Colonel Mohd Adlan Adnan 1 Chief Pharmacist, Tuanku Mizan Armed Forces Hospital MINISTRY OF DEFENCE MALAYSIA MALAYSIAN ARMED FORCES HEALTH SERVICES 1 Co-Author: Brigadier General Dato’ Dr A Halim Hj Basari 2 Director of Pharmacy, MAF Health Services Division
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MINISTRY OF DEFENCE MALAYSIAN ARMED MALAYSIA FORCES …
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Director of Pharmacy, MAF Health Services Division
Objectives
Introduction – Disaster, Malaysian Medical Team
Pharmacy Activities
Statistics
Challenges
Recommendations
Conclusion
Outline
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• To document common diseases after water-
based disaster.
• To list essential medications supplied.
• To share experience during the Humanitarian
Emergency Disaster Response (HEDR)
mission.
Objectives
3
8th November 2013.
The deadliest typhoon ever to hit Philippines.
The worst typhoon in the world with record winds approaching > 300km/hour followed by a deadly Tsunami with water levels reaching above 20 feet height.
Claimed more than 6000 lives.
Damages estimated at USD 14.5 billion.
More than 30 countries provided various aid.
Introduction 1
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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Mission Module The Malaysian Government (National Security Council) had
deployed the following teams to provide the mission
objective;
Introduction 2
- Ministry of Defence
- Ministry of Health
- Malaysian SMART (Special
Malaysian Disaster Assistance &
Rescue Team)
- Puncak Niaga Holdings Berhad
(PNHB)
- Various NGO’s
- Total of 51 pax
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4 x Emergency Physician (1 x ATM dan 3 x MOH),
4 x Medical Officer (ATM),
1 x Pharmacist (ATM),
1 x Medical Officer Assistant (MOH),
1 x Nurse (MOH) &
7 x Paramedics (ATM)
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MALAYSIAN MEDICAL TEAM COMPOSITION
Malaysian Medical Team Activities
Mobile outreach clinics.
Static Forward Hospital
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Forward Medical Team Outreach Clinic - Carigara
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Forward Medical Team Outreach Clinic – Tanauen
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Foot Doctor Clinic in Tacloban City
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Pre Deployment
Planning prior to deployment to determine list of medical
supplies to bring.
Preparing Load Manifest of medical supplies to meet
transporting requirement of Royal Malaysian Air Force
(RMAF).
Vaccinate troops.
Pharmacy Activities
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During Deployment
Managing store of medical
supplies by considering
climate factor.
Distributing and replenishing
medical supplies for the
operation of static medical
base clinics and mobile
outreach clinics on daily basis.
Dispensing & counselling of
medicine during outreach
clinics.
Pharmacy Activities
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During Deployment (cont)
Spending times with traumatized patients as part of
psychological therapy.
Helping team to manage public health issues such as
sanitation and minimize vector-borne disease risk
Keeping troops healthy.
Pharmacy Activities
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During Deployment (cont)
Working with other volunteer pharmacists, local &
foreign NGOs and local health authority.
Communicating with the International Pharmaceutical
Federation (FIP) and the Philippine Pharmacists
Association.
Preparing handing over of medical supplies to local
health authority before end of mission.
Post Deployment
Prepare reports and statistics.
Pharmacy Activities
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• Providing clean and safe drinking water to
survivors.
• Malaysian invented Field Water
Purification System patented as JERNIH,
• An innovative product resulted from a
collaboration between MAF and PNHB.
• JERNIH produces 3,000 liters of drinking
water per day.
• JERNIH was then donated to the Local
Government Unit of Carigara.
Extended Role of Pharmacist
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Challenges
• Language barrier - elderly
patients.
• Access to needy area movement
to do outreach clinics.
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Challenges
• Heavy rainstorm & very extreme
weather (hot and humid) affects medicine storage area at
the medical base.
affects medicine during outreach
clinics.
Challenges
• Not a comfy environment.
• No hot shower, no electricity, no internet.
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-
5,000.00
10,000.00
15,000.00
20,000.00
25,000.00
30,000.00
35,000.00
40,000.00
45,000.00
ATM KKM 1MDB
15,171.79
44,693.48
13,382.40
2,338.48
4,540.60
80.00
UBAT
BPPB
VALUE (RM)
0
10
20
30
40
50
60
70
ATM KKM 1MDB
59
67
43
18
12
2
UBAT
BPPB
VOLUME
169 medicines & 32 medical supplies Medicines = RM73K