Simulation Exercise

1
Simulation Exercise

• Discussion of Management Issues

2
Members of the EOC

• Functions selected for representation on the
  Health Sector EOC?
• Why?

3
First flight to Neper
LEVEL CENTRAL LEVEL CENTRAL 10
Subject relief flight Time after impact 4 H Source M o D (Defense) Addressee M o H Source M o D (Defense) Addressee M o H
The relief flight is leaving in app. one hour. The director of the military hospital in Sto Foligro is sending a medical team, equipment and supplies. Is the MoH sending some one? There are up to three seats available. Other flight will leave in the afternoon, whether permitting. A convoy of military and civilian trucks will also leave later in the day. The relief flight is leaving in app. one hour. The director of the military hospital in Sto Foligro is sending a medical team, equipment and supplies. Is the MoH sending some one? There are up to three seats available. Other flight will leave in the afternoon, whether permitting. A convoy of military and civilian trucks will also leave later in the day. The relief flight is leaving in app. one hour. The director of the military hospital in Sto Foligro is sending a medical team, equipment and supplies. Is the MoH sending some one? There are up to three seats available. Other flight will leave in the afternoon, whether permitting. A convoy of military and civilian trucks will also leave later in the day.
4
Mass media
LEVEL CENTRAL LEVEL CENTRAL 5
Subject hospital damages Time after impact 3H 40 M. Source CNN Addressee None Source CNN Addressee None
The secretary of the Minister informs that CNN is broadcasting that The main hospital would be severely damaged in Neper. CNN also reports that, according to one international NGO, the number of casualties would be very large and remain without attention. In a satellite telephone interview, a doctor in the hospital of NEPER is requesting immediate assistance with blood, drugs, equipment and any other assistance. The hospital has been almost destroyed and patients are treated in make-shift facilities outside. The Ambassador of Dearland in Washington is making an emotional appeal for immediate medical assistance for the victims and is expressing his fears of cholera and other epidemics The secretary of the Minister informs that CNN is broadcasting that The main hospital would be severely damaged in Neper. CNN also reports that, according to one international NGO, the number of casualties would be very large and remain without attention. In a satellite telephone interview, a doctor in the hospital of NEPER is requesting immediate assistance with blood, drugs, equipment and any other assistance. The hospital has been almost destroyed and patients are treated in make-shift facilities outside. The Ambassador of Dearland in Washington is making an emotional appeal for immediate medical assistance for the victims and is expressing his fears of cholera and other epidemics The secretary of the Minister informs that CNN is broadcasting that The main hospital would be severely damaged in Neper. CNN also reports that, according to one international NGO, the number of casualties would be very large and remain without attention. In a satellite telephone interview, a doctor in the hospital of NEPER is requesting immediate assistance with blood, drugs, equipment and any other assistance. The hospital has been almost destroyed and patients are treated in make-shift facilities outside. The Ambassador of Dearland in Washington is making an emotional appeal for immediate medical assistance for the victims and is expressing his fears of cholera and other epidemics
5
Validating information
LEVEL LOCAL LEVEL LOCAL 15
Subject Warehouse of medical supplies Time after impact 4H Source Hospital Pharmacist Addressee Chief Pharmacist Source Hospital Pharmacist Addressee Chief Pharmacist
The director of the General hospital has been heard that the main warehouse of the MOH, where all medical and surgical supplies for the State are stored, has been destroyed. He reiterates the urgent need for medical supplies and also for additional staff. The director of the General hospital has been heard that the main warehouse of the MOH, where all medical and surgical supplies for the State are stored, has been destroyed. He reiterates the urgent need for medical supplies and also for additional staff. The director of the General hospital has been heard that the main warehouse of the MOH, where all medical and surgical supplies for the State are stored, has been destroyed. He reiterates the urgent need for medical supplies and also for additional staff.
Hint The warehouse is located 8 Km outside Nepercity. Hint The warehouse is located 8 Km outside Nepercity. Hint The warehouse is located 8 Km outside Nepercity.
