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Burkle Jr)] TJ ET 0.271 0.267 0.267 rg BT 275.499 639.438 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 280.920 639.438 Td /F1 9.8 Tf [(Pier Luigi Ingrassia)] TJ ET 0.271 0.267 0.267 rg BT 26.250 627.533 Td /F1 9.8 Tf [(Djalali A, Della Corte F, Foletti M, Ragazzoni L, Ripoll Gallardo A, Lupescu O, Arculeo C, von Arnim G, Friedl T, Ashkenazi M, )] TJ ET BT 26.250 615.628 Td /F1 9.8 Tf [(Fischer P, Hreckovski B, Khorram-Manesh A, Komadina R, Lechner K, Patru C, Burkle FM, Ingrassia PL. Art of Disaster )] TJ ET BT 26.250 603.723 Td /F1 9.8 Tf [(Preparedness in European Union: a Survey on the Health Systems. PLOS Currents Disasters. 2014 Dec 17 . Edition 1. doi: )] TJ ET BT 26.250 591.819 Td /F1 9.8 Tf [(10.1371/currents.dis.56cf1c5c1b0deae1595a48e294685d2f.)] TJ ET q 15.000 32.625 577.500 556.813 re W n 0.271 0.267 0.267 rg BT 26.250 562.716 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 542.762 Td /F1 9.8 Tf [(Introduction: Naturally occurring and man-made disasters have been increasing in the world, including Europe, over the past )] TJ ET BT 26.250 530.857 Td /F1 9.8 Tf [(several decades. Health systems are a key part of any community disaster management system. The success of preparedness )] TJ ET BT 26.250 518.952 Td /F1 9.8 Tf [(and prevention depends on the success of activities such as disaster planning, organization and training. The aim of this study )] TJ ET BT 26.250 507.048 Td /F1 9.8 Tf [(is to evaluate health system preparedness for disasters in the 27 European Union member countries.)] TJ ET BT 26.250 487.643 Td /F1 9.8 Tf [(Method: A cross-sectional analysis study was completed between June-September 2012. The checklist used for this survey was )] TJ ET BT 26.250 475.738 Td /F1 9.8 Tf [(a modified from the World Health Organization toolkit for assessing health-system capacity for crisis management. Three )] TJ ET BT 26.250 463.833 Td /F1 9.8 Tf [(specialists from each of the 27 European Union countries were included in the survey. Responses to each survey question were )] TJ ET BT 26.250 451.929 Td /F1 9.8 Tf [(scored and the range of preparedness level was defined as 0-100%, categorized in three levels as follows: Acceptable; )] TJ ET BT 26.250 440.024 Td /F1 9.8 Tf [(Transitional; or Insufficient.)] TJ ET BT 26.250 420.619 Td /F1 9.8 Tf [(Results: Response rate was 79.1%. The average level of disaster management preparedness in the health systems of 27 )] TJ ET BT 26.250 408.714 Td /F1 9.8 Tf [(European Union member states was 68% \(Acceptable\). The highest level of preparedness was seen in the United Kingdom, )] TJ ET BT 26.250 396.810 Td /F1 9.8 Tf [(Luxemburg, and Lithuania. Considering the elements of disaster management system, the highest level of preparedness score )] TJ ET BT 26.250 384.905 Td /F1 9.8 Tf [(was at health information elements \(86%\), and the lowest level was for hospitals, and educational elements \(54%\).)] TJ ET BT 26.250 365.500 Td /F1 9.8 Tf [(Conclusion: This survey study suggests that preparedness level of European Union countries in 2012 is at an acceptable level )] TJ ET BT 26.250 353.595 Td /F1 9.8 Tf [(but could be improved. Elements such as hospitals and education and training suffer from insufficient levels of preparedness. )] TJ ET BT 26.250 341.691 Td /F1 9.8 Tf [(The European Union health systems need a collective strategic plan, as well as enough resources, to establish a )] TJ ET BT 26.250 329.786 Td /F1 9.8 Tf [(comprehensive and standardized disaster management strategy plan. A competency based training curriculum for managers )] TJ ET BT 26.250 317.881 Td /F1 9.8 Tf [(and first responders is basic to accomplishing this goal.)] TJ ET BT 26.250 298.476 Td /F1 9.8 Tf [(Keywords: Disaster medicine; Disaster preparedness; Disaster epidemiology; Health systems; European Union)] TJ ET BT 26.250 261.874 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 241.920 Td /F1 9.8 Tf [(The research leading to these results \(https://www.ditac.info/\) has received funding from the European Communitys Seventh )] TJ ET BT 26.250 230.015 Td /F1 9.8 Tf [(Framework Program \(FP7/2007-2013, https://cordis.europa.eu/fp7/home_en.html\) under grant agreement n# 285036. The )] TJ ET BT 26.250 218.110 Td /F1 9.8 Tf [(funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.)] TJ ET BT 26.250 189.008 Td /F4 12.0 Tf [(Introduction)] TJ ET BT 26.250 169.053 Td /F1 9.8 Tf [(Over the past several decades, naturally occurring and man-made disasters have increased in frequency and number, )] TJ ET BT 26.250 157.149 Td /F1 9.8 Tf [(worldwide. In Europe, during the period 1980-2008, around 122,000 people were killed and 33 million negatively affected )] TJ ET BT 26.250 145.244 Td /F1 9.8 Tf [(because of natural disasters.)] TJ ET 0.267 0.267 0.267 rg BT 150.894 146.751 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 155.713 145.244 Td /F1 9.8 Tf [( Countries such as France, Italy and Spain have been greatly impacted by disasters, while )] TJ ET BT 26.250 133.339 Td /F1 9.8 Tf [(Sweden, Norway and Denmark have not suffered from major events.)] TJ ET 0.267 0.267 0.267 rg BT 322.660 134.846 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 327.478 137.227 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 329.888 134.846 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 26.250 113.934 Td /F1 9.8 Tf [(The nation-states health system is a key component of disaster management organization, and preparedness status of the )] TJ ET BT 26.250 102.030 Td /F1 9.8 Tf [(health system is essential for an effective response to disasters.)] TJ ET 0.267 0.267 0.267 rg BT 302.077 103.537 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 306.896 105.918 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 309.305 103.537 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 314.124 102.030 Td /F1 9.8 Tf [( Where national and local health systems are not well )] TJ ET BT 26.250 90.125 Td /F1 9.8 Tf [(prepared to deal with disasters, vulnerability and resilience at the community level becomes more pronounced.)] TJ ET 0.267 0.267 0.267 rg BT 502.567 91.632 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 26.250 70.720 Td /F1 9.8 Tf [(Preparedness is defined as the knowledge and capacities developed by governments, professional response and recovery )] TJ ET BT 26.250 58.815 Td /F1 9.8 Tf [(organizations, communities and individuals to effectively anticipate, respond to, and recover from, the impacts of likely, )] TJ ET BT 26.250 46.911 Td /F1 9.8 Tf [(imminent or current hazard events or conditions.)] TJ ET 0.267 0.267 0.267 rg BT 238.118 48.418 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 242.936 46.911 Td /F1 9.8 Tf [( Preparedness is achieved through a set of activities and foundations, such )] TJ ET Q q 15.000 684.354 577.500 53.646 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Art of Disaster Preparedness in European Union: a Survey on )] TJ ET BT 15.000 693.094 Td /F2 21.0 Tf [(the Health Systems)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 675.088 Td /F3 9.8 Tf [(December 17, 2014)] TJ ET BT 96.500 675.088 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 101.375 675.088 Td /F3 9.8 Tf [(Research Article)] TJ ET BT 26.250 663.247 Td /F1 9.8 Tf [(Ahmadreza Djalali)] TJ ET 0.271 0.267 0.267 rg BT 105.352 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 110.773 663.247 Td /F1 9.8 Tf [(Francesco Della Corte)] TJ ET 0.271 0.267 0.267 rg BT 207.756 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 213.177 663.247 Td /F1 9.8 Tf [(Marco Foletti)] TJ ET 0.271 0.267 0.267 rg BT 269.522 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 274.943 663.247 Td /F1 9.8 Tf [(Luca Ragazzoni)] TJ ET 0.271 0.267 0.267 rg BT 344.851 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 350.272 663.247 Td /F1 9.8 Tf [(Alba Ripoll Gallardo)] TJ ET 0.271 0.267 0.267 rg BT 436.423 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 441.844 663.247 Td /F1 9.8 Tf [(Olivera Lupescu)] TJ ET 0.271 0.267 0.267 rg BT 512.287 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 517.708 663.247 Td /F1 9.8 Tf [(Chris Arculeo)] TJ ET 0.271 0.267 0.267 rg BT 26.250 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 31.671 651.342 Td /F1 9.8 Tf [(Gtz von Arnim)] TJ ET 0.271 0.267 0.267 rg BT 98.858 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 104.279 651.342 Td /F1 9.8 Tf [(Tom Friedl)] TJ ET 0.271 0.267 0.267 rg BT 150.865 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 156.286 651.342 Td /F1 9.8 Tf [(Michael Ashkenazi)] TJ ET 0.271 0.267 0.267 rg BT 237.562 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 242.983 651.342 Td /F1 9.8 Tf [(Philipp Fischer)] TJ ET 0.271 0.267 0.267 rg BT 306.913 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 312.334 651.342 Td /F1 9.8 Tf [(Boris Hreckovski)] TJ ET 0.271 0.267 0.267 rg BT 384.923 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 390.344 651.342 Td /F1 9.8 Tf [(Amir Khorram-Manesh)] TJ ET 0.271 0.267 0.267 rg BT 488.400 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 493.821 651.342 Td /F1 9.8 Tf [(Radko Komadina)] TJ ET 0.271 0.267 0.267 rg BT 568.603 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 26.250 639.438 Td /F1 9.8 Tf [(Konstanze Lechner)] TJ ET 0.271 0.267 0.267 rg BT 110.256 639.438 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 115.677 639.438 Td /F1 9.8 Tf [(Cristina Patru)] TJ ET 0.271 0.267 0.267 rg BT 174.733 639.438 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 180.154 639.438 Td /F1 9.8 Tf [(Frederick M. Burkle Jr)] TJ ET 0.271 0.267 0.267 rg BT 275.499 639.438 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 280.920 639.438 Td /F1 9.8 Tf [(Pier Luigi Ingrassia)] TJ ET 0.271 0.267 0.267 rg BT 26.250 627.533 Td /F1 9.8 Tf [(Djalali A, Della Corte F, Foletti M, Ragazzoni L, Ripoll Gallardo A, Lupescu O, Arculeo C, von Arnim G, Friedl T, Ashkenazi M, )] TJ ET BT 26.250 615.628 Td /F1 9.8 Tf [(Fischer P, Hreckovski B, Khorram-Manesh A, Komadina R, Lechner K, Patru C, Burkle FM, Ingrassia PL. Art of Disaster )] TJ ET BT 26.250 603.723 Td /F1 9.8 Tf [(Preparedness in European Union: a Survey on the Health Systems. PLOS Currents Disasters. 2014 Dec 17 . Edition 1. doi: )] TJ ET BT 26.250 591.819 Td /F1 9.8 Tf [(10.1371/currents.dis.56cf1c5c1b0deae1595a48e294685d2f.)] TJ ET q 15.000 32.625 577.500 556.813 re W n 0.271 0.267 0.267 rg BT 26.250 562.716 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 542.762 Td /F1 9.8 Tf [(Introduction: Naturally occurring and man-made disasters have been increasing in the world, including Europe, over the past )] TJ ET BT 26.250 530.857 Td /F1 9.8 Tf [(several decades. Health systems are a key part of any community disaster management system. The success of preparedness )] TJ ET BT 26.250 518.952 Td /F1 9.8 Tf [(and prevention depends on the success of activities such as disaster planning, organization and training. The aim of this study )] TJ ET BT 26.250 507.048 Td /F1 9.8 Tf [(is to evaluate health system preparedness for disasters in the 27 European Union member countries.)] TJ ET BT 26.250 487.643 Td /F1 9.8 Tf [(Method: A cross-sectional analysis study was completed between June-September 2012. The checklist used for this survey was )] TJ ET BT 26.250 475.738 Td /F1 9.8 Tf [(a modified from the World Health Organization toolkit for assessing health-system capacity for crisis management. Three )] TJ ET BT 26.250 463.833 Td /F1 9.8 Tf [(specialists from each of the 27 European Union countries were included in the survey. Responses to each survey question were )] TJ ET BT 26.250 451.929 Td /F1 9.8 Tf [(scored and the range of preparedness level was defined as 0-100%, categorized in three levels as follows: Acceptable; )] TJ ET BT 26.250 440.024 Td /F1 9.8 Tf [(Transitional; or Insufficient.)] TJ ET BT 26.250 420.619 Td /F1 9.8 Tf [(Results: Response rate was 79.1%. The average level of disaster management preparedness in the health systems of 27 )] TJ ET BT 26.250 408.714 Td /F1 9.8 Tf [(European Union member states was 68% \(Acceptable\). The highest level of preparedness was seen in the United Kingdom, )] TJ ET BT 26.250 396.810 Td /F1 9.8 Tf [(Luxemburg, and Lithuania. Considering the elements of disaster management system, the highest level of preparedness score )] TJ ET BT 26.250 384.905 Td /F1 9.8 Tf [(was at health information elements \(86%\), and the lowest level was for hospitals, and educational elements \(54%\).)] TJ ET BT 26.250 365.500 Td /F1 9.8 Tf [(Conclusion: This survey study suggests that preparedness level of European Union countries in 2012 is at an acceptable level )] TJ ET BT 26.250 353.595 Td /F1 9.8 Tf [(but could be improved. Elements such as hospitals and education and training suffer from insufficient levels of preparedness. )] TJ ET BT 26.250 341.691 Td /F1 9.8 Tf [(The European Union health systems need a collective strategic plan, as well as enough resources, to establish a )] TJ ET BT 26.250 329.786 Td /F1 9.8 Tf [(comprehensive and standardized disaster management strategy plan. A competency based training curriculum for managers )] TJ ET BT 26.250 317.881 Td /F1 9.8 Tf [(and first responders is basic to accomplishing this goal.)] TJ ET BT 26.250 298.476 Td /F1 9.8 Tf [(Keywords: Disaster medicine; Disaster preparedness; Disaster epidemiology; Health systems; European Union)] TJ ET BT 26.250 261.874 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 241.920 Td /F1 9.8 Tf [(The research leading to these results \(https://www.ditac.info/\) has received funding from the European Communitys Seventh )] TJ ET BT 26.250 230.015 Td /F1 9.8 Tf [(Framework Program \(FP7/2007-2013, https://cordis.europa.eu/fp7/home_en.html\) under grant agreement n# 285036. The )] TJ ET BT 26.250 218.110 Td /F1 9.8 Tf [(funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.)] TJ ET BT 26.250 189.008 Td /F4 12.0 Tf [(Introduction)] TJ ET BT 26.250 169.053 Td /F1 9.8 Tf [(Over the past several decades, naturally occurring and man-made disasters have increased in frequency and number, )] TJ ET BT 26.250 157.149 Td /F1 9.8 Tf [(worldwide. In Europe, during the period 1980-2008, around 122,000 people were killed and 33 million negatively affected )] TJ ET BT 26.250 145.244 Td /F1 9.8 Tf [(because of natural disasters.)] TJ ET 0.267 0.267 0.267 rg BT 150.894 146.751 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 155.713 145.244 Td /F1 9.8 Tf [( Countries such as France, Italy and Spain have been greatly impacted by disasters, while )] TJ ET BT 26.250 133.339 Td /F1 9.8 Tf [(Sweden, Norway and Denmark have not suffered from major events.)] TJ ET 0.267 0.267 0.267 rg BT 322.660 134.846 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 327.478 137.227 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 329.888 134.846 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 26.250 113.934 Td /F1 9.8 Tf [(The nation-states health system is a key component of disaster management organization, and preparedness status of the )] TJ ET BT 26.250 102.030 Td /F1 9.8 Tf [(health system is essential for an effective response to disasters.)] TJ ET 0.267 0.267 0.267 rg BT 302.077 103.537 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 306.896 105.918 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 309.305 103.537 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 314.124 102.030 Td /F1 9.8 Tf [( Where national and local health systems are not well )] TJ ET BT 26.250 90.125 Td /F1 9.8 Tf [(prepared to deal with disasters, vulnerability and resilience at the community level becomes more pronounced.)] TJ ET 0.267 0.267 0.267 rg BT 502.567 91.632 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 26.250 70.720 Td /F1 9.8 Tf [(Preparedness is defined as the knowledge and capacities developed by governments, professional response and recovery )] TJ ET BT 26.250 58.815 Td /F1 9.8 Tf [(organizations, communities and individuals to effectively anticipate, respond to, and recover from, the impacts of likely, )] TJ ET BT 26.250 46.911 Td /F1 9.8 Tf [(imminent or current hazard events or conditions.)] TJ ET 0.267 0.267 0.267 rg BT 238.118 48.418 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 242.936 46.911 Td /F1 9.8 Tf [( Preparedness is achieved through a set of activities and foundations, such )] TJ ET Q q 15.000 684.354 577.500 53.646 re W n 0.267 0.267 0.267 rg BT 15.000 718.042 Td /F2 21.0 Tf [(Art of Disaster Preparedness in European Union: a Survey on )] TJ ET BT 15.000 693.094 Td /F2 21.0 Tf [(the Health Systems)] TJ ET Q 0.271 0.267 0.267 rg BT 15.000 675.088 Td /F3 9.8 Tf [(December 17, 2014)] TJ ET BT 96.500 675.088 Td /F3 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 101.375 675.088 Td /F3 9.8 Tf [(Research Article)] TJ ET BT 26.250 663.247 Td /F1 9.8 Tf [(Ahmadreza Djalali)] TJ ET 0.271 0.267 0.267 rg BT 105.352 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 110.773 663.247 Td /F1 9.8 Tf [(Francesco Della Corte)] TJ ET 0.271 0.267 0.267 rg BT 207.756 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 213.177 663.247 Td /F1 9.8 Tf [(Marco Foletti)] TJ ET 0.271 0.267 0.267 rg BT 269.522 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 274.943 663.247 Td /F1 9.8 Tf [(Luca Ragazzoni)] TJ ET 0.271 0.267 0.267 rg BT 344.851 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 350.272 663.247 Td /F1 9.8 Tf [(Alba Ripoll Gallardo)] TJ ET 0.271 0.267 0.267 rg BT 436.423 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 441.844 663.247 Td /F1 9.8 Tf [(Olivera Lupescu)] TJ ET 0.271 0.267 0.267 rg BT 512.287 663.247 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 517.708 663.247 Td /F1 9.8 Tf [(Chris Arculeo)] TJ ET 0.271 0.267 0.267 rg BT 26.250 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 31.671 651.342 Td /F1 9.8 Tf [(Gtz von Arnim)] TJ ET 0.271 0.267 0.267 rg BT 98.858 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 104.279 651.342 Td /F1 9.8 Tf [(Tom Friedl)] TJ ET 0.271 0.267 0.267 rg BT 150.865 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 156.286 651.342 Td /F1 9.8 Tf [(Michael Ashkenazi)] TJ ET 0.271 0.267 0.267 rg BT 237.562 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 242.983 651.342 Td /F1 9.8 Tf [(Philipp Fischer)] TJ ET 0.271 0.267 0.267 rg BT 306.913 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 312.334 651.342 Td /F1 9.8 Tf [(Boris Hreckovski)] TJ ET 0.271 0.267 0.267 rg BT 384.923 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 390.344 651.342 Td /F1 9.8 Tf [(Amir Khorram-Manesh)] TJ ET 0.271 0.267 0.267 rg BT 488.400 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 493.821 651.342 Td /F1 9.8 Tf [(Radko Komadina)] TJ ET 0.271 0.267 0.267 rg BT 568.603 651.342 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 26.250 639.438 Td /F1 9.8 Tf [(Konstanze Lechner)] TJ ET 0.271 0.267 0.267 rg BT 110.256 639.438 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 115.677 639.438 Td /F1 9.8 Tf [(Cristina Patru)] TJ ET 0.271 0.267 0.267 rg BT 174.733 639.438 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 180.154 639.438 Td /F1 9.8 Tf [(Frederick M. Burkle Jr)] TJ ET 0.271 0.267 0.267 rg BT 275.499 639.438 Td /F1 9.8 Tf [(, )] TJ ET 0.267 0.267 0.267 rg BT 280.920 639.438 Td /F1 9.8 Tf [(Pier Luigi Ingrassia)] TJ ET 0.271 0.267 0.267 rg BT 26.250 627.533 Td /F1 9.8 Tf [(Djalali A, Della Corte F, Foletti M, Ragazzoni L, Ripoll Gallardo A, Lupescu O, Arculeo C, von Arnim G, Friedl T, Ashkenazi M, )] TJ ET BT 26.250 615.628 Td /F1 9.8 Tf [(Fischer P, Hreckovski B, Khorram-Manesh A, Komadina R, Lechner K, Patru C, Burkle FM, Ingrassia PL. Art of Disaster )] TJ ET BT 26.250 603.723 Td /F1 9.8 Tf [(Preparedness in European Union: a Survey on the Health Systems. PLOS Currents Disasters. 2014 Dec 17 . Edition 1. doi: )] TJ ET BT 26.250 591.819 Td /F1 9.8 Tf [(10.1371/currents.dis.56cf1c5c1b0deae1595a48e294685d2f.)] TJ ET q 15.000 32.625 577.500 556.813 re W n 0.271 0.267 0.267 rg BT 26.250 562.716 Td /F4 12.0 Tf [(Abstract)] TJ ET BT 26.250 542.762 Td /F1 9.8 Tf [(Introduction: Naturally occurring and man-made disasters have been increasing in the world, including Europe, over the past )] TJ ET BT 26.250 530.857 Td /F1 9.8 Tf [(several decades. Health systems are a key part of any community disaster management system. The success of preparedness )] TJ ET BT 26.250 518.952 Td /F1 9.8 Tf [(and prevention depends on the success of activities such as disaster planning, organization and training. The aim of this study )] TJ ET BT 26.250 507.048 Td /F1 9.8 Tf [(is to evaluate health system preparedness for disasters in the 27 European Union member countries.)] TJ ET BT 26.250 487.643 Td /F1 9.8 Tf [(Method: A cross-sectional analysis study was completed between June-September 2012. The checklist used for this survey was )] TJ ET BT 26.250 475.738 Td /F1 9.8 Tf [(a modified from the World Health Organization toolkit for assessing health-system capacity for crisis management. Three )] TJ ET BT 26.250 463.833 Td /F1 9.8 Tf [(specialists from each of the 27 European Union countries were included in the survey. Responses to each survey question were )] TJ ET BT 26.250 451.929 Td /F1 9.8 Tf [(scored and the range of preparedness level was defined as 0-100%, categorized in three levels as follows: Acceptable; )] TJ ET BT 26.250 440.024 Td /F1 9.8 Tf [(Transitional; or Insufficient.)] TJ ET BT 26.250 420.619 Td /F1 9.8 Tf [(Results: Response rate was 79.1%. The average level of disaster management preparedness in the health systems of 27 )] TJ ET BT 26.250 408.714 Td /F1 9.8 Tf [(European Union member states was 68% \(Acceptable\). The highest level of preparedness was seen in the United Kingdom, )] TJ ET BT 26.250 396.810 Td /F1 9.8 Tf [(Luxemburg, and Lithuania. Considering the elements of disaster management system, the highest level of preparedness score )] TJ ET BT 26.250 384.905 Td /F1 9.8 Tf [(was at health information elements \(86%\), and the lowest level was for hospitals, and educational elements \(54%\).)] TJ ET BT 26.250 365.500 Td /F1 9.8 Tf [(Conclusion: This survey study suggests that preparedness level of European Union countries in 2012 is at an acceptable level )] TJ ET BT 26.250 353.595 Td /F1 9.8 Tf [(but could be improved. Elements such as hospitals and education and training suffer from insufficient levels of preparedness. )] TJ ET BT 26.250 341.691 Td /F1 9.8 Tf [(The European Union health systems need a collective strategic plan, as well as enough resources, to establish a )] TJ ET BT 26.250 329.786 Td /F1 9.8 Tf [(comprehensive and standardized disaster management strategy plan. A competency based training curriculum for managers )] TJ ET BT 26.250 317.881 Td /F1 9.8 Tf [(and first responders is basic to accomplishing this goal.)] TJ ET BT 26.250 298.476 Td /F1 9.8 Tf [(Keywords: Disaster medicine; Disaster preparedness; Disaster epidemiology; Health systems; European Union)] TJ ET BT 26.250 261.874 Td /F4 12.0 Tf [(Funding Statement)] TJ ET BT 26.250 241.920 Td /F1 9.8 Tf [(The research leading to these results \(https://www.ditac.info/\) has received funding from the European Communitys Seventh )] TJ ET BT 26.250 230.015 Td /F1 9.8 Tf [(Framework Program \(FP7/2007-2013, https://cordis.europa.eu/fp7/home_en.html\) under grant agreement n# 285036. The )] TJ ET BT 26.250 218.110 Td /F1 9.8 Tf [(funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.)] TJ ET BT 26.250 189.008 Td /F4 12.0 Tf [(Introduction)] TJ ET BT 26.250 169.053 Td /F1 9.8 Tf [(Over the past several decades, naturally occurring and man-made disasters have increased in frequency and number, )] TJ ET BT 26.250 157.149 Td /F1 9.8 Tf [(worldwide. In Europe, during the period 1980-2008, around 122,000 people were killed and 33 million negatively affected )] TJ ET BT 26.250 145.244 Td /F1 9.8 Tf [(because of natural disasters.)] TJ ET 0.267 0.267 0.267 rg BT 150.894 146.751 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 155.713 145.244 Td /F1 9.8 Tf [( Countries such as France, Italy and Spain have been greatly impacted by disasters, while )] TJ ET BT 26.250 133.339 Td /F1 9.8 Tf [(Sweden, Norway and Denmark have not suffered from major events.)] TJ ET 0.267 0.267 0.267 rg BT 322.660 134.846 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 327.478 137.227 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 329.888 134.846 Td /F4 8.7 Tf [(2)] TJ ET 0.271 0.267 0.267 rg BT 26.250 113.934 Td /F1 9.8 Tf [(The nation-states health system is a key component of disaster management organization, and preparedness status of the )] TJ ET BT 26.250 102.030 Td /F1 9.8 Tf [(health system is essential for an effective response to disasters.)] TJ ET 0.267 0.267 0.267 rg BT 302.077 103.537 Td /F4 8.7 Tf [(3)] TJ ET 0.271 0.267 0.267 rg BT 306.896 105.918 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 309.305 103.537 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 314.124 102.030 Td /F1 9.8 Tf [( Where national and local health systems are not well )] TJ ET BT 26.250 90.125 Td /F1 9.8 Tf [(prepared to deal with disasters, vulnerability and resilience at the community level becomes more pronounced.)] TJ ET 0.267 0.267 0.267 rg BT 502.567 91.632 Td /F4 8.7 Tf [(5)] TJ ET 0.271 0.267 0.267 rg BT 26.250 70.720 Td /F1 9.8 Tf [(Preparedness is defined as the knowledge and capacities developed by governments, professional response and recovery )] TJ ET BT 26.250 58.815 Td /F1 9.8 Tf [(organizations, communities and individuals to effectively anticipate, respond to, and recover from, the impacts of likely, )] TJ ET BT 26.250 46.911 Td /F1 9.8 Tf [(imminent or current hazard events or conditions.)] TJ ET 0.267 0.267 0.267 rg BT 238.118 48.418 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 242.936 46.911 Td /F1 9.8 Tf [( Preparedness is achieved through a set of activities and foundations, such )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(1)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 8 0 obj << /Type /Font /Subtype /Type1 /Name /F1 /BaseFont /Helvetica /Encoding /WinAnsiEncoding >> endobj 9 0 obj << /Type /Font /Subtype /Type1 /Name /F2 /BaseFont /Times-Bold /Encoding /WinAnsiEncoding >> endobj 10 0 obj << /Type /Font /Subtype /Type1 /Name /F3 /BaseFont /Times-Italic /Encoding /WinAnsiEncoding >> endobj 11 0 obj << /Type /Font /Subtype /Type1 /Name /F4 /BaseFont /Helvetica-Bold /Encoding /WinAnsiEncoding >> endobj 12 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 1 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceGray /BitsPerComponent 8 /Length 144>> stream x1 0 'ݲ؎"e{dzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAdzAtlM0\ endstream endobj 13 0 obj << /Type /XObject /Subtype /Image /Width 500 /Height 52 /SMask 12 0 R /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 500 /BitsPerComponent 8>> /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 3627>> stream x?b!