HEALTH SERVICES AT EMERGENCY AND DISASTERS

MINISTRY of HEALTH of the REPUBLIC of TURKEYEmergency Health Services General Directorate

Dr . Muzaffer AKKOCA

A- 112 EMERGENCY HEALTH SERVICES

PROVINCIAL ORGANOGRAM

MINISTRY OF HEALTH

Local Health Authority

Branch Office of Emergency Health Services

(Ankara, İstanbul, İzmir, Bursa)

Local Ambulance Service (112)

112 Command and Control

Centre112 Station

Disaster Unit

UMKE

(National Medical Rescue Team)

Branch Office of Disaster Health Services

(Ankara, İstanbul, İzmir, Bursa)

112 EMERGENCY HEALTH SERVICES

AFETLERDE SUNULAN SAĞLIK HİZMETLERİ

Hotline-112Prompt and effective service at acsessing patients:10’- Local 30’- Remote Area

CapacityEmergency Health Station 2.234Ambulance 4.246Number of Plane Ambulance 3

Number of Sea Ambulance 4+2Number of Helicopter Ambulance 17Rapid Responce Team with motorcycle 60

Snow Track Ambulance 20

Ambulance with 4 stretcher 64Intensive care &obese Ambulance 91

112 EMERGENCY HEALTH SERVICES

112 Emergency

Capacity & Services

Patient transfered / year4.228.297

Rural Population coverage(%) 100

Number of population per ambulance18.561

112 EMERGENCY HEALTH SERVICES

TURKISH HEALTH MINISTRY AMBULANCE DEPLOYMENT PLACES

112 EMERGENCY HEALTH SERVICES

Air Ambulance Services Since 2008; Case attended and transfered: 30.156

• Inbound Service: 8.128 patient/injured transfered

with plane ambulance

• Outbound Service: From abroad totally 391

patient/injured were transfered

.

• 22.028 patient/ injured transfered with helicopter

ambulance

.

112 EMERGENCY HEALTH SERVICES

Sea Boat Ambulance Services

Since 2007;Case attended and transfered: 6.957

B- HEALTH SERVICES AT DISASTERS

HEALTH SERVICES AT DISASTERS – HEALTH DISASTER PLANS

Turkey Disaster Response Plan (TAMP)

Local Health Disaster and Emergency Plan (İL-SAP)

Hospital Disaster and Emergency Plan (HAP)

National Earthquake Strategy Plan(UDSEP)

DISASTER MANAGEMENT IN TURKEY

Probable Crisis Field

Regional Crisis

Management Centre

Prime Ministry Crisis Management Centre

Prime Ministry

Head of Turkey

Disaster and Emergency

Domestic and

Foreign Resources

Crisis Centre of related ministry Crisis Centres of Ministries General Staff

Crisis (desks) offices of the state institutions and

organizations

Garrison Command

Crisis (desks) offices of the state institutions and

organizations.

Crisis Centres of district governors

Needs

Precautions

Connection

Connection when needed

Govarnorate Crisis

Management Centre

HEALTH MINISTRY – HEALTH DISASTER COORDINATION CENTRE (SAKOM)

112 Call logging and Opr. Management

HEALTH DISASTER COORDINATION CENTRE (SAKOM)

112

Prime Ministry chief Search and Rescue

The Red Crescent AFOM

Turkish Military Command

AFAD (Emergency and Disaster)

General directorate of health for borders and coasts. TELE Sağlık

NGO’s WHO OCHA/INSARAG

Civil Aviation

Meteorology

Ministry of Internal Affairs

Coast Guard

SAKOM

Operation Management

NATIONAL MEDICAL RESCUE TEAM (NMRT)

