SG6 – Health Security

SG6

Introduction
The aim of the topic is to develop strategies and mechanisms in order to cope with threats both of intentional and accidental origin that can affect the various modules that constitute the Health system.
The aim is also to improve effi ciency and effectiveness during health emergencies. In a scenario like that immediately following the occurrence of catastrophic events (floods, earthquakes, terrorist attacks, etc.) the medical and paramedical staff, operating under severely extreme conditions, must be able to evaluate the general condition of patients, provide first aid on site, deployment of health facilities, possible transfer to the structures able to provide the assistance required.
During public Health emergencies (and also not in emergencies situations), surgery rooms are considered at a high risk of infection because they have high values in the incidence of infection hospital. The goal is oriented towards the reduction of the microbial environment, towards the development of systems to improve patient safety in the therapeutic and surgical procedures, including the ability to deploy at Health care field.

Emergency Management
In a scenario of emergency Health, the problems that medical personnel must face are different and heterogeneous: a) a certain identification of the patient b) make the patient quickly locatable by the same staff, c) make general information about the status of the patient available to the medical staff of structure destination d) make the same information available in real time to a coordination center that can thus assign the proper priority to the interventions.
It should also pay attention to the safe management of sites that are used for the admission of patients.
From this perspective, the preservation of the hospitals (or first aid) by the presence of endotoxins such as lipopolysaccharide (LPS) present in the outer membrane of gram-negative bacteria, assumes a significant importance. Another important aspect involves the management of magnetic resonance imaging devices. In this case the risks from exposure to intense static magnetic and time varying fields (fields RM) must be considered together with possible reductions in equipment performance during intense and continuous diagnostic activity (typical of emergency situations as a result of adverse event).

Security in Hospital
The objectives of this research are:

  • Reducing of the impact of microbes on the environment;
  • Study biological effects and genotoxicity of intense static and alternate magnetic fields; monitoring continuous performance of MRI equipment during intense and continuous activity;
  • Continuous monitoring of operator exposure to static and alternate magnetic fields generated by small and large biomedical equipments (medical electrical equipment, high voltage generators of diagnostic X-RAY generators, baby incubators, monitor vital signs, electrocardiography, cardiac defibrillators etc..) used during the diagnostic activities;
  • Development of systems, methods and tools for the identifi cation of bio-medical counterfeit or illegal drugs and devices in order to halt their spread and marketing. A counterfeit drug is inappropriate to treat a patient and can also cause the development of resistance in the virus/bacteria to a specifi c active ingredient.

In a particular context, it is relevant to avoid the possible risks that could affect the performance and reliability of electrical equipment. At the same time one must ensure the functional performance of the received/transmitted wireless that can be infl uenced by the emissions produced by electromedical devices. It is important also the protection of the population exposed to magnetic fields.

Security Products-Pharmaceutical Processes
The aim of this research is to address issues related to the identifi cation and prevention of the expired and/or counterfeit drugs may be a potential danger to patients. In addition, it must be considered the fact that criminals and terrorist groups see in the lucrative market of counterfeit drugs a tool for increase their earnings and then re-invest in other criminal activities. In this context, the fight against counterfeiting becomes a priority for safety in Health care.

Resilient health care system
The health-care system is a critical infrastructure and it is integral part of the overall complex and interdependent systems able to allow societies to ensure high quality of life and cope with emergencies.
It is itself a main critical infrastructure whose efficiency and resiliency must be effective as well as firmly perceived by the citizens (indeed also the perception plays a central role in order to have a secure and safe society). Thus, health-care systems must be carefully designed and protected, and the interdependencies with other critical infrastructures as energy and/or communications well understood in order to cope with possible risks of cascade failures.

Standardization and interoperability
The information and communication technologies (ICT) play central role for the increased efficiency of the health-care systems and are the glue that connects together the different components. ICT are crucial both for patient treatment as well as for cost reduction. This however demands for an additional effort of standardization and interoperability of systems among local, regional, national and international health-care providers. Thus interoperability and standardization of information and communication systems for e-health are crucial and research is necessary.

 

SG 6 Associated : Health Security