SECURITY AND DISASTER MANAGEMENT State Of Preparedness – State of Gujarat
-:19th Skoch Summit:-
India Habitat Centre-New Delhi-22/23 January-2009 Dr S. J. Gandhi M.B.B.S. D.P.H. Deputy Director (Epidemic) Commissioerate of Health Services Dept. of Health and Family welfare, Govt. of Gujarat Gandhinagar
FORMULATION OF GSDMA POLICY The policy resulted in a shift of focus from relief oriented
Approach to proactive disaster mitigation and risk Reduction
The policy identified hazard mitigation, vulnerability reduction, capacity building, integration of development planning with disaster management and emergency preparedness as the key activities to be undertaken as part of the long term strategy
Defined roles and responsibilities of all stakeholders in various phases of disaster management
-DISASTER APPROACH• Gujarat – A multi- Disaster prone state• A State vulnerable to
– Drought– Earthquake– Cyclone– Flood– Chemical disaster
• Preparation of multi- hazard vulnerability and risk atlas• Emergency Response Plans for each Disaster• Early Warning and Emergency Communication System
MULTI
ENACTMENT OF DM ACTSteps to prevent, mitigate and efficient emergency response and recovery of disastersFunctions of govt. departments well identified
Roles & responsibilities of district administration, local authorities, communities, NGOs, GSDMA, State Relief Commissioner clearly spelled out
Provision for declaring disasters
State Relief Commissioner and Collectors have been Empowered for emergency response
Integrating development with disasters
GSDMA has been provided statutory status
GSDMA’s role as an expert body for disaster prevention
District Level Management• In each District Collector office Disaster Cell has been
Made functional and 'Mamlatdar Disaster' (Revenue Officer) have been posted to Co-ordinate necessary actions in situation of any disaster
• At present out of 25 Disaster Cell in State 20 posts have been filled up. Posts are currently vacant in Jamnagar, Narmada, Dahod, Surendranagar & Valsad districts.
• 3 Posts of Disaster Mamalatdar also exist at State Control Room under State Relief Commissioner Control Room atBlock no 1 Sachivalaya.
DISASTER MANAGEMENT PLANS
• District level Multi Hazard DM Plan are prepared every year for all 25 districts in Gujarat State
• At the State level Comprehensive response plan for chemical ,nuclearhazards, cyclone and flood are updated and made available in public domain • Guidelines and SOP for cyclone contingency plan are prepared and sent to districts
• State level earthquake management plan is prepared with seismological parameters
• On site/offsite plan for chemical disasters exist in all districts of the state who are having large no. of Industrial units
State Department of Health & Family Welfare services has also developed following Infrastructures (for effect ive decentralization) with delegation of administrative and financial powers of services.
(1)Officies of Regional Deputy Director which have 5-6 districts under their administrative and technical control for Health & Medical Services, and they closely integrate them with respective Medical Colleges in their zone for the mobilization of Rap id Response Teams of experts like Physician, Pediatrician, Microbiologist, Epidemiologist, professors of PSM etc at the time of natural epidemics, calamities and other emergency conditions and their investigation and subsequent Documentation.
(2)Various pre-service & in-service training activit ies have been strengthened by State level institute of Health & Family Welfare Department as an apex organization with its regional & District Training Centers in all d istricts for continuous capacity building of the staff round the year.
Strategic Actions By Health & Family Welfare Department, Gujarat
(3) State Institute of Disaster Management for train ing of various Departments has become functional at Sardar Patel Institute of Public Administration (SPIPA) campus at Ahmedabad, who is conducting regular train ing courses on Disaster Management.
(4)Hospital Preparedness for Emergencies has been undertaken under HOPE training courses developed by WHO/USAID for onsite & offsite emergency medical and, Hospital management of mass casualties evaluations plans at the time of emergency.
5)GSDMA itself has taken an initiative to train village level volunteers to act as first responders from the community in the event of disaster.
Such training courses comprise components like first aid, triage, mass casualty management, emergency life saving measures and referralservices.
Strategic Actions By Health & Family Welfare Department, Gujarat
( (6)State Health Department has its own Central Medical Store Organization with Central & Regional medical stores for centralized procurement of drugs of prescribed quality and various equipments directly from manufacturers.
(7)Emergency Medical Serv ices (EMS) & Trauma Centers:It has been designed to provide on site medical services in the events like vehicular accidents, heart attacks, and mass casualties etc from most nearby hospitals who are well equipped and accessible round the clock.
