B-FAST mission cycle

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Created by: Marc Devalckeneer

B-FAST mission cycle

ISCRAM Summer

School 2012

The B-FAST historyThe B-FAST history

Royal Decree23 Feb 2003

Turkey Eartquake

1999

FranceHurricaneMarianne2000

Lessons LearnedA Federal approach

Is a must

Ministerial DecisionNovember 2000

Creation of B-FAST

GeneralGeneralInternational context

UN OCHA OSLO

guidelines

EADRCC(NATO)

guidelines & procedures

EU - MIC Monitoring and

Information Centre

OCHA: Office for the Coordination of Humanitarian A ffairs

EADRCC: Euro Atlantic Disaster Relief Coordination Centre

EU - MIC Monitoring and

Information Centre

The phases of a disasterThe phases of a disaster

DISASTER

B-FAST StructureB-FAST Structure

• All participants in the different modules

• Liaison with the LEMA, the Belgian Embassies

& International Organisations

COUNCIL OF MINISTERS

COORDINATION COUNCIL

DEFENCE

PLANNING COMMITTEE

PUBLIC HEALTHHOME AFFAIRS

FOREIGN AFFAIRSPRIME MINISTER DEVELOPMENTFINANCES

ADVISORY

COMMITTEE

B-FAST

SECRETARIAT

Executive body of B-FAST

• Takes decisions on Mid and Long term Planning

• Approves the proposals on Budget and Investments

• Approves the draft of SOP’s (Standard Operation Procedures)

• Takes decisions on the proposal for action drafted by the Planning Committee & Advisory Committee Proposals f or Operation and submit it to the Council of Ministers for approval

Meetings

• Periodically at least twice a year & when a disaste r occurs

Coordination CouncilCoordination Council

• Assessment of means, options and costs

• Submit to the Co-ordination Council proposal of Ope ration

• Assist the Co-ordination Council in the implementat ion of the operation

• Sets up working groups

Meetings:

Operations: When a disaster is reported

Periodically: working groups…

Planning CommitteePlanning Committee

B-FAST MeansB-FAST Means

Home Affairs

• Civil Protection & Fire brigades

• USAR

• Federal Police: DVI - Disaster Victim Identification

• Co-ordination

• …

Defence

• Transport

• CIS - Communication & Information System

• Co-ordination

Public Health

• Field Hospital

• IDP Camp

• Co-ordination experts

• vaccination

• water purification

• Medic USAR

Logistical Support

• Humanitarian goods

A Modular SystemA Modular System

Liaison- & Press Officer

Medical Support

CommunicationSafety & Security

Logistical Support

Administration & Budget

Head of Mission

B-FAST

Standard Module

IDP – Internally Displaced Persons

Floods

USAR – Urban Search & Rescue

DVI – Disaster Victim Identification

Airdrop

Field Hospital (base, Inpatient, Outpatient, Mother Child )

Air TransportPollution AMP – Advanced Medical Post

Air Cargo Handling & Warehousing Team

Delivery of Humanitarian Goods

Burn sets

Vaccination

B-FAST

Specific Modules

Urban Search And Rescue team

Module

Medium

Team 1

Team 3 Team 2

Each team counts

27 persons

Humanitarian Goods

Module

Blankets

Food (MRE’s)

Water

Sand Bags

Tents

• Medical support• logistics• Food & beverages• Shelter & sanitation• Technical support• Personal equipment

IDP Module

Internally Displaced Persons

400 Tents

400 Lanterns

400 Buckets

400 H2O jerry cans

400 Cooking sets

400 Petrol Stoves

2000 Blankets

30 Bales Sheeting

Turkey EarthquakeTurkey Earthquake

Advanced Medical PostAdvanced Medical Post

Field Hospital1. PURPOSE

To provide immediate basic, essential curative, preventive and community health care in emergency situations, where local medical facilities are insufficient or have been destroyed.

2. CAPACITY

This emergency unit has a principal capacity of up to 30'000 population served, using a modular approach adjusting to the actual needs. There is a secondary capacity of 20 overnight beds. The unit is self-contained for one month.

3. PRINCIPAL TASKS

3. 1. Outpatient curative

Basic treatment according to WHO basic treatment protocols, using WHO Essential Drug lists.

