This article needs additional citations for verification .(September 2022) |
You can help expand this article with text translated from the corresponding article in French. (September 2022)Click [show] for important translation instructions.
|
In Belgium organized public fire services (Dutch : brandweer, French: service d'incendie, German: Feuerwehr) are available everywhere in the country. The responsibility to provide general firefighting and rescue services resides with 34 public authorities called 'fire zones', or literally translated 'emergency rescue zones' (Dutch: hulpverleningszone, French: zone de secours, German: Hilfeleistungszone). The Brussels Capital Region is protected by the Brussels Fire and Emergency Medical Service (Dutch: DBDMH, Dienst voor Brandbestrijding en Dringende Medische Hulp; French: SIAMU, Service d'Incendie et l'Aide Medicale Urgente), which has its own legal status. [1] [2] Together the 34 fire zones and the Brussels Fire and Emergency Medical Service employ about 17,000 firefighters in total according to 2018 figures, and as of 2023 maintain 320 fire stations spread over the entire Belgian territory. [3] [4] In case of emergency, the response of Belgian fire services can be obtained through the 112 emergency telephone number. [5]
The jurisdiction over the organisation and regulation of the fire services lies with the Directorate-General Civil Security of Belgium's FPS Interior. [6] This does not apply however to the provision of emergency medical services, which falls under the jurisdiction of the Directorate-General Health Care of the FPS Health, Food Chain Safety and Environment. [7]
The history of fire services in Belgium predates the foundation of the country, since local municipalities had been given the statutory authority and duty to prevent and repress fires in the late 18th century. Municipalities were entirely free in how they undertook this responsibility, and whether or not to maintain a fire service. This approach changed during the interwar period, when in the context of a new looming war the Belgian government in 1935 required every municipality either to establish their own fire service or either to contract with another municipality for fire service coverage. In the 1960s, this time in the context of the Cold War period, a new national legal framework was adopted related to the organization of municipal fire services and the Civil Protection units maintained by the national government. This new framework introduced a classification of municipalities with regards to the requirements placed on their fire services, new forms of optional and mandatory cooperation between these services, minimum standards concerning equipment and staffing, and subsidy mechanisms for purchasing equipment. [8]
This framework for fire services organized on a municipal basis remained largely in place until the Ghislenghien gas explosion in 2004. This explosion took the lives of twenty-four people, including five firefighters. In the wake of the disaster, the organization of the fire services was deemed to be no longer suited for modern times and modern risks. To prepare a reform, a commission was created chaired by the then governor of the province of Antwerp Camille Paulus. This commission put forward three key points for the reform: [9]
These principles were incorporated in a new law on civil security, promulgated in 2007. [10] This law provided for the creation of new public bodies called emergency rescue zones (fire zones), which would each be composed of a number of municipalities by analogy to the police zones in Belgium. Notwithstanding some exceptions, they would be governed by a council formed by the mayors of each constituent municipality. Their funding would primarily come from contributions of each municipality and from grants from the Belgian federal government. Each municipality was required to become a part of a fire zone, regardless of whether they had their own fire service or not. The existing municipal fire services had to merge into these new zones. This major reform was only fully implemented by 1 January 2016, when the last new fire zones finally became active. The Brussels Fire and Emergency Medical Service was largely exempted from this reform, since it already enjoyed its own specific legal status as a public body managed by the Brussels regional government. [11] [12]