(8)Course of Emergency Technician are carried out for health workers, nurses, ambulance drivers, ward servants, who are the first responders and trained in triage, A BC resuscitation, first-aid & communication with referral centers.
Strategic Actions By Health & Family Welfare Department, Gujarat
Disaster Management Services Web Site• The State Health & F W Department web site has been updated with
above heading on [email protected]• The various State regional & d istrict level Action Plans on Avian
Influenza, Natural Calamit ies, Chemical Disasters, Mass CasualtyManagement, Bio- Terrorism, useful contact numbers have been kept on the web-site.
• The useful training material and power point presentations in PDF format are also made availab le in the section of downloads for the ongoing training.
• Efforts have been initiated to impart specific hospital preparedness for management of disasters along with emergency hospital evacuationplans, incident command system etc under prescribed HOPE training programme for clinicians, orthopedic surgeons, hospital administrators etc.
State Level Management• Five sophisticated Vans with all life-saving equipments have
been recently procured by GSDMA & will be kept at Surat, Vadodara, Gandhinagar, Rajkot and Bhuj under Civil Hospitals to handle any such events of Mass casualty
• Needful Training has been arranged for the proper utilization ofequipments on 16th & 17th January 2009 by Gujarat State Disaster Management Authority at Gandhinagar.
• At least 10 Staff Members of Medical and Paramedical category per location of van will be trained for proper utilization ofequipments and they will function as T.O.T
• A post of Consultant, Emergency Medical Relief has been created at the State Level to further co-ordinate above issues
List of instrument under procurement for Disaster Preparedness 2008-09
N-95 Masks17
Triage System Kit18
Luminous Vests16
Life Jackets15
Breathing Apparatus14
Germicidal Protection (Chemical) Suits13
Stackable Stretchers12
Pulse-Oxymeter Capnograph (Multipara Monitor)11
Disposable Oxygen Cylinders10
Endotracheal Tube9
Laryngoscope8
B P Instrument with stand7
Oxygen Mask6
Ryle's tube5
Catheter4
IV stand3
Intracaths2
Endotracheal Intubations Models1
Name of InstrumentSr. No
Composition of RRT (Rapid Response Teams)
Health Personnel District State Central
Medical Epidemiologist District Health officer State Epidemiologist and Clinician
Epidemiologist and clinician
Microbiologist Pathologist or Lab technician
Microbiologist Microbiologist
Entomologist Malaria worker Entomologist or Malaria supervisor
Entomologist
Zone wise RRTs Repid Response team with district allotted
Poison Treatment Centers• Looking to the substantial growth of industries and chemical
units within the State there has been a need to establish PoisonTreatment & Management Centers in the Medical Colleges within the State.
• These Centers can be headed by HOD & Professor of Pharmacology and can be equipped with various life saving equipments and chemical anti dotes.
• In such centers patients of Poisoning with various chemicals due to accidental exposure and disasters in chemical industries can be admitted and suitably treated.
• Necessary guidelines & protocols has been issued.
Health & Medical Personnel Trained in Disaster Management
at SPIPA by GIDM
25Health Management af ter Natural Disasters30th29thJune2007
53Training Programme on Emergency Medical Response
14th13th September2007
15Epidemic Management12th11thOctober2007
208TOTAL
2006
2005
2005
2005
2005
Year
September
August
August
August
August
Month
29th
24th
22nd
8th
4th
FromDate
30th
25th
23rd
10t h
6th
Up to
20
24
25
24
22
