Wilderess ad Evirometal Medicie,, 7 83 (00) ORIGINAL RESEARCH Camp Health Services i the State of Michiga Edward A. Walto, MD; Roald F. Maio, MS, DO; Elizabeth M. Hill, PhD From the Departmets of Emergecy Medicie (Drs Walto ad Maio) ad Pediatrics (Dr Walto) ad the Ijury Research Ceter (Drs Walto, Maio, ad Hill), Uiversity of Michiga, A Arbor, MI; ad the Departmet of Psychology, Uiversity of Detroit Mercy, Detroit, MI (Dr Hill). Cotext. Every summer, 0 millio campers atted summer camp i the Uited States. I Michiga, each camp is required to have a camp health officer (CHO) o-site. Objective. To documet the medical traiig, local emergecy medical services ad physicia support, ad off-camp medical facility use of CHOs. Desig. Aoymous istitutioal review board approved mail survey of all Michiga CHOs durig the summer of 00. Results. A total of 9 resposes (0 respose rate). Forty-seve percet of the CHOs reported carig for campers with sigificat medical eeds. Almost half () of the CHOs were registered urses; however, of the CHOs had paramedic traiig or less. Forty percet reported a ambulace respose time of more tha 0 miutes. Nearly all (97) reported havig a physicia who reviewed their stadig orders, ad yet 7 reported usig a acute care facility (emergecy departmet or urget care) more tha half of the time for medical care ot o-site. The CHOs reported that a small or rural hospital was the ambulace-receivig hospital 7 of the time. Two of the camps that respoded have a automatic exteral defibrillator, ad are plaig to buy oe. Coclusios. I Michiga, CHOs have limited traiig, ted to use emergecy departmet or urget care facilities as their medical backup, ad, i some istaces, have prologed times to defiitive care. This prelimiary study shows some of the opportuities that exist to improve health care for campers o a local ad atioal level. Key words: campig, recreatio, child, adolescet, questioaires, delivery of health care Summer camp is a extremely popular activity for childre. For 0 years, parets have bee sedig their childre to rural settigs to provide for a break from their familiar routie. Every year, approximately 0 millio childre atted camp, supported by. millio staff members. Iterest i camp has bee icreasig, with a aual rate of growth i the idustry of 8 to 0 per year. Campers iclude both well childre ad childre with special eeds, such as those havig diabetes, cacer, huma immuodeficiecy virus, physical disabilities, ad a myriad of other medical problems. 3 The goals of camp iclude improvig skills, icreasig idepedece, makig frieds, experiecig a ew eviromet, beig exposed to positive role models, ad most importatly, havig fu. 3 Research has show that summer camps have a lastig effect o self-esteem. Correspodig author: Edward A. Walto, MD, Departmet of Emergecy Medicie, TC B380, 00 E Medical Ceter Dr, A Arbor, MI 809-030 (e-mail: ewalto@umich.edu). The health ad safety of campers is a uderstudied area. The legislative cotrol for camp licesig falls to the states. I 989, the Geeral Accoutig Office (GAO) was asked to report o existig regulatios regardig health ad safety at youth camps. The GAO foud a wide variatio i state regulatios that were related to camps ad little iformatio available o death, accidets, ad illesses. The GAO used a set of miimum stadards created by the Ceters for Disease Cotrol (CDC) to compare the laws of idividual states. The GAO foud that, at best, states met oly 6 of the miimum stadards for health ad safety at youth camps set by the CDC ad that 6 states met less tha 0. Approximately 0 of the camps volutarily apply to the America Campig Associatio (ACA) for accreditatio. The stadards for health care required by the ACA are more striget tha those required by the states ad iclude a registered urse o-site i most istaces. 6 Michiga was cited as oe of the states that met at least 6 of the model stadards provided by the CDC.
