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On 10 December, it was announced that the Centre for Health Crises will receive 3 million Norwegian kroner in funding from the Nordic Council of Ministers' research funding body, Nordforsk. The funding will go towards a project to create a Nordic health crisis network. The funding is based on a call for proposals in the area of preparedness and resilience. that the Centre, together with partners in other Nordic countries.
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For three days 1 300 EMTs, researchers, health professionals, country delegates and others representing 130 countries gathered in Abu Dhabi for the World Health Organization’s Emergency Medical Teams (EMT) Global Meeting 2024. Members of the research group Global Disaster Medicine – Health Needs and Response, at the Department of Global Public Health at KI, attended the meeting and presented their work to build the EMT global network.
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Through the research group Global Disaster Medicine - Health Needs and Responses, KI is one of three universities that are part of the Erasmus Mundus Master's programme Public Health in Disasters. The programme is a unique degree in public health in disasters, that provides students with both practical and theoretical knowledge of public health, health care in disasters and global health care and health systems.
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For three days, the classrooms in the Widerströmska building were particularly buzzing, when the research group Global Disaster Medicine conducted their course ‘Disaster Medicine - Health Care Response to Major Injuries, Health Crises and Disasters’ for specialist doctors. The research group has been running the course since 2018, but this was the first time it was held at Widerströmska.
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This call aims to facilitate new and existing contacts as well as increase research collaboration with the University College London and Karolinska Institutet.
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Audience: Medarbetare
Internationella kansliet
Johan von Schreeb, professor of Global Disaster Medicine at Karolinska Institutet, is awarded the KTH Great Prize 2024 "for his efforts to reduce suffering in the world".
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Karolinska Institutet (KI) is renewing its educational collaboration with Médecins Sans Frontières (MSF) and will soon launch two new courses. The courses are possible thanks to support from The Kamprad Family Foundation. The focus is on courses that provide participants with the skills and tools they need to work with healthcare interventions in low-resource contexts, humanitarian disasters and health crises, both globally and locally.
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The very idea of a vaccine is to prevent a disease from occurring. By exposing the body to a small part of an infectious agent that causes a disease, but doing so in a killed or weakened form, the body develops a defense against the disease. In a sense, vaccines can be argued to be the ultimate form of preparedness, as they prevent the disease from occurring in the first place, or at least mitigate it.
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We all recognise the scene from countless horror movies and thrillers. A new, unknown virus is spreading. Panic ensues! Suddenly, the streets of New York are filled with people in yellow hazmat suits with big helmets, carrying stretchers where people lie writhing in terrible agony. But what is does it really look like when we prepare for and manage communicable diseases? The Centre for Health Crises’ expert coordinator knows more.
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Some health crises occur suddenly and intensely, for example in the event of an armed attack or an earthquake. Others come more stealthily. One of the clearest and most worrying examples of an insidious health crisis is antibiotic resistance, which will be addressed at a high-level meeting of the United Nations in September.
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Correct and functioning diagnostics are a basic prerequisite for knowing what is happening and what it is we are dealing with, both in everyday life, but not least in a health crisis. Therefore, the need for adaptable and scalable laboratory and diagnostic capabilities is central to rapid and adequate management in many health crises, whether infectious diseases or chemical spills.
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Priorities for intensive care in times of crisis are something that has interested the Centre for Health Crisis Expert Coordinator Märit Halmin for some time. She is the guest editor of a special issue of Läkartidningen on the subject, where she writes alongside several other experts in the field.
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Healthcare is a societal function that needs to function both in everyday life and in a health crisis. In any health crisis, be it a natural disaster, war in an unstable Europe or a new pandemic, the number of patients in need of care will increase. Among them, a certain proportion will be critically ill in need of intensive care. This will require difficult decisions and prioritisation from their doctors.
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Epidemiologist Moa Herrgård has spent six months seconded to the World Health Organization’s (WHO) Regional Centre for Health Emergencies in Amman, Jordan. The overall focus of her work has been to enhance health emergency preparedness and response in the Eastern Mediterranean and Middle East Region. Looking back, she thinks the secondment has taught her a lot that will benefit work at KI.
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How can we help decision-makers during health crises, by developing rapid and useful decision bases, built on research and proven experience? With this question in mind, the Centre for Health Crises gathered a group of curious participants in Aula Medica on Thursday 29 May for a full-day workshop on creating rapid response briefs for decision-making in health crises.
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In recent weeks, the Swedish Government has issued several new assignments in health crisis preparedness, to be carried out by the National Board of Health and Welfare, including an assignment to establish a national reinforcement resource (nationell försörjningsresurs) for disaster medicine.
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The large hall at Münchenbryggeriet in Stockholm was buzzing with life on Friday morning 12 April when general physicians from all over Sweden practiced mass casualty management and triage, using the simulation exercise AnTriEx, which is developed and instructed by the research group Global Disaster Medicine - Health Needs and Responses at KI.
