สถานการณ์สถานการณ์

วัตถุประสงค์วัตถุประสงค์

A disaster is a result of a vast ecological breakdown in the relation between humans and their environment, a serious or sudden event on such a scale that the stricken community needs extraordinary efforts to cope with it, often with outside help or international aid Source: EK Noji, The Public Health Consequences of Disaster The Public Health Consequence

“A disaster is a sudden ecological phenomenon of sufficient magnitude to require external assistance” World Health Organization (WHO) “A disaster is a sudden ecological phenomenon of sufficient magnitude to require external assistance” World Health Organization (WHO) What is Disaster ?

“A disaster is a serious disruption of the functioning of a society, causing widespread human, material or environmental losses which exceed the ability of the affected society to cope using only its own resources” The United Nations Disaster Management Training Program (UNDMP) What is Disaster ?

“a natural or manmade event that suddenly or significantly disrupts the environment of care; disrupt care and treatment; or change or increase demands for the organization’s services” Joint Commission on Accreditation of Healthcare Organizations (JCAHO) “a natural or manmade event that suddenly or significantly disrupts the environment of care; disrupt care and treatment; or change or increase demands for the organization’s services” Joint Commission on Accreditation of Healthcare Organizations (JCAHO) What is Disaster ?

Definition of Disaster A Disaster is an event that exceeds the capabilities of the response A Disaster is an event that exceeds the capabilities of the response A Disaster is present when need exceeds resources A Disaster is present when need exceeds resources Disaster = Need > Resources A Disaster is an event that exceeds the capabilities of the response A Disaster is an event that exceeds the capabilities of the response A Disaster is present when need exceeds resources A Disaster is present when need exceeds resources Disaster = Need > Resources

Medical Disaster an occurrence “when the destructive effects of natural or manmade forces overwhelm the ability of a given area or community to meet the demand for health care” American College of Emergency Physician (ACEP) an occurrence “when the destructive effects of natural or manmade forces overwhelm the ability of a given area or community to meet the demand for health care” American College of Emergency Physician (ACEP)

Type of Disaster Natural Disasters Natural Disasters Transportation Disasters Transportation Disasters Terrorism Terrorism Technological Disasters Technological Disasters Pandemics Pandemics Natural Disasters Natural Disasters Transportation Disasters Transportation Disasters Terrorism Terrorism Technological Disasters Technological Disasters Pandemics Pandemics

วงจรการจัดการ ภัยพิบัติ ก่อนเกิด ภัยพิบัติ หลังเกิด ภัยพิบัติ Prevention/Mitigation PreparednessPreparedness Response Recovery ระหว่าง เกิดภัย

Disaster Cycle Prevention/MitigationPreparedness Response Recovery Pre-eventPre-event Post-eventPost-event EventEventTIME ACTION

Disaster Management Hazard Identification Hazard Identification Vulnerability Vulnerability Risk Assessment & Management Risk Assessment & Management Disaster Risk Reduction (Mitigation & Prevention) Disaster Risk Reduction (Mitigation & Prevention) Hazard Identification Hazard Identification Vulnerability Vulnerability Risk Assessment & Management Risk Assessment & Management Disaster Risk Reduction (Mitigation & Prevention) Disaster Risk Reduction (Mitigation & Prevention)

Disaster Management Preparedness Preparedness – Policy & Support – Emergency Management Committee – Emergency Plan Development – Capability – Training, Drill, Exercise, – Evaluation Preparedness Preparedness – Policy & Support – Emergency Management Committee – Emergency Plan Development – Capability – Training, Drill, Exercise, – Evaluation

The Preparedness cycle PLANPLAN DODO CHECKCHECK ACTACT

Disaster Management

Disaster Cycle Mitigation Preparation/Planning Response Recovery

“... เหตุการณ์ที่เป็นโรคและภัยคุกคาม สุขภาพ ซึ่งมีลักษณะเข้าได้กับ เกณฑ์อย่างน้อย ๒ ใน ๔ ประการ ดังนี้ ๑.ทำให้เกิดผลกระทบทางสุขภาพที่ มีความรุนแรง ๒.เป็นเหตุการณ์ที่ผิดปกติหรือไม่เคย พบมาก่อน ๓.มีโอกาสแพร่ไปสู่พื้นที่อื่น ๔.ต้องจำกัดการเคลื่อนที่ของผู้คน หรือสินค้า

Disaster Cycle Response Recovery Mitigation/ Prevention Preparedness

Mitigation/ Prevention Preparedness Response Recovery

เริ่มต้นเตรียมแผนรับภัยพิบัติ... ทำอย่างไร ?

Planning Process

Importance of Planning Process Planning process is more important than the written document that result from it PlanningProcessPlanningProcess ParticipantParticipant AcceptanceAcceptance LegitimateLegitimate PracticalPractical FamiliarFamiliar Personal contactsPersonal contacts Role & ResponsibilityRole & Responsibility Trust in one anotherTrust in one another AcceptanceAcceptance LegitimateLegitimate PracticalPractical FamiliarFamiliar Personal contactsPersonal contacts Role & ResponsibilityRole & Responsibility Trust in one anotherTrust in one another

Steps in the Planning Process

The Preparedness cycle PLANPLAN DODO CHECKCHECK ACTACT

Preplanned and Coordinated rapid response capability Preplanned and Coordinated rapid response capability Expert and fully Staffed workforce Expert and fully Staffed workforce Accountability and Quality Improvement Accountability and Quality Improvement

“ There are no secrets to success. It takes preparation, hard work and learning from failure. ” - Colin Powell “ There are no secrets to success. It takes preparation, hard work and learning from failure. ” - Colin Powell

Disaster Preparedness Disaster Preparedness