Cambridge University Press:  27 February 2015

Alison Hutton*
Affiliation:
School of Nursing and Midwifery, Flinders University, South Australia, Australia
Christine Savage
Affiliation:
School of Nursing, Johns Hopkins, Baltimore, Maryland USA
Jamie Ranse
Affiliation:
School of Nursing and Midwifery, Flinders University, South Australia, Australia Faculty of Health, University of Canberra, Canberra, Australian Capital Territory, Australia
Deb Finnell
Affiliation:
School of Nursing, Johns Hopkins, Baltimore, Maryland USA
Joan Kub
Affiliation:
School of Nursing, Johns Hopkins, Baltimore, Maryland USA
*
Correspondence: Alison Hutton School of Nursing and Midwifery Flinders University South Australia, Australia E-mail: alison.hutton@flinders.edu.au

Abstract

Introduction

Mass-gathering music events, such as outdoor music festivals (OMFs), increase the risk of injuries and illnesses among attendees. This increased risk is associated with access to alcohol and other drugs by young people and an environment that places many people in close contact with each other.

Aim

The purpose of this report was to demonstrate how Haddon’s matrix was used to examine the factors that contributed to injuries and illnesses that occurred at 26 OMFs using data from the Ranse and Hutton’s minimum data set.

Methods

To help understand the kinds of injuries and illnesses experienced, Hutton et al identified previous patterns of patient presentations at 26 OMFs in Australia. To develop effective prevention strategies, the next logical step was to examine the risk factors associated with each illness/injury event. The Haddon matrix allows event practitioners to formulate anticipatory planning for celebratory-type events.

Results

What was evident from this work was that the host, the agent, and the physical and social environments contributed to the development of injuries and illness at an event. The physical environment could be controlled, to a certain extent, through event design, safety guidelines, and legislation. However, balancing cultural norms, such as the importance placed on celebratory events, with the social environment is more difficult.

Discussion

The use of the Haddon matrix demonstrates that interventions need to be targeted at all stages of the event, particularly both pre-event and during the event. The opportunity to promote health is lost by the time of post event. The matrix provided vital information on what factors may contribute to injury at OMFs; form this information, event planners can strategize possible interventions.

HuttonA , SavageC , RanseJ , FinnellD , KubJ . The Use of Haddon’s Matrix to Plan for Injury and Illness Prevention at Outdoor Music Festivals. Prehosp Disaster Med2015; 30(2):1-9

Type
Original Research
Copyright
© World Association for Disaster and Emergency Medicine 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Krul, J, Blankers, M, Girbes, ARJ. Substance-related health problems during rave parties in the Netherlands (1997-2008). PLoS ONE. 2011;6(12):e29620.Google Scholar
2. Milsten, AM, Maguire, BJ, Bissell, RA, Seaman, KG. Mass-gathering medical care: a review of the literature. Prehosp Disaster Med. 2002;17(3):151-162.Google Scholar
3. Nardi, R, Bettini, M, Bozzoli, C, et al. Emergency Medical Services in mass gatherings: the experience of the Formula 1 Grand Prix ‘San Marino’ in Imola. Euro J Emerg Med. 1997;4(4):217-223.Google Scholar
4. Raineri, A, Earl, C. Crowd management for outdoor music festivals. J Occup Health and Safety Aust New Zeal. 2005;21(3):205-216.Google Scholar
5. Hutton, A, Ranse, J, Verdonk, N, Ullah, S, Arbon, P. Understanding the characteristics of patient presentations of young people at outdoor music festivals. Prehosp Disaster Med. 2014;29(2):1-7.Google Scholar
6. Haddon, W. On the escape of tiger: an ecologic note. J Am Public Health Nations Health. 1970;60(12):2229-2234.Google Scholar
7. Ranse, J, Hutton, A. Minimum data set for mass-gathering health research and evaluation: a discussion paper. Prehosp Disaster Med. 2012;1(1):1-8.Google Scholar
8. Barnett, DJ, Balicer, RD, Blodgett, D, Fews, AL, Parker, CL, Links, JM. The application of the Haddon matrix to public health readiness and response planning. Environ Health Perspectives. 2005;113(5):561-566.Google Scholar
9. Arnold, J. The London bombings and the Haddon matrix Editor’s Corner. Prehosp Disaster Med. 2005;20(5):278-281.Google Scholar
10. Baker, SP, Guohua, L. Epidemiologic approaches to injury and violence. Epidemiologic Reviews. 2012;34:1-3.Google Scholar
11. Inkpen, R. Environmental Geography Blog 2010. file://usergh/H/hutt0019/prefs/Desktop/haddons%20matrix/Environmental%20Geography%20Blog%20%20Haddon%20Matrix%20and%20Hazardous%20Events.htm. Accessed May 7, 2014.Google Scholar
12. Lund, A, Gutman, S, Turris, S. Mass-gathering medicine: a practical means of enhancing disaster preparedness in Canada. Can J Emerg Med. 2011;13(4).CrossRefGoogle ScholarPubMed
13. Zhong, S, Clark, M, Hou, X, Fitzgerald, G. 2010-2011 Queensland floods: using Haddon’s matrix to define and categorize public safety strategies. Emerg Med Australasia. 2013;25:345-352.CrossRefGoogle ScholarPubMed
14. Short, MM, Mushquash, CJ, Bedard, M. Motor vehicle crashes among Canadian Aboriginal people: a review of the literature. Canadian Journal Rural Medicine. 2013;18(3):86-98.Google Scholar
15. Hutton, A, Cusack, L, Zannettino, L, Shaefer, S, Verdonk, N, Arbon, P. What are school leavers’ priorities for festival preparation? Australian J Primary Health. 2013.Google Scholar
16. Hutton, A, Cusack, L. The perspectives of young people on their use of alcohol and risks at School Leavers Festival. Neonatal Paediatric Child Health Journal. 2013;16(3):16-19.Google Scholar