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A lorry explodes on the E4 motorway, there is a fire at the Hovet arena, someone takes hostages at Tom Titts, there's an explosion at Arlanda - it all happens at the same time and the medical services in Region Stockholm have to deal with a large number of injured patients at once. Fortunately, it was all just an exercise. The exercise, which is part of the TKS course, now aims to be developed into a national course concept.
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On Thursday, 28 March, the Sune Bergström auditorium at Karolinska University Hospital was filled with Ukrainian paramedics, when the hospital, together with the Centre for Health Crises at Karolinska Institutet, arranged a visit dedicated to the exchange of experiences, discussions, and guided tours.
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On Wednesday, March 6, the university management, President Annika Östman Wernerson, Vice President Martin Bergö and University Director Veronika Sundström visited the Department of Global Public Health, to gain a better insight into the department's activities. Key issues discussed included global awareness, the department's strengths and how dialogue can strengthen cooperation. In addition to the university management, the department's management team and Dean Carl Johan Sundberg participated.
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Audience: Medarbetare
Institutionen för Global folkhälsa, GPH
Zambia is currently experiencing the worst cholera outbreak in over two decades. The acute diarrhoeal disease can be deadly if not treated, however with rapid and correct help, the majority of people affected can be treated successfully. The Centre for Health Crises as seconded members of staff to cholera outbreaks before, and on the 26th of January, Caroline de Groot went to Zambia, via the Centre’s collaboration with Médecins Sans Frontières (MSF).
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The eastern mediterranean region is currently facing a brewing health crisis, brought on not least by the war in Gaza. The danger of spread of infectious diseases means that effective epidemiological surveillance and action is key. To assist in these efforts, the Centre for Health Crises has seconded epidemiologist Moa Herrgård via our membership in WHO’s Global Outbreak Alert and Response Network (GOARN).
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Beyond surviving after an injury comes living. To what extent a person is able to return to the life and independence previously enjoyed is an important aspect of recovery and rehabilitation is often a crucial factor in that. Nonetheless, it is a factor often overlooked in humanitarian settings and it is an area where more research is needed. Bérangère Gohy’s PhD thesis looks beyond survival, to how recovery is measured and what the patients’ road to regained independence looks like.
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It began with a text message in the early hours of the morning. A few hours later he was on a plane to Morocco, reading the first reports and trying to start a secondary data analysis of the situation. Within the 48 hours after the earthquake, he was in the most affected region. He had barely gotten back from that mission, when he was asked to go to Libya and to do the same thing all over again, this time in a heavily flooded town.
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The World Health Organization (WHO) recommends infants to be exclusively breastfed for the first six months of life to achieve optimal growth, development, and health. But in some contexts, such as in a humanitarian emergency, adopting and maintaining optimal breastfeeding practices could be challenging. Unpacking what the challenges and opportunities of breastfeeding support in humanitarian emergencies are, and how to conduct such support effectively, is the topic of Nieves Amat Camacho’s PhD.
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Due to organisational adjustments at the department, Global Disaster Medicine – Health Needs and Response becomes a research group of its own from the 1st of October. However, they have already existed for more than twenty years, but in the form of a team called Centre for Research on Health Care in Disaster. In connection to becoming a research team, the name has also slightly changed, to present the group’s focus clearer.
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Lisa Strömmer is the new expert coordinator, in emergency surgery, at the Centre for Health Crises. She looks forward to, among other things, develop existing courses and work to make sure that emergency surgery as a competence is maintained in crisis preparedness, health crises and as a part of the total defense (Totalförsvaret).
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The Centre for Health Crises is currently supporting the WHO’s EMT (Emergency Medical Teams) initiative, through mentorship to the Ministries of Health in Georgia and Armenia in their development of EMTs. The director of the Centre, Professor Johan von Schreeb, has just returned from spending ten days in the two countries, working with the Ministries and other partners.
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KI’s only Erasmus Mundus Master programme, the Master programme Public Health in Disasters, will continue, following a renewed agreement between the three collaborating partners; KI, Universidad de Oviedo and the University of Nicosia. Course leaders look forward to continuing to provide students with the latest tools to work with public health in disasters and advance research in the field. And the new format of the programme allows for all students to come to KI.
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Lifestyles, the pandemic and dental care were some of the topics under discussion when Minister for Social Affairs and Public Health Jakob Forssmed visited Karolinska Institutet on 28 August, the same day as the autumn term kicked off.
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When the Minister for Minister for Social Affairs and Public Health Jakob Forssmed visited KI on Monday 28 August, he met, among others, the director of the Centre for Health Crises, Johan von Schreeb. During the meeting the Centre highlighted the need for national collaboration on the role of universities in crises, as well as a national ability (surge capacity), focused on people trained in handling health crises, to be ready when the crisis hit.
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The podcast Riskzonen, featuring well-known KI staff members Mattis Öberg and Emma Frans, is back with a new season! The four episodes were released in May and June, and after a brief break over summer, more episodes will now be released each Monday, starting on 28 August. Each episode features the topic health crisis, in one way or another, ranging from relief efforts in war to antibiotic resistance. The new season is made in collaboration with the Centre for Health Crises.
