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2018 Soccer/Football Tournament - Russia

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2018 Soccer/Football Tournament - Russia Special Report: Report FIFA Tournament Russia 2018 UnitedHealthcare Global1 2018 Soccer/Football Tournament - Russia Russia will be hosting one of the biggest and most anticipated tournaments across the world from 14 June – 15 July 2018. With the finals expected to take place in Moscow at the Luzhniki Stadium, the tournament will be played in 12 venues across 11 cities in the Western part of Russia. This report provides intelligence on the overall healthcare environment and security concerns in Russia along with hospital referrals in each of the host cities, and logistical information on the various higher-level-of-care medical destinations considered by UnitedHealthcare Global during a medical evacuation. Venues and Cities: • Yekaterinburg Arena, Ekaterinburg • Saint Petersburg Stadium, Saint Petersburg • Kaliningrad Stadium, Kaliningrad • Volgograd Arena, Volgograd • Rostov Arena, Rostov-on-Don • Fisht Olympic Stadium, Sochi • Luzhniki Stadium, Moscow • Otkritie Stadium, Moscow • Nizhny Novgorod Stadium, Nizhny Novgorod • Mordovia Arena, Saransk • Kazan Arena, Kazan • Samara Arena, Samara MEDIAL RISK RATING Health Intelligence Overall Medical Risk 4 Quality of Care Summary Disease Risks 3 Historically, the healthcare system and the overall condition of Quality of Care Risks medical facilities in Russia have been below international standards. 3 The quality of medical services countrywide varies significantly Remoteness Risks 4 depending on the region. Generally, larger cities such as Moscow and Saint Petersburg are better served compared to rural areas and Cultural Challenge Risks 5 have medical facilities that provide adequate care, and are accustomed to providing services to globally mobile patients. UnitedHealthcare Global advises against elective hospitalization in Russia. Special Report: 2018 Soccer/Football Tournament – Russia 2 Language Proficiency Medical Intelligence Only a small percentage of Russian health care workers speak English; travelers have reported difficulties communicating medical problems General Health and Medical Assistance to Russian physicians, nurses, and hospital supporting staff. Given the from Russia expected influx of travelers attending the tournament, language courses will be provided at the designated hospitals along with the support of Call 8 ~ 10.1.410.453.6330 (can be dialed collect) reportedly 15,000 volunteers including interpreters. The level of fluency Fax 00.1.763.367.4063 speaking English is expected to vary drastically. Email [email protected] Diseases and Health Risks Available 24/7 Russia, particularly in remote areas, carries several health risks for foreign visitors, including diseases spread by ticks and other insects. Alcohol related incidents such as road traffic injuries, and second hand smoke Local Medical Emergency Services are also health risks for visitors. Food and water also present risks for Ambulance and Medical emergency services: 03 or 112 travelers, as tap water even in the major cities of Russia is not considered Fire: 01 or 112 safe for consumption. General food and water precautions should be observed when traveling to Russia. Police: 02 or 112 Immunizations and Preventative Treatments Ground Ambulance and Emergency Rescue For recommended and required vaccinations as well as preventative Services treatment for travel to Russia, visit the US Centers for Disease Control and Prevention. Access to ground ambulance through the public Russia EMS will be available in all the host cities for the tournament. Medical posts Hospital Care with ground ambulances and medical personnel will be set up near each designated sporting venue. Outside of major cities and travel destinations where quality private outpatient and inpatient medical facilities are available, state-run Ambulances can be dispatched by dialing 03. Travelers should hospitals are in most instances, the best and only options for the be advised that dispatchers and ambulance staff will probably provision of emergency medical care and for stabilization purposes. only speak Russian. During the tournament, English speaking Private facilities are generally not equipped to deal with the most serious volunteers will be available for over-the-phone interpretation. The medical conditions (e.g. trauma cases) and will refer patients to public public ambulance will transfer the patient directly to the most institutions. It is important to note that the physical appearance of the adequate facility to treat or stabilize their particular symptoms. medical infrastructure, level of hygiene, accommodations, and hospitality services at some facilities may be below one’s expectations, especially The levels of care: for globally mobile populations. In