CBRN Hazard Management in Malaysian Healthcare: A Review of the Literature and Implications for Practice

Authors

  • Poobalan Vengidasamy Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia 43400 UPM Serdang, Selangor, Malaysia
  • Shamsul Bahri Mohd Tamrin Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia 43400 UPM Serdang, Selangor, Malaysia
  • Mohamed Alwi Bin Hj Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, University Putra Malaysia 43400 UPM Serdang, Selangor, Malaysia
  • Abdul Rahman Hospital Selayang, 68100 Batu Caves, Selangor, Malaysia
  • Gurjeet Singh a/l Harvendhar Singh Hospital Selayang, 68100 Batu Caves, Selangor, Malaysia

DOI:

https://doi.org/10.31674/mjmr.2024.v08i01.002

Abstract

The occurrence and intensity of both natural and human-made disasters are bound to increase, posing significant risks to humanity. In Malaysia’s healthcare setting, a variety of procedures and practices for managing safety, health, and emergency management are implemented to ensure the comfort and protection of hospital personnel, patients, and visitors. The presence of chemical, biological, radiological, and nuclear (CBRN) hazards pose a grave risk to the health and well-being of healthcare personnel in Malaysia. The aim of this review article is to draw attention to practical implications and provide a thorough summary of the literature on CBRN hazard management in Malaysian healthcare.

Keywords:

CBRN Hazard Management, Malaysian Healthcare, Disaster Management, Healthcare Safety

Downloads

Download data is not yet available.

References

Ablah, E., Brown, J., Carroll, B., & Bronleewe, T. (2016). A community-based participatory research approach to identifying environmental concerns. Journal of Environmental Health, 79(5), 14-19.

Abrams, A. M. (2018). Emergency/Disaster Preparedness of Rural Healthcare Providers. North Dakota State University.

Adnan, M. S. B., Hart, A., Hertelendy, A. J., Tin, D., Abelanes, S. M., Issa, F., & Ciottone, G. R. (2022). Malaysian Disaster Medicine Research: A Bibliographic Study of Publication Trends. Prehospital and disaster medicine, 37(6), 836-842. https://doi.org/10.1017/s1049023x22002187

Alahmari, A. A., & Khan, A. A. (2023). Chemical, biological, radiological, and nuclear preparedness of public hospitals in Riyadh. Disaster medicine and public health preparedness, 17, e401. https://doi.org/10.1017/dmp.2023.66

Almukhlifi, Yasir & Crowfoot, Gary & Wilson, Amanda & Hutton, Alison. (2021). Emergency healthcare workers’ preparedness for disaster management: An integrative review. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.15965

Aminizadeh, M., Farrokhi, M., Ebadi, A., Masoumi, G., Kolivand, P., & Khankeh, H. (2022). Hospital preparedness challenges in biological disasters: A qualitative study. Disaster Medicine and Public Health Preparedness, 16(3), 956-960. https://doi.org/10.1017/dmp.2020.434

Azarmi, S., Pishgooie, A. H., Sharififar, S., Khankeh, H. R., & Hejrypour, S. Z. (2021). Challenges of hospital disaster risk management: A systematic review study. Disaster medicine and public health preparedness, 1-8. https://doi.org/10.1017/dmp.2021.203

Aziz, T. A., Amin, R. R. H., Ahmed, Z. A., Sleman, H. J., & Aziz, B. H. (2021). Occupational toxicity and health hazards of the healthcare providers at healthcare facilities in Sulaimani City, Iraq. Iraqi Journal of Pharmaceutical Sciences (P-ISSN 1683-3597 E-ISSN 2521-3512), 30(2), 41-49. https://doi.org/10.31351/vol30iss2pp41-49

Bajow, N., Alkhalil, S., Maghraby, N., Alesa, S., Najjar, A. A., & Aloraifi, S. (2022). Assessment of the effectiveness of a course in major chemical incidents for front line health care providers: a pilot study from Saudi Arabia. BMC medical education, 22(1), 350. https://doi.org/10.1186/s12909-022-03427-2