No of OfficersTrained
Emergency Medical Response
Health & Medical Management in Disasters
Health & Medical Management in Disasters
Health & Medical Management in Disasters
Health & Medical Management in Disasters
Subject of Training
Year wise Health Personnel trained for Disaster Management in coordination with GS DMA
Y ea r Batc h No
CDM O/ Suptd. CDHO E M O BHO M O Sta ff Nurs e
X Ray Tec h
Lab Te c h P har ma cis t He al th
S uper vis or
1 9 3 0 1 9 0 0 0 0 0 2 2
2 6 3 0 0 1 5 0 0 0 0 0 2 4
3 0 0 0 0 0 1 2 2 2 5 4 2 5
4 0 0 0 0 0 1 1 2 3 4 4 2 4
20 06 -0 7 1 2 1 0 3 1 2 0 0 0 0 0 1 8
1 2 1 2 1 0 1 3 0 0 0 0 0 2 8
2 3 3 1 0 4 3 0 0 0 0 0 5 0
3 0 0 0 0 1 1 0 4 0 0 1 5 3 0
22 1 1 3 1 4 1 03 2 3 8 5 9 2 3 2 21Tota l
Total
C a te g o ry o f H e alth P ers o n n el
20 05 -0 6
20 07 -0 8
Year wise Health Personnel trained for Disaster Management in coordination with Indian Red Cross Society - Ahmedabad
2
1
1
Batch No
Medical College, Jamnagar
Medical College, Surat
Medical College, Vadodara
Place of Training
Emergency Medicine &
Disaster Preparedness
Name of Training
118Medical Students& Paramedicals
Medical Students& Paramedicals
Medical Students& Paramedicals
Categories of Personnel
427Total
1552008-09
1542007-08
Total No of Persons
Trained
Year
Addl. Di r DY. D ir As st Prof RDD CDMO / Suptd. CDHO E MO MO Total
2 006 -0 7 Ma y 0 0 0 1 0 3 0 1 5Ma y 0 0 0 0 0 0 4 1 5July 0 1 1 0 1 1 0 0 4Apr 1 2 0 0 4 0 0 0 7Nov 0 0 0 0 0 0 0 0 0
Tota l 1 3 1 1 5 4 4 2 21
2 007 -0 8
2 008 -0 9
Y ear w ise H ealth P erso nn el t rain ed fo r D isas ter M ana gem en t i n co o rd inat io n w ith N ID M /N D M A
C ateg o ry o f He alt h Perso n ne lYe ar Month
TYPICAL ADVERSE EFFECTS• Physical damage which may extend to surrounding area.• Large no of casualties involving deaths & serious injuries require
urgent medical attention on a large scale.• Trapped persons require special techniques & equipments for
retrieval and treatment.• Environmental degradation of air, water & land which sometimes
may take years to be rectified & so necessitate relocation of the population.
• Loss of employment of not only the involved persons but also of the affected area at large.
Mock-Drills:-
State: Gujarat
District Block Municipality/Village Scenario Remarks
Ankleshwar Ankleswar GIDC Off site Mock drill on Olium Leakage
Amod Rosa Tankariya village LPG Gas Leakage in IOCL Bottling Plant
Valiya Dungri village Industrial Gas leakage
Valiya Silodi Road accident Vagra IPCL, Dahej Industrial fire
Bharuch
Hansot Taluka level Flood Patan District level Earthquake Sidhpur Taluka level Flood Radhanpur Kamlapur village Earthquake Village level Chanasma Chanasma (Taluka level) Earthquake Chanasma City level Fire Harij Taluka level Fire Sami Taluka level Fire
Patan
Santalpur Taluka level Fire Rajkot city District level Serial Bomb Blast Tankara Tankara town Earthquake Padhdhri PadhdhriTown Earthquake Maliya Maliya Town Cyclone
Rajkot
Jasdan Jasdan town Fire
Ju naga dh city Corp oration level Fire d ue to Electr ic short circuit
School le vel
M angrol Ma ngrol town Cyclone V anthli Sa pur villa ge Cyclone V anthli School level ea rthqu ake
Juna gad h
K od inar Ta luka level cyclone P alitana city level Fire M ahu va Ma huva city Fire At school le vel T alaja T Fire N .J.Dosi, High
school B havn agar Nari village Ea rthqu ake T aluka le vel V allbhipu r Ta luka level Cyclone School le vel Ghogha Ta luka level Fire Ghogha Avanya village Fire Fa rm lan ds Sihor Ta luka le vel/ city
leve l Fire N on -DRM
Bha vna gar
B havn agar city Silve r Bell School Fire Am reli Sava rku ndla Ta luka level Ea rthqu ake K ham bha Ta luka level Flood
L imbdi Limd i town LP G Ta nker accide nt