6
Preliminary Statistics
Damage caused by the Earthquake (10 h after
impact)
District Population Affected Dead Missing Injured Homeless
Nepercity 370,000 125,000 347 127 3,763 27,000
2 70,000 40,000 279 37 1,245 12,000
3 71,000 71,000 45 0 267 0
4 69,000 45,000 545 473 1,231 18,000
5 40,000 5,000 17 0 0 540
6 130,000 7,540 2 0 0 135
7 110,000 6,230 0 0 7 25
Total 860,000 299,770 1235 637 6,513 57,700
Information compiled from approximately 65 of
the municipalities
7
Statistics District 3
LEVEL LOCAL LEVEL LOCAL 105
Subject Medical casualties Time after impact 30 Source Red Cross Addressee All Source Red Cross Addressee All
The local Red Cross is estimating the number of deaths and missing in District 3 to 6,500. This number has been reported in the situation report of the IFRC. The local Red Cross is estimating the number of deaths and missing in District 3 to 6,500. This number has been reported in the situation report of the IFRC. The local Red Cross is estimating the number of deaths and missing in District 3 to 6,500. This number has been reported in the situation report of the IFRC.
Hint Figures do not match according to sources what do you do? Hint Figures do not match according to sources what do you do? Hint Figures do not match according to sources what do you do?
8
Information from remote areas
LEVEL LOCAL LEVEL LOCAL 30
Subject Number of Victims Time after impact 7H 30 Source District 3 Addressee Source District 3 Addressee
The first news is coming from one rural municipality in District 3. A Ham Operator is reporting at least 1000 bodies at the local cemetery and thousands of injured victims in one small town. The information can not be confirmed. Ambulances, medicines, Blood, food and tents are urgently required for the entire population of the district. The first news is coming from one rural municipality in District 3. A Ham Operator is reporting at least 1000 bodies at the local cemetery and thousands of injured victims in one small town. The information can not be confirmed. Ambulances, medicines, Blood, food and tents are urgently required for the entire population of the district. The first news is coming from one rural municipality in District 3. A Ham Operator is reporting at least 1000 bodies at the local cemetery and thousands of injured victims in one small town. The information can not be confirmed. Ambulances, medicines, Blood, food and tents are urgently required for the entire population of the district.
9
LEVEL LOCAL LEVEL LOCAL 30
Subject Number of victims Time after impact 9 H Source District 4 military commander Addressee HQ in Nepercity Source District 4 military commander Addressee HQ in Nepercity
The military forwards information from the Mayor of the district 4 545 dead, 473 missing and 1,231 injured (Red Cross and public health centers data). The MoH local clinic (35 beds) is destroyed and two patients and one nurse died in the partial collapse of the structure. An estimated 60 of the houses are damaged in the main city (population 34,000), 10-15 have totally collapsed... The military forwards information from the Mayor of the district 4 545 dead, 473 missing and 1,231 injured (Red Cross and public health centers data). The MoH local clinic (35 beds) is destroyed and two patients and one nurse died in the partial collapse of the structure. An estimated 60 of the houses are damaged in the main city (population 34,000), 10-15 have totally collapsed... The military forwards information from the Mayor of the district 4 545 dead, 473 missing and 1,231 injured (Red Cross and public health centers data). The MoH local clinic (35 beds) is destroyed and two patients and one nurse died in the partial collapse of the structure. An estimated 60 of the houses are damaged in the main city (population 34,000), 10-15 have totally collapsed...
10
Preliminary Statistics Red Cross
LEVEL LOCAL LEVEL LOCAL 45
Subject Time after impact 12 H Source Addressee Source Addressee
The Red Cross issued and disseminated statistics of at least 2,000 deaths, 9,550 injured and 85,000 homeless. They claim that the government is minimizing the impact of the disaster and not including some of the information they provided The Red Cross issued and disseminated statistics of at least 2,000 deaths, 9,550 injured and 85,000 homeless. They claim that the government is minimizing the impact of the disaster and not including some of the information they provided The Red Cross issued and disseminated statistics of at least 2,000 deaths, 9,550 injured and 85,000 homeless. They claim that the government is minimizing the impact of the disaster and not including some of the information they provided
Hint Which figure will prevail? Hint Which figure will prevail? Hint Which figure will prevail?
11
International appeal
LEVEL CENTRAL LEVEL CENTRAL 15
Subject Field Hospital Time after impact 5H Source Director of civil protection Addressee Minister of H Source Director of civil protection Addressee Minister of H
The President has called a press conference. He has pledged immediate assistance to the victims of the EQ. He requested international assistance and in particular the dispatch of foreign medical teams and field hospitals to provide medical assistance. The MoH is requested to provide information to the countries interested in assisting. The President has called a press conference. He has pledged immediate assistance to the victims of the EQ. He requested international assistance and in particular the dispatch of foreign medical teams and field hospitals to provide medical assistance. The MoH is requested to provide information to the countries interested in assisting. The President has called a press conference. He has pledged immediate assistance to the victims of the EQ. He requested international assistance and in particular the dispatch of foreign medical teams and field hospitals to provide medical assistance. The MoH is requested to provide information to the countries interested in assisting.