Benolli, F., Guidotti, M., & Bisogni, F. (2021). The CBRN threat. Perspective of an interagency response. International Security Management: New Solutions to Complexity, 429-448. http://dx.doi.org/10.1007/978-3-030-42523-4_29

Carbon, D., Arnold, A., Görgen, T., & Wüller, C. (2022). Crisis communication in CBRNe preparedness and response: Considering the needs of vulnerable people. International Journal of Disaster Risk Reduction, 79, 103187. https://doi.org/10.1016/j.ijdrr.2022.103187

Che Hamid, H. E., MSaad, N. J. A., Mat Razali, N. A., Khairuddin, M. A., Ismail, M. N., Ramli, S., ... & Shah, P. N. N. A. (2019). Disaster management support model for Malaysia. In Advances in Visual Informatics: 6th International Visual Informatics Conference, IVIC 2019, Bangi, Malaysia, November 19–21, 2019, Proceedings 6 (pp. 570-581). Springer International Publishing. http://dx.doi.org/10.1007/978-3-030-34032-2_50

Chilcott, R. P., Larner, J., & Matar, H. (2019). UK’s initial operational response and specialist operational response to CBRN and HazMat incidents: a primer on decontamination protocols for healthcare professionals. Emergency Medicine Journal, 36(2), 117-123. https://doi.org/10.1136/emermed-2018-207562

Garritty, C., Tricco, A. C., Smith, M., Pollock, D., Kamel, C., & King, V. J. (2024). Rapid reviews methods series: involving patient and public partners, healthcare providers and policymakers as knowledge users. BMJ Evidence-Based Medicine, 29(1), 55-61. https://doi.org/10.1136/bmjebm-2022-112070

Gillani, A. H., Li, S., Akbar, J., Omer, S., Fatima, B., Ibrahim, M. I. M., & Fang, Y. (2021). How prepared are the health care professionals for disaster medicine management? An insight from Pakistan. International journal of environmental research and public health, 19(1), 200. https://doi.org/10.3390/ijerph19010200

Goniewicz, K., Goniewicz, M., Włoszczak-Szubzda, A., Burkle, F. M., Hertelendy, A. J., Al-Wathinani, A., ... & Khorram-Manesh, A. (2021). The importance of pre-training gap analyses and the identification of competencies and skill requirements of medical personnel for mass casualty incidents and disaster training. BMC public health, 21, 1-11. https://doi.org/10.1186/s12889-021-10165-5

Gul, M., Ak, M. F., & Guneri, A. F. (2017). Occupational health and safety risk assessment in hospitals: A case study using two-stage fuzzy multi-criteria approach. Human and Ecological Risk Assessment: An International Journal, 23(2), 187-202. http://dx.doi.org/10.1080/10807039.2016.1234363

Gunduz, M., & Laitinen, H. (2018). Construction safety risk assessment with introduced control levels. Journal of Civil Engineering and Management, 24(1), 11-18. http://dx.doi.org/10.3846/jcem.2018.284

Hamid, A. H. B. A., Rozan, M. Z. A., Ibrahim, R., Deris, S., & Yunus, M. N. M. (2017, January). Resources planning for radiological incidents management. In AIP Conference Proceedings (Vol. 1799, No. 1, p. 030001). AIP Publishing LLC. http://dx.doi.org/10.1063/1.4972911

Hendrickx, C., D’Hoker, S., Michiels, G., & Sabbe, M. B. (2016). Principles of hospital disaster management: An integrated and multidisciplinary approach. B-ENT, 12(26/2), 139-148.

Huang, D., Wang, S., & Liu, Z. (2021). A systematic review of prediction methods for emergency management. International Journal of Disaster Risk Reduction, 62, 102412. http://dx.doi.org/10.1016/j.ijdrr.2021.102412

Ippolito, M., Vitale, F., Accurso, G., Iozzo, P., Gregoretti, C., Giarratano, A., & Cortegiani, A. (2020). Medical masks and Respirators for the Protection of Healthcare Workers from SARS-CoV-2 and other viruses. Pulmonology, 26(4), 204-212. https://doi.org/10.1016/j.pulmoe.2020.04.009

Ismail, S. A. (2020). Factors associated with knowledge, attitude, practice and perception in flood disaster management among critical care nurses in the east coast hospitals of Malaysia (Doctoral dissertation, Universiti Sains Malaysia).