Camp Health Services A total of 30 000 campers atted camp i the state each year. 7 Michiga defies a camp as a residetial experiece i a atural eviromet where more tha school-aged childre or adults who require supervisio live apart from their guardias for or more days i a day period. 8 Camps i Michiga are required to be licesed ad ispected, but ACA accreditatio is accepted i lieu of state ispectio. All licesed camps i Michiga are required to have a camp health officer (CHO). 8 The miimum traiig required of a CHO icludes America Red Cross First Aid, cardiopulmoary resuscitatio, ad bloodbore pathoges traiig. 8 Each camp must have a camp health policy that is reviewed aually by a cosultig physicia, who also agrees to provide medical support. 8 This policy must iclude camper health screeig, arragemets for o-call cosultatio ad emergecy services, ad stadig orders, as well as mechaisms for paretal otificatio ad medicatio admiistratio. 8 Family members etrust the health of their campers to CHOs, ad yet the traiig ad medical support of CHOs has ever, to our kowledge, bee studied. The purpose of our survey was to determie the medical traiig, the degree of support from local physicia ad emergecy medical services (EMS), ad the off-site facility use of CHOs i Michiga durig the summer of 00. Methods This project was reviewed ad approved by the istitutioal review board of the Uiversity of Michiga. A list of all licesed camps i the state of Michiga was obtaied from the Departmet of Cosumer ad Idustry Services uder the Freedom of Iformatio Act. All CHOs were set a aoymous, self-admiistered questioaire (Appedix). Retur evelopes were provided, which were labeled with a trackig umber. Retured questioaires were immediately separated from the retur evelope to maitai aoymity. The respose period was July 7, 00, to August 9, 00. At that time, a remider card was set to all camps to ecourage further returs. A questioaire ad cover letter were set to the CHOs. The cover letter stated the purpose of the questioaire ad emphasized that the study was focusig o the traiig ad medical support of CHOs. The questioaire cosisted of 3 sectios. Sectio was devoted to determiig the medical traiig of the CHOs ad the types of campers they cared for, whether well campers or those with special eeds. Sectio related to medical backup ad icluded questios about ambulace ad hospital backup. It icluded a sectio of Likert scales that addressed their level of cofidece i 7 themselves ad their medical backup, with respose codes ragig from to ( strogly agree, ad strogly disagree). Sectio 3 icluded demographic questios about their camp, icludig size, geder distributio, locatio, ad duratio of camp stay. The survey was reviewed by camp health professioals, ad modificatios were made prior to the distributio of the fial versio. Descriptive statistics (meas, SDs, percetages, ad 9 CIs) were calculated. Additioal aalyses compared the CHOs by traiig levels: those with licesed practical urse (LPN) traiig or greater (level ) ad those who had emergecy medical techicia paramedic traiig or less as defied by the Natioal Highway Traffic Safety Admiistratio 9 (level ). A overall comfort score was also created by combiig the cofidece ratigs, resultig i a miimum score of (strogly agree with all questios) ad a maximum score of (strogly disagree with all questios). Bivariate aalyses icluded z ad t tests. Statistical aalyses used Microsoft Excel 00 ad SAS versio 8 software. To determie whether the sample was represetative of the Michiga populatio, several characteristics were compared by usig the trackig umber of the camps that respoded. Alog with trackig umbers ad addresses, the state of Michiga provided iformatio about variables for each camp. These variables were whether the camp was witerized ad whether it was available for ret to