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Models of caregiving in nuclear accidents. Enrico M. Staderini

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Models of caregiving in nuclear accidents. Enrico M. Staderini. Models of caregiving in nuclear accidents. Enrico M. Staderini Haute Ecole d'Ingénierie et de Gestion du Canton de Vaud – HES-SO Western Switzerland University of Applied Sciences Route de Cheseaux, 1 - PowerPoint PPT Presentation
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Models of caregiving in nuclear accidents. Enrico M. Staderini
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  • Models of caregiving in nuclear accidents.

    Enrico M. Staderini

  • Radioactivity safety and securityGeneva, 30 August 2011Models of caregivingin nuclear accidentsEnrico M. StaderiniHaute Ecole d'Ingnierie et de Gestion du Canton de Vaud HES-SOWestern Switzerland University of Applied SciencesRoute de Cheseaux, 1CH-1400 Yverdon les Bains (Vaud) [email protected]

    Radioactivity safety and security

  • Geneva, 30 August 2011Radioactivity safety and securityNot so long time ago, radioactive elements were considered curative

    Radioactivity safety and security

  • Geneva, 30 August 2011Radioactivity safety and securityNow radioactivity is considered with a bit too much attentionOuch! Those cosmic rays are killing me

    Radioactivity safety and security

  • Geneva, 30 August 2011Radioactivity safety and securityAn incredibly complicated problem

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011Place of accidentnuclear power plant / military facilitypossibly restricted accesshospital/research nuclear facilityneighbouring (isolated-populated area)pre-existent health facilitiespre-existent nuclear accident health care facilities (included accident plans) Efficacy of health care to affected people

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011irradiation vs. contaminationkind of irradiation/contaminationreleased activityphysical/biological behaviour of radioactive contaminantbiological effects of irradiation Seriousness of health consequences in the short or long period Need for evacuating people

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011number of affected peopleprofessional peoplegeneral population Level and efficacy of health care Level of problems in evacuating people

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011affected areaconfined areaopen areaaccessible / not accessible arealimited / unlimited area Possibility of delivering health care on site Need of evacuating people

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011affected resources and infrastructureswater supplyfood supplyhealth care facilitiesroadstelecommunication systems Decision about area extension or number of people to evacuate Problems in alerting or caring for the affected population

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011whats the difference between an accident and a disaster?number of people affectedarea extension affectedinfrastructures affectedtime required to restore to normalitycosts to restore to normality

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011what are the differences between a nuclear disaster and a conventional disaster?increased / unpredictable risk for caregivers and rescuersmore difficult rescue operations (due to increased level of safety required)longer time consequenceshigher psychological impact on populations and the general public

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011how telemedicine can help in the case of a nuclear disaster or a nuclear accident?

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011prerequisite for telemedicine is a telecommunication infrastructureuse existing infrastructure (if it survived the accident)fast deploy new infrastructure (mobile phone base stations)one way communication (alerting, counselling, giving evacuation directions)two way communication (caring and specific help) Plan ahead!!!

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011If a thing may go wrong it will go.(Murphys rule)

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011What may go wrong:(never an exhaustive list)

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011telecommunication facilities destroyedelectric power discontinuedemergency power not available or not usabletelecommunication facilities contaminatedtelecommunication facilities not reachablepeople trapped under rubbles (or within shelters)shortage / unavailability of technical personnel common people not able to establish a linklong range telecommunication systems not available (satellite TV broadcasting may be)shortage / unavailability of health personnelaged people with cognitive problems

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011Any good news?No.

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011a general purpose telecommunication alert system still unavailable in most countries (at best they still rely on sirens)a general (robust) telemedicine infrastructure are still unavailable as wellrobust emergency plans for the general population are still based on eighteen century demographystandards for telemedicine operation still missing despite the number of mobile phones is approaching that of the population on the planetstill not addressing the cognitive performances of the general population

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011So what?Only good news:We know the risks!

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011Perhaps radium has something to do with these troubles, but it cannot be affirmed with certainty.

    From the letter of Marie Sklodowska Curie to her sister Bronya (November 1920)

    Marie Curie died of aplastic anemia on July 4th 1934.

    Her papers from the 1890s are still considered too dangerous to handle, even her cookbook is highly radioactive. They are kept in lead-lined boxes, and those who wish to consult them must wear protective clothing.

    Radioactivity safety and security

  • Radioactivity safety and securityGeneva, 30 August 2011Thanks for your attentionEnrico M. StaderiniHaute Ecole d'Ingnierie et de Gestion du Canton de Vaud HES-SOWestern Switzerland University of Applied SciencesRoute de Cheseaux, 1CH-1400 Yverdon les Bains (Vaud) [email protected]

    Radioactivity safety and security

    **


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