National Health Perspectives National Health Perspectives

in the Tsunami Crisisin the Tsunami Crisis

(Myanmar)(Myanmar)

SUBDUCTIONZONE

20 N

15 N

10 N

5 N

0

5 S

µ

�

�

�

�

��

�

�

�

Richter MSTscale (hr)

µ 8.5 07:321 5.9 08:182 5.8 08:453 6.0 08:524 5.8 09:045 5.8 09:066 6.0 09:217 5.9 09:298 6.1 09:389 7.3 10:5110 5.7 12:5111 5.7 13:3712 5.8 14:08

jrefrmEdkifiH

udkudk;uRef;

&efukefNrdKU

tdEd,EdkifiH

tif'dkeD;½Sm;EdkifiH

xdkif;EdkifiH

b*Fvm;yifv,fatmf

uyÜvDyifv,fjyif

� 11

12

26-12-2004 &ufaeYwGif vIyf½Sm;cJhaom ajrivsifA[dkcsufESifh tiftm;jy ajryHk

MyanmarMyanmar

The organogram for Disaster Preparedness and Response

National Disaster Preparedness, Relief and Resettlement Committee

State / Division Disaster Preparedness, Relief and Resettlement Committee

State/Division Disaster Preparedness Subcommittee

State/Division Disaster Relief andResettlement sub committee

Working Committee on

(a) Transport

(b) Security

(c) Information

State / Division Disaster Preparedness, Relief and Resettlement Committee

Chairman Deputy Commander or Chairman of State / Division Peace and Development Council

S/D DirectorFire Services Department

Secretary

Duties and Responsibilities– To draw state / divisional plan for disaster preparedness

and relief and draw distinct / township plans in line with State/Division plan. Formulation of disaster preparedness plan and preventive measures.

– To form distinct / township disaster preparedness, relief and resettlement committee and subcommittees and also form committee at ward and village tract level.

State/Division Disaster Preparedness SubState/Division Disaster Preparedness Sub--committeecommittee

Chairman Secretary of State / Division Peace and Development Council

Secretary S/D DirectorSocial Welfare Department

Duties and Responsibilities- To implement preparedness and prevention activities as planned by State/Division working committee. - To monitor planned activities actually implemented in case of emergency and prepare activities schedules to be forwarded to high authorities.- To co-ordinate and communicate with township working committee in disaster prevention and preparedness.- To supervise and assist township working committee. - To assign 24 hours duty to disseminate and receive MRTV news

or announcement on meteorology /Hydrology information in case ofimpending disaster.

State/Division Disaster Relied and Resettlement State/Division Disaster Relied and Resettlement SubSub--committeecommittee

Chairman Director(General Administration)

Secretary S/D Director(Social Welfare Department )

Duties and Responsibilities

– To locate shelter sites or buildings as camp for victim as temporary settlement.– To transport the victims to the nearest shelter and provide food, safe water and medical treatment.– To Plan for the health and prevention of communicable diseases among the victims.– To collect exact lists of victims for distribution of relief materials.

Public Health and Emergency Response and Public Health and Emergency Response and

Management TeamManagement Team

Ministry of HealthMinistry of Health

Central Team

• Director General

• Deputy Director General

• All Director

Emergency Management Supporting TeamEmergency Management Supporting Team

• Deputy Director CMSD

• Deputy Director Laboratory

• Deputy Director Planning

• Deputy Director Finance

• Deputy Director General Admin

• Epidemiologists

State & Division Emergency Management TeamState & Division Emergency Management Team

• Divisional/State Health Director

• Medical Superintendant

• Physician

• Paediatrician

• Surgeon

• Ortho Surgeon

• OG

• Psychiatrist

• Microbiologist / Pathologist

• Deputy Divisional/State Health Director

• Team Leader (Disease Control)

(All hospitals have emergency health management plan, (Mass casualty

plan))