/w N BU!@rܥ>L%|"ɾeB~qbϧG0 0 0 ü<,a ,a ,a /)܋( daKnW>'IR2 0x1ͽ{0 Z4= 4M޶mY}'IĖ2 0ָML}GQ48Iy>i("u>s6ne0 YfB;S}b 5ba,ZP՚ћuFڶ= 0{ǤbA!>m{wwW׵ApssDZdU,K:fs_׿___qykQbfMii{$̂>}JdB um{Lh'پy2c\ifZypE|,Uݝ,h4ڶ],R*\U-rQ9l PUUQ#G80aef_-mI*gߋlil-d:5ec]RUa0\ͼ$ ֌8jE%4BH\m=ϣfY )!vDL^)4axt=3*E<' _?>>.7DYt]׆0gqwр,ajmۢ(HMB$ [ U5;gfw`2R]u]GQD0g[Tt:a1J#,AU}0hwb>&8V~*ȀIH fuiah aMl7\:\>|,L5w(YqOFsoBy|<3^=6.ym۾%)~`XHnݰ‹IDs'oZ7In}wV|C%H{lDsDQ6]4jcЊͭ;*ٶv&A.09e(ji2btXɄy4?!ZEI"+Yɲy%'hZch@C+q,U1TA+FEe_R18;z.􃰢c ( H| $I.hy {ss&` 26:#(RuGQmZtJӅ˲csоj$}3#rl& j }>  ]x] ъ|G[1lfu ϛIaVz0-mvy2h܉ေA^XD`b"W#ֵU{(Y BAaDL]z_ex6 (nMOÈ%֐m`04Ԝ0aℓ.*"^=KeY~-'iM``v,Z꺞fRf1c+! 85BX,HeEљ @N^ԚG`5p |!L]U).?"l5eFQŞu]ɍK'eW/o҆&(i VM_ = E/J,;sqq0 W>rM=gdќ陞qѼ:2X;.˲j#Ņ뺮fbi\ו.u݋1mgXEQꋋ q@P%~VL0%b`eF4M}'@Sp8v;FߊdY]@u[5 (96 V0~1Gj Ňg֏= >\'ͪ$yX`!dhq%I0fF5x]t,hRˮb"3鈰@'5ؽE2>GI@ KȲLrÿ*1ȰT5ffܱYjuqqC3v(uEsI'c^چ#X,hAk"ZH6`XPW,>}fY6t^C8,Fi#nica Jzlf0 >سX,)m_Bs' c oN c>TT'%x&ߘ fi$W܇g[@ mDZ7]:RQjƘ.ğ$:؝, s{HzxqZKmF|Ϗ~p7@ {1$Xu}p(ĉzZaJ%i&0L@#\}GaT~tTQ,asEOxhy.?,aC9oqE=MS9I%8~WmdG:agO\\$,yHg^Ab%Ĩ7Z}џd2!YmN0X-#*ڈ/&W4MAYT?3;f udJ 6%ag9IxINlȦ|[+ ٘{R0' uT?NP%A wD&1=4L&ĵg-G)+0*V} 62T75yiۣrѰڳ>$'?B'IeY0K1WH]NkiR m<˭XF.xaijT==}~&;ہHA7| \( s\? ~_{ޒ{ O?^AVtї~g~~mVfS XtU6wMUv8|xxG-ü[A܆m!g۾勜*N5,sP=0 cibCub=2xa? 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The questions )] TJ ET BT 26.250 533.658 Td /F1 9.8 Tf [(were grouped in the following elements:)] TJ ET BT 26.250 514.253 Td /F1 9.8 Tf [( Leadership and governance)] TJ ET BT 26.250 494.848 Td /F1 9.8 Tf [( Logistics and operational support functions in emergencies)] TJ ET BT 26.250 475.443 Td /F1 9.8 Tf [( Medical products and technology)] TJ ET BT 26.250 456.039 Td /F1 9.8 Tf [( Health information)] TJ ET BT 26.250 436.634 Td /F1 9.8 Tf [( Sub-national/Regional plans for crisis/MCIs)] TJ ET BT 26.250 417.229 Td /F1 9.8 Tf [( Management of pre-hospital medical operations)] TJ ET BT 26.250 397.824 Td /F1 9.8 Tf [( Hospital emergency-preparedness program)] TJ ET BT 26.250 378.420 Td /F1 9.8 Tf [( Education and training)] TJ ET BT 26.250 359.015 Td /F1 9.8 Tf [(The survey questionnaire was delivered online to 3 professionals from each of the 27 EU countries identified as having inclusion )] TJ ET BT 26.250 347.110 Td /F1 9.8 Tf [(criteria of 5 years of professional experience and tertiary level of education in health system management. These selectively )] TJ ET BT 26.250 335.205 Td /F1 9.8 Tf [(included the president of the counties emergency medicine society, a health system stakeholder, and an expert in emergency )] TJ ET BT 26.250 323.301 Td /F1 9.8 Tf [(management. All professionals were involved in various disciplines of health-system disaster preparedness and management, )] TJ ET BT 26.250 311.396 Td /F1 9.8 Tf [(such as Emergency Medical Services, hospitals, and governmental offices for disaster management.)] TJ ET BT 26.250 291.991 Td /F1 9.8 Tf [(Answer to the questions was scored as 0 for No, 1 for partially complete and 2 as totally completed, however some questions )] TJ ET BT 26.250 280.086 Td /F1 9.8 Tf [(were not scored because they were complementary questions to provide more details on the given element. The range of )] TJ ET BT 26.250 268.182 Td /F1 9.8 Tf [(preparedness level was defined as 0-100%, categorized in three levels as: A \(Acceptable\), B \(Transitional\), C \(Insufficient\). The )] TJ ET BT 26.250 256.277 Td /F1 9.8 Tf [(required action for each level was defined in Table 1.)] TJ ET q 26.250 232.660 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 235.407 Td /F1 9.8 Tf [(Table 1- Classification of health system preparedness, based on the total score, and the required action)] TJ ET Q 1.000 1.000 1.000 rg 26.250 113.675 555.000 111.485 re f 0.965 0.965 0.965 rg 27.000 200.225 116.090 24.185 re f 0.267 0.267 0.267 rg 26.625 224.035 116.465 0.750 re f 26.625 199.850 0.750 24.935 re f 0.271 0.267 0.267 rg BT 31.500 214.886 Td /F4 9.8 Tf [(The score of )] TJ ET BT 31.500 202.981 Td /F4 9.8 Tf [(preparedness)] TJ ET 0.965 0.965 0.965 rg 143.090 200.225 114.692 24.185 re f 0.267 0.267 0.267 rg 143.090 224.035 114.692 0.750 re f 0.271 0.267 0.267 rg BT 147.590 214.886 Td /F4 9.8 Tf [(The level of )] TJ ET BT 147.590 202.981 Td /F4 9.8 Tf [(preparedness)] TJ ET 0.965 0.965 0.965 rg 257.781 200.225 322.719 24.185 re f 0.267 0.267 0.267 rg 257.781 224.035 323.094 0.750 re f 580.125 199.850 0.750 24.935 re f 0.271 0.267 0.267 rg BT 262.281 214.886 Td /F4 9.8 Tf [(Required action)] TJ ET 0.267 0.267 0.267 rg 26.625 199.850 116.840 0.750 re f 26.625 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 189.995 Td /F1 9.8 Tf [(66-100%)] TJ ET 0.267 0.267 0.267 rg 142.715 199.850 115.442 0.750 re f 142.715 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 147.965 189.995 Td /F1 9.8 Tf [(Level A: Acceptable)] TJ ET 0.267 0.267 0.267 rg 257.406 199.850 323.469 0.750 re f 257.406 168.706 0.750 31.894 re f 580.125 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 262.656 189.995 Td /F1 9.8 Tf [(It is likely that the disaster management system will effectively function )] TJ ET BT 262.656 182.364 Td /F1 9.8 Tf [(in a disaster. It is recommended, however, to continue with measures to )] TJ ET BT 262.656 174.733 Td /F1 9.8 Tf [(improve the preparedness level.)] TJ ET 0.267 0.267 0.267 rg 26.625 168.706 116.840 0.750 re f 26.625 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 158.851 Td /F1 9.8 Tf [(36-65%)] TJ ET 0.267 0.267 0.267 rg 142.715 168.706 115.442 0.750 re f 142.715 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 147.965 158.851 Td /F1 9.8 Tf [(Level B: Transitional)] TJ ET 0.267 0.267 0.267 rg 257.406 168.706 323.469 0.750 re f 257.406 137.563 0.750 31.894 re f 580.125 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 262.656 158.851 Td /F1 9.8 Tf [(The preparedness of disaster management system will not be able to )] TJ ET BT 262.656 151.220 Td /F1 9.8 Tf [(operate effectively during and after a disaster. Interventional measures )] TJ ET BT 262.656 143.589 Td /F1 9.8 Tf [(are needed.)] TJ ET 0.267 0.267 0.267 rg 26.625 137.563 116.840 0.750 re f 26.625 114.050 116.840 0.750 re f 26.625 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 127.708 Td /F1 9.8 Tf [(0-35%)] TJ ET 0.267 0.267 0.267 rg 142.715 137.563 115.442 0.750 re f 142.715 114.050 115.442 0.750 re f 142.715 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 147.965 127.708 Td /F1 9.8 Tf [(Level C: Insufficient)] TJ ET 0.267 0.267 0.267 rg 257.406 137.563 323.469 0.750 re f 257.406 114.050 323.469 0.750 re f 257.406 114.050 0.750 24.263 re f 580.125 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 262.656 127.708 Td /F1 9.8 Tf [(Current preparedness of the disaster management system is impaired )] TJ ET BT 262.656 120.076 Td /F1 9.8 Tf [(and unreliable during and after a disaster. Urgent intervention is needed.)] TJ ET Q q 15.000 37.366 577.500 739.634 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(as planning, organization and training.)] TJ ET 0.267 0.267 0.267 rg BT 191.006 768.983 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 26.250 748.071 Td /F1 9.8 Tf [(Disaster Training Curriculum \(DITAC\) is a research project funded by the European Commission under the 7th Framework )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(Program. The main aim of this project is to develop a holistic and standardized training curriculum for first responders and )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(strategic/tactical crisis managers in the 27 European Union \(EU\) member states to enhance the level of preparedness in these )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(countries.)] TJ ET BT 26.250 692.952 Td /F1 9.8 Tf [(The development of a standardized competency-based training curriculum requires a clear and comprehensive understanding )] TJ ET BT 26.250 681.048 Td /F1 9.8 Tf [(of the condition of the disaster management system in the target communities. The first phase of the DITAC project and of this )] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(survey study is to evaluate the current state of preparedness and disaster management in all 27 EU countries.)] TJ ET BT 26.250 632.540 Td /F4 12.0 Tf [(Methods)] TJ ET BT 26.250 612.586 Td /F1 9.8 Tf [(This study is an observational, cross-sectional study. The survey was conducted between June and September 2012. All 27 EU )] TJ ET BT 26.250 600.681 Td /F1 9.8 Tf [(countries were included in this study.)] TJ ET BT 26.250 581.277 Td /F1 9.8 Tf [(A standardized online survey instrument was developed and hosted on SurveyMonkey \(SurveyMonkey LLC, Palo Alto, )] TJ ET BT 26.250 569.372 Td /F1 9.8 Tf [(California USA\). Survey design utilized a similar model from the toolkit for assessing health-system capacity for crisis )] TJ ET BT 26.250 557.467 Td /F1 9.8 Tf [(management of the World Health Organization / European office.)] TJ ET 0.267 0.267 0.267 rg BT 306.426 558.974 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 311.245 557.467 Td /F1 9.8 Tf [( On the basis of experts consensus, 88 questions of disaster )] TJ ET BT 26.250 545.562 Td /F1 9.8 Tf [(management relevance of the toolkit were selected and modified, to ensure optimal feasibility, for this survey. The questions )] TJ ET BT 26.250 533.658 Td /F1 9.8 Tf [(were grouped in the following elements:)] TJ ET BT 26.250 514.253 Td /F1 9.8 Tf [( Leadership and governance)] TJ ET BT 26.250 494.848 Td /F1 9.8 Tf [( Logistics and operational support functions in emergencies)] TJ ET BT 26.250 475.443 Td /F1 9.8 Tf [( Medical products and technology)] TJ ET BT 26.250 456.039 Td /F1 9.8 Tf [( Health information)] TJ ET BT 26.250 436.634 Td /F1 9.8 Tf [( Sub-national/Regional plans for crisis/MCIs)] TJ ET BT 26.250 417.229 Td /F1 9.8 Tf [( Management of pre-hospital medical operations)] TJ ET BT 26.250 397.824 Td /F1 9.8 Tf [( Hospital emergency-preparedness program)] TJ ET BT 26.250 378.420 Td /F1 9.8 Tf [( Education and training)] TJ ET BT 26.250 359.015 Td /F1 9.8 Tf [(The survey questionnaire was delivered online to 3 professionals from each of the 27 EU countries identified as having inclusion )] TJ ET BT 26.250 347.110 Td /F1 9.8 Tf [(criteria of 5 years of professional experience and tertiary level of education in health system management. These selectively )] TJ ET BT 26.250 335.205 Td /F1 9.8 Tf [(included the president of the counties emergency medicine society, a health system stakeholder, and an expert in emergency )] TJ ET BT 26.250 323.301 Td /F1 9.8 Tf [(management. All professionals were involved in various disciplines of health-system disaster preparedness and management, )] TJ ET BT 26.250 311.396 Td /F1 9.8 Tf [(such as Emergency Medical Services, hospitals, and governmental offices for disaster management.)] TJ ET BT 26.250 291.991 Td /F1 9.8 Tf [(Answer to the questions was scored as 0 for No, 1 for partially complete and 2 as totally completed, however some questions )] TJ ET BT 26.250 280.086 Td /F1 9.8 Tf [(were not scored because they were complementary questions to provide more details on the given element. The range of )] TJ ET BT 26.250 268.182 Td /F1 9.8 Tf [(preparedness level was defined as 0-100%, categorized in three levels as: A \(Acceptable\), B \(Transitional\), C \(Insufficient\). The )] TJ ET BT 26.250 256.277 Td /F1 9.8 Tf [(required action for each level was defined in Table 1.)] TJ ET q 26.250 232.660 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 235.407 Td /F1 9.8 Tf [(Table 1- Classification of health system preparedness, based on the total score, and the required action)] TJ ET Q 1.000 1.000 1.000 rg 26.250 113.675 555.000 111.485 re f 0.965 0.965 0.965 rg 27.000 200.225 116.090 24.185 re f 0.267 0.267 0.267 rg 26.625 224.035 116.465 0.750 re f 26.625 199.850 0.750 24.935 re f 0.271 0.267 0.267 rg BT 31.500 214.886 Td /F4 9.8 Tf [(The score of )] TJ ET BT 31.500 202.981 Td /F4 9.8 Tf [(preparedness)] TJ ET 0.965 0.965 0.965 rg 143.090 200.225 114.692 24.185 re f 0.267 0.267 0.267 rg 143.090 224.035 114.692 0.750 re f 0.271 0.267 0.267 rg BT 147.590 214.886 Td /F4 9.8 Tf [(The level of )] TJ ET BT 147.590 202.981 Td /F4 9.8 Tf [(preparedness)] TJ ET 0.965 0.965 0.965 rg 257.781 200.225 322.719 24.185 re f 0.267 0.267 0.267 rg 257.781 224.035 323.094 0.750 re f 580.125 199.850 0.750 24.935 re f 0.271 0.267 0.267 rg BT 262.281 214.886 Td /F4 9.8 Tf [(Required action)] TJ ET 0.267 0.267 0.267 rg 26.625 199.850 116.840 0.750 re f 26.625 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 189.995 Td /F1 9.8 Tf [(66-100%)] TJ ET 0.267 0.267 0.267 rg 142.715 199.850 115.442 0.750 re f 142.715 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 147.965 189.995 Td /F1 9.8 Tf [(Level A: Acceptable)] TJ ET 0.267 0.267 0.267 rg 257.406 199.850 323.469 0.750 re f 257.406 168.706 0.750 31.894 re f 580.125 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 262.656 189.995 Td /F1 9.8 Tf [(It is likely that the disaster management system will effectively function )] TJ ET BT 262.656 182.364 Td /F1 9.8 Tf [(in a disaster. It is recommended, however, to continue with measures to )] TJ ET BT 262.656 174.733 Td /F1 9.8 Tf [(improve the preparedness level.)] TJ ET 0.267 0.267 0.267 rg 26.625 168.706 116.840 0.750 re f 26.625 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 158.851 Td /F1 9.8 Tf [(36-65%)] TJ ET 0.267 0.267 0.267 rg 142.715 168.706 115.442 0.750 re f 142.715 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 147.965 158.851 Td /F1 9.8 Tf [(Level B: Transitional)] TJ ET 0.267 0.267 0.267 rg 257.406 168.706 323.469 0.750 re f 257.406 137.563 0.750 31.894 re f 580.125 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 262.656 158.851 Td /F1 9.8 Tf [(The preparedness of disaster management system will not be able to )] TJ ET BT 262.656 151.220 Td /F1 9.8 Tf [(operate effectively during and after a disaster. Interventional measures )] TJ ET BT 262.656 143.589 Td /F1 9.8 Tf [(are needed.)] TJ ET 0.267 0.267 0.267 rg 26.625 137.563 116.840 0.750 re f 26.625 114.050 116.840 0.750 re f 26.625 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 127.708 Td /F1 9.8 Tf [(0-35%)] TJ ET 0.267 0.267 0.267 rg 142.715 137.563 115.442 0.750 re f 142.715 114.050 115.442 0.750 re f 142.715 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 147.965 127.708 Td /F1 9.8 Tf [(Level C: Insufficient)] TJ ET 0.267 0.267 0.267 rg 257.406 137.563 323.469 0.750 re f 257.406 114.050 323.469 0.750 re f 257.406 114.050 0.750 24.263 re f 580.125 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 262.656 127.708 Td /F1 9.8 Tf [(Current preparedness of the disaster management system is impaired )] TJ ET BT 262.656 120.076 Td /F1 9.8 Tf [(and unreliable during and after a disaster. Urgent intervention is needed.)] TJ ET Q q 15.000 37.366 577.500 739.634 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(as planning, organization and training.)] TJ ET 0.267 0.267 0.267 rg BT 191.006 768.983 Td /F4 8.7 Tf [(7)] TJ ET 0.271 0.267 0.267 rg BT 26.250 748.071 Td /F1 9.8 Tf [(Disaster Training Curriculum \(DITAC\) is a research project funded by the European Commission under the 7th Framework )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(Program. The main aim of this project is to develop a holistic and standardized training curriculum for first responders and )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(strategic/tactical crisis managers in the 27 European Union \(EU\) member states to enhance the level of preparedness in these )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(countries.)] TJ ET BT 26.250 692.952 Td /F1 9.8 Tf [(The development of a standardized competency-based training curriculum requires a clear and comprehensive understanding )] TJ ET BT 26.250 681.048 Td /F1 9.8 Tf [(of the condition of the disaster management system in the target communities. The first phase of the DITAC project and of this )] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(survey study is to evaluate the current state of preparedness and disaster management in all 27 EU countries.)] TJ ET BT 26.250 632.540 Td /F4 12.0 Tf [(Methods)] TJ ET BT 26.250 612.586 Td /F1 9.8 Tf [(This study is an observational, cross-sectional study. The survey was conducted between June and September 2012. All 27 EU )] TJ ET BT 26.250 600.681 Td /F1 9.8 Tf [(countries were included in this study.)] TJ ET BT 26.250 581.277 Td /F1 9.8 Tf [(A standardized online survey instrument was developed and hosted on SurveyMonkey \(SurveyMonkey LLC, Palo Alto, )] TJ ET BT 26.250 569.372 Td /F1 9.8 Tf [(California USA\). Survey design utilized a similar model from the toolkit for assessing health-system capacity for crisis )] TJ ET BT 26.250 557.467 Td /F1 9.8 Tf [(management of the World Health Organization / European office.)] TJ ET 0.267 0.267 0.267 rg BT 306.426 558.974 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 311.245 557.467 Td /F1 9.8 Tf [( On the basis of experts consensus, 88 questions of disaster )] TJ ET BT 26.250 545.562 Td /F1 9.8 Tf [(management relevance of the toolkit were selected and modified, to ensure optimal feasibility, for this survey. The questions )] TJ ET BT 26.250 533.658 Td /F1 9.8 Tf [(were grouped in the following elements:)] TJ ET BT 26.250 514.253 Td /F1 9.8 Tf [( Leadership and governance)] TJ ET BT 26.250 494.848 Td /F1 9.8 Tf [( Logistics and operational support functions in emergencies)] TJ ET BT 26.250 475.443 Td /F1 9.8 Tf [( Medical products and technology)] TJ ET BT 26.250 456.039 Td /F1 9.8 Tf [( Health information)] TJ ET BT 26.250 436.634 Td /F1 9.8 Tf [( Sub-national/Regional plans for crisis/MCIs)] TJ ET BT 26.250 417.229 Td /F1 9.8 Tf [( Management of pre-hospital medical operations)] TJ ET BT 26.250 397.824 Td /F1 9.8 Tf [( Hospital emergency-preparedness program)] TJ ET BT 26.250 378.420 Td /F1 9.8 Tf [( Education and training)] TJ ET BT 26.250 359.015 Td /F1 9.8 Tf [(The survey questionnaire was delivered online to 3 professionals from each of the 27 EU countries identified as having inclusion )] TJ ET BT 26.250 347.110 Td /F1 9.8 Tf [(criteria of 5 years of professional experience and tertiary level of education in health system management. These selectively )] TJ ET BT 26.250 335.205 Td /F1 9.8 Tf [(included the president of the counties emergency medicine society, a health system stakeholder, and an expert in emergency )] TJ ET BT 26.250 323.301 Td /F1 9.8 Tf [(management. All professionals were involved in various disciplines of health-system disaster preparedness and management, )] TJ ET BT 26.250 311.396 Td /F1 9.8 Tf [(such as Emergency Medical Services, hospitals, and governmental offices for disaster management.)] TJ ET BT 26.250 291.991 Td /F1 9.8 Tf [(Answer to the questions was scored as 0 for No, 1 for partially complete and 2 as totally completed, however some questions )] TJ ET BT 26.250 280.086 Td /F1 9.8 Tf [(were not scored because they were complementary questions to provide more details on the given element. The range of )] TJ ET BT 26.250 268.182 Td /F1 9.8 Tf [(preparedness level was defined as 0-100%, categorized in three levels as: A \(Acceptable\), B \(Transitional\), C \(Insufficient\). The )] TJ ET BT 26.250 256.277 Td /F1 9.8 Tf [(required action for each level was defined in Table 1.)] TJ ET q 26.250 232.660 555.000 13.736 re W n 0.271 0.267 0.267 rg BT 26.250 235.407 Td /F1 9.8 Tf [(Table 1- Classification of health system preparedness, based on the total score, and the required action)] TJ ET Q 1.000 1.000 1.000 rg 26.250 113.675 555.000 111.485 re f 0.965 0.965 0.965 rg 27.000 200.225 116.090 24.185 re f 0.267 0.267 0.267 rg 26.625 224.035 116.465 0.750 re f 26.625 199.850 0.750 24.935 re f 0.271 0.267 0.267 rg BT 31.500 214.886 Td /F4 9.8 Tf [(The score of )] TJ ET BT 31.500 202.981 Td /F4 9.8 Tf [(preparedness)] TJ ET 0.965 0.965 0.965 rg 143.090 200.225 114.692 24.185 re f 0.267 0.267 0.267 rg 143.090 224.035 114.692 0.750 re f 0.271 0.267 0.267 rg BT 147.590 214.886 Td /F4 9.8 Tf [(The level of )] TJ ET BT 147.590 202.981 Td /F4 9.8 Tf [(preparedness)] TJ ET 0.965 0.965 0.965 rg 257.781 200.225 322.719 24.185 re f 0.267 0.267 0.267 rg 257.781 224.035 323.094 0.750 re f 580.125 199.850 0.750 24.935 re f 0.271 0.267 0.267 rg BT 262.281 214.886 Td /F4 9.8 Tf [(Required action)] TJ ET 0.267 0.267 0.267 rg 26.625 199.850 116.840 0.750 re f 26.625 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 189.995 Td /F1 9.8 Tf [(66-100%)] TJ ET 0.267 0.267 0.267 rg 142.715 199.850 115.442 0.750 re f 142.715 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 147.965 189.995 Td /F1 9.8 Tf [(Level A: Acceptable)] TJ ET 0.267 0.267 0.267 rg 257.406 199.850 323.469 0.750 re f 257.406 168.706 0.750 31.894 re f 580.125 168.706 0.750 31.894 re f 0.271 0.267 0.267 rg BT 262.656 189.995 Td /F1 9.8 Tf [(It is likely that the disaster management system will effectively function )] TJ ET BT 262.656 182.364 Td /F1 9.8 Tf [(in a disaster. It is recommended, however, to continue with measures to )] TJ ET BT 262.656 174.733 Td /F1 9.8 Tf [(improve the preparedness level.)] TJ ET 0.267 0.267 0.267 rg 26.625 168.706 116.840 0.750 re f 26.625 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 158.851 Td /F1 9.8 Tf [(36-65%)] TJ ET 0.267 0.267 0.267 rg 142.715 168.706 115.442 0.750 re f 142.715 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 147.965 158.851 Td /F1 9.8 Tf [(Level B: Transitional)] TJ ET 0.267 0.267 0.267 rg 257.406 168.706 323.469 0.750 re f 257.406 137.563 0.750 31.894 re f 580.125 137.563 0.750 31.894 re f 0.271 0.267 0.267 rg BT 262.656 158.851 Td /F1 9.8 Tf [(The preparedness of disaster management system will not be able to )] TJ ET BT 262.656 151.220 Td /F1 9.8 Tf [(operate effectively during and after a disaster. Interventional measures )] TJ ET BT 262.656 143.589 Td /F1 9.8 Tf [(are needed.)] TJ ET 0.267 0.267 0.267 rg 26.625 137.563 116.840 0.750 re f 26.625 114.050 116.840 0.750 re f 26.625 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 127.708 Td /F1 9.8 Tf [(0-35%)] TJ ET 0.267 0.267 0.267 rg 142.715 137.563 115.442 0.750 re f 142.715 114.050 115.442 0.750 re f 142.715 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 147.965 127.708 Td /F1 9.8 Tf [(Level C: Insufficient)] TJ ET 0.267 0.267 0.267 rg 257.406 137.563 323.469 0.750 re f 257.406 114.050 323.469 0.750 re f 257.406 114.050 0.750 24.263 re f 580.125 114.050 0.750 24.263 re f 0.271 0.267 0.267 rg BT 262.656 127.708 Td /F1 9.8 Tf [(Current preparedness of the disaster management system is impaired )] TJ ET BT 262.656 120.076 Td /F1 9.8 Tf [(and unreliable during and after a disaster. Urgent intervention is needed.)