BRONCHIOLITIS WHITE PLAN. The Minister of Health, François Braun, announces the launch of the national white plan to fight against the bronchiolitis epidemic which is reaching record highs in France in November 2022.
[Updated November 9, 2022 at 4:45 p.m.] The Minister of Health François Braun announced on November 9 to the National Assembly the triggering of the plan ORSAN , which oversees the white plan, to face the bronchiolitis epidemic in France. “It is an epidemic that exceeds the epidemic peaks that we have known for more than 10 years” he argued. the plan ORSAN , for O organization of the R response of the health system in situations Saint exceptional itaries, is a system for organizing French care. The activation of white plane in hospitals is an emergency measure to deal with a massive influx of patients .
'All available means are mobilized to deal with the bronchiolitis epidemic, it exceeds the peaks known for more than 10 years', notes @FrcsBraun , which announces the launch of the ORSAN national plan on this epidemic #QAG pic.twitter.com/LFVzu5tygY— Public Senate (@publicsenat) November 9, 2022
In the context of the epidemic of Covid , the white plan was triggered for the first time end of February 2020 then lifted and retriggered over the epidemic waves that followed. The 15th February 2022, the Ile-de-France Regional Health Agency announced in a press release the lifting of the obligation of generalized white plans to all private and public health establishments in the region. Depending on the local situation, each health facility may thus return to the level 1 of its crisis management plan (the internal mobilization plan), or maintain the level 2 of the white plane.
Enshrined in law since 2004, the white plan contains measures of organizations intended to deal with an exceptional health situation or increased activity of a hospital . It makes it possible to organize the reception and care of a mass influx of victims an accident, a disaster (attacks for example), an epidemic or a deadly and lasting climatic event (a nuclear risk for example). Faced with the spread of the Covid, it was triggered on Friday, March 6, 2020 in hospitals in the most affected regions (especially in the Grand-Est and Ile-de-France regions) and widened to all hospitals in France March 13 , reflecting an absolute necessity in the face of pandemic coronavirus . It was never lifted, but only eased when the situation in hospitals calmed down. In the past, the white plan was triggered on the occasion of flu epidemics in 2017 at the national level, gastroenteritis in 2005 in 6 departments and heat waves in 2003. The white plan is also triggered during crisis situations such as attacks , locally or throughout France (this was the case in December 2018 after the attack on the Christmas market in Strasbourg).
The white plan can be triggered by the director or head of the public or private health establishment who then informs the representative of the State in the department, or at the request of the latter. The information is then transmitted to the director general of the regional health agency, the departmental emergency medical aid service and the representatives of the local authorities concerned. The white plane can also be triggered by the prefects defense zone et by the Prime Minister if the nature of the health situation or the scale of the influx of patients or victims justifies it, which was the case with the coronavirus epidemic (Covid-19) . Non-emergency hospitalizations can be deprogrammed (fibroscopies, dermatological care, prosthesis fittings, etc.).
From a general point of view, the white plan is triggered if the situation of tension is combined with sustained activity and a restricted reception capacity. The indicators are :
► A 20% increase in the number of emergency department visits for three consecutive days or,
► 10% of the number of daily patients without hospitalization solution for more than eight hours,
► A similar situation is observed in the department.
The choice of these thresholds may need to be weighed against situations of tension already observed in the establishment over time. The lifting of the white plan is pronounced by the director when the situation has stabilized.
The white plan identifies all the material and human resources likely to be mobilized and defines the conditions for their use gradually ( level 1 then 2 ). In particular, it provides for the terms and conditions under which the necessary medical staff can be kept on site and, if necessary, recalled its volunteer staff when the situation warrants it.
The flow of new arrivals must be controlled in order to prevent contamination of the entire establishment in the event of an accident: nuclear, radiological, bacteriological and chemical.
The enlarged white plane constitutes a reinforcement plan which completes the initial white plan. It is reserved for situations for which the organization of the reinforced health system does not, on its own, make it possible to deal with an event. For example, when the care capacities of a health establishment are overwhelmed in the face of a crisis of exceptional magnitude. The Department Prefect then mobilizes other additional resources (material and human), at department level. The expanded white plan has been put in place in the French departments to deal with the coronavirus epidemic, with the objective of:
The expanded white plane also includes three appendices relating to the organization of a exceptional vaccination campaign , the organization of the distribution of health products outside the pharmaceutical circuit, as well as the evacuation of one or more health or medico-social establishments when the means of the health system are exceeded.
Each public or private health establishment is responsible for developing its white plan. It must bring together the intra-hospital organization instructions of the establishment and the procedures for setting up a crisis unit . The white plans of the health establishments are integrated into a expanded white plane which defines the role and place of each, within the department, in exceptional circumstances. The white establishment plan is evaluated and revised each year. At each revision, the Regional Health Agency ensures the consistency of the establishment white plan with the extended white plan.
In the context of the Covid epidemic, the white plan was triggered for the first time on February 25, 2020 in the hospitals of Creil and Compiègne to deal with the first cluster censuses of coronavirus cases. The white plans were successively launched in the hospitals of the various cities and regions affected by the coronavirus from Friday March 6, 2020. The measures were then extended before being triggered throughout the national territory by the Minister of Health Olivier Véran, on March 13, 2020 . Subsequently, the deprogramming of non-emergency hospitalizations was decided on March 28, to cope with the influx of patients affected by the new coronavirus, in the more than 600 health establishments referenced to accommodate 'Covid-19 patients '. On July 5, 2020, the Guyana , triggers its white plan in three hospitals: in Cayenne, Kourou and western Guyana to deal with the increase in the number of hospitalizations linked to the COVID-19 epidemic. In front of the second wave of the epidemic of coronavirus in France , in october 2020, the white plan has been reactivated in several French hospitals. He is once again on December 15, 2020 by the CHRU of Nancy because of the ever-increasing number of Covid patients. He was re-triggered in the summer of 2021 then early December 2021 .Source journaldesfemmes.fr