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World Risk Index
organization that calculates the disaster risk for 193 countries
46.91
disaster risk index of PH
PH, Indonesia, India
top 3 countries with highest disaster risk index
3 years
PH is on the top for highest risk index for
41.13
disaster risk index of Indonesia
40.96
disaster risk index of India
Eurasian and Pacific plates
Where does the PH situated with extensive fault lines generate an average of 20 quakes per day, mostly minor ones
Pacific Ring of Fire
300 volcanoes
22 as active
27 are potentially active
3 are closely monitored
Typhoon Belt
Average of 18-22 typhoons a year; its 289 kms. of coastline exposed to storm surges, tsunami, and sea level rise
Unplanned and unregulated development ventures (housing, mining, illegal fish ponds)
Informal settlers living in waterways
Denuded forest due to illegal logging, leading to soil erosion
Poor waste management
Effects of El Nino and La Nina can cause inundations, landslides, and drought which affects food security and energy
Reasons why flooding is a perennial problem (5)
0.01 degrees Celsius per year
increasing temperatures trend in current climate change
1971-2000
domestic water supply
irrigation
hydropower generation
watersheds
fishery
flood control operations
Climate change projections from 2020 to 2050 would impact
Philippine ecosystem
Climate change is expected to further aggravate the present condition of
Human security
threatened due to increased disaster risks
PHILIPPINE DISASTER RISK REDUCTION MANAGEMENT (DRRM) SYSTEM
Philippines was the first in Asia to have enacted its own disaster risk reduction and management
Provided a paradigm shift from disaster relief and response —> disaster risk reduction and management
National DRRM Framework
a conceptual paradigm on how “whole of society” can works towards “Safer, adaptive and disaster-resilient Filipino communities towards sustainable development.”
RA 10121
Philippine Disaster Risk Reduction Management Act of 2010
Strengthening the Philippine disaster risk reduction and management system, providing for the National Disaster Risk Reduction Management Council as the head agency (NDRRMC) and institutionalizing the National Disaster Risk Reduction and Management plan from national to local levels.
Law that requires the country’s government and its citizens to be prepared for disaster
There shall be a DRRM Council for each region
National Disaster Risk Reduction Management Council
head agency during disasters
National Disaster Risk Reduction and Management plan
In RA 10121, what did they institutionalize from national to local levels
Secretary of the Department of National Defense (DND)
Usual chairperson of NDRRMC
Reports to the president
Roles of NDRRMC
Develop vertical and horizontal coordination mechanism
Formulate national agenda for institutional capability building and disaster plans
Initiate research and technology development
Task the Office of Civil Defense to conduct periodic assessment and performance of member agencies
Coordinate the implementation of the country’s obligation with disaster management treaties.
vertical and horizontal
coordination mechanism that NDRRMC
Office of Civil Defense
conducts periodic assessment and performance of member agencies
LGU (Local Government Units)
Provincial to brgy level are mandated to form and operate DRRM council
local disaster risk reduction and management plan
Each office (DRRM council office - regional, provincial, etc.) must come up with this
Covers aspects of disaster preparedness, response, prevention and mitigation, and rehabilitation and recovery
Barangay Development Council
scope and activation of DRRM council if one barangay is affected
City/Municipal DRRMC
scope and activation of DRRM council if two or more barangays are affected
Provincial DRRMC
scope and activation of DRRM council if two or more cities/municipalities are affected
Regional DRRMC
scope and activation of DRRM council if two or more provinces are affected
National DRRMC
scope and activation of DRRM council if two or more regions are affected
