Hospital Authority Convention · 2007. 6. 5. · 2008 Beijing 203 10500 28 300 OLYMPIC GAMES. 33 Role of Government • Government involvement / partnership with OCOG • Role varies

2

Hospital Authority ConventionHong Kong, 7 – 8 May 2007

Dr Patrick SchamaschIOC Medical and Scientific Director

3

Preparation to the Olympic

GamesWhat represent the Olympic Games?

4

OLYMPIC MOVEMENT

5

Modern Olympic Games

Symbols

• 1894 The devise: “Citius, Altius, Fortius”• 1914 The rings and the flag/emblem • 1936 The torch• 1958 The anthem: Spiros Samaras (music)

Costis Palamas (text)

HISTORY

6

Modern Olympic Games

First edition

• in Athens in 1896• Participation of 14 nations and 241 athletes• 43 Events

The medals The posters

HISTORY

7

Structure of the Olympic movement

OLYMPIC MOVEMENT

SummerFederations

(28)

WinterFederations

(7)

RecognisedFederations

(28)

INTERNATIONALSPORTS

FEDERATIONS

NATIONALOLYMPIC

COMMITTEES(202)

BOCOG 2008

VANOC 2010

LOCOG2012 ?

ORGANISINGCOMMITTEES

OF THEOLYMPIC GAMES

INTERNATIONAL OLYMPIC COMMITTEE

athletes

8

IOC Administration – Facts and figures

Workforce at December 31, 2006

• IOC Headquarters - 204 staff

• Olympic Museum - 101 staff

• Olympic Solidarity - 17 staff


9

Olympic Games

Intern

ational

Fed

erations

IOC

203 Nation

al Olym

pic

Com

mittees

Structure for the Olympic Games

OLYMPIC MOVEMENT

athletes

10

Organising Games Olympic Committees (OGOC)

• Synergy between the IOC, the National Olympic Committee and the host city (Host City Contract)

• Application of IOC Executive Board’s instructions

• Planning, organisation and operational phase for the Olympic Games

Bidding cities for 2014:

Sazbourg, Sotchi and PyeongChang

OLYMPIC MOVEMENT

11

Preparation to the Olympic

Games

Bidding Process

12

Olympic Games Study Commission

• Report presented to IOC Session • Recommendations on how to reduce the size, cost

and complexity of the Games• Report focuses on five areas:

- Games Format- Venues and Facilities- Games Management- Number of accredited persons - Service Levels

13

Bidding process

• Preparing a bid• IOC Bidding procedure

- Applicant Cities- Candidate Cities

• Election and post-election• General Issues

14

IOC Philosophie

• Summer + Winter Games Games every four years• Largest sports event in the world• Multiple world championships taking place

simultaneously• Detailed planning required at every level • Pinnacle of most athletes’ careers

15

IOC Philosophie

• Based on conclusions of the Olympic Games Study Commission report

• Sustainable development• Legacy• Working in partnership• Universal appeal• Provide athletes with conditions to allow them to

achieve their best sporting performances

16

Phase 1 – Applicant Cities

• Sign Candidature Acceptance Procedure (accept the conditions set out by the IOC)

• Payment of Candidature Acceptance Fee • Submit bilingual Answers to IOC Questionnaire and

guarantees• Present Olympic Games concept • Create a strong concept and vision• Build national support through good communication

and educational programmes

17

Phase 1 – Applicant Cities

• Build strong partnerships with:- Authorities (local / regional / national)- National sports authorities (NOC / national

federations)- Private sector

18

Assessment of Applicant Cities

• Working Group selected by the IOC President• Members include IOC Members, representatives from

the NOCs, IFs and IOC Athletes’ Commission, as well as technical advisors

• Working Group studies the cities’ Answers to the Questionnaire

• Independent Studies commissioned by the IOC• Working Group makes a Report to IOC Executive

Board using a number of criteria for assessment

19

Criteria for assessment

• Potential to host successful Olympic Games• Compliance with the Olympic Charter, the IOC Code of

Ethics, the Rules of Conduct• List of criteria approved by IOC Executive Board

Transport and then communicated to the cities e.g.- Infrastructure- Sports and Venues

20

Acceptance of Candidate Cities

• Working Group Report• Decision made solely by Executive Board• Report published after announcement on IOC internet

and sent to the Applicant Cities and their respective NOCs

• Report available on IOC website

21

Phase 2 – Candidate Cities

• Sign Candidature Procedure• Payment of Candidature Fee • Answer questions in the IOC Candidature Procedure

(some 250 questions)• Submit three-volume Candidature File to the IOC

which includes a large number of guarantees• Blueprint for the Olympic Games

22

IOC requirements in Candidate City Phase

• Detailed planning • Solid commitments and guarantees• Good technical plan• Legacy• Confidence in a competent organiser – a good partner

for the road ahead

23

Evaluation Commission

• Chairperson and Commission appointed by the IOC President after the selection of Candidate Cities

