MANAGING A PANDEMIC IN MANAGING A PANDEMIC IN SENEGALSENEGAL

Presented byPresented by: Major Amadou Fall C. DIOP: Major Amadou Fall C. DIOPHead of Division of Civil Protection DirectorateHead of Division of Civil Protection Directorate

Disaster

SIMULATION EXERCISES FOR ACTION TO BE SIMULATION EXERCISES FOR ACTION TO BE TAKENTAKEN

IN THE EVENT OF AN INFLUENZA PANDEMICIN THE EVENT OF AN INFLUENZA PANDEMIC

INTRODUCTION The rising number of natural or man-made disasters has

become a global reality.

The sinking of the “Joola” ship and the floods in the Dakar region (1999 through 2009) are among the greatest disasters that happened in Senegal.

That is why the country is currently better prepared for these exceptional events and each community and public service needs to know how to deal with them.

MAIN THRUST

The ORSEC Plan, in its structure and implementation, is the State’s priority instrument (Ministry of the Interior, government and prefecture) for dealing with disasters.

However, the fact that it was of only limited efficacy during the most recent disasters occurring in the nation ought to encourage us to improve it.

PLANI. PROVISIONS FOR THE ORSEC NATIONAL PLAN1.1 Reminder of the definitions and features1.2 Organization1.3 Objectives of the various structures

II. NATIONAL PANDEMIC CONTINGENCY PLANS2.1 Objectives2.2 Risk assessment2.3 Factors that could facilitate the spread of an influenza outbreak among the population 2.4 Assumptions made when planning2.5 Planning chart

11. REMINDER OF THE DEFINITIONS AND FEATURES

DISASTER: An extensive environmental event causing loss of life to humans and animals and/or losses of property. This kind of event can prevent the affected community from functioning, rendering it unable to deal with the situation on its own.

ORSEC PLAN: Senegal’s ORSEC Plan centers around a network of public and private, civilian and military entities created by the Ministry of the Interior. The ORSEC Plan is the only administrative and operational organization dealing with any kind of disaster. Its objective is to protect the people in general, preserve property, and safeguard the environment.

The ORSEC plan was created on three levels, all along the same linesall along the same lines: NationalNational ORSEC Plan RegionalRegional ORSEC Plan LocalLocal ORSEC Plan

I. NATIONAL ORSEC PLAN ARRANGEMENTS

11. REMINDER OF DEFINITIONS AND FEATURES

The ORSEC Plan applies the principle of internal breakdown of the structures of which it consists, as follows:SEC Plan was created on the principle of breakdown of the internal structures of which it consists which is: Modular (toolbox that can be used depending on the circumstances)Incremental ( from local ORSEC to regional ORSEC to national ORSEC)Cooperative ( combinations of various bodies and organisations)Adaptable ( to both predictable and unpredictable disasters)

1.2. NATIONAL ORSEC PLAN ORGANIZATION

EMCMINT

CDT FIRE BRIGADEHead of Security

Admin. AuthoritiesLOCAL AUTH.

Resources control UnitDPC

Contact Transmission Unit

Head of Communication

INFO PR UNITHigh Command

Health Mutual Aid Unit

Head of Health Dpt.

Save and Rescue Unit

Fire Brigade Deputy

Commander

Police Info Circulation UnitHead of Police

Dpt.

Transport and Work Unit

Head of Public Works

The main government departments involved by the National ORSEC Plan are the Ministry of the Interior, the Ministry of the Armed Forces, Ministry of Education, Ministry of Health, Ministry of Communications, Ministry of Industry, Ministry of Energy, Ministry for Hydraulics, the Ministry of Finance, Ministry of Environment, Ministry of Transport, Ministry of Justice and Ministry of Labor.

1.3 THE TASKS OF THE ADMINISTRATIVE BODIES

CHAIN COMPOSITION* HEAD M I S S I O N S

OF

COMMAND

General StaffHigh Command

Minister of theInterior

Planning, coordinating and monitoring the implementation of measures designed to control the disaster.

Promoting the coordinated involvement of civilian and military, national and international resources placed at the Government's disposal.

Resourcesmanagement committee

Head of CivilProtection

Conducting a census, ensuring the constant updating and mobilization of resources of the National ORSEC Plan;

Ensuring logistical support from the High Command in support cells and operational units.

Contact andtransmission

UnitHead of ArmyCoordination

Implementing a communications system in order to manage and coordinate National ORSEC Plan operations.

Information and

Public RelationsUnit

Head ofCommunication

Gathering, processing and circulating information for public consumption;

Organising conferences or press briefings with the Ministry of the Interior or its representatives;

Hosting media representatives and supplying them with information destined for the public.

* The colors help identify the various departments of the National ORSEC Plan

1.3 MISSION OF THE VARIOUS DEPARTMENTS

OPERATIONAL

UNITS

Save-and-RescueUnit

Fire Brigade Deputy

Commander

Ensuring rescue ; Ensuring people’s safety ; Rescuing the victims.

Health and Mutual

Aid UnitHead of Healthand Hygiene

Implementing public heath initiatives, ensuring the victims’ evacuation to hospitals, as well as assistance to the disaster victims.

Police Information Circulation

Unit

Headof National

Security

Gathering information on the situation and drawing up a report for the authorities;

Setting up a safety perimeter around the disaster area;

Maintaining or restoring law and order and ensuring smooth traffic flow;

Recording the number of fatalities, in collaboration with “Health and Mutual Aid”;

Ensuring that the administrative and detective police forces are implementing all the necessary measures;

Notifying and performing necessary requisitions.

Work and TransportUnit

Head ofPublic

Transportation

Meeting transport needs ; Restoring communications and repairing public

works; Building temporary shelters; Identifying and providing a secure location for

the victims.

