• Samuel E. Molind, DMD, FABOMS, FICD, FACOMS• Coordinator, Team Leader Global Health Relief

THE PHARMACIST’S ROLE IN EMERGENCY MEDICAL RELIEF

GHR USUAL CLINICS:

• Out‐patient clinic  setting • Generally ambulatory with mild‐to‐moderate acute conditions  (e.g., diarrhea, pain, infection, dermatologic conditions, etc.)

• Patients with common Chronic diseases and moderate –to‐severe acute conditions .

Here  is what we want and need!!

AREAS FOR A VOLUNTEER TO CONSIDER IN DISASTER RELIEF

• Good Health • Good Physical Condition

• Harsh Weather• Experienced in Disaster Relief / Missions

• Primitive Living Conditions

• Security Concerns• Cultural Adaptation

SPHERE CORE BELIEFS

• The right to life with dignity and therefore the right to assistance.

• All possible steps should be taken to alleviate human suffering.

What is Sphere?

Humanitarian Charter

Protection Principles

Core Standards

Water Supply, Sanitation and 

Hygiene Promotion

Food Security and Nutrition

Shelter, settlement and Non‐Food 

ItemsHealth Action

Core Standards

SPHERE MINIMAL STANDARDS ARE EVIDENCE-BASED AND REPRESENT SECTOR-WIDE

CONSENSUS ON BEST PRACTICES

• Water Supply• Sanitation

• Hygiene Promotion

• Food Security• Nutrition• Shelter• Settlement• Health Actions

HEALTH CLUSTERS:

Nightly Health Centered Meetings

• World Health Organization• Ministry of Health• International Committee of the Red Cross• Medical Teams (Surgical Hospitals, Medical Centers, Mobile Clinics, etc.

• Potable water and Sanitation• Food, Nutrition, Distributions  and Security• Shelter and Non‐food items

Pharmacotherapy Consults

Disease  Management 

Support

Clinical Services 

Medication SafetyImmunizations

Health & Wellness Consults

Medication Therapy Reviews

Medication Therapy

Management

GREATER COMPLEXITY IN THE DISASTER SETTING

Changing Environment with increasing responsibilities and Expectations.

• Formulary Composition• Challenge of Securing 

Medications• Logistics of Receiving 

Medications• Safe Storage – From weather 

and secure from pilfering • State of  Patient’s  Living 

Environment • Limited Formularies and the 

Increased need for Therapeutic Substitutions

• Patient’s Decreased Ability to Appropriately Store Medications

• Decreased Access to appropriate  nutrition and Hydration

• Limitations to the Healthcare System• Diminished Access to Long Term Care• Limited Ability to Maintain Continuity 

of Care

THE ONLY CERTAINTY IN A IN A CRISIS-RESPONSE OPERATION IS THE REQUIREMENT TO CHANGE AND ADAPT TO CONSTANTLY EVOLVING DISASTER CONDITIONS AND MEDICAL-RESPONSE CAPABILITIES.

Risk Analysis

Essential Preparedness:

• Immunizations • Birth Certificate• Passport• Mirror • Sun Shower• Knife/Leatherman• Cook Pot (eating Utensils, cup, plate• Towels • Mosquito Net –Long Road Travel Tent• Small Fan• Solar Charger• Camera • Extra Hiking shoes• Hat• Sunglasses• Headlamp / Batteries / LE Flashlight• Appropriate personal Clothing.

Packing Your Go Bag

• Waterproof duffle bag• Sleeping bag or liner• Air mattress• Pillow• Towels (microfiber)• Waterproof LED flash light• Water Purification Kit• Water Bottle 2 Liter +• Slicker / Raincoat• Toilet Paper• LED Headlamp• Cooking / Eating Kit• Money Belt• Pen  &  Paper• Permanent Marker• Snacks / Light Food• Watch• Professional Credentials 

• Sufficient amount of Cash• Sun Screen / Hat• Personal Hygiene Products• Eye glasses  & Sunglasses• Socks & Undergarments• Change of Shoes & Flip Flops• Shirts & Pants  + Scrubs• Back Pack

We Need YOU as part of our Global Health Relief Team!

Pray about it.Sign up – be “On Call”www.cmda.org/ghr

Pray for our wholisticOutreach.

China: 10/10‐24,2014