INCIDENT COMMAND SYSTEM
It is a standardized approach, on scene, all risk incident management concept to the command, control and coordination of emergency response
INCIDENT COMMANDER
The person in charge of the incident
Must be fully qualified for the incident
DepEd – Department of Education
Incident Command System applied in the DOH Response Structure
Education
DFA – Department of Foreign Affairs
Incident Command System applied in the DOH Response Structure
International Health Regulations
Department of Health
Incident Command System applied in the DOH Response Structure
Health (MPH, MHPPS, NE, WASH)
OCD – Office of Civil Defense
Incident Command System applied in the DOH Response Structure
Logistics
DILG – Department of Interior and Local Government
Incident Command System applied in the DOH Response Structure
Management of the Dead and Missing
DSWD – Department of Social Welfare and Development
Incident Command System applied in the DOH Response Structure
Food, Protection
DND-AFP– Department of National Defense - Armed Forces of the Philippines
Incident Command System applied in the DOH Response Structure
Search, Rescue, and Retrieval
DILG-PNP – Department of the Interior and Local Government - Philippine National Police
Incident Command System applied in the DOH Response Structure
Peace and order
Secretary
Incident Command System applied in the DOH Response Structure
DOH —→
DOH-CHDs – Department of Health - Centers for Health Development
Incident Command System applied in the DOH Response Structure
under this are the LGUs and LGU hospitals
Health Emergency Management Bureau
Incident Command System applied in the DOH Response Structure
HEMB
Public Information Officer
Safety Officer
Liaison Officer
Command staff of ICS
Operations
Planning
Logistics
Finance/Admin
General staff of ICS
Incident Command
aka Leader
Sets objectives and priorities
Has overall responsibility at the incident or event
Planning
aka Thinker
Develops the action plan to accomplish the objectives
Collects and Evaluates information
Maintains resource status
Operations
aka Doers
Conducts tactical operations to carry out the plan
Develops the tactical objectives
Organizes and directs all resources
Logistics
aka Getters
Provides support to meet incident needs
Provides resources and all other services needed to support the incident
Finance/Admin
aka Payers
Monitors costs related to incident
Provides accounting
Records procurement time
Provides cost analysis
Medical and Public Health
Water Sanitation and Hygiene (WASH)
Nutrition
Mental Health and Psychosocial Support (MHPSS)
Essential Health Packages of DOH
Medical and Public Health
Treatment of Injuries and Diseases, Maternal, Newborn and Child Health, Sexual Reproductive Health (SRH)
Nutrition
Nutrition in Emergencies (NIE)
Mental Health and Psychosocial Support (MHPSS)
Psychological First Aid
DISASTER PREPAREDNESS PLANNING
Each community/institution is advised to develop a Disaster Risk Reduction Management
Team that focuses on:
Disaster Prevention
Risk Mitigation
Disaster Preparedness Program and Plan
Leadership/Governance
Financing
Logistics/Technology/Infrastructures
Health Workforce
Information
System
Health system components
Kaligtasang Pangkalusugan sa Kalamidad sa Kamayng Komunidad
5Ks in DOH vision: Disaster Safety that starts in the hands of the community
HAZARD
A source of danger; potential threat to public safety
A dangerous phenomenon, substance, human activity or condition that may cause loss of life, injury or other health impacts, property damage, loss of livelihoods and services, social and economic disruption, or environmental damage.
Examples: Volcanoes, Tsunami, Typhoons, Civil Unrest, Chemicals, Drought, Wildfire, Pandemic
EMERGENCY
An actual threat to public safety and/or public health
Complex Emergencies
situations of disrupted livelihoods and threats to life produced by warfare, civil disturbance and large-scale movements of people in which any emergency response has to be conducted in a difcult political and security environment.
