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
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
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
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
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.
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
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
• 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