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Summer Universiade Summer Universiade 20112011

Shenzhen, ChinaShenzhen, ChinaLawrence D. Rink, MD, FACCLawrence D. Rink, MD, FACC

Chair, FISU Medical CommissionChair, FISU Medical CommissionHEADS OF DELEGATION MEETINGHEADS OF DELEGATION MEETING

April 14-16, 2011April 14-16, 2011

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FISU Medical Commission FISU Medical Commission ReportReport

Visit to ShenzhenVisit to Shenzhen10/1/2010 – 16/4/201110/1/2010 – 16/4/2011

Pre-Visit PlanningPre-Visit Planning- Dr. Rink visited with representatives from - Dr. Rink visited with representatives from the LOC in Shenzhen in August 2009 the LOC in Shenzhen in August 2009 - Reviewed FISU requirements for Games- Reviewed FISU requirements for Games- FISU regulations on doping control - FISU regulations on doping control presentedpresented

Visit Shenzhen:Visit Shenzhen:- 10/1/2010 – 12/1/2010- 10/1/2010 – 12/1/2010- 12/5/2010 – 16/5/2010- 12/5/2010 – 16/5/2010- 13/4/2011 – 16/4/2011- 13/4/2011 – 16/4/2011

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Medical Care Steering Medical Care Steering CommitteeCommittee

Dr. JIANG Hanping, Head of Health Population and Dr. JIANG Hanping, Head of Health Population and FamilyFamily

Planning who has 5 main deputies:Planning who has 5 main deputies:

1.1. XIE Ruosi, Deputy Ombudsman, Director Medical care.XIE Ruosi, Deputy Ombudsman, Director Medical care.2.2. ZHANG Dan, Health, Population & Family Planning ZHANG Dan, Health, Population & Family Planning

Commission of Shenzhen Municipality, Director Sanitation.Commission of Shenzhen Municipality, Director Sanitation.3.3. Dr. WANG Daping, Vice-president of the 2Dr. WANG Daping, Vice-president of the 2ndnd People’s Hospital People’s Hospital

of Shenzhen, Director Polyclinic.of Shenzhen, Director Polyclinic.4.4. Dr. ZHOU Fu, Health, Population & Family Planning Dr. ZHOU Fu, Health, Population & Family Planning

Commission of Shenzhen Municipality, Director venue sites.Commission of Shenzhen Municipality, Director venue sites.5.5. Dr. ZHANG Fulin. Head of Emergency medical care.Dr. ZHANG Fulin. Head of Emergency medical care.

The Steering group will take full charge and coordinateThe Steering group will take full charge and coordinatework of the medical care, sanitation control and work of the medical care, sanitation control and

emergency emergency management.management.

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Command CenterCommand Center

Will be set up and operational 24 Will be set up and operational 24 hours/dayhours/day

3 Major Divisions are created3 Major Divisions are created– medical caremedical care– public sanitationpublic sanitation– emergency responseemergency response

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POLYCLINIC in the VillagePOLYCLINIC in the Village Open 24 hours – main hours: 8 am to 11 pm.Open 24 hours – main hours: 8 am to 11 pm. Divisions – orthopedics, sports medicine, Divisions – orthopedics, sports medicine,

internal medicine, gynecology, ENT, internal medicine, gynecology, ENT, ophthalmology, dermatology, dental, physical ophthalmology, dermatology, dental, physical therapy, pharmacy, laboratory, infectious therapy, pharmacy, laboratory, infectious disease, gastroenterology. disease, gastroenterology.

This building will have 3 floors and about This building will have 3 floors and about 800m² each. 800m² each.

– 11st: st: Registration/Emergency Registration/Emergency Room/Pharmacy/Radiology/X-rayRoom/Pharmacy/Radiology/X-ray

– 22nd: nd: Many divisions/departmentsMany divisions/departments– 33rd: rd: Massage 30 beds, Physical Therapy, Overnight Massage 30 beds, Physical Therapy, Overnight

10 Beds, Lounges. 10 Beds, Lounges. Size will be about 2 times Polyclinic in Size will be about 2 times Polyclinic in

BelgradeBelgrade

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Emergency Department

Emergency Department

SurgerySurgery

OrthopaedicOrthopaedic

Sports

Medicine Sports

Medicine

Rehabilitation

Medicine

Rehabilitation

Medicine

OphthalmologyOphthalmology

E.N.TE.N.TLaboratoryLaboratory

StomatologyStomatology

DermatologyDermatology

GynecologyGynecology

FeverClinic

FeverClinic

Intestinal Clinic

Intestinal Clinic

Internal Medicine

Internal Medicine

Clinical Divisions

Clinical Divisions

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PharmacyPharmacy

Open 24 hours/day

Team Physicians may write prescriptions for formulary medicines ONLY.3 days supply only.

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Venue Sites Medical CareVenue Sites Medical Care Director – Dr. ZHOU Fu, Health, Population & Director – Dr. ZHOU Fu, Health, Population &

Family Planning Commission of Shenzhen Family Planning Commission of Shenzhen Munic.Munic.

