WEBVTT 00:00:00.080 --> 00:00:05.960 align:middle line:84% SILENCE 00:00:05.960 --> 00:00:09.760 align:middle line:90% VOICE-OVER: Mustard gas is discovered in a storage room in Ede. 00:00:09.760 --> 00:00:14.240 align:middle line:90% Panic in the neighbourhood. The emergency services rush to the scene. 00:00:14.240 --> 00:00:17.000 align:middle line:90% Local residents are evacuated. 00:00:17.000 --> 00:00:20.320 align:middle line:90% An investigation reveals that there is no danger. 00:00:20.320 --> 00:00:25.800 align:middle line:84% PEACEFUL MUSIC 00:00:25.800 --> 00:00:28.440 align:middle line:90% VOICE-OVER: From major fires to suspicious packages 00:00:28.440 --> 00:00:32.800 align:middle line:90% RIVM has the expertise required for an effective response. 00:00:32.800 --> 00:00:38.520 align:middle line:90% To mobilise that expertise demands good organisation behind the scenes. 00:00:38.520 --> 00:00:41.320 align:middle line:90% RIVM never takes action on its own initiative 00:00:41.320 --> 00:00:45.040 align:middle line:90% but works on the instructions of a government authority. 00:00:45.040 --> 00:00:47.840 align:middle line:90% An outbreak of an infectious disease 00:00:47.840 --> 00:00:51.800 align:middle line:90% or widespread food poisoning due to salmonella contamination 00:00:51.800 --> 00:00:56.960 align:middle line:90% are examples of crisis situations that call for RIVM's expert input. 00:00:56.960 --> 00:00:59.640 align:middle line:90% AURA TIMEN: During an outbreak of a communicable disease 00:00:59.640 --> 00:01:02.360 align:middle line:90% the RIVM has basically two major roles. 00:01:02.360 --> 00:01:06.440 align:middle line:90% The first role would be to provide the best scientific advice possible 00:01:06.440 --> 00:01:08.680 align:middle line:90% on the control measures to be taken 00:01:08.680 --> 00:01:14.280 align:middle line:90% and the second role would be to co-ordinate control of the outbreak 00:01:14.280 --> 00:01:19.240 align:middle line:90% by helping the professionals in the field to carry out the measures. 00:01:19.240 --> 00:01:23.160 align:middle line:90% VOICE-OVER: The 2013 outbreak of measles is a good example. 00:01:23.160 --> 00:01:25.960 align:middle line:90% In general people in the Netherlands are well protected. 00:01:25.960 --> 00:01:30.880 align:middle line:90% In some communities with strong conservative Protestant convictions however, 00:01:30.880 --> 00:01:33.360 align:middle line:90% immunisation rates are lower. 00:01:33.360 --> 00:01:37.400 align:middle line:90% During a crisis decisions have to be taken 00:01:37.400 --> 00:01:41.040 align:middle line:90% under very high time pressure, in uncertainty. 00:01:41.040 --> 00:01:42.880 align:middle line:90% So the first thing we do is, actually, 00:01:42.880 --> 00:01:44.920 align:middle line:90% we convene an outbreak management team, 00:01:44.920 --> 00:01:48.760 align:middle line:90% working closely with the Department of Health 00:01:48.760 --> 00:01:51.400 align:middle line:90% by providing them with the best advice on measures, 00:01:51.400 --> 00:01:53.440 align:middle line:84% but also with the field 00:01:53.440 --> 00:01:58.040 align:middle line:90% in which professionals have to carry out the advice given. 00:01:58.040 --> 00:02:00.240 align:middle line:90% VOICE-OVER: In a crisis situation 00:02:00.240 --> 00:02:03.800 align:middle line:90% RIVM's Centre for Infectious Disease Control 00:02:03.800 --> 00:02:07.240 align:middle line:90% is the nerve centre of the co-ordinated action. 00:02:07.240 --> 00:02:10.440 align:middle line:90% The RIVM works closely together with all the countries in Europe 00:02:10.440 --> 00:02:13.280 align:middle line:90% within the Early Warning and Response System 00:02:13.280 --> 00:02:16.200 align:middle line:90% and with the European Centre for Disease Prevention and Control, 00:02:16.200 --> 00:02:18.080 align:middle line:90% the ECDC, in Stockholm. 00:02:18.080 --> 00:02:21.560 align:middle line:90% And of course we work closely together with the WHO. 00:02:21.560 --> 00:02:24.680 align:middle line:84% TRANQUIL MUSIC 00:02:24.680 --> 00:02:28.480 align:middle line:90% VOICE-OVER: In other types of crisis RIVM has a different role. 00:02:28.480 --> 00:02:32.720 align:middle line:90% The institute advises and assists national and local governments, 00:02:32.720 --> 00:02:36.320 align:middle line:90% but also the fire services and municipal health authorities. 