H.R. Pérez-Gómez, et al.: Mass-gathering medical strategies

Contents available at PubMed www.anmm.org.mx PERMANYER Gac Med Mex. 2015;151:485-9 www.permanyer.com

GACETA MÉDICA DE MÉXICO EPIDEMIOLOGICAL INFORMATION

Mass-gathering medical strategies: The experience in the International Book Fair in Guadalajara

Héctor Raúl Pérez-Gómez1, Rodrigo Ramos-Zúñiga1,2*, José Alfonso Gutiérrez-Padilla1, Hugo Gutiérrez-González1, María del Mar González-De la Peña1 and Juan Pablo Preciado-Figueroa1 1Hospital Civil de Guadalajara Fray Antonio Alcalde; 2Department of Neurosciences. University Center of Health Sciences, Universidad de Guadalajara, Guadalajara, Jal., México

Abstract

Introduction: The Guadalajara International Book Fair (FIL) is a mass gathering, hosting publishing companies from 40 countries and more than 750,000 visitors. It is necessary to prioritize preventive measures focusing on earthquakes, fires, terrorist acts, and prevention of . The objective of this study is to describe and analyze the health problems encountered during FIL 2013 in order to improve civil protection services during future events. Material and methods: Descriptive, cross-sectional study, collecting medical histories in accordance with Mexican Official Standard NOM-004-SSA3-2012, and classifying respondents into age groups. A total of 794 medical sheets for patients who received assistance at the Mobile Health Units were analyzed. Results: Altogether, 794 (0.1%) patients were medically evaluated out of 750,987 fair visitors during the study period. Of these, 32 patients were < 12 years old; 111 were 13-20 years old; 540 were 20-50 years old; and 111 were > 50 years old. There were no complicated medical cases. A favorable impact of preventives strategies was observed. Conclusions: Non-complicated medical incidents were observed. It is necessary to increase the knowledge on health among the general public who attend this type of event. Training health professionals is a priority in prevention measures and providing care during mass events of this kind in Mexico’s territory. (Gac Med Mex. 2015;151:485-9) Corresponding author: Rodrigo Ramos-Zúñiga, [email protected]; [email protected]

KEY WORDS: Disaster . Emergency medical services. Mass gathering. Pre-hospital care. . Surveillance system.

events all those acts with presence of a number of ntroduction I people enough to exceed the planning and response resources of a community, state or nation2 and ac- The Guadalajara International Book Fair (FIL – Feria knowledges that risks for health with potential medi- Internacional del Libro) is the most important Span- cal and surgical requirements are increased during ish language event in Latin America, since it gathers such acts. publishing companies from more than 40 countries and Three international goals were designed for massive has an attendance of more than 750,000 people1. events: primary care and prevention of incidents, The World Health Organization defines as massive emergency care and response to major incidents3-6.

Correspondence: *Rodrigo Ramos-Zúñiga Departamento de Neurociencias Centro Universitario de Ciencias de la Salud Universidad de Guadalajara Sierra Mojada, 950 Col. Independencia, C.P. 44340, Guadalajara, Jal., México E-mail: [email protected] Date of modified version reception: 28-07-2014 [email protected] Date of acceptance: 02-03-2015 485 Gaceta Médica de México. 2015;151

Daily attendance is nearly 80,000 people, who remain in case of patients presenting with symptoms related in the facilities since one week before and up to one to upper airways of the influenza type. Diag- week after the event; close to 5,000 people are esti- nosis and treatment was applied by specialist physi- mated to work in the event1. Organizati