• Chaired by an IOC Member• Members include IOC Members, representatives from

the NOCs, IFs and IOC Athletes’ Commission, as well as technical advisors

• Highly experienced people chosen for their expertise and knowledge of the Olympic Games

• Analyses Candidature Files

24

Election of Host City

• Executive Board: submits final list of cities to the IOC Session

• Rehearsals set up for cities before election day• First and last opportunity for cities to address the full

IOC membership• 45 minutes presentation by each city• IOC Evaluation Commission Chair addresses the

IOC Session following the cities’ presentations• Great media interest – over 1100 media at the 2012

election

25

Post-election

• Preparation of OCOG• Detailed information provided during the bid phase• Essential component of Candidate City phase • Prepare the structure of Organising Committee• Plan for a transition team• Ensure that there is some continuity from Candidate

City to OCOG• OCOG to be formed 5 months after election• No time should be lost

26

General matters

IOC Ethics Commission• Individual dignity• Moral integrity• Political neutrality in relations with States• Financial transparency• ConfidentialityRules of Conduct• Applicable to the Cities, their NOCs and all persons

and organisations acting on their behalf, including sponsors

• Require a procedure with dignity and moderation with respect of the other Cities

27

Marketing

• Image

• Ressources


28

48%

28%

13%

8% 3% Broadcast

Local Sponsorship

TOP MarketingProgrammeTicketing

LicensingProgrammes

Income sources


29

Income broadcast and TV-rights


30

Income distributionOlympic marketing revenue (2000-2004)

Distribution

8%

92%

IOC

OCOGs, IFs,NOCs


31

OLYMPIC GAMES

32

Games of the Olympiad

Year City Part. NOC Athletes Number Numberof sports of events

1960 Rome 83 5 313 17 1501964 Tokyo 93 5 133 19 1631968 Mexico 112 5 498 20 1721972 Munich 121 7 121 23 1951976 Montréal 92 6 043 21 1981980 Moscou 80 5 283 21 2031984 Los Angeles 140 6 802 23 2211988 Séoul 159 8 437 23 2371992 Barcelone 169 9 368 28 2571996 Atlanta 197 10 332 26 2712000 Sydney 199 10 711 28 3002004 Athènes 202 10 563 28 3002008 Beijing 203 10500 28 300

OLYMPIC GAMES

33

Role of Government

• Government involvement / partnership with OCOG• Role varies from country to country• IOC requirements

- Distinct type of budget- Guarantees / Monitoring- Provision of key services

34

Role of Government

• Example of services- Venue construction / renovation- Airspace control - Control of street hawking / vending - Look of the city- Waste management- Health- Others

35

Games Workforce

• OCOG personnel : 3’000 - 3’500• Government personnel : variable pendng to the

involvement • Contractors : 90’000 - 100’000• Volunteers : 40’000 - 50’000• Performers : 20’000 - 25’000

36

Sport & Internat. Federations

• Focal point of the Games- Athletes experience - Service integrator

• Sports programme - 28 sports - 300 events- 10’500 athletes

37

Olympic Village & Services

• 16’000 beds + 5% contingency• Residential & international zones • Other facilities

- Gymnasium- Dinning hall- Polyclinic- Massage centre

38

Broadcasting

• Broadcasting company- Production of TV signal- 3’500 persons

• 12’000 right holder representatives• 3’500 hours of coverage• 40 different venues

39

Broadcasting

• 300 events• 900 cameras • IBC (international broadcasting centre) • 70’000 sqm

- multi-services venue • 200 countries

40

Written press operations

• 5000 written press representatives- 4’000 journalists- 1’000 photographs

• MPC - 40’000sqm- multi-services venue

41

Sport venue

• Approx 35 venues incl- Road cycling - Football - Marathon / walks- Equestrian- Sailing

• Temporary / permanent

42

Transport

• Key service for participants experience• Client groups

- Olympic family- Olympic logistical and support functions- Ticketed spectators

• Superimperposed to normal city operations• Partnership OCOG - Public authorities• Fleet

- 2’200 buses- 5’000 cars

43

Security

• Safe Games is the N° 1 priority • Responsibility of host country• Multi-forces team with single command

responsibility• Partnership OCOG - Public agencies• Approx 20’000 persons• Balance between security presence and festive

atmosphere

security

44

Accommodation

• Type of accommodation- 23’000 hotel rooms- 11’000 dormitories- 23’000 villages

45

Technology

• IOC Consortium• Information systems

- Sport results systems - Games management systems - Office systems

• Telecommunications • Sydney

- 14300 telephones & 12460 TV sets- Web site visitors: 525.000 visitors

46

Torch Relay

Torch Relay

• More than 11’000 torch bearers • Significant logistic operations

47

Games Services

• Specific services required to run the Olympic Games.

• Athens- Accreditation:around 245,000 accredited

48

Medical Services

The medical organisation of the Olympic Games is under the control of a Chief Medical Officer.

This officer is proposed by the OCOG and his/her appointment is accepted by the IOC.