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(2)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 184 0 obj << /Type /Annot /Subtype /Link /A 185 0 R /Border [0 0 0] /H /I /Rect [ 191.0055 768.1817 195.8242 777.0000 ] >> endobj 185 0 obj << /Type /Action >> endobj 186 0 obj << /Type /Annot /Subtype /Link /A 187 0 R /Border [0 0 0] /H /I /Rect [ 306.4260 558.1727 311.2447 566.9910 ] >> endobj 187 0 obj << /Type /Action >> endobj 188 0 obj << /Type /Annot /Subtype /Link /A 189 0 R /Border [0 0 0] /H /I /Rect [ 191.0055 768.1817 195.8242 777.0000 ] >> endobj 189 0 obj << /Type /Action >> endobj 190 0 obj << /Type /Annot /Subtype /Link /A 191 0 R /Border [0 0 0] /H /I /Rect [ 306.4260 558.1727 311.2447 566.9910 ] >> endobj 191 0 obj << /Type /Action >> endobj 192 0 obj << /Type /Annot /Subtype /Link /A 193 0 R /Border [0 0 0] /H /I /Rect [ 191.0055 768.1817 195.8242 777.0000 ] >> endobj 193 0 obj << /Type /Action >> endobj 194 0 obj << /Type /Annot /Subtype /Link /A 195 0 R /Border [0 0 0] /H /I /Rect [ 306.4260 558.1727 311.2447 566.9910 ] >> endobj 195 0 obj << /Type /Action >> endobj 196 0 obj << /Type /Page /Parent 3 0 R /Annots [ 198 0 R 201 0 R 204 0 R 206 0 R 208 0 R 210 0 R ] /Contents 197 0 R >> endobj 197 0 obj << /Length 8885 >> stream 0.271 0.267 0.267 rg q 15.000 -93.569 577.500 870.569 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Informed consent was obtained and all participants were informed they could refuse to participate or withdraw from the study at )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(any time. Also, name, personal information and affiliation data of the participants were kept confidential.)] TJ ET BT 26.250 718.969 Td /F4 12.0 Tf [(Results)] TJ ET BT 26.250 699.015 Td /F1 9.8 Tf [(The questionnaire was sent to 81 people in 27 EU countries. Response rate was 79.1%, which represented at least one person )] TJ ET BT 26.250 687.110 Td /F1 9.8 Tf [(per country. Twenty four percent of the respondents were female.)] TJ ET BT 26.250 667.705 Td /F1 9.8 Tf [(In this study, the self-assessed average level of disaster management preparedness in the health systems of the 27 EU )] TJ ET BT 26.250 655.800 Td /F1 9.8 Tf [(member states was 68%, classified as level A \(Acceptable\). Nevertheless, the level of preparedness was diverse among the EU )] TJ ET BT 26.250 643.896 Td /F1 9.8 Tf [(countries \(Figure 1\). The highest level of preparedness was seen in the United Kingdom, Luxemburg, and Lithuania, as 84%, )] TJ ET BT 26.250 631.991 Td /F1 9.8 Tf [(84% and 83%, respectively. Portugal, Malta and Ireland reported lowest scores, as 42%, 44%, and 51%, respectively.)] TJ ET 0.965 0.965 0.965 rg 26.250 301.955 555.000 320.155 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 622.110 m 581.250 622.110 l 581.250 621.360 l 26.250 621.360 l f 26.250 301.955 m 581.250 301.955 l 581.250 302.705 l 26.250 302.705 l f q 450.000 0 0 275.250 35.250 337.110 cm /I3 Do Q q 35.250 313.205 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 321.586 Td /F4 9.8 Tf [(Fig. 1: The level of preparedness, in respect of disaster management, in 27 European Union countries)] TJ ET Q BT 26.250 284.931 Td /F1 9.8 Tf [(Two-thirds of EU countries were at acceptable level of disaster preparedness, and one-third were at transitional level. No )] TJ ET BT 26.250 273.027 Td /F1 9.8 Tf [(country was categorized as having an insufficient level of preparedness in disaster management.)] TJ ET BT 26.250 253.622 Td /F1 9.8 Tf [(In EU country respondents, with regard to different elements of the disaster management system, the highest level of )] TJ ET BT 26.250 241.717 Td /F1 9.8 Tf [(preparedness was seen in the health information element \(86%\), and the lowest level of preparedness was seen at both )] TJ ET BT 26.250 229.812 Td /F1 9.8 Tf [(hospitals and education and training elements \(54%\) \(Figure 2\).)] TJ ET 0.965 0.965 0.965 rg 26.250 -93.569 555.000 313.500 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 219.931 m 581.250 219.931 l 581.250 219.181 l 26.250 219.181 l f q 450.000 0 0 297.750 35.250 -87.569 cm /I4 Do Q q 35.250 -93.569 537.000 0.000 re W n Q Q q 15.000 -93.569 577.500 870.569 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Informed consent was obtained and all participants were informed they could refuse to participate or withdraw from the study at )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(any time. Also, name, personal information and affiliation data of the participants were kept confidential.)] TJ ET BT 26.250 718.969 Td /F4 12.0 Tf [(Results)] TJ ET BT 26.250 699.015 Td /F1 9.8 Tf [(The questionnaire was sent to 81 people in 27 EU countries. Response rate was 79.1%, which represented at least one person )] TJ ET BT 26.250 687.110 Td /F1 9.8 Tf [(per country. Twenty four percent of the respondents were female.)] TJ ET BT 26.250 667.705 Td /F1 9.8 Tf [(In this study, the self-assessed average level of disaster management preparedness in the health systems of the 27 EU )] TJ ET BT 26.250 655.800 Td /F1 9.8 Tf [(member states was 68%, classified as level A \(Acceptable\). Nevertheless, the level of preparedness was diverse among the EU )] TJ ET BT 26.250 643.896 Td /F1 9.8 Tf [(countries \(Figure 1\). The highest level of preparedness was seen in the United Kingdom, Luxemburg, and Lithuania, as 84%, )] TJ ET BT 26.250 631.991 Td /F1 9.8 Tf [(84% and 83%, respectively. Portugal, Malta and Ireland reported lowest scores, as 42%, 44%, and 51%, respectively.)] TJ ET 0.965 0.965 0.965 rg 26.250 301.955 555.000 320.155 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 622.110 m 581.250 622.110 l 581.250 621.360 l 26.250 621.360 l f 26.250 301.955 m 581.250 301.955 l 581.250 302.705 l 26.250 302.705 l f q 450.000 0 0 275.250 35.250 337.110 cm /I3 Do Q q 35.250 313.205 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 321.586 Td /F4 9.8 Tf [(Fig. 1: The level of preparedness, in respect of disaster management, in 27 European Union countries)] TJ ET Q BT 26.250 284.931 Td /F1 9.8 Tf [(Two-thirds of EU countries were at acceptable level of disaster preparedness, and one-third were at transitional level. No )] TJ ET BT 26.250 273.027 Td /F1 9.8 Tf [(country was categorized as having an insufficient level of preparedness in disaster management.)] TJ ET BT 26.250 253.622 Td /F1 9.8 Tf [(In EU country respondents, with regard to different elements of the disaster management system, the highest level of )] TJ ET BT 26.250 241.717 Td /F1 9.8 Tf [(preparedness was seen in the health information element \(86%\), and the lowest level of preparedness was seen at both )] TJ ET BT 26.250 229.812 Td /F1 9.8 Tf [(hospitals and education and training elements \(54%\) \(Figure 2\).)] TJ ET 0.965 0.965 0.965 rg 26.250 -93.569 555.000 313.500 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 219.931 m 581.250 219.931 l 581.250 219.181 l 26.250 219.181 l f q 450.000 0 0 297.750 35.250 -87.569 cm /I4 Do Q q 35.250 -93.569 537.000 0.000 re W n Q Q q 15.000 -93.569 577.500 870.569 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(Informed consent was obtained and all participants were informed they could refuse to participate or withdraw from the study at )] TJ ET BT 26.250 755.571 Td /F1 9.8 Tf [(any time. Also, name, personal information and affiliation data of the participants were kept confidential.)] TJ ET BT 26.250 718.969 Td /F4 12.0 Tf [(Results)] TJ ET BT 26.250 699.015 Td /F1 9.8 Tf [(The questionnaire was sent to 81 people in 27 EU countries. Response rate was 79.1%, which represented at least one person )] TJ ET BT 26.250 687.110 Td /F1 9.8 Tf [(per country. Twenty four percent of the respondents were female.)] TJ ET BT 26.250 667.705 Td /F1 9.8 Tf [(In this study, the self-assessed average level of disaster management preparedness in the health systems of the 27 EU )] TJ ET BT 26.250 655.800 Td /F1 9.8 Tf [(member states was 68%, classified as level A \(Acceptable\). Nevertheless, the level of preparedness was diverse among the EU )] TJ ET BT 26.250 643.896 Td /F1 9.8 Tf [(countries \(Figure 1\). The highest level of preparedness was seen in the United Kingdom, Luxemburg, and Lithuania, as 84%, )] TJ ET BT 26.250 631.991 Td /F1 9.8 Tf [(84% and 83%, respectively. Portugal, Malta and Ireland reported lowest scores, as 42%, 44%, and 51%, respectively.)] TJ ET 0.965 0.965 0.965 rg 26.250 301.955 555.000 320.155 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 622.110 m 581.250 622.110 l 581.250 621.360 l 26.250 621.360 l f 26.250 301.955 m 581.250 301.955 l 581.250 302.705 l 26.250 302.705 l f q 450.000 0 0 275.250 35.250 337.110 cm /I3 Do Q q 35.250 313.205 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 321.586 Td /F4 9.8 Tf [(Fig. 1: The level of preparedness, in respect of disaster management, in 27 European Union countries)] TJ ET Q BT 26.250 284.931 Td /F1 9.8 Tf [(Two-thirds of EU countries were at acceptable level of disaster preparedness, and one-third were at transitional level. No )] TJ ET BT 26.250 273.027 Td /F1 9.8 Tf [(country was categorized as having an insufficient level of preparedness in disaster management.)] TJ ET BT 26.250 253.622 Td /F1 9.8 Tf [(In EU country respondents, with regard to different elements of the disaster management system, the highest level of )] TJ ET BT 26.250 241.717 Td /F1 9.8 Tf [(preparedness was seen in the health information element \(86%\), and the lowest level of preparedness was seen at both )] TJ ET BT 26.250 229.812 Td /F1 9.8 Tf [(hospitals and education and training elements \(54%\) \(Figure 2\).)] TJ ET 0.965 0.965 0.965 rg 26.250 -93.569 555.000 313.500 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 219.931 m 581.250 219.931 l 581.250 219.181 l 26.250 219.181 l f q 450.000 0 0 297.750 35.250 -87.569 cm /I4 Do Q q 35.250 -93.569 537.000 0.000 re W n Q Q q 450.000 0 0 275.250 35.250 337.110 cm /I3 Do Q q 450.000 0 0 297.750 35.250 -87.569 cm /I4 Do Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(3)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 198 0 obj << /Type /Annot /Subtype /Link /A 199 0 R /Border [0 0 0] /H /I /Rect [ 35.2500 337.1100 485.2500 612.3600 ] >> endobj 199 0 obj << /Type /Action /S /URI /URI (https://currents.plos.org/disasters/files/2014/08/Figure-1.jpg) >> endobj 200 0 obj << /Type /XObject /Subtype /Image /Width 600 /Height 367 /ColorSpace /DeviceRGB /Filter /DCTDecode /BitsPerComponent 8 /Length 60847>> stream JFIF;CREATOR: gd-jpeg v1.0 (using IJG JPEG v62), quality = 90 C     C   oX" }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?QbŖ~ֳyn)A#sr@,2Bb$b|]֥X~m.4}:0qG$11 Σ9aӵ/:h坤0womrc ec)eHH\g$Zgz5 ZiaQn3s3L_q4^c#5`#m-fj O#Sےsd pWCagkr+4@KmXٔ<:\F[O'!I4l>t'.r<;"ֵ-6-Zd)'`v^ 9HyBo qu; Er#wA )7ݱ0I_r [b?I{;:]Bi{8˱#h5'eKybG8W4݁.3|𵏆mlgg_WLehef1˟Q5?ּeۭ?FN[x_{[+elJq2r[XVz&2jw~*b϶ ؑG#}{ ?c8z,)' Zw\?iOv+boDnΜ=ZxJs{(DSh3qC4 ?G4Ïi=LK 4E_?f("?/=2oS =؛q,k k7̛x*4Ïi?-F{jfDlif6ʉAgrTO+6NaywjtK!ݼA0Fwgɓ/Nk>7c|g=+q6v 6V +. 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Preparedness actions aim to build resiliency and )] TJ ET BT 26.250 544.622 Td /F1 9.8 Tf [(capacity needed to efficiently and effectively manage all types of emergencies.)] TJ ET 0.267 0.267 0.267 rg BT 364.955 546.129 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 26.250 525.217 Td /F1 9.8 Tf [(This study, based on survey measures, shows evidence that the level of disaster management preparedness in the EU is )] TJ ET BT 26.250 513.312 Td /F1 9.8 Tf [(considered acceptable, overall, by a slim level compared to the lower transitional level. Although similar EU-wide evaluation )] TJ ET BT 26.250 501.408 Td /F1 9.8 Tf [(has not been reported, current results are supported by findings of a worldwide survey on health system preparedness by the )] TJ ET BT 26.250 489.503 Td /F1 9.8 Tf [(WHO in which most of evaluated criteria were categorized acceptable, within 40%-80%.)] TJ ET 0.267 0.267 0.267 rg BT 410.966 491.010 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 415.784 489.503 Td /F1 9.8 Tf [( Also, a study on decontamination )] TJ ET BT 26.250 477.598 Td /F1 9.8 Tf [(capability of medical systems showed a weak preparedness situation in EU member states.)] TJ ET 0.267 0.267 0.267 rg BT 426.683 479.105 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 26.250 458.193 Td /F1 9.8 Tf [(One can conclude that Europe overall lacks in the safety elements surveyed with regard to disaster occurrence. Around 1,200 )] TJ ET BT 26.250 446.289 Td /F1 9.8 Tf [(naturally occurring disasters have happened in Europe within the past 3 decades which have affected millions of inhabitants.)] TJ ET 0.267 0.267 0.267 rg BT 562.217 447.796 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 567.036 446.289 Td /F1 9.8 Tf [( In )] TJ ET BT 26.250 434.384 Td /F1 9.8 Tf [(case of a disaster, the most important goal for a community is the health and well-being of its people. Current borderline status )] TJ ET BT 26.250 422.479 Td /F1 9.8 Tf [(of disaster preparedness in the EU health systems, especially those with transitional level of preparedness, needs intensive )] TJ ET BT 26.250 410.574 Td /F1 9.8 Tf [(attention to reach at more reliable level.)] TJ ET BT 26.250 391.170 Td /F1 9.8 Tf [(The results of this survey supports that the health systems in EU are considered well prepared for disasters, by a cross section )] TJ ET BT 26.250 379.265 Td /F1 9.8 Tf [(of professional disaster managers within their own countries, with respect to leadership and governance, logistics and )] TJ ET BT 26.250 367.360 Td /F1 9.8 Tf [(operational support, medical products and technology, health information, pre-hospital medical operations, and planning at sub-)] TJ ET BT 26.250 355.455 Td /F1 9.8 Tf [(national/ regional level.)] TJ ET BT 26.250 336.051 Td /F1 9.8 Tf [(On the basis of the authors knowledge, there is no similar published report on disaster preparedness of the health systems in )] TJ ET BT 26.250 324.146 Td /F1 9.8 Tf [(all EU countries that either support or deny the survey study conclusions. However, it is necessary for EU member states to )] TJ ET BT 26.250 312.241 Td /F1 9.8 Tf [(sustain the activities and plans to enhance health system readiness, even those elements that appear to be well-prepared. )] TJ ET BT 26.250 300.336 Td /F1 9.8 Tf [(These efforts should be completed at national, regional and local levels.)] TJ ET BT 26.250 280.932 Td /F1 9.8 Tf [(On the basis of this survey, hospitals in EU countries are not well prepared to face disasters. This result is consistent with other )] TJ ET BT 26.250 269.027 Td /F1 9.8 Tf [(studies, which show lack of preparedness in some hospitals of EU member states.)] TJ ET 0.267 0.267 0.267 rg BT 381.179 270.534 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 390.817 272.915 Td /F1 8.7 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 395.635 270.534 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 405.273 269.027 Td /F1 9.8 Tf [( Hospitals are cornerstone of health )] TJ ET BT 26.250 257.122 Td /F1 9.8 Tf [(systems, both during daily life and in disasters. In fact, hospitals are essential facilities for the maintenance of vital societal )] TJ ET BT 26.250 245.217 Td /F1 9.8 Tf [(functions, specifically health and well-being of the population. Therefore the disruption or destruction of hospitals will have a )] TJ ET BT 26.250 233.313 Td /F1 9.8 Tf [(significant impact in the member state outcomes as a result of the failure to maintain those vital functions.)] TJ ET BT 26.250 213.908 Td /F1 9.8 Tf [(It is critical for all EU communities to have well prepared hospitals to provide reliable medical services for victims and affected )] TJ ET BT 26.250 202.003 Td /F1 9.8 Tf [(population. The use of standardized guidelines, such as WHO toolkits, may help the hospitals to reach an acceptable level of )] TJ ET BT 26.250 190.098 Td /F1 9.8 Tf [(disaster preparedness. In addition, allocation of financial resources is crucial to the establishment and functioning of disaster )] TJ ET BT 26.250 178.194 Td /F1 9.8 Tf [(preparedness and response programs in the health systems, including hospitals.)] TJ ET 0.267 0.267 0.267 rg BT 373.613 179.701 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 378.432 178.194 Td /F1 9.8 Tf [( It is recommended that the EU member )] TJ ET BT 26.250 166.289 Td /F1 9.8 Tf [(states give a higher priority to financial support for hospital disaster preparedness programs.)] TJ ET BT 26.250 146.884 Td /F1 9.8 Tf [(This study suggests that there is a lack of education and training in disaster preparedness in the health systems of EU )] TJ ET BT 26.250 134.979 Td /F1 9.8 Tf [(countries. In addition, the curricula and training materials are still not well harmonized across different stakeholders.Previous )] TJ ET BT 26.250 123.075 Td /F1 9.8 Tf [(studies support this finding.)] TJ ET 0.267 0.267 0.267 rg BT 144.391 124.582 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 149.209 126.963 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 151.619 124.582 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 26.250 103.670 Td /F1 9.8 Tf [(Recognizing that education and training are essential elements of capacity building and a sense of resiliency in disaster )] TJ ET BT 26.250 91.765 Td /F1 9.8 Tf [(management, the development of multidisciplinary core competencies, on the basis of international guidelines and standards, is )] TJ ET BT 26.250 79.860 Td /F1 9.8 Tf [(a necessity for the EU health system to adopt in order to enhance the capacity for disaster preparedness.)] TJ ET 0.267 0.267 0.267 rg BT 479.849 81.368 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 489.487 83.749 Td /F1 8.7 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 494.305 81.368 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 26.250 60.456 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 78.257 60.456 Td /F1 9.8 Tf [(: One limitation of the current study was the small sample size and sampling method. The position, experience and )] TJ ET BT 26.250 48.551 Td /F1 9.8 Tf [(background of respondents are general in nature and self-determined. This factor may affect the validity and reliability of the )] TJ ET BT 26.250 36.646 Td /F1 9.8 Tf [(collected information. However, this is a comprehensive study that included all EU member states. The results can be a useful )] TJ ET Q q 15.000 22.361 577.500 754.639 re W n 0.965 0.965 0.965 rg 26.250 747.845 555.000 29.155 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 747.845 m 581.250 747.845 l 581.250 748.595 l 26.250 748.595 l f q 35.250 759.095 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 767.476 Td /F4 9.8 Tf [(Fig. 2: Preparedness level of different element of disaster management system in whole European Union)] TJ ET Q BT 26.250 730.821 Td /F1 9.8 Tf [(Preparedness of EU respondents was categorized as Acceptable: a\) leadership and governance; b\) logistics and operational )] TJ ET BT 26.250 718.917 Td /F1 9.8 Tf [(support;c\) medical products and technology; d\) health information; e\) sub-national/ regional disaster plans; and f\) pre-hospital )] TJ ET BT 26.250 707.012 Td /F1 9.8 Tf [(medical operations.)] TJ ET BT 26.250 687.607 Td /F1 9.8 Tf [(On the other hand, preparedness was considered Transitional for elements: g\) hospitals; and h\) education and training, in )] TJ ET BT 26.250 675.702 Td /F1 9.8 Tf [(whole EU.)] TJ ET BT 26.250 656.298 Td /F1 9.8 Tf [(No element was at the Insufficient preparedness level.)] TJ ET BT 26.250 636.893 Td /F1 9.8 Tf [(Existence of each of 88 preparedness items, categorized in 8 main elements, either completely or partially in EU health systems )] TJ ET BT 26.250 624.988 Td /F1 9.8 Tf [(is summarized as Appendix 1.)] TJ ET BT 26.250 588.386 Td /F4 12.0 Tf [(Discussion)] TJ ET BT 26.250 568.431 Td /F1 9.8 Tf [(At least 73% of EU countries have recently experienced an emergency or disaster.)] TJ ET 0.267 0.267 0.267 rg BT 382.281 569.939 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 387.100 568.431 Td /F1 9.8 Tf [( This demonstrates the importance of health )] TJ ET BT 26.250 556.527 Td /F1 9.8 Tf [(emergency preparedness, prevention and response programs in Europe. Preparedness actions aim to build resiliency and )] TJ ET BT 26.250 544.622 Td /F1 9.8 Tf [(capacity needed to efficiently and effectively manage all types of emergencies.)] TJ ET 0.267 0.267 0.267 rg BT 364.955 546.129 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 26.250 525.217 Td /F1 9.8 Tf [(This study, based on survey measures, shows evidence that the level of disaster management preparedness in the EU is )] TJ ET BT 26.250 513.312 Td /F1 9.8 Tf [(considered acceptable, overall, by a slim level compared to the lower transitional level. Although similar EU-wide evaluation )] TJ ET BT 26.250 501.408 Td /F1 9.8 Tf [(has not been reported, current results are supported by findings of