MINISTRY OF DEFENCE MALAYSIAN ARMED MALAYSIA FORCES …
Transcript of MINISTRY OF DEFENCE MALAYSIAN ARMED MALAYSIA FORCES …
Colonel Mohd Adlan Adnan1
Chief Pharmacist, Tuanku Mizan Armed Forces Hospital
MINISTRY OF DEFENCE
MALAYSIA MALAYSIAN ARMED
FORCES HEALTH
SERVICES
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Co-Author:
Brigadier General Dato’ Dr A Halim Hj Basari2
Director of Pharmacy, MAF Health Services Division
Objectives
Introduction – Disaster, Malaysian Medical Team
Pharmacy Activities
Statistics
Challenges
Recommendations
Conclusion
Outline
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• To document common diseases after water-
based disaster.
• To list essential medications supplied.
• To share experience during the Humanitarian
Emergency Disaster Response (HEDR)
mission.
Objectives
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8th November 2013.
The deadliest typhoon ever to hit Philippines.
The worst typhoon in the world with record winds approaching > 300km/hour followed by a deadly Tsunami with water levels reaching above 20 feet height.
Claimed more than 6000 lives.
Damages estimated at USD 14.5 billion.
More than 30 countries provided various aid.
Introduction 1
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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AFTERMATH OF THE HAIYAN SUPER TYPHOON TACLOBAN PHILIPINES
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Mission Module The Malaysian Government (National Security Council) had
deployed the following teams to provide the mission
objective;
Introduction 2
- Ministry of Defence
- Ministry of Health
- Malaysian SMART (Special
Malaysian Disaster Assistance &
Rescue Team)
- Puncak Niaga Holdings Berhad
(PNHB)
- Various NGO’s
- Total of 51 pax
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4 x Emergency Physician (1 x ATM dan 3 x MOH),
4 x Medical Officer (ATM),
1 x Pharmacist (ATM),
1 x Medical Officer Assistant (MOH),
1 x Nurse (MOH) &
7 x Paramedics (ATM)
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MALAYSIAN MEDICAL TEAM COMPOSITION
Malaysian Medical Team Activities
Mobile outreach clinics.
Static Forward Hospital
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Forward Medical Team Outreach Clinic - Carigara
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Forward Medical Team Outreach Clinic – Tanauen
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Foot Doctor Clinic in Tacloban City
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Pre Deployment
Planning prior to deployment to determine list of medical
supplies to bring.
Preparing Load Manifest of medical supplies to meet
transporting requirement of Royal Malaysian Air Force
(RMAF).
Vaccinate troops.
Pharmacy Activities
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During Deployment
Managing store of medical
supplies by considering
climate factor.
Distributing and replenishing
medical supplies for the
operation of static medical
base clinics and mobile
outreach clinics on daily basis.
Dispensing & counselling of
medicine during outreach
clinics.
Pharmacy Activities
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During Deployment (cont)
Spending times with traumatized patients as part of
psychological therapy.
Helping team to manage public health issues such as
sanitation and minimize vector-borne disease risk
Keeping troops healthy.
Pharmacy Activities
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During Deployment (cont)
Working with other volunteer pharmacists, local &
foreign NGOs and local health authority.
Communicating with the International Pharmaceutical
Federation (FIP) and the Philippine Pharmacists
Association.
Preparing handing over of medical supplies to local
health authority before end of mission.
Post Deployment
Prepare reports and statistics.
Pharmacy Activities
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• Providing clean and safe drinking water to
survivors.
• Malaysian invented Field Water
Purification System patented as JERNIH,
• An innovative product resulted from a
collaboration between MAF and PNHB.
• JERNIH produces 3,000 liters of drinking
water per day.
• JERNIH was then donated to the Local
Government Unit of Carigara.
Extended Role of Pharmacist
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Challenges
• Language barrier - elderly
patients.
• Access to needy area movement
to do outreach clinics.
