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
IN THE PAST..
3
NEW IMAGE…. At present
4
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
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)
6
Quarantine facilities- in the airport terminal (Yellow fever)
7
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
8
Penang Airport influenza commitee
9
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
10
Mobilize and preparation of the dedicated team, holding and
examination area, medical facilities and standard precaution (PPE),
documents etc to dedicated gate
11
Dedicated gate
12
Communication within Health team -Identification of work task and dedicated personal (medical team, investigation team and support team) - Done at dedicated gate
13
Coordination with staffs from other departments/ agencies
14
Preparing examination and holding area
15
Preparing examination and holding area
16
Preparing medical team
17
Essential medical equipment and sanitizer
18
Distributing of personal protection equipment (PPE) for dedicated staff handling the passenger
19
Preparing thermo scanner camera (body temperature screening) at dedicated gate
20
Distributing of Health Alert Card for the passengers (depends on the alert level from WHO/ Ministry/ State advise )
21
Example
Managing the passenger and patient under investigation (PUI)
22
Managing passenger flow at dedicated gate
23
Body temperature screening at the dedicated gate
24
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)
25
Medical team- examination area
26
PPE (mask) to the sick / patient under investigation
27
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 )
28
Medical examination of PUI
29
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
30
Preparing PUI to the dedicated hospital
31
Dedicated ambulance (from the hospital)
32
Transportation of the patient to the ambulance
33
Transportation patient to the ambulance
34
Transportation patient to the ambulance
35
Transportation of the patient to
the ambulance
36
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)
37
Active surveillance
38
Conclusion
Good communication and collaboration within airport authority/ agency is very important in providing good Public Health Response at POE
39
Thank you
40
Airport Assistant visit by ICAO…