a worldwide survey on health system preparedness by the )] TJ ET BT 26.250 489.503 Td /F1 9.8 Tf [(WHO in which most of evaluated criteria were categorized acceptable, within 40%-80%.)] TJ ET 0.267 0.267 0.267 rg BT 410.966 491.010 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 415.784 489.503 Td /F1 9.8 Tf [( Also, a study on decontamination )] TJ ET BT 26.250 477.598 Td /F1 9.8 Tf [(capability of medical systems showed a weak preparedness situation in EU member states.)] TJ ET 0.267 0.267 0.267 rg BT 426.683 479.105 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 26.250 458.193 Td /F1 9.8 Tf [(One can conclude that Europe overall lacks in the safety elements surveyed with regard to disaster occurrence. Around 1,200 )] TJ ET BT 26.250 446.289 Td /F1 9.8 Tf [(naturally occurring disasters have happened in Europe within the past 3 decades which have affected millions of inhabitants.)] TJ ET 0.267 0.267 0.267 rg BT 562.217 447.796 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 567.036 446.289 Td /F1 9.8 Tf [( In )] TJ ET BT 26.250 434.384 Td /F1 9.8 Tf [(case of a disaster, the most important goal for a community is the health and well-being of its people. Current borderline status )] TJ ET BT 26.250 422.479 Td /F1 9.8 Tf [(of disaster preparedness in the EU health systems, especially those with transitional level of preparedness, needs intensive )] TJ ET BT 26.250 410.574 Td /F1 9.8 Tf [(attention to reach at more reliable level.)] TJ ET BT 26.250 391.170 Td /F1 9.8 Tf [(The results of this survey supports that the health systems in EU are considered well prepared for disasters, by a cross section )] TJ ET BT 26.250 379.265 Td /F1 9.8 Tf [(of professional disaster managers within their own countries, with respect to leadership and governance, logistics and )] TJ ET BT 26.250 367.360 Td /F1 9.8 Tf [(operational support, medical products and technology, health information, pre-hospital medical operations, and planning at sub-)] TJ ET BT 26.250 355.455 Td /F1 9.8 Tf [(national/ regional level.)] TJ ET BT 26.250 336.051 Td /F1 9.8 Tf [(On the basis of the authors knowledge, there is no similar published report on disaster preparedness of the health systems in )] TJ ET BT 26.250 324.146 Td /F1 9.8 Tf [(all EU countries that either support or deny the survey study conclusions. However, it is necessary for EU member states to )] TJ ET BT 26.250 312.241 Td /F1 9.8 Tf [(sustain the activities and plans to enhance health system readiness, even those elements that appear to be well-prepared. )] TJ ET BT 26.250 300.336 Td /F1 9.8 Tf [(These efforts should be completed at national, regional and local levels.)] TJ ET BT 26.250 280.932 Td /F1 9.8 Tf [(On the basis of this survey, hospitals in EU countries are not well prepared to face disasters. This result is consistent with other )] TJ ET BT 26.250 269.027 Td /F1 9.8 Tf [(studies, which show lack of preparedness in some hospitals of EU member states.)] TJ ET 0.267 0.267 0.267 rg BT 381.179 270.534 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 390.817 272.915 Td /F1 8.7 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 395.635 270.534 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 405.273 269.027 Td /F1 9.8 Tf [( Hospitals are cornerstone of health )] TJ ET BT 26.250 257.122 Td /F1 9.8 Tf [(systems, both during daily life and in disasters. In fact, hospitals are essential facilities for the maintenance of vital societal )] TJ ET BT 26.250 245.217 Td /F1 9.8 Tf [(functions, specifically health and well-being of the population. Therefore the disruption or destruction of hospitals will have a )] TJ ET BT 26.250 233.313 Td /F1 9.8 Tf [(significant impact in the member state outcomes as a result of the failure to maintain those vital functions.)] TJ ET BT 26.250 213.908 Td /F1 9.8 Tf [(It is critical for all EU communities to have well prepared hospitals to provide reliable medical services for victims and affected )] TJ ET BT 26.250 202.003 Td /F1 9.8 Tf [(population. The use of standardized guidelines, such as WHO toolkits, may help the hospitals to reach an acceptable level of )] TJ ET BT 26.250 190.098 Td /F1 9.8 Tf [(disaster preparedness. In addition, allocation of financial resources is crucial to the establishment and functioning of disaster )] TJ ET BT 26.250 178.194 Td /F1 9.8 Tf [(preparedness and response programs in the health systems, including hospitals.)] TJ ET 0.267 0.267 0.267 rg BT 373.613 179.701 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 378.432 178.194 Td /F1 9.8 Tf [( It is recommended that the EU member )] TJ ET BT 26.250 166.289 Td /F1 9.8 Tf [(states give a higher priority to financial support for hospital disaster preparedness programs.)] TJ ET BT 26.250 146.884 Td /F1 9.8 Tf [(This study suggests that there is a lack of education and training in disaster preparedness in the health systems of EU )] TJ ET BT 26.250 134.979 Td /F1 9.8 Tf [(countries. In addition, the curricula and training materials are still not well harmonized across different stakeholders.Previous )] TJ ET BT 26.250 123.075 Td /F1 9.8 Tf [(studies support this finding.)] TJ ET 0.267 0.267 0.267 rg BT 144.391 124.582 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 149.209 126.963 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 151.619 124.582 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 26.250 103.670 Td /F1 9.8 Tf [(Recognizing that education and training are essential elements of capacity building and a sense of resiliency in disaster )] TJ ET BT 26.250 91.765 Td /F1 9.8 Tf [(management, the development of multidisciplinary core competencies, on the basis of international guidelines and standards, is )] TJ ET BT 26.250 79.860 Td /F1 9.8 Tf [(a necessity for the EU health system to adopt in order to enhance the capacity for disaster preparedness.)] TJ ET 0.267 0.267 0.267 rg BT 479.849 81.368 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 489.487 83.749 Td /F1 8.7 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 494.305 81.368 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 26.250 60.456 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 78.257 60.456 Td /F1 9.8 Tf [(: One limitation of the current study was the small sample size and sampling method. The position, experience and )] TJ ET BT 26.250 48.551 Td /F1 9.8 Tf [(background of respondents are general in nature and self-determined. This factor may affect the validity and reliability of the )] TJ ET BT 26.250 36.646 Td /F1 9.8 Tf [(collected information. However, this is a comprehensive study that included all EU member states. The results can be a useful )] TJ ET Q q 15.000 22.361 577.500 754.639 re W n 0.965 0.965 0.965 rg 26.250 747.845 555.000 29.155 re f 0.267 0.267 0.267 rg 0.267 0.267 0.267 RG 26.250 747.845 m 581.250 747.845 l 581.250 748.595 l 26.250 748.595 l f q 35.250 759.095 537.000 17.905 re W n 0.271 0.267 0.267 rg BT 35.250 767.476 Td /F4 9.8 Tf [(Fig. 2: Preparedness level of different element of disaster management system in whole European Union)] TJ ET Q BT 26.250 730.821 Td /F1 9.8 Tf [(Preparedness of EU respondents was categorized as Acceptable: a\) leadership and governance; b\) logistics and operational )] TJ ET BT 26.250 718.917 Td /F1 9.8 Tf [(support;c\) medical products and technology; d\) health information; e\) sub-national/ regional disaster plans; and f\) pre-hospital )] TJ ET BT 26.250 707.012 Td /F1 9.8 Tf [(medical operations.)] TJ ET BT 26.250 687.607 Td /F1 9.8 Tf [(On the other hand, preparedness was considered Transitional for elements: g\) hospitals; and h\) education and training, in )] TJ ET BT 26.250 675.702 Td /F1 9.8 Tf [(whole EU.)] TJ ET BT 26.250 656.298 Td /F1 9.8 Tf [(No element was at the Insufficient preparedness level.)] TJ ET BT 26.250 636.893 Td /F1 9.8 Tf [(Existence of each of 88 preparedness items, categorized in 8 main elements, either completely or partially in EU health systems )] TJ ET BT 26.250 624.988 Td /F1 9.8 Tf [(is summarized as Appendix 1.)] TJ ET BT 26.250 588.386 Td /F4 12.0 Tf [(Discussion)] TJ ET BT 26.250 568.431 Td /F1 9.8 Tf [(At least 73% of EU countries have recently experienced an emergency or disaster.)] TJ ET 0.267 0.267 0.267 rg BT 382.281 569.939 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 387.100 568.431 Td /F1 9.8 Tf [( This demonstrates the importance of health )] TJ ET BT 26.250 556.527 Td /F1 9.8 Tf [(emergency preparedness, prevention and response programs in Europe. Preparedness actions aim to build resiliency and )] TJ ET BT 26.250 544.622 Td /F1 9.8 Tf [(capacity needed to efficiently and effectively manage all types of emergencies.)] TJ ET 0.267 0.267 0.267 rg BT 364.955 546.129 Td /F4 8.7 Tf [(6)] TJ ET 0.271 0.267 0.267 rg BT 26.250 525.217 Td /F1 9.8 Tf [(This study, based on survey measures, shows evidence that the level of disaster management preparedness in the EU is )] TJ ET BT 26.250 513.312 Td /F1 9.8 Tf [(considered acceptable, overall, by a slim level compared to the lower transitional level. Although similar EU-wide evaluation )] TJ ET BT 26.250 501.408 Td /F1 9.8 Tf [(has not been reported, current results are supported by findings of a worldwide survey on health system preparedness by the )] TJ ET BT 26.250 489.503 Td /F1 9.8 Tf [(WHO in which most of evaluated criteria were categorized acceptable, within 40%-80%.)] TJ ET 0.267 0.267 0.267 rg BT 410.966 491.010 Td /F4 8.7 Tf [(9)] TJ ET 0.271 0.267 0.267 rg BT 415.784 489.503 Td /F1 9.8 Tf [( Also, a study on decontamination )] TJ ET BT 26.250 477.598 Td /F1 9.8 Tf [(capability of medical systems showed a weak preparedness situation in EU member states.)] TJ ET 0.267 0.267 0.267 rg BT 426.683 479.105 Td /F4 8.7 Tf [(10)] TJ ET 0.271 0.267 0.267 rg BT 26.250 458.193 Td /F1 9.8 Tf [(One can conclude that Europe overall lacks in the safety elements surveyed with regard to disaster occurrence. Around 1,200 )] TJ ET BT 26.250 446.289 Td /F1 9.8 Tf [(naturally occurring disasters have happened in Europe within the past 3 decades which have affected millions of inhabitants.)] TJ ET 0.267 0.267 0.267 rg BT 562.217 447.796 Td /F4 8.7 Tf [(1)] TJ ET 0.271 0.267 0.267 rg BT 567.036 446.289 Td /F1 9.8 Tf [( In )] TJ ET BT 26.250 434.384 Td /F1 9.8 Tf [(case of a disaster, the most important goal for a community is the health and well-being of its people. Current borderline status )] TJ ET BT 26.250 422.479 Td /F1 9.8 Tf [(of disaster preparedness in the EU health systems, especially those with transitional level of preparedness, needs intensive )] TJ ET BT 26.250 410.574 Td /F1 9.8 Tf [(attention to reach at more reliable level.)] TJ ET BT 26.250 391.170 Td /F1 9.8 Tf [(The results of this survey supports that the health systems in EU are considered well prepared for disasters, by a cross section )] TJ ET BT 26.250 379.265 Td /F1 9.8 Tf [(of professional disaster managers within their own countries, with respect to leadership and governance, logistics and )] TJ ET BT 26.250 367.360 Td /F1 9.8 Tf [(operational support, medical products and technology, health information, pre-hospital medical operations, and planning at sub-)] TJ ET BT 26.250 355.455 Td /F1 9.8 Tf [(national/ regional level.)] TJ ET BT 26.250 336.051 Td /F1 9.8 Tf [(On the basis of the authors knowledge, there is no similar published report on disaster preparedness of the health systems in )] TJ ET BT 26.250 324.146 Td /F1 9.8 Tf [(all EU countries that either support or deny the survey study conclusions. However, it is necessary for EU member states to )] TJ ET BT 26.250 312.241 Td /F1 9.8 Tf [(sustain the activities and plans to enhance health system readiness, even those elements that appear to be well-prepared. )] TJ ET BT 26.250 300.336 Td /F1 9.8 Tf [(These efforts should be completed at national, regional and local levels.)] TJ ET BT 26.250 280.932 Td /F1 9.8 Tf [(On the basis of this survey, hospitals in EU countries are not well prepared to face disasters. This result is consistent with other )] TJ ET BT 26.250 269.027 Td /F1 9.8 Tf [(studies, which show lack of preparedness in some hospitals of EU member states.)] TJ ET 0.267 0.267 0.267 rg BT 381.179 270.534 Td /F4 8.7 Tf [(11)] TJ ET 0.271 0.267 0.267 rg BT 390.817 272.915 Td /F1 8.7 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 395.635 270.534 Td /F4 8.7 Tf [(14)] TJ ET 0.271 0.267 0.267 rg BT 405.273 269.027 Td /F1 9.8 Tf [( Hospitals are cornerstone of health )] TJ ET BT 26.250 257.122 Td /F1 9.8 Tf [(systems, both during daily life and in disasters. In fact, hospitals are essential facilities for the maintenance of vital societal )] TJ ET BT 26.250 245.217 Td /F1 9.8 Tf [(functions, specifically health and well-being of the population. Therefore the disruption or destruction of hospitals will have a )] TJ ET BT 26.250 233.313 Td /F1 9.8 Tf [(significant impact in the member state outcomes as a result of the failure to maintain those vital functions.)] TJ ET BT 26.250 213.908 Td /F1 9.8 Tf [(It is critical for all EU communities to have well prepared hospitals to provide reliable medical services for victims and affected )] TJ ET BT 26.250 202.003 Td /F1 9.8 Tf [(population. The use of standardized guidelines, such as WHO toolkits, may help the hospitals to reach an acceptable level of )] TJ ET BT 26.250 190.098 Td /F1 9.8 Tf [(disaster preparedness. In addition, allocation of financial resources is crucial to the establishment and functioning of disaster )] TJ ET BT 26.250 178.194 Td /F1 9.8 Tf [(preparedness and response programs in the health systems, including hospitals.)] TJ ET 0.267 0.267 0.267 rg BT 373.613 179.701 Td /F4 8.7 Tf [(8)] TJ ET 0.271 0.267 0.267 rg BT 378.432 178.194 Td /F1 9.8 Tf [( It is recommended that the EU member )] TJ ET BT 26.250 166.289 Td /F1 9.8 Tf [(states give a higher priority to financial support for hospital disaster preparedness programs.)] TJ ET BT 26.250 146.884 Td /F1 9.8 Tf [(This study suggests that there is a lack of education and training in disaster preparedness in the health systems of EU )] TJ ET BT 26.250 134.979 Td /F1 9.8 Tf [(countries. In addition, the curricula and training materials are still not well harmonized across different stakeholders.Previous )] TJ ET BT 26.250 123.075 Td /F1 9.8 Tf [(studies support this finding.)] TJ ET 0.267 0.267 0.267 rg BT 144.391 124.582 Td /F4 8.7 Tf [(4)] TJ ET 0.271 0.267 0.267 rg BT 149.209 126.963 Td /F1 8.7 Tf [(,)] TJ ET 0.267 0.267 0.267 rg BT 151.619 124.582 Td /F4 8.7 Tf [(15)] TJ ET 0.271 0.267 0.267 rg BT 26.250 103.670 Td /F1 9.8 Tf [(Recognizing that education and training are essential elements of capacity building and a sense of resiliency in disaster )] TJ ET BT 26.250 91.765 Td /F1 9.8 Tf [(management, the development of multidisciplinary core competencies, on the basis of international guidelines and standards, is )] TJ ET BT 26.250 79.860 Td /F1 9.8 Tf [(a necessity for the EU health system to adopt in order to enhance the capacity for disaster preparedness.)] TJ ET 0.267 0.267 0.267 rg BT 479.849 81.368 Td /F4 8.7 Tf [(16)] TJ ET 0.271 0.267 0.267 rg BT 489.487 83.749 Td /F1 8.7 Tf [()] TJ ET 0.267 0.267 0.267 rg BT 494.305 81.368 Td /F4 8.7 Tf [(19)] TJ ET 0.271 0.267 0.267 rg BT 26.250 60.456 Td /F4 9.8 Tf [(Limitations)] TJ ET BT 78.257 60.456 Td /F1 9.8 Tf [(: One limitation of the current study was the small sample size and sampling method. The position, experience and )] TJ ET BT 26.250 48.551 Td /F1 9.8 Tf [(background of respondents are general in nature and self-determined. This factor may affect the validity and reliability of the )] TJ ET BT 26.250 36.646 Td /F1 9.8 Tf [(collected information. However, this is a comprehensive study that included all EU member states. 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However, )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(there was consensus of the experts on the questionnaire items, and the study benefitted from the standardized toolkit of WHO )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(that served as a model for this survey.)] TJ ET BT 26.250 692.952 Td /F1 9.8 Tf [(Finally, to ask participants to report the preparedness elements of their own country could result is some level of bias, either )] TJ ET BT 26.250 681.048 Td /F1 9.8 Tf [(overestimation or underestimation of the preparedness level. However, it was not possible and acceptable to ask an expert to )] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(evaluate another country, in respect of disaster preparedness, through this survey. Also, all participants were experts in the )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(health disaster field and well familiar with the status of their country. Therefore, the results should be accepted as realistic and )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(valid.)] TJ ET BT 26.250 608.731 Td /F4 12.0 Tf [(Conclusion)] TJ ET BT 26.250 588.777 Td /F1 9.8 Tf [(This study showed that the preparedness level of EU countries is barely considered at an acceptable level. This should alert )] TJ ET BT 26.250 576.872 Td /F1 9.8 Tf [(the EU country disaster and health system professionals to do more. Although some functions such as health information and )] TJ ET BT 26.250 564.967 Td /F1 9.8 Tf [(pre-hospital system are at high level of preparedness, hospitals overall suffer from an insufficient level of preparedness. A lack )] TJ ET BT 26.250 553.062 Td /F1 9.8 Tf [(of competency-based training and education is the main gap in health disaster preparedness in the EU.)] TJ ET BT 26.250 533.658 Td /F1 9.8 Tf [(The EU health system, in our considered opinion, requires a comprehensive strategic policy, as well as sufficient resources, to )] TJ ET BT 26.250 521.753 Td /F1 9.8 Tf [(establish a comprehensive and standardized disaster management plan. A competency-based training curriculum for managers )] TJ ET BT 26.250 509.848 Td /F1 9.8 Tf [(and first responders is a necessary first step basic action to reach that goal.)] TJ ET BT 26.250 473.246 Td /F4 12.0 Tf [(Competing Interests)] TJ ET BT 26.250 453.291 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 416.689 Td /F4 12.0 Tf [(APPENDIX 1)] TJ ET BT 26.250 379.537 Td /F4 12.0 Tf [(Existence of disaster preparedness elements in the health system of 27 EU member states, )] TJ ET BT 26.250 364.885 Td /F4 12.0 Tf [(described as 88 items categorized in 8 groups)] TJ ET Q q 15.000 354.455 577.500 422.545 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(baseline for future comparisons and be helpful for identifying gaps in disaster preparedness planning.)] TJ ET BT 26.250 748.071 Td /F1 9.8 Tf [(A second limitation is that the study data were gathered, analyzed and categorized on the basis of a survey questionnaire which )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(had not been validated to ensure if it reflects measurable reality with respect to disaster management preparedness. However, )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(there was consensus of the experts on the questionnaire items, and the study benefitted from the standardized toolkit of WHO )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(that served as a model for this survey.)] TJ ET BT 26.250 692.952 Td /F1 9.8 Tf [(Finally, to ask participants to report the preparedness elements of their own country could result is some level of bias, either )] TJ ET BT 26.250 681.048 Td /F1 9.8 Tf [(overestimation or underestimation of the preparedness level. However, it was not possible and acceptable to ask an expert to )] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(evaluate another country, in respect of disaster preparedness, through this survey. Also, all participants were experts in the )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(health disaster field and well familiar with the status of their country. Therefore, the results should be accepted as realistic and )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(valid.)] TJ ET BT 26.250 608.731 Td /F4 12.0 Tf [(Conclusion)] TJ ET BT 26.250 588.777 Td /F1 9.8 Tf [(This study showed that the preparedness level of EU countries is barely considered at an acceptable level. This should alert )] TJ ET BT 26.250 576.872 Td /F1 9.8 Tf [(the EU country disaster and health system professionals to do more. Although some functions such as health information and )] TJ ET BT 26.250 564.967 Td /F1 9.8 Tf [(pre-hospital system are at high level of preparedness, hospitals overall suffer from an insufficient level of preparedness. A lack )] TJ ET BT 26.250 553.062 Td /F1 9.8 Tf [(of competency-based training and education is the main gap in health disaster preparedness in the EU.)] TJ ET BT 26.250 533.658 Td /F1 9.8 Tf [(The EU health system, in our considered opinion, requires a comprehensive strategic policy, as well as sufficient resources, to )] TJ ET BT 26.250 521.753 Td /F1 9.8 Tf [(establish a comprehensive and standardized disaster management plan. A competency-based training curriculum for managers )] TJ ET BT 26.250 509.848 Td /F1 9.8 Tf [(and first responders is a necessary first step basic action to reach that goal.)] TJ ET BT 26.250 473.246 Td /F4 12.0 Tf [(Competing Interests)] TJ ET BT 26.250 453.291 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 416.689 Td /F4 12.0 Tf [(APPENDIX 1)] TJ ET BT 26.250 379.537 Td /F4 12.0 Tf [(Existence of disaster preparedness elements in the health system of 27 EU member states, )] TJ ET BT 26.250 364.885 Td /F4 12.0 Tf [(described as 88 items categorized in 8 groups)] TJ ET Q q 15.000 354.455 577.500 422.545 re W n 0.271 0.267 0.267 rg BT 26.250 767.476 Td /F1 9.8 Tf [(baseline for future comparisons and be helpful for identifying gaps in disaster preparedness planning.)] TJ ET BT 26.250 748.071 Td /F1 9.8 Tf [(A second limitation is that the study data were gathered, analyzed and categorized on the basis of a survey questionnaire which )] TJ ET BT 26.250 736.167 Td /F1 9.8 Tf [(had not been validated to ensure if it reflects measurable reality with respect to disaster management preparedness. However, )] TJ ET BT 26.250 724.262 Td /F1 9.8 Tf [(there was consensus of the experts on the questionnaire items, and the study benefitted from the standardized toolkit of WHO )] TJ ET BT 26.250 712.357 Td /F1 9.8 Tf [(that served as a model for this survey.)] TJ ET BT 26.250 692.952 Td /F1 9.8 Tf [(Finally, to ask participants to report the preparedness elements of their own country could result is some level of bias, either )] TJ ET BT 26.250 681.048 Td /F1 9.8 Tf [(overestimation or underestimation of the preparedness level. However, it was not possible and acceptable to ask an expert to )] TJ ET BT 26.250 669.143 Td /F1 9.8 Tf [(evaluate another country, in respect of disaster preparedness, through this survey. Also, all participants were experts in the )] TJ ET BT 26.250 657.238 Td /F1 9.8 Tf [(health disaster field and well familiar with the status of their country. Therefore, the results should be accepted as realistic and )] TJ ET BT 26.250 645.333 Td /F1 9.8 Tf [(valid.)] TJ ET BT 26.250 608.731 Td /F4 12.0 Tf [(Conclusion)] TJ ET BT 26.250 588.777 Td /F1 9.8 Tf [(This study showed that the preparedness level of EU countries is barely considered at an acceptable level. This should alert )] TJ ET BT 26.250 576.872 Td /F1 9.8 Tf [(the EU country disaster and health system professionals to do more. Although some functions such as health information and )] TJ ET BT 26.250 