Each venue site (63) will have 2 medical Each venue site (63) will have 2 medical stations; one for athletes and one for stations; one for athletes and one for spectatorsspectators

Personnel for athletes’ carePersonnel for athletes’ care– 1 ambulance driver; 1 ambulance driver; – 4 physicians;4 physicians;– 3 nurses;3 nurses;– 2 stretcher bearers.2 stretcher bearers.

Equipment: Emergency including defibrillator, Equipment: Emergency including defibrillator, suction and ambulance at each eventsuction and ambulance at each event

Venue sites will have bottled water, ice, box Venue sites will have bottled water, ice, box lunch delivery, telephone, ambulancelunch delivery, telephone, ambulance

At least one medical team for official training At least one medical team for official training sites during official times.sites during official times.

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Special Sites/ProgramsSpecial Sites/Programs

Medical teams and ambulances will Medical teams and ambulances will be present:be present:

- for opening and closing ceremonies.- for opening and closing ceremonies.

- in official and designated hotels (27) - in official and designated hotels (27) available 24 hours/day.available 24 hours/day.

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Emergency CareEmergency Care 120 (Telephone number in China)120 (Telephone number in China) Central Emergency Command Center is in place Central Emergency Command Center is in place

for the city and will be used for the Summer for the city and will be used for the Summer Universiade. It is very advanced and will have Universiade. It is very advanced and will have trained interpreters for English, French, Spanish trained interpreters for English, French, Spanish and Russian. All emergency calls go to 120. They and Russian. All emergency calls go to 120. They will then report to the Summer Universiade will then report to the Summer Universiade Command Center. Command Center.

60 new ambulances will be purchased by the 60 new ambulances will be purchased by the municipality of Shenzhen for these games. At municipality of Shenzhen for these games. At least one will be assigned to each venue site. One least one will be assigned to each venue site. One ambulance will be stationed at each of the seven ambulance will be stationed at each of the seven official hotels. Ten ambulances will be stationed official hotels. Ten ambulances will be stationed for the opening and closing ceremonies. for the opening and closing ceremonies.

Disaster plans have been developed but for all Disaster plans have been developed but for all natural disasters, for man made disasters natural disasters, for man made disasters including biological, radiation and infectious including biological, radiation and infectious threats. threats.

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Emergency CareEmergency Care Emergency room open in Polyclinic 24 Emergency room open in Polyclinic 24

hours/day. hours/day. Video, GPS, G3 plus visual communication with Video, GPS, G3 plus visual communication with

each ambulance from Emergency Command each ambulance from Emergency Command Center. Center.

2 helicopters will be available for unusual 2 helicopters will be available for unusual injuries.injuries.

More than 100,000 citizens will have received More than 100,000 citizens will have received first aid training and will train Universiade staff first aid training and will train Universiade staff and volunteers in emergency response.and volunteers in emergency response.

Emergency plans for major disasters and have Emergency plans for major disasters and have been practiced 20 timesbeen practiced 20 times

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HospitalsHospitals 13 hospitals will be designated as official 9 are fully equipped district hospitals

2nd Peoples Hospital of Shenzhen– Main Hospital for athletes with injuries. 1,100

beds. All specialties are represented. FISU needs can be met here. Only hospital with heliport.

Peking University Hospital of Shenzhen VIP Hospital– Also a full service hospital

Infectious disease – 3rd People’s Hospital of Shenzhen

3 hospitals were visited and more than adequate

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HospitalsHospitals

All hospitals will have a fast track for registration and admission.

Each venue will be assigned a hospital.

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MEDICAL INSURANCE Each official delegate should have their own

medical insurance.

The OC will provide for accredited persons the following medical services free from August 6th to 26th, 2011:

1. Ambulance service from any venue to a designated hospital

2. Treatment in a designated hospital3. Emergency treatment in a designated hospital and

during outpatient service4. Medication during hospitalization in a designated

hospital

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Team physicians

All team physicians:

1. must be registered before July 1, 2011, via the Shenzhen Universiade Team Doctors’ Registration Form on the website (shortly available).

2. Declare all medicines and medical equipment before June 1, 2011 via the registration form on the website.

=> www.sz2011.org3. Can provide medical care and minor injury care

to members of their own delegation.4. Can provide care in the polyclinic including

ordering laboratory tests and writing prescriptions

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CateringCatering 1 cafeteria available in Athletes’ Village1 cafeteria available in Athletes’ Village 5 major varieties of foods plus vegetarian 5 major varieties of foods plus vegetarian

will be available (International, Muslim, will be available (International, Muslim, Chinese Mediterranean and European)Chinese Mediterranean and European)

Opening HoursOpening Hours-Breakfast: 06:00-10:00-Breakfast: 06:00-10:00-Lunch: 11:00-15:00-Lunch: 11:00-15:00-Dinner: 16:00-… -Dinner: 16:00-…

SSpace: 9,500 m² dining space; 1 seat for pace: 9,500 m² dining space; 1 seat for every 2.5 athletes/officials. every 2.5 athletes/officials.

