Marathon: the Security Problem of Running

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  On January 3, 2015, China Athletic Association announced that it would cancel the assessment of marathon events. This news means that on the one hand the runners can enjoy marathon conveniently, on the other hand the threshold of holding matches in different places will be lowered. Of course, what follows is the questioning and expectations whether marathon can provide perfected and completed security assurance. After all, dating back to the various marathon incidents in 2014, we can find that lots of helplessness and pain has been added to the sport which should generate joy.
  The frequent tragedies of sudden death is worrying
  "Fang Yong had no breath, no pulse or blood pressure when he was sent to the hospital; after being given a series of rescue measures such as cardiopulmonary resuscitation and electric shock, he was not able to be saved." It was the rescuing measures and professional judgment that the doctors gave on December 13, 2014, after Fang Yong, a retired soldier of central guard bureau fell in the Zhuhai International Half Marathon.
  Fang Yong did not hit the line of the end, instead he came to the end of life. Reality is always ironic and according to the report of media, during the running his wife had talked to him, but in order to "preserve strength" Fang Yong paused the conversation and continued to run.
  In fact, in 2014, four other runners who held the same passion for marathon as Fang Yong also had no chance to run any more. Among them, on March 31st, a 25-year-old female runner died suddenly in the Suzhou Jinji Lake Half Marathon; on May 27th, a 21-year-old freshman suddenly died at the 16th km in the Kunming Plateau International Half Marathon; on July 19th, a participant who participated with the qualification of another person died suddenly in the Zhangjiakou Grassland Marathon at about the 18 km; on November 10th, in the Taiwan's Rice Heaven Tian zhong Marathon Mi Cang Tanaka Marathon, a 45-year-old male athlete was shocked at the 31st km.
  Meanwhile, from the international perspective, recent years marathons have seen many accidents.
  In 2007, the famous American long-distance runner Ryan Shay went blank suddenly in the 2008 Olympic Marathon Trials in America, he was sent to the hospital but died after the invalid rescue, being only 28 years old; in 2009, in the 32rd Detroit Marathon of the U.S., 3 participants died suddenly in the race; in 2011, in the Toronto Lakeside Marathon in Canada, a 27-year-old man died suddenly, being just several hundred meters away from the end; in 2013, in the Brighton Marathon, a 23-year-old man died due to sudden heart attack; in 2013, in the Budapest Half Marathon of Hungary, a 27 year old man died suddenly in the process......   According to the data published by Chinese Athletics Association, there were 53 marathons, and also 5 marathon accidents, which proves one of every 10 races on average has the probability of casualties. They have added more or less tragic color to the 2014 marathons. In addition, even mature international events can see amateur marathon enthusiasts or even professional players pass away with many pities, which has once made marathon the synonymous with danger, and worried many people.
  Where does the hidden danger “hide itself”
  Marathon, which aims to keep physical fitness suddenly becomes the way to death, how does it come?
  When it comes to the cause, the present high popularity of marathon cannot be forgotten. At present, Chinese Athletic Association has given Beijing, Shanghai, Hangzhou, Xiamen, Yangzhou, Dongying, Chongqing, Lanzhou, Taiyuan, Gui Zhou, Tour of Lei Gong Mountain, Guangzhou and the National 10-km Road Race Tournament the title of "Gold Medal Race". In addition, the passion of second-tier and third-tier cities in China for holding marathons is giving more and more people the "tickets" to participate in the sport event, which looks like that marathons blossom "overnight".
  The hidden danger also comes from it. Previously, team members of professional rescue team told The Paper, "Recent years, marathon races are enjoying a high popularity. Driven by interests, relevant agencies and departments hold marathon races crazily without enough ability, and to maximize the profits, they often save some necessary expenditure and lower the standards of various equipment and security."
  From the medical point of view, once the cardiac arrest happens, response needs to be given quickly in 4-6 minutes, and only in this condition could the sufferer be saved. "But judging from the current situation, it is still short board of marathon rescuing. After realizing cardiac arrest, people need to have AHA international first aid certificate to have the ability to complete the rescue of cardiopulmonary resuscitation, unlike in many domestic competitions, volunteers have no ability to rescue in the first time, but just report the accident and then rely on ambulance and hospital." The professional rescue person said.
