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Köln, Germany

Tinnemann P.,Akademie fur offentliches Gesundheitswesen | Tinnemann P.,Charite - Medical University of Berlin | Gundlach F.,European Junior Doctors Permanent Working Group | Nitschke H.,Gesundheitsamt Cologne | And 2 more authors.
Gesundheitswesen | Year: 2016

Refugees continue seeking sanctuary in Germany and it can reasonably be expected that their health will be affected by the conditions they lived in before and during flight. Ensuring nationwide care for refugees should be demand oriented, effective and efficient, which requires tackling mostly similar challenges a community level in a consistent manner. The aim must be providing adequate medical care based on the principle of respect for human dignity and ensuring public health standards. Within the currently situation, this basic expectations are often not sufficiently met. Generally accepted national standards, longer-term strategies and sustainable care are not yet achieved noticeably by public health services in Germany. To warrant permanent and sustainable high-quality medical care for refugees, local networks of involved institutions should be established with a longer-term perspective. Moreover, the financially eroded and personnel thinned public health service will only be able to fulfil statutory requirements and expectations of the local, state and federal policy makers for a limited amount of time only. Safeguarding that services are coping with the size of challenges over longer periods of time and anchoring the acquired expertise of medical care for refugees within the public health services, requires immediately better financial and personnel resources. Then the public health services will be a reliable partner supporting all people in Germany, particularly those that require subsidiary and socially-compensatory supply. © Georg Thieme Verlag KG. Source

Background: Healthy kindergartens and schools play an important role for healthy playing and learning. Necessary good indoor hygiene can be adversely affected by the effects of various chemical, biological and/or physical factors. Aim: To get an important overview of the hygienic status of public housing stock in Cologne, own standardized and systematic checks in schools and kindergartens are carried out. Methods: Kindergartens and schools are examined on various parameters. This includes the verification of the hygienic and structural defects, compliance with drinking water regulations and room acoustic requirements. Investigations of indoor pollutants, ventilation quality and other hygiene relevant parameters are done continuously. Results: Representative analyzes of individual test parameters showed defects quotas, which were dependent on parameter between 24% and 70%. Conclusion: The aim of the current Cologne program "Active health care" is to create healthy living conditions in kindergartens and schools. Regular inspections of kindergartens and schools lead to identification of potential hazards as early as possible. Preventive recommendations are performed in form during current construction projects and in the connection to building maintenance. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg. Source

Weiss O.,Gesundheitsamt Cologne | Junge D.,Gesundheitsamt Cologne | Dunkel M.,Gesundheitsamt Cologne | Schmidtke G.,Gesundheitsamt Cologne | Wiesmuller G.A.,Gesundheitsamt Cologne
Umweltmedizin in Forschung und Praxis | Year: 2014

The amending regulations of 2011 and 2012 for the German Drinking Water Ordinance imposed various responsibilities for the operators of drinking water installation. As part of monitoring, the Public Health Department of Cologne realized that these responsibilities were not fully known to the operators and/or were not fully implemented. The evaluation of test results shows a remarkable large proportion of residential buildings with high and extremely high Legionella contamination. A statement about the real proportion of residential buildings with Legionella strains cannot be given, because the total number of residential building with investigative obligation is not known due to a missing building register. An appropriate adjustment of the German Drinking Water Ordinance is recommended. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg. Source

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