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      Erkenntnisse aus 31 Stunden Stromausfall in Berlin Köpenick – medizinische Schwerpunkte und Herausforderungen Translated title: Knowledge gained from a 31-h power outage in Berlin Köpenick—medical problems and challenges

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          Abstract

          Am 19.02.2019 kam es nach Durchtrennung eines 110-kV-Kabels zu einem großflächigen Stromausfall im Berliner Bezirk Treptow-Köpenick. Nachfolgend waren ca. 30.000 Haushalte ohne Strom; betroffen waren ca. 70.000 Menschen. Der Stromausfall dauerte mehr als 24 h an und stellte alle Beteiligten vor eine Vielzahl von Herausforderungen. Es wurde der Führungsstab (operativ-taktisch) einberufen, in dem auch medizinische Schwerpunkte fortlaufend identifiziert und reevaluiert werden mussten. Hierbei handelte es sich mitunter um die Identifikation von besonders gefährdeten Patienten wie beispielsweise heimbeatmeten Patienten oder Patienten mit Kunstherz. Weiterhin mussten einzelne Pflegeheime evakuiert werden. Im Verlauf war es notwendig, aufgrund des Ausfalls der Stromversorgung im Schadensgebiet, eine Intensivstation bzw. „Intermediate-care“-Station mit 23 Patienten zu evakuieren. Krankenhäuser müssen sich im Rahmen von Vorplanungen auf derartige Szenarien einstellen. Weiterhin müssen seitens der zuständigen Behörden Vorplanungen erfolgen, die die besonderen Bedürfnisse von vulnerablen Gruppen beinhalten.

          Translated abstract

          On 19 February 2019 the severance of a 110kW cable caused an extensive electrical power cut in the Treptow-Köpenick district of Berlin. Subsequently, ca. 30,000 households were without electricity and ca. 70,000 people were affected. The power cut lasted more than 24h and all those involved were faced with a multitude of challenges. An operational command post was set up in which medical problems had to be continuously identified and re-evaluated. These included the identification of patients particularly at risk, such as home-ventilated patients and patients with artificial hearts. Furthermore, individual nursing homes had to be evacuated. During the procedure it was necessary to evacuate an intensive care ward or intermediate care ward with 23 patients due to the loss of power supply in the affected area. Hospitals must be prepared for such scenarios within the framework of preliminary planning. Furthermore, preliminary planning containing the special needs of vulnerable groups must be carried out on the part of the responsible authorities.

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          Lights out: impact of the August 2003 power outage on mortality in New York, NY.

          Little is known about how power outages affect health. We investigated mortality effects of the largest US blackout to date, 14-15 August 2003 in New York, NY. We estimated mortality risk in New York, NY, using a generalized linear model with data from 1987-2005. We incorporated possible confounders, including weather and long-term and seasonal mortality trends. During the blackout, mortality increased for accidental deaths (122% [95% confidence interval = 28%-287%]) and nonaccidental (ie, disease-related) deaths (25% [12%-41%]), resulting in approximately 90 excess deaths. Increased mortality was not from deaths being advanced by a few days; rather, mortality risk remained slightly elevated through August 2003. To our knowledge, this is the first analysis of power outages and nonaccidental mortality. Understanding the impact of power outages on human health is relevant, given that increased energy demand and climate change are likely to put added strain on power grids.
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            Power Outages, Extreme Events and Health: a Systematic Review of the Literature from 2011-2012

            Background Extreme events (e.g. flooding) threaten critical infrastructure including power supplies. Many interlinked systems in the modern world depend on a reliable power supply to function effectively. The health sector is no exception, but the impact of power outages on health is poorly understood. Greater understanding is essential so that adverse health impacts can be prevented and/or mitigated. Methods We searched Medline, CINAHL and Scopus for papers about the health impacts of power outages during extreme events published in 2011-2012. A thematic analysis was undertaken on the extracted information. The Public Health England Extreme Events Bulletins between 01/01/2013 - 31/03/2013 were used to identify extreme events that led to power outages during this three-month period. Results We identified 20 relevant articles. Power outages were found to impact health at many levels within diverse settings. Recurrent themes included the difficulties of accessing healthcare, maintaining frontline services and the challenges of community healthcare. We identified 52 power outages in 19 countries that were the direct consequence of extreme events during the first three months of 2013. Conclusions To our knowledge, this is the first review of the health impacts of power outages. We found the current evidence and knowledge base to be poor. With scientific consensus predicting an increase in the frequency and magnitude of extreme events due to climate change, the gaps in knowledge need to be addressed in order to mitigate the impact of power outages on global health.
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              Dialysis care and death following Hurricane Sandy.

              Hurricane Sandy affected access to critical health care infrastructure. Patients with end-stage renal disease (ESRD) historically have experienced problems accessing care and adverse outcomes during disasters.
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                Author and article information

                Contributors
                Florian.Breuer@berliner-feuerwehr.de
                Journal
                Anaesthesist
                Anaesthesist
                Der Anaesthesist
                Springer Medizin (Heidelberg )
                0003-2417
                1432-055X
                23 February 2021
                23 February 2021
                2021
                : 70
                : 6
                : 507-514
                Affiliations
                [1 ]Berliner Feuerwehr, Voltairestr. 2, 10179 Berlin, Deutschland
                [2 ]Ärztliche Leitung, Rettungsdienst im Land Berlin, Berlin, Deutschland
                [3 ]GRID grid.412581.b, ISNI 0000 0000 9024 6397, Fakultät für Gesundheit, , Universität Witten Herdecke, ; Witten, Deutschland
                Article
                930
                10.1007/s00101-021-00930-x
                8189958
                33620509
                0799db47-134a-4902-91de-89bdb6206e0f
                © The Author(s) 2021

                Open Access Dieser Artikel wird unter der Creative Commons Namensnennung 4.0 International Lizenz veröffentlicht, welche die Nutzung, Vervielfältigung, Bearbeitung, Verbreitung und Wiedergabe in jeglichem Medium und Format erlaubt, sofern Sie den/die ursprünglichen Autor(en) und die Quelle ordnungsgemäß nennen, einen Link zur Creative Commons Lizenz beifügen und angeben, ob Änderungen vorgenommen wurden.

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                History
                : 27 January 2021
                Funding
                Funded by: Berliner Feuerwehr (9898)
                Categories
                Notfallmedizin
                Custom metadata
                © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2021

                vulnerabilität,großschadensereignis,vorplanung,vorsorge,selbsthilfe,vulnerability,major disaster,preliminary planning,prevention,self-help

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