Mass Casualty Committee Report
Michiyasu Suzuki & Eiichi Suehiro
The Mass Casualty Committee was installed in the WFNS during the Istanbul World Congress in August 2017. Since then, we have been trying to make a specific platform for Neurosurgeons against mass casualty in this committee.
As a first initiative, we conducted a questionnaire survey on EANS. We got the following answers.
As a next initiative, we gave a lecture on head trauma in natural disasters at AASNS conference to let many neurosurgeons know about the current state of neurosurgery in disasters, while publishing in Newsletters/WFNS related to information such as disaster response principles.
Eventually, a symposium was held at WFNS Congress Beijing 2019, where many neurosurgeons were able to discuss the importance of neurosurgeons in the event of a disaster.
In order to spread a concept of mass casualty/disaster response (MC) throughout the WFNS in 2020 and to improve healthcare globally, we have conducted the following goals:
Unfortunately, the pandemic of COVID-19 in 2020 brought us to a completely different world. In Japan, Disaster Medical Assistant Team (DMAT) is administered for outbreaks of the COVID-19. In other words, the outbreak of the COVID-19 is just a disaster. Therefore, we first
conducted a questionnaire survey of the committee members regarding the impact of COVID-19 on neurosurgery.
The last question is a very difficult question. From the beginning in this pandemic, WHO directors did not want to apply the concept of global medicine, and each national healthcare system had to solve everything. Practices that have nothing to do with fair and globalized medicine have been observed. We have many complications for COVID-19, including cerebral venous sinus thrombosis, intracerebral hemorrhage, intravascularly treated cerebral arterial thrombosis, polyradiculoneuritis (similar to Guillain-Barré syndrome), and olfactory dysfunction. It needs to be analyzed and reported. The biological behavior of this virus is still unknown.
During this pandemic, we have not yet applied the concept of global health in the world. We would like to disseminate information from our committee in order to get out of this situation as much as possible. In the future, we would like to conduct a questionnaire survey to the neurological surgery societies in each country to investigate and announce the situation and countermeasures under the COVID-19 pandemic.
And we continue to try making a specific platform for Neurosurgeons against mass casualty.
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