Maria Belinda Bisa- Evangelista, EMT, RN, MPA, CNN Nurse VI, Response Division of Health Emergency Management Bureau, DOH

Maria Belinda Bisa- Evangelista, EMT, RN, MPA, CNN Nurse VI, Response Division of Health Emergency Management Bureau, DOH

SCOPE OF PRESENTATION 1. Introduction 2. Philippine Risk Profile 3. Hospital/Unit (OR) Disaster Risk Reduction Management Plan 4. Initiatives (Hospital Safety Index) 5. Way Forward

INTRODUCTION -The Philippines is located in the Pacific Ring of Fire and situated along two (2) major tectonic plates of the world the Eurasian and Pacific plates, and the Pacific Typhoon Belt. Due to its geographic location the country frequently experiences natural hazards such as: - 20 typhoons a year; - Existence of around 300 volcanoes ; - Prone to earthquakes, and; - 36,289 kms. of coastline that make us vulnerable to tsunamis

WORLD RISK INDEX RANK COUNTRY RISK (%) 1 Vanuatu 36.28% 2 Tonga 29.33% 3 Philippines 26.70%

Given that the Philippines is the third country on disaster risk profile, a Republic Act 10121 or an Act of Strengthening the Philippine Disaster Risk Reduction and Management System, was enacted last 2010.

Philippine National Policies 1. National Disaster Risk Reduction and Management Plan (NDRRMP) 2011-2028 for a safer, adaptive, and disaster resilient Filipino communities towards sustainable development, and; 2. NDCC MC 12, s.2008-institutionalization of the Cluster approach in the Philippine Disaster Management System

DRRM Thematic Areas 1. Disaster Prevention and Mitigation 2. Disaster Preparedness 3. Disaster Response, and; 4. Disaster Rehabilitation and Recovery

Global Campaign Hospitals to be safe from disasters, as to reinforce both the structural and non structural resilience of health care facilities and to ensure that it continue to function after any disaster strikes. With the support of the World Health Organization (WHO), the goal is to have a stronger health system and more responsive services with better financial risk protection. This answers to one of the seven target activities of Sendai framework for disaster risk reduction 2015-2030, which is to substantially reduce disaster damage to critical infrastructure and disruption of basic services, developing resilience by 2030.

Metro Manila Earthquake Impact Reduction Study (2004) Study of JICA, Metro Manila Development Authority, and Philippine Institute of Vlcanology and Seismology. Identified 18 earthquake scenarios affecting Metro Manila and its vicinity. Scenario 8: 7.2 magnitude earthquake hitting Metro Manila and some portions of Central Luzon, NCR, and CALABARZON due to the movement of West Valley Fault System

MMEIRS: Regional separation into 4 Quadrants Quadrants Regional Separation Assisting RDRRMCs East Pasig, Marikina RO s 2, 11,12 West Manila, San Juan, Mandaluyong North South * Central Luzon *CALABARZON North 1 Calocan, Malabon, Navotas, Valenzuela North 2- Quzon City South 1-Las Pinas, Muntinlupa,Paranaqu e, Pasay South 2-Taguig, Pateros Municipal Bulacan, Pampanga Rizal, Cavite, Laguna CAR, RO 10, CARAGA ROs 1,7,8 ROs 5,6,9, 4B ROs 1,7,8 ROs 5,6,9,4B

Based on the study conducted, an earthquake with a 7.2 magnitude from the West Valley Fault will approximately result in damages of 38% of the re Projected impact of 7.2 earthquake magnitude from West Valley Fault Approximately result in damages of: 38% of the residential buildings, 38% of the 10-30 story buildings, 14% of the 30-60 story buildings and 30-35% of public buildings. It is also estimated that 9 bridges will be affected, 4,000 water pipes will break, 30 km of electrical cables and 95 km of communication cables will be cut. is estimated that there will be 33,500 deaths and 114,400 injured with an additional of 18,000 deaths due to the spread of fire incidents.

HOSPITAL /UNIT (OPERATING ROOM) DISASTER RISK MANGEMENT PLAN 1. Organize and establish a Unit /Team dedicated for addressing Disaster Risk Reduction Management Related concerns; 2. Formulate/develop policies on Hospital/ Risk Management Plan ( Internal and External on 5 Ms) 3. Allocate Budget for EQ preparedness activities; 4. Do a structure assessment of facilities against EQ and Fire hazards regularly; 5. Keep/update complete baseline data of all your resources on manpower, materials, and other assets, and; 6. Conduct regular HR training and emergency exercises.

INITIATIVES (GOVERNMENT PREPERATIONS) 1. Conduct regular meetings with the Response Clusters at NDRRMC; 2. Develop policies and guidelines through book, circulars, orders; 3. Issued a memo 207-0165, to conduct and to submit assessment report on bldg. integrity and its other structures; 3. Preparing the community and facilities to manage risks; 1. Policy, guidelines, procedures development 2. Plan development 3. People human resource development 4. Physical facility enhancement 5. Partnership building 6. Program development 7. Peso and logistics 8. Promotion and advocacy 9. Practices 10. Package of services. 4. Monitoring and Evaluation

Human Resource Development Program A. Managers/Leaders MCI ICS PHEMAP Risk Communication Power Communication B. Trainers: TOT on: PHEMAP HEART BLS-SFA EMT- Basic MCI-ICS Etc. C. Responders BLS-SFA EMT-Basic MCI-ICS Safe Hospital HEART WASH in E Nutrition in E MHPSS SPEED D. Comm./Partners BLS-SFA; EMT; MHPSS Health Emergency Management Bureau

Support to Facility enhancement 1. Emergency Operation Center Guidelines in setting up OPCEN Financial assistance Training on HERO Information Management System 2. Hospital Safe from Disaster Policy on Safe Hospital Hospitals Safe from Disaster Assessment Tools Assessment of safe hospitals Hospital HEPRRP Health Emergency Management Bureau

Logistical Support 1. Survival kit 2. Hygiene kit 3. Water kit 4. Water filtration unit 5. Cots and beds 6. Tents 7. Portable toilets 8. Emergency kit (drugs/meds) 9. Family kit 10. etc. Health Emergency Management Bureau

Health Education and Promotion 1. Pocket Emergency Tool 2. Beyond Data 3. Hospital safe from Disaster Levels 1-4 Assessment Tool 4. Guide in HEPRRP development 5. Kindly add the others Health Emergency Management Bureau

WAY FORWARD 1. Act now, plan and implement the WHO DOH Safe Hospital Initiatives / Index which started in 2009; 2. Leadership and admin support and its commitment, and; 3. Regular conduct of emergency exercises/ drills with M & E

Better to have, and not need, than to need, and not have. -Franz Kafka - end of presentation For more information: Health Emergency Management Bureau Hotline: 711-1001, 711-1002 Mobile numbers: 0915-7725621 / 0920-9498419 / 0922-8841564 Email address: hembdiroffice@gmail.com Website: www.hems.doh.gov.ph