Da sa da Nabran gp ura v illa ge Bu ilding collap se
C hotila Kha tdi Da kabd ala villa ge
Flood
Sure ndran agar
V ad hvan Va dvan village Drow nin g accide nt
Amirgadh Amirgadh Para (Village level)
Earthquake
Amirgadh Taluka level (on N.H.8
Road accident
Deesa Block level Road accident
Banaskantha
Bhavor Taluka level LGP Gas leakage
Non-DRM
Dehgam Paleya village Flood Non-DRM Gandhinagar Indroda village Earthquake
Gandhinagar (Non-DRM District)
Mansa Lodra village Flood Unjha Taluka level Fire Mehesana Mehesana town Fire in the LPG
Gas Godown
Bechraji Fire
Visnagar Fire in the LPG Gas Godown
Satlasana Drowning & Rescue drill at Dharoi Dam
Vijapur Fire Vadnagar Road accident Kadi GIDC, Kadi Fire
Mehesana(Non-DRM District)
Kheralu GIDC, Kheralu Fire
L u na va da T a lu ka lev el Flood De rol Dam Bu rst
P a nch ma ha ls ( No n-DR M Distr ict)
M orva H adap T a lu ka lev el Dam Bu rst M orva Dam Rap ar T a lu ka lev el E a rth qu ake B ha ch au T a lu ka lev el E a rth qu ake A nja r T a lu ka lev el E a rth qu ake A bdasa T a lu ka lev el E a rth qu ake L akhp a t T a lu ka lev el E a rth qu ake N akha tran a T a lu ka lev el E a rth qu ake B hu j T a lu ka lev el E a rth qu ake M u nd ra T a lu ka lev el C yclone
K achch h
M a nd vi T a lu ka lev el C yclone P orban d ar T a lu ka lev el C yclone Ranavav T a lu ka lev el C yclone
P orba nd ar
K u tiana T a lu ka lev el Flood V alsa d M a god Du ng ri V illa ge leve l Flood Jamn ag ar
Sa laya T a lu ka lev el T sun ami
Jod ia
T a lu ka lev el C yclone
Ja m Jod hp ur
T a lu ka lev el E a rth qu ake
Dw a rka T ata C hem ica ls L td . M ithap ur T a luka lev el
In du str ia l fire T alu ka leve l
Dw a rka T ata C hem ica ls L td . M ithap ur (T C L)
Fire T alu ka leve l
Total available B ed Strength in G ujarat f or Emergency Hospital Organization
Sr.No Type of institution Total No.of institutions
Beds
1 C.H.C 188 6684 2 District hospitals 25 4286 3 Taluka hospitals 21 1444 4 Mental Hospital 4 683 5 Other hospitals 6 54 6 Medical college hospitals 8 7460 7 Specialised hospitals 4 420 8 Grant-in-aid institutions 140 3610 9 Ayurved hospitals 45 1745 10 ESIS Hospitals 10 1395 Total available beds 26,386
S r N o D ist r i c t T a lu k a P H C M ob i l e U n i ts1 S u ra t C h or ya s i V a n j 1 V a n j*/
M a h uv a A n a va l 2 A n a va l* / B a r do l i S a rb ho n 3 S a r bh on */O lpa d M o r 4 O lp a d* / (M o r) /K a ra n jK a m r e j K a m re j 5 K a m re j
2 T a pi S on ga d h S on a g a dh 6 S o na g a dh ** */ (r e m o te )V a lod K a m a lku i 7 K a m a lku i*/U c hh a l K a r od 8 K a r od
3 B ha r uc h V a ga ra D a h e j , K e sh va n , 9 D a h e j** /A nk le s hw a r M a n dv a * B u z a rg 10 M a nd va * B u z a rgJa m b us a r J a m b us a r 11 N e t r a ng *
4 J a m na g a r D w a rk a V a r va l a 12 V a r va l a * */D hr ol l J a l i ya d e v a ni 13 J a l iya de v a ni* **Ja m jod hp u r J a m jo dh pu r 14 J a m jo dh pu r* **Jo diy a J od iya 15 J od iyaJo diy a J od iya 16 H a d iya n a * **
5 B h a vn a g a r V a rt e j N a r i 17 N a r i** /M a h uv a M a h uv a 18 M a hu va * **G a dh a d a K h od a la 19 D a d a v a ** *
6 M e h s a na K a di K a ly a np ur 20 K a ly a np u r** *7 P a ta n S a m i S a m i 21 L o la d a
R a dh a np ur G o ta rk a 22 G o ta rk aS a nta lp ur M a d hu t ra 23 M a dh ut ra ** /
8 R a jk ot M a l iy a M iya n a K h a kh re c h i 24 K h a kh re c hi /9 A m r e l i R a ju l a B he r a i 25 R a jul a ** /
L a th i C ha v a nd 26 C ha v a n d* ** /1 0 D a ho d L im b a d i L im ba d i 27 L im bd i*
D a ho d K a th a l a 28 K a th a l a * **D ha n pu r D h a np ur 29 M a nd ol* **