Biological
Geophysical
Climatological
Hydrological
Meterological
Types of natural hazards
Nuclear
Technological
Chemical
Types of human-induced hazards
biological hazard
epidemic, insect infestation, animal stampede
Geophysical hazard
earthquake, volcanic eruption, mass movement (dry)
hydrological hazard
flood, mass movement (wet)
meterological hazard
storm, cyclone, hurricane, tornado
climatological hazard
extreme temperatures, heat/cold wave, drought, fire (bush, forest, land)
Earthquake
Fire
Flooding
Typhoon/storm surges
Pandemic/epidemics
Drugs
Bomb
Landslide
Tsunami
Drought
Human-induced (terrorism, strikes, protests)
11 identified hazards of NCR
RISKS
The combination of the probability of an event and its negative consequences
The potential CONSEQUENCES of EXPOSURE to a hazard
Examples: predetermined medical conditions, breakdown of security, damage to infrastructures
VULNERABILITY
The characteristics and circumstances of a community or system, that makes it susceptible to the damaging effects of a hazard exposing to risks
Ex: Access to health care, poverty, lack of access to safe water, unsafe infrastructure, illiteracy, environmental degradation, unskilled health workforce
COMMUNITY
Group of people who, regardless of the diversity of their backgrounds, have been able to accept and transcend their differences, enabling them to communicate effectively and openly, and to work together towards goals identified as being for the common good
Consists of the PEOPLE, their PROPERTY, SERVICES, LIVELIHOOD, & ENVIRONMENT
CAPACITY
The combination of all the strengths, attributes and resources available within an organization, community or society to manage and reduce disaster risks and strengthen resilience (UNISDR, 2015)
Ability of coping and responding to reduce loss
Hazard
Vulnerability
Risk
Capacity
Assessment in disaster planning
Identify
Assess
Control
Review
What to do with risk in risk management
EMERGENCY PREPAREDNESS
The knowledge and capacities developed by governments, professional response and recovery organizations, communities and individuals to effectively anticipate, respond to, and recover from, the impacts of likely, imminent or current hazard events or conditions during extreme emergencies and disasters.
PREVENTION
In emergency preparedness, there are the activities and measures to avoid existing and new disaster risks
MITIGATION
In emergency preparedness, this is the lessening or minimizing the adverse impacts of a hazardous event
EMERGENCY AND DISASTER PREPAREDNESS PLAN
A formal plan of action usually prepared in written form for coordination during the event of a disaster within the institution or the surrounding community.
An important tool in the process of building capacity
DISASTER
Result of the combination of the: exposure to a hazard; the conditions of vulnerability that are present; insufcient capacity or measures to reduce or cope with the potential negative consequences
𝐻𝑎𝑧𝑎𝑟𝑑 × 𝐸𝑥𝑝𝑜𝑠𝑢𝑟𝑒 × 𝑉𝑢𝑙𝑛𝑒𝑟𝑎𝑏𝑖𝑙𝑖𝑡𝑦 over 𝐶𝑎𝑝𝑎𝑐𝑖𝑡𝑦
formula for risk
RESPONSE
The provision of emergency services and public assistance during or immediately after a disaster in order to save lives, reduce health impacts, ensure public safety and meet subsistence needs of the people affected
Alarm Phase
Work/Implementing Phase
Let Down Phase
Phases of Disaster Response
ALARM PHASE
It is concerned with the immediate activation of adequate and appropriate resources
LAST
acronym for WORK OR IMPLEMENTING PHASE
Locate
WORK OR IMPLEMENTING PHASE
Determine where the victims are
Access
WORK OR IMPLEMENTING PHASE
The situation of victims/ place of disaster
Stabilize
WORK OR IMPLEMENTING PHASE
Manage victims with life-threatening injuries
Transport
WORK OR IMPLEMENTING PHASE
Transfer victims to medical facilities
LET DOWN PHASE
Commences after the work completed, all personnel must recover from the stress of the disaster
RECOVERY
It is the restoration and improvement of appropriate facilities, livelihoods, and living conditions of disaster-affected communities, including efforts to reduce disaster risk factors.
Building back better
Reflect back
Environmental Scan
Prioritize where to go and focus resources in the future to achieve mission (Mission, Vision, Goal, Objectives, Strategies, Action Plan)
Develop the Strategic Plan for Health Emergency Management
4 STEPS IN DISASTER RISK REDUCTION MANAGEMENT PLAN
See one, treat one, save one
BIOETHICS IN EMERGENCY AND DISASTER / TRAUMA CARE