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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IN THE PAST.. 3
NEW IMAGE. At present 4
Penang Airport Health Office Located at 1 st 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 3 rd floorinternational wing)- Yellow Fever Medical emergency facilities (Air Disaster Unit) 6
Quarantine facilities- in the airport terminal (Yellow fever) 7
Chairman : Secretary: Penang International Airport Influenza Pandemic Committee Senior Airport General Manager ofmasb 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 ) Example 21
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 Airport Assistant visit by ICAO 40