1 1 S a b a rk a n tha Id a r C hi to rd a 30 C hi to da * ** (R e m o te a re a )Id a r J a s w a ntg a dh 31 J a s va n tga dh ** * (R e m o te
)K he d br a hm a P os h ina 32 P o sh ina *B h i lod a L a s u niy a 33 L a su niy a *Id a r M u de t i 34 M u de t i*B h i lod a M u de t i 35 T o ra d a *
1 2 Ju na g a d h U na T a d 36 T a d* */V i sa va d a r K a l s a ri 37 K a l s a r i** *T a la l a S a s a n 38 S a s a n gi r* **M a n gro l M a n gr ol 39 M a ng rol* **U na J a m v a da / J o kh a dv a 40 T u l s i sh ya mK od ina r V e la n 41 V e la n ** *
1 3 B a na s ka nth a A m i r ga d h Iq ba lg a d h 42 I qb a lga d hV a v D h im a 43 D h im a * ** *B h a b ha r B ha b ha r 44 B ha b h a r* ** *V a v S uig a m 45 S u iga m ** **T h a ra d P i lud a 46 P i lu da * ** *
M o b ile C o m pr e he ns i v e H e a lt h C a r e Un it s
S r N o D is tr i c t T a lu k a P H C M ob i l e U n i ts1 4 S u re nd ra na ga r D a s a d a P a ta d i 4 7 P a ta di* * /
H a lv a d H a lv a d 4 8 H a lva d* */1 5 A h m e da ba d S a n a nd U pa rd a l 4 9 U p a r da l** *
D h a nd h uk a P ipa l i 5 0 P ip a l i* ** /1 6 N a vs a r i C h ik ha l i K he rg a m 5 1 K h e r ga m * /
C h ik ha l i R a nv e r i K a l l a * 5 2 R a n ve ri K a l l a * /N a v s a ri K ha ds u pa 5 3 K a ds u pa */C h ik ha l i A l ipo r 5 4 A l ip o r*G a n de vi G a d a t 5 5 G a da t * /Ja l a lp or e A br a m a 5 6 A b ra m a ** /
1 7 V a l s a d U m e rg a m F a ns a 5 7 F a n s a * */ K a p a ra da L a v ka r 5 8 L a vk a r / P a ra d i O rv a d 5 9 O r va d/ D ha ra m p ur S idu m b u r 6 0 S id um b a r/ V a l s a d A tga m 6 1 A tg a m /V a l s a d D ha ra s a n a 6 2 D h a r a s a n a * */U m a rg a m U m a rg a m 6 3 U m a r ga mK a p a ra da 6 4 K a pa r a d a
1 8 K u tc h R a pa r S uv a i 6 5 S u va i*/A n ja r B h im a s a r 6 6 B h im a s a r (C h )* * /
M u nd ra B h a d re sh w a r 6 7 B h a dr e s h w a r ** /R a pa r A de sa r 6 8 A d e s a r ** /B h a c ha u V a n dh iy a 6 9 S a m ik hiy a l i* * /B h a c ha u M a n fa ra 7 0 M a nf a r a ** /B h a c ha u J a na n 7 1 J a n a n ** * */B h u j G or e v a l i 7 2 G o re va l i** * */L a k h pa t G a d hu l i 7 3 G a dh u l i** * */R a pr a B e la 7 4 B e la * * ** /A b a da s a N a l iy a 7 5 A b d a s a * ** * /
1 9 N a rm a d a R a jpip a l a T a r op a 7 6 T a ro p a *S a g ba r a S a gb a r a 7 7 S a g b a ra *D e d iya pa da D e d iya pa d a 7 8 D e diy a p a d a * **
2 0 D a ng s -A hw a D a n g A hw a 7 9 G a lku n d* * *2 1 V a d od a r a C h h ota ud e p ur R a ng p ur ( S ) 8 0 R a n gp u r( S )
N a s w a d i G a d ha bo riy a d 8 1 G a dh a b or iy a d* * *S a n kh e d a B a ha d a r pu r 8 2 B a h a d a rp u rP a v i J e tpu r K a d va l 8 3 K a dv a l* **
2 2 P a n c h m a h a l G h og ha m b h a R a ga d h ba riy a * 8 4 R a g a d hb a r iya *K a lo l V e ja lp u r 8 5 V e ja lp ur *S a n ta rm p ur S a nt r a m pu r 8 6 S a n t r a m p u r* **N o te : * T ri b a l M o b i l e U n i ts
* * A g a ri y a M o b il e U n i ts* * * P o o r A re a M o b il e U n i ts* * * *B o r d e r a r e a M o b i le U n its / G P S
M o b ile C o m pr e h en s i v e H ea lt h C a r e U n it s
Mobile Units in Districts with Manpowerin Districts with Chemical Industries
13333Vadodara
8888Surat
5555Jamnagar
1111Rajkot
NGODriverMPHW/Staff Nurse
M.O
Man PowerNo 0f Mobile Units
District
141110615359793M.B.B.S. Doctor
997584152Anaesthetist
86236850Radiologist
625529106Pathologist
405914Neuro Surgeon
53013717Cardiologist
491036746E & T Surgeon
112860172Eye Surgeon
117557772Orthopedic
1771758477Pediatrician
376481271122Gynecologist
24956770199General Surgeon
16012026Psychiatrist
25326997157Physician
Non Govt.Govt.Non Govt.Govt.