As stated before, fire zones (officially 'emergency rescue zones') are public bodies composed of multiple constituent municipalities. Bar some exceptions, they are governed by a council in which the mayor of each municipality has a seat. Their funding comes primarily from their constituent municipalities and from the Belgian federal government. The fire zones each manage a network of fire stations, with assigned firefighters and fire apparatus, from which firefighting and rescue operations are carried out. The fire zones also have duties related to fire safety and fire prevention, and most zones take on a role in the provision of emergency medical services as well. On the operational level, each fire zone is headed by a zone commander. The fire zones differ from each other on several points, such as their size, the risks present in their jurisdiction, and whether they are a volunteer, combination or career-only organisation. [1] [3] [11]
Below is a table containing a list of all of the 34 fire zones as well as the Brussels Fire and Emergency Medical Service. In this table, the column '# M' lists the number of municipalities encompassed by each zone, the column '# S' lists the number of fire stations in each zone, and '# I' lists the total number of (non-EMS) interventions carried out by each zone:
Province or region | Native name [2] | Area [13] | Population [14] (on 2022-01-01) | # M [2] | # S [4] | # I [15] (2020) | |
---|---|---|---|---|---|---|---|
sq mi | km² | ||||||
Brussels | DBDMH (Dutch) or SIAMU (French) | 62.71 | 162.42 | 1,222,637 | 19 | 8 | 14,707 |
Antwerp | Brandweer Zone Antwerpen | 89.75 | 232.44 | 560,117 | 3 | 8 | 14,535 |
Antwerp | Brandweerzone Rivierenland | 219.70 | 569.03 | 430,901 | 18 | 15 | 14,524 |
Antwerp | Brandweer Zone Rand | 275.91 | 714.61 | 424,365 | 21 | 20 | 7,043 |
Antwerp | Hulpverleningszone Taxandria | 243.82 | 631.50 | 201,025 | 12 | 12 | 7,655 |
Antwerp | Brandweer Zone Kempen | 281.29 | 728.53 | 270,201 | 15 | 7 | 7,235 |
Flemish Brabant | Hulpverleningszone Oost Vlaams-Brabant | 476.34 | 1,233.71 | 546,949 | 32 | 8 | 12,864 |
Flemish Brabant | Brandweerzone Vlaams-Brabant West | 341.56 | 884.64 | 626,491 | 33 | 9 | 14,250 |
Walloon Brabant | Zone de Secours du Brabant wallon | 423.63 | 1,097.20 | 409,782 | 27 | 5 | 6,767 |
East Flanders | Brandweerzone Vlaamse Ardennen | 204.24 | 528.98 | 175,619 | 12 | 8 | 6,613 |
East Flanders | Brandweerzone Centrum | 359.49 | 931.08 | 567,287 | 18 | 14 | 9,875 |
East Flanders | Brandweerzone Oost | 111.87 | 289.75 | 185,259 | 7 | 7 | 5,585 |
East Flanders | Hulpverleningszone Zuid-Oost | 177.46 | 459.63 | 299,616 | 11 | 9 | 11,028 |
East Flanders | Hulpverleningszone Waasland | 171.25 | 443.53 | 227,081 | 7 | 9 | 4,820 |
East Flanders | Hulpverleningszone Meetjesland | 136.72 | 354.101 | 89,003 | 5 | 4 | 1,865 |
Hainaut | Zone de secours Hainaut Centre | 528.04 | 1,367.63 | 556,543 | 28 | 11 | N/A |
Hainaut | Zone de Secours Hainaut-Est | 479.84 | 1,242.77 | 474,436 | 22 | 6 | 9,408 |
Hainaut | Zone de Secours de Wallonie Picarde | 464.26 | 1,202.43 | 320,148 | 19 | 7 | 7,418 |
Liège | Zone de secours Hesbaye | 150.61 | 390.07 | 76,663 | 13 | 2 | 1,836 |
Liège | Zone de Secours HEMECO | 231.30 | 599.08 | 106,423 | 15 | 2 | 2,474 |
Liège | Liège Zone 2 IILE-SRI | 227.94 | 590.36 | 565,529 | 21 | 7 | 8,563 |
Liège | Zone de secours 5 Warche-Amblève-Lienne | 244.28 | 632.69 | 49,468 | 7 | 4 | 1,536 |
Liège | Zone de Secours Vesdre-Hoëgne & Plateau | 308.41 | 798.79 | 234,302 | 19 | 9 | 3,516 |
Liège | Hilfeleistungszone DG | 326.70 | 846.14 | 78,604 | 9 | 7 | 1,080 |
Limburg | Brandweerzone Oost-Limburg | 341.64 | 884.83 | 324,729 | 14 | 8 | 5,968 |
Limburg | Hulpverleningszone Noord-Limburg | 221.38 | 573.36 | 168,701 | 9 | 4 | 5,555 |
Limburg | Hulpverleningszone Zuid-West Limburg | 374.22 | 969.24 | 392,521 | 19 | 8 | 15,242 |
Luxembourg | Zone de Secours Luxembourg | 1,721.73 | 4,459.25 | 291,143 | 44 | 17 | 7,213 |
Namur | Zone de Secours DINAPHI | 968.01 | 2,507.12 | 178,975 | 22 | 12 | 6,391 |
Namur | Zone de secours NAGE | 320.93 | 831.20 | 232,709 | 10 | 4 | 5,541 |
Namur | Zone de secours Val de Sambre | 129.92 | 336.50 | 87,770 | 6 | 3 | 2,518 |
West Flanders | Hulpverleningszone Zone 1 | 377.55 | 977.86 | 441,554 | 17 | 11 | 10,456 |
West Flanders | Brandweer Westhoek | 466.00 | 1,206.93 | 220,785 | 18 | 22 | 7,034 |
West Flanders | Hulpverleningszone Fluvia | 174.86 | 452.89 | 315,636 | 14 | 16 | 4,451 |
West Flanders | Brandweerzone Midwest | 215.80 | 558.91 | 231,036 | 15 | 17 | 5,985 |