II. NATIONAL PANDEMIC CONTINGENCY PLAN

2.1 - OBJECTIVES • Main objective: Minimizing the social, economic, and public health

impact of an influenza pandemic in Senegal

•  Specific objective:–  Coordinating preparations, responses and rehabilitation work for the

influenza pandemic within existing mechanisms on a national, regional,

and local scale.

– Reinforcing national prevention capabilities and taking control of cases.

– Ensuring continuity of the essential services.

2.2 - RISK ASSESSMENTThe pandemic threat

• Influenza is a very contagious infectious respiratory disease, caused by a

virus.

• H1N1 influenza viruses may cause repeated pandemics, but at

unpredictable intervals (10 through 50 years)

• Four pandemics occurred since 1900:

– 1918:40 million fatalities.

– 1957: 2 million fatalities.

– 1968:1 million fatalities.

– 2009: 399,232 cases, 18,337 fatalities

• Pandemics are events associated with high rates of morbidity,

mortality and a considerable distruption to social and economic life.

– Direct Impact on the health sector

• Massive influx of patients

• Direct costs caused by increased consultations and hospitalization, excessive

consumption of antiviral medications, purchase of anti-flu vaccines, work

stoppages…

– Indirect Impact, resulting in loss of production due to absenteeism,

estimated at 25 to 45% .

Graphic : Estimate of the number of cases and deaths in Senegal in the event of an influenza pandemic with a category 5 severity level (Pandemic Health Impact Projection Tool-CDC).

Pandemic in Senegal of a severity comparable that of 1918 (Scale V) ?

3,752,830 cases

341,508 deaths

Graphic: Estimate of the number of cases and deaths in Senegal in the event of an influenza pandemic with a Category 5 severity level (Pandemic Health Impact Projection Tool-CDC).

2.3 - Factors liable to facilitate the spread of an outbreak of influenza within the population:

– High population concentration in Dakar and in religious centres: Touba, Tivaouane , Poponguine, etc.

– Migration +++

– Tourism– Overcrowding +++: 9 people per household

– Poverty 33.5 % living below the poverty line– Free movement of people and goods within the EUMOA area

– Low level of knowledge of the population about the disease: only 56% of school students were aware of the influenza pandemic (BDA Study).

Situation Situation 0 Situation 1

Situation 2

Situation 3

Situation 4

Situation 5

Indicator Early alert during interpandemic period

Virus circulating outside the African continent

Virus circulating in neighboring countries

Senegal experiences first cases of influenza

Senegal affected by a flurry of cases

Number of influenza pandemic cases drops in Senegal and in most other countries.

WHOPhase

Pre-pandemic period

Pandemic period(Phase 6)

Post-pandemic period

2.4 - Planning Assumptions

2.5 - Contingency Plan Trigger Chart

Situation 0 through 3

Situations 4 and 5 without government ability to

respond exceeded

Situations 4 and 5 with government ability to respond

intact

Pandemic Control

CommitteeExternal AidOrsec Plan

Correspondence between the cluster approach and the ORSEC plan

" Coordination continuum "

Main sectors (Cluster approach and whole of society)

International lead organisations and UNS

ORSEC Plan cells Lead Senegalese government

Coordination OCHA High Command Ministry of the Interior

Health WHO Health and Mutual Aid Operational Unit

Ministry of Health

Rescue Red Cross Save-and-Rescue Operational Unit

Ministry of the Interior (Fire Brigade)

Security and Order _ Police Information Circulation Operational Unit

Ministry of the Interior

Transportation and logistics PAM Transport and Works Operational Units

Ministry of Public Works and Government Services

Energy _Water and Sewerage UNICEFFood and Nutrition UNICEFTelecommunications PAM Contact and Transmission

Support UnitMinistry of Armed Forces

Communication UNICEF Information and Public Relations Support Unit

Ministry of Communications

Finances - Resources Control Comittee Ministry of Finance

Intervention chart of the various sectorss depending on the situation

Situation 0 through 2

Situation 3

Situation 4 Situation 5

Coordination

Health

Rescue

Security and Public OrderTransportation and LogisticsEnergy

Water and Seweage

Food and Nutrition

Telecommunications

Communications

Finance

Multisectoral and cross-sectoral

preparation

Intervention chart of the various sectors depending on the situation

Situation 0 to 2

Situation 3

Situation 4 Situation 5

Coordination

Health

Rescue

Security and Order

Transportation and logisticsEnergy

Water and decontaminationFood and Nutrition

Telecommunications

Communications

Finance

Multisectoral and cross-

sectoral preparation

Response and

Coordination of the Health

sector

Intervention chart of the various sectorss depending on the situation

Situation 0 à 2 Situation 3

Situation 4 Situation 5

Coordination

Health

Rescue

Security and Public OrderTransportation and logisticsEnergy

Water and Sewerage

Food and Nutrition

Telecommunications

Communications

Finance

Multisectoral Response and Coordination

ORSEC Plan

International Organizations

Intervention chart of the various sectorss depending on the situation

Situation 0 through 2

Situation 3

Situation 4 Situation 5

Coordination

Health

Rescue

Security and Public OrderTransportation and logisticsEnergy

Water and Sewerage

Food and Nutrition

Telecommunications

Communications

Finance

Multisectoral recovery and coordination

Intervention chart of the various sectors depending on the situation(Summary)

Situation 0 through 2

Situation 3

Situation 4 Situation 5

Coordination

Health

Rescue

Security and Public OrderTransportation and logisticsEnergy

Water and Sewerage

Food and Nutrition

Telecommunications

Communications

Finances

Preparation Response Recovery

Thank you very much for your attention!!!!