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CRISIS PREPAREDNESS AND RESPONSE CENTRE

CRISIS PREPAREDNESS AND RESPONSE CENTRE. DISEASE CONTROL DIVISION MINISTRY OF HEALTH MALAYSIA cprc@moh.gov.my. CPRC. DEFINITION. Crisis - Disaster Preparedness a proactive approach to comprehensive crisis management before, during and after the crisis period

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CRISIS PREPAREDNESS AND RESPONSE CENTRE

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  1. CRISIS PREPAREDNESS AND RESPONSE CENTRE DISEASE CONTROL DIVISION MINISTRY OF HEALTH MALAYSIA cprc@moh.gov.my CPRC

  2. DEFINITION Crisis - Disaster Preparedness • a proactive approach to comprehensive crisis management before, during and after the crisis period • ongoing, multi-sectorial activities designed to minimize loss of life and damage, to organize the temporary removal of people and property from a threatened location and facilitate timely and effective rescue, relief and rehabilitation • set of measures that ensure the organized mobilization of personnel, funds, equipments and supplies within a safe environment for effective relief • Actions & measures taken prior to & during the incident determines the final outcome

  3. INTRODUCTION CPRC has been established under the 9th MP (2005-2010) as part of the overall strategies to effectively manage crises and disasters related to health. • CPRC was established with the following intention: • to increase the level of preparedness; • to develop strategies to address public health issues & rehabilitation in the event of disasters; • to coordinate all health-related activities to ensure effective and immediate response; • to reduce morbidity & mortality before, during and after the event through the adoption of inter-sectoral approach; and • enhancing collaboration & coordination: international organizations, NGOs, private sectors including pharmaceutical companies and laboratories

  4. INTRODUCTION

  5. CLINICAL EMERGENCY CRISIS THE CHALLENGES O U T B R E A K DISASTER

  6. MALAYSIAN EXPERIENCE Malaysia has been spared from major natural disasters. However, there is a history of health emergencies caused by biological and natural hazards. • Jetty collapse • Plane crash • Sg Buluh fireworks explosion (22 deaths, 1647 injured) • Port Klang Ship explosion • Highland towers condominium collapse (48 deaths) • ‘Greg’ storm landslide (230 deaths, 4925 homes) • Mudslide in aborigines settlement (44 deaths, 30 homes) • Bus plunging into ravine • Tsunami (68 deaths, 767 injured) • Haze • Johor Floods • Outbreaks • Cholera in Penang (1182 cases) • Enterovirus in Sarawak (131 infants deaths) • Nipah encephalitis (265 cases, 105 deaths) • Anthrax scare (103 incidents) • SARS (5 probable cases) • H5N1 among poultry • Dengue & Chikungunya & Pandemic H1N1 2009

  7. CPRC TERMS OF REFERENCE • To act as a command centre for coordination for all Public Health incidents • To establish collaboration and coordination, and maintain networks with other national and international organizations and institutions • To plan and ensure availability of resources - manpower, training, equipments, budget, stockpiles of essential items • To establish and maintain an information centre and database • To prepare and disseminate information on crisis management • To formulate standard policy, guidelines and SOPs • To establish training programmes • To conduct risk assessment and analysis studies • To conduct regular simulation exercises/drills • To encourage research and documentation activities

  8. CPRC ACTIVATION • Confirmed infectious disease outbreak, crisis and disasters and • Upon advice from Director of Disease Control, Deputy DG (Public Health) or Director-General of Health • Criteria for activation: • Occurence of infectious disease in more than one State/Area/Division • Infectious disease with high morbidity and mortality • Unusual occurences/clusters of diseases/deaths in any area • Global alert on any relevant infectious disease (IHR)/PHEIC • Incidence of bioterrorism • Large scale of natural or man-made disaster • Level 3 disaster as spelled out under Directive 20 of NSC

  9. MINISTER OF HEALTH DEP-MINISTER OF HEALTH DIRECTOR-GENERAL OF HEALTH CPRC TECHNICAL COMMITTEE DDG (MEDICAL) DDG (PH) MEDICAL SERVICES DISEASE CONTROL, HEALTH EDUCATION DDG (P&ST) SENIOR DIRECTOR - PHARMACY NIH, ENGINEERING CPRC ORGANIZATION CHART

  10. COMMANDER SECRETARIAT DEPUTY COMMANDER LIAISON OFFICER ADMINISTRATION LOGISTICS OPERATIONS PLANNING CPRC ORGANIZATION CHART Health Education Surveillance and Epidemiology Technical Information & IT Documentation Resourve Management,