By law, the fire zones and the Brussels Fire and Emergency Medical Service are responsible for: fighting fires and explosions, the rescue and protection of endangered people and property and logistical support, and this throughout five different phases of emergency management: pro-action, prevention, preparation, execution and evaluation. Additionally, the fire zones are also tasked with combating pollution and releases of hazardous materials, and with conducting fire safety inspections and promoting fire prevention among the general public. While also mentioned as one of their duties, the provision of emergency medical services falls under a specific framework and is further discussed below. [10]
In Belgium, emergency assistance from the medical or fire services can be obtained via the European emergency telephone number 112 or the legacy national emergency telephone number 100. Calls to these emergency numbers are answered in one of the 112 emergency centres (PSAPs) managed by the Belgian federal government. Bar one exception, there is a 112 emergency centre in each of the Belgian provinces. Aside from the emergency numbers, there is also the telephone number 1722. This number is intended for reporting less emergent problems during storm weather, such as minor flooding or broken branches obstructing public roads. The 1722 number was created in 2017 to keep the 112 (or 100) number free for life-threatening emergencies during a surge of calls caused by a storm. [5] [16]
Information from an emergency call destined for the fire services is immediately forwarded by the 112 emergency centres to the appropriate fire zone or fire station. The fire zones or stations themselves are then in charge of dispatching the appropriate resources to the scene of the emergency. An important aspect of this arrangement is the principle of 'fastest adequate assistance' (Dutch : SAH, snelste adequate hulp, French: AA+R, aide adéquate la plus rapide, German: SAH, schnellstmöglichen angemessenen Hilfe) as laid down by the 2007 civil security law. This means that for a legally determined list of emergencies, the 112 emergency centre will alert the fire zone or station nearest to the emergency, even if the emergency falls beyond the jurisdiction of that zone or station. That zone or station which receives the alert is then required to respond outside of their territory. [17]
According to official statistics collected by Belgium's federal government, the fire zones and the Brussels Fire and Emergency Medical Service together carried out a total of 251,551 (non-EMS) interventions in 2020. Of these interventions, an absolute majority of 157,926 (62.78%) fell in the category "rescue and technical interventions". Interventions in the category "fire" amounted to 35,208, corresponding to 14.00% of the total number. Of these "fire" interventions, 11,826 concerned residential structure fires. The average response time for a fire in 2020, measured as the time between the fire zone or fire station receiving the alert and the first unit arriving on scene, was 11 minutes and 21 seconds. During all (non-EMS) interventions in 2020, firefighters were faced with 13,088 victims, including 11,812 injured civilians, 1,182 deceased civilians, and 94 injured firefighters in their own ranks. On average, 5.30 firefighters responded to a mission, varying from an average of 9.14 firefighters responding to a fire, to an average of 3.16 firefighters responding to "rescue and technical intervention" missions. [15]
Caution should however be used when interpreting these statistics, as the data provided by the fire zones is not entirely complete. [15]
Fire zones are not required to take up a role with regards to emergency medical services (EMS), although most of them do have an important stake in its provision. Emergency medical services in Belgium are principally organised along a three-tiered structure: firstly standard emergency ambulances which provide BLS-level care and transport patients; secondly so-called 'mobile emergency and resuscitation services' (Dutch: MUG, mobiele urgentiegroep; French: SMUR, service mobile d'urgence et de réanimation; German: MRD, mobiler Rettungsdienst) which provide ALS-level care by physicians using nontransporting vehicles; and thirdly so-called 'paramedical intervention teams' or 'PITs' which provide a level of care in between standard ambulances and the mobile emergency and resuscitation services, and consist of ambulances staffed with at least one emergency nurse. While all mobile emergency and resuscitation services and mainly all PITs are based at a hospital, emergency ambulances can be provided by any organisation concluding a contract with Belgium's FPS Health, Food Chain Safety and Environment. These ambulances can thus be operated by for example fire services, hospitals, the Red Cross or private companies. [18] [19] In practice, the absolute majority of all emergency ambulances are operated by the fire zones. [7]