Specialists at places other than District H.Q.Specialists at District H.Q .
Designation
INFORMATION ABOUT SPECIALISTS AND M.B.B.S. DOCTORS (GOVT. & NON GOVT.)
District wise Blood Bank FacilityN o . o f b lo o d b a n ks S r .
N o D i s tr i c t
G o v t . P r i v a t e V o l .o r g n . T o ta l 1 A h m e d a b a d 7 1 8 6 3 1 2 A m r e l i 2 - 1 3 3 B a n a s k a n th a 1 3 1 5 4 B h a r u ch 1 2 2 5 5 B h a v n a g a r 3 3 2 8 6 G a n d h in a g a r 1 2 2 5 7 J a m n a g a r 1 2 1 4 8 J u n a g a d h 1 4 2 7 9 P o r b a n d a r 1 - 1 2 1 0 K h e d a 1 1 4 6 1 1 A n a n d 1 3 3 7 1 2 K u t c h 3 3 2 8 1 3 M e h s a n a 1 3 4 8 1 4 P a t a n 2 1 2 5 1 5 P a n c h m a h a l s 1 1 1 3 1 6 D a h o d - 2 - 2 1 7 R a j k o t 0 3 8 1 1 1 8 S a b a r ka n th a 1 5 2 5 1 9 S u r a t 2 2 5 9 2 0 S u r e n d r a n a g a r 3 3 1 7 2 1 V a d o d a r a 3 2 3 8 2 2 D a n g s 1 - - 1 2 3 V a l s a d 1 - 3 4 2 4 N a v s a r i - - 3 3 2 5 N a r m a d a - - - - T o t a l 3 8 6 3 5 9 1 5 9
141110615359793M.B.B.S. Doctor
997584152Anaesthetist
86236850Radiologist
625529106Pathologist
405914Neuro Surgeon
53013717Cardiologist
491036746E & T Surgeon
112860172Eye Surgeon
117557772Orthopedic
1771758477Pediatrician
376481271122Gynecologist
24956770199General Surgeon
16012026Psychiatrist
25326997157Physician
Non Govt.Govt.Non Govt.Govt.
Specialists at places other than District H.Q.Specialists at District H.Q .
Designation
INFORMATION ABOUT SPECIALISTS AND M.B.B.S. DOCTORS (GOVT. & NON GOVT.)
Ambulances Available at each District Hospitals
6Mehsana/ VIsnagar129Surendranagar/ Limdi/ Dhangadra1113Kheda/ Nadiad105Junagadh99Himmatnagar88Gandhinagar77Bharuch65Godhara510Bhuj/ Mandavi/ Gandhidham46Ahwa37Amreli/ Lathi/ Savarkundala25Sola Civil Hospital1
No of A mbulancesName of District HospitalsSr No
Ambulances Available at each District Hospitals
1Tapi252Narmada24
151TOTA L
3Petlad232Palitana228Rajkot/ Dhoraji/ Jetpur/ Gondal2113Dahod/ Dev- Bariya/ Lunavada202Jamkhambhaliya197Valsad184Vadodara173Porbandar166Patan/ Deesa157Palanpur143Navsari/ Vansada13
No of A mbulancesName of District HospitalsSr No
Ambulances Available at each District Hospitals
1Tapi252Narmada24
151TOTA L
3Petlad232Palitana228Rajkot/ Dhoraji/ Jetpur/ Gondal2113Dahod/ Dev- Bariya/ Lunavada202Jamkhambhaliya197Valsad184Vadodara173Porbandar166Patan/ Deesa157Palanpur143Navsari/ Vansada13
No of A mbulancesName of District HospitalsSr No
28492566Class-IV
27904963782871124503797
Admin istrative staffPharmacistLab.,X-ray TechnicianDriversNursesOther Nursing staff
Class III
6264901343
Medical officersBiochemistAdmin istrative officers
Cl. II
94941322
Full timePart time
Class I specialists
Teaching hospitalNo.District hospitalCategory
Staff Available for Emergency Hospital Organization.
