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PUBLIC HEALTH RESPONSE- COMMUNICABLE DISEASES EXPERIENCE AT PENANG INTERNATIONAL AIRPORT By: DR SUNITA BT ABDUL RAHMAN PUBLIC HEALTH PHYSICIAN MD(USM), MPH(UM) SENIOR MEDICAL OFFICER AT PENANG INTERNATIONAL AIRPORT HEALTH OFFICE MINISTRY OF HEALTH MALAYSIA 1
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Page 1: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

PUBLIC HEALTH RESPONSE- COMMUNICABLE DISEASES EXPERIENCE AT PENANG INTERNATIONAL AIRPORT

By: DR SUNITA BT ABDUL RAHMAN

PUBLIC HEALTH PHYSICIAN MD(USM), MPH(UM)

SENIOR MEDICAL OFFICER AT PENANG INTERNATIONAL AIRPORT HEALTH OFFICE MINISTRY OF HEALTH MALAYSIA

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Page 3: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

IN THE PAST..

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Page 4: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

NEW IMAGE…. At present

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Page 5: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Penang Airport Health Office

Located at 1st floor at Arrival Curbside

Main activities: Preventive and control measure at POE

Vector control activities (Yellow fever, plague) Food and water Safety and

Quality Tobacco enforcement

activities at POE 5

Page 6: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Cont.. Health surveillance and response of

communicable diseases (body temperature screening for all international passenger arrival at POE) Quarantine facilities (located at 3rd floor-

international wing)- Yellow Fever Medical emergency facilities (Air Disaster

Unit)

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Page 7: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Quarantine facilities- in the airport terminal (Yellow fever)

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Page 8: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Penang International Airport Influenza Pandemic Committee

Chairman : Senior Airport General Manager ofMASB Secretary: Senior Airport Medical Officer of Health Members: - DCA - Penang International Airport Health Office - Malaysia Airport Sdn Bhd - Immigration department - Royal Malaysian Custom - Royal Malaysian Police - Airlines Operating Committee - Department of veterinary services

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Page 9: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Penang Airport influenza commitee

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Page 10: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Process of handling Communicable Diseases at POE

• Received the notification about the event – pilot in command notification to air traffic control for

suspected onboard requested medical personnel on arrival and request gate number

• ATC will alert MAB on possible cases of communicable diseases

• Dissemination of the information from Malaysia Airport to all stakeholders ( Health Authority, Immigration , Airlines and others agency involved in the committee for response

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Page 11: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Mobilize and preparation of the dedicated team, holding and

examination area, medical facilities and standard precaution (PPE),

documents etc to dedicated gate

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Page 12: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Dedicated gate

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Page 13: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Communication within Health team -Identification of work task and dedicated personal (medical team, investigation team and support team) - Done at dedicated gate

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Page 14: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Coordination with staffs from other departments/ agencies

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Page 15: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Preparing examination and holding area

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Page 16: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Preparing examination and holding area

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Page 17: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Preparing medical team

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Page 18: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Essential medical equipment and sanitizer

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Page 19: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Distributing of personal protection equipment (PPE) for dedicated staff handling the passenger

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Page 20: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Preparing thermo scanner camera (body temperature screening) at dedicated gate

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Page 21: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Distributing of Health Alert Card for the passengers (depends on the alert level from WHO/ Ministry/ State advise )

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Example

Page 22: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Managing the passenger and patient under investigation (PUI)

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Page 23: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Managing passenger flow at dedicated gate

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Page 24: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Body temperature screening at the dedicated gate

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Page 25: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Body temperature screening at dedicated gate

• Patient under investigation (PUI)- received guideline criteria from Ministry of Health

• PUI- sign and symptoms (fever, coughing, sore throat, difficulty in breathing)

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Page 26: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Medical team- examination area

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Page 27: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

PPE (mask) to the sick / patient under investigation

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Page 28: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Investigation team • Taking patient

information- name, contact person, address staying in Malaysia, duration of staying, history of travelling etc

• Notification to the higher authority (Health department/ state/ Ministry level )

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Page 29: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Medical examination of PUI

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Page 30: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Preparing PUI (patient under investigation) to dedicated hospital

•Staff nurse in charged will contact the call centre for dedicated ambulance

•Clearance of the passport

•Clearance of the luggage

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Page 31: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Preparing PUI to the dedicated hospital

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Page 32: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Dedicated ambulance (from the hospital)

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Page 33: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Transportation of the patient to the ambulance

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Page 34: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Transportation patient to the ambulance

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Page 35: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Transportation patient to the ambulance

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Page 36: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Transportation of the patient to

the ambulance

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Page 37: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Health measure

• List of passenger and crew infected flight • List of staff handling with PUI • Inspection of the aircraft • Disinfection procedure • Health alert card • Active medical and health surveillance • Risk communication (? types of disease, morbidity

and mortality, prevention and control measure)

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Page 38: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Active surveillance

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Page 39: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Conclusion

Good communication and collaboration within airport authority/ agency is very important in providing good Public Health Response at POE

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Page 40: PUBLIC HEALTH RESPONSE- - CAPSCA · public health response- communicable diseases experience at penang international airport by: dr sunita bt abdul rahman . public health physician

Thank you

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Airport Assistant visit by ICAO…


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