Services, with 10 to 20 "overnight beds" mainly for diarrhoeal and observation cases.

3. 2. Preventive Mother and Child Health Care (MCH)

Services, with an immunization capacity for epidemics such as measles.

Deliveries (very simple delivery bed ).

15 x25m² = 375m²

Field Hospital

reception

First aid &

minor pathology

Operation theatre

Recovery room

Pharmacy

Logistics/administration

Catering/shelter

Operation CriteriaOperation Criteria• Operations in countries disaster victim with the ex clusion of

the armed conflicts

• World Wide (with a focus on 6000 km)

• Based on different scenari, earthquakes, landslides , floods, volcanic eruption, vegetation fires, droughts, fami ne,…

• International scope (knowledge, procedures,…)

• Interdepartmental “ad hoc” composition

• Self sustainable for max. 10 days unless otherwise decided by the Council of Ministers

• Federal action in co-ordination with international organizations, NGO’s, and the affected country

• Only during the Emergency Phase

• Engagement only after the official request of the a ffected country

PolandJUL 01Floods

UkraineMAA 01Floods

AlgeriaNOV 01Landslides

El SalvadorFEB 01Landslides

PeruJUN 01Earthquake

Bosnia-Herzegovina

JUN-JUL

Floods

B-FAST operations in 2001B-FAST operations in 2001

AlbaniaSEP 02Floods

Spain/PortugalNOV 02Oil pollution

DRC GOMAJAN - FEB 02Vulcano outburst

Czech Rep.AUG 02Floods

UkraineAUG 02Floods

IranJUN 02 Floods

MoroccoNOV 02Floods, landslides,Industrial accidents

B-FAST operations in 2002B-FAST operations in 2002

B-FAST operations in 2003B-FAST operations in 2003

AlgeriaMarch

Earthquake

France Dec 03 Floods

Filippines

Dec 03 /Jan 04 Landslides

Iran Bam Dec 03/Jan 04

Earthquake

B-FAST operations in 2004B-FAST operations in 2004

Iran Bam Dec 03/Jan 04

Earthquake

Dec 03 / Jan 04 landslides

Morocco Al Hoseima

Feb 04 Earthquake

Filippines

Dec 04 Tornado

Paraguay (Asuncion)

Aug 04

Fire in warehouse

B-FAST operations in 2005B-FAST operations in 2005Thailand Jan 05

Tsunami DVI

IndonesiaJan 05

Tsunami (UN Base

Camp)

Romania Jul 05

Floods

Niger Aug 05

Starvation

Bulgaria Aug 05

Floods

VS

Aug 05 Tornado Katrina

Pakistan Okt 05

Earthquake

B-FAST operations in 2006B-FAST operations in 2006

Bulgaria Apr 06 Floods

Roemenia Apr 06 Floods

Suriname

May 06 Floods UNDAC

Ethiopia Aug 06 Floods

B-FAST operations in 2007B-FAST operations in 2007

Earthquake Peru

Financial contribution UNDAC mission

Pakistan

UNDAC mission

Ghana

Mexico

Floods & landslides Financial contribution

B-FAST operations in 2008B-FAST operations in 2008

Earthquake CHINA

Mei 2008

Mission 1: IDP

Mission 2: Field Hospital

HAITI

UNDAC mission

MYANMAR

Tropical cyclone

10 WHO kits Water purification

station

B-FAST operations in 2009B-FAST operations in 2009

EGYPT / GAZA

Evacuation wounded children

SUMATRA Earthquake

Water purification station

B-FAST operations in 2010B-FAST operations in 2010

Earthquake Haïti

Mission 1: USAR, Field Hospital Mission 2: Field Hospital

Mission 3: referral hospital

Floods Albanië

Supply of boats and medicines

Explosion DR Congo

Supply of medicinesmedical coaching

Floods Romania

Supply of water purification station and generators

B-FAST operations in 2011B-FAST operations in 2011

EQ Turkey

IDP-camp

Moldova

EADRCC – NATO – exercise

AMP and USAR

B-FAST operations in 2012B-FAST operations in 2012

Blast ammunition depot

Supply of medicines

medical coaching

Chronology of ActionsChronology of Actions

1 2 3

• Pre-Alert (if possible)