00:02:36.320 --> 00:02:39.720 align:middle line:90% An example is the Moerdijk factory fire, 00:02:39.720 --> 00:02:42.720 align:middle line:90% where toxic chemicals were released into the atmosphere 00:02:42.720 --> 00:02:45.200 align:middle line:90% with potential health effects. 00:02:45.200 --> 00:02:48.720 align:middle line:90% Following the Enschede fireworks disaster in May 2000 00:02:48.720 --> 00:02:52.920 align:middle line:90% RIVM was quickly on the scene with an investigation team 00:02:52.920 --> 00:02:55.520 align:middle line:90% from the Environmental Incident Service. 00:02:55.520 --> 00:02:57.080 align:middle line:90% Other types of support 00:02:57.080 --> 00:03:00.520 align:middle line:90% include the counselling provided after the shooting incident 00:03:00.520 --> 00:03:03.920 align:middle line:90% at a shopping centre in Alphen aan den Rijn. 00:03:03.920 --> 00:03:07.760 align:middle line:90% During any crisis it's essential that the people on the scene 00:03:07.760 --> 00:03:11.120 align:middle line:90% receive support from the emergency services' incident room. 00:03:11.120 --> 00:03:16.240 align:middle line:90% Is the cloud of smoke wafting over an agricultural area actually dangerous? 00:03:16.240 --> 00:03:17.760 align:middle line:90% What is the wind direction? 00:03:17.760 --> 00:03:23.920 align:middle line:90% RIVM's Environmental Incident Service has a fully equipped mobile laboratory, 00:03:23.920 --> 00:03:28.600 align:middle line:90% which can perform chemical and biological analyses on site. 00:03:28.600 --> 00:03:32.520 align:middle line:90% There is also a fleet of smaller lab vehicles. 00:03:32.520 --> 00:03:35.840 align:middle line:90% Staff take air, soil and water samples, 00:03:35.840 --> 00:03:40.240 align:middle line:90% which are analysed on the spot to reveal what impact, if any, 00:03:40.240 --> 00:03:46.640 align:middle line:90% the release of hazardous substances has had on public health and the environment. 00:03:46.640 --> 00:03:53.120 align:middle line:90% RIVM can also monitor radiation and assess its potential effects on health. 00:03:53.120 --> 00:03:56.680 align:middle line:90% The Radiation Incident Service measures radiation 00:03:56.680 --> 00:03:58.840 align:middle line:90% from nuclear accidents, for example. 00:03:58.840 --> 00:04:03.400 align:middle line:90% It also knows what to do in the event of actual radiation poisoning. 00:04:03.400 --> 00:04:05.480 align:middle line:90% RONALD SMETSERS: In the event of a nuclear accident 00:04:05.480 --> 00:04:09.360 align:middle line:90% RIVM has several roles. It starts already at the beginning, in the early phase 00:04:09.360 --> 00:04:11.480 align:middle line:90% when there is no accident at all. 00:04:11.480 --> 00:04:13.840 align:middle line:90% We have several early warning systems, 00:04:13.840 --> 00:04:16.200 align:middle line:90% for example a radiation and monitoring network 00:04:16.200 --> 00:04:20.800 align:middle line:90% that looks at the background radiation levels 24 hours a day. 00:04:20.800 --> 00:04:25.840 align:middle line:90% VOICE-OVER: The most recent example, and one that shocked the world, 00:04:25.840 --> 00:04:30.200 align:middle line:90% was the explosion at a nuclear power plant in Fukushima, Japan. 00:04:30.200 --> 00:04:34.560 align:middle line:90% Well, suppose an accident occurs, we can go to the site and perform measurements. 00:04:34.560 --> 00:04:40.040 align:middle line:90% We have, for example, two radiological vans with very sophisticated equipment on board. 00:04:40.040 --> 00:04:44.600 align:middle line:90% And we can use that information to advise the governments 00:04:44.600 --> 00:04:47.720 align:middle line:90% on taking proper protective action. 00:04:47.720 --> 00:04:49.440 align:middle line:90% But we don't do this alone, 00:04:49.440 --> 00:04:53.520 align:middle line:90% there are many more institutes involved in nuclear emergency response. 00:04:53.520 --> 00:04:57.440 align:middle line:90% They are all combined in the so-called Back Office for Radiological Information, 00:04:57.440 --> 00:04:59.360 align:middle line:90% and RIVM co-ordinates that group. 00:04:59.360 --> 00:05:02.360 align:middle line:90% VOICE-OVER: RIVM provides an effective response 00:05:02.360 --> 00:05:07.160 align:middle line:90% to all types of emergency by working closely alongside its clients, 00:05:07.160 --> 00:05:10.760 align:middle line:90% the professional field and the general public. 00:05:10.760 --> 00:05:17.000 align:middle line:90% It brings together existing strengths and helps to develop new knowledge. 00:05:17.000 --> 00:05:22.000 align:middle line:90% THE TRANQUIL MUSIC CONTINUES FOR A WHILE AND THEN STOPS