Fire incidences in Indian Hospitals from July 2010 to April 2021

The aim of the study was to explore re incidences and re safety lacunae in Indian hospitals and recommend ways to improve it. Data from archive media of NDTV news, Indian Express, India Today, The New Indian Express, and Sakal e-paper available from July 2010 till April 2021 was analysed. Total 60 hospital re incidences from 16 states of India were covered. Ownership of the hospital, departments affected, time, month and cause of the re incidences, number of deaths and injuries, and lacunae in the re safety measures in Indian hospitals have been reported in this paper. Fire in the hospital not only leads to loss of human life but great economic loss. Although we may argue, we have plenty of lessons learned from the hospital re incidences in the past; the fact is that we are far away from properly applying those lessons to disaster response and recov'not;ery operations. All the Indian hospitals must adhere to Fire and Life Safety guidelines given by National Building Code of India, National Electrical Code standards and National Accreditation Board for Hospitals and Healthcare

Hospital Seguro: contribuições à Resolução da Diretoria Colegiada nº 50, de 21 de fevereiro de 2002, da Agência Nacional de Vigilância Sanitária / Safe Hospital: contributions to the Resolution nº 50, February 21, 2002 of the Collegiate Board of Directors, Brazilian Health Surveillance Agency

Introdução: Os Estabelecimentos Assistenciais de Saúde (EAS) proporcionam à população assistência médica integral, curativa e preventiva. São vitais para a recuperação após desastre. Estudo realizado pela Organização Pan-Americana da Saúde (OPAS), demonstrou que EAS danificados provocam danos significativos na infraestrutura e prestação de serviços do sistema de saúde pública, desarticulando o atendimento à população. A iniciativa Hospital Seguro da OMS/OPAS objetiva construir EAS mais seguros e recuperar a infraestrutura dos existentes, mantendo seus serviços funcionando na capacidade máxima e mesma infraestrutura, imediatamente após a ocorrência de um desastre. Objetivo: Avaliar a RDC nº 50/02 e as Resoluções que a atualizam, considerando a iniciativa Hospital Seguro. Método: Foi realizada pesquisa documental sobre as resoluções da Agência Nacional de Vigilância Sanitária (Anvisa) e as iniciativas de Hospital Seguro. Resultados: Na base de dados SAÚDE LEGIS, do Ministério da Saúde, foram encontradas quatro Resoluções. Na base WHOLIS (OMS/OPAS), foram encontradas 45 publicações. Conclusões: Não foi encontrado nas bases WHOLIS e SAÚDE LEGIS documento oficial que discutisse a iniciativa Hospital Seguro. O arcabouço da regulação sanitária brasileira desenvolvida pela Anvisa não considera, ainda, aspectos relativos a esta Iniciativa. É importante criar cultura de segurança, sensibilizando e qualificando gestores, objetivando estabelecer programas de gerenciamento de riscos específicos para cada EAS.

Introduction: Health Care Facilities (EAS) provide the population with comprehensive, curative and preventative medical care. They are vital for disaster recovery. A study carried out by the Pan American Health Organization (PAHO) has shown that damaged EAS causes significant damage to the infrastructure and service delivery of the public health system, disrupting health care to the population. The WHO/PAHO Safe Hospital Initiative aims to build more secure EAS, and to recover the existing infrastructure, keeping its services running at full capacity, and the same infrastructure, immediately after a disaster strikes. Objective: To evaluate RDC nº 50/02 and Resolutions that update it, considering the Safe Hospital initiative. Method: Documental research on the resolutions of the National Agency of Sanitary Surveillance (Anvisa) and the initiatives of Safe Hospital. Results: In the "Health Legis" database of the Ministry of Health, four resolutions were found. In the WHOLIS database (WHO/PAHO), 45 publications were found. Conclusions: None official documents were found in the WHOLIS and Health Legis databases that discussed the Safe Hospital initiative. The framework of the Brazilian sanitary regulation developed by Anvisa (Brazilian Health Surveillance Agency) does not yet consider aspects related to this Initiative. It is important to create a safety culture, sensitizing and qualifying managers, aiming to establish specific risk management programs for each EAS.