HEALTH AND EMERGENCY MEDICAL SERVICES In DISASTER MANAGEMENT

Manuel S. Realuyo, MD

PREPAREDNESS
A. CAPACITY / VULNERABILITY ASSESSMENT 1. Critical Population Elderly / Handicapped / WomenPregnant / Lactating / Children

2. Emergency Planning

3. Inventory of: Health Workers Health Station Medical Clinics (relative to accessibility)

4. Inventory of Emergency Transport Facilities

5. Data Banking on Historical Endemic Background: a. Identify Trends of Calamities and Effects to Communities / Population
b. Establish Response Activities / Operational Flow/ Types of Service to Deliver

B. EMERGENCY PLANNING
1. Health and Medical Service Intervention 2. Search Rescue Recovery Capability

3. Medical Evaluation / Transport Scheme

4. Mass Casualty Management

Planning should be:

Specific, Measurable, Attainable, Realistic, and Time Bounded (SMART)

C. INSTITUTIONAL STRENGTHENING

1. Role of Health / Medical Sector to the DCC Organization 2. Coordinating Health Program

D. RESOURCE BASED 1. Disaster Preparedness Funding: a. Adequate Funding for Medicines b. Medical Equipment Purchase 2. Stockpiling of Medical Supplies Aid Coordination

E. RESPONSE MECHANISM
1. Contingency Measures a. Public Health Action Plans of all types of natural disaster/ disease outbreak

b. Search Rescue and Recovery Procedures

c. Medical Evacuation / Transport System

2. Health and Medical Services Utilization

3. Medical Referral System

F. PUBLIC EDUCATION AND TRAINING

1. Public Health Program / Education: DOH Training Program

2. Health / Medical Training Courses (PSP:CSD / Special Training)

G. REHEARSAL AND DRILL

1. Rescue Drill

2. Emergency Extrication / Transport Drill

MITIGATION
A. STRUCTURAL 1. Improve and maintain existing water services facilities, sanitary toilets. 2. Institute proper solid, liquid waste management.

B. NON STRUCTURAL

1. PD 522 / 856 Implementation and Enforcement

2. Institute Effective Zoning Ordinance: Dwellers / Settlements

3. Set forth Policies in the Delivery of Public Health/ Medical Service During Disaster/ Calamities and Emergency Situation:
a. Active Preventive Health Measures b. Proper Shelter and Sanitation c. Safe Water d. Adequate Food

*Disease Outbreak Prevention: related to response activity

4. Strengthen Family Planning Program/ Population Growth 5. Institutionalize Organizational Structure 6. Intercomplimentary Networking of Public Health Service

Disaster IMPACT
A. RESPONSE 1. Medical Evacuation Procedure: Policy Hospital and Evacuation Center

2. Search Rescue Recovery Operation

3. Mass Casualty Management Procedure

4. Activate Special Installations Emergency Hospital

Mobile Clinics: Emergency Reception Centers / Shelters Curative Approach Referral System

5. Emergency Health Care System

a. Preventive Approach such as: Immunization Vector Control Waste Disposal and Management

Water (Safe Water Supply) and Sanitation (Site, Home, Area)

b. Promotive Approach : Maternal and Child Health Care Health Education Mother Class Organization

c. Rehabilitative Approach: Psychosocial care Critical Incidence Stress Debriefing Feeding Program

Policy on:

Evacuation Mass Immunization Health Management of Evacuation Centers

6. Disease surveillance: Epidemiological Study Networking / Assessment Team 7. Expedite Rehabilitation and Reconstruction.
8. Ensure the survival of maximal possible number of victims. 9. Re-establish self-sufficiency and essential health services ASAP.

RELIEF
1. Commodity a. medicine b. medical supplies and equipment

2. Services a. medical b. health staff reinforcement

REHABILITATION
1. Repair: infra-support facilities damaged by the calamity for health and medical programs.

2. Food and Nutrition Program for the affected populations. 3. Strengthen Environment and Mental Health

4. Institutionalize: Rehabilitation Medicine for the disabled victims of calamities and disasters

RECONSTRUCTION
Construction of health stations and hospitals in disaster-prone areas strategically located in safe areas.

The end
Questions?