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Challenges
• Heavy rainstorm & very extreme
weather (hot and humid) affects medicine storage area at
the medical base.
affects medicine during outreach
clinics.
Challenges
• Not a comfy environment.
• No hot shower, no electricity, no internet.
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-
5,000.00
10,000.00
15,000.00
20,000.00
25,000.00
30,000.00
35,000.00
40,000.00
45,000.00
ATM KKM 1MDB
15,171.79
44,693.48
13,382.40
2,338.48
4,540.60
80.00
UBAT
BPPB
VALUE (RM)
0
10
20
30
40
50
60
70
ATM KKM 1MDB
59
67
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18
12
2
UBAT
BPPB
VOLUME
169 medicines & 32 medical supplies Medicines = RM73K
Medical Supplies = RM7K
Statistics
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Value by Pharmacological Class (RM)
NO. MEDICINE NAME PACKING QUANTITY
NEEDED FOR 1500 PT
1 Acriflavine 0.4% Lotion Bot Of 1L 100
2 Calamine Cream Tube Of 25gm 400
3 Chloramphenicol 1% Eye Ointment 5gm Pkt Of 25 Tube 150
4 Chlorpheniramine Maleate 2 mg/5 ml Syrup Btl Of 60ml 400
5 Cloxacillin Sodium 250 mg Capsule Box Of 1000's 10
6 Diclofenac Sodium 50 mg Tablet Box Of 1000's 10
7 Diphenhydramine HCl Expectorant Bot Of 90ml 2000
8 Hydrocortisone 1% Cream Tube Of 15gm 200
9 Methyl Salicylate 25% Cream Tube 30gm 300
10 Multivitamin Syrup (Children) Bot Of 120ml 1000
11 Multivitamin Tablet (Adult) Box Of 60's 60
12 Neomycin 0.5% Cream Tube Of 15gm 400
13 Paracetamol 120 mg/5 ml Syrup Bot Of 100 ml 800
14 Salbutamol 2 mg Tablet Pkt Of 1000's 2
15 Salbutamol 2 mg/5 ml Syrup Bot Of 100ml 400
NO. MEDICAL SUPPLY NAME PACKING QUANTITY
NEEDED FOR 1500 PT
1 Gauze Sterile Size 7.5cm x 7.5cm x 12 ply BOX OF 20'S (PKT OF 5'S)
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2 Sampul Ubat Size (50mmx80mm) 1 KG 1
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Top Most Used Medicines And Medical Supplies
N = 2015
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Patients Treated By Age Group
54%
14%
10%
10%
6% 4%
2%
0%
Clinical Spectrum of Disease
RESPIRATORY
WOUND/INJURY
GASTROINTESTINALTRACTSKIN
MUSCULOSKELETAL
CARDIOVASCULAR
EYE
EAR, NOSE & THROAT
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• Pallets are vital to protect boxes from direct contact with
water during rainstorm.
• Transparent waterproof containers are needed to
transport medicines for mobile outreach clinics.
Recommendations
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• Usage of close system with well air-conditioned tentage
can further protect medicines from high temperature
and rainstorm.
Recommendations
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Medications
Medications catered for the most
common disease spectrum based
upon the nature of the disaster
(Resp, Skin, GI).
Limit supplies of medications that
are not most commonly required.
Equipment
Mobile equipment that would be
easily assembled and dissembled
as well as light weight to ease
transport & mobility.
Recommendations
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Conclusions
Deployment of MMT to Tacloban has successfully
achieved its objectives.
Needs of pharmaceutical support depend on:
• nature of disaster,
• socioeconomics status,
• geographical location,
• climate.
Such predictions would be necessary in the preparation
phase of medical teams for performing medical
humanitarian missions, especially in the aim of providing
primary public health care.
Pharmacists should be the best persons to look into
pharmacologistics matter.
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THANK YOU FOR
YOUR ATTENTION
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