Emergency ambulances must be staffed by at least two emergency medical technicians (EMTs), in Belgium officially called hulpverlener-ambulancier (Dutch), secouriste-ambulancier (French) or Sanitäter-Krankenwagenfahrer (German). Some fire zones operating emergency ambulances may require their firefighters to also become certified as EMT, or may employ non-firefighter EMTs or even nurses to staff their ambulances. To obtain certification as EMT as of 2023, a participant must succeed for a 160-hour course. To retain the certification, EMTs must attend continuing education and undergo a five-yearly assessment. [20] [21] [22] [23]
Some fire zones also ensure the availability of PITs in partnership with a hospital. In this setup, the fire zone may provide the ambulance vehicle and/or an EMT, while the hospital usually provides the emergency nurse required to staff the PIT. [24] [25] [26]
In addition to firefighting, the fire zones and the Brussels Fire and Emergency Medical Service are also tasked with certain responsibilities with regards to fire safety and fire prevention. Specially trained personnel perform fire safety inspections or check building plans during the application processes to obtain construction permits, under the authority of the mayor of the municipality concerned. In doing this, they apply fire safety regulations issued by different governmental levels and entities. They also provide fire prevention advice to the general public. [1] [10] [27]
In Belgium, the civil security is safeguarded by two branches: the fire zones (and the Brussels Fire and Emergency Medical Service) on one hand, and the Civil Protection on the other hand. The Civil Protection is an emergency service managed by Belgium's federal government. It provides specialized assistance to other emergency services (including the fire zones) and public authorities to manage disasters. After the creation of the fire zones, the duties of the Civil Protection were reviewed. It was decided that since the fire zones were to ensure the basic missions with regards to civil security, the Civil Protection would focus on more prolonged and specialised missions in four key areas: chemical, biological, radiological and nuclear risks (CBRN), search and rescue missions (SAR), heavy technical deployments (HTD) and incident & crisis management (ICM). To this end, the Civil Protection disposes of specialised units and vehicles, such as mobile laboratories, rigid inflatable boats, search and rescue dogs, power generators, heavy pumps, water cannons, communications vehicles, and drones, among others. In 2019, the resources of the Civil Protection were centralised in two operational units: one in Crisnée and one in Brasschaat. [28] [29] [30]
The fire zones and the Brussels Fire and Emergency Medical Service rely on about 17,000 firefighters in total, consisting of around 6,000 career firefighters (35%) and 11,000 volunteers (65%), according to official 2018 figures. Of these firefighters, about 5% are members of the higher cadre, i.e. officers, and 16% are members of the middle cadre, i.e. NCOs. Are very small minority of about 2% of all firefighters are women. Aside from the firefighters, the fire zones also employ about 1,000 non-firefighter emergency medical technicians. [3] Caution should however be used when considering the total number of firefighters, since a number of career firefighters are simultaneously active as volunteers in a different fire zone. The official number of 17,000 firefighters might thus be an overestimation. [31] [32]
Career firefighters can be found mostly in larger towns and cities, while rural areas rely mostly or entirely on volunteers. The Brussels Fire and Emergency Medical Service and the Antwerp Fire Zone, responsible for the port city of Antwerp, are the only ones employing exclusively career firefighters. [3] When it comes to the number of personnel, the Brussels Fire and Emergency Medical Service is the largest in Belgium with almost 1,200 firefighters as of 2020. [33]
After the gas explosion of Ghislenghien in 2004, Belgian fire fighter academies have begun adapting newer techniques, such as the Swedish techniques for structural firefighting or USA's RIT-procedure (Rapid Intervention Team).
