Gesundheitsamt der Stadt Cologne

Neumarkt, Germany

Gesundheitsamt der Stadt Cologne

Neumarkt, Germany
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Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Dotsch J.,Universitatsklinikum Cologne | Weiss M.,Klinik fur Kinder und Jugendmedizin | Wiater A.,Kinderklinik | And 3 more authors.
Gesundheitswesen | Year: 2016

The Cologne statement resulted from both regional and nationwide controversial discussions about meaning and purpose of an initial examination for infectious diseases of refugees with respect to limited time, personnel and financial resources. Refugees per se are no increased infection risk factors for the general population as well as aiders, when the aiders comply with general hygiene rules and are vaccinated according to the recommendations of the German Standing Committee on Vaccination (STIKO). This is supported by our own data. Based on individual medical history, refugees need medical care, which is offered purposeful, economic, humanitarian and ethical. In addition to medical confidentiality, the reporting obligation according § 34 Infection Protection Act (IPA) and the examination concerning infectious pulmonary tuberculosis according to § 36 (4) IPA must be considered. © Georg Thieme Verlag KG.


PubMed | Kinderklinik, Klinik fur Kinder und Jugendmedizin, Universitatsklinikum Cologne and Gesundheitsamt der Stadt Cologne
Type: Journal Article | Journal: Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) | Year: 2016

The Cologne statement resulted from both regional and nationwide controversial discussions about meaning and purpose of an initial examination for infectious diseases of refugees with respect to limited time, personnel and financial resources. Refugees per se are no increased infection risk factors for the general population as well as aiders, when the aiders comply with general hygiene rules and are vaccinated according to the recommendations of the German Standing Committee on Vaccination (STIKO). This is supported by our own data. Based on individual medical history, refugees need medical care, which is offered purposeful, economic, humanitarian and ethical. In addition to medical confidentiality, the reporting obligation according 34 Infection Protection Act (IPA) and the examination concerning infectious pulmonary tuberculosis according to 36 (4) IPA must be considered.


Gabrio T.,Ehemals Landesgesundheitsamt Baden Wurttemberg | Hurrass J.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Herr C.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | Raulf M.,Ruhr University Bochum
Umweltmedizin in Forschung und Praxis | Year: 2015

Objectives and significance of methods to identify indoor mold exposure show different intentions as regards interior diagnostics and medical diagnostics. For a better understanding of approaches and tasks of other disciplines, the various mycological methods to identify and quantify fungi in the interior spaces, their strengths and weaknesses are being described. Attention is not only being paid to the morphological methods hitherto generally used in the standard procedures, but also to the current molecular biological and instrumental analytical methods, which are mainly applied in research. This comprehensive presentation of mycological methods provides information both for physicians and for interior diagnostician as regards the approach, tasks, goals, possibilities and limitations of each other's field of work. A correct assessment, both factually and professionally, of an indoor damage caused by dampness and mold mandatorily requires an interdisciplinary collaboration. While mycologist specialized in environmental mycology, indoor air specialists, craftsmen, architects and building experts, are responsible for securing evidence and deciding, whether remediation is required and/or a restoration has been carried out successfully, it is incumbent upon the physician to assess the individual medical risk, which is primarily due to the individual disposition. © ecomed Medizin, eine Marke der ecomed-Storck GmbH, Landsberg.


Okpara-Hofmann J.,Gesundheitsamt der Stadt Cologne
Hygiene + Medizin | Year: 2012

According to section 36 (since 28th July 2011 now section 23) of the Act on the Prevention and Control of Infectious Diseases in Humans (Protection against Infection Act) institutions for outpatient surgery are subject to inspections by the public health services. The underlying principle is that an operation performed in an outpatient surgery should not be associated with a greater risk of infection than an operation linked with a hospital stay. Ten years have passed since the enactment of the Protection against Infection Act. However, during the inspections by the Public Health Service in institutions for outpatient surgery, certain important deficits with respect to infection control are still found. The inspections show, for example, that the information provided by the Federal Medical Council or the respective state medical associations is either not noted or not implemented by some of the institutions for outpatient surgery. There still is the need for the Public Health Service to advise institutions for outpatient surgery with respect to organisational structure, the process and outcome quality based on the recommendations of the commission for hospital Hygiene and Infection Prevention and to monitor the implementation of infection control measures. The operators of such institutions must recognize their own responsibility and deficits in infection control and learn to initiate corrective measures on their own. The article shows a brief overview of the relevant statutory provisions and the technical bases. Then the infection control inspection performed by the department of public health in the city of Cologne in institutions of outpatient surgery is described and common examples for critical aspects in infection control are illustrated.


Background: MVOC (microbial volatile organic compounds) are discussed controversially as possible indicators of hidden moisture damages and/or hidden mold growth indoors. Aim: Therefore, it should be checked by means of 215 measurements of MVOC in 91 Cologne kindergartens and schools as well as result-based further measures, whether MVOC can be reliable indicators for hidden moisture damages or not. Methods: From 1995 until 2010, 215 indoor air measurements of MVOC were performed in 91 Cologne kindergartens and schools, where users complained about a moldy unpleasant odor. Visible moisture damages or visible mold growth could not be detected. In 41 cases, building constructions were opened because of conspicuous MVOC measurements. Results: Out of building construction openings in 41 rooms with conspicuous indoor air concentrations of MVOC, in 27 cases hidden mold growth could be confirmed via analyses of mold spores on building materials, moisture measurements and optical controls. In 14 cases, no hidden mold growth could be detected. Conclusion: The present results show that further systematic investigations are necessary for the decision, whether in case of possible hidden moisture/mold exposures MVOC measurements are dispensable and building construction openings should be performed immediately. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg.