Jacobitz, K. L., & Nailon, R. E. (2020). The role of a regional poison center in assessing and managing disaster risk. Health security, 18(3), 195-204. https://doi.org/10.1089/hs.2019.0124

Kako, M., Hammad, K., Mitani, S., & Arbon, P. (2018). Existing approaches to chemical, biological, radiological, and nuclear (CBRN) education and training for health professionals: findings from an integrative literature review. Prehospital and disaster medicine, 33(2), 182-190. https://doi.org/10.1017/s1049023x18000043

Khorram-Manesh, A., Goniewicz, K., Hertelendy, A., & Dulebenets, M. (Eds.). (2021). Handbook of disaster and emergency management. Kompendiet. http://dx.doi.org/10.5281/zenodo.5553076

Lam, R. P., Balsari, S., Hung, K. K., Hsiao, K. H., Leung, L. P., & Leaning, J. (2018). How do doctors and nurses in emergency departments in Hong Kong view their disaster preparedness? A cross-sectional territory-wide online survey. Disaster medicine and public health preparedness, 12(3), 329-336. https://doi.org/10.1017/dmp.2017.71

Majd, P. M., Seyedin, H., Bagheri, H., & Tavakoli, N. (2020). Hospital preparedness plans for chemical incidents and threats: a systematic review. Disaster Medicine and Public Health Preparedness, 14(4), 477-485. https://doi.org/10.1017/dmp.2019.91

Mohammadi, S. B., Amirheidari, B., Dehesh, T., Moghadam, M. N., Yazdi-Feyzabadi, V., Hassani, E., & Habibzadeh, H. (2022). Identification and analysis of parameters and global experiences of hospital preparedness against chemical, biological, radiological and nuclear disasters: a scoping review. Journal of Clinical Research in Paramedical Sciences, 11(1). https://doi.org/10.5812/jcrps-123626

Morganstein, J. C., & Ursano, R. J. (2020). Ecological disasters and mental health: causes, consequences, and interventions. Frontiers in psychiatry, 11, 1. https://doi.org/10.3389/fpsyt.2020.00001

Mortelmans, L. J., Gaakeer, M. I., Dieltiens, G., Anseeuw, K., & Sabbe, M. B. (2017). Are Dutch hospitals prepared for chemical, biological, or radionuclear incidents? A survey study. Prehospital and disaster medicine, 32(5), 483-491. https://doi.org/10.1017/s1049023x17006513

Munikanan, V. (2020). Cbrn Hazard Response by Leading Agency In Malaysia. Solid State Technology, 63(6), 8386-8394.

Nadarajan, G. D., Omar, E., Abella, B. S., Hoe, P. S., Do Shin, S., Ma, M. H. M., & Ong, M. E. H. (2020). A conceptual framework for Emergency department design in a pandemic. Scandinavian journal of trauma, resuscitation and emergency medicine, 28(1), 1-13. https://doi.org/10.1186/s13049-020-00809-7

Nasir, S. A., Othman, S. A., & Nordin, N. I. M. (2022). Health Risk From Radioactive Iodine (RAI) Therapy And Medical Imaging-A Short Review. Malaysian Journal of Applied Sciences, 7(2), 44-52. https://doi.org/10.37231/myjas.2022.7.2.325

O’Connor, T., & Hammad, K. S. (2016). Emergency department nurses’ perspectives on responding to terror attacks: A review of the literature. Health Emergency and Disaster Nursing, 3(1), 9-17. https://doi.org/10.3389%2Ffpubh.2021.695143

O’Mathúna, D. P. (2019). Health care workers’ obligations in CBRNE crises. Ethics and Law for Chemical, Biological, Radiological, Nuclear & Explosive Crises, 185-197. https://doi.org/10.1007%2F978-3-030-11977-5_15

Osman, N. N. S. (2016). Disaster management: Emergency nursing and medical personnel’s knowledge, attitude and practices of the East Coast region hospitals of Malaysia. Australasian emergency nursing journal, 19(4), 203-209. https://doi.org/10.1016/j.aenj.2016.08.001