12
Assessment of Needs
LEVEL CENTRAL LEVEL CENTRAL 30
Subject UNDAC Time after impact 10 H Source UN Coordinator Addressee Civil protection Source UN Coordinator Addressee Civil protection
The UN coordinator is informing that a UNDAC team will arrive within 24 H. Six experts in disaster needs assessment (incl. one health specialist and one water expert) will assist the UN Disaster management Team to coordinate the assistance. The UN coordinator is informing that a UNDAC team will arrive within 24 H. Six experts in disaster needs assessment (incl. one health specialist and one water expert) will assist the UN Disaster management Team to coordinate the assistance. The UN coordinator is informing that a UNDAC team will arrive within 24 H. Six experts in disaster needs assessment (incl. one health specialist and one water expert) will assist the UN Disaster management Team to coordinate the assistance.
13
LEVEL CENTRAL LEVEL CENTRAL 95
Subject Arrival of Fact finding missions Time after impact 25 H Source civil defense Addressee all Source civil defense Addressee all
Two assessment teams from donor countries arrived. They plan to travel to the affected areas to determine the needs for humanitarian short and medium-term assistance. They request a briefing from the health sector and information on pending needs. They diplomatically expressed concern that the government of Dearland has not clearly indicated what support is needed yet. They offer their assistance to formulate priorities and identify gaps. Two assessment teams from donor countries arrived. They plan to travel to the affected areas to determine the needs for humanitarian short and medium-term assistance. They request a briefing from the health sector and information on pending needs. They diplomatically expressed concern that the government of Dearland has not clearly indicated what support is needed yet. They offer their assistance to formulate priorities and identify gaps. Two assessment teams from donor countries arrived. They plan to travel to the affected areas to determine the needs for humanitarian short and medium-term assistance. They request a briefing from the health sector and information on pending needs. They diplomatically expressed concern that the government of Dearland has not clearly indicated what support is needed yet. They offer their assistance to formulate priorities and identify gaps.
Hint Donors are submitted to strong pressure for quick action and allocation of resources. How to retake the leadership? Hint Donors are submitted to strong pressure for quick action and allocation of resources. How to retake the leadership? Hint Donors are submitted to strong pressure for quick action and allocation of resources. How to retake the leadership?
14
Coordination WHO
LEVEL CENTRAL LEVEL CENTRAL 35
Subject WHO guidelines Time after impact 7 H Source WHO/PAHO HQ Addressee WHO Representative Source WHO/PAHO HQ Addressee WHO Representative
HQ is confirming that its expert on Disaster Management with one epidemiologist and one hospital expert will arrive tomorrow morning to increase her office capability. She is also reminded that WHO post guidelines for disaster response in its Webpage. HQ suggests that she shares this information and copy of other material with the MoH experts. HQ also stresses the urgency of getting information on the health needs to launch an appeal, if justified, as soon as possible. HQ is confirming that its expert on Disaster Management with one epidemiologist and one hospital expert will arrive tomorrow morning to increase her office capability. She is also reminded that WHO post guidelines for disaster response in its Webpage. HQ suggests that she shares this information and copy of other material with the MoH experts. HQ also stresses the urgency of getting information on the health needs to launch an appeal, if justified, as soon as possible. HQ is confirming that its expert on Disaster Management with one epidemiologist and one hospital expert will arrive tomorrow morning to increase her office capability. She is also reminded that WHO post guidelines for disaster response in its Webpage. HQ suggests that she shares this information and copy of other material with the MoH experts. HQ also stresses the urgency of getting information on the health needs to launch an appeal, if justified, as soon as possible.
Hint Guidelines might be available from the group coordinator. Is WHO actively involved in the EC? Hint Guidelines might be available from the group coordinator. Is WHO actively involved in the EC? Hint Guidelines might be available from the group coordinator. Is WHO actively involved in the EC?
15
WHO

• Any attempt to negotiate or renegotiate the
  budget of WHO?

