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Uma catástrofe num festival de verão – resposta na área da saúde
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Advisor(s)
Abstract(s)
O Festival Andanças é um festival de música e dança que reúne todos os anos
no verão mais de 15000 pessoas durante uma semana em ambiente rural no
centro-interior de Portugal. A edição de 2016 foi ameaçada por um incêndio
no parque de estacionamento automóvel de apoio ao festival, que destruiu 458
veículos e obrigou à evacuação de todos os participantes, por precaução, sob
o comando da Proteção Civil. Pelas suas características e magnitude, ímpar a
nível mundial, procedeu-se à análise dos cuidados de saúde prestados durante
e após este incidente. A vigilância epidemiológica do festival contou com
a participação do Departamento de Epidemiologia do Instituto Nacional de
Saúde Doutor Ricardo Jorge (INSA), pelo terceiro ano consecutivo, em estreita
colaboração com a equipa de prestação de cuidados no festival. O processo
de recolha e registo dos dados decorreu em tempo real através de uma plataforma
eletrónica desenvolvida pelo Departamento de Epidemiologia do INSA
para o efeito. Durante e após o acidente, a análise dos dados foi realizada e
comunicada diariamente no formato de relatório e em ambiente de reunião
diária com as entidades intervenientes. O registo formal (eletrónico) foi suspenso
durante a evacuação e retomado após o regresso ao recinto, três horas
depois. Em 2016 registaram-se no Festival Andanças no total 1267 ocorrências
de saúde, correspondendo a 920 utilizadores diferentes. Estes eram na sua
maioria do sexo feminino (62,9%), portugueses (77,8%) e com idade entre os
20 e os 39 anos (58,5%). Os principais diagnósticos foram as feridas (41,0%),
as queixas gastrointestinais (12,5%) e osteoarticulares (11,4%). O número de
queixas gastrointestinais levou a investigação mais detalhada, que motivou a
intervenção da autoridade de saúde em dois estabelecimentos de restauração
e bebidas. A análise dos dados recolhidos informalmente durante a evacuação
não evidenciou um impacto relevante na procura de cuidados de saúde pelos
participantes, destacando-se apenas o transporte de 4 participantes ao Hospital
de Portalegre, com queixas respiratórias após combate direto às chamas,
que receberiam alta em menos de 24h. Sem prejuízo dos avultados danos materiais,
os dados recolhidos permitem concluir que não houve um aumento relevante
da procura de cuidados de saúde associada ao acidente. A existência
de ferramentas específicas para recolha e gestão da informação e profissionais
treinados nesta área revelam-se importantes para a gestão quer de eventos
de massas deste tipo, quer para a atuação em caso de acidente.
The Andanças Festival is a music and dance festival taking place every year in the summer, gathering more than 15,000 people during a week in rural environment in the countryside of Portugal. The 2016 edition was threatened by a fire in the car park, which destroyed 458 vehicles and forced the evacuation of all participants, as a precaution, under the command of Civil Protection. Due to its unique characteristics and magnitude the health response during and after this incident was analyzed. The epidemiological surveillance of the festival had the participation of the Department of Epidemiology of the National Health Institute Doutor Ricardo Jorge (INSA), for the third consecutive year, in close collaboration with the healthcare team at the festival. Data collection and registration was carried out in real time through an electronic platform developed by the Department of Epidemiology of INSA for this purpose. During and after the incident, data analysis was performed daily, creating a report and presented in a daily meeting with the intervening entities. The formal (electronic) record was suspended during the evacuation and resumed after returning to the venue three hours later. In 2016 there were 1267 health episodes in the Andanças festival, corresponding to 920 different users. These were mostly female (62.9%), Portuguese (77.8%) and aged 20-39 (58.5%). The main diagnoses were wounds (41.0%), gastrointestinal complaints (12.5%) and osteoarticular complaints (11.4%). The number of gastrointestinal complaints led to more detailed investigation, which led to the intervention of the health authority in two food and beverage facilities. The analysis of the data gathered informally during the evacuation did not show a relevant impact on the health care demand of the participants, highlighting only the transport of 4 participants to the Hospital of Portalegre, with respiratory complaints after direct firefighting, who would be discharged in less than 24 hours. Notwithstanding the considerable material damages, the data collected allowed us to conclude that there has not been a relevant increase in the demand for healthcare associated with the accident. The existence of specific tools for collecting and managing the information as well as trained professionals in this field are important for the management of mass gatherings, enabling rapid response in case of an accident.
The Andanças Festival is a music and dance festival taking place every year in the summer, gathering more than 15,000 people during a week in rural environment in the countryside of Portugal. The 2016 edition was threatened by a fire in the car park, which destroyed 458 vehicles and forced the evacuation of all participants, as a precaution, under the command of Civil Protection. Due to its unique characteristics and magnitude the health response during and after this incident was analyzed. The epidemiological surveillance of the festival had the participation of the Department of Epidemiology of the National Health Institute Doutor Ricardo Jorge (INSA), for the third consecutive year, in close collaboration with the healthcare team at the festival. Data collection and registration was carried out in real time through an electronic platform developed by the Department of Epidemiology of INSA for this purpose. During and after the incident, data analysis was performed daily, creating a report and presented in a daily meeting with the intervening entities. The formal (electronic) record was suspended during the evacuation and resumed after returning to the venue three hours later. In 2016 there were 1267 health episodes in the Andanças festival, corresponding to 920 different users. These were mostly female (62.9%), Portuguese (77.8%) and aged 20-39 (58.5%). The main diagnoses were wounds (41.0%), gastrointestinal complaints (12.5%) and osteoarticular complaints (11.4%). The number of gastrointestinal complaints led to more detailed investigation, which led to the intervention of the health authority in two food and beverage facilities. The analysis of the data gathered informally during the evacuation did not show a relevant impact on the health care demand of the participants, highlighting only the transport of 4 participants to the Hospital of Portalegre, with respiratory complaints after direct firefighting, who would be discharged in less than 24 hours. Notwithstanding the considerable material damages, the data collected allowed us to conclude that there has not been a relevant increase in the demand for healthcare associated with the accident. The existence of specific tools for collecting and managing the information as well as trained professionals in this field are important for the management of mass gatherings, enabling rapid response in case of an accident.
Description
Keywords
Eventos de Massas Mass Gatherings Festival Andanças Vigilância Epidemiológica Observação em Saúde Estados de Saúde e de Doença Saúde Púbica Portugal
Pedagogical Context
Citation
Boletim Epidemiológico Observações. 2017 maio-agosto;6(19):8-15
Publisher
Instituto Nacional de Saúde Doutor Ricardo Jorge, IP