Health and Emergency Medical Services_msr

7/27/2019 Health and Emergency Medical Services_msr

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HEALTH ANDEMERGENCY MEDICAL

SERVICESIn DISASTER

MANAGEMENTManuel S. Realuyo, MD


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PREPAREDNESS

A. CAPACITY / VULNERABILITY

ASSESSMENT

1. Critical Population

Elderly / Handicapped / Women-

Pregnant / Lactating / Children


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2. Emergency Planning

3. Inventory of:

Health WorkersHealth Station

Medical Clinics

(relative to accessibility)


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4. Inventory of Emergency Transport

Facilities


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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


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B. EMERGENCY PLANNING

1. Health and MedicalService Intervention

2. Search Rescue

Recovery Capability


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3. Medical Evaluation /

Transport Scheme

4. Mass Casualty

Management


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Planning should be:

Specific, Measurable, Attainable, Realistic,

and Time Bounded (SMART)


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C. INSTITUTIONAL STRENGTHENING

1. Role of Health / Medical Sector to the

DCC Organization

2. Coordinating Health Program


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D. RESOURCE BASED

1. Disaster Preparedness Funding:

a. Adequate Funding for Medicines

b. Medical Equipment Purchase

2. Stockpiling of Medical Supplies

Aid Coordination


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E. RESPONSE MECHANISM

1. Contingency Measures

a. Public Health ActionPlans of all types of

natural disaster/ disease

outbreak

b. Search Rescue

and RecoveryProcedures

c. Medical Evacuation /

Transport System


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2. Health and Medical Services Utilization

3. Medical Referral System


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F. PUBLIC EDUCATION AND TRAINING

1. Public Health Program / Education:

DOH Training Program

2. Health / Medical Training Courses

(PSP:CSD / Special Training)


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G. REHEARSAL AND DRILL

1. Rescue Drill

2. Emergency Extrication /

Transport Drill


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MITIGATION

A. STRUCTURAL

1. Improve and maintain

existing water services

facilities, sanitarytoilets.

2. Institute proper solid,liquid waste

management.


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B. NON STRUCTURAL

1. PD 522 / 856 Implementation and

Enforcement

2. Institute Effective Zoning Ordinance:

Dwellers / Settlements


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3. Set forth Policies in the Delivery ofPublic Health/ Medical Service During

Disaster/ Calamities and EmergencySituation:

a. Active Preventive Health Measuresb. Proper Shelter and Sanitation

c. Safe Water

d. Adequate Food

*Disease Outbreak Prevention: related toresponse activity


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4. Strengthen Family Planning Program/

Population Growth

5. Institutionalize Organizational Structure

6. Intercomplimentary Networking of Public

Health Service


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Disaster IMPACT

A. RESPONSE1. Medical Evacuation Procedure: Policy

Hospital and Evacuation Center


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2. Search Rescue Recovery Operation

3. Mass Casualty Management Procedure


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4. Activate Special Installations

Emergency Hospital

Mobile Clinics: Emergency

Reception Centers /Shelters

Curative Approach

Referral System


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5. Emergency Health Care System

a. Preventive Approach such as:Immunization

Vector Control

Waste Disposal and

Management


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Water (Safe Water Supply)

and Sanitation

(Site, Home, Area)


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b. Promotive Approach :

Maternal and ChildHealth Care

Health Education

Mother Class

Organization


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c. Rehabilitative Approach:

Psychosocial care

Critical Incidence Stress Debriefing

Feeding Program


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Policy on:

Evacuation

Mass ImmunizationHealth Management of Evacuation

Centers


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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 andessential health services ASAP.


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RELIEF

1. Commodity

a. medicine

b. medical supplies and equipment


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2. Services

a. medical

b. health staff reinforcement


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REHABILITATION

1. Repair:

infra-support

facilities damaged

by the calamity

for health and

medical programs.


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2. Food and Nutrition Program for the

affected populations.

3. Strengthen Environment and Mental

Health


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4. Institutionalize: Rehabilitation Medicine

for the disabled victims of calamities and

disasters


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RECONSTRUCTION

Construction of health stations and

hospitals in disaster-prone areas

strategically located in safe areas.


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