Available Man-Power With Department of Health & Family Welfare
104Director, Central Medical Store Organization
383438TOTA L ( Including Sachivalaya)
1915Director, Indian System Of Medicine And Homeopathy
5090Director, ESIS
1083Commissionerate of Food & Drug Control Admin.
29889Commissionerate of Health, Medical Services & Medical Education
Man PowerDepartment
Call 108• Toll free across the State for all
emergencies.
• It is available from all fixed lines and phones
• Common across the State for Medical, Police and Fire Emergencies
Ambulances• Light beacons• Siren• GPS• PA system• Mobile phone• Digital camera• Intercom• Inverter• Side lights• FM radio and
CD player• Pilot cabin
also A/C
Interiors • A/c• Defibrillator with
multipara monitor• Ventilator• Mini refrigerator• Storage spaces• EMT Seat• Oxygen delivery
system• Foot operated wash
basin• 5 types of stretchers• Fire extinguisher• Extrication equipment
Chemical Toxic Agents
NoneMucous membrane & skin irritation lacrimation
CN, CS (Mace)Riot Control Agents
NoneNoncardiac pulmonary edema, hypoxemia, Respiratory failure
PhosegenePulmonary Agents
Amyl nitrite, Sodium nitrite, Sodium thiosulfate
Cellular asphyxia, anaerobic metabolism, cardiovascular collapse, shock, CNS dysfunction, seizures, coma
Hydrogen cyanide, cyanogen chloride
Cyanides
British-Anti-Lewisite (BAL) for Lewisite only
Vesiculation, chemical burns of skin and mucous membranes
Lewisite, sulfur, mustard, phosegeneoxime
Vesicants
2-PAM, atropineCholinergic crisis, parlysis, vent failure, coma
Tabun, Sarin, So man, VX
Nerve agents
AntidotesEffectsNamesClass
Ammonia Leak
• Determine wind direction by letting some dust on ground.Run in direction other than that of wind
• Go away speedily in a vehicle• If leak is less, close doors & windows of
your house• Extinguish all open flames- gas, stove,
sigri.• Do not light match or lighter
Ammonia Leak
Accident
Wind Flow
Wind FlowSafe Direction To Run
Safe Direction To Run
Ammonia Leak• Life is more precious than belongings• Do not wait to collect some things• Release your cattle so that they run
away to safety
• Wash eyes & skin with copious amount of water if burning sensation
• If mouth & throat affected, rinse mouth with water and drink more water
Ammonia Leak• Reach nearest PHC or Hospital if
sensation persists• After reaching safety, return only when
authorities declare it safe• Cooperate with rescue measures taken by
authorities
Ammonia Leak- Action at PHC
• Assist evacuation• Guide on first aid• Establish ventilation with bag & mask• Administer IV fluids & antibiotics • Administer oxygen to critical cases &
transfer them
Ammonia Leak- Action at Hospital
• Hospitals identified in L0 phase• Oxygen inhalation• Keep patient in atmosphere rendered
moist with steam• Pain killers / analgesics• Antibiotics for respiratory infection• Artificial ventilation / tracheostomy
Ammonia Leak-Post accident activity
• Check residual functional disability• Certify accordingly• Learn lessons from the experience &
strengthen services accordingly• Teach safety drill in L0 phase
Chlorine Gas Exposure
• Unpleasant, irritating odour• Chocking, suffocation• Sense of tightness in chest• Laryngeal Spasm• painful, frequent coughing• Headache, pain & watering eyes• Abdominal pain, rapid respiration,
sneezing ---------------Mild Symptoms
Wish you all A Happy & Successful Disaster Preparedness