  Besides, shortage of drinking water, bad locations of public toilets and bad weather add to the difficulty for marathon runners to be away from deaths.
  Shortage of drinking water was once criticized by participants. For example, in the Zhuhai International Half Marathon, different from 11 water stations which official released (including beverage station), several participants who "drank in every water station"  told the media that they drank for 4 times. A senior runners also said to the media, Fang Yong’s death might be related to electrolyte disorder which is caused by insufficient water in the human body. Coincidentally, Kunming Plateau International Marathon, which had injuries and deaths, was also said to have water supply shortage, and some participants could only have the mineral water that had been drunk by the professional athletes before them. According to the survey, the Kunming Plateau International Marathon set up 8 water stations, that day was very hot and dry, the number of participants was huge, so drinking water stations were very rare.   Insufficient public toilets is also troubling the marathon runners. For example, the Kunming Plateau International Marathon organizers promised that they would arrange mobile toilets, but they did not, and a lot of participants could only solve personal problems in the green belts beside the road. In addition, the similar solution in the 2013 Beijing International Marathon, which was laughed at by people till now, was also a group embarrassment due to the lack of mobile toilet facilities and unclear toilets signs.
  The bad weather asks the runners "to run or not to run". As what Mao Daqing, Executive Vice President of Vanke Group said, in the 2014 Beijing International Marathon many long-distance lovers were expecting the grandness and refreshment of the ancient capital, but what waited for them were depression and loss under the haze-fog. "When all the participants needed to breathe heavily but had to avoid the haze-fog particles in the air carefully and protect their mouth and nose behind the little patch of mask, now, what do you think of?" He said sadly.
  Safety factor should be improved
  Even though marathons have seen some tragedies, it cannot eliminate people’s passion for running. Therefore, it is very urgent to improve the marathon safety factor.
  Well goes an old saying, "Stones from other hills may serve to polish the jade of mine." In the numerous countries that hold marathon, Japan holds more than 1400 marathon races every year, whose number as well as high safety factor is very advanced in the world.
  Tokyo Marathon has never seen sudden death. Tanaka Hideharu, leader of the emergency team of the Tokyo Marathon, Director of Research Department of Emergency Rescue System of Kokushikan University, Japan said in the annual meeting of marathon of China, "The on-the-spot assistance system of Tokyo Marathon is, first of all, setting up rescue station at the scene. There is a rescue station every 5 kilometers in the first half, with doctors, nurses and firefighters, and every 2 to 3 kilometers in the second half. In addition, every 3 minutes’ walk sees a team of 2 volunteers who carry a heart defibrillator and standby on the road. In addition, there are mobile rescue personnel in red rescue suits who ride bicycles, carrying heart defibrillators and following the running team. In addition, there are 18 doctors in the team who run together with the runners. These mobile rescue personnel will carry the GPS positioning system, the general command will have real-time understanding of their location." It is for early finding and early treatment. "If the doctor sits in the rescue station, and waits for the accident to happen, and the accident happens at the midpoint of two rescue stations, the patient may have died of cardiac arrest when the doctor arrives to the site of the accident after running for 2 kilometers." Tanaka Hideharu stressed.   Compared with the 4 to 5 hundred marathon toilets of Beijing, the 2014 Tokyo Marathon set up 618 temporary toilets at the starting point and 500 toilets along the racetrack. Therefore, the degree of perfection of the hardware infrastructure and its determination to treat the environmental pollution does influence the whole safety factor of marathon.
  Besides, many medical experts warned that among the people aged between 0 to 39. The highest rate of sudden death lies in running, swimming and football. On the whole, running sees the most sudden deaths. To take the challenge of half marathons and full marathon, people must undergo long and enough training and they need to progressively increase the distance of running and running speed. Insufficient preparation before the race and sudden excessive sport in the race may cause imbalance of autonomic nervous system and epinephrine, which is beyond the capacity of heart and lung, and even leads to heart attack. Participating in extreme sports with temporary passion is both blind and unsafe.
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