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Table 1 Reported major difficulties affecting public health emergencies interventions

From: Evaluation of applied public health emergency system at Prince Mohammed International Airport in Almedinah during Hajj season 2014: a qualitative case study

Difficulties

Frequency of the code

Lack of a documented public health education policy for the airport workers

7

Difficulty in communication between the health sector and other airport sectors

7

Lack of documented protocol, guidance, or policy for public health emergencies

7

Shortage of Personal Protective Equipment

6

Difficulty in accessing or lack of documented protocol, guidance, or policy for dealing with spilled biological materials and medical waste management

3

Situational conflicts between health workers and workers of other sectors

3

Provision of materials and equipment needed for management of medical waste and disinfections

3

Lack of documented protocol, guidance or policy for decontamination and disinfection of passengers transporting vehicles and airports terminals

3

Lack of isolation area at the airport

2

Difficulties in movement of ambulances between aircraft and regional health facilities due to applied security measures at the airport

2

Shortage of appropriate size of the Personal Protective Equipment

1

Lack of protective glass at stations with frequent exposure to travellers

1

Refusal of passengers to take relevant vaccinations and prophylaxis

1

Miscommunication concerning updates of flight arrivals and flight schedules between health authority and the airport authority

1

Difficulties in application of screening measures against Ebola Viral Disease using screening cards due to shortage of health workers during certain shifts

1

Lack of documented protocol, guidance or policy concerning transportation of medical staff from the terminals to the aircraft

1