The fire zones employ a rank structure for their personnel which mirrors the Belgian military ranks, and is laid down by a Royal Order. [34]
When the Belgian civil security reform came into force in 2014, all firefighter officers were automatically promoted to a higher rank, whether they held the appropriate certificate or not. [35] This led to numerous disputes and was the subject of one of the demands announced during the demonstrations by Belgian firefighters before and after the reform, [36] non-commissioned officers and men in the ranks feeling aggrieved, [37] because no similar measure was planned for them.
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
A fire department or fire brigade, also known as a fire company, fire authority, fire district, fire and rescue, or fire service in some areas, is an organization that provides fire prevention and fire suppression services as well as other rescue services.
A certified first responder is a person who has completed a course and received certification in providing pre-hospital care for medical emergencies. Certified individuals should have received much more instruction than someone who is trained in basic first aid and cardiopulmonary resuscitation (CPR) but they are not necessarily a substitute for more advanced emergency medical care rendered by emergency medical technicians and paramedics. First responders typically provide advanced first aid level care, CPR, and automated external defibrillator (AED) usage. The term "certified first responder" is not to be confused with "first responder", which is a generic term referring to the first medically trained responder to arrive on scene and medically trained telecommunication operators who provide pre-arrival medical instructions as trained Emergency Medical Dispatchers (EMD). Many police officers and firefighters are required to receive training as certified first responders. Advanced medical care is typically provided by EMS, although some police officers and firefighters also train to become emergency medical technicians or paramedics.
A first responder is a person with specialized training who is among the first to arrive and provide assistance or incident resolution at the scene of an emergency. First responders typically include law enforcement officers, emergency medical services members, fire service members and Public Works employees such as Heavy Equipment Operators as well as Public Works Tree Department personnel. In some jurisdictions, emergency department personnel, such as doctors and nurses, are also required to respond to disasters and critical situations, designating them first responders; in other jurisdictions, military and security forces may also be authorized to act as first responders.
Hatzalah is the title used by many Jewish volunteer emergency medical service (EMS) organizations serving mostly areas with Jewish communities around the world, giving medical service to patients regardless of their religion. Most local branches operate independently of each other, but use the common name. The Hebrew spelling of the name is always the same, but there are many variations in transliteration, such as Hatzolah, Hatzoloh, and Hatzola. It is also often called Chevra Hatzalah, which loosely translates as "Company of Rescuers", "Group of Rescuers", or "Rescue Squad". It is the largest volunteer medical group in the United States.
The Arlington County Fire Department (ACFD) provides fire, emergency medical, and allied public safety services for Arlington County and the City of Falls Church in Virginia, USA. It is highly regarded within the profession as an innovator and leader in enhancing the industry. Among its many firsts are the hiring of the first female career firefighter in the world in 1974 and partnering with the United States Public Health Service to develop America's first Metropolitan Medical Strike Team to respond to the consequences of a chemical, biological or radiological terrorist attack.
Emergency vehicle lighting, also known as simply emergency lighting or emergency lights, is a type of vehicle lighting used to visually announce a vehicle's presence to other road users. A sub-type of emergency vehicle equipment, emergency vehicle lighting is generally used by emergency vehicles and other authorized vehicles in a variety of colors.
