Challenges of Treating Adenovirus Infection: Application of a Deployable Rapid-Assembly Shelter Hospital

• Published in: Disaster medicine and public health preparedness Vol. 12; no. 1; pp. 109 - 114
• Main Authors: Bai, Song, Yu, Bao-guo, Zhang, Yong-Zhong, Ding, Hui, Wu, Zhou-wei, Fan, Bin, Fan, Hao-jun, Hou, Shi-ke, Chen, Feng
• Format: Journal Article
• Language: English
• Published: New York, USA Cambridge University Press 01.02.2018
• Subjects: Computed tomography; Concepts in Disaster Medicine; Earthquakes; Epidemics; Evacuations & rescues; Infectious diseases; Local government; Medical equipment; Medical personnel; Medical technology; Prevention; Public health; Technicians; Haiti; China; emergency response; infection control; shelter hospital; adenovirus
• ISSN: 1935-7893; 1938-744X
• DOI: 10.1017/dmp.2016.187

This article outlines the evolution of a rescue team in responding to adenovirus prevention with a deployable field hospital. The local governments mobilized a shelter hospital and a rescue team consisting of 59 members to assist with rescue and response efforts after an epidemic outbreak of adenovirus. We describe and evaluate the challenges of preparing for deployment, field hospital maintenance, treatment mode, and primary treatment methods. The field hospital established at the rescue scene consisted of a medical command vehicle, a computed tomography shelter, an X-ray shelter, a special laboratory shelter, an oxygen and electricity supply vehicle, and epidemic prevention and protection equipment. The rescue team comprised paramedics, physicians, X-ray technicians, respiratory therapists, and logistical personnel. In 22 days, more than 3000 patients with suspected adenovirus infection underwent initial examinations. All patients were properly treated, and no deaths occurred. After emergency measures were implemented, the spread of adenovirus was eventually controlled. An emergency involving infectious diseases in less-developed regions demands the rapid development of a field facility with specialized medical personnel when local hospital facilities are either unavailable or unusable. An appropriate and detailed prearranged action plan is important for infectious diseases prevention. (Disaster Med Public Health Preparedness. 2018;12:109–114)