With the aegis of the Pan-American Health Organization (PAHO) and the United Nations Health Cluster, OMI has been tasked with a unique disaster public health project. The Bed Augmentation in Critical Care Project (BACC) aims to enhance the provision of critical care services to victims of the earthquake as well as seriously ill low income Dominican patients. With a high rate of complications and expected acute exacerbations of the chronically ill disaster victims, critical care services is a fundamental piece to the earthquake health response. As a developing country; the Dominican Republic has highlighted the need for critical care services, where the public health system routinely serves a population of 7.5 million Dominicans (plus an estimated 1 million Haitians) with only 90 fully equipped ICU beds.
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The project plans to equip ICUs in border cities of Jimani and
Barahona, as well as the near town of Azua (to become a regional trauma referral center). By developing this system in underserved areas it will also allow long term system improvements and strengthen the response to future disaster and MCIs.
The BACC project lead is Dr. Alejandro Baez (OMI Co-Director) and will be working in collaboration with the Dominican Ministry of Health, PAHO and Universidad Iberoamericana (www.unibe.edu.do) as well as Society for Critical Care Medicine. System components include Human Capacity Building, ICU bed equipping and development of a regional triage and transfer program.
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