• Official Request

• Assessment

• Draft Proposal of Operation

• Approval of the Proposal of Operation

Implementation

of the Operation

• End of Operation: hand over & disengagement

• Completion of stocks: maintenance & refurbishment

• Debriefing

• Lessons learnt

• Mission Report

Haiti EarthquakeHaiti Earthquake

35

Tuesday January 12 2010Tuesday January 12 2010• 23.15

“Red earthquake alert (6.5M,depth:40km) in Haiti (Aboni) 12/1 21:53UTC, Pop100km:5.6m www.gdacs.org – JRC”

• 23.19“Red earthquake alert (7.3M,depth:0km) in Haiti (Aboni) 12/1 21:53UTC, Pop100km:5.8m www.gdacs.org – JRC”

• 23.45“Red earthquake alert (7.2M,depth:33km) in Haiti (Bras Droit) 12/1 22:12UTC, Pop100km:5.4m www.gdacs.org – JRC”

36

• Throughout the night: monitoring via V-OSOCC and GDACS

WednesdayJanuary 13WednesdayJanuary 13

37

40

Wednesday January 13Wednesday January 13• Throughout the night: monitoring via V-OSOCC and GDACS

• 06.00 – 08.00: consulting partners via phone/e-mail

• 08.00: pre-alarm

• 10.00: meeting planning committee B-FAST

“Alert : examining possibility mission Haiti. Check availability for next 2 weeks and

communicate through email.

USAR as well as medical team.

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42

Issues to considerIssues to consider

Political considerations

CostMeans of transport

Request for assisstance

Deployment time (USAR)

Accessability of disaster area

Security situation

Needs assessment

Response other countries

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WednesdayJanuary 13WednesdayJanuary 13• Throughout the night: monitoring via V-OSOCC and GDACS

• 06.00 – 08.00: consulting partners via phone/e-mail

• 08.00: pre-alarm

• 10.00: meeting planning committee B-FAST

• 12.00: executing decision of sending USAR team and field hospital; SMS & e-mail

44

45

Briefing WednesdayeveningBriefing Wednesdayevening

46

47

48

4923.30: B-FAST is airborne

50

14 January 06.00: Arrival at airport of Port-au-Prince

51

USAR Operations 14-17 January

USAR Operations 14-17 January

USAR OperationsUSAR Operations

Base of OperationsBase of Operations

55

Haiti Earthquake : damageassessmentsHaiti Earthquake : damageassessments

Field Hospital14/01 – 05/02Field Hospital14/01 – 05/02

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Field Hospital: triageField Hospital: triage

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Field Hospital: emergency careField Hospital: emergency care

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Field Hospital: InterventionsField Hospital: Interventions

61

Field Hospital: in patientField Hospital: in patient

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Field Hospital: warehouseField Hospital: warehouse

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Field Hospital: logistics (food, shelter, ….)

Field Hospital: logistics (food, shelter, ….)

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Field Hospital: sanitation, waste management, …..Field Hospital: sanitation, waste management, …..

65

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Wednesday 20 January 2010Wednesday 20 January 2010

• Meanwhile In Belgium

• 12.51Naschok in Haiti. Contact gehad met voltallig B-FAST team : allen OK. Wij houden jullie op de hoogte. B-FAST

Nouvelle secousse en Haiti. Contact avec tous les membres B-FAST : tous OK. On vous tient au courant. B-FAST

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Out of HospitalOut of Hospital

Haiti Earthquake : IDP concentrationsHaiti Earthquake : IDP concentrations

Disengagement / handoverDisengagement / handover

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End of missionEnd of mission

Outputs / Humanitarian impactOutputs / Humanitarian impact

• USAR: 3 victims extracted alive from the rubble

• FH rotation 1: 800 patients, approx. 15 surgeries per day

• FH rotation 2: 3000 patients, treated in field hospit al & OOHM

74

After a missionAfter a mission• Return home, spend time with family and friends, take some rest

• Be aware of own reactions, both mentally and physically

• Take part in a technical debriefing

• Share experience

• Prepare for the next mission

Questions ?Questions ?

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