Transcript Concept and terms used by government of Estonia in the field of health care preparedness for disaster Ursel Kedars, M.D. Ministry of Social Affairs of.

Concept and terms used
by government of Estonia
in the field of health care
preparedness for disaster
Ursel Kedars, M.D.
Ministry of Social Affairs of Estonia
Public Service Academy of Estonia
Conceptual questions
 How disasters are characterized from medical
point of view in Estonia?
 What is the emergency preparedness ideology
the Estonian healthcare system is based on?
 How does the organization and management of
health care resources look like in emergency?
 What are the responsibilities of Estonian
Government and Ministry level in the area of
health care preparedness for emergency?
 What are the definitions of important terms
used in Estonia?
How disasters are characterized from
medical point of view in Estonia?
Disasters (i.e. emergencies) are characterized
by
 an acute and unforeseen imbalance
between the capacity and resources of the
healthcare system and the needs of the
victims or the people whose health is
threatened, over a certain period of time,
taking into account the number of victims.
Emergency preparedness ideology
the healthcare system is based on
 The strategy aimed at limitation of the
effects of a disaster on health is reached in
particular through saving the greatest
possible number of victims.
 Close cooperation between central and
local authorities according to a strategy
aimed at prevention and the limitation of the
effects of a disaster on the health of
populations concerned
Emergency preparedness ideology
the healthcare system is based on
Disaster medicine ideology incorporates :
 medical resources (emergency health care,
public health techniques, medical stockpile
etc)
 non-medical resources, capabilities and
services (fire and rescue services etc).
 disaster medicine and management
methodologies
Organization and management of
health care resources in emergency
 Governmental Crisis Committee – Government
 Governmental Crisis Management Team
 Crisis Management Team of Ministry of Social
Affairs – Minister of Social Affairs
 Emergency Medical Coordinator
 Rescue Work Coordinator
 On-Scene Operation Commander
 On-Scene Medical Commander
 Headquarters (on-scene management structure)
 IMS & IMMS methodologies
Estonian Government in the area of
preparedness for emergency
 Crisis (management) Committee of the
Government of Republic is the main structure
formed by Government in order to develop
a crisis management policy and make
proposals for coordinating and directing the
activities of ministries in the field of crisis
management.
 Crisis Management Team formed by the
Crisis (management) Committee of the
Government which closely cooperates with
crisis management committees of counties.
Ministry of Social Affairs in the area of
preparedness for emergency has to:
 form a crisis management team of Ministry
 perform risk assessment in order to identify the
emergencies which may occur
 prepare crisis management plan for health care
and ensure the implementation of plan in an
emergency
 organize crisis management training in its area
of government
 direct the responding to an emergency in its
area of government, i.e. health care emergency,
medical field operations
Definitions of important terms used
in Estonia based on legal framework
 Emergency (disaster)
 Health care emergency
 International emergency
 Emergency situation (state of emergency)
Definitions of important terms used
in Estonia based on legal framework
 Crisis management
 International crisis management
 Crisis Management Team
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
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Government CMT
Ministry CMT
County CMT
Definitions of important terms used
in Estonia based on legal framework
 Emergency medical coordinator
 Rescue work coordinator
 Headquarters – temporary management
structure


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
Rescue commander onsite
Medical commander onsite
Police commander onsite
others
Definitions of important terms used
in Estonia based on legal framework
 Catastrophe
 Natural disaster
 Spread of infectious disease
 National stockpiles
Thank You!