Evidence map›Paper›PMID 34465347›Full record

ArticleJournal of occupational medicine and toxicology (London, England)2021

A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts.

Angelina Klein, Julian Heuser, Esther Henning, Nadine Sprössel, Ann-Christin Kordsmeyer, Marcus Oldenburg, Natascha Mojtahedzadeh, Jan Heidrich, Kristina Carolin Militzer, Lukas Belz and 11 more

Abstract read
In one paragraph

Article in Journal of occupational medicine and toxicology (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. ["Strong together": Preparedness in German ports from the perspective of the stakeholders involved in the context of infection events].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Angelina KleinDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Julian HeuserDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Esther HenningDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Nadine SprösselDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Ann-Christin KordsmeyerInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Marcus OldenburgInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Natascha MojtahedzadehInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Jan HeidrichInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Kristina Carolin MilitzerInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Lukas BelzInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Thomas von MünsterInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Volker HarthInstitute for Occupational and Maritime Medicine (ZfAM), University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
Lena EhlersHamburg Port Health Center, Institute for Hygiene and Environment, Hamburg, Germany.
Jens de BoerHamburg Port Health Center, Institute for Hygiene and Environment, Hamburg, Germany.
Scarlett Kleine-KampmannHamburg Port Health Center, Institute for Hygiene and Environment, Hamburg, Germany.
Matthias BoldtHamburg Port Health Center, Institute for Hygiene and Environment, Hamburg, Germany.
Martin Dirksen-FischerHamburg Port Health Center, Institute for Hygiene and Environment, Hamburg, Germany.
Lyubomir HaralambievDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Denis GümbelDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
Axel EkkernkampDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany.
M Sinan BakirDepartment of Trauma and Reconstructive Surgery and Rehabilitative Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Germany. sinan.bakir@uni-greifswald.de.ORCID http://orcid.org/0000-0002-2448-2150

Funding

Bundesministerium für Bildung und Forschung 13N14925
6 · The paper itself

Abstract

backgroundThe project "ARMIHN" (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes.

methodsA selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed.

resultsThe current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations (n = 18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35 min. Based on their specialist expertise, 14 of the 31 listed clinics were selected.

conclusionThe purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID.

Indexed as

Civil protectionEmergency managementInfectious outbreakMaritime medicineMass casualty incidentMedical hazard preventionPort

Identifiers

PMID34465347
PMCPMC8406386

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.