ASEAN Disaster Medicine

Workshop in Thailand:

Brunei DARUSSALAM presentation

DR NORAZLINA RAHMAN, Specialist Emergency Physician, Deputy Head of Department, RIPAS Hospital

DR HJH WADI HANA SUDIN, Assistant Director of Hospital Services, Ministry of Health

HJ MOHD SHAHRIN JUMAT, Head of Emergency Medical Ambulance Service, SSB Hospital

background

Brunei

1962 - The Great Flood

1980s - Fire outbreak in Water Village

1987 - Rasau Gas blow-out in Belait District

1991 - Poor Air quality resulting from Mt Pinatubo eruption

1998 - Regional haze

1999 - Flash Flood during La Nina

2007 - Strong Wind in Bandar Seri Begawan

2008 - Temburong Flash Flood

2009 - Extensive Flash Flood in Brunei Muara / Tutong and Belait District

2010 - Influenza A (H1N1)

2010 - Strong Wind in Bandar Seri Begawan

FLOODING AND LANDSLIDES NATIONWIDE

Okt 08 - Feb 09 FLOOFING IN

TUTONG & TEMBURONG

Feb – Apr 2008

FLOODING IN TEMBURONG

2008

FLOODING IN TUTONG Jan

2011, Jan 2014

INFLUENZA ‘A’ (H1N1) THREAT

Jun-Jul 2009

HAZE AND FOREST

FIRESJun-Sep 2009

OIL SPILL 2012

BUS CRASH IN KK 2011

DISASTER EVENTS

2007- 2014

EMERGENCY/ DISASTER

MEDICAL SYSTEM IN

BRUNEI DARUSSALAM

NATIONAL INTERNATIONAL

BRUNEI

VISION 2035

DISASTER

MANAGEMENT

EXPERIENCE

ASEAN Agreement on

Disaster Management and

Emergency Response

(AADMER)

Hyogo Framework

For Action

(HFA)

NATIONAL

DISASTER

COMMITTEE

DISASTER

MANAGEMENT

ORDER

NDMC

①National coordinating body for disaster response

②To ensure that all aspects of disaster management are considered through policies, strategies and practices implemented and guided by international, regional and national drivers.

③Through:

• Strategic planning of disaster

preparedness

• Improving Disaster Management Systems

• Enhance capabilities

• Disaster Risk Reduction

NDMC

Provide logistics

Temporary shelters for victims

Incident command

systems

Introduced to improve efficiency in disaster

response, with more systematic and coordinated

inter-agency communication

Disaster risk

management • Strategic National Action Plan

• Community-Based Disaster Risk Management

• Safe School Campaign

• In event of an MME, the role of Ministry of Health

(MoH) is to:

Provide medical rescue work at the disaster site,

Receive and render treatment to the injured victims

in hospital

• MME Plan provide guidelines for staff involved

within the MoH for management of casualties during

disasters.

• Standardised throughout the country

Major medical

emergencies

• Cooperation with various agencies

• National Disaster Management Centre,

• Royal Brunei Police Force,

• Royal Brunei Armed Forces,

• Fire and Rescue Services,

• Department of Civil Aviation,

• Brunei Shell Petroleum.

Major incidents

Air Crash Event

Non-Air Crash Event

Airport Traffic Control calls

HOTLINE for aircrash, fire

incidents, other emergency

incidents at Brunei International

Airport

MAJOR MEDICAL

EMERGENCY message from

any other sources eg. NDMC,

Police, Fire and Rescue Services,

or 991 calls

Verify Calls

Calls 991, A&E Department, Hospital Operator

DGMS A&E CEO

Contact & Inform

Hospital Switchboard to activate MME Plan

MME Activation through: a)Group SMS PUSH

b)Group Phone-calls c)Hospital Public Address System – “Code RED.”

Calls from Airport Traffic Control, Police Headquarter Gadong, Fire & Rescue Services, National Disaster Management Centre, Public, etc

ACTIVATION

OF MME

Medical rescue team

HOSPITAL’S

INCIDENT

COMMAND

SYSTEM

Hospital Emergency

operation centre

• Located near the A&E Dept, to coordinate at

operational level.

• Maintain an open communication with the

ICC.

• Ensures deployment of

resources is adequate.

Emergency medical

ambulance service

Non-conventional

threats

• Medical Rescue Team will report to Scene Officers and

dispatched to Cold Zone.

• Decontamination is done by Fire and Rescue/ HAZMAT

Team.

• Medical Rescue Team will treat patients at the Casualty

Clearance Centre (CCC).

• Decontamination facility at hospitals

Drills

• Oil spill

• Airplane crash

• Methane plant explosion

• Helicopter crash

• Counter-terrorism

International

cooperation

Regional and

international

• NDMC is the focal point for ASEAN’s sectoral body

ASEAN Committee on Disaster Management

(ADCM).

• Member of ASEAN Agreement on Disaster

Management and Emergency Response (AADMER)

• ASEAN Coordinating Centre for Humanitarian

Assistance on Disaster Management (AHA Centre)

• United Nations Disaster Assessment and Coordination

(UNDAC)

• United Nations International Strategy for Disaster Reduction (UNISDR) and United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA).

• With the UNISDR, the NDMC has been promoting disaster risk reduction particularly the priority areas of the Hyogo Framework for Action (HFA).

• Asian Disaster Reduction Centre

• Asia Disaster Preparedness Centre

• Pacific Tsunami Warning Centre

• Pacific Disaster Centre

Technical needs

• Disaster Medicine

• Training of professionals in Disaster

• Better collaboration with other agencies

• Hospital preparedness

• Decontamination facilities and logistics

• Improve specialised care in District hospitals

• EMS services

• Training for EMS staff

• Decentralisation of EMS services

• Improved access to rural areas

• CBRN threats

• Identification of agents

• Logistics support

• Large-scale disasters

Thank you