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2 results

  • The 2017 Solar Eclipse: Implementing Enhanced Syndromic Surveillance on the Path of Totality in Kentucky

  • Kristen Heitzinger, Douglas A. Thoroughman, Blake D. Johnson, Andrew Chandler, John W. Prather, Heather M. Walls, Sara D. Robeson, Kimberly A. Porter
  • Journal:
    Disaster Medicine and Public Health Preparedness / Volume 15 / Issue 2 / April 2021
    Published online by Cambridge University Press:
    23 April 2020, pp. 160-163
  • Objective:

    The 2017 solar eclipse was associated with mass gatherings in many of the 14 states along the path of totality. The Kentucky Department for Public Health implemented an enhanced syndromic surveillance system to detect increases in emergency department (ED) visits and other health care needs near Hopkinsville, Kentucky, where the point of greatest eclipse occurred.

    Methods:

    EDs flagged visits of patients who participated in eclipse events from August 17–22. Data from 14 area emergency medical services and 26 first-aid stations were also monitored to detect health-related events occurring during the eclipse period.

    Results:

    Forty-four potential eclipse event-related visits were identified, primarily injuries, gastrointestinal illness, and heat-related illness. First-aid stations and emergency medical services commonly attended to patients with pain and heat-related illness.

    Conclusions:

    Kentucky’s experience during the eclipse demonstrated the value of patient visit flagging to describe the disease burden during a mass gathering and to investigate epidemiological links between cases. A close collaboration between public health authorities within and across jurisdictions, health information exchanges, hospitals, and other first-response care providers will optimize health surveillance activities before, during, and after mass gatherings.

  • 10 - Legislative Authorities and Regulatory Issues

  • from PART II - OPERATIONAL ISSUES
  • Edited by Kristi L. Koenig, University of California, Irvine, Carl H. Schultz, University of California, Irvine
  • Book:
    Koenig and Schultz's Disaster Medicine
    Published online:
    05 August 2011
    Print publication:
    30 September 2009, pp 151-164

  • Summary

    This chapter reviews disaster legal issues primarily from the perspective of a person or institution, who collectively provide medical care to patients in the midst of catastrophic disaster or other public health emergency. It summarizes the key changes in the legal environment under which disaster medicine is practiced. Most medical providers use well-developed procedures to assure that any exchange of patient information complies with law. In the U.S., states regulate the practice of medicine. Thus, providers must be licensed in the state in which they are providing medical care. Medicare in the U.S. also promulgates federal hospital emergency management plan accreditation requirements. The U.S. Emergency Medical Treatment and Labor Act (EMTALA) requires Medicare participating hospitals to provide any individual presenting for care on hospital grounds with medical screening, stabilizing services, and appropriate transfer to a higher level of care if indicated.