outside groups. Thus, for the etire populatio of Michiga camps, percetages for these measures could be calculated ad the compared with those of the survey sample. Ufortuately, more iformative characteristics, such as the average size of the camp or the age of the camper, were ot available for the populatio as a whole. Results CHARACTERISTICS OF THE SAMPLE A total of 8 surveys were mailed to all licesed camps i the state of Michiga. Three were retured as udeliverable. A total of 9 surveys were retured completed, givig a respose rate of 0. All of these completed surveys were icluded i the aalysis. Camps varied i size from 0 campers to 00 campers, with a mea of 6 ad a media of 0 campers preset. A camp was defied as sigle sex if it had more tha 90 of oe sex of campers. Thirtee percet of camps were boys oly, 0 were girls oly, ad the remaiig 77 were co-ed. Campers stayed from day to 9 weeks, with a mea stay of 7 days ad a media stay of 7. days. The mea
76 Walto, Maio, ad Hill Table. Medical coditios reported, CHO traiig, ad CHO physicia, hospital, ad EMS support* CHO, N CHO, CHO, 9 CI Medical coditios reported 6 Asthma Diabetes Attetio-deficit/hyperactivity disorder Cerebral palsy Seizure disorder Developmetal delay Miscellaeous (eg, behavioral disorders, depressio, visio loss, hearig loss, cystic fibrosis, spia bifida, sickle cell) CHO medical traiig 8 First aid Licesed first respoder Licesed emergecy medical techicia Licesed paramedic Licesed practical urse Registered urse Physicia 3 33 8 6 3 8 9 6 8 8 70 36 3 3 0 6 0 7 3 6 9 8 67 8 3 7 3 68 8 0 3 6 3 0 6 6 37 0 CHOs who have idetified relatioship with camp physicia 9 98 76 67 83 CHOs who have report review of protocols by physicia 9 97 9 00 Type of ambulace crew 9 Full time Part-time voluteer Do t kow Ambulace staffig 8 Paramedics oly Paramedic ad emergecy medical techicia team Emergecy medical techicia oly Do t kow Receivig hospital 7 Small or rural Larger facility Automated exteral defibrillators 9 Ow Pla to purchase *CHO idicates camp health officer; EMS, emergecy medical services. The last colum idicates the 9 CI of the percetage of CHOs. 66 3 8 60 90 37 7 3 9 7 7 9 60 0 3 9 0 3 3 38 6 63 78 37 0 6 age of the yougest camper was 7 years; the mea age of the oldest camper was 6 years. Thirtee camps reported havig campers older tha years, with a maximum of 99 years. Five of the facilities with adults served campers with cogitive impairmets or cerebral palsy. CAMP HEALTH OFFICERS Nearly half (7 [6/9]) of the CHOs reported takig care of a camper with a sigificat medical coditio (Table ). Two thirds of those reportig a sigificat medical coditio reported carig for persos with asthma (70), half reported carig for persos with diabetes (), ad oe third (36) reported carig for persos with attetio-deficit/hyperactivity disorder. The remaiig reported illesses are preseted i Table. Traiig for the CHOs was quite variable (Table ). Whe grouped by traiig, (9 CI, 3 ) had paramedic traiig or less, with the majority of these havig oly first aid or licesed first respoder traiig.
Camp Health Services 77 Table. Camp physicias Family practice Pediatrics Emergecy medicie Iteral medicie Other Do t Kow Reviews health policy (N 9) (9 CI) 89 69 (6 77) 3 0 ( ) 8 ( 3) ( 7) (0 ) 9 7 (3 ) Is our camp doctor (N 06) (9 CI) 77 73 (6 8) 6 (8 ) 6 6 ( 0) (0 7) (0 3) (0 ) Forty-five percet of the CHOs were registered urses, ad 6 were physicias. Larger camps had more highly traied providers. The mea size of camps with a CHO who had LPN traiig or greater was 97 (SD: 9), while the mea size of camps with a CHO with paramedic traiig or less was 3 (SD: 03) (t(9).99, P.0). CHO SUPPORT Nearly all (97) of the CHOs stated that a physicia had reviewed their stadig orders for that year (Table ). However, oly three fourths (76) stated that they had a established