The Chief Medical Officer is ex officio a member of the IOC Medical Commission for the whole duration of his/her mandate.

General description

49

In his position of Chief Medical Officer, he became ispo factoa member of the IOC Medical Commission.The commission is composed of a core group of 15 membersand a Games Group of 14 members.The IOC MC is chaired byProf. Arne Ljungqvist (SWE).Its role is to:

set the guidelines mainly for medical services (dentistryphysio and strictly medical)inspect and look at all the medical and doping procedures during the Games.And more important….

50

IOC President Jacques Rogge stated during the Salt Lake City Games that:

the main goal of the IOC Medical Commission

• is to secure the good health of the athletes

• To implement the dopingcontrol following thestandards prepared byWADA

51

The medical organisation consists of two main programmes:• healthcare programme• anti-doping programmeThese two programmes are totally under the control of the OCOG.

Some other programmes, such as:• disaster plan• epidemiological plan• water and air controlare joint programmes between the OCOG and host city, provinceor even state agencies.

General Description

52

The preparation of medical services starts as soon as the city has been elected.

Medical Services are part of the Master Plan in which each sub-programme is developed and corresponds to a specific milestone.

The host city is normally selected seven years prior to the Games, and in general the Chief Medical Officer is appointed almost one year later.

In most cases, Medical Services are under either the SportsDepartment or Games Services in the general OCOG organisational chart.

General Description

53

Description of the programmes

54

This programme consists ofAthlete care

• Olympic Village• Polyclinic• NOC quarters

• Competition venues• Field of play• Athletes’ medical centres

• Training venues• Field of play• Athletes’ medical centres

Health Care

55

Spectator care• Competition venues

• Stands• Spectators’ medical centres

Olympic Family care• Olympic Family hotels• MPC• IBC

Miscellaneous• airports• accreditation centers

Health Care

56

Normally, athletes are under the medical control of the medical team of their own NOCs. However, some care may be provided by Medical Services, set up by the OCOG.

These medical services are available at different levels and have to be present where athletes train, compete or rest.

As soon as an athlete is in a venue which is under OCOG control, he/she is entitled to free medical care.

Each venue is organised under the same scheme.

Athlete Care

57

Medical centre

Medicalteams

transportHospitals

Olympic Village

Athlete Care VENUE LEVEL

58

Each venue has a medical centre for athletes which is a fully equipped station with:• complete resuscitation equipment• complete injury care equipment• physiotherapy spacesThis medical centre is staffed by:• doctors• nurses• physiotherapists• first aiders and /or patrolmen• paramedics - where these exist• ambulance drivers• helicopter pilots• a dentist - according to the sport

Athlete care

59

Each venue depends on a hospital where serious cases can be transported. In most of the cases, the athlete, once seen by the team physician and/or the OCOG physician, is transported to the Olympic Village polyclinic either by ambulance or his/herown NOC transport network according to the case.

The examination is based on mutual faith between team physicians and OCOG medical services.

However, in the case of a disagreement or in life-threateningcases, the final descision remains with the OCOG physician for legal reasons.

Athlete care

60

The Games represent :

10563 athletes28 Olympic Sports300 disciplinesMore than 40 venues and sites to look after in Athens.

61

SportsMale Female Male Female

Archery 64 64 64 64Athletics 1141 968 1077 915

Badminton 89 83 89 83Baseball 191 191

Basketball 144 144 144 144Beach Volleyball 48 48 48 48

Boxing 283 280Canoeing

- Flatwater 169 75 169 75 - Slalom 65 19 65 19

Cycling - Mountain 50 30 50 30

- Road 145 68 145 68 - Track 150 39 139 32

Equestrian 137 67 137 66Fencing 137 97 131 94Football 345 214 259 167

Gymnastics - Artistic 98 99 98 98

- Rhythmic 84 84 - Trampoline 16 16 16 16

Handball 180 150 179 150Hockey 192 160 192 160

Judo 229 157 227 157Modern Pentathlon 32 32 32 32

Rowing 364 193 364 193Shooting 253 137 253 137Softball 120 118Sailing 261 139 261 139

Swimming - Diving 64 65 64 65

- Synchronized 104 101 - Swimming 544 394 544 393 - Waterpolo 155 104 155 104Table Tennis 86 86 86 86Taekwondo 64 60 64 60

Tennis 87 83 87 83Triathlon 50 50 49 50Volleyball 144 144 143 139

Weightlifting 170 89 164 85Wrestling 292 50 292 50

Total 6439 4432 6258 4305Grand Totals

Entered Accreditated Participated

10817 10563

62

total % male % female %

all sport 10563 6258 59 4305 41

general data

participation

63

MED VEN MAN 39 2MEDICAB DRIVER 17 31NURSE 0 52NURSING PERSONNEL A 150 3NURSING PERSONNEL S 99 57OPTOMETRIST 12 0PHARMACIST 10 0PHARMACY ASSISTANT 10 0PHYSIOTHERAPIST 386 0PODOLOGIST 20 0POLYCLINIC DEPT DIRECTOR 16 0POLYCLINIC DOCTOR 143 0RADIOGRAPHER 44 0SPECTATOR CARE DOCTOR 83 77STREATCHER BEARER 1 0VENUE MED MANAGEMENT 0 5