564.967 Td /F1 9.8 Tf [(pre-hospital system are at high level of preparedness, hospitals overall suffer from an insufficient level of preparedness. A lack )] TJ ET BT 26.250 553.062 Td /F1 9.8 Tf [(of competency-based training and education is the main gap in health disaster preparedness in the EU.)] TJ ET BT 26.250 533.658 Td /F1 9.8 Tf [(The EU health system, in our considered opinion, requires a comprehensive strategic policy, as well as sufficient resources, to )] TJ ET BT 26.250 521.753 Td /F1 9.8 Tf [(establish a comprehensive and standardized disaster management plan. A competency-based training curriculum for managers )] TJ ET BT 26.250 509.848 Td /F1 9.8 Tf [(and first responders is a necessary first step basic action to reach that goal.)] TJ ET BT 26.250 473.246 Td /F4 12.0 Tf [(Competing Interests)] TJ ET BT 26.250 453.291 Td /F1 9.8 Tf [(The authors have declared that no competing interests exist.)] TJ ET BT 26.250 416.689 Td /F4 12.0 Tf [(APPENDIX 1)] TJ ET BT 26.250 379.537 Td /F4 12.0 Tf [(Existence of disaster preparedness elements in the health system of 27 EU member states, )] TJ ET BT 26.250 364.885 Td /F4 12.0 Tf [(described as 88 items categorized in 8 groups)] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(5)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj 288 0 obj << /Type /Page /Parent 3 0 R /Contents 289 0 R >> endobj 289 0 obj << /Length 215146 >> stream 0.271 0.267 0.267 rg q 15.000 23.005 577.500 753.995 re W n q 26.250 777.000 555.000 0.000 re W n Q 1.000 1.000 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rg BT 31.875 714.346 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 724.202 216.764 0.750 re f 146.763 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 152.013 714.346 Td /F1 9.8 Tf [(Legislation includes activation, coordination )] TJ ET BT 152.013 706.715 Td /F1 9.8 Tf [(and incident command mechanisms)] TJ ET 0.267 0.267 0.267 rg 362.777 724.202 218.098 0.750 re f 362.777 700.689 0.750 24.263 re f 580.125 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 368.027 714.346 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 700.689 120.888 0.750 re f 26.625 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 690.834 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 700.689 216.764 0.750 re f 146.763 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 690.834 Td /F1 9.8 Tf [(Coordination and incident command system is )] TJ ET BT 152.013 683.203 Td /F1 9.8 Tf [(regularly tested through exercises, drills and )] TJ ET BT 152.013 675.572 Td /F1 9.8 Tf [(simulations)] TJ ET 0.267 0.267 0.267 rg 362.777 700.689 218.098 0.750 re f 362.777 669.545 0.750 31.894 re f 580.125 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 690.834 Td /F1 9.8 Tf [(60%)] TJ ET 0.267 0.267 0.267 rg 26.625 669.545 120.888 0.750 re f 26.625 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 659.690 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 669.545 216.764 0.750 re f 146.763 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 659.690 Td /F1 9.8 Tf [(A structure for interagency coordination for )] TJ ET BT 152.013 652.059 Td /F1 9.8 Tf [(disaster/MCI management \(either in national )] TJ ET BT 152.013 644.428 Td /F1 9.8 Tf [(level or/and in regional level\))] TJ ET 0.267 0.267 0.267 rg 362.777 669.545 218.098 0.750 re f 362.777 638.402 0.750 31.894 re f 580.125 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 659.690 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 638.402 120.888 0.750 re f 26.625 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 628.547 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 638.402 216.764 0.750 re f 146.763 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 152.013 628.547 Td /F1 9.8 Tf [(How is the structure)] TJ ET 0.267 0.267 0.267 rg 362.777 638.402 218.098 0.750 re f 362.777 622.520 0.750 16.631 re f 580.125 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 368.027 628.547 Td /F1 9.8 Tf [(Explanation)] TJ ET 0.267 0.267 0.267 rg 26.625 622.520 120.888 0.750 re f 26.625 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg BT 31.875 612.665 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 622.520 216.764 0.750 re f 146.763 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg BT 152.013 612.665 Td /F1 9.8 Tf [(National operational crisis centre in case of a )] TJ ET BT 152.013 605.034 Td /F1 9.8 Tf [(disaster \(EOC\))] TJ ET 0.267 0.267 0.267 rg 362.777 622.520 218.098 0.750 re f 362.777 582.961 0.750 40.310 re f 580.125 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg 0.271 0.267 0.267 RG 382.114 615.964 m 382.114 616.411 381.930 616.855 381.615 617.171 c 381.299 617.486 380.855 617.670 380.408 617.670 c 379.961 617.670 379.517 617.486 379.202 617.171 c 378.886 616.855 378.702 616.411 378.702 615.964 c 378.702 615.517 378.886 615.073 379.202 614.757 c 379.517 614.442 379.961 614.258 380.408 614.258 c 380.855 614.258 381.299 614.442 381.615 614.757 c 381.930 615.073 382.114 615.517 382.114 615.964 c f BT 387.527 612.996 Td /F1 9.8 Tf [( Ministry of Interior: 56%)] TJ ET 382.114 600.309 m 382.114 600.756 381.930 601.200 381.615 601.516 c 381.299 601.832 380.855 602.015 380.408 602.015 c 379.961 602.015 379.517 601.832 379.202 601.516 c 378.886 601.200 378.702 600.756 378.702 600.309 c 378.702 599.863 378.886 599.419 379.202 599.103 c 379.517 598.787 379.961 598.603 380.408 598.603 c 380.855 598.603 381.299 598.787 381.615 599.103 c 381.930 599.419 382.114 599.863 382.114 600.309 c f BT 387.527 597.342 Td /F1 9.8 Tf [( Other organizations: 44%)] TJ ET 0.267 0.267 0.267 rg 26.625 582.961 120.888 0.750 re f 26.625 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 573.106 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 582.961 216.764 0.750 re f 146.763 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 152.013 573.106 Td /F1 9.8 Tf [(Medical and public health representation in the )] TJ ET BT 152.013 565.475 Td /F1 9.8 Tf [(EOC)] TJ ET 0.267 0.267 0.267 rg 362.777 582.961 218.098 0.750 re f 362.777 559.448 0.750 24.262 re f 580.125 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 368.027 573.106 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 559.448 120.888 0.750 re f 26.625 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg BT 31.875 549.593 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 559.448 216.764 0.750 re f 146.763 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg BT 152.013 549.593 Td /F1 9.8 Tf [(The responsible organization for coordination )] TJ ET BT 152.013 541.962 Td /F1 9.8 Tf [(of response in case of a MCI at regional level)] TJ ET 0.267 0.267 0.267 rg 362.777 559.448 218.098 0.750 re f 362.777 504.234 0.750 55.964 re f 580.125 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg 382.114 552.892 m 382.114 553.339 381.930 553.783 381.615 554.099 c 381.299 554.414 380.855 554.598 380.408 554.598 c 379.961 554.598 379.517 554.414 379.202 554.099 c 378.886 553.783 378.702 553.339 378.702 552.892 c 378.702 552.445 378.886 552.001 379.202 551.685 c 379.517 551.370 379.961 551.186 380.408 551.186 c 380.855 551.186 381.299 551.370 381.615 551.685 c 381.930 552.001 382.114 552.445 382.114 552.892 c f BT 387.527 549.924 Td /F1 9.8 Tf [( Local authority: 50%)] TJ ET 382.114 537.237 m 382.114 537.684 381.930 538.128 381.615 538.444 c 381.299 538.760 380.855 538.943 380.408 538.943 c 379.961 538.943 379.517 538.760 379.202 538.444 c 378.886 538.128 378.702 537.684 378.702 537.237 c 378.702 536.791 378.886 536.347 379.202 536.031 c 379.517 535.715 379.961 535.531 380.408 535.531 c 380.855 535.531 381.299 535.715 381.615 536.031 c 381.930 536.347 382.114 536.791 382.114 537.237 c f BT 387.527 534.270 Td /F1 9.8 Tf [( Fire Bridge: 19%)] TJ ET 382.114 521.582 m 382.114 522.029 381.930 522.473 381.615 522.789 c 381.299 523.105 380.855 523.289 380.408 523.289 c 379.961 523.289 379.517 523.105 379.202 522.789 c 378.886 522.473 378.702 522.029 378.702 521.582 c 378.702 521.136 378.886 520.692 379.202 520.376 c 379.517 520.060 379.961 519.876 380.408 519.876 c 380.855 519.876 381.299 520.060 381.615 520.376 c 381.930 520.692 382.114 521.136 382.114 521.582 c f BT 387.527 518.615 Td /F1 9.8 Tf [( Other organizations: 31%)] TJ ET 0.267 0.267 0.267 rg 26.625 504.234 120.888 0.750 re f 26.625 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 31.875 494.379 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 504.234 216.764 0.750 re f 146.763 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 152.013 494.379 Td /F1 9.8 Tf [(The legislation recognizes binding international )] TJ ET BT 152.013 486.748 Td /F1 9.8 Tf [(\(bilateral/multilateral\) agreements and )] TJ ET BT 152.013 479.116 Td /F1 9.8 Tf [(conventions)] TJ ET 0.267 0.267 0.267 rg 362.777 504.234 218.098 0.750 re f 362.777 200.587 0.750 304.397 re f 580.125 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 368.027 494.379 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 200.587 120.888 0.750 re f 26.625 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 190.732 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 200.587 216.764 0.750 re f 146.763 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 190.732 Td /F1 9.8 Tf [(Regulations relating to the entry of foreign )] TJ ET BT 152.013 183.101 Td /F1 9.8 Tf [(health workers to provide emergency relief )] TJ ET BT 152.013 175.469 Td /F1 9.8 Tf [(services)] TJ ET 0.267 0.267 0.267 rg 362.777 200.587 218.098 0.750 re f 362.777 169.443 0.750 31.894 re f 580.125 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 190.732 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 169.443 120.888 0.750 re f 26.625 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 159.588 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 169.443 216.764 0.750 re f 146.763 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 159.588 Td /F1 9.8 Tf [(Multi-sectoral financing procedures available )] TJ ET BT 152.013 151.957 Td /F1 9.8 Tf [(for the request, acceptance and utilization of )] TJ ET BT 152.013 144.326 Td /F1 9.8 Tf [(international financial assistance)] TJ ET 0.267 0.267 0.267 rg 362.777 169.443 218.098 0.750 re f 362.777 138.299 0.750 31.894 re f 580.125 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 159.588 Td /F1 9.8 Tf [(68%)] TJ ET 0.267 0.267 0.267 rg 26.625 138.299 120.888 0.750 re f 26.625 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 128.444 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 138.299 216.764 0.750 re f 146.763 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 128.444 Td /F1 9.8 Tf [(Multi-sectoral financing mechanisms include )] TJ ET BT 152.013 120.813 Td /F1 9.8 Tf [(contingency funding for response and recovery )] TJ ET BT 152.013 113.182 Td /F1 9.8 Tf [(at the national and regional levels)] TJ ET 0.267 0.267 0.267 rg 362.777 138.299 218.098 0.750 re f 362.777 107.156 0.750 31.894 re f 580.125 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 128.444 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 107.156 120.888 0.750 re f 26.625 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 97.301 Td /F4 9.8 Tf [(Logistics and )] TJ ET BT 31.875 89.669 Td /F4 9.8 Tf [(operational support )] TJ ET BT 31.875 82.038 Td /F4 9.8 Tf [(functions in )] TJ ET BT 31.875 74.407 Td /F4 9.8 Tf [(emergencies)] TJ ET 0.267 0.267 0.267 rg 146.763 107.156 216.764 0.750 re f 146.763 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 152.013 97.301 Td /F1 9.8 Tf [(Guidelines and procedures for establishing )] TJ ET BT 152.013 89.669 Td /F1 9.8 Tf [(standardized telecommunications systems )] TJ ET BT 152.013 82.038 Td /F1 9.8 Tf [(across all sectors)] TJ ET 0.267 0.267 0.267 rg 362.777 107.156 218.098 0.750 re f 362.777 68.381 0.750 39.525 re f 580.125 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 368.027 97.301 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 68.381 120.888 0.750 re f 26.625 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 68.381 216.764 0.750 re f 146.763 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Protocols for the use of temporary means of telecommunication)] TJ ET 0.267 0.267 0.267 rg 362.777 68.381 218.098 0.750 re f 362.777 68.381 0.750 0.750 re f 580.125 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The staff are trained to use the telecommunications equipment in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Guidelines and procedures exist for the use and management of logistics systems in emergency situations)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The staff are trained to use the logistics systems in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(92%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Available resources to ensure logistics support in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Agreements in place with partners and/or private companies for the provision of logistics services to ensure continuity of essential functions)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Medical products and technology)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Essential medical supplies and equipment for emergency operations determined on the basis of risk assessments and analyses)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The essential medical supplies and equipment are readily available in sufficient quantities/stockpiles)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The supplies and equipment are periodically checked and tested, in accordance with established guidelines)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Health information)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The responsibilities and authority related to the information system are defined)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(88%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Early-warning capacity is in place to enable recognition of and reporting on any event of potential public health concern within 24 hours)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Sub-national/ Regional plans for crisis/ MCIs)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Sub-national/regional emergency response plans for health system, based on national policy)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The health plans are compatible with the community multi-sectoral emergency plan)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The plans define mechanisms for activation, coordination, command and control)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The plans are regularly tested, validated, exercised and maintained)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Mechanisms exist for a rapid mobilization of additional resources \(personnel, equipment and materials\) among sub-national levels)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Mechanisms of networking exist)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Procedures and the required capacity \(ventilators, incubators, etc.\) exist for providing life support and critical care during patient transport outside the affected area)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Management of prehospital medical operations)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is under authority of)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Public government: 78%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Mixed jurisdiction: 22%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS manage the health assistance in case of a MCI and/or disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If not, there is another office to manage a MCI and/or disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(By whom is it activated)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Different focal points)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS has a budget line for crisis preparedness)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(69%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS has a reserve budget for prompt mobilization to use in case of disasters)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(56%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a specific agency for health aspects related only to non-terrorism CBRNE events)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(31%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The above agency is at)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( National level: 27%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Regional level: 4%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a specific agency for health aspects related only to terroristic event)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The above agency is at)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( National level: 11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a standardized system in place for managing medical activities at the scene)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a standardized triage system in place at prehospital level)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The mentioned triage system is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( The most common method is START)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The search and rescue operations include a medical component)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(88%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific arrangements are in place, at prehospital system, to manage contagious and contaminated casualties)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The role of EMS system in identifying and reporting unusual public health events clearly is defined)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(67%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is included in coordination meetings, joint exercises, drills and training exercises)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a telephone number for medical emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It works either for daily emergencies and Crisis Dispatch)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It is nationwide?)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is obliged by law to have crisis preparedness plan)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The incident commander in case of a MCI)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( A specific chief commander: 58%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( An operations management group: 42%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The specific commander is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Fire Brigade: 58%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Police: 16%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( EMS: 10%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Other: 16%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The incident commander in case of a disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( A specific chief commander: 33%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( An operations management group: 67%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The specific commander is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Fire Brigade: 63%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Police: 19%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( EMS: 6%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Other: 12%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A difference in deployment between different incidents)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(54%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The mentioned difference is because of)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Type of incident, e.g. CBRN, Train accident, Terrorism, etc)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The interagency communication system is defined as well working)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If not, because)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( No on-site inter-connectivity between police, fire brigade and EMS; different system of communication using by response organizations; different radio frequencies, etc.)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A national system adopted for triage)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(77%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it is working at prehospital setting)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(37%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Hospital emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A formal hospital emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(82%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific fund is allocated to the emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(38%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The program fully incorporate the concept of safe hospital)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific plan is dedicated to chemical incidents)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospitals have decontamination capability stated by law)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(19%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospitals have planning committees for emergency response and recovery by law)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(62%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A plan for emergency response and recovery is a requirement for hospital accreditation)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospital plan for emergency response and recovery is validated and accredited in accordance with national criteria)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(62%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospital plan is reviewed, exercised, revised and updated regularly)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(44%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Education and training)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Emergency medicine is a distinct medical specialty)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(63%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it is established within)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( 5 years ago)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( More than 5 years ago)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A disaster medicine curriculum is formally included in residency programs)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(54%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, the residency programs are)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Emergency medicine)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Anaesthesia and intensive care)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A disaster medicine curriculum is formally included in undergraduates programs)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(44%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The disaster medicine curriculum for undergraduate students is mainly based on a University proposal)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(75%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A post-graduate training in disaster medicine for doctors working in EMS)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it takes ... months)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( <6 months: 53%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( 6-12 months: 29%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( >12 months: 18%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Also, is it based on a specific course or curriculum)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(38%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It is left to the initiative of the single region/institution)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(57%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is specific center for education and training in Disaster medicine)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Post-graduate training in disaster medicine for nurses working in EMS)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(74%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Opportunities provided for emergency-management training)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(82%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The curricula and training materials are harmonized across stakeholders)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(31%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The training programs for stakeholders include exercises and drills)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Sufficient resources have been allocated for training programmes)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(15%)] TJ ET BT 0.000 782.981 Td /F4 9.8 Tf [(*)] TJ ET BT 0.000 782.981 Td /F4 9.8 Tf [( The item is in the place, either completely or partially)] TJ ET BT 0.000 780.900 Td /F4 12.0 Tf [(References)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Disaster statistics in Europe. PreventionWeb/UNISDR. https://www.preventionweb.net/english/countries/statistics/index_region.php?rid=3. Accessed 7 May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(The international disaster database: EM-DAT. Center for research on the epidemiology of disasters-CRED. https://www.emdat.be/country-profile. Accessed 7 May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Bayntun C, Rockenschaub G, Murray V. Developing a health system approach to disaster management: A qualitative analysis of the core literature to complement the WHO Toolkit for assessing health-system capacity for crisis management. PLoS Curr. 2012 August 22; 4: e5028b6037259a.