relatioship with a camp physicia. Family physicias were most likely to have reviewed the stadig orders ad to have agreed to be the camp physicia (Table ). Of cocer, 7 of the CHOs did ot kow who reviewed their health service policy, ad did ot kow who their camp physicia was. Ambulace respose times ad trasport times to the hospital are preseted i Table 3. Overall, 0 (9 CI, 3 9) of the CHOs reported ambulace respose times of more tha 0 miutes. Whe they called 9, the CHOs stated that a full-time ambulace crew would respod half of the time. However, half of the time they did ot kow what type of traiig the arrivig crew would have (Table ). Oce the ambulace crew had arrived at camp, the trasport time to the hospital was more tha 0 miutes 7 of the time (Table 3). The CHOs were asked to report the ame of the primary receivig hospital for a trasported camper. By usig a self-idetificatio system provided by the state of Michiga, 0 hospitals were divided ito those that categorized themselves as small ad rural ad those that did ot. The CHOs reported that their campers were trasported to a small or rural hospital more tha two thirds of the time (Table ). While it was expected by the state that camps would provide care through a primary care physicia, the CHOs were much more likely to use a acute care facility tha a primary care office whe care was provided off-site. O average, of that care was provided by a emergecy departmet ad 3 by a urget care facility. A physicia s office was used oly 8 of the time. Overall, 7 of the CHOs reported takig sick or ijured campers to a acute care facility (emergecy departmet or urget care), more tha half the time whe they could ot be treated i camp. CHO COMFORT Usig a Likert scale format, the CHOs were asked to assess their level of comfort with their ow skills ad Table 3. Ambulace respose times ad trasport times to the hospital mi 0 mi 0 mi 0 mi 0 mi Do t kow Respose time to camp (N 9) (9 CI) (9 CI) ( 6) 7 ( 9) 0 39 (30 7) 9 ( ) 33 (8 33) 0 3 (3 39) 3 ( 6) 9 3 ( 30) ( 7) 7 ( ) 3 0 ( ) 7 ( 9) Time from camp to hospital (N 9)
78 Walto, Maio, ad Hill Table. Camp health officer comfort with skills ad backup Strogly agree () Agree () Neither agree or disagree (3) Disagree () Strogly disagree () Mea (SD) I feel comfortable takig care of sick or ill campers at camp (N 3) I have adequate medical backup if I feel ucomfortable with a sick or ijured camper (N 3) (9 CI) 80 6 (7 73) 38 3 (3 39) 3 (0 6) (0 ) 0 0 (0 0). (0.6) (9 CI) 8 66 (8 7) 3 (3 ) 6 0 ( 8) 7 6 (37 ) 36 9 ( 37) (0 ) 7 (8 0) 7 (0 3) 0 ( ) (0 ) 9 7 (3 ) ( 7) ( 7) (0 ) ( 8). (0.7) I have a local camp doctor who is resposive to my eeds ad cocers (N ) (9 CI) 38 3 (3 0).0 (.) I feel comfortable with my local ambulace service (N ) I feel comfortable with my local emergecy departmet (N ) (9 CI) 37 9 ( 38) 0 0 (0 0).7 (0.9) (9 CI) 8 38 (30 7) 3 (0 ).8 (0.9) their medical backup (Table ). I all categories, the CHOs were cofidet about their ow skills ad about the medical backup that they received. Most agreed or strogly agreed with all questios. There was also o statistical differece i the comfort score whe compared with the defied levels of CHO traiig or the type of receivig facility (P.0). I the total Michiga camp populatio, the percetage of camps that were categorized as retable by the state was 80, while 83 of the respodig camps categorized themselves as retable (z 0.73, P.0). Similarly, the percetage of camps that were categorized as witerized by the state was 63, compared to 6 i the retured sample (z 0.3, P.0). Discussio While all of the camps that respoded to this survey are i compliace with the laws of the state of Michiga, the results raise may cocers. I may cases, CHOs have miimal medical traiig ad experiece. They are ofte placed i situatios i which defiitive care is a prologed distace