1943 648

64

Medical services for the Games

Some figures :

• 1943 volunteers• 697 armed forces personnel• 21 paid staff for the central staff• 130 ambulances on site/day which means•1000 ambulances staff (drivers, doctors) on site /day

65

HOSPITALS EUAGGELISMOS Olympic FamilyKAT AthletesVOULAGENNIMATASSISMANOGLEIOTZANEIO NIKAIAERYTHROSMEDICAL CENTRE OF MARKOPOULO MEDICAL CENTRE OF NEA MAKRI MEDICAL CENTRE OF SPATA

Some hospitals have been identified as Olympic Hospitals

In addition, the hospitals of the remote venues were also involved:Thessaloniki, Heraklion, Volos, Patras

66

Medical Encounters by Diagnostic Category

67

0 10 20 30 40 50 60

CARDIOVASCULARDENTAL

DIGESTIVEENTEYE

GENITO-URINARYHEAT RELATED

MUSCULOSCELETALNERVOUS-SENSORY

OTHERPSYCHIATRY

RESPIRATORYSKIN

3.029.87

3.784.47

8.071.67

0.4651.80

3.323.72

0.152.12

7.53

Percent of Encounters

Medical encounters per diagnostic categories

68

0 5 10 15 20 25 30 35 40 45

ATHENS 2004 GUESTSATHENS 2004 OFFICIALS

ATHENS OLYMPIC BROADCASTINGATHLETES

ATHLETES DELEGATIONCAS / WADA

COMPETITION OFFICIALSFUTURE OCOG OBSERVERS

IF FAMILYIF STAFF

INTERNATIONAL FEDERATIONIOC COMMISSION MEMBERS

IOC FAMILYIOC GUESTS

IOC MEMBERSIOC SENIOR STAFF

JOURNALISTLOCAL JOURNALIST

MPC SUPPORT STAFFNOC FAMILY

NOC GUESTSNOC PRESIDENT AND SECRETARY GENON RIGHTS-HOLDING BROADCASTER

PERSONAL COACH / TRAINING PARTPHOTOGRAPHER

RH SUPPORT STAFFRH TECHNICIANS

RH TOP EXECUTIVESSECURITY PERSONNEL

SPORT-SPECIFIC JOURNALISTSPORT-SPECIFIC PHOTOGRAPHER

TEAM OFFICIALSTECHNICIAN

TRANSFERABLE PASSWKF - P

WORKFORCEYOUTH CAMP

0.10.0

1.144.2

2.70.0

1.00.00.20.00.10.10.20.00.30.60.5

0.00.00.00.1

2.40.00.20.10.3

0.80.0

2.20.10.0

20.60.0

0.40.0

21.00.6

Percentage of Encounters

Medical encounters by accreditation status

69

0 10 20 30 40 50 60 70

CARDIOVASCULAR

DENTAL

DIGESTIVE

ENT

EYE

GENITO-URINARY

HEAT RELATED

MUSCULOSCELETAL

NERVOUS-SENSORY

OTHER

PSYCHIATRY

RESPIRATORY

SKIN

0.41

12.29

1.01

2.77

4.56

1.11

0.29

69.87

0.49

2.20

0.03

0.96

3.99

Athletes Medical Encounters by Diagnostic Category

70

SKIN 154Total 3 857

PSYCHIATRY 1RESPIRATORY 37

NERVOUS-SENSORY 19OTHER 85

HEAT RELATED 11MUSCULOSKELETAL 2 695

EYE 176GENITO-URINARY 43

ENT 107

DENTAL 474DIGESTIVE 39

CARDIOVASCULAR 16

Athletes Medical Encounters by Diagnostic Category

71

0 10 20 30 40 50 60 70

CARDIOVASCULARDENTAL

DIGESTIVEENTEYE

GENITO-URINARYHEAT RELATED

MUSCULOSCELETALNERVOUS-SENSORY

OTHERPSYCHIATRY

RESPIRATORYSKIN

0.3613.07

0.772.79

4.811.13

0.0669.38

0.442.27

0.030.88

4.01

OLYMPIC VILLAGE POLYCLINIC

72

CARDIOVASCULAR 13DENTAL 473DIGESTIVE 28ENT 101

HEAT RELATED 2

EYE 174GENITO-URINARY 41

MUSCULOSKELETAL 2 511NERVOUS-SENSORY 16OTHER 82PSYCHIATRY 1RESPIRATORY 32SKIN 145Total 3 619

OLYMPIC VILLAGE POLYCLINIC

73

The Polyclinic of the Village

Headed by Dr DemetriosPyrros

74

The Olympic Village

The Village can be considered as an autonomous entity that has most of the services which may be found in a city of between 3,500 and 15,000 people.

