Rasheed Adam

Previous Ag Manager, Emergency Services

& Disaster Preparedness Coordinating
Unit (ESDPCU) -Disaster Command Centre
(DCC) -Ministry of Health EOC
• At the end or the lecture you should ……
• Know what is the disaster cycle
• Have an overview of disaster preparedness at the
individual, community, RHAs,and National level and
also at the regional and international level
• Understand mass casualty and levels of disaster
• Understand the terms Advance Medical Post and
Incident Command Post
• Know the role of the MOH Disaster Command Centre
• Understand the terms surge capacity and disaster
profile
• Understand the terms disaster risk assessment and
disaster risk reduction
 What is the disaster cycle?
 Prevention
 Mitigation
 Preparedness
 Response
 Recovery
 Building site-
 river banks-flood
 Hillsides-landslips, hurricane
 seismic fault lines-earthquake
 Ministry of Planning & Environment-Town &
Country Planning
 Building Codes-structural
 Additional precautions-
 earthquake proof walls,
 short eaves
 Fire precautions
 Hurricane, Flood precautions
 ?Building Codes
 Building Contractors
 PAHO Safe Hospitals survey-POSGH central
block deficient, EWMSC OK,?SFGH, also
SGHosp –soon to be started .
• DCC-workshops-Disaster response
• ODPM-workshops, Disaster Risk Reduction
committee, Daily Situational reports.
• UWI, Seismic Centre, Weather bureau
• CDEMA-courses
• PAHO courses, UNDP workshops
• Caribbean (Mexico 2010)& International
meetings
• USArmy-International assistance -FAHUM
 Individual
 Community Services-CORE
 RHA
 MOH-DCC,Vertical Services,CMOHs
 Other Ministries,Local Govt,National Security
 NGOs
 ODPM
 Business continuity-how to keep functioning
in the face of disaster
 Rebuilding status quo
 What agencies are involved in an overall
disaster response?

 What agencies are involved in a health

disaster response?
 ODPM

DCC Other Ministries All others-NGOs etc

 DCC

RHAs CMOHs &City MOHs Vertical Services

 National Emergency Ambulance Service
 Blood Bank
 Public Health Lab
 C40-Central Stores
 Food & Drugs division
 Forensic centre
 National Surveillance Unit
 Insect Vector
 And others
 Coordinating function in mass casualty
 Disaster preparedness-at all levels of the
health services-education, ensuring disaster
plans in place, drills
 Disaster readiness
 Level 1- local-contained in one RHA-mass
casualty
 Level 2- exceeds one RHA-can be handled by
assistance of other RHAs-local disaster area
 Level 3- national disaster-international
assistance may be necessary
 Local Health plans-Hospitals, RHAs, Vertical
services, CMOHs
 Mass casualty plan-involves RHA-ER to go to
scene-Advance Medical Post, CMOH to go to
scene –Incident Management Post
 National Health Disaster Plan- comprehensive
plan to involve all health services and
managed by the National Health Disaster
Committee headed by the Minister, CMO & PS
 Other ministries, NGO plans
 All plans coordinated and meshed by ODPM
 Tabletop
 Field

 Partial-departmental
 Total
 Who is really responsible for Health Disaster
coordination?
• Chairman-PS
• Vice Chair-CMO
• Members-Manager ESDPCU,RHA CEOs, RHA
Disaster coordinators, CNO, Ambulance
Service, Directors of Corporate
Communication, Finance, NSU, HR, Health
policy & planning, Security, Health education,
PHI, Vet PH, stores coordinator, Vet pub.
Health Insp
• ***In a disaster the Minister of Health takes
over as the Chairman***
 CDEMA
 US Southern Command, USS Comfort
 PAHO,UNPD and other international agencies
 The ability to increase output with all
available resources
 20%
• The type of patients in a disaster.
• 20% rule-In a disaster of 100
• 20 needs ambulance
• 20 have serious injuries
• 20 orthopedic injury
• 20 children
• 4 need surgery
• 4 need ICU
• 1 mortality
 To search the factors that are important in a
disaster in all phases of the disaster cycle-
 Prevention,
 Mitigation
 Preparedness
 Response
 Recovery
 Taking all the necessary precautions in all
aspects of the disaster cycle to reduce the
risk if disaster strikes…….
 Prevention
 Mitigation
 Preparedness
 Response
 Recovery
• At the end or the lecture you should ……
• Know what is the disaster cycle
• Have an overview of disaster preparedness at the
individual, community, RHAs,and National level and
also at the regional and international level
• Understand mass casualty and levels of disaster
• Understand the terms Advance Medical Post and
Incident Command Post
• Know the role of the MOH Disaster Command Centre
• Understand the terms surge capacity and disaster
profile
• Understand the terms disaster risk assessment and
disaster risk reduction
 Questions?

rash97@live.com
761 8077