away. While they are expected to have a camp physicia who has reviewed their stadig orders ad is their medical backup, some CHOs do ot kow who their camp doctor is. Ofte, CHOs do ot kow the traiig ad capabilities of the local EMS providers who respod whe they call 9. I additio, much of the medical care of campers outside camp takes place i a acute care settig, eve though primary care coverage should have bee arraged. Note also that all of these fidigs occurred i oe of the six states recogized by the CDC as havig the best camp oversight of ay i the atio. Despite the previously metioed cocers, the CHOs themselves are comfortable with their ow skills ad medical backup. Oly of the camps respodig reported havig immediate access to automated exteral defibrillators. While the America Heart Associatio states that there is isufficiet evidece to recommed automated exteral defibrillator use i childre youger tha 8 years, their presece i camps that are quite distat from defiitive care should be cosidered. Residet camps do serve a populatio the majority of which is older tha 8 years, ad they frequetly have adult visitors ad staff. To decide whether to make the ivestmet i this techology, camps should look at the followig issues: ) What is the level of EMS support ad defibrillatio availability i their area? ) How log would it take for a EMS crew to arrive? ad 3) Does the risk of cardiac evets i the populatio they serve warrat havig this techology rapidly available? Cardiopulmoary resuscitatio traiig should also be recommeded for all camp staff ad should be required for those who supervise high-risk activities. Leavig campers at a camp is a evet that may create
Camp Health Services a great deal of axiety for their family members. Ulike at day care ceters, oce campers are at camp, their health ad safety are relatively uregulated. As early as 966, studies reported a lack of research ad govermetal iterest i the medical care of childre at summer camp. As reported by the CDC ad GAO, this lack of care is still the case. The Recreatioal Camp Safety Act, federal legislatio that would moitor accidet ad illess i camp, has ot proceeded far i Cogress. 3 The America Academy of Pediatrics provides guidelies for screeig ad camp health, but these are purposefully left quite geeral., Most prior research has cetered o the epidemiology of illess ad ijury at idividual camps 6 or o the epidemiology of homesickess. 3 7 This survey was a iitial attempt to idetify some of the issues related to how health care is provided at camp. The issues raised may help guide further research ad policy efforts. The limitatios of this study must be oted. First of all, respose was limited to 0 of the licesed camps. However, the camps that respoded did ot differ sigificatly i the variables of retal status ad witerized status from those that did ot respod, suggestig similarity betwee the groups ad reducig cocer about samplig bias. Aother cocer is geeralizability. Oly Michiga camps were surveyed. However, give that Michiga is amog the best states i the atio i supervisig their camps, it is possible that the results represet a best-case sceario of what is preset throughout the rest of the coutry. I additio, respose ad trasport times are perceptual ad may ot reflect actual time. Fially, although we kow about CHOs ad their limitatios, camper risk while at camp is ukow. Without data that demostrate the uderlyig risk rates for a large populatio of campers, the effectiveess of ay itervetio made i camp health remais uclear. This survey reveals may opportuities for study i this area. Further evaluatio eeds to be performed o a multistate level to cofirm the geeralizability of these fidigs. The epidemiology of ijury ad illess at summer camps requires further attetio either at the state or atioal level. Those who agree to provide medical care for a camp should look closely at the local medical eviromet ad ask questios of the camp director, the local EMS providers, ad the urget care facility or emergecy departmet. Local EMS ad emergecy departmets should also reach out to camps ad prepare for the iflux of campers that occurs each summer. Not all risk ca be elimiated, but with adequate plaig, it ca be miimized. Research has show that camp is a woderful experiece for campers. 