Hostname: page-component-848d4c4894-75dct Total loading time: 0 Render date: 2024-06-03T00:56:24.124Z Has data issue: false hasContentIssue false

Rethinking Mass-Gathering Domains for Understanding Patient Presentations: A Discussion Paper

Published online by Cambridge University Press:  01 December 2020

Alison Hutton*
Affiliation:
School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia
Jamie Ranse
Affiliation:
School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia Department of Emergency Medicine, Gold Coast Health, Gold Coast, Queensland, Australia
Peta-Anne Zimmerman
Affiliation:
School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia Department of Infection Control, Gold Coast Health, Gold Coast, Queensland, Australia
*
Correspondence: Alison Hutton, PhD School of Nursing and Midwifery University of Newcastle University Drive Callaghan Newcastle, New South Wales, Australia E-mail: alison.hutton@newcastle.edu.au

Abstract

Aim:

The aim of this paper is to further develop an existing data model for mass-gathering health outcomes.

Background:

Mass-gathering events (MGEs) occur frequently throughout the world. Having an understanding of the complexities of MGEs is important to determine required health resources. Environmental, psychosocial, and biomedical domains may be a logical starting point to determine how data are being collected and reported in the literature; however, it may be that other factors influencing health resources are not identified within these domains.

Method:

Based on an exhaustive literature synthesis, this paper is the final paper in a series that explores the collection of variables that impact biomedical presentations associated with attendance/participation in MGEs.

Findings:

The authors propose further evolution of the Arbon model to include the addition of several domains, including: event environment; command, control, and communication (C3); public health; health promotion; and legacy when reporting the health outcomes of an event.

Conclusions:

Including a variety of domains that contribute to an MGE allows for formal evaluation of the event, which in turn informs future knowledge and skill development for both the event management group and the wider community.

Type
Special Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

World Health Organization. What is WHO’s role in mass gatherings? https://www.who.int/features/qa/mass-gatherings/en/. Published 2016. Accessed January 23, 2020.Google Scholar
Ranse, J, Hutton, A. Minimum data set for mass-gathering health research and evaluation: a discussion paper. Prehosp Disaster Med. 2012;27(6):543550.CrossRefGoogle ScholarPubMed
Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med. 2004;19(3):208212.CrossRefGoogle ScholarPubMed
Ranse, J, Hutton, A, Turris, SA, et al. Enhancing the minimum data set for mass-gathering research and evaluation: an integrative literature review. Prehosp Disaster Med. 2014;29(3):280–9.CrossRefGoogle Scholar
Hutton, A, Ranse, J, Gray, KL, et al. Environmental influences on patient presentations: considerations for research and evaluation at mass-gathering events. Prehosp Disaster Med. 2019;34(5):552556.10.1017/S1049023X19004813CrossRefGoogle ScholarPubMed
Hutton, A, Ranse, J, Gray, KL, et al. Psychosocial influences on patient presentations: considerations for research and evaluation at mass-gathering events. Prehosp Disaster Med. 2020;35(2):197205.10.1017/S1049023X20000047CrossRefGoogle ScholarPubMed
Hutton, A, Ranse, J, Munn, MB. Developing public health initiatives through understanding motivations of the audience at mass-gathering events. Prehosp Disaster Med. 2018:33(2):191196.10.1017/S1049023X18000067CrossRefGoogle ScholarPubMed
Roberston, M, Hutton, A, Brown, S. Event design in outdoor music festival audience behavior (a critical transformative research note). Event Management. 2018;22(6):10731081.Google Scholar
World Health Organization, (eds). Public Health for Mass Gatherings: Key Considerations. Geneva, Switzerland: WHO Press; 2015.Google Scholar
South By Southwest (SXSW) (n.d). Code of Conduct. https://www.sxsw.com/attend/code-of-conduct/. Accessed January 23, 2020.Google Scholar
Dundas West Fest. https://dundaswestfest.ca/code-of-conduct/. Accessed January 23, 2020.Google Scholar
Meredith Festival. No Dickhead Policy. https://aunty.mmf.com.au/no-dickhead-policy. Accessed January 23, 2020.Google Scholar
Getz, D. Event Studies. Theory Research and Policy on Planned Events. Second Edition, Event Management, Series. London, UK: Routledge; 2012.Google Scholar
Hutton, A, Brown, S, Verdonk, N. Exploring culture: audience predispositions and consequent effects on audience behavior in a mass-gathering setting. Prehosp Disaster Med. 2013;28(3):292297.10.1017/S1049023X13000228CrossRefGoogle Scholar
Hutton, A, Savage, C, Ranse, J, Finnell, D, Kub, J. The use of Haddon’s matrix to plan for injury and illness prevention at outdoor music festivals. Prehosp Disaster Med. 2015;30(2):175183.10.1017/S1049023X15000187CrossRefGoogle ScholarPubMed
Marty, A. Chapter 5: Command, Control and Communication. In: Health Organization, World, (eds). Public Health for Mass Gatherings: Key Considerations. Geneva, Switzerland: WHO Press; 2015:51-58.Google Scholar
Endericks, T. Chapter 2: Legacy and Evaluation. In: Health Organization, World, (eds). Public Health for Mass Gatherings: Key Considerations. Geneva, Switzerland: WHO Press; 2015:23-35.Google Scholar
Rainey, JJ, Phelps, T, Shi, J. Mass gatherings and respiratory disease outbreaks in the United States – should we be worried? Results from a systematic literature review and analysis of the national outbreak reporting system. PLOS ONE. 2016;11(8):e0160378.10.1371/journal.pone.0160378CrossRefGoogle ScholarPubMed
Severi, E, Heinsbroek, E, Watson, C, et al. Infectious disease surveillance for the London 2012 Olympic and Paralympic Games. Eurosurveillance. 2012;17(31):20232.Google Scholar
Qiu, YS, Crilly, J, Zimmerman, PA, et al. Evaluating the impact of a mass gathering (2018 Commonwealth Games) on emergency department presentations with communicable diseases: a retrospective cohort study. Int J Infect Dis. 2020;93:305310.CrossRefGoogle ScholarPubMed
Lowe, R, Barcellos, C, Coelho, CA, et al. Dengue outlook for the World Cup in Brazil: an early warning model framework driven by real-time seasonal climate forecasts. Lancet Infect Dis. 2014;14(7):619626.10.1016/S1473-3099(14)70781-9CrossRefGoogle ScholarPubMed
Qiu, YS, Crilly, J, Zimmerman, PA, et al. The impact of mass gatherings on emergency department patient presentations with communicable diseases related to syndromic indicators: an integrative review. Prehosp Disaster Med. 2020;35(2):206211.10.1017/S1049023X20000151CrossRefGoogle Scholar
Hutton, A, Brown, S. Chapter 16: Psychosocial Considerations. In: Health Organization, World, (eds). Public Health for Mass Gatherings: Key Considerations. Geneva, Switzerland: WHO Press; 2015:149-158.Google Scholar
Hutton, A. The role of harm minimization to prevent alcohol and drug misuse at outdoor music festivals, Chapter 10. In: The Handbook of Festival Management. London, UK: Routledge; 2019.Google Scholar
Harrison, H. Chapter 8: Public Information and Health Promotion. In: Health Organization, World, (eds). Public Health for Mass Gatherings: Key Considerations. Geneva, Switzerland: WHO Press; 2015:7176.Google Scholar
Witt, RR, Kotlhar, MK, Mesquita, MO, et al. Developing legacy: health planning in the host city of Porto Alegre for the 2014 Football World Cup. Prehosp Disaster Med. 2015;30(6):613617.CrossRefGoogle Scholar