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Campaign Disaster Response - What Makes It Different.

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The Central Adelaide Local Health Network (CALHN) adapted its disaster preparedness for the COVID-19 pandemic, focusing on communication, capability, and governance. Key learnings emphasize adapting traditional disaster principles for prolonged public health crises.

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Area of Science:

  • Public Health
  • Disaster Management
  • Epidemiology

Background:

  • The COVID-19 pandemic necessitated significant adaptations in healthcare systems globally.
  • Central Adelaide Local Health Network (CALHN) was designated the primary adult COVID-19 receiving hospital in its state.
  • The Royal Adelaide Hospital (RAH) managed 146 COVID-19 inpatients between February and December 2020.

Purpose of the Study:

  • To describe the experiences and lessons learned by CALHN in managing a novel, campaign-style public health disaster response.
  • To highlight the importance of disaster preparedness, fatigue management, and communication in a prolonged health crisis.
  • To analyze the operational challenges and successes of a Network Incident Command Centre (NICC) during the pandemic.

Main Methods:

  • A descriptive analysis of CALHN's response to the COVID-19 pandemic.
  • Review of operations within the Network Incident Command Centre (NICC) and Network Incident Management Team (NIMT).
  • Identification of key lessons learned regarding disaster management principles, communication, capability, and governance.

Main Results:

  • CALHN sustained an active incident command structure throughout the pandemic response.
  • Key learnings included the importance of disaster preparedness, fatigue management, and effective communication.
  • Challenges in operating a command model and the role of exercises and education were identified.

Conclusions:

  • Longer-duration disaster responses require adapting traditional disaster principles to maintain a proportionate approach.
  • Effective disaster management hinges on robust communication, built capability, and strong governance.
  • CALHN's experience provides valuable insights for future public health emergency preparedness and response.