3, These results should ecourage all 79 ivolved with campig to strive to make a great experiece eve better. Refereces. America Campig Associatio. The history of orgaized campig. Available at: http://www.acacamps.org/media/ history.htm. Accessed September 3, 00.. America Campig Associatio. Erichig lives, chagig the world. Available at: http://www.acacamps.org/aboutaca. htm. Accessed September 3, 00. 3. Thurber CA, Maliowski JC. The Summer Camp Hadbook. Los Ageles, CA: Perspective Publishig; 000.. America Campig Associatio. Marsh PE. What does camp do for kids? Available at: http://www.acacamps.org/ research/marsh/idex.htm. Accessed September 0, 00.. Youth Camps: Natiowide ad State Data o Safety ad Health Lackig: Report to U.S. House of Represetatives, Committee o Educatio ad Labor, Subcommittee o Health ad Safety, 00th Cog, GAO/HRD-89 0 (September 0, 989). 6. America Campig Associatio. Stadards at a glace. Available at: http://www.acacamps.org/parets/accreditatio/ stdsglace.htm. Accessed September, 00. 7. Audi T, Motemurri P. Camp offeses spoil fu. Detroit Free Press. April 6, 00:sect A:. 8. State of Michiga, Licesig Rules for Childre s ad Adult Foster Care Camps, Act 6, Act 8, R00.9 R00.3 (00). 9. Natioal Highway Traffic Safety Admiistratio. Natioal stadard curricula. Available at: http://www.htsa.dot.gov/ people/ijury/ems/sc.htm. Accessed Jauary, 003. 0. Michiga Ceter for Rural Health. Michiga s small ad rural hospitals. Available at: http://www.com.msu.edu/ micrh/hosplist.htm. Accessed October 6, 00.. America Heart Associatio. PALS Provider Maual. Dallas, TX: The Associatio; 00.. Stailois PB, Meyer RJ. Health ad safety i summer camps. Public Health Rep. 966;8:30 30. 3. Recreatioal Camp Safety Act, HR, 07th Cog (00).. Policy statemet: health appraisal guidelies for day camps ad residet camps (RE983). Pediatrics. 000; 0:63 6.. Policy statemet: medical guidelies for day camps ad residetial camps. Pediatrics. 99;87:7 9. 6. Trachtma H, Woloski-Wruble AC, Kilimick N, et al. Pediatric practice i a summer sleep-away camp. Cli Pediatr (Philadelphia). 99;33:69 63. 7. Fiedelma W, Carbo K, Lewis D. Medical problems at a summer camp. N Y State J Med. 983;83:09. 8. Schiff GM. Coxsackievirus B epidemic at a boys camp. Am J Dis Child. 979;33:78 78. 9. Meyer RJ, Kibrick AK, Kibrick S, Rya MP, Godbout R, Brow E. Epidemiology of summer camp accidets. Arch Eviro Health. 963;7:69 7.
80 Walto, Maio, ad Hill 0. Barrett HS. Summer residetial camp accidets, ijuries ad emergecies. Co Med. 969;33: 3.. Ases RS, Feldma B, Gersoy WM, Morriso S, Weiss M. The medical care of childre at summer camps. A evaluatio of, ifirmary visits. Am J Dis Child. 97; 8:6 66.. Rotma CB, Schmalz E. Illesses ad ijuries i a summer camp. Am J Nurs. 977;77:8 8. 3. Wilad-Brow JE, Maheady DC. Usig ituitio to defie homesickess at summer camp. J Pediatr Health Care. 990;:7.. Wilad-Brow JE, Maheady D. First-time camper fear idex. J Pediatr Health Care. 987;:33 3.. Thurber CA, Sigma MD, Weisz JR, Schmidt CK. Homesickess i preadolescet ad adolescet girls: risk factors, behavioral correlates, ad sequelae. J Cli Child Psychol. 999;8:8 96. 6. Thurber CA, Sigma MD. Prelimiary models of risk ad protective factors for childhood homesickess: review ad empirical sythesis. Child Dev. 998;69:903 93. 7. Thurber CA. The pheomeology of homesickess i boys. J Aborm Child Psychol. 999;7: 39.