Volunteer Health Staff Establishment: 2004 Staff number: 7.557

Theoretical Trainings Practical Trainings /

Practices

NMRT (NATIONAL MEDICAL RESCUE TEAM) LOGISTIC

NMRT (NATIONAL MEDICAL RESCUE TEAM ) vehicle

Mobile CC vehicle

Heavy Climate type mobile hospital

Inflatable tent hospital

Mobile hospital equipment

Mobile kitchen, bathroom-toilet and dorm

KBRN material and equipments

Mobile decontamination units

NMRT LOGISTIC

NMRT LOGISTIC

FOREIGN MISSIONS AND PRACTICES

2004 İran-Bam Earthquake

2004 Indonesia Tsunami Disaster

2005 Pakistan Muzafferabad Earthquake

2007 Afganistan Flood Disaster

2007 Sudan Nyala Sahara Hospital

2008-2013 Iraq transport of patient/injured

2009 Kazakhistan NATO EADRCC Practice

2009 Indonesia Earthquake

2010 Haiti Earthquake

2010 Release of Mavi Marmara

2010 Pakistan Flood Disaster

2011 Tunusia KBRN Practice

2011 Japan Tsunami ve Nuclear Leak

2011 Libya Establishment of Sahara Hospital

2011 Moldova NATO-EADRCC Practice

2011-2012 Libya release of patient/injured

2012 Somali transport of patient/injured

2013 Somali Embassy attack

2011-2014 Somali Sahara Hospital

2014 Gaza-Palestine transport of injured

2014 North Iraq Derebune /Bersava camps

health services

2015 Nepal earthquake

2011-… Health Services to Syrians

FOREIGN MISSIONS

First exam 28-31/12/2003 , 31.000 killed İran Bam Earthquake

First foreign mission held with organisational team Pakistan Muzafferabad Earthquake

İRAN BAM EARTHQUAKE (2003)

11 days mission20.000 vaccination

330 health staffChlorination,Public Health Services

33.000 response to injuriesTrainings

INDONESIA TSUNAMİ (2014)

Banda Aceh-90 days operation; With 17 physician, patient examined: 7600 +regional medical screening, medicine , public healthservices

HUMANITARIAN AID TO PAKISTAN (2005)

Commissioned Health Staff 213

Policlinical Examination 56.884

Inpatient Treatment 4.012

Surgery Number 429

AFGANISTAN FLOOD DISASTER (2007)

Patient examinations and medicine distributions with mules - 8 days

SUDAN SAHARA HOSPITAL (2006-2012)

Operation time:6 years

With 454 health staff,

451.340 medical examination, 5.661 surgical operation, 57.261 laboratuary examination made,

10.634 radiology services

5 ton medicine and medical materials used.

IRAQ TRANSPORTAION OF INJURED FROM AIR (2008-2013)

340 injured transported;

from Bagdad, Mosul, Kirkuk, Necef, Erbil to Ankara with C-130 Cargo (ambulance) plane.

2. INDONESIA PADANG EARTHQUAKE (2009)

National Medical Rescue Team (NMRT)

HAITI EARTHQUAKE (2010)

Health Staff 46

Clinical Examination 24.086

Laboratory Examination 1265

X-Ray 1024

Surgical Operation 353

ISRAEL MISSION AFTER «MAVİ MARMARA» (2010)

21 Injured humanitarian Aid Volunteers rescued by 3 Ambulance plane.

PAKISTAN FLOOD DISASTER (2011)

Duration of Operation :9 mnths

With 146 health staff (34

physician)

146.156 patient examination

9.307 laboratory

2081 x-ray

17388 surgery & treatment

JAPAN SENDAI EARTHQUAKE VE TSUNAMİ (2011)

• Duration of Operation :28 days

• With 50 SAR & 5 NMRT

SOMALİ (2011)

With 365 NMRT;

343.162 clinical examination,

2.672 surgical operation,

24.006 laboratory examination,

6.406 X-ray.

LİBYA INJURED RELEASE (2011)

Libya - 575 injured release by ships.

TRANSPORTATION OF INJURED FROM SOMALİ (2012)

Transportation injured from Mogadishu to Ankara.

INJURED TRANSPORTATION GAZA-PALESTINE (2014)

Gaza- 123 injured transported to Turkey for treatment.

HEALTH SERVICES TO SYRIANS

Since 29.04.2011,

Health Services given to Syrian Guests;

Emergency Health Services,

Public Health Services (Maternal and Infant Health, Environmental

Health, Vaccination, psychosocial support),

Diagnostic & Curative Health Services.

273.565 CAMP POPULATION

KİLİS ELBEYLİ- CONTAINER CITYPopulation of Syrians under temporary

protection- by cities

HEALTH SERVICES TO SYRIANS

Total clinical examination 10.016.084

In-patients 418.739

Surgical Operation 293.950

Total Delivery 67.586

HATAY, GAZİANTEP, ŞANLIURFA, KİLİS, MARDİN, KAHRAMANMARAŞ, OSMANİYE, ADIYAMAN, ADANA, MALATYA 946 NMRT (National Medical Rescue Team)

SUGGESTION

In order to improve health care personel competencies for disasters:

• Standardised emergency and disaster medicine trainings for Islamic Countries

• Islamic medical response teams for international operations

• Emergency/disaster medicine training and simulation center

Thank you