MyanmarMyanmar

Labutta TownshipAffected Village

HH Pop: Death Inj. Properties

7 337 1138 25 41 (99) boats(8) schools(4) rice factory(1) Pagoda

Ngaputaw Township9 108 1007 5 - (19) boats

(1) bridge(2) Pagoda

Bogale TownshipUrban - - 1 - Collapse of

Wall

27-12-2004 3:30 PM

MyanmarMyanmar

Co Co CoCo KyunKyunYangon DivisionYangon Division

Co Co CoCo KyunKyun• Sometimes Traditional habit can save the people’s life. Many

people from Cocogyun saved their life by their traditional habit. On every Full moon day, due to the increasing tidal wave, nobody went to the sea and do fishing. Fortunately, 26 December is Full moon day and everybody was in their home. So their lives were saved by their habit. This is one thing.

• 2nd things was seismic gap or end point of subduction zone is near Cocogyun.

• 3rd point, water level was unexpectedly reduced lowering down to (6)ft. from normal level.

MyanmarMyanmar

Rakhine StateAffected Township Death

SittweManaungThandweRamreeKyaukpyuGwaMyebonTaungup

21442144

Total 22

No coastal area was affected and only fishermen were killed by the tidal wave in the sea.

No damage was there.

MyanmarMyanmar

Kaw Thaung DistrictTanintharyi Division

Affected Village

HH Pop: Death Properties

7 92 447 8 (44) Boats(3) Ware house(1) Bridge

Chairman of Tanintharyi Division Peace and Development Council commander of coastal region command, Maj.Gen.Ohn Myint.The commander took arrangement on relief and resettlement to be carried out for victims of tidal waves triggered by a strong earthquake.

Total Loss of Life and Properties Total Loss of Life and Properties

• (61) deaths, 42 injured

• (601) houses of 17 villages were destroyed

• (2592) people homeless.

• Total Loss of property valued at about 1585.6 million kyats

(All these dead bodies were management by local people in

traditional way.)

Immediate Intervention by Ministry of HealthImmediate Intervention by Ministry of Health

• Emergency Medical Care

• Supply of Emergency Health Kits

• Establish early warning surveillance system

• Water and sanitation

• Provision of Food

• Immunization

• Vector Control

• Health education and social mobilization

--Overall purpose of Ministry of HealthOverall purpose of Ministry of HealthProtectProtect thethe healthhealth ofof survivorssurvivors andand otherother

vulnerablevulnerable affectedaffected peoplepeople affectedaffected by by disasterdisaster. .

Monitoring Public Health to Monitoring Public Health to provideprovide earlyearly

warning warning ofof emergingemerging healhthealht threatsthreats , , timelytimely

necessarynecessary responseresponse..

FacilitatingFacilitating earlyearly recoveryrecovery andand rehabilitationrehabilitation. .

MAIN CHALLENGES

Specific• INFRASTRUCTURE DEVELOPMENT

Logistic SupportLab.Euipment, Lab.Supply for Surveillance of communicable diseases following disasterTransport Communication Equip.Emergency Kits

MAIN CHALLENGESMAIN CHALLENGES

• RESPONSE CAPACITY

TECHNICAL EXPERTISE

SURVEILLANSE AND RESPONSE

CO ORDINATION AND COLLABORATION

AWARENESS,EARLY WARNING SYSTEM

HEALTH PROTECTION AND DISEASE HEALTH PROTECTION AND DISEASE

PREVENTIONPREVENTION

• STRENGTHEN SURVEILLANCE OF RISK FACTORS AND

DISEASE SURVEILLANCE AND RESPONSE

• EARLY WARNING SYSTEM AND ADVOCACY AND

AWARENESS

• MAPPING DISASTER PRONE AREAS AND UPDATES

HEALTH SERVICES DELIVERY HEALTH SERVICES DELIVERY

ENHANCEMENTENHANCEMENT• CAPACITY BUILDING• LOGISTIC SUPPORT• EMERGENCY SUPPLIES,BUFFER

STOCKS• CO ORDINATION/COLLABORATION• COMMUNITY EMPOWERMENT

MAIN ISSUEMAIN ISSUE

• TRAINING• LOGISTIC SUPPORT• TECHNICAL ASSITANCE• IEC• INFRASTRUCTURE