Jan 23, 2016
DEFINITIONCrisis - Disaster Preparedness
a proactive approach to comprehensive crisis management before, during and after the crisis period
ongoing, multi-sectorial activities designed to minimize loss of life and damage, to organize the temporary removal of people and property from a threatened location and facilitate timely and effective rescue, relief and rehabilitation
set of measures that ensure the organized mobilization of personnel, funds, equipments and supplies within a safe environment for effective relief
Actions & measures taken prior to & during the incident determines the final outcome
INTRODUCTIONCPRC has been established under the 9th MP (2005-2010) as part of the overall strategies to effectively manage crises and disasters related to health.
CPRC was established with the following intention:
- to increase the level of preparedness;
- to develop strategies to address public health issues & rehabilitation in the event of disasters;
- to coordinate all health-related activities to ensure effective and immediate response;
- to reduce morbidity & mortality before, during and after the event through the adoption of inter-sectoral approach; and
- enhancing collaboration & coordination: international organizations, NGOs, private sectors including pharmaceutical companies and laboratories
INTRODUCTION
CLINICAL EMERGENCY CRISIS
DISASTER
OUTBREAK
THE CHALLENGES
Jetty collapse Plane crash Sg Buluh fireworks explosion (22 deaths, 1647 injured) Port Klang Ship explosion Highland towers condominium collapse (48 deaths) ‘Greg’ storm landslide (230 deaths, 4925 homes) Mudslide in aborigines settlement (44 deaths, 30
homes) Bus plunging into ravine Tsunami (68 deaths, 767 injured) Haze Johor Floods Outbreaks
Cholera in Penang (1182 cases)Enterovirus in Sarawak (131 infants deaths)Nipah encephalitis (265 cases, 105 deaths)Anthrax scare (103 incidents)SARS (5 probable cases)H5N1 among poultryDengue & Chikungunya & Pandemic H1N1 2009
MALAYSIAN EXPERIENCEMalaysia has been spared from major natural disasters. However, there is a history of health emergencies caused by biological and natural hazards.
CPRC TERMS OF REFERENCE• To act as a command centre for coordination for all
Public Health incidents• To establish collaboration and coordination, and maintain networks with other national and international organizations and institutions• To plan and ensure availability of resources - manpower, training, equipments, budget, stockpiles of essential items• To establish and maintain an information centre and database• To prepare and disseminate information on crisis management• To formulate standard policy, guidelines and SOPs • To establish training programmes• To conduct risk assessment and analysis studies • To conduct regular simulation exercises/drills• To encourage research and documentation activities
CPRC ACTIVATION
• Confirmed infectious disease outbreak, crisis and disasters and• Upon advice from Director of Disease Control, Deputy DG (Public Health) or Director-General of Health
Criteria for activation:• Occurence of infectious disease in more than one State/Area/Division• Infectious disease with high morbidity and mortality• Unusual occurences/clusters of diseases/deaths in any area• Global alert on any relevant infectious disease (IHR)/PHEIC• Incidence of bioterrorism• Large scale of natural or man-made disaster • Level 3 disaster as spelled out under Directive 20 of NSC
CPRC ORGANIZATION CHART
MINISTER OF HEALTH
DDG (MEDICAL)
DDG (PH)
DEP-MINISTER OF HEALTH
DIRECTOR-GENERAL OF HEALTH
DDG (P&ST)
CPRC TECHNICAL COMMITTEE
DISEASE CONTROL, HEALTH EDUCATION
MEDICAL SERVICES
SENIOR DIRECTOR - PHARMACY
NIH, ENGINEERING
CPRC ORGANIZATION
CHART
Health EducationSurveillance and EpidemiologyTechnical Information & ITDocumentationResourve Management,
COMMANDER
DEPUTY COMMANDER
ADMINISTRATION
LOGISTICS OPERATIONS PLANNING
SECRETARIAT
LIAISON OFFICER
Commander: Director of Disease Control Dep. Commander: Deputy Director of Disease Control (Surv)Responsible to: Ministry of Health CPRC Technical Committee Chairperson (DG/DDG (PH))Members: All chairpersons of the Units/teams
Secretariat UnitSurveillance
SectionSupplies and
Procurement UnitHealth Promotion
and Information UnitGuidelines UnitLogistic Unit
Task:Issuing directive and commands Chair National Operations Room meetingOversees overall crisis response
CPRC ORGANIZATION
CHART
A. Task Force Secretariat.• Secretariat to National Crisis Control Task Force.• Secretariat to Inter-agency Committee• Arrange Task Force Meeting• Coordinate activity reports from all departments involved.
