1. WELCOME I Made Winarta, SKM.,M.Epid MEDICAL PLANNER

2. Chief Medical Officer Medical Officer (vacant) FORCE MEDICAL OFFICER (Deputy CMO) Lt. Col. (Dr) Medical Planner Lt Col (Dr) Force Medical Officer (OPS) Maj. (Dr) Force Battalion - SMOs 18Senior M. O. Level 1 Clinic Force C. O. of Level II and 1+ Hospitals CHINMCEDOY UNIFIL HQ Hospital Force Medical Officer Pharmacist IC Local Nurse Ambulance Driver Warehouse Clerk Medical Officer Chief Hygiene Officer Lt. Col. (Dr) Force 4 Naval MOs 9 MTF Ships Maritime Task Force Admin Officer Admin Assistant International Nurse Local Nurse

3. UNIFIL MEDICAL FACILITIES 3

4. UNIFIL MEDICAL SECTION St George Hospital Beirut SAIDA BEIRUT TYRE ISRAEL Jabal Amel Hospital Tyre Referral Hospitals Hammoud Hospital, Saida Rafik Hariri Hospital, Beirut

5. Rafik Hariri Hospital (L4),Beirut 5

6. St George Hospital (L4),Beirut 6

7. 7 18 HOSPITAL LEVEL - 1 UNIFIL HOSPITAL LEVEL 1+ CHINESE HOSPITAL LEVEL 2 HAMMOUD HOSPITAL UNIFIL MEDICAL FACILITIES RHH ST GEORGE

8. Overview UNIFIL Medical Resources in AO 316 medical personnel 79 medical doctor officers(include 7 dentists) 135 beds of which 5 are ICU beds 85 ambulances with emergency equipment of which 32 are hard skin Helicopters with 2 x AMET standby 24/7 for CASEVAC

9. LEVEL 1 HOSPITAL Primary Health Care Emergency Resuscitation and Stabilization Minor Surgeries under local anesthesia Hospitalize up to 5 patients for 2 days 18 Level 1 Hospitals as on date.

10. LEVEL 1 HOSPITAL PERSONNEL BELUBATTBELUBATT CAMBCOYCAMBCOY CHINBATTCHINBATT FCR 9.1 FCR 2.45 IRISHBATIRISHBAT SPANBATSPANBAT PORTCOYPORTCOY TURCOYTURCOY INDBATINDBAT INDOBATINDOBAT R O K B A TT NEPBATNEPBAT ITALBATTITALBATT ITALCSSITALCSS MALCOYMALCOY MALBATMALBAT GHANBATGHANBAT TOTALTOTAL SPECIALIST 023110000003002000 12 GENERALIST 102112 3 13230221222 30 DENTIST 000000000100100101 4 NURSE 1242223336 17 2 434 1010 9 94 PARAMEDIC 67410 83434 16 3643309 10 3 HYGIEN 100000100001100001 5 OTHERS 030000300094141002 27 10

11. LEVEL 2 HOSPITAL Emergency Resuscitation and Stabilization Limb and Life Saving Surgery under General Anesthesia Dental Services Hospitalize up to 20 patients for 7 days ICU care for 2 patients Chinese Level 2 at UNP 7-2 Level 1+ at Naqoura

12. LEVEL 2 HOSPITAL HOSPITALSpGenera list DentistNurseParam edic PharmHOOthers Total Chinese1422203111660 UNIFIL10019801433 12 PERSONNEL OF LEVEL 2 & 1+ HOSPITAL

13. LEVEL 2 & 1+ HOSPITAL CHINNESE LEVEL 2 3x SURGEON 3x SURGEON 4x INTERNIST 4x INTERNIST 1x OPHTALMOLOGIST 1x OPHTALMOLOGIST 1x ENT 1x ENT 1x RADIOLOGIST 1x RADIOLOGIST 1XGYNAECOLOGIST 1XGYNAECOLOGIST 1x DERMATOLOGIST 1x DERMATOLOGIST 1x ANAESTHETIST 1x ANAESTHETIST 1XPATHOLOGIST 1XPATHOLOGIST 2XGENERALIST 2XGENERALIST 2XDENTAL SURGEON 2XDENTAL SURGEON 20X NURSES 20X NURSES UNIFIL L 1+ Hospital 1x ENT 1x ENT 1X OPHTHALMOLOGIST 1X OPHTHALMOLOGIST 1X ANAESTHETIST 1X ANAESTHETIST 1X INTERNIST 1X INTERNIST 1X ORTHOPEDIC 1X ORTHOPEDIC 2X RADIOLOGIST 2X RADIOLOGIST 2X SURGEON 2X SURGEON 1X DENTIST 1X DENTIST GYNAECOLOGIST (NOT) GYNAECOLOGIST (NOT) 9xNURSES 9xNURSES 8XPARAMEDICS 8XPARAMEDICS 13