16
WHO/PAHO appeal
LEVEL CENTRAL LEVEL CENTRAL 100
Subject WHO appeal Time after impact 31 H Source WHO rep Addressee MoH Source WHO rep Addressee MoH
PAHO/WHO regional office is eager to make an appeal for international assistance but it needs some information on the health situation. The WHO rep is instructed to report ASAP as the appeal should be issued today (Thursday). If issued on Friday, with the time lag, it may not be acted upon by donors before Monday. She also stresses that IFRC and large NGOs have launched an appeal for health relief for an amount totaling 3.5M. What should she reply to her HQ? PAHO/WHO regional office is eager to make an appeal for international assistance but it needs some information on the health situation. The WHO rep is instructed to report ASAP as the appeal should be issued today (Thursday). If issued on Friday, with the time lag, it may not be acted upon by donors before Monday. She also stresses that IFRC and large NGOs have launched an appeal for health relief for an amount totaling 3.5M. What should she reply to her HQ? PAHO/WHO regional office is eager to make an appeal for international assistance but it needs some information on the health situation. The WHO rep is instructed to report ASAP as the appeal should be issued today (Thursday). If issued on Friday, with the time lag, it may not be acted upon by donors before Monday. She also stresses that IFRC and large NGOs have launched an appeal for health relief for an amount totaling 3.5M. What should she reply to her HQ?
Hint Wait for full assessment? Go ahead and suggest technical areas to be covered? Mass casualties? Others? Hint Wait for full assessment? Go ahead and suggest technical areas to be covered? Mass casualties? Others? Hint Wait for full assessment? Go ahead and suggest technical areas to be covered? Mass casualties? Others?
17
Coordination Private Sector
LEVEL CENTRAL LEVEL CENTRAL 55
Subject offer Time after impact 8H Source Private Company in USA Addressee MoH Source Private Company in USA Addressee MoH
My company Tecnodesastre is offering modular hospitals that can be airlifted by helicopter and be operational in a matter of hours. They come fully equipped and ready to use with one operating room. Tecnodesastre has a considerable expertise and has deployed this equipment in several recent humanitarian operations such as in Kosovo, Bosnia and Turkey. Modules are available at very short notice. My company Tecnodesastre is offering modular hospitals that can be airlifted by helicopter and be operational in a matter of hours. They come fully equipped and ready to use with one operating room. Tecnodesastre has a considerable expertise and has deployed this equipment in several recent humanitarian operations such as in Kosovo, Bosnia and Turkey. Modules are available at very short notice. My company Tecnodesastre is offering modular hospitals that can be airlifted by helicopter and be operational in a matter of hours. They come fully equipped and ready to use with one operating room. Tecnodesastre has a considerable expertise and has deployed this equipment in several recent humanitarian operations such as in Kosovo, Bosnia and Turkey. Modules are available at very short notice.
Hint Which questions to ask? Hint Which questions to ask? Hint Which questions to ask?
18
Military-Civilian Coordination
LEVEL CENTRAL LEVEL CENTRAL 10
Subject relief flight Time after impact 4 H Source M o D (Defense) Addressee M o H Source M o D (Defense) Addressee M o H
The relief flight is leaving in app. one hour. The director of the military hospital in Sto Foligro is sending a medical team, equipment and supplies. Is the MoH sending some one? There are up to three seats available. Other flight will leave in the afternoon, whether permitting. A convoy of military and civilian trucks will also leave later in the day. The relief flight is leaving in app. one hour. The director of the military hospital in Sto Foligro is sending a medical team, equipment and supplies. Is the MoH sending some one? There are up to three seats available. Other flight will leave in the afternoon, whether permitting. A convoy of military and civilian trucks will also leave later in the day. The relief flight is leaving in app. one hour. The director of the military hospital in Sto Foligro is sending a medical team, equipment and supplies. Is the MoH sending some one? There are up to three seats available. Other flight will leave in the afternoon, whether permitting. A convoy of military and civilian trucks will also leave later in the day.
Hint Who should travel? Why and to do what? Hint Who should travel? Why and to do what? Hint Who should travel? Why and to do what?
19
LEVEL LOCAL LEVEL LOCAL 20
Subject Arrival aircraft Time after impact 630 Source Military commander Addressee MoH Source Military commander Addressee MoH
The commander informs that a C130 from the Air Force is expected within three hours. It carries medical personnel from the armed forces, equipment and supplies (unknown quantity and nature). The commander informs that a C130 from the Air Force is expected within three hours. It carries medical personnel from the armed forces, equipment and supplies (unknown quantity and nature). The commander informs that a C130 from the Air Force is expected within three hours. It carries medical personnel from the armed forces, equipment and supplies (unknown quantity and nature).