Among these services is the polyclinic, which is the main centre for athletes’ care.

Most of the medical facilities should be available on site at the polyclinic, or should be made available very quickly if needed.

Athlete care

75

76

The Polyclinic of the Olympic Village was in itself the state ofart:

2 floors5000m2To be used as a medicalcentre after the Games

77

Each polyclinic is under the responsibility of the Medical Director, who acts exactly like a director of a hospital.Athletes are referred to the polyclinic either by their own teamphysician or they decide to go by themselves.Treatment is free of charge, but the delivery of medication can be done only on prescription written by a team physician and/or an OCOG physician. For this purpose, team physicians should be duly registered, should have sent a copy of their diploma to the OCOG, and receive a prescription pad to be used only at the polyclinic.Should an athlete present a more serious problem, he/she will betransported to the Olympic hospital by ambulance, available on site.

Athlete care

78

Polyclinic Services in the Olympic Village

• Emergency Department• Outpatient Department

• Internal Medicine, Surgery, • Orthopaedics, Sports Medicine, • Foot and ankle including podiatry• Ophthalmology• Specialist (ENT, gynecology, dermatology)• Dental (treatment of injuries and acute problems

only and mouthguard program)• Imaging (MRI, CT, ultrasounds) & Laboratory• Pharmacy• Physical Therapy & Therapeutic Massage.

All other specialities were available at the main hospitals

79

Polyclinique workforce

Great group working in the Polyclinic• 210 doctors• 80 nurses• 100 physiotherapists• 120 administrative assistants• 80 dentists and dental assistants• 20 podiatrists• 45 pharmacists• 50 radiology technicians

Total :• 670 volunteers, 80 armed forces

personnel, 1 ATHOC employee

80

Guidelines for MRI serviceas this department was one of the most demanded, some strict guidelines were put in place

Priority list1 . Athletes competing within 24 hours2. Athletes competing in 24 – 48 hours3. Athletes competing in > 48 hour4. Athletes with trauma who will not compete.5. Non athlete members of the NOC´s6. Personnel

• Arthrograms and other intra articular injections under image control are not performed in the Polyclinic and should be transferred

• Urgent cases may be handled by the chief radiologist of the shift.

Indications- scientific aspects• Muscle tears and tendinopathy must first be examined by ultrasound.• Tailored - limited MRI exams may be performed according to the chief radiologist’s

opinion

81

Overview of dental services

• Expectation was 1200 patients • To date - approximately 1000 patients• Final number will be as expected • Peaked at 70 patients per day near

day 10 and has reduced since then

From P. Piccinini’s report

82

Results - % athlete treatment

• Expectation was 50% of treatment for athletes

• Current data indicates that over 50% of treatment will be for athletes

83

Results – endodontic treatment

• Expectation was a high demand for endodontictreatment

• Data indicated high need for endodontic treatment

• Endodontic specialist on-site most shifts to meet the demand

84

Results – mouthguard program

• Expectation was between 50 and 150 mouthguards to be requested

• Clinic was prepared for about 400

• Actual cases will be between 60 and 100

• High demand from Boxing

85

Results – trauma

• Expectation was trauma from certain high contact sports

• Reported trauma from Basketball, Boxing and Sailing

• Clinic was prepared with “tooth avulsion” kits and protocols distributed to venues; and trauma splints

86

Staffing and volunteers

• Sydney Olympic Dental program treated approximately 1200 patients using 108 dentists and auxilliaries

• Athens Olympic Dental program will treat approximately 1200 patients using 52 dentists and staff

• Fewer dentists with more shifts is most efficient

87

Radiology

• Excellent information and data from digital radiography

• Pathology and fractures identified through digital radiographs

• Transfer of data to IOC for further analysis will be much easier

88

Mouthguard program

• Demand from athletes remains high for these protective devices

• Program should be continued and expanded for future Games

89

Specialist Services

• Endodontists and periodontists were very well utilised at the Dental clinic

• Both of these specialists, along with General Dentists, should be available in future clinics

90

OVERVIEW OF PHYSIOTHERAPY SERVICES AT THE O.V. POLYCLINIC

• Space: 500 square meters

• Equipment: Updated equipment

• Staff :58 physios + 4 physios dedicated to shock waves treatments

From Y. Larequi’s report

91

PHYSIOTHERAPY SERVICES AT THE O.V. POLYCLINIC

• Stastistics: Number of treatments from Jul. 30 to Aug. 25

- Athletes : 1618- Officials: 89- Workforces: 87- Other: 88

TOTAL : 1822

92

PHYSIOTHERAPY SERVICES AT THE O.V. POLYCLINIC

PHYSIOTHERAPY AT O.V.'s POLYCLINIC: Number of treatments

0

20

40

60

80

100

120

140

160

180

Nb

Series1 1 2 3 7 7 6 10 18 27 29 40 58 70 69 94 98 86 90 98 128 134 155 140 134 118 128 95

