• 시큐리티연구
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• 제39호
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• pp.37-61
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• 2014

지금 전 세계는 보안이 강화된 Hard-Target(국가시설물 이나 군사시설)에 대한 테러보다는 뉴테러리즘의 등장에 의한 보안이 허술하며 접근이 용이하고 많은 민간인들이 모여 있는 Soft-Target(상업시설, 호텔, 교통시설 등)에 대한 무차별적인 테러의 공포에 휩싸여 있고, 경호대상자가 임석하는 행사는 초고층건물의 저층 혹은 고층에 위치한 장소에서 이루어지고 있는데, 이에 따른 여러 가지 위해상황에 대비한 경호적 대응방안을 준비하지만 특히 화재에 대한 대비책은 철저하게 사전 계획과 현장이 확인되어 실제 화재상황에 즉각적 대응으로 피해를 최소화할 수 있도록 완벽한 대책이 수립되어야 한다. 첫째, 경호요원은 화재와 관련된 기본적인 지식을 소유하고 있어야 하며, 바쁜 행사일정 속에서도 직무관련 교육을 주기적이고 지속적으로 시킬 수 있는 배려와 교육프로그램이 필요하다. 어느 조직이건 조직구성원의 능력은 기본적인 개인자질뿐만 아니라 조직이 지속적인 교육프로그램을 개발하고 조직구성원에게 끊임없이 교육을 실시할 수 있도록 여건을 조성해 주고 배려해 줌으로서 향상될 수가 있다. 둘째, 행사관련 여러 유관부서와의 유기적인 협조체제를 구성하고 유지하여 효율적인 지휘 통제를 실시하여야 한다. 경호행사는 어느 한 부서 혹은 기관의 노력만으로 완벽하게 이루어지는 것이 아니라는 것을 반드시 인식하여야 한다. 셋째, 초고층건물 내에서 행사가 인지되는 시점부터 대통령경호실로부터 부여받은 경호지침을 기본으로 관할 소방서에서는 화재예방활동에 중점을 두고, 화재진압대책, 피난 구조대책 등이 포함된 소방안전 대책활동 계획을 수립하고 시행하여야 한다. 넷째, 관할 소방서의 소방안전대책 활동계획을 바탕으로 하여 소방 자체의 사전 안전활동에 대한 재점검을 실시하고 화재진압 및 피난 구조계획에 대한 현장검증을 통해 실질적인 경호적 대응방안을 최종적으로 마련한다. 다섯째, 대통령경호실은 수립한 최종적인 초고층 건물 화재대비 경호행사에 동원된 모든 유관기관에 정보공유를 해야 한다. 정보공유가 되지 않은 상황에서 화재 발생시 각 유관기관들이 하나의 구심점 없이 우왕좌왕한다면 많은 혼란과 피해를 초래할 수 있기 때문이다.

• Journal of Preventive Medicine and Public Health
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• 제11권1호
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• pp.86-97
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• 1978

The mobile medical service has been operated for many years by a number of medical schools and hospitals as a most convenient means of medical service delivery to the people residing in such area where the geographical and socioeconomic conditions are not good enough to enjoy modern medical care. Despite of official appraisal showing off simply with numbers of outpatients treated and medical persons participated, however, as well recognized, the capability (in respect of budget, equipment and time) of those mobile medical teams is so limitted that it often discourages the recipients as well as medical participants themselves. In the midst of rising need to secure medical service of good quality to all parts of the country, and of developing concept of primary health care system, authors evaluated the effectiveness of and problems associated with mobile medical servies program through the community diagnosis of a village (Opo-myun, Kwangju-gun) to obtain the information which may be halpful for future improvement. 1. Owing to the nationwide Sae-Maul movement powerfully practiced during last several years, living environment of farm villages generally and remarkably improved including houses, water supply and wastes disposal etc. Neverthless, due to limitations in budget time and lack of knowledge (probably the most important), these improvements tend to keep up appearances only and are far from the goal which may being practical benefit in promoting the health of the community. 2. As a result of intensive population policy led by the government since 1962, there has been considerable advances in understanding and the rate of practicing family planning through out the villages and yet, one should see many things, especially education, to be done. Fifty eight per cent of mothers have not received prenatal check and the care for most (72%) delivery was offered by laymen at home. 3. Approximately seven per cent of the population was reported to have chronic illness but since only a few (practically none) of the people has had physical check up by doctors, the actual prevalence of chronic diseases may reach many times of the reported. The same fact was observed also in prevalence of tuberculosis; the patients registered at local health center totaled 31 comprising only 0.51% while the numbers in two neighboring villages (designated as demonstration area of tuberculosis control and mass examination was done recently) were 3.5 and 4.0% respectively. Prevalence rate of all dieseses and injuries expereinced during one month (July, 1977) was 15.8%. Only one tenth of those patients received treatment by physicians and one fifth was not treated at all. The situation was worse as for the chronic patients; 84% of all cases either have never been treated or discontinued therapy, and the main reasons were known to be financial difficulty and ignorance or indifference. 4. Among the patients treated by our mobile clinic, one third was chronic cases and 45% of all patients, by the opinion of doctors attended, were those who may be treated by specially trained nurses or other paramedics (objects of primary care). Besides, 20% of the cases required professional managements of level beyond the mobile team's capability and in this sense one may conclude that the effectiveness (performance) of present mobile medical team is quite limitted. According to above findings, the authors would like to suggest following for mobile medical service and overall medicare program for the people living in remote country side. 1. Establishment of primary health care system secured with effective communication and evacuation (between villages and local medical center) measures. 2. Nationwide enforcement of medical insurance system. 3. Simple outpatient care which now constitutes the main part of the most mobile medical services should largely be yielded up to primary health care unit of the village and the mobile team itself should be assigned on new and more urgent missions such as mass screening health examination of the villagers, health education with modern and effective audiovisual aids, professional training and consultant services for the primary health care organization.