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Emergency departments (EDs) in the United Kingdom (UK) are not prepared for emerging biological threats and bioterrorism

Anathallee, M., Curphey, A., Beeching, Nicholas ORCID: https://orcid.org/0000-0002-7019-8791, Carley, S., Crawford, I. and Mackway-Jones, K. (2007) 'Emergency departments (EDs) in the United Kingdom (UK) are not prepared for emerging biological threats and bioterrorism'. Journal of Infection, Vol 54, Issue 1, pp. 12-17.

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Abstract

Objective: To assess the preparedness of emergency departments (EDs) in the United Kingdom (UK) for the management of potential biological incidents.
Methods: We telephoned all hospitals in the UK listed as having a major ED. We surveyed their ED facilities and procedures for managing patients with infectious diseases. We determined how many of the EDs had an isolation room available and, if present, whether this had an independent ventilation system and separate access from outside the ED. In addition, we determined how many of the EDs would isolate patients with suspected cases of chickenpox, tuberculosis (TB), severe acute respiratory syndrome (SARS) and other suspicious infections.
Results: We obtained complete data from 203 (79%) of the 257 hospitals approached. Only 49 (24%) of these hospitals had isolation facilities available in the ED. Of these 49 EDs, 30 (61%) reported an independent ventilation system and 18 (37%) reported a separate access from outside the ED. The majority of EDs would isolate patients with potential infectious diseases, however, 47 (23%) would not isolate patients with suspected chickenpox, 37 (18%) EDS would not isolate patients with suspected TB, 12 (6%) EDS would not isolate patients with suspected SARS and 55 (27%) EDS would not isolate patients with other suspicious infections.
Conclusion: EDs in the UK are not prepared for emerging biological threats and bioterrorism. With current facilities and procedures it is highly likely that an infectious agent wilt spread to staff and other patients in any future biological incident. (C) 2006 The British Infection Society. Published by Elsevier Ltd. All rights reserved.

Item Type: Article
Uncontrolled Keywords: disaster planning disease outbreaks bioterrorism hospitals
Subjects: WA Public Health > Accident and Injury Prevention. Disasters > WA 295 Disasters. Disaster medicine. Rescue work. Terrorism
WX Hospitals and Other Health Facilities > Clinical Departments and Units > WX 215 Emergency service. Ambulance service
Faculty: Department: Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI): https://doi.org/10.1016/j.jinf.2006.03.034
Depositing User: Ms Julia Martin
Date Deposited: 31 Aug 2010 14:38
Last Modified: 09 Sep 2019 06:25
URI: https://archive.lstmed.ac.uk/id/eprint/1334

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