Jul.30

Jul.31

AUG. 1

AUG. 2

AUG. 3

AUG. 4

AUG. 5

AUG. 6

AUG. 7

AUG. 8

AUG. 9

AUG. 10

AUG. 11

AUG. 12

AUG. 13

AUG. 14

AUG. 15

AUG. 16

AUG. 17

AUG. 18

AUG. 19

AUG. 20

AUG. 21

AUG. 22

AUG. 23

AUG. 24

AUG. 25

93

MASSAGE SERVICES WITHIN THE O.V

• Four dedicated locations:- Athena Residential Centre (12 tables)- Phevos Residential Centre (12 tables)- Dikelia Sport Complex (6 tables)- Competition venues

• Staff:- 100 sport masseurs

44 in the Olympic Village66 on the different venues

94


• Statistics:- Athena Resid. Centre: 1’865 massages

- Phevos Resid. Centre: 1500 massages

- Dikelia Sport Complex: 579 massages

TOTAL: 3955 MASSAGES

95


O.V. MASSAGE CENTER: Number of treatments

0

50

100

150

200

250

300

Date

Nb

Série1 44 34 63 93 94 96 123 163 180 154 159 170 164 160 214 231 219 223 252 175 186 215 191 175 196

AUG. 1

AUG. 2

AUG. 3

AUG. 4

AUG. 5

AUG. 6

AUG. 7

AUG. 8

AUG. 9

AUG. 10

AUG. 11

AUG. 12

AUG. 13

AUG. 14

AUG. 15

AUG. 16

AUG. 17

AUG. 18

AUG. 19

AUG. 20

AUG. 21

AUG. 22

AUG. 23

AUG. 24

AUG. 25

96

Gender Verification

• Gender Verification will be performed only upon request and according to IOC regulations

97

Athlete Medical Care at venues

• At least one Athlete Medical Care Stationper venue with:• Athlete Care Doctor• Athlete Care Nurse• Physiotherapist

• Specific issues will be addressed to the IF’s, NOC’s and NF regarding special equipments and requirements of individual sports.

98

Olympic Family members are entitled to receive medical treatment free of charge. The treatment may be provided at the venue or at their accommodation following almost the same procedures as the athletes. However, most of the time, they are not brought to thepolyclinic but to the Olympic Hospital where special access is provided. Specific medical centres are located at the:• Olympic Family Hotel• MPC• IBC• Location of the opening of the Session• Airports

Athlete care

99

As soon as the spectators are in an Olympic venue, inside thefences, they fall under the responsibility of the OCOG.

Therefore, the OCOG has to provide first aid to anyone who may need it. A similar system to that of the athletes is available in each of the venues to provide enough care for the spectators.

According to the case, they are either treated on site or taken tothe nearest hospital. This first part of the chain of care fallstotally under the responsibility of the OCOG.

Once the patient is in a hospital, care is assured according to the health regulations in the host country.

Spectator Care

100

Spectator Medical Care at venues

• first contact point for the spectators at At least one Spectator Medical Care Station per venue with:- Spectator Care Doctor- Spectator Care Nurse- First Aid roving team

• The First Aid roving team(s) will be the the venue areas that they will be allowed

101

NOC Team Medical StaffLegislation

• NOC’s will appoint their Health Professionals

• NOC can write prescriptions to be filled at the Polyclinic pharmacy

• NOC Physicians may practice in medical stations at competition and training venues

102


• NOC Physicians may request diagnostic test through the Polyclinic but will only have consultative privileges.

• NOC Physicians will not have admitting privileges at hospitals but may consult with admitting physicians

103


• Provision of medicines a) by team doctorsb) by ATHOC

• Provision of medical equipment • Rate Card Service

104

Ambulance service

Ambulance Services Provided by the National Centre of Emergency Care (EKAB)

• Ground ambulances on site at all competition and training venues during venue operating hours

• Ground ambulances on site at the Olympic Village 24/7

105

ATHOC Medical Command Centre

• Will operate during Games time at ATHOC HQ• Will have representatives from external ATHOC

entities• Will collect data from all venues• Will report to IOC MC

106

Doping control services

At the difference of other OCOG, ATHOC has decided to totally separate the 2 departments Medical and Doping control.

The Doping Control Services wereunder the control of Christina TSITSIMPIKOU Phd.