Preparation of food Preparation of food – – 11stst floor of dining hall floor of dining hall Box lunches distributed at venue sitesBox lunches distributed at venue sites

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SanitationSanitation

Samples of food will be tested regularlySamples of food will be tested regularly

Box lunches (3 varieties) dispatched at Box lunches (3 varieties) dispatched at venue sitesvenue sites

All illnesses that suggest a food-borne All illnesses that suggest a food-borne cause will be reported and investigatedcause will be reported and investigated

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Doping ControlDoping Control Director ZHU Yan will be in charge.Director ZHU Yan will be in charge. Plans have been developed in cooperation Plans have been developed in cooperation

with China Anti-doping Association.with China Anti-doping Association. WADA and FISU rules will apply.WADA and FISU rules will apply. TUEs should be requested by athletes from TUEs should be requested by athletes from

their NADO or appropriate federation more their NADO or appropriate federation more than 21 days prior to leaving their country.than 21 days prior to leaving their country.

714 urine tests required based on number 714 urine tests required based on number of events. of events.

Results obtained within 48 hours.Results obtained within 48 hours. 20 blood samples may be taken.20 blood samples may be taken. Adams will be used.Adams will be used.

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National and International epidemics/disasters

1. Bird flu2. H1N13. Radiation exposure:

- Traces of radiation have been detected in China but also countries as far away as USA.- China has banned imports of milk products, vegetables, fruit and seafood from Japan.- Based on all reasonable information from scientific sources, this should not be an issue in Shenzhen August 2011.

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THANK THANK YOUYOU

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First Floor (877.87 mFirst Floor (877.87 m22, 14 Sections), 14 Sections)

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Second Floor (741.60 mSecond Floor (741.60 m22, 11 sections), 11 sections)

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Third Floor (825.09 mThird Floor (825.09 m22, 10 sections), 10 sections)

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POLYCLINIC in the VillagePOLYCLINIC in the Village

RecommendationsRecommendations– Review registration process and Review registration process and

integration of data with IT Departmentintegration of data with IT Department– Make sure adequate PT size.Make sure adequate PT size.– One main telephone number.One main telephone number.– Data collection of visits by type of Data collection of visits by type of

illness / injury, date, sport, venue site, illness / injury, date, sport, venue site, disposition. disposition.

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VillageVillage

Housing –each room 18 square meters, Housing –each room 18 square meters, plus 5 square meters for toilet, sink.plus 5 square meters for toilet, sink.

2-3 persons per room2-3 persons per room 4,997 rooms dedicated to sleeping rooms.4,997 rooms dedicated to sleeping rooms. One bed in each room of 2.4 meters, all One bed in each room of 2.4 meters, all

others are 2.1 meters.others are 2.1 meters.

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Recommendations:Recommendations:– On my return see menu samples, plans for On my return see menu samples, plans for

movement of athletes and configuration of movement of athletes and configuration of catering site.catering site.

– I wish to meet with the Directors of I wish to meet with the Directors of Catering[ new contract company] and visit food Catering[ new contract company] and visit food preparation sites.preparation sites.

– Always assure adequate ice and bottled water Always assure adequate ice and bottled water without gas.without gas.

– Assure adequate restrooms.Assure adequate restrooms.– Hand wipes available.Hand wipes available.

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CateringCatering

Recommendations:Recommendations:– On my return see menu samples, plans for On my return see menu samples, plans for

movement of athletes and configuration of movement of athletes and configuration of catering site.catering site.

– I wish to meet with the Directors of I wish to meet with the Directors of Catering[ new contract company] and visit food Catering[ new contract company] and visit food preparation sites.preparation sites.

– Always assure adequate ice and bottled water Always assure adequate ice and bottled water without gas.without gas.

– Assure adequate restrooms.Assure adequate restrooms.– Hand wipes available.Hand wipes available.

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Doping ControlDoping Control Recommendations

– Develop grid for testing to be done each day based on detailed information I presented

– Assign doping control rooms at each venue site and inspect these based on FISU recommendations for doping control rooms

– Develop a contract with China Anti-Doping Laboratory China Anti-Doping Association and a transportation service for samples.

– Develop plan for selection & training of DCO’s and chaperones

– Work with WADA and Beijing Anti-Doping Agency to assure an educational program for the athletes. FISU will advise.

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Overall, good ideas, very good planning. Overall, good ideas, very good planning. Biggest issues are lack of experienced Biggest issues are lack of experienced personnel in medical care for major personnel in medical care for major international sporting events .international sporting events .

These can be solved by using resources These can be solved by using resources that already exist in China (have had Asian that already exist in China (have had Asian games in Guangzhou, Summer Olympics in games in Guangzhou, Summer Olympics in Beijing, and Winter Universiade in Harbin) Beijing, and Winter Universiade in Harbin) and education training and close and education training and close cooperation with FISU CM.cooperation with FISU CM.