London 2012
An Olympic Challenge for the HPA?
Dr Brian McCloskey
HPA Olympics Lead
17 November 2011
Olympic planning – the players
International Olympic Committee – IOC
London Organising Committee of the Olympic Games –
LOCOG
London Olympic Games Chief Medical Officer
LOCOG Medical Advisory Group – MAG
Department of Health Olympic Programme Board
Olympic Safety and Security Programme - Home Office
Olympic Security Directorate & Olympic Operational
Users Group (Met police)
HPA Olympic Coordinating Group
WHO, ECDC…….?
Olympic planning – the play
Medical services for the athletes and “Olympic Family”
Medical services for visitors
Anti-doping services
Public health and health protection for all
Public health legacy
Is there an “Olympic Difference”?
YES
Scale
Media
National reputation
International
What are the key health protection
workstreams for London 2012?
Surveillance Food safety
Preparedness Water safety
Response Health Legacy
Terrorism
What are we planning?
Surveillance
Coordinate all current surveillance systems
Link to International agencies
Move to “real time” surveillance
Common pathway to deliver to HPU
Enhance current systems:
A&E
Hotels
Others?
Infectious Diseases and Mass
Gatherings
Across the 1996 Olympic games in Atlanta and the
2000 Games in Sydney, infectious diseases accounted
for less than 1% of healthcare visits.
But it does happen……
Surveillance during mass events
Risk of infectious disease is low1,2,3
But
Primary aspects
Absolute increase in population and increase in population density
Population movement: exposure to "foreign" diseases
Secondary aspects
Target for bioterrorism4
Changes in services/behaviour (food turn over 5, sexual risk behavior6)
1. Jorm et al 2003
2. Demicheli et al 2006
3. Goncalves et al 2005
4. Inglesby 1999
5. Hadjichristodoulou et al 2005
6. McNulty et al 2003
When do we need it?
Surveillance
Engage with NHS Now
Decide on HPA field system 2007/08
Work with partners Now – 2009
Enhance HPU capacity 2010 – 2012
Test systems 2010
Establish baseline 2011
Go live 2012
What are we planning?
Preparedness
Develop major exercises alongside test events
Review plans and SOPs in Olympic context
Work with partners on response model and
capacity
Work with partners on food / water safety and
guidelines
When do we want it?
Preparedness
Major Exercise - design 2008 – 2010
Major Exercise – run 2010 – 2012
Develop response model Now – 2010
Develop guidelines 2008 – 2010
Test and implement guidelines 2011 - 2012
What are we planning?
Response
Joint plan with LA etc. on response model for
incidents detected by surveillance
(usual plan but more responsive?)
Response…the Olympic difference
When do we need it?
Response
Review current arrangements Now – 2010
Revise / devise plans & SOPs 2008 – 2010
Review capacity 2008 – 2010
Test in Major Exercise 2010 - 2012
What are we planning?
Terrorism
Review threat assessment with security
services
Review response plans in context of Olympics
Review capacity and systems in context of
Olympics
Intelligence
Detection
Analysis
Response
…the Olympic difference
When do we need it?
Terrorism
Review threat assessment Now – 2012
Review response plans Now – 2012
Review capacity and systems 2008 - 2012
London 2012
An Olympic Challenge for the HPA?
Dr Brian McCloskey
HPA Olympics Lead
17 November 2011