The Fire and Rescue Department of Malaysia, commonly known as Bomba, is a federal agency of Malaysia responsible for firefighting and technical rescue. Bomba is a Malay word derived from the Portuguese bombeiros which means 'firefighters'.
Firefighter rehabilitation is a vital firefighting service, providing firefighters and other emergency personnel with immediate medical attention including rehydration, treatment for smoke inhalation, and the prevention of life-threatening conditions such as heatstroke and heart attack after working at the scene of an incident. Firefighter rehabilitation can include a variety of things from a simple check up to deciding whether or not the firefighter needs to see a doctor. The rehabilitation area is set up in a safe location near the incident so that it can be accessible to any emergency responders who may need it.
As firefighting has a rich history throughout the world, traditions in this profession vary widely from country to country.
In the United States, emergency medical services (EMS) provide out-of-hospital acute medical care and/or transport to definitive care for those in need. They are regulated at the most basic level by the National Highway Traffic Safety Administration, which sets the minimum standards that all states' EMS providers must meet, and regulated more strictly by individual state governments, which often require higher standards from the services they oversee.
The National Registry of Emergency Medical Technicians (NREMT) is a US based, non-profit certification organization for pre-hospital emergency medical providers that exists to ensure that every Emergency Medical Technician has the knowledge and skills required for competent practice.
Emergency Medical Responders (EMRs) are people who are specially trained to provide out-of-hospital care in medical emergencies, typically before the arrival of an ambulance. Specifically used, an emergency medical responder is an EMS certification level used to describe a level of EMS provider below that of an emergency medical technician and paramedic. However, the EMR is not intended to replace the roles of such providers and their wide range of specialties.
Emergency medical services in Iceland include the provision of ambulance service. They provide all emergency ambulance service for a population of in excess of 320,000 people in one of the most sparsely settled countries in Europe. The system is government-funded for the first 85 percent of cost, with 15 percent being charged to the individual as a deterrent fee. All services in Iceland are provided by the Icelandic Red Cross, with individual ambulances often co-located with local fire brigades.
The New Haven Fire Department (NHFD) provides fire protection and emergency medical services to the city of New Haven, Connecticut. The New Haven Fire Department currently serves a population of over 130,000 people living in 19 square miles of land and is one of the largest fire departments in the state.
The New York City Fire Department Bureau of Emergency Medical Services is a division of the New York City Fire Department (FDNY) in charge of emergency medical services for New York City. It was established on March 17, 1996, following the merger of the FDNY and New York City Health and Hospitals Corporation's emergency medical services division. FDNY EMS provides coverage of all five boroughs of New York City with ambulances and a variety of specialized response vehicles.
Capital City Fire/Rescue (CCFR) provides fire suppression and emergency medical services to the city of Juneau, Alaska, United States.
The Civil Protection is a Belgian federal service that falls under the Directorate-General Civil Security of the Federal Public Service Interior. It operates as a specialized second-line service. It is not a first response service like the fire departments, but is only called upon when specialized assistance is needed. Its main tasks revolve around CBRN incidents, search and rescue operations and heavy technical assistance. Some Civil Protection units however also partake in the regular emergency response in their area, for example for firefighting or emergency medical assistance. The minister of the Interior can also order agents of the Civil Protection to partake in foreign missions of B-FAST, the Belgian foreign emergency relief team.
The City of Cleveland Division of Emergency Medical Service, also known as Cleveland EMS or CEMS, is the division of the municipal government tasked with emergency ambulance transport for the City of Cleveland, Ohio. It is a third service, operating as part of the public safety department.
Emergency medical services in Belgium are commonly available throughout the country. In Belgium, the provision of prehospital emergency medical services (EMS) is assured by a network of various public and private organizations. The EMS system as a whole is overseen by Belgium's federal government, primarily by the FPS Health and the federal minister of Health. An EMS intervention typically starts by placing a call to one of the country's emergency call centres (PSAPs) through the 112 telephone number. The emergency call centre then sends the most appropriate EMS resources to the patient. After on-scene care, the patient will typically be transported to the emergency department (ED) of a hospital for further treatment. The responsibility of the Belgian EMS system ends with the receiving hospital taking charge of the patient.