  11. CPRC ORGANIZATION CHART • Commander: Director of Disease Control • Dep. Commander: Deputy Director of Disease Control (Surv) • Responsible to: Ministry of Health CPRC Technical Committee Chairperson (DG/DDG (PH)) • Members: All chairpersons of the Units/teams • Secretariat Unit • Surveillance Section • Supplies and Procurement Unit • Health Promotion and Information Unit • Guidelines Unit • Logistic Unit • Task: • Issuing directive and commands • Chair National Operations Room meeting • Oversees overall crisis response

  12. CPRC FUNCTION OF EACH UNIT A. Task Force Secretariat. • Secretariat to National Crisis Control Task Force. • Secretariat to Inter-agency Committee • Arrange Task Force Meeting • Coordinate activity reports from all departments involved. B. Technical Information Unit. • Managing source of technical information about the outbreak. • Download all information related to the disease from the internet. • Compile the technical information. • Distribute the technical information to those concerned. C. Epidemiological Analysis Unit • Analyse the epidemiological data from case investigation / notifications received. • Input of data to data base. • Perform epidemiological analysis. • Prepare and distribute of reports to the secretariat

  13. CPRC FUNCTION OF EACH UNIT D. Supplies and Procurement Unit • Manage supply of vaccines / insecticides / drugs / personal protective equipment (PPE) and other supplies wherever applicable. E. Health Education Unit • Prepare of health education materials. • Distribute of the health education material to related agencies and the public. • Coordinate health education activities with mass media. F. Logistics Unit • Prepare Operations Room equipment • Prepare transportation • Prepare refreshments • Maintenance of the Operations Room. • Act as the secretariat for Operations Room daily meeting

  14. CPRC FUNCTION OF EACH UNIT G. Human Resource Unit • Prepare the duty roster (according to shift). • List down the telephone numbers of all officers on duty. • Ensure the presence of officers on duty according to the roster (or their replacement). However it is the officer responsibility to find the replacement and inform the Human Resource Officer. • Coordinate with other departments for officers to be on call. H. Documentation Unit • Receive daily reports from various departments. • Prepare the daily report. • Distribute the daily report to the relevant parties. • Document the chronology of events taken place in the outbreak. • Review media reports • Be responsible in maintaining the letters in–out files.

  15. CPRC FUNCTION OF EACH UNIT • I. IT Support Unit • • Update the Homepage Information (if any). • • Response to queries received through e-mail. • • Manage guidelines in a software form. • J. Guidelines Preparation Unit • • Prepare guidelines related to the infectious disease outbreak i.e. • case management, • case follow-up, • quarantine, • screening, • transportation of cases • surveillance of health personnel • K. Hotline Unit • • Respond to the hotline calls.

  16. Table 3.3f: On-Call Surveillance incidents reported to the CPRC in 2011

  17. Crisis/Disaster/Outbreak/PHEIC CPRC: FLOW OF DATA MANAGEMENT & REPORT Physician / Paediatrician Lab –district / State IMR /NPHL Dep. Director Medical Hospital Director District MOH Dep. Director PH/ Epid Officer State Health Director CPRC Director General Minister / Sec-Gen Dep. DG (PH) / Director Disease Control WHO / others

  18. SPEED OF INFORMATION FLOW DISTRICT You need to set the time appropriately STATE By 3.00pm CPRC (DIRECTOR OF DISEASE CONTROL) By 5.30pm MINISTER By 8.00 am next day DG DDGs By 12.00 noon OTHER AGENCIES

  19. CPRC FACILITIES, COMPONENTS & SECURITY Facilities: Plasma TV with satellite connection, video-conferencing equipments, internet access and GIS system, CCTV, computers, printer, scanner, telephone lines, fax machine & lines, cabinet, soft board, white board, Policy, Guidelines & SOPs, Maps, Displays Telephone, address, fax and email directory Duty roster, Log book, Attendance book Components: Meeting Room, Hotline Room, Kitchen & Rest Area, Store Room Only authorized personnel will be allowed in Security: Access only with thumb print reader machine No information will be allowed out without the approval of Deputy Commander or Liaison Officer No equipment is allowed to be taken out

  20. CPRC TELEPHONE, FAX & HOTLINE Telephone: 03 – 8881 0600 / 03 – 8881 0700 Fax: 03 – 8881 0400 03 – 8881 0500 Handphone: 013 – 669 9700 (Surveillance On-Call) 012-791 6811 (H1N1) Hotline: 03 – 8881 0200 / 03 – 8881 0300 (in the Hotline Room) Webpage: http:www.moh.gov.my Email: cprc@moh.gov.my

  21. THANK YOU http://www.moh.gov.my/survelans

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