14. FACILITY & EQUIPMENT CHINNESE LEVEL 2 1X OPERATING THEATER 1X OPERATING THEATER 7X WARDS (20X BEDS) 7X WARDS (20X BEDS) 2X ICU 2X ICU 1X X-RAY 1X X-RAY 1X LABORATORY 1X LABORATORY 1X DENTIST ROOM 1X DENTIST ROOM 5X SPECIALIST ROOM 5X SPECIALIST ROOM 1X PHYSIOTHERAPY ROOM 1X PHYSIOTHERAPY ROOM UNIFIL HOSPITAL 1X OPERATING THEATER 1X OPERATING THEATER 5X WARDS (11X BEDS) 5X WARDS (11X BEDS) 3X ICU 3X ICU 1X X-RAY ROOM 1X X-RAY ROOM 1X LABORATORY 1X LABORATORY 1X DENTIST ROOM 1X DENTIST ROOM 5X SPECIALIST ROOM 5X SPECIALIST ROOM 1X PHYSIOTHERAPY ROOM 1X PHYSIOTHERAPY ROOM NOT AVAILABLE : NOT AVAILABLE : 1. OPHTHALMOLOGIST SURGERY INSTRUMENT AND OPERATING MICROSCOPE 14

15. 15 Advanced field Hospital HAMMOUD Hospital in SAIDA covers all Area of Operation in the case of emergency (Casevac) Comprises a fully equipped and staffed multi-disciplinary (advanced) field hospital which provides all major medical and surgical specialities Provides advanced services in surgical, intensive care, dental (emergency dental surgery), laboratory, x-ray, ward and pharmaceutical capabilities LEVEL 3 HOSPITAL

16. 16 A Level Four medical facility provides definitive medical care and specialist medical treatment unavailable or impractical to provide for within a Mission area. This includes specialist surgical and medical procedures, reconstruction, rehabilitation and convalescence. RHUH (no Helipad) – Beirut St. George Hospital (Helipad) - Beirut Rambam Hospital (Helipad) – Haifa, ISRAEL Outside the Area Operations, Covers the entire mission Area LEVEL 4 HOSPITAL

17. 17 AERO MEDICAL EVACUATION TEAM (AMET) French’s AMET have 2 groups, but they only have 1 (one) medical equipment. The AMET is a highly mobile medical unit of six staff that is configured and equipped to provide short-term medical support during air evacuation within the country and outside. The AMETs are divided into 2 parts: French’s AMET (Naqoura HQ) & Chinnese’s AMET (HQ Sector East :7-2)

18. Principle : 20 min life saving : maximum 20min before doctor sees a casualty Principle : GOLDEN HOUR : maximum 60min before surgery if necessary Incident Medical Management

19. UNIFIL MEDICAL SECTION 19 15’ 20’ 30’ 20’ 25 4 0’ 20’ 4 5’ H H Level III Hosp SAIDA Level IV Hosp’s BEIRUT 40’ H 45’

20. Referral hospitals L3/4 Lebanon, ISR or CYP Level - II Level - I Level – III/IV POI Casevac/Medevac DEPEND ON CASE

21. CASEVAC CASEVAC (2010): 6 CASEVAC (2010): 6 1. Hotel Deu Hospital, Beirut : 4 2. Hammoud Hospital, Saida : 2 CASEVAC (2011) : 29 (80% Injury) CASEVAC (2011) : 29 (80% Injury) 1. Rafik Hariri Hospital, Beirut : 4 2. Hammoud Hospital, Saida : 25 21

22. UNIFIL HOSPITAL NAQOURA UNIFIL HOSPITAL NAQOURA

23. Chinese Level II Hospital

24. MEDICAL STAFF AID 3A 60,948 Jan - Dec 2011 42,477 Jan - Dec 2012

25. OUTPATIENT PERSONELFREQ 2010 FREQ 2011 UNMO231243 CivPol3887 TROOP6117556945 Int’l Staff16091868 Local Staff21331885 25