Hint Who is coordinating whom? How to improve this? Hint Who is coordinating whom? How to improve this? Hint Who is coordinating whom? How to improve this?
20
NGOs
LEVEL LOCAL LEVEL LOCAL 20
Subject Offer of assistance Time after impact 5 H Source NGOs Addressee M o H Source NGOs Addressee M o H
A group of NGOs active in the health sector offer their assistance. Medical personnel in field projects in Neper have reported high casualties in district 3 and 4. One small (1,200 Inhabitants) isolated municipality (District 3) where MSF is working has app 75 injured and 9 deaths. The local health center is intact and the staff of MSF is working closely with the local nurse. Supplies are short for the following items Gauze, syringes, anti-tetanus vaccine and serum and analgesics. The sock of antibiotics and local anesthetics is low but will last 24 h more. The HQs of NGOs are certainly aware of the tragedy and additional assistance is expected within a matter of days. How can they assist and what is mostly required from them? A group of NGOs active in the health sector offer their assistance. Medical personnel in field projects in Neper have reported high casualties in district 3 and 4. One small (1,200 Inhabitants) isolated municipality (District 3) where MSF is working has app 75 injured and 9 deaths. The local health center is intact and the staff of MSF is working closely with the local nurse. Supplies are short for the following items Gauze, syringes, anti-tetanus vaccine and serum and analgesics. The sock of antibiotics and local anesthetics is low but will last 24 h more. The HQs of NGOs are certainly aware of the tragedy and additional assistance is expected within a matter of days. How can they assist and what is mostly required from them? A group of NGOs active in the health sector offer their assistance. Medical personnel in field projects in Neper have reported high casualties in district 3 and 4. One small (1,200 Inhabitants) isolated municipality (District 3) where MSF is working has app 75 injured and 9 deaths. The local health center is intact and the staff of MSF is working closely with the local nurse. Supplies are short for the following items Gauze, syringes, anti-tetanus vaccine and serum and analgesics. The sock of antibiotics and local anesthetics is low but will last 24 h more. The HQs of NGOs are certainly aware of the tragedy and additional assistance is expected within a matter of days. How can they assist and what is mostly required from them?
Hint are they integrated in the committee? Hint are they integrated in the committee? Hint are they integrated in the committee?
21
NGOs
LEVEL LOCAL LEVEL LOCAL 15
Subject NGO Time after impact 4H 10 Source An assistant to the minister Addressee MoH Source An assistant to the minister Addressee MoH
An assistant to the minister reminds him that MSF and the Adventists have a large medical program in Neper. Surely, they should have large stocks of supplies that the Ministry could requisition. An assistant to the minister reminds him that MSF and the Adventists have a large medical program in Neper. Surely, they should have large stocks of supplies that the Ministry could requisition. An assistant to the minister reminds him that MSF and the Adventists have a large medical program in Neper. Surely, they should have large stocks of supplies that the Ministry could requisition.
Hint A good idea? Hint A good idea? Hint A good idea?
22
Bridge for Peace
LEVEL LOCAL LEVEL LOCAL 20
Subject Less-Than-Friendly country Time after impact 430 Source The MoH from the neighbor country Addressee MOH Source The MoH from the neighbor country Addressee MOH
The minister of this less-then-friendly neighbor offers his condolences and places at the disposal of the Minister the services of the trauma hospital located at 25 km from the border. Three medical units and one team of public health experts sent to provide services to the affected district are held at the border post. If the immigration matter can be arranged, they can be on site within one hour. His assistance is kindly requested to facilitate their arrival. The minister of this less-then-friendly neighbor offers his condolences and places at the disposal of the Minister the services of the trauma hospital located at 25 km from the border. Three medical units and one team of public health experts sent to provide services to the affected district are held at the border post. If the immigration matter can be arranged, they can be on site within one hour. His assistance is kindly requested to facilitate their arrival. The minister of this less-then-friendly neighbor offers his condolences and places at the disposal of the Minister the services of the trauma hospital located at 25 km from the border. Three medical units and one team of public health experts sent to provide services to the affected district are held at the border post. If the immigration matter can be arranged, they can be on site within one hour. His assistance is kindly requested to facilitate their arrival.
Hint In spite of the constant frictions at the border, the ministers of health often meet and cooperate at international meetings. Who can help? Hint In spite of the constant frictions at the border, the ministers of health often meet and cooperate at international meetings. Who can help? Hint In spite of the constant frictions at the border, the ministers of health often meet and cooperate at international meetings. Who can help?