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Ingrassia PL, Foletti M, Djalali A, et al. Education and training initiatives for crisis management in the European Union: a web-based analysis of available programs. Prehosp Disaster Med. 2014;29\(2\):115-126. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Rogers P. Development of Resilient Australia: enhancing the PPRR approach with anticipation, assessment and registration of risks. The Australian Journal of Emergency Management. 2011 January;26\(1\):54-58.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Terminology on disaster risk reduction. Nations/International Strategy for Disaster Reduction \(UN/ISDR\). 2009. https://www.unisdr.org/files/7817_UNISDRTerminologyEnglish.pdf. Accessed 12 April 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Developing and Maintaining Emergency Operations Plans. Federal Emergency Management Agency. 2010. https://www.fema.gov/library/viewRecord.do?5&id55697. Accessed 12 April 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Toolkit for assessing health-system capacity for crisis management. 2012. https://www.euro.who.int/__data/assets/pdf_file/0010/157888/e96188.pdf. Accessed 5 May 2014. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Global assessment of national health sector emergency preparedness and response. World Health Organization. 2008. https://www.who.int/hac/about/Global_survey_inside.pdf. Accessed 5 May 2014. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Domres BD, Rashid A, Grundgeiger J, et al. European survey on decontamination in mass casualty incidents. Am J Disaster Med. 2009 May-Jun;4\(3\):147-152.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Giacomet V, Tarallo L, De Marco G, et al. Preparing for an influenza pandemic in Italy: resources and procedures in paediatric hospital units. Euro Surveill. 2007 Jul 1;12\(7\):E7-8.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Fusco FM, Schilling S, De Iaco G, et al. Infection control management of patients with suspected highly infectious diseases in emergency departments: data from a survey in 41 facilities in 14 European countries. BMC Infect Dis. 2012 Jan 28;12:27.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Murphy GR, Foot C. ICU fire evacuation preparedness in London: a cross-sectional study. Br J Anaesth. 2011 May;106\(5\):695-698.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Djalali A, Carenzo L, Ragazzoni L, Azzaretto M, Petrino R, Della Corte F, Ingrassia PL. Does Hospital Disaster Preparedness Predict the Response Performance during a Full-Scale Exercise? A pilot study. Prehosp Disaster Med. 2014;29\(4\):1-7.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Djalali A, Ingrassia PL, Della Corte F, et al. Identifying Deficiencies in National and Foreign Medical Team Responses through Expert Opinion Surveys: Implications for Education and Training. Prehosp Disaster Med. 2014;29\(4\):364-368.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Burkle FM, Jr. The development of multidisciplinary core competencies: the first step in the professionalization of disaster medicine and public health preparedness on a global scale. Disaster Med Public Health Prep. 2012;6\(1\):10-12.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Archer F, Seynaeve G. International guidelines and standards for education and training to reduce the consequences of events that may threaten the health status of a community. A report of an open international WADEM meeting, Brussels, Belgium, October 29-31, 2004. Prehosp Disaster Med. 2007;22\(2\):120-130.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Hyogo Framework for Action 2005-2015: Building the Resilience of Nations and Communities to Disasters. International Strategy for Disaster Reduction. https://www.unisdr.org/2005/wcdr/intergover/official-doc/L-docs/Hyogo-framework-for-actionenglish.pdf. 2005. Accessed May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Seynaeve G, Archer F, Fisher J, et al. International standards and guidelines on education and training for the multi-disciplinary health response to major events that threaten the health status of a community. Prehosp Disaster Med. 2004;19\(2\):S17-S30. )] TJ ET Q q 15.000 23.005 577.500 753.995 re W n q 26.250 777.000 555.000 0.000 re W n Q 1.000 1.000 1.000 rg 26.250 68.005 555.000 708.995 re f 0.965 0.965 0.965 rg 27.000 763.970 120.138 12.280 re f 0.267 0.267 0.267 rg 26.625 775.875 120.513 0.750 re f 26.625 763.595 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 766.726 Td /F4 9.8 Tf [(Preparedness element)] TJ ET 0.965 0.965 0.965 rg 147.138 763.970 216.014 12.280 re f 0.267 0.267 0.267 rg 147.138 775.875 216.014 0.750 re f 0.271 0.267 0.267 rg BT 151.638 766.726 Td /F4 9.8 Tf [(Evaluated items)] TJ ET 0.965 0.965 0.965 rg 363.152 763.970 217.348 12.280 re f 0.267 0.267 0.267 rg 363.152 775.875 217.723 0.750 re f 580.125 763.595 0.750 13.030 re f 0.271 0.267 0.267 rg BT 367.652 766.726 Td /F4 9.8 Tf [(Condition in EU*)] TJ ET 0.267 0.267 0.267 rg 26.625 763.595 120.888 0.750 re f 26.625 740.083 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 753.740 Td /F4 9.8 Tf [(Leadership and )] TJ ET BT 31.875 746.109 Td /F4 9.8 Tf [(governance)] TJ ET 0.267 0.267 0.267 rg 146.763 763.595 216.764 0.750 re f 146.763 740.083 0.750 24.263 re f 0.271 0.267 0.267 rg BT 152.013 753.740 Td /F1 9.8 Tf [(Legislation reference to crisis/disaster )] TJ ET BT 152.013 746.109 Td /F1 9.8 Tf [(management)] TJ ET 0.267 0.267 0.267 rg 362.777 763.595 218.098 0.750 re f 362.777 740.083 0.750 24.263 re f 580.125 740.083 0.750 24.263 re f 0.271 0.267 0.267 rg BT 368.027 753.740 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 740.083 120.888 0.750 re f 26.625 724.202 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 730.228 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 740.083 216.764 0.750 re f 146.763 724.202 0.750 16.631 re f 0.271 0.267 0.267 rg BT 152.013 730.228 Td /F1 9.8 Tf [(Legislation follows all-hazards approach)] TJ ET 0.267 0.267 0.267 rg 362.777 740.083 218.098 0.750 re f 362.777 724.202 0.750 16.631 re f 580.125 724.202 0.750 16.631 re f 0.271 0.267 0.267 rg BT 368.027 730.228 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 724.202 120.888 0.750 re f 26.625 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 714.346 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 724.202 216.764 0.750 re f 146.763 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 152.013 714.346 Td /F1 9.8 Tf [(Legislation includes activation, coordination )] TJ ET BT 152.013 706.715 Td /F1 9.8 Tf [(and incident command mechanisms)] TJ ET 0.267 0.267 0.267 rg 362.777 724.202 218.098 0.750 re f 362.777 700.689 0.750 24.263 re f 580.125 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 368.027 714.346 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 700.689 120.888 0.750 re f 26.625 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 690.834 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 700.689 216.764 0.750 re f 146.763 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 690.834 Td /F1 9.8 Tf [(Coordination and incident command system is )] TJ ET BT 152.013 683.203 Td /F1 9.8 Tf [(regularly tested through exercises, drills and )] TJ ET BT 152.013 675.572 Td /F1 9.8 Tf [(simulations)] TJ ET 0.267 0.267 0.267 rg 362.777 700.689 218.098 0.750 re f 362.777 669.545 0.750 31.894 re f 580.125 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 690.834 Td /F1 9.8 Tf [(60%)] TJ ET 0.267 0.267 0.267 rg 26.625 669.545 120.888 0.750 re f 26.625 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 659.690 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 669.545 216.764 0.750 re f 146.763 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 659.690 Td /F1 9.8 Tf [(A structure for interagency coordination for )] TJ ET BT 152.013 652.059 Td /F1 9.8 Tf [(disaster/MCI management \(either in national )] TJ ET BT 152.013 644.428 Td /F1 9.8 Tf [(level or/and in regional level\))] TJ ET 0.267 0.267 0.267 rg 362.777 669.545 218.098 0.750 re f 362.777 638.402 0.750 31.894 re f 580.125 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 659.690 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 638.402 120.888 0.750 re f 26.625 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 628.547 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 638.402 216.764 0.750 re f 146.763 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 152.013 628.547 Td /F1 9.8 Tf [(How is the structure)] TJ ET 0.267 0.267 0.267 rg 362.777 638.402 218.098 0.750 re f 362.777 622.520 0.750 16.631 re f 580.125 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 368.027 628.547 Td /F1 9.8 Tf [(Explanation)] TJ ET 0.267 0.267 0.267 rg 26.625 622.520 120.888 0.750 re f 26.625 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg BT 31.875 612.665 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 622.520 216.764 0.750 re f 146.763 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg BT 152.013 612.665 Td /F1 9.8 Tf [(National operational crisis centre in case of a )] TJ ET BT 152.013 605.034 Td /F1 9.8 Tf [(disaster \(EOC\))] TJ ET 0.267 0.267 0.267 rg 362.777 622.520 218.098 0.750 re f 362.777 582.961 0.750 40.310 re f 580.125 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg 0.271 0.267 0.267 RG 382.114 615.964 m 382.114 616.411 381.930 616.855 381.615 617.171 c 381.299 617.486 380.855 617.670 380.408 617.670 c 379.961 617.670 379.517 617.486 379.202 617.171 c 378.886 616.855 378.702 616.411 378.702 615.964 c 378.702 615.517 378.886 615.073 379.202 614.757 c 379.517 614.442 379.961 614.258 380.408 614.258 c 380.855 614.258 381.299 614.442 381.615 614.757 c 381.930 615.073 382.114 615.517 382.114 615.964 c f BT 387.527 612.996 Td /F1 9.8 Tf [( Ministry of Interior: 56%)] TJ ET 382.114 600.309 m 382.114 600.756 381.930 601.200 381.615 601.516 c 381.299 601.832 380.855 602.015 380.408 602.015 c 379.961 602.015 379.517 601.832 379.202 601.516 c 378.886 601.200 378.702 600.756 378.702 600.309 c 378.702 599.863 378.886 599.419 379.202 599.103 c 379.517 598.787 379.961 598.603 380.408 598.603 c 380.855 598.603 381.299 598.787 381.615 599.103 c 381.930 599.419 382.114 599.863 382.114 600.309 c f BT 387.527 597.342 Td /F1 9.8 Tf [( Other organizations: 44%)] TJ ET 0.267 0.267 0.267 rg 26.625 582.961 120.888 0.750 re f 26.625 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 573.106 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 582.961 216.764 0.750 re f 146.763 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 152.013 573.106 Td /F1 9.8 Tf [(Medical and public health representation in the )] TJ ET BT 152.013 565.475 Td /F1 9.8 Tf [(EOC)] TJ ET 0.267 0.267 0.267 rg 362.777 582.961 218.098 0.750 re f 362.777 559.448 0.750 24.262 re f 580.125 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 368.027 573.106 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 559.448 120.888 0.750 re f 26.625 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg BT 31.875 549.593 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 559.448 216.764 0.750 re f 146.763 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg BT 152.013 549.593 Td /F1 9.8 Tf [(The responsible organization for coordination )] TJ ET BT 152.013 541.962 Td /F1 9.8 Tf [(of response in case of a MCI at regional level)] TJ ET 0.267 0.267 0.267 rg 362.777 559.448 218.098 0.750 re f 362.777 504.234 0.750 55.964 re f 580.125 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg 382.114 552.892 m 382.114 553.339 381.930 553.783 381.615 554.099 c 381.299 554.414 380.855 554.598 380.408 554.598 c 379.961 554.598 379.517 554.414 379.202 554.099 c 378.886 553.783 378.702 553.339 378.702 552.892 c 378.702 552.445 378.886 552.001 379.202 551.685 c 379.517 551.370 379.961 551.186 380.408 551.186 c 380.855 551.186 381.299 551.370 381.615 551.685 c 381.930 552.001 382.114 552.445 382.114 552.892 c f BT 387.527 549.924 Td /F1 9.8 Tf [( Local authority: 50%)] TJ ET 382.114 537.237 m 382.114 537.684 381.930 538.128 381.615 538.444 c 381.299 538.760 380.855 538.943 380.408 538.943 c 379.961 538.943 379.517 538.760 379.202 538.444 c 378.886 538.128 378.702 537.684 378.702 537.237 c 378.702 536.791 378.886 536.347 379.202 536.031 c 379.517 535.715 379.961 535.531 380.408 535.531 c 380.855 535.531 381.299 535.715 381.615 536.031 c 381.930 536.347 382.114 536.791 382.114 537.237 c f BT 387.527 534.270 Td /F1 9.8 Tf [( Fire Bridge: 19%)] TJ ET 382.114 521.582 m 382.114 522.029 381.930 522.473 381.615 522.789 c 381.299 523.105 380.855 523.289 380.408 523.289 c 379.961 523.289 379.517 523.105 379.202 522.789 c 378.886 522.473 378.702 522.029 378.702 521.582 c 378.702 521.136 378.886 520.692 379.202 520.376 c 379.517 520.060 379.961 519.876 380.408 519.876 c 380.855 519.876 381.299 520.060 381.615 520.376 c 381.930 520.692 382.114 521.136 382.114 521.582 c f BT 387.527 518.615 Td /F1 9.8 Tf [( Other organizations: 31%)] TJ ET 0.267 0.267 0.267 rg 26.625 504.234 120.888 0.750 re f 26.625 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 31.875 494.379 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 504.234 216.764 0.750 re f 146.763 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 152.013 494.379 Td /F1 9.8 Tf [(The legislation recognizes binding international )] TJ ET BT 152.013 486.748 Td /F1 9.8 Tf [(\(bilateral/multilateral\) agreements and )] TJ ET BT 152.013 479.116 Td /F1 9.8 Tf [(conventions)] TJ ET 0.267 0.267 0.267 rg 362.777 504.234 218.098 0.750 re f 362.777 200.587 0.750 304.397 re f 580.125 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 368.027 494.379 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 200.587 120.888 0.750 re f 26.625 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 190.732 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 200.587 216.764 0.750 re f 146.763 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 190.732 Td /F1 9.8 Tf [(Regulations relating to the entry of foreign )] TJ ET BT 152.013 183.101 Td /F1 9.8 Tf [(health workers to provide emergency relief )] TJ ET BT 152.013 175.469 Td /F1 9.8 Tf [(services)] TJ ET 0.267 0.267 0.267 rg 362.777 200.587 218.098 0.750 re f 362.777 169.443 0.750 31.894 re f 580.125 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 190.732 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 169.443 120.888 0.750 re f 26.625 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 159.588 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 169.443 216.764 0.750 re f 146.763 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 159.588 Td /F1 9.8 Tf [(Multi-sectoral financing procedures available )] TJ ET BT 152.013 151.957 Td /F1 9.8 Tf [(for the request, acceptance and utilization of )] TJ ET BT 152.013 144.326 Td /F1 9.8 Tf [(international financial assistance)] TJ ET 0.267 0.267 0.267 rg 362.777 169.443 218.098 0.750 re f 362.777 138.299 0.750 31.894 re f 580.125 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 159.588 Td /F1 9.8 Tf [(68%)] TJ ET 0.267 0.267 0.267 rg 26.625 138.299 120.888 0.750 re f 26.625 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 128.444 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 138.299 216.764 0.750 re f 146.763 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 128.444 Td /F1 9.8 Tf [(Multi-sectoral financing mechanisms include )] TJ ET BT 152.013 120.813 Td /F1 9.8 Tf [(contingency funding for response and recovery )] TJ ET BT 152.013 113.182 Td /F1 9.8 Tf [(at the national and regional levels)] TJ ET 0.267 0.267 0.267 rg 362.777 138.299 218.098 0.750 re f 362.777 107.156 0.750 31.894 re f 580.125 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 128.444 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 107.156 120.888 0.750 re f 26.625 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 97.301 Td /F4 9.8 Tf [(Logistics and )] TJ ET BT 31.875 89.669 Td /F4 9.8 Tf [(operational support )] TJ ET BT 31.875 82.038 Td /F4 9.8 Tf [(functions in )] TJ ET BT 31.875 74.407 Td /F4 9.8 Tf [(emergencies)] TJ ET 0.267 0.267 0.267 rg 146.763 107.156 216.764 0.750 re f 146.763 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 152.013 97.301 Td /F1 9.8 Tf [(Guidelines and procedures for establishing )] TJ ET BT 152.013 89.669 Td /F1 9.8 Tf [(standardized telecommunications systems )] TJ ET BT 152.013 82.038 Td /F1 9.8 Tf [(across all sectors)] TJ ET 0.267 0.267 0.267 rg 362.777 107.156 218.098 0.750 re f 362.777 68.381 0.750 39.525 re f 580.125 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 368.027 97.301 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 68.381 120.888 0.750 re f 26.625 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 68.381 216.764 0.750 re f 146.763 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Protocols for the use of temporary means of telecommunication)] TJ ET 0.267 0.267 0.267 rg 362.777 68.381 218.098 0.750 re f 362.777 68.381 0.750 0.750 re f 580.125 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The staff are trained to use the telecommunications equipment in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Guidelines and procedures exist for the use and management of logistics systems in emergency situations)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The staff are trained to use the logistics systems in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(92%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Available resources to ensure logistics support in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Agreements in place with partners and/or private companies for the provision of logistics services to ensure continuity of essential functions)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Medical products and technology)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Essential medical supplies and equipment for emergency operations determined on the basis of risk assessments and analyses)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The essential medical supplies and equipment are readily available in sufficient quantities/stockpiles)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The supplies and equipment are periodically checked and tested, in accordance with established guidelines)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Health information)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The responsibilities and authority related to the information system are defined)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(88%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Early-warning capacity is in place to enable recognition of and reporting on any event of potential public health concern within 24 hours)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Sub-national/ Regional plans for crisis/ MCIs)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Sub-national/regional emergency response plans for health system, based on national policy)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The health plans are compatible with the community multi-sectoral emergency plan)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The plans define mechanisms for activation, coordination, command and control)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The plans are regularly tested, validated, exercised and maintained)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Mechanisms exist for a rapid mobilization of additional resources \(personnel, equipment and materials\) among sub-national levels)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Mechanisms of networking exist)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Procedures and the required capacity \(ventilators, incubators, etc.