Razak, S., Hignett, S., & Barnes, J. (2018). Emergency department response to chemical, biological, radiological, nuclear, and explosive events: a systematic review. Prehospital and Disaster Medicine, 33(5), 543-549. https://doi.org/10.1017/s1049023x18000900

Razu, S. R., Yasmin, T., Arif, T. B., Islam, M. S., Islam, S. M. S., Gesesew, H. A., & Ward, P. (2021). Challenges faced by healthcare professionals during the COVID-19 pandemic: a qualitative inquiry from Bangladesh. Frontiers in public health, 1024. https://doi.org/10.3389/fpubh.2021.647315

Romney, D. A. (2020). Chemical, Biological, Radiological, or Nuclear Event (CBRNE): Prehospital and Hospital Management. Operational and Medical Management of Explosive and Blast Incidents, 569-582. http://dx.doi.org/10.1007/978-3-030-40655-4_42

Samsuddin, N. M., Takim, R., Nawawi, A. H., & Alwee, S. N. A. S. (2018). Disaster preparedness attributes and hospital’s resilience in Malaysia. Procedia engineering, 212, 371-378. http://dx.doi.org/10.1016/j.proeng.2018.01.048

Sawalha, I. H. (2020). A contemporary perspective on the disaster management cycle. Foresight, 22(4), 469-482. https://doi.org/10.1108/FS-11-2019-0097

Squier, J. (2023). Emergency Action & Operations Planning. Professional Safety, 68(2), 35-40.

Subramanian, G. C., Arip, M., & Subramaniam, T. S. (2017). Knowledge and risk perceptions of occupational infections among health-care workers in Malaysia. Safety and health at work, 8(3), 246-249. https://doi.org/10.1016%2Fj.shaw.2016.12.007

Sulaiman, N., Abid, S. K., Nazir, U., Mahmud, N. P. N., Latib, S. K. K., Hafidz, H. F., ... & Rahim, N. A. (2020, December). Need for resilience healthcare facilities management (RHFM) in malaysia’s public hospitals. A critical literature review. In Proc Int Conf Ind Eng Oper Manag (Vol. 59, pp. 2336-48).

Veenema, T. G., Lavin, R. P., Bender, A., Thornton, C. P., & Schneider-Firestone, S. (2019). National nurse readiness for radiation emergencies and nuclear events: A systematic review of the literature. Nursing outlook, 67(1), 54-88. https://doi.org/10.1016/j.outlook.2018.10.005

Yadav, H. (2017). The health care system in Malaysia. In Health Care Systems in Developing Countries in Asia (pp. 110-130). Routledge.

Yahya, N. Y. B., Rahmat, R. B., Termizi, M. S. B. A., Zazali, A. K. B., & Jamalluddin, S. N. F. B. (2022). Preparedness towards Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) threats among healthcare personnel in Pasir Gudang, Johor, Malaysia. International Journal of Disaster Risk Reduction, 82, 103235. https://dx.doi.org/10.2139/ssrn.3998765

Yaqoob Mohammed Al Jabri, F., Kvist, T., Azimirad, M., & Turunen, H. (2021). A systematic review of healthcare professionals' core competency instruments. Nursing & health sciences, 23(1), 87-102. https://doi.org/10.1111/nhs.12804

Yildiz, C. Ç., & Yildirim, D. (2022). The effects of disaster nursing education program on beliefs in general disaster preparedness, disaster response self-efficacy, and psychological resilience in nursing students: A single-blind, randomized controlled study. Nursing education perspectives, 43(5), 287-291. https://doi.org/10.1097/01.nep.0000000000001011

Published

01-03-2024

How to Cite

Vengidasamy, P. ., Mohd Tamrin, S. B. ., Bin Hj, M. A., Rahman, A., & a/l Harvendhar Singh, G. S. . (2024). CBRN Hazard Management in Malaysian Healthcare: A Review of the Literature and Implications for Practice. International Journal of Management and Human Science (IJMHS), 8(1), 11-26. https://doi.org/10.31674/mjmr.2024.v08i01.002

Metrics