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Global Disaster Medicine - Health Needs and Responses is part of a consortium led by the Swedish Civil Contingencies Agency, called IPA Care, that aims to address the needs of countries on Western Balkan, along with Turkey, to strengthen their ability to prevent risks related to earthquakes and other health emergencies.
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Global Disaster Medicine - Health Needs and Response at KI was represented in several ways at this year’s WADEM (the World Association for Disaster and Emergency Medicine) congress, including with presentations and posters displaying new research conducted by the group.
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The third installment in the seminar series KI Contributes explored the health crises created by war and armed conflict, through the medium of visual art. An Armenian artist and a Swedish surgeon shared their experiences of war and how humans live through it and try to make sense of their difficult experiences.
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Maja Fjaestad is the latest in a line of expert coordinators that have been recruited to the Centre for Health Crises at KI. The LIME-researcher and former under-secretary of state will work in the expert field of policy and preparedness. She looks forward to contributing with a holistic outlook when it comes to health threats.
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Audience: Medarbetare
Institutionen för Global folkhälsa, Stålsby Lundborg, von Schreeb
The Centre for Health Crises at KI has published its first annual report, covering activities at the Centre during 2022. Since it is the centre's first year in operation, the report also outline the background to the establishing of the centre, the centre's organisational structure and introduces the staff.
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On January 26th, the Centre for Health Crises welcomed a distinguished panel of both national and international researchers and civil servants to the second KI Contributes seminar. The seminar featured short presentations and discussions around the complex issue of extreme heat, with a focus on how to shape and evaluate heat adaptation plans.
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The autumn semester of 2022 saw a new cohort of students arriving at KI to study the part of the Erasmus Mundus Master’s programme Public Health in Disasters, which is conducted by the Centre for Research on Health Care in Disasters. One of the students who came to Stockholm is Bahaa, who is really enjoying his time at KI and in Stockholm.
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Representatives from centres within Stockholm trio met at KI for a breakfast meeting and a chance to engage in conversations about activities and collaborations within the topic of climate and health. The collaboration group on climate and health creates spaces and opportunities for interdisciplinary cooperation in this wide and complex field.
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On the 1st of September Mattias Öberg began working 20% at the Centre for Health Crises. His role is to develop the centre’s work with chemical and toxicological health crises. This will be done through, among other things, monitoring, establishing networks, identifying educational and research gaps, as well as identifying how the centre best contributes to the field.
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Märit Halmin starts her new role as expert coordinator in the field of ’critical care with limited resources’ at the Centre for Health Crises on the 7th of November. Her role will be to coordinate and develop the centre’s operations within the field.
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Petter Ljungman, cardiologist, and Associate Professor at the Institute of Environmental Medicine is the new expert coordinator at the Centre for Health Crises in the field of extreme weather, climate, and health effects. Thereby the centre continues to expand its expertise in various health crises subject areas.
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During a visit to Sweden this week, WHO Europe’s director Dr Hans Kluge had time for a brief, but cordial, visit to KI. Dr Kluge met with Vice President Anders Gustafsson and the director of the Centre for Health Crises, Professor Johan von Schreeb, along with the centre’s strategic process leader Dr Anna Zorzet. The quartet talked about matters of common interest and about initiatives related to health crises in particular.
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We recognise the images of health care and medical staff in PPE. Maybe we have even experienced an outbreak of the disease where we have lived. But what is it actually like to work in an ongoing Ebola outbreak? Anneli Eriksson, specialist nurse and research specialist at KI, answers three questions about working in the ongoing outbreak in Uganda.
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Anneli Eriksson, research specialist at the Centre for Research on Health Care in Disasters and a specialised nurse with extensive field experience, was on her way to Spain when she turned on her heel and instead headed straight to Uganda, to work in a coordinator role for Médecins sans frontières (MSF) Sweden in their efforts to assist in the current and ongoing Ebola outbreak in the country.
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On September 23, the Centre for Health Crises kicked off our seminar series KI Contributes, aiming at addressing contemporary health crises, with an interactive panel discussion on the health consequences of extreme heat. The focus was addressing a multi-layered health crisis with effects on both individual and public health.
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Hearing the word ‘war injury’, one might think of bullet wounds, torn off limbs or burns from explosions. And whilst injuries such as these certainly feature in the palette of suffering that war brings, the reality is more complex, and to some extent perhaps also less cinematic.
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Anna-Mia Ekström has been involved with the Centre for Health Crises since the very beginning and is now a part of its first steering group. Before the Centre was formed, she was a member of KI’s interdisciplinary resource team post COVID-19 (KIRP), and the task force that helped shape the centre. Just like with her many other engagements her aim is to make a difference, especially for the most vulnerable.
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The majority of cold wave related deaths occurred in middle-income countries followed by high-income countries, deaths were likely to occur during heat waves than cold waves or severe winter weather, in particularly in high-income countries and increased CO2 emissions can result in an increased number of deaths during severe weather events. That is the conclusion of a recently published study that looked at extreme weather events and deaths in the years 1999 to 2018.
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