NYPH is conducting an ongoing, multifaceted trauma project in the Dominican Republic with the goal of reducing the morbidity and mortality of vehicular injuries in the country. The project is a comprehensive, multi-level approach that involves initiatives at the hospital, pre-hospital, and community levels. The first National Trauma Surveillance System was launched in the spring of 2007. A trauma intake instrument was developed in compliance with international standards from the CDC and WHO. This allows for a data-driven approach to policy change and a repository of information that will fuel further research and health policy initiatives. The first educational program was launched in September 2007 with the First Annual Emergency Medicine/Trauma Course in Santiago, Dominican Republic. The course was an unqualified success. Fifteen Emergency Medicine Faculty members from NYPH /Columbia University traveled to Santiago, Dominican Republic to participate in a four day training organized with our colleagues at Hospital Universitario Jose Maria Cabral y Baez. Also, in September 2007, there was a meeting with the faculty of Pontificia Univeridad Catolica Madre y Maestra in Santiago, DR. A dialogue began about developing a trauma public health course at Pontificia Universidad Catolica Madre y Maestra in Santiago, DR. The course will prepare students and interns to work both in health care facilities and communities on public health projects aimed at reducing morbidity and mortality secondary to vehicular trauma.
Finally, November 2007 saw a cooperative effort between the New York State Assembly and NYPH and community physician group in response to Hurricane Noel. NYPH formed a multi-disciplinary team in the spirit of cooperation and mutual aid. The team included two of our disaster trained international emergency medicine fellows and 3 NYP Community physicians. Initial situational assessments and data analysis between the team and the Dominican Ministry of Health was conducted on the first two days. The final three days involved intensive field work. A total of 11 displacement camps were visited which housed over 3500 internally displaced. A rapid health assessment was conducted and submitted promptly to the Dominican Ministry of Health and the offices of the assemblyman.