26. 26 MEDICAL STAFF AID 3B Jan - Dec 2010Jan - Dec 2011 43,92249,483

27. OUTPATIENT BY DISEASE BY DISEASE IN 2010 BY DISEASE IN 2011 27

28. MEDICAL STAFF AID 3A 852 Jan - Dec 2010 1,205 Jan - Dec 2011

29. INPATIENT PERSONELFREQ 2010 FREQ 2011 UNMO52 Civ Pol330 TROOP8021170 Int’l Staff382 Local Staff41 29

30. INPATIENT BY DISEASE BY DISEASE 2010 BY DISEASE 2011 30

31. SURGERY SURGERIES IN 2011 HOSPITALMAJORMINOR L-2 HOSP2175 L-1+ HOSP320 SURGERIES IN 2012 SURGERYMAJORMINOR L-2 HOSP1873 L-1+ HOSP32 31

32. ADMISSION IN L 2 &1+ HOSPITAL HOSPITAL20102011 Chinese L-25166 Unifil L -1+272279 32

33. ADMISSION L3/L4 HOSPITAL ASSESSMENT20112012 ADMIT86 INVESTIGATION148 33

34. 65 Cases Jan - Dec 2011 70 Cases Jan - Dec 2012

35. Repatriation by Caused BY CAUTION Caution20112012 INJURY1926 NONINFECTIOUS4640 INFECTIOUS03 DEATH01 TABLE CHART 35

36. Aust ria Bangl ades h Bel ub att Finl and Frencb att Gha nbat t In db att Ind oba tt Iris hba tt Ital bat t Malc oy Nepb att Rok batt Spanb att Tanza 51111353261651191 REPATRIATION 2013 BY CONTRY

37. 274 Cases Jan - Dec 2011 Exclude : Dental & Routine examination 222 Cases 222 Cases Jan - Dec 2011

38. MEDICAL PROBLEM 1. Medical structure is unclear 2. Timely replacement of doctor/nurse/SO 3. Surgery team should be from one country 4. Medical section need one more vehicle to support medplan & Chief hygiene for ORI and COE inspections. 38

40. MEDICAL PLANNER Major I Made Winarta, SKM.,M.Epid

41. INTRODUCTION Name: I Made Winarta,SKM.,M.Epid Name: I Made Winarta,SKM.,M.Epid Rank : Major Rank : Major Age: 39 years old Age: 39 years old Status: Marriage/ 4 DAUGHTER Status: Marriage/ 4 DAUGHTER Last Posting: Eastern Fleet Command, Jkt Last Posting: Eastern Fleet Command, Jkt Unifil Job: Medical Planner Unifil Job: Medical Planner

42. JOB DESCRIPTIONS ASSIST FMO TO ARRANGE THE MEDICAL SUPPORT PLAN ASSIST FMO TO ARRANGE THE MEDICAL SUPPORT PLAN ASSIST FMO TO MAKE DECISION IN MASCAL CASUALTY ASSIST FMO TO MAKE DECISION IN MASCAL CASUALTY ASSIST FMO TO CONDUCT CASEVAC AND ORGANIZE BASIC LIFE SUPPORT ASSIST FMO TO CONDUCT CASEVAC AND ORGANIZE BASIC LIFE SUPPORT ASSIST FMO TO CONDUCT SMO CONFERENCE ASSIST FMO TO CONDUCT SMO CONFERENCE COLLECT WEEKLY MEDICAL REPORT COLLECT WEEKLY MEDICAL REPORT ASSIST TO CONDUCT INSPECTION L1 &2 UNIFIL HOSPITALs in AO. ASSIST TO CONDUCT INSPECTION L1 &2 UNIFIL HOSPITALs in AO. COORDINATION WITH ALL SMO IN AO COORDINATION WITH ALL SMO IN AO

43. JOB DESCRIPTIONS ASSIST FMO PREPARING AND EXECUTING THE MEDICAL SUPPORT PLAN ASSIST FMO PREPARING AND EXECUTING THE MEDICAL SUPPORT PLAN TAKE PART TO UPDATE OF UNIFIL MEDICAL SOP TAKE PART TO UPDATE OF UNIFIL MEDICAL SOP COORDINATE WITH CIMIC PLANNER DURING MEDICAL ASSIST PROGRAM FOR LOCAL PEOPLE COORDINATE WITH CIMIC PLANNER DURING MEDICAL ASSIST PROGRAM FOR LOCAL PEOPLE ASSIST CMO AND FMO IN PLANNING UNIFIL PREPAREDNESS TO TACKLE H1N1 PANDEMIC THREAT ASSIST CMO AND FMO IN PLANNING UNIFIL PREPAREDNESS TO TACKLE H1N1 PANDEMIC THREAT

