EU CBRN CoE Project 87: Preparedness and Response for Mass Gatherings and Health Threats in Central Asia

In February, Eleri Thomas, Senior Specialist in Poisons Information from NPIS Cardiff, travelled to Dublin to participate in the final meeting of EU CBRN CoE Project 87. This five-year initiative aims to enhance health preparedness and response in Central Asia by strengthening CBRN (Chemical, Biological, Radiological, and Nuclear) preparedness, particularly in the context of mass gatherings.

Delegates from five Central Asian countries took part in the five-day study visit which was designed to provide delegates with practical knowledge and exposure to real-world toxicology and emergency response scenarios. The comprehensive agenda was prepared by Dr. Edel Duggan, Director of the National Poisons Information Centre (NPIC) and Patricia Casey, NPIC Manager, in collaboration with Eleri and Prof. Raquel Duarte-Davidson (NPIS commissioner).

At the National Poisons Information Centre based in Beaumont Hospital delegates received in-depth presentations covering the history, staffing, work practices, poison enquiry trends, and social media outreach activities of NPIC. Dr Edel Duggan delivered an insightful talk on toxicology in the ICU, highlighting key clinical considerations in poisoning cases. Delegates also visited St. Michael’s Ward (detox unit). This unit served as a model of a well-functioning facility, that with the right support, could be implemented in their own hospitals.

Patricia Casey and Eleri Thomas facilitated a workshop which enabled delegates to listen to pre-recorded poison enquiry calls. Discussions relating to these enquiries focused on treatment approaches and case management strategies, offering valuable understanding of real-time case handling.

Additional site visits included a visit to the National Drug Treatment Centre and the Public Analyst Laboratory. These sessions provided exposure to laboratory analysis techniques and information on the range of toxic agents that can be analysed.

During their visit to the Simulation Centre at the Royal College of Surgeons in Ireland (RCSI), delegates engaged in hands-on, real-case scenario training. State-of-the-art simulation techniques provided valuable awareness into the management of poisoned patients and those with corrosive injuries, enhancing their clinical decision-making and practical skills in a controlled environment.

The programme concluded with a visit to the National Ambulance Service where delegates observed decontamination equipment in use and witnessed a live mock exercise demonstrating emergency response procedures.

The study visit provided an enriching learning experience. Delegates gained valuable understanding and practical knowledge to apply within their own departments and healthcare workplaces. The programme also highlighted best practices in the operation and organisation of Poison Information Centres, reinforcing the importance of collaboration and continuous professional development within toxicology and emergency preparedness.