107

1 DOP PROGRAM MANAGER 1 P

2 DOP MANAGEMENT 6 P

Includes among others the Venues and Laboratory Coordinator and the Staff and Volunteers Coordinator

3 DOP VENUE MANAGER 34 P4 DOP VEN ESCORT COORDINATOR 40 V5 DOP VENUE ESCORT (M) 145 V6 DOP VENUE ESCORT (F) 135 V

7BLOOD COLLECTION COORDINATOR 1 P

8 VENUE PHLEVOTOMIST 4 V

9DOP VENUE HEAD MEDICALOFFICER 34 P

10 DOP VENUE MEDICAL OFFICER 18 V

11DOP VENUE TECHNICAL OFFICER (M) 29 V

12DOP VENUE TECHNICAL OFFICER (F) 29 V

13 DOP VENUE ADMIN STAFF 40 V14 DOP COURIER 20 C Contractors from the Hellenic Post (ELTA)15 DOP SOFTWARE TECHNICIAN 1 C

16 LAB CREW 70 CThe permanent staff of the OAKA Lab contracted to ATHOC for the Olympic Games

17 LAB EXPERTS 26 P

Staff from WADA accredited Labs hired by ATHOC or employed through the secondment program

18 LAB SCIENTISTS 30 PScientific staff hired by ATHOC for the OAKA Lab to cover the needs of the Olympic Games

19 LAB EQUIPMENT TECHNICIAN 10 C

Contractors from the manufacturers/ providers of the laboratory equipment purchased by ATHOC

20 LAB ASSISTANTS 49 V124101489722

TOTAL PAIDTOTAL CONTRACTOTSTOTAL VOLUNTEERSTOTAL

Doping control staff

108

Definition of the programme by IOC

Inside Olympic Venues

ATHOC

Out side Olympic VenuesAll around the world

WADA on behalf of the IOC

IOC result management

109

date totalUrine Blood Urine blood

01.08.04 1 1 102.08.04 5 5 503.08.04 6 6 604.08.04 9 9 905.08.04 16 16 1606.08.04 25 25 2507.08.04 22 22 2208.08.04 20 20 2009.08.04 30 30 3010.08.04 33 33 3311.08.04 42 42 32 7412.08.04 34 34 16 5013.08.04 6 6 614.08.04 23 23 149 17 17215.08.04 11 11 142 8 15316.08.04 14 14 113 3 12717.08.04 11 11 153 1 16418.08.04 22 22 176 14 19819.08.04 13 13 123 2 13620.08.04 16 16 186 20 20221.08.04 8 8 205 43 21322.08.04 10 10 212 48 22223.08.04 131 17 13124.08.04 5 5 124 19 12925.08.04 139 36 13926.08.04 124 22 12427.08.04 171 46 17128.08.04 148 21 14829.08.04 70 10 70

382 382 2414 327 2796

Pre competition Post competition

About 280 l ofurine

110

A taskforce composed of ATHOC/WADA/IOC has been put inPlace one year before the Games in order to :

• harmonise testing procedures• prevent duplication in testing• be able to test athletes were ATHOC was not able to do so.• harmonise and collect whereabouts of athletes• prepare the pre-competition testing plan including :

1. Number of tests (blood and urine)2. Substances to be tested3. Number of NOCs4. Ranking coming from Ifs5. Targeted athletes based on intelligence

111

Based on the work of the Taskforce it has been agreed that :

WADA will act as a service provider for IOC and will test athletes outside Olympic Venues and all around the World with a letter of authority of the IOC .

ATHOC will test the athletes inside the Olympic Venues

112

The Anti-Doping laboratory fully accredited by WADA wastotally rebuilt for the Games.It is a 3 floors buildingIts director is a formerOlympian, dicsus thrower

Costas Georgakopoulos

113

3 guides printed by ATHOC

Bereg kit in its box

Bereg kit alone

114

Since the Winter Games in Salt Lake City, the IOC has Adopted a strong policy vs the use of some substances as :• beta 2 agonists which needed an application form based on respiratory tests and reviewed by a panel of independentexperts.

•In addition, since the World Anti-DopingCode has been adopted and implemented,the policy on the TUE and ATUE fullyapplied in Athens.

Before 30 July 2004, a TUEC of an ADO was able to deliver a standard TUE. After 30 July 2004, by delegation, the IOC TUEC was able to deliver such TUEs

115

116

1 KEN M Boxing PC Cathine D&E2 MYA F WL PC steroid D&E3 UZB F T&F sp IC clenbuterol D&E4 IND F WL IC furosemide 4th D&E5 GRE M WL IC T/E>6 BM D&E6 RUS F T&F sp IC stanozolol GM D&E7 BRS M T&F hj IC clenbuterol D&E8 UKR F Row. IC ethamivan BM D9 RUS M T&F 400 IC stanozolol 4th D&E10 PUR F Wrest. IC stanozolol 5th D&E11 HUN M WL IC oxandrolone SM D&E12 COL F Cycl. IC heptaminol BM D

Adverse analytical findings

117

Results of the doping controlAnti-doping rules violations

1 GRE M T&F unavailability retired2 GRE F T&F unavailability retired3 HUN M T&F disc. refusal GM D&E4 HUN M WL refusal D&E5 HUNG M T&F ham refusal D&E

118

Results of the doping controlTests done during the Games either by an IF, either by a NOCTested by IFTested by IF1 MAR F WL suspended2 MDA M WL suspended3 HUN M WL suspended4 IND F WL suspended5 TUR F WL suspended 6 KGZ F WL suspended 7 RUS F WL suspended Tested by NOCTested by NOC1 GRE M Baseball suspended2 GRE M Baseball suspended

