ABSTRACT
Introduction: Among the 43 venues of Tokyo 2020 Olympic Games (OG) and 33 venues of Paralympic Games (PG) were held, the heat island effect was highly expected to cause heat-related illnesses in the outdoor venues with maximum temperatures exceeding 35°C. However, the actual number of heat-related illness cases during the competition was lower than that was initially expected, and it was unclear under what conditions or environment-related heat illnesses occurred among athletes. Object: To clarify the cause and factors contributing to the occurrence of heat-related illness among athletes participating in the Tokyo 2020 Olympic and Paralympic Games. Method: This retrospective descriptive study included 15 820 athletes from 206 countries. From 21 July 2021 to 8 August 2021 for the Olympics, and from 24 August 2021 to 5 September 2021 for the Paralympics. The number of heat-related illness cases at each venue, the incidence rate for each event, gender, home continent, as well as the type of competition, environmental factors (such as venue, time, location and wet-bulb globe temperature (WBGT)), treatment factor and the type of competition were analysed. Results: More number of heat-related illnesses among athletes occurred at the OG (n=110, 76.3%) than at the PG (n=36, 23.7%). A total of 100 cases (100%) at the OG and 31 cases (86.1%) at the PG occurred at the outdoors venues. In the OG, a total of 50 cases (57.9%) occurred during the competition of marathon running and race walking at Sapporo Odori Park. Six of those, were diagnosed with exertional heat illness and treated with cold water immersion (CWI) at OG and one case at PG. Another 20 cases occurred in athletics (track and field) competitions at Tokyo National Olympic Stadium. In total, 10 cases (10.0%) were diagnosed with severe heat illness in the OG and 3 cases (8.3%) in the PG. Ten cases were transferred to outside medical facilities for further treatment, but no case has been hospitalised due to severe condition. In the factor analysis, venue zone, outdoor game, high WBGT (<28°C) and endurance sports have been found to have a higher risk of moderate and severe heat-related illness (p<0.05). The incidence rate and severity could be attenuated by proper heat-related illness treatment (CWI, ice towel, cold IV transfusion and oral hydration) reduced the severity of the illness, providing summer hot environment sports. Conclusion: The Tokyo 2020 Olympic and Paralympic summer games were held. Contrary to expectations, we calculated that about 1 in 100 Olympic athletes suffered heat-related illness. We believe this was due to the risk reduction of heat-related illness, such as adequate prevention and proper treatment. Our experience in avoiding heat-related illness will provide valuable data for future Olympic summer Games.
ABSTRACT
This letter discusses the provision of mental health services at the Tokyo 2020 Olympic and Paralympic Games during the COVID-19 pandemic. The mental health service at the polyclinic in the Olympic village was open three times a week from 10 am to 7 pm. Five board-certified psychiatrists were assigned to work in rotation, and on-call telephone support was provided during the absence of a physician on duty. Eight patients visited the polyclinic for mental health services during the Olympics. Among them, three were athletes and five, members of the team staff. During the Paralympics, two patients, both of whom were members of the team staff, visited the polyclinic for mental health services. Thus, 11 people were examined at the polyclinic throughout the Olympic and Paralympic games. All patients, except for one, met the diagnostic criteria for Adjustment Disorder. During the 2020 Olympic and Paralympic Games, those who tested positive for COVID-19 had to follow quarantine rules which possibly took a toll on their mental health. The organizing committee of the games announced that a total of 863 athletes and officials had tested positive, of which 41 were athletes. Those who tested positive for COVID-19 were promptly quarantined at a designated isolation facility. Although holding the Olympic and Paralympic games under pandemic conditions appears unprecedented, future games may need to be held in similar circumstances. Therefore, it is critical to summarize the issues ahead of the 2022 Beijing Olympic and Paralympic Winter Games. While it is uncertain whether the pandemic will be under control by then, we suggest that the psychological support system for athletes and officials should be further developed and expanded. The polyclinic at the 2020 Games consisted of only psychiatrists and lacked clinical psychologists. Therefore, the importance of deploying well-trained psychologists among the policlinic staff should be emphasized. (PsycInfo Database Record (c) 2022 APA, all rights reserved)
ABSTRACT
BACKGROUND: During the Tokyo 2020 Games, pharmacists were required to provide appropriate pharmacotherapeutic care to athletes and officials at the polyclinic. Owing to the worldwide COVID-19 pandemic that was prevalent at the Games, it was imperative to strengthen infection control measures in the setting of such a major sporting event and to prevent and minimize the spread of COVID-19. OBJECTIVE: This study reports on the COVID-19 infection control measures and services provided by the pharmacy at the Tokyo 2020 Games. By evaluating pharmacy operations that took place under the COVID-19 protocol, this study provides insights for the organization of future sporting events, specifically their medical facilities. METHODS: Infection control measures in the pharmacy were implemented in accordance with the manual for dealing with COVID-19 infections. The number and content of issued and dispensed prescriptions were obtained from the electronic medical records and pharmacy department systems. These data were compared with those of the London 2012 Games, which were used as a reference for the pharmacy operations at the Tokyo 2020 Games. RESULTS: The participating pharmacists were fully trained in infection control measures. The number of prescriptions issued during the Olympics and Paralympics were 1120 and 1022, respectively. Prescriptions issued at the fever clinic accounted for 4% of the total number (77/2142). No influenza antiviral medications were prescribed, though medications to alleviate cold-like symptoms were issued. Compared to the London 2012 Games, there was a decrease (-59%) in the number of prescriptions. CONCLUSION: The positive impact of COVID-19 infection control measures was evident. The volume of prescriptions at the Tokyo 2020 Games was lower than that at the London 2012 Games. It was inferred that this was due to thorough infection control measures as well as enhanced pre-entry medical checkups before entering Japan, which reduced the incidence of diseases.
ABSTRACT
This letter discusses the provision of mental health services at the Tokyo 2020 Olympic and Paralympic Games during the COVID-19 pandemic. The mental health service at the polyclinic in the Olympic village was open three times a week from 10 am to 7 pm. Five board-certified psychiatrists were assigned to work in rotation, and on-call telephone support was provided during the absence of a physician on duty. Eight patients visited the polyclinic for mental health services during the Olympics. Among them, three were athletes and five, members of the team staff. During the Paralympics, two patients, both of whom were members of the team staff, visited the polyclinic for mental health services. Thus, 11 people were examined at the polyclinic throughout the Olympic and Paralympic games. All patients, except for one, met the diagnostic criteria for Adjustment Disorder. During the 2020 Olympic and Paralympic Games, those who tested positive for COVID-19 had to follow quarantine rules which possibly took a toll on their mental health. The organizing committee of the games announced that a total of 863 athletes and officials had tested positive, of which 41 were athletes. Those who tested positive for COVID-19 were promptly quarantined at a designated isolation facility. Although holding the Olympic and Paralympic games under pandemic conditions appears unprecedented, future games may need to be held in similar circumstances. Therefore, it is critical to summarize the issues ahead of the 2022 Beijing Olympic and Paralympic Winter Games. While it is uncertain whether the pandemic will be under control by then, we suggest that the psychological support system for athletes and officials should be further developed and expanded. The polyclinic at the 2020 Games consisted of only psychiatrists and lacked clinical psychologists. Therefore, the importance of deploying well-trained psychologists among the policlinic staff should be emphasized. (PsycInfo Database Record (c) 2022 APA, all rights reserved)