Herr C.E.W.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | Herr C.E.W.,Justus Liebig University | Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Twardella D.,Arbeits und Umweltmedizin
Umweltmedizin in Forschung und Praxis | Year: 2013

Odors are chemical compounds that address the olfactory sense causing olfactory sensation. The scientific literature was scanned for studies on odor and health related outcome. Within this context underlying models were addressed. Basically two models are able to describe health related effects of odors: odors as markers of toxicologically relevant exposure and odors as stressors. In reality, when assessing the environmental health impact of odors these models can often not be addressed separately. Therefore, in environmental studies as well as in individual case assessment it is necessary to capture the exposure to directly and indirectly (stressors) health relevant compounds as well as odor annoyance. This means that besides exposure measurements of toxicologically relevant compounds as well as annoying compounds, assessment of individual odors annoyance by questionnaire should be performed. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg.


Grun L.,ECO Luftqualitat Raumklima | Kaesler C.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen
Umweltmedizin in Forschung und Praxis | Year: 2013

analysed in indoor air. Scientific investigations suggest a connection between the existence of MVOC in indoor air and dampness and microbial growth. Therefore, MVOC measurements are performed to detect hidden indoor mold damages. Different methods for MVOC analysis were established. These methods vary in duration of sampling, sampling media, sample volume, sample treatment, chromatographic conditions and methods of mass spectroscopic detection and analysis. Prerequisite for valid MVOC measurements is an unambiguous definition of the substances which belong to MVOC, standardisation of measurement method and generally accepted criteria and/or reference values for assessment of results. Prerequisite for comparable and reproducible analytical results is the procedure of sample taking and analysis with same or comparable methods. In case of different methods it must be verified that the measurements result in equal results. To ensure a high degree of comparability, in best case the measurements are performed according to standardised methods described in national, European and/or international standards (norms). Correct performance of measurements in individual analytical institutes can be proved via interlaboratory tests. In contrast to VOC measurements in air, actually no generally accepted measurement methods exist for MVOC analysis, which are described in standards (norms) or guidelines. Additionally, the same is true for interlaboratory adjustment. Moreover, it is discussed how far MVOC measurements are suitable to distinguish between indoor air pollution building caused by emissions from materials and use or by dampness and microbial growth. Besides leading parameters octen-3-ol, methylfurane and dimethyldisulfid a different number of further single substances are measured in the scope of MVOC analysis. Because of the different measurement methods used for MVOC measurements analysed MVOC data published in a multitude of papers are not comparable and an evaluation scheme independent from the measurement method used is not still available. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg.


Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Heinzow B.,Landesamt fur Soziale Dienste LAsD Schleswig Holstein | Heinzow B.,The University of Notre Dame Australia | And 2 more authors.
Umweltmedizin in Forschung und Praxis | Year: 2013

Mood disorders are defined as "deterioration of mental, physical and social well-being as well as feeling of subjective performance. As an emotional experience content, mood disorders have to be delimited from annoyance reactions that involve a cognitive evaluation of specific environmental stimuli" (Bullinger 1992, 2002). Mood disorders play a significant role in environment associated health disorders in general (Bullinger 1992, 2002) and in indoor-related health disorders in particular (Bullinger 1992, 1994, 2002). Environment associated mood disorders can be explained by the pollutant model, the attribution model and the stress model (Bullinger 1992, 2002). They can become manifest in environmental medical syndromes (group of similar symptoms (similar phenotype), a) whose cause/s are unknown to date or generally, b) they due to various causes, c) they are not or cannot be reliably discriminated from others, or d) they are extremely rare; to a disease belongs additionally to a syndrome a clear and unambiguous determination of the cause (Lipkin 1969, Gross und Löffler 1997)). Environment associated mood disorders that do not manifest themselves in environmental medical syndromes are diverse and are often purchased by those concerned with indoor air. For environmental medical syndromes, like Sick Building Syndrome (SBS), Multiple Chemical Sensitivity (MCS), and Chronic Fatigue Syndrome (CFS), an etiologic relationship with fungi is not still verified. Elicitation of environment associated health disorders by mold is principally possible, e.g., by odor annoyances. Environment-related anxieties and environmental attributions predispose to environment associated mood disorders. See also publication of the RKI-Commission "Methods and Quality Assurance in Environmental Medicine" (2007, 2008; German: RKI-Kommission "Methoden und Qualitätssicherung in der Umweltmedizin") about indoor mold exposure indoors. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg.


Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Szewzyk R.,Umweltbundesamt | Baschien C.,Umweltbundesamt | And 6 more authors.
Indoor Air 2014 - 13th International Conference on Indoor Air Quality and Climate | Year: 2014

Mould exposure and its impact on human health are of interest to affected persons, public health departments, consumer advice centres, institutes for hygiene, specialists in environmental medicine and physicians of other medical specialties dealing with inner room problems. Hitherto, scientifically based assessment of possible health risks of mould exposure are impossible in individual cases and often leads to more questions and uncertainties than to valid answers and solutions. Focussing on this subject, a workshop was carried out at the 5th annual conference of the German Society of Hygiene, Environmental Medicine and Preventive Medicine held in Munich, Germany in 2011 dealing with possible risk of toxic reactions to mould exposure. At this workshop frequently asked questions were discussed and answered according to the actual scientific knowledge. The present results of this workshop provide important information for affected people as well as experts for their daily work.


PubMed | Gesundheitsamt der Stadt Cologne
Type: Journal Article | Journal: Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) | Year: 2011

Psychosocial aftercare for the affected population in the case of a disaster has become internationally an increasing focus of public interest during the past years. Within the provisions for existence for the population, the Community Mental Health Service is required to counsel and coordinate and to develop suitable concepts to this aim. Against the background of the experience with psychosocial aftercare after the collapse of the historical archive of the City of Cologne, possible key points for a concept are pointed out.

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