Журнал. World association for medical law. The COVID-19 pandemic. Volume 39 2

175 Medicine and Law merits of the measures are subject to periodic review by the High Committee of Public Health according to terms defined by decree in the Council of State (Art L.3110-2 CSP). The state representative in the region (Director of the Regional HealthAgency) defines how to implement national objectives in a Regional Public Health Plan (Article L. 1411-11CSP). Each health facility has a crisis system: the white settlement plan that allows it to immediately mobilize the resources at its disposal, in the event of a massive influx of patients, or to deal with an exceptional health threat (L.3110-7 CSP). This plan is an anticipatory plan that enables the organization to be implemented in order to respond to the epidemic at its advent. Other control measures are planned, such as disinfection of premises and sanitary transport vehicles (Article L 3114-1 CSP) and border health control, in accordance with theWorld Health Organisation (WHO) International Health Regulation to prevent the spread of communicable diseases by land, sea or air. (Art L 3115-1 CSP). Anticipating Health Crises: Contingency Plans There have been contingency plans that can be activated in institutions (white plans) since 2004 and a national plan, the ORSAN plan, since 2014. The White Hospital Plan is a crisis mechanism, activated by the Director of the hospital, with the aim of immediately mobilizing the means, of any kind at its disposal, in case of an influx of patients or to deal with an exceptional situation, in agreement with the Regional Health Agency. It details the management of alerts and relationships with the authorities and the media, coordination with the SAMU (Emergency Medical Assistance Service) to ensure the care and transport/transfer of patients to appropriate care facilities, the recall and allocation of available medical personnel and distribution of human resources, the use of all beds and care facilities and certain closed units and the mobilization of temporary economic and logistical resources made available, as well as the communication with police services.

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