Transcript NIPPP WHO 26_28 APRIL - Ministry of Public Health

CPRC
DISEASE CONTROL DIVISION
MINISTRY OF HEALTH MALAYSIA
[email protected]
DEFINITION
Crisis - 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
INTRODUCTION
CPRC 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
DISASTER
CRISIS
O
U
T
B
R
E
A
K
MALAYSIAN EXPERIENCE
Malaysia has been spared from major natural disasters. However, there is a
history of health emergencies caused by biological and natural hazards.
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
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 poultry
 Dengue & Chikungunya & Pandemic H1N1 2009
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
DEP-MINISTER OF
HEALTH
DIRECTOR-GENERAL OF
HEALTH
CPRC TECHNICAL
COMMITTEE
DDG (MEDICAL)
DDG (PH)
MEDICAL
SERVICES
DISEASE CONTROL,
HEALTH EDUCATION
SENIOR
DIRECTOR PHARMACY
DDG (P&ST)
NIH, ENGINEERING
CPRC
ORGANIZATION CHART
COMMANDER
SECRETARIAT
DEPUTY COMMANDER
LIAISON OFFICER
ADMINISTRATION
LOGISTICS
OPERATIONS
Health Education
Surveillance and Epidemiology
Technical Information & IT
Documentation
Resourve Management,
PLANNING
CPRC
ORGANIZATION CHART
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 Unit
Surveillance Section
Supplies and Procurement Unit
Health Promotion and Information Unit
Guidelines Unit
Logistic Unit
Task:
Issuing directive and commands
Chair National Operations Room meeting
Oversees overall crisis response
CPRC
FUNCTION OF EACH UNIT
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 protective
equipment (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.
Table 3.3f: On-Call Surveillance incidents reported to the
CPRC in 2011
Nature of Incident
Numbers
Percentage (%)
151
53.2
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
284
100
Food Poisoning
Hand Food and Mouth Disease (HFMD)
Total
CPRC: FLOW OF DATA
MANAGEMENT & REPORT
Crisis/Disaster/Outbreak/PHEIC
Physician / Paediatrician
Lab –district / State
Dep. Director
Medical
Hospital Director
District MOH
IMR /NPHL
Dep. Director PH/
Epid Officer
State Health Director
CPRC
Director General
Minister /
Sec-Gen
Dep. DG (PH) /
Director Disease Control
WHO / others
SPEED OF INFORMATION FLOW
DISTRICT
You need to set the time appropriately
STATE
By 3.00pm
By 5.30pm
CPRC
(DIRECTOR OF DISEASE CONTROL)
MINISTER
By 8.00 am next day
DG
DDGs
By 12.00 noon
OTHER AGENCIES
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 Room
Only authorized personnel will be allowed in
Security:
Access only with thumb print reader machine
No information will be allowed out without the approval of Deputy
Commander or Liaison Officer
No equipment is allowed to be taken out
CPRC
TELEPHONE, FAX & HOTLINE
Telephone:
03 – 8881 0600 / 03 – 8881 0700
Fax:
03 – 8881 0400
03 – 8881 0500
Handphone:
013 – 669 9700 (Surveillance On-Call)
012-791 6811 (H1N1)
03 – 8881 0200 / 03 – 8881 0300
(in the Hotline Room)
Hotline:
Webpage:
http:www.moh.gov.my
Email:
[email protected]
THANK YOU
http://www.moh.gov.my/survelans