MEDICAL SUPPORT OF THE FESTIVAL "TAVRIDA.ART" IN CRIMEA DURING THE COVID-19 PANDEMIC BY THE FEDERAL AND REGIONAL DISASTER MEDICINE UNITS OF THE MINISTRY OF HEALTH AND THE FEDERAL MEDICAL AND BIOLOGICAL AGENCY OF RUSSIA
Authors: Lyulko O.M. , Zolotareva V.I. , Demenko V.V. , Popov V.P. 
Published: June 2024

Background. Along with maintaining constant readiness for possible emergencies, one of the important functions of the disaster medicine service is the medical provision of organized cultural, public, sports and other mass events with the participation of a large number of people (hereinafter — mass events). Carrying out large-scale events in the conditions of a pandemic, caused by the threat of the spread of a new coronavirus infection COVID-19, requires special safety measures and compliance with certain sanitary standards, depending on the situation at the event venue. Such a situation requires an increase in the forces and means of the health care units involved for medical support. In recent years, the Festival of Young Artists and Artists "Tavrida.ART" has been traditionally held on the territory of the Kapsel Bay of the Sudak city district of the Republic of Crimea. Purpose. The assessment of the possibility of using the modern mobile medical complex "MEDESCORT" series "STOLITSA" on the basis of a large class bus "LiAZ 5292-60" (hereinafter — MMK), designed to work in emergency situations, to conduct isolation and observation measures for patients with a new coronavirus infection and contact persons from among the organizers, guests and participants during the medical support of a mass event. The effectiveness of interdepartmental interaction of disaster medicine formations was assessed. Materials and Methods. The work of the disaster medicine service of the State Budgetary Health Care Institution of the Republic of Crimea "Crimean Republican Center for Disaster Medicine and Emergency Medical Care" (hereinafter — the State Budgetary Health Care Institution of the Republic of Crimea "KRCMKISMP") during the medical support of the event in the context of the implementation of anti-epidemic measures of an isolation and observational nature, within which the Festival "Tavrida .ART" was held from September1 to September 6, 2020 and from September 7 to September 12, 2021 with the simultaneous participation of 3,000 people in 2020 and up to 7,000 people in 2021. Additionally, an analysis of the coordination of the forces and means of the involved formations of the Federal Medical and Biological Agency (hereinafter — the FMBA of Russia) and the Ministry of Health of the Republic of Crimea (hereinafter — the Ministry of Health of the Crimea) was carried out. Results. During the Festival "Tavrida.ART" with the participation of representatives of advanced youth, honored guests, volunteers and service personnel on the territory of the Kapsel Bay, the option of involving emergency response teams of the State Budgetary Health Care Institution of the Republic of Crimea "KRCMKISMP" using MMK pneumatic frame modules was tested. A lot of interdepartmental work was done to organize and plan the medical support, optimal alignment of forces and means at the event site, ensuring the safe conduct of a large-scale mass event. The Disaster Medicine Service, taking into account the dificult epidemiological situation, constantly interacted with the responsible persons of the FMBA of Russia, the Ministry of Health and Rospotrebnadzor of the region. The hospitalization of patients with COVID-19 to hospitals and contact persons to observatories was provided in advance by the routing of the region and, in case of detection at the event, was carried out immediately. Conclusion. For the first time the possibility of using a modern mobile medical complex based on the LiAZ 5292-60 bus as an observation and isolation complex with the possibility of providing rapid testing and polymerase chain reaction (PCR) testing for COVID–19 to participants and guests of a large-scale cultural, educational and entertainment event was shown. For the first time during the COVID-19 pandemic, based on two years of experience, an effective option for the implementation of interdepartmental medical support and optimal alignment of forces and means at the event site was proposed to provide comprehensive medical support and safe conduct of a large-scale mass event.