44. Duty Performed HAVE CONDUCTED WEEKLY MEDICAL REPORT HAVE CONDUCTED WEEKLY MEDICAL REPORT CONDUCTED CASEVAC/MEDEVAC AND EXERCISE CONDUCTED CASEVAC/MEDEVAC AND EXERCISE CONDUCTED EXERCISE OF CASEVAC IN SEAGULL TRAINING (MTF PROGRAM) CONDUCTED EXERCISE OF CASEVAC IN SEAGULL TRAINING (MTF PROGRAM) CONDUCTED SMOs CONFERENCE in MCC NAQOURA CONDUCTED SMOs CONFERENCE in MCC NAQOURA CONDUCT ED HYGIENE INSPECTION WHEN HYGIENE OFFICER IS LEAVING CONDUCT ED HYGIENE INSPECTION WHEN HYGIENE OFFICER IS LEAVING CONDUCTED INSPECTION OF L1&2 HOSPITAL IN AO CONDUCTED INSPECTION OF L1&2 HOSPITAL IN AO ARRANGE FOR AMET TRAINNING WITH MAOC ARRANGE FOR AMET TRAINNING WITH MAOC MAKE MOP, DUTY ROASTER and ATTENDANCE SHEET FOR FMO, MED OPS AND HYG OFF MAKE MOP, DUTY ROASTER and ATTENDANCE SHEET FOR FMO, MED OPS AND HYG OFF

45. DUTY PERFORMED COORDINATION WITH SMO ABOUT RESULT OF DISEASE IN THEIR AO (MSA 3 B)& THEIR PROBLEM COORDINATION WITH SMO ABOUT RESULT OF DISEASE IN THEIR AO (MSA 3 B)& THEIR PROBLEM

46. PLANNING IN 2014 TO ARRANGE SMOs CONFERECE, Wednesday, 22/08/2014 in Naqoura. TO ARRANGE SMOs CONFERECE, Wednesday, 22/08/2014 in Naqoura. TO ARRANGE TRAINING BASIC LIFE SUPPORT FOR SMO & NURSES SUCH LIFE AID,USING INSTRUMENTS SUCH AS LARYNGOSCOPE, INTUBATION, DEFIBRILATOR, INFUS PUMP, USING OPHTHALMOSCOPE etc in L1+ & L2. TO ARRANGE TRAINING BASIC LIFE SUPPORT FOR SMO & NURSES SUCH LIFE AID,USING INSTRUMENTS SUCH AS LARYNGOSCOPE, INTUBATION, DEFIBRILATOR, INFUS PUMP, USING OPHTHALMOSCOPE etc in L1+ & L2. TO CONDUCT SMOs MEETING EVERY ONCE/ MONTH IN L1&2 UNIFIL HOSPITAL. TO CONDUCT SMOs MEETING EVERY ONCE/ MONTH IN L1&2 UNIFIL HOSPITAL. TO CONDUCT MULTIPLE CASEVAC EXERCISE IN AO TO CONDUCT MULTIPLE CASEVAC EXERCISE IN AO

47. PLANNING 2014 TO MAKE GUIDELINE BOOK OF CASEVAC FOR SMO TO MAKE GUIDELINE BOOK OF CASEVAC FOR SMO TO PERFORM ORI AND COE INSPECTION TO PERFORM ORI AND COE INSPECTION TO MAKE REPORT OF MEDICAL WEEKLY, MONTHLY MEDICAL (3 MONTH) AND YEAR MEDICAL REPORT TO MAKE REPORT OF MEDICAL WEEKLY, MONTHLY MEDICAL (3 MONTH) AND YEAR MEDICAL REPORT TO ASSIST FMO FOR UP DATE MEDICAL SOP AND AMANDEMENT CASEVAC/MEDEVAC SOP TO ASSIST FMO FOR UP DATE MEDICAL SOP AND AMANDEMENT CASEVAC/MEDEVAC SOP

48. 48