B. Technical Information Unit.• Managing source of technical information about the outbreak.• Download all information related to the disease from the internet.• Compile the technical information.• Distribute the technical information to those concerned.
C. Epidemiological Analysis Unit• Analyse the epidemiological data from case investigation / notifications received.• Input of data to data base.• Perform epidemiological analysis.• Prepare and distribute of reports to the secretariat
CPRC FUNCTION OF EACH
UNIT
D. Supplies and Procurement Unit• Manage supply of vaccines / insecticides / drugs / personal protectiveequipment (PPE) and other supplies wherever applicable.
E. Health Education Unit• Prepare of health education materials.• Distribute of the health education material to related agencies and the public.• Coordinate health education activities with mass media.
F. Logistics Unit• Prepare Operations Room equipment• Prepare transportation• Prepare refreshments• Maintenance of the Operations Room.• Act as the secretariat for Operations Room daily meeting
CPRC FUNCTION OF EACH
UNIT
G. Human Resource Unit• Prepare the duty roster (according to shift).• List down the telephone numbers of all officers on duty.• Ensure the presence of officers on duty according to the roster (or their replacement). However it is the officer responsibility to find the replacement and inform the Human Resource Officer.• Coordinate with other departments for officers to be on call.
H. Documentation Unit• Receive daily reports from various departments.• Prepare the daily report.• Distribute the daily report to the relevant parties.• Document the chronology of events taken place in the outbreak.• Review media reports• Be responsible in maintaining the letters in–out files.
CPRC FUNCTION OF EACH
UNIT
I. IT Support Unit• Update the Homepage Information (if any).• Response to queries received through e-mail.• Manage guidelines in a software form.
J. Guidelines Preparation Unit• Prepare guidelines related to the infectious disease outbreak i.e.
• case management,• case follow-up,• quarantine,• screening,• transportation of cases• surveillance of health personnel
K. Hotline Unit• Respond to the hotline calls.
CPRC FUNCTION OF EACH
UNIT
Nature of Incident Numbers Percentage (%)
Food Poisoning 151 53.2
Hand Food and Mouth Disease (HFMD)50 17.6
Cholera 29 10.2
Measles 15 5.3
Rubella 7 2.5
URTI 7 2.5
Leptospirosis 6 2.1
AGE 3 1.1
Hepatitis A 3 1.1
Fire/Landslide 2 0.7
Conjunctivitis 2 0.7
Chicken Pox 2 0.7
Malaria 2 0.7
Syndromic notification 2 0.7
Typhoid 2 0.7
Adenoviral Infection 1 0.3
Total 284 100
Table 3.3f: On-Call Surveillance incidents reported to the CPRC in 2011
Crisis/Disaster/Outbreak/PHEIC
Physician / Paediatrician Lab –district / State
Dep. DirectorMedical
Dep. Director PH/Epid Officer
CPRC
Dep. DG (PH) / Director Disease Control
Hospital Director
District MOH
State Health Director
Director General
Minister /Sec-Gen
WHO / others
IMR /NPHL
SPEED OF INFORMATION FLOW
DISTRICT
STATE
CPRC(DIRECTOR OF DISEASE
CONTROL)MINISTER
DG
DDGs
OTHER AGENCIES
By 3.00pm
You need to set the time appropriately
By 8.00 am next day
By 12.00 noon
By 5.30pm
CPRC FACILITIES, COMPONENTS &
SECURITY Facilities:
Plasma TV with satellite connection, video-conferencing equipments, internet access and GIS system, CCTV, computers, printer, scanner, telephone lines, fax machine & lines, cabinet, soft board, white board, Policy, Guidelines & SOPs, Maps, Displays
Telephone, address, fax and email directory
Duty roster, Log book, Attendance book
Components:
Meeting Room, Hotline Room, Kitchen & Rest Area, Store RoomOnly authorized personnel will be allowed in
Security:Access only with thumb print reader machineNo information will be allowed out without the approval of Deputy Commander or Liaison OfficerNo equipment is allowed to be taken out
CPRC TELEPHONE, FAX &
HOTLINETelephone: 03 – 8881 0600 / 03 – 8881 0700
Fax: 03 – 8881 0400 03 – 8881 0500
Handphone: 013 – 669 9700 (Surveillance On-Call) 012-791 6811 (H1N1)Hotline: 03 – 8881 0200 / 03 – 8881 0300 (in the Hotline Room)
Webpage: http:www.moh.gov.my
Email: [email protected]
THANK YOU http://www.moh.gov.my/
survelans