Camp Health Services 8 Appedix Michiga Camp Health Officers Survey 00. 00/07/ Thak you for completig this survey. ) Are your campers well campers or special eeds campers? (check oe) Well Special Needs Both If you aswered both, o ay sigle day, what percetage of your campers are: (percetages should add up to 00) Well Special eeds If special eeds, what populatio of campers do you serve? (for example, campers with diabetes, campers with asthma) ) For the perso fillig out this survey, what is your highest level of health care traiig? (check oe oly) Physicia Registered Nurse Licesed Practical Nurse Licesed Paramedic Licesed EMT Licesed First Respoder First Aid (completed Red Cross course required by state of Michiga) 3) O a usual camp day, the perso o-site with the highest level of health care traiig is a: (check oe oly) Physicia Registered Nurse Licesed Practical Nurse Licesed Paramedic Licesed EMT Licesed First Respoder First Aid (completed Red Cross course required by state of Michiga) ) Do you have a camp ifirmary or health care ceter that is available every day, hours a day? (check oe) Yes No If yes, how may beds does your health ceter have? beds If o, where are your ill campers cared for? ) Whe you call a ambulace i a emergecy, how log does it take for the ambulace to get to your camp? (check oe) Less tha miutes to 0 miutes 0 to miutes to 0 miutes Loger tha 0 miutes Do t kow 6) The ambulaces that would respod to my camp are staffed by: (check oe) Full-time Paramedics or Emergecy Medical Techicias Part-time or voluteer Paramedics or Emergecy Medical Techicias Do t kow 7) The ambulaces i my area provide: (check oe) Paramedics oly Both Paramedics ad Emergecy Medical Techicias together i the same ambulace Emergecy Medical Techicias oly Do t kow 8) Whe the ambulace leaves camp, how log does it take to get to the earest hospital? (check oe) Less tha miutes to 0 miutes 0 to miutes to 0 miutes Loger tha 0 miutes Do t kow
8 Walto, Maio, ad Hill Cotiued. Michiga Camp Health Officers Survey 00. 00/07/ 9) The hospital where the ambulace would take my camper is: (ame of hospital) 0) The state of Michiga requires that a licesed physicia review the camp Health Service Policy every year. The physicia who reviews our health policy is: (check oe) Our physicia who lives at camp A physicia who does ot live at camp Do t kow ) The physicia who reviews our Health Service Policy is a: (check oe) Pediatricia Iteral Medicie Physicia Family Practice Physicia Emergecy Medicie Physicia Do t kow Other (ame type of doctor) ) Does your camp have a local doctor (or group of doctors) who has agreed to act as your camp doctor, where you make appoitmets for sick or ijured campers or who visits your camp as eeded? Yes No Do t kow 3) Our camp doctor is a: (check oe) Pediatricia Iteral Medicie Physicia Family Practice Physicia Emergecy Medicie Physicia Do t kow Other (ame type of doctor) ) What percetage of the time do you take a sick or ijured camper or staff to each type of these medical facilities whe they are ot treated i camp? (percetages should add up to 00) Emergecy departmet Urget care attached to hospital emergecy departmet Urget care ot attached to hospital Doctor s office ) Does your camp have a automated exteral defibrillator? Yes No Do t kow what it is If you aswered o, are you plaig to buy oe i the future? Yes No 6) How much do you agree or disagree with these statemets. Please circle oe umber for each lie. Strogly agree Agree Neither agree or disagree Disagree Strogly disagree I feel comfortable takig care of sick or ill campers at camp 3 I have adequate medical backup if I feel ucomfortable with a sick or ijured camper 3 I have a local camp doctor who is resposive to my eeds ad cocers 3 I feel comfortable with my local ambulace service 3 I feel comfortable with my local emergecy departmet 3
Camp Health Services 83 Cotiued. Michiga Camp Health Officers Survey 00. 00/07/ 7) How may campers do you have i camp at oe time? 8) How may male campers? female campers? 9) What is the age rage of your campers? (yougest) years to (oldest) years 0) How may staff members are at camp? ) The shortest amout of time a camper ca atted camp this seaso is days. (fill i blak) The logest amout of time a camper ca atted camp this seaso is days. ) Is your camp a: (check oe that best applies) Childre oly Residet camp Childre oly Day camp Childre oly Both residet ad day camp Adult oly Residet camp or residet coferece ceter Adult oly Day camp or day coferece ceter Adult oly Both residet ad day camp or coferece ceter Both adults ad childre Residet camp Both adults ad childre Day camp Both adults ad childre Both residet ad day camp 3) Couty where camp is located: ) Zip code of camp: Commets or questios or cocers about the survey: Please retur completed survey i eclosed evelope to: Edward A. Walto, MD TC B38/030 00 E Medical Ceter Dr A Arbor, MI 809-030 Please call (73)763-7 with questios about the survey, or cotact Dr Walto at ewalto@umich.edu.