\) exist for providing life support and critical care during patient transport outside the affected area)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Management of prehospital medical operations)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is under authority of)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Public government: 78%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Mixed jurisdiction: 22%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS manage the health assistance in case of a MCI and/or disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If not, there is another office to manage a MCI and/or disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(By whom is it activated)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Different focal points)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS has a budget line for crisis preparedness)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(69%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS has a reserve budget for prompt mobilization to use in case of disasters)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(56%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a specific agency for health aspects related only to non-terrorism CBRNE events)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(31%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The above agency is at)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( National level: 27%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Regional level: 4%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a specific agency for health aspects related only to terroristic event)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The above agency is at)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( National level: 11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a standardized system in place for managing medical activities at the scene)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a standardized triage system in place at prehospital level)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The mentioned triage system is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( The most common method is START)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The search and rescue operations include a medical component)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(88%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific arrangements are in place, at prehospital system, to manage contagious and contaminated casualties)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The role of EMS system in identifying and reporting unusual public health events clearly is defined)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(67%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is included in coordination meetings, joint exercises, drills and training exercises)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a telephone number for medical emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It works either for daily emergencies and Crisis Dispatch)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It is nationwide?)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is obliged by law to have crisis preparedness plan)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The incident commander in case of a MCI)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( A specific chief commander: 58%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( An operations management group: 42%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The specific commander is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Fire Brigade: 58%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Police: 16%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( EMS: 10%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Other: 16%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The incident commander in case of a disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( A specific chief commander: 33%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( An operations management group: 67%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The specific commander is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Fire Brigade: 63%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Police: 19%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( EMS: 6%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Other: 12%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A difference in deployment between different incidents)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(54%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The mentioned difference is because of)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Type of incident, e.g. CBRN, Train accident, Terrorism, etc)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The interagency communication system is defined as well working)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If not, because)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( No on-site inter-connectivity between police, fire brigade and EMS; different system of communication using by response organizations; different radio frequencies, etc.)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A national system adopted for triage)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(77%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it is working at prehospital setting)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(37%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Hospital emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A formal hospital emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(82%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific fund is allocated to the emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(38%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The program fully incorporate the concept of safe hospital)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific plan is dedicated to chemical incidents)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospitals have decontamination capability stated by law)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(19%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospitals have planning committees for emergency response and recovery by law)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(62%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A plan for emergency response and recovery is a requirement for hospital accreditation)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospital plan for emergency response and recovery is validated and accredited in accordance with national criteria)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(62%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospital plan is reviewed, exercised, revised and updated regularly)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(44%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Education and training)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Emergency medicine is a distinct medical specialty)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(63%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it is established within)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( 5 years ago)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( More than 5 years ago)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A disaster medicine curriculum is formally included in residency programs)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(54%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, the residency programs are)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Emergency medicine)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Anaesthesia and intensive care)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A disaster medicine curriculum is formally included in undergraduates programs)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(44%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The disaster medicine curriculum for undergraduate students is mainly based on a University proposal)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(75%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A post-graduate training in disaster medicine for doctors working in EMS)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it takes ... months)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( <6 months: 53%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( 6-12 months: 29%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( >12 months: 18%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Also, is it based on a specific course or curriculum)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(38%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It is left to the initiative of the single region/institution)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(57%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is specific center for education and training in Disaster medicine)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Post-graduate training in disaster medicine for nurses working in EMS)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(74%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Opportunities provided for emergency-management training)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(82%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The curricula and training materials are harmonized across stakeholders)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(31%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The training programs for stakeholders include exercises and drills)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Sufficient resources have been allocated for training programmes)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(15%)] TJ ET BT 0.000 782.981 Td /F4 9.8 Tf [(*)] TJ ET BT 0.000 782.981 Td /F4 9.8 Tf [( The item is in the place, either completely or partially)] TJ ET BT 0.000 780.900 Td /F4 12.0 Tf [(References)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Disaster statistics in Europe. PreventionWeb/UNISDR. https://www.preventionweb.net/english/countries/statistics/index_region.php?rid=3. Accessed 7 May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(The international disaster database: EM-DAT. Center for research on the epidemiology of disasters-CRED. https://www.emdat.be/country-profile. Accessed 7 May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Bayntun C, Rockenschaub G, Murray V. Developing a health system approach to disaster management: A qualitative analysis of the core literature to complement the WHO Toolkit for assessing health-system capacity for crisis management. PLoS Curr. 2012 August 22; 4: e5028b6037259a.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Ingrassia PL, Foletti M, Djalali A, et al. Education and training initiatives for crisis management in the European Union: a web-based analysis of available programs. Prehosp Disaster Med. 2014;29\(2\):115-126. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Rogers P. Development of Resilient Australia: enhancing the PPRR approach with anticipation, assessment and registration of risks. The Australian Journal of Emergency Management. 2011 January;26\(1\):54-58.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Terminology on disaster risk reduction. Nations/International Strategy for Disaster Reduction \(UN/ISDR\). 2009. https://www.unisdr.org/files/7817_UNISDRTerminologyEnglish.pdf. Accessed 12 April 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Developing and Maintaining Emergency Operations Plans. Federal Emergency Management Agency. 2010. https://www.fema.gov/library/viewRecord.do?5&id55697. Accessed 12 April 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Toolkit for assessing health-system capacity for crisis management. 2012. https://www.euro.who.int/__data/assets/pdf_file/0010/157888/e96188.pdf. Accessed 5 May 2014. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Global assessment of national health sector emergency preparedness and response. World Health Organization. 2008. https://www.who.int/hac/about/Global_survey_inside.pdf. Accessed 5 May 2014. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Domres BD, Rashid A, Grundgeiger J, et al. European survey on decontamination in mass casualty incidents. Am J Disaster Med. 2009 May-Jun;4\(3\):147-152.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Giacomet V, Tarallo L, De Marco G, et al. Preparing for an influenza pandemic in Italy: resources and procedures in paediatric hospital units. Euro Surveill. 2007 Jul 1;12\(7\):E7-8.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Fusco FM, Schilling S, De Iaco G, et al. Infection control management of patients with suspected highly infectious diseases in emergency departments: data from a survey in 41 facilities in 14 European countries. BMC Infect Dis. 2012 Jan 28;12:27.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Murphy GR, Foot C. ICU fire evacuation preparedness in London: a cross-sectional study. Br J Anaesth. 2011 May;106\(5\):695-698.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Djalali A, Carenzo L, Ragazzoni L, Azzaretto M, Petrino R, Della Corte F, Ingrassia PL. Does Hospital Disaster Preparedness Predict the Response Performance during a Full-Scale Exercise? A pilot study. Prehosp Disaster Med. 2014;29\(4\):1-7.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Djalali A, Ingrassia PL, Della Corte F, et al. Identifying Deficiencies in National and Foreign Medical Team Responses through Expert Opinion Surveys: Implications for Education and Training. Prehosp Disaster Med. 2014;29\(4\):364-368.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Burkle FM, Jr. The development of multidisciplinary core competencies: the first step in the professionalization of disaster medicine and public health preparedness on a global scale. Disaster Med Public Health Prep. 2012;6\(1\):10-12.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Archer F, Seynaeve G. International guidelines and standards for education and training to reduce the consequences of events that may threaten the health status of a community. A report of an open international WADEM meeting, Brussels, Belgium, October 29-31, 2004. Prehosp Disaster Med. 2007;22\(2\):120-130.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Hyogo Framework for Action 2005-2015: Building the Resilience of Nations and Communities to Disasters. International Strategy for Disaster Reduction. https://www.unisdr.org/2005/wcdr/intergover/official-doc/L-docs/Hyogo-framework-for-actionenglish.pdf. 2005. Accessed May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Seynaeve G, Archer F, Fisher J, et al. International standards and guidelines on education and training for the multi-disciplinary health response to major events that threaten the health status of a community. Prehosp Disaster Med. 2004;19\(2\):S17-S30. )] TJ ET Q q 15.000 23.005 577.500 753.995 re W n q 26.250 777.000 555.000 0.000 re W n Q 1.000 1.000 1.000 rg 26.250 68.005 555.000 708.995 re f 0.965 0.965 0.965 rg 27.000 763.970 120.138 12.280 re f 0.267 0.267 0.267 rg 26.625 775.875 120.513 0.750 re f 26.625 763.595 0.750 13.030 re f 0.271 0.267 0.267 rg BT 31.500 766.726 Td /F4 9.8 Tf [(Preparedness element)] TJ ET 0.965 0.965 0.965 rg 147.138 763.970 216.014 12.280 re f 0.267 0.267 0.267 rg 147.138 775.875 216.014 0.750 re f 0.271 0.267 0.267 rg BT 151.638 766.726 Td /F4 9.8 Tf [(Evaluated items)] TJ ET 0.965 0.965 0.965 rg 363.152 763.970 217.348 12.280 re f 0.267 0.267 0.267 rg 363.152 775.875 217.723 0.750 re f 580.125 763.595 0.750 13.030 re f 0.271 0.267 0.267 rg BT 367.652 766.726 Td /F4 9.8 Tf [(Condition in EU*)] TJ ET 0.267 0.267 0.267 rg 26.625 763.595 120.888 0.750 re f 26.625 740.083 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 753.740 Td /F4 9.8 Tf [(Leadership and )] TJ ET BT 31.875 746.109 Td /F4 9.8 Tf [(governance)] TJ ET 0.267 0.267 0.267 rg 146.763 763.595 216.764 0.750 re f 146.763 740.083 0.750 24.263 re f 0.271 0.267 0.267 rg BT 152.013 753.740 Td /F1 9.8 Tf [(Legislation reference to crisis/disaster )] TJ ET BT 152.013 746.109 Td /F1 9.8 Tf [(management)] TJ ET 0.267 0.267 0.267 rg 362.777 763.595 218.098 0.750 re f 362.777 740.083 0.750 24.263 re f 580.125 740.083 0.750 24.263 re f 0.271 0.267 0.267 rg BT 368.027 753.740 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 740.083 120.888 0.750 re f 26.625 724.202 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 730.228 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 740.083 216.764 0.750 re f 146.763 724.202 0.750 16.631 re f 0.271 0.267 0.267 rg BT 152.013 730.228 Td /F1 9.8 Tf [(Legislation follows all-hazards approach)] TJ ET 0.267 0.267 0.267 rg 362.777 740.083 218.098 0.750 re f 362.777 724.202 0.750 16.631 re f 580.125 724.202 0.750 16.631 re f 0.271 0.267 0.267 rg BT 368.027 730.228 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 724.202 120.888 0.750 re f 26.625 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 31.875 714.346 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 724.202 216.764 0.750 re f 146.763 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 152.013 714.346 Td /F1 9.8 Tf [(Legislation includes activation, coordination )] TJ ET BT 152.013 706.715 Td /F1 9.8 Tf [(and incident command mechanisms)] TJ ET 0.267 0.267 0.267 rg 362.777 724.202 218.098 0.750 re f 362.777 700.689 0.750 24.263 re f 580.125 700.689 0.750 24.263 re f 0.271 0.267 0.267 rg BT 368.027 714.346 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 700.689 120.888 0.750 re f 26.625 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 690.834 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 700.689 216.764 0.750 re f 146.763 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 690.834 Td /F1 9.8 Tf [(Coordination and incident command system is )] TJ ET BT 152.013 683.203 Td /F1 9.8 Tf [(regularly tested through exercises, drills and )] TJ ET BT 152.013 675.572 Td /F1 9.8 Tf [(simulations)] TJ ET 0.267 0.267 0.267 rg 362.777 700.689 218.098 0.750 re f 362.777 669.545 0.750 31.894 re f 580.125 669.545 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 690.834 Td /F1 9.8 Tf [(60%)] TJ ET 0.267 0.267 0.267 rg 26.625 669.545 120.888 0.750 re f 26.625 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 659.690 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 669.545 216.764 0.750 re f 146.763 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 659.690 Td /F1 9.8 Tf [(A structure for interagency coordination for )] TJ ET BT 152.013 652.059 Td /F1 9.8 Tf [(disaster/MCI management \(either in national )] TJ ET BT 152.013 644.428 Td /F1 9.8 Tf [(level or/and in regional level\))] TJ ET 0.267 0.267 0.267 rg 362.777 669.545 218.098 0.750 re f 362.777 638.402 0.750 31.894 re f 580.125 638.402 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 659.690 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 638.402 120.888 0.750 re f 26.625 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 31.875 628.547 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 638.402 216.764 0.750 re f 146.763 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 152.013 628.547 Td /F1 9.8 Tf [(How is the structure)] TJ ET 0.267 0.267 0.267 rg 362.777 638.402 218.098 0.750 re f 362.777 622.520 0.750 16.631 re f 580.125 622.520 0.750 16.631 re f 0.271 0.267 0.267 rg BT 368.027 628.547 Td /F1 9.8 Tf [(Explanation)] TJ ET 0.267 0.267 0.267 rg 26.625 622.520 120.888 0.750 re f 26.625 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg BT 31.875 612.665 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 622.520 216.764 0.750 re f 146.763 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg BT 152.013 612.665 Td /F1 9.8 Tf [(National operational crisis centre in case of a )] TJ ET BT 152.013 605.034 Td /F1 9.8 Tf [(disaster \(EOC\))] TJ ET 0.267 0.267 0.267 rg 362.777 622.520 218.098 0.750 re f 362.777 582.961 0.750 40.310 re f 580.125 582.961 0.750 40.310 re f 0.271 0.267 0.267 rg 0.271 0.267 0.267 RG 382.114 615.964 m 382.114 616.411 381.930 616.855 381.615 617.171 c 381.299 617.486 380.855 617.670 380.408 617.670 c 379.961 617.670 379.517 617.486 379.202 617.171 c 378.886 616.855 378.702 616.411 378.702 615.964 c 378.702 615.517 378.886 615.073 379.202 614.757 c 379.517 614.442 379.961 614.258 380.408 614.258 c 380.855 614.258 381.299 614.442 381.615 614.757 c 381.930 615.073 382.114 615.517 382.114 615.964 c f BT 387.527 612.996 Td /F1 9.8 Tf [( Ministry of Interior: 56%)] TJ ET 382.114 600.309 m 382.114 600.756 381.930 601.200 381.615 601.516 c 381.299 601.832 380.855 602.015 380.408 602.015 c 379.961 602.015 379.517 601.832 379.202 601.516 c 378.886 601.200 378.702 600.756 378.702 600.309 c 378.702 599.863 378.886 599.419 379.202 599.103 c 379.517 598.787 379.961 598.603 380.408 598.603 c 380.855 598.603 381.299 598.787 381.615 599.103 c 381.930 599.419 382.114 599.863 382.114 600.309 c f BT 387.527 597.342 Td /F1 9.8 Tf [( Other organizations: 44%)] TJ ET 0.267 0.267 0.267 rg 26.625 582.961 120.888 0.750 re f 26.625 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 31.875 573.106 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 582.961 216.764 0.750 re f 146.763 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 152.013 573.106 Td /F1 9.8 Tf [(Medical and public health representation in the )] TJ ET BT 152.013 565.475 Td /F1 9.8 Tf [(EOC)] TJ ET 0.267 0.267 0.267 rg 362.777 582.961 218.098 0.750 re f 362.777 559.448 0.750 24.262 re f 580.125 559.448 0.750 24.262 re f 0.271 0.267 0.267 rg BT 368.027 573.106 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 559.448 120.888 0.750 re f 26.625 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg BT 31.875 549.593 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 559.448 216.764 0.750 re f 146.763 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg BT 152.013 549.593 Td /F1 9.8 Tf [(The responsible organization for coordination )] TJ ET BT 152.013 541.962 Td /F1 9.8 Tf [(of response in case of a MCI at regional level)] TJ ET 0.267 0.267 0.267 rg 362.777 559.448 218.098 0.750 re f 362.777 504.234 0.750 55.964 re f 580.125 504.234 0.750 55.964 re f 0.271 0.267 0.267 rg 382.114 552.892 m 382.114 553.339 381.930 553.783 381.615 554.099 c 381.299 554.414 380.855 554.598 380.408 554.598 c 379.961 554.598 379.517 554.414 379.202 554.099 c 378.886 553.783 378.702 553.339 378.702 552.892 c 378.702 552.445 378.886 552.001 379.202 551.685 c 379.517 551.370 379.961 551.186 380.408 551.186 c 380.855 551.186 381.299 551.370 381.615 551.685 c 381.930 552.001 382.114 552.445 382.114 552.892 c f BT 387.527 549.924 Td /F1 9.8 Tf [( Local authority: 50%)] TJ ET 382.114 537.237 m 382.114 537.684 381.930 538.128 381.615 538.444 c 381.299 538.760 380.855 538.943 380.408 538.943 c 379.961 538.943 379.517 538.760 379.202 538.444 c 378.886 538.128 378.702 537.684 378.702 537.237 c 378.702 536.791 378.886 536.347 379.202 536.031 c 379.517 535.715 379.961 535.531 380.408 535.531 c 380.855 535.531 381.299 535.715 381.615 536.031 c 381.930 536.347 382.114 536.791 382.114 537.237 c f BT 387.527 534.270 Td /F1 9.8 Tf [( Fire Bridge: 19%)] TJ ET 382.114 521.582 m 382.114 522.029 381.930 522.473 381.615 522.789 c 381.299 523.105 380.855 523.289 380.408 523.289 c 379.961 523.289 379.517 523.105 379.202 522.789 c 378.886 522.473 378.702 522.029 378.702 521.582 c 378.702 521.136 378.886 520.692 379.202 520.376 c 379.517 520.060 379.961 519.876 380.408 519.876 c 380.855 519.876 381.299 520.060 381.615 520.376 c 381.930 520.692 382.114 521.136 382.114 521.582 c f BT 387.527 518.615 Td /F1 9.8 Tf [( Other organizations: 31%)] TJ ET 0.267 0.267 0.267 rg 26.625 504.234 120.888 0.750 re f 26.625 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 31.875 494.379 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 504.234 216.764 0.750 re f 146.763 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 152.013 494.379 Td /F1 9.8 Tf [(The legislation recognizes binding international )] TJ ET BT 152.013 486.748 Td /F1 9.8 Tf [(\(bilateral/multilateral\) agreements and )] TJ ET BT 152.013 479.116 Td /F1 9.8 Tf [(conventions)] TJ ET 0.267 0.267 0.267 rg 362.777 504.234 218.098 0.750 re f 362.777 200.587 0.750 304.397 re f 580.125 200.587 0.750 304.397 re f 0.271 0.267 0.267 rg BT 368.027 494.379 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 200.587 120.888 0.750 re f 26.625 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 190.732 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 