addition, patients may find the quality and availability of nursing support to be below one’s expectations and it Resuscitation ambulances -- can be dispatched to respond to is important to remember that the training, and the role and duties carried cardiac arrest cases and other critical situations. out by nursing support are different than those in other countries; and Cardiology ambulances -- may be dispatched to respond to patients- especially those hospitalized, may be approached for additional, potential cardiac emergencies. although unofficial, requests for payments to provide such services. Basic emergency medical service ambulances -- are the most In preparation for the event, 3500 physicians will be mobilized at the common type of emergency care offered in Russia. medical facilities and the various outpatient medical posts near the stadium venues. Ground ambulances and paramedics will also be on standby near the stadiums. Medications Patients presenting to hospitals for care, especially public facilities, should The Russian pharmaceutical market is not very reliable and travelers expect to show their hard-copy passport prior to entry. You may be and foreign visitors should take special care to ensure that they have an asked by security officers stationed inside the hospital doors to yield your adequate supply of prescription medications before going to Russia. passport during your time in the facility. Travelers should be aware that counterfeit drugs as well as questionable medications imported from the Far East and Eastern Europe are prevalent UnitedHealthcare Global may recommend medical evacuation for serious in Russia. medical conditions and emergencies requiring invasive procedures, serious surgical intervention or prolonged hospitalization. Russia’s larger cities have reputable pharmacies that should be able to provide most international medications.It is recommended for travelers to Non-Urgent Care carry all medications in their carry-on luggage if possible - if not, include in their carry-on luggage at least enough supply to cover any unscheduled Whenever possible, it is recommended to seek non-urgent care at the delays in travel and for the first week at their destination. To help with designated private facilities where available. Alternatively, house-call customs inspections, carry all medications in their original labeled physician service can be coordinated to the member’s hotel. Medical containers, carry their original, written prescriptions and, in a separate units will also be accessible near the various stadiums for the provision place, write down the name (including the generic name), strength and of first aid for minor illnesses and injuries. prescribed dosage with their doctor's name and contact information. Special Report: 2018 Soccer/Football Tournament – Russia 3 Medical Evacuation/ Repatriation Sochi: 3 hrs 45 mins nonstop using Learjet 60 Volgograd: 3 hrs 50 mins nonstop using Learjet 60 From Western Russia, medical evacuations can be coordinated by Samara: 4 hrs 15 mins nonstop using Learjet 60 commercial flight or air ambulance, depending on the patient’s medical Saransk: 3 hrs 50 mins nonstop using Learjet 60 condition. The typical evacuation destinations are Western Europe; Nizhny Novgorod: 3 hrs 40 mins nonstop using Learjet 60 Helsinki, Finland; or Istanbul, Turkey. Ekaterinburg: 4 hrs 55 mins with zero or one stop using Learjet 60 Rostov on Don: 3 hrs 30 mins nonstop using Learjet 60 Following an emergency medical evacuation, and upon stabilization, Kazan: 4 hrs 05 mins nonstop using Learjet 60 UnitedHealthcare Global can assist with the medical repatriation back Kaliningrad: 1 hr 50 mins nonstop using Learjet 60 home, to the patient’s work-site, or to the point of origin. Commercial Evacuation or Repatriation In the event of an emergency medical evacuation, UnitedHealthcare Global will always advise transfer to the location and facility that is best UnitedHealthcare Global will evaluate each patient’s medical condition, suited to handle the patient’s particular situation. In cases requiring in collaboration with the treating physician, and may determine immediate treatment, this evacuation destination may not be in the the evacuation can be performed via commercial flight. A medical patient’s home country, and instead may be the closest UnitedHealthcare repatriation to the member’s country of residence or home country Global Center of Excellence hospital that can appropriately manage the will also be considered when medically fit. A medical repatriation by patient’s condition. commercial flight may be necessary, especially for patients that require long term care. When medically necessary, a nurse or a physician Air Ambulance escort for medical care during commercial travel will be coordinated to accompany the patient. UnitedHealthcare
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