119

Relations with public authorities

• A task force from the Ministry of Health and Welfare was established to draft an Operational Plan following the return of the Observers Team from the Sydney 2000 Olympic Games

• A Memorandum of Understanding between the Ministry of Health and Welfare and Athens 2004 was signed following the completion of the Operational Plan ‘Olympic Games 2004 – Hygeia’

• By common agreement of the MOH&W and ATHOC, a monitoring committee has been established in order to follow-up the implementation of this Operational Plan

120

To set up the health sector in order to provide Health Services for the Olympic and Paralympic Games in a system of uniform services

To ensure that the health system is in a state of readiness during the Olympic and Paralympic Games in case of a mass emergency or disaster

Strategic objectives of the operational plan:

121

• Objective 1:Hospital Care

• Objective 2:Primary Health Care

• Objective 3:Emergency pre-hospital care

• Objective 4:Public Health & Hygiene

• Objective 5:Organisation and management of Health Services

Structure of the Operational Plan

122

Improving the functional role of the health system

Improving the organisation of the health system

Upgrading the building infrastructure and medical equipment

Reinforcement and training of human resources

Interventions and relevant actions in the following areas

123


Hospital Care

Primary Health Care

Emergency Pre-Hospital Care

Public Health & Hygiene

Organization & Managementof the Health Services

Olympic Games 2004 - HygeiaObjectivesMoH&W

124

Objective 1: Hospital Care –Olympic Hospitals

Athens 11 General hospitals8 Specialized hospitals

Thessaloniki 3 General hospitalsIraklion 1 General hospital Patra 1 General hospitalVolos 1 General Hospital

125

Objective 1: Hospital Care

• The interventions in the Olympic Hospitals were aimed at:

- Operating theatres

- Day care unit – special wards

- Out patient departments

126

Mission & Selection Criteria

Mission• free of charge hospital care that includes

members of the Olympic and ParalympicFamily (athletes, officials, media), the volunteers and members of staff

Selection Criteria• Proximity to the Venues• Specialisation of the Hospital

127


Hospital Care

Primary Health Care





128

Objective 2: Primary Health Care & Olympic Village Polyclinic

Network of primary health care units (permanent Health Care Centres and Mobile Medical Posts) for the Olympic and ParalympicGames

The planning, construction and equipment of the Polyclinic is financed and implemented under the responsibility of the Ministry of Health and Welfare

129


Hospital Care

Primary Health Care




Olympic Games 2004 - HygeiaObjectives

MoH&W

130

Objective 3: Emergency Pre-Hospital care

Enhancing the infrastructure of the operational centre of EKAB (National Centre of Emergency Care)

Procurement of the appropriate units for coverage of emergency pre-hospital careUpgrading the wireless communication systemDevelopment of a unified informatics and telemedicine system Reinforcement and training of human resources

131

Objective 3: National Centre of Emergency Care (EKAB)

• 270 Ambulances

• 35 Mobile Intensive Care Units

• 20 Motorcycles

• 2 Mobile command centres

• 2 Special Vehicles for Disaster Medicine

132

Disaster Plan – Disaster Medicine

Disaster medicine is included in the existing overall disaster plan. The disaster medicine plan describes the sequence for effective activation of:

the emergency pre-hospital care system the hospitalsthe public health mechanismthe organisation and management of the National Health System

133


Hospital Care

Primary Health Care





134

Objective 4: Public Health and hygiene

• Epidemiological surveillance and coordination of the relevant authorities to ensure that public hygiene rules and regulations for food, water and environment are observed

• Upgrading of the network of public health and hygiene units for the overall epidemiological surveillance

135

Organisational and functional intervention for the upgrading of public health services by establishing new standard operating procedures and medical protocols

Creation of proper infrastructure for dealing with emergencies and disasters

Reinforcement and training of staff

Public Health and Hygiene interventions

136


Hospital Care

Primary Health Care





137

Objective 5: Organisation & Management of Health Services

• Monitoring mechanism for the overall progress of each objective

• Legalization of medical practice by foreign physicians and import of medical substances

• Updating policies regarding vaccination requirements & epidemic control according to WHO

• Medical Interpretation in the Polyclinic

138

• The main objective is to provide a comprehensive, accessible and efficient health care programme to all persons requiring assistance while attending the ATHENS 2004 Olympic Games and associated events.

ATHOC Health Services Programme

139

Interactions with the Ministry of Health

Maintain all aspects of public health and hygiene

• Water• Food• Environment – Air• Syndromic Surveillance• Heat related prevention measures• Cruise ship inspection programme

140

These Games were perfectly organised Games.

Medical Services were at the top of the art.

Doping controls have shown the strict stance of the IOC“tolerance zero”

CONCLUSIONS

Thank you ATHENS

141

Final

Thank you for your attention

Documents

Hospital Authority Convention · 2007. 6. 5. · 2008 Beijing 203 10500 28 300 OLYMPIC GAMES. 33 Role of Government • Government involvement / partnership with OCOG • Role varies