200.587 216.764 0.750 re f 146.763 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 190.732 Td /F1 9.8 Tf [(Regulations relating to the entry of foreign )] TJ ET BT 152.013 183.101 Td /F1 9.8 Tf [(health workers to provide emergency relief )] TJ ET BT 152.013 175.469 Td /F1 9.8 Tf [(services)] TJ ET 0.267 0.267 0.267 rg 362.777 200.587 218.098 0.750 re f 362.777 169.443 0.750 31.894 re f 580.125 169.443 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 190.732 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 169.443 120.888 0.750 re f 26.625 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 159.588 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 169.443 216.764 0.750 re f 146.763 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 159.588 Td /F1 9.8 Tf [(Multi-sectoral financing procedures available )] TJ ET BT 152.013 151.957 Td /F1 9.8 Tf [(for the request, acceptance and utilization of )] TJ ET BT 152.013 144.326 Td /F1 9.8 Tf [(international financial assistance)] TJ ET 0.267 0.267 0.267 rg 362.777 169.443 218.098 0.750 re f 362.777 138.299 0.750 31.894 re f 580.125 138.299 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 159.588 Td /F1 9.8 Tf [(68%)] TJ ET 0.267 0.267 0.267 rg 26.625 138.299 120.888 0.750 re f 26.625 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 31.875 128.444 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 138.299 216.764 0.750 re f 146.763 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 152.013 128.444 Td /F1 9.8 Tf [(Multi-sectoral financing mechanisms include )] TJ ET BT 152.013 120.813 Td /F1 9.8 Tf [(contingency funding for response and recovery )] TJ ET BT 152.013 113.182 Td /F1 9.8 Tf [(at the national and regional levels)] TJ ET 0.267 0.267 0.267 rg 362.777 138.299 218.098 0.750 re f 362.777 107.156 0.750 31.894 re f 580.125 107.156 0.750 31.894 re f 0.271 0.267 0.267 rg BT 368.027 128.444 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 107.156 120.888 0.750 re f 26.625 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 31.875 97.301 Td /F4 9.8 Tf [(Logistics and )] TJ ET BT 31.875 89.669 Td /F4 9.8 Tf [(operational support )] TJ ET BT 31.875 82.038 Td /F4 9.8 Tf [(functions in )] TJ ET BT 31.875 74.407 Td /F4 9.8 Tf [(emergencies)] TJ ET 0.267 0.267 0.267 rg 146.763 107.156 216.764 0.750 re f 146.763 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 152.013 97.301 Td /F1 9.8 Tf [(Guidelines and procedures for establishing )] TJ ET BT 152.013 89.669 Td /F1 9.8 Tf [(standardized telecommunications systems )] TJ ET BT 152.013 82.038 Td /F1 9.8 Tf [(across all sectors)] TJ ET 0.267 0.267 0.267 rg 362.777 107.156 218.098 0.750 re f 362.777 68.381 0.750 39.525 re f 580.125 68.381 0.750 39.525 re f 0.271 0.267 0.267 rg BT 368.027 97.301 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 68.381 120.888 0.750 re f 26.625 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 68.381 216.764 0.750 re f 146.763 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Protocols for the use of temporary means of telecommunication)] TJ ET 0.267 0.267 0.267 rg 362.777 68.381 218.098 0.750 re f 362.777 68.381 0.750 0.750 re f 580.125 68.381 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The staff are trained to use the telecommunications equipment in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Guidelines and procedures exist for the use and management of logistics systems in emergency situations)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The staff are trained to use the logistics systems in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(92%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Available resources to ensure logistics support in emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Agreements in place with partners and/or private companies for the provision of logistics services to ensure continuity of essential functions)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Medical products and technology)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Essential medical supplies and equipment for emergency operations determined on the basis of risk assessments and analyses)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The essential medical supplies and equipment are readily available in sufficient quantities/stockpiles)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The supplies and equipment are periodically checked and tested, in accordance with established guidelines)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Health information)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The responsibilities and authority related to the information system are defined)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(88%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Early-warning capacity is in place to enable recognition of and reporting on any event of potential public health concern within 24 hours)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Sub-national/ Regional plans for crisis/ MCIs)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Sub-national/regional emergency response plans for health system, based on national policy)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The health plans are compatible with the community multi-sectoral emergency plan)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The plans define mechanisms for activation, coordination, command and control)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The plans are regularly tested, validated, exercised and maintained)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Mechanisms exist for a rapid mobilization of additional resources \(personnel, equipment and materials\) among sub-national levels)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Mechanisms of networking exist)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(96%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Procedures and the required capacity \(ventilators, incubators, etc.\) exist for providing life support and critical care during patient transport outside the affected area)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Management of prehospital medical operations)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is under authority of)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Public government: 78%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Mixed jurisdiction: 22%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS manage the health assistance in case of a MCI and/or disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If not, there is another office to manage a MCI and/or disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(By whom is it activated)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Different focal points)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS has a budget line for crisis preparedness)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(69%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS has a reserve budget for prompt mobilization to use in case of disasters)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(56%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a specific agency for health aspects related only to non-terrorism CBRNE events)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(31%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The above agency is at)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( National level: 27%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Regional level: 4%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a specific agency for health aspects related only to terroristic event)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The above agency is at)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( National level: 11%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a standardized system in place for managing medical activities at the scene)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(93%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a standardized triage system in place at prehospital level)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The mentioned triage system is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( The most common method is START)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The search and rescue operations include a medical component)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(88%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific arrangements are in place, at prehospital system, to manage contagious and contaminated casualties)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(85%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The role of EMS system in identifying and reporting unusual public health events clearly is defined)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(67%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is included in coordination meetings, joint exercises, drills and training exercises)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is a telephone number for medical emergencies)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It works either for daily emergencies and Crisis Dispatch)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It is nationwide?)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(100%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The EMS is obliged by law to have crisis preparedness plan)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(89%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The incident commander in case of a MCI)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( A specific chief commander: 58%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( An operations management group: 42%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The specific commander is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Fire Brigade: 58%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Police: 16%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( EMS: 10%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Other: 16%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The incident commander in case of a disaster)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( A specific chief commander: 33%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( An operations management group: 67%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The specific commander is)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Fire Brigade: 63%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Police: 19%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( EMS: 6%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Other: 12%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A difference in deployment between different incidents)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(54%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The mentioned difference is because of)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Type of incident, e.g. CBRN, Train accident, Terrorism, etc)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The interagency communication system is defined as well working)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If not, because)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( No on-site inter-connectivity between police, fire brigade and EMS; different system of communication using by response organizations; different radio frequencies, etc.)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A national system adopted for triage)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(77%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it is working at prehospital setting)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(37%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Hospital emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A formal hospital emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(82%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific fund is allocated to the emergency preparedness program)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(38%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The program fully incorporate the concept of safe hospital)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Specific plan is dedicated to chemical incidents)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospitals have decontamination capability stated by law)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(19%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospitals have planning committees for emergency response and recovery by law)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(62%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A plan for emergency response and recovery is a requirement for hospital accreditation)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(50%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospital plan for emergency response and recovery is validated and accredited in accordance with national criteria)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(62%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The hospital plan is reviewed, exercised, revised and updated regularly)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(44%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F4 9.8 Tf [(Education and training)] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Emergency medicine is a distinct medical specialty)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(63%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it is established within)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( 5 years ago)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( More than 5 years ago)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A disaster medicine curriculum is formally included in residency programs)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(54%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, the residency programs are)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Emergency medicine)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( Anaesthesia and intensive care)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A disaster medicine curriculum is formally included in undergraduates programs)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(44%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The disaster medicine curriculum for undergraduate students is mainly based on a University proposal)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(75%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(A post-graduate training in disaster medicine for doctors working in EMS)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(If yes, it takes ... months)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( <6 months: 53%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( 6-12 months: 29%)] TJ ET 0.000 788.587 m 0.000 789.034 -0.184 789.478 -0.500 789.794 c -0.816 790.110 -1.260 790.294 -1.706 790.294 c -2.153 790.294 -2.597 790.110 -2.913 789.794 c -3.229 789.478 -3.412 789.034 -3.412 788.587 c -3.412 788.141 -3.229 787.697 -2.913 787.381 c -2.597 787.065 -2.153 786.881 -1.706 786.881 c -1.260 786.881 -0.816 787.065 -0.500 787.381 c -0.184 787.697 -0.000 788.141 0.000 788.587 c f BT 0.000 782.981 Td /F1 9.8 Tf [( >12 months: 18%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Also, is it based on a specific course or curriculum)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(38%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(It is left to the initiative of the single region/institution)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(57%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(There is specific center for education and training in Disaster medicine)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(81%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Post-graduate training in disaster medicine for nurses working in EMS)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(74%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Opportunities provided for emergency-management training)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(82%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The curricula and training materials are harmonized across stakeholders)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(31%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(The training programs for stakeholders include exercises and drills)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(70%)] TJ ET 0.267 0.267 0.267 rg 26.625 791.625 120.888 0.750 re f 26.625 791.625 120.888 0.750 re f 26.625 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [()] TJ ET 0.267 0.267 0.267 rg 146.763 791.625 216.764 0.750 re f 146.763 791.625 216.764 0.750 re f 146.763 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(Sufficient resources have been allocated for training programmes)] TJ ET 0.267 0.267 0.267 rg 362.777 791.625 218.098 0.750 re f 362.777 791.625 218.098 0.750 re f 362.777 791.625 0.750 0.750 re f 580.125 791.625 0.750 0.750 re f 0.271 0.267 0.267 rg BT 0.000 782.981 Td /F1 9.8 Tf [(15%)] TJ ET BT 0.000 782.981 Td /F4 9.8 Tf [(*)] TJ ET BT 0.000 782.981 Td /F4 9.8 Tf [( The item is in the place, either completely or partially)] TJ ET BT 0.000 780.900 Td /F4 12.0 Tf [(References)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Disaster statistics in Europe. PreventionWeb/UNISDR. https://www.preventionweb.net/english/countries/statistics/index_region.php?rid=3. Accessed 7 May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(The international disaster database: EM-DAT. Center for research on the epidemiology of disasters-CRED. https://www.emdat.be/country-profile. Accessed 7 May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Bayntun C, Rockenschaub G, Murray V. Developing a health system approach to disaster management: A qualitative analysis of the core literature to complement the WHO Toolkit for assessing health-system capacity for crisis management. PLoS Curr. 2012 August 22; 4: e5028b6037259a.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Ingrassia PL, Foletti M, Djalali A, et al. Education and training initiatives for crisis management in the European Union: a web-based analysis of available programs. Prehosp Disaster Med. 2014;29\(2\):115-126. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Rogers P. Development of Resilient Australia: enhancing the PPRR approach with anticipation, assessment and registration of risks. The Australian Journal of Emergency Management. 2011 January;26\(1\):54-58.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Terminology on disaster risk reduction. Nations/International Strategy for Disaster Reduction \(UN/ISDR\). 2009. https://www.unisdr.org/files/7817_UNISDRTerminologyEnglish.pdf. Accessed 12 April 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Developing and Maintaining Emergency Operations Plans. Federal Emergency Management Agency. 2010. https://www.fema.gov/library/viewRecord.do?5&id55697. Accessed 12 April 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Toolkit for assessing health-system capacity for crisis management. 2012. https://www.euro.who.int/__data/assets/pdf_file/0010/157888/e96188.pdf. Accessed 5 May 2014. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Global assessment of national health sector emergency preparedness and response. World Health Organization. 2008. https://www.who.int/hac/about/Global_survey_inside.pdf. Accessed 5 May 2014. )] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Domres BD, Rashid A, Grundgeiger J, et al. European survey on decontamination in mass casualty incidents. Am J Disaster Med. 2009 May-Jun;4\(3\):147-152.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Giacomet V, Tarallo L, De Marco G, et al. Preparing for an influenza pandemic in Italy: resources and procedures in paediatric hospital units. Euro Surveill. 2007 Jul 1;12\(7\):E7-8.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Fusco FM, Schilling S, De Iaco G, et al. Infection control management of patients with suspected highly infectious diseases in emergency departments: data from a survey in 41 facilities in 14 European countries. BMC Infect Dis. 2012 Jan 28;12:27.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Murphy GR, Foot C. ICU fire evacuation preparedness in London: a cross-sectional study. Br J Anaesth. 2011 May;106\(5\):695-698.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Djalali A, Carenzo L, Ragazzoni L, Azzaretto M, Petrino R, Della Corte F, Ingrassia PL. Does Hospital Disaster Preparedness Predict the Response Performance during a Full-Scale Exercise? A pilot study. Prehosp Disaster Med. 2014;29\(4\):1-7.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Djalali A, Ingrassia PL, Della Corte F, et al. Identifying Deficiencies in National and Foreign Medical Team Responses through Expert Opinion Surveys: Implications for Education and Training. Prehosp Disaster Med. 2014;29\(4\):364-368.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Burkle FM, Jr. The development of multidisciplinary core competencies: the first step in the professionalization of disaster medicine and public health preparedness on a global scale. Disaster Med Public Health Prep. 2012;6\(1\):10-12.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Archer F, Seynaeve G. International guidelines and standards for education and training to reduce the consequences of events that may threaten the health status of a community. A report of an open international WADEM meeting, Brussels, Belgium, October 29-31, 2004. Prehosp Disaster Med. 2007;22\(2\):120-130.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Hyogo Framework for Action 2005-2015: Building the Resilience of Nations and Communities to Disasters. International Strategy for Disaster Reduction. https://www.unisdr.org/2005/wcdr/intergover/official-doc/L-docs/Hyogo-framework-for-actionenglish.pdf. 2005. Accessed May 2014.)] TJ ET BT 0.000 782.981 Td /F1 9.8 Tf [(Seynaeve G, Archer F, Fisher J, et al. International standards and guidelines on education and training for the multi-disciplinary health response to major events that threaten the health status of a community. Prehosp Disaster Med. 2004;19\(2\):S17-S30. )] TJ ET Q q 0.000 0.000 0.000 rg BT 291.710 19.825 Td /F1 11.0 Tf [(6)] TJ ET BT 25.000 19.825 Td /F1 11.0 Tf [(PLOS Currents Disasters)] TJ ET Q endstream endobj xref 0 290 0000000000 65535 f 0000000008 00000 n 0000000073 00000 n 0000000119 00000 n 0000000407 00000 n 0000000444 00000 n 0000000672 00000 n 0000001376 00000 n 0000030816 00000 n 0000030923 00000 n 0000031031 00000 n 0000031142 00000 n 0000031255 00000 n 0000031643 00000 n 0000035528 00000 n 0000035655 00000 n 0000035828 00000 n 0000035955 00000 n 0000036128 00000 n 0000036256 00000 n 0000036377 00000 n 0000036504 00000 n 0000036606 00000 n 0000036734 00000 n 0000036848 00000 n 0000036976 00000 n 0000037079 00000 n 0000037207 00000 n 0000037315 00000 n 0000037443 00000 n 0000037544 00000 n 0000037672 00000 n 0000037791 00000 n 0000037919 00000 n 0000038039 00000 n 0000038165 00000 n 0000038291 00000 n 0000038419 00000 n 0000038544 00000 n 0000038672 00000 n 0000038783 00000 n 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