1. 2010 FIFA World Cup “A Health Strategy” National Department of Health 14 October 2009 1

2. 2Contents Ministerial Guarantees Ministerial Guarantees Legislation Legislation Role of Department of Health Role of Department of Health Role of the LOC Role of the LOC DOH / LOC Relationship DOH / LOC Relationship Impact Areas : DOH Impact Areas : DOH Impact Areas : Host City Impact Areas : Host City Scope of Responsibility Scope of Responsibility Health Technical Task Team Health Technical Task Team Responsibility Linkages Responsibility Linkages Health & Medical Services Planning Cycle Health & Medical Services Planning Cycle Preparations Preparations Budget Budget 2009 FIFA Confederations Cup 2009 FIFA Confederations Cup Activities Activities Challenges Challenges Department of Health

3. 3Contents Ministerial Guarantees Ministerial Guarantees Department of Health

4. 4 Ministerial Guarantees to FIFA Health and Medical Services Health and Medical Services “The infrastructure of the South African National Health System, with specific regard to the availability of a comprehensive medical service (including 24-hour emergency medical treatment) and disaster management, will be put at the disposal of the 2010 FIFA World Cup in the cities where the games will be played. This applies to both foreign and local delegations including the FIFA delegation and representatives, SAFA, players, management and coaching staff, foreign and local spectators, media, sponsors, officials, administrators and the small business sector servicing the spectators at the respective venues.” “The infrastructure of the South African National Health System, with specific regard to the availability of a comprehensive medical service (including 24-hour emergency medical treatment) and disaster management, will be put at the disposal of the 2010 FIFA World Cup in the cities where the games will be played. This applies to both foreign and local delegations including the FIFA delegation and representatives, SAFA, players, management and coaching staff, foreign and local spectators, media, sponsors, officials, administrators and the small business sector servicing the spectators at the respective venues.” Department of Health

5. 5 Ministerial Guarantees to FIFA cont. The existing health infrastructure will be significantly upgraded in keeping with the governments mission to promote the health of all people of South Africa, and to provide caring and effective services ” The existing health infrastructure will be significantly upgraded in keeping with the governments mission to promote the health of all people of South Africa, and to provide caring and effective services ” Department of Health

6. 6 Ministerial Guarantees to FIFA cont. Accreditation of Foreign Medical Personnel Accreditation of Foreign Medical Personnel Approval of medicines, scheduled substances and medical substances Approval of medicines, scheduled substances and medical substances Marketing, distribution, serving and consumption of Alcohol Marketing, distribution, serving and consumption of Alcohol Department of Health

7. 7Contents

8. 8Legislation Special Measures Acts 11 & 12 Special Measures Acts 11 & 12 National Health Act National Health Act Regulations Regulations Health and Medical Services for Mass Gatherings Health and Medical Services for Mass Gatherings Emergency Centres Emergency Centres Emergency Medical Services Emergency Medical Services Department of Health

9. 9Contents

10. 10 Role of Department of Health Minister Minister Custodian of health system Custodian of health system Public Public Private Private Government Guarantees Government Guarantees Minister has provided guarantee for health services Minister has provided guarantee for health services Department of Health Department of Health mandated to ensure overall coordination and provision of health services mandated to ensure overall coordination and provision of health services Department of Health

11. 11Contents Department of Health

12. 12 Role of the LOC 2010 FIFA World Cup Organisation Association Agreement (OAA) Organisation Association Agreement (OAA) “36.Medical Services “36.Medical Services The Organising Association shall ensure and guarantee the availability of medical services and equipment of international standard throughout the Championship at all locations necessary for all people concerned also in line with the List of Requirements. The Organising Association shall ensure and guarantee the availability of medical services and equipment of international standard throughout the Championship at all locations necessary for all people concerned also in line with the List of Requirements. By 30 June 2009 the Organising Association shall submit a concept for the provision of medical services and respective emergency measures (including 24-hour emergency services, blood conserves and repatriation). By 30 June 2009 the Organising Association shall submit a concept for the provision of medical services and respective emergency measures (including 24-hour emergency services, blood conserves and repatriation). FIFA may at all times require additional measures to cover medical services necessary for the Championship.” FIFA may at all times require additional measures to cover medical services necessary for the Championship.” Department of Health

13. 13Contents Department of Health

14. 14 DOH / LOC Relationship Overlap in service responsibilities Overlap in service responsibilities Limited resource pool in the health sector Limited resource pool in the health sector Country event Country event Establishment of a Memorandum of Understanding in June 2008 Establishment of a Memorandum of Understanding in June 2008 Established a Responsibility Matrix Established a Responsibility Matrix This is used mainly to determine who pays for what! This is used mainly to determine who pays for what! Department of Health

15. 15 PHDOC STADIAVOCXX medical centre - spectatorX medical post - spectatorX players medical centre X doping control X VIP medical centre X information boothsXX mass casualty stationX medical patrol - tiersX medical patrol - precinctsX field response - players X referees facilities X ambulancesX ambulances - VIP / Players X MEDICAL SERVICESstaging areasX motorcades - govt VIPsX hotels - govt VIPsX ambulancesX response vehiclesX rescue vehiclesX aero-medical servicesX HEALTH SERVICESport healthX environmental healthX communicable diseaseX health promotionX primary health careX hospitalsX biochem, nuclear & radX emergency centresX hospitalsX forensic pathologyX forensic medicineX

16. 16 BASE CAMPS ANDhotels X TRAINING GROUNDSpractice sessions-teams X ambulances X response vehicles X practice sess-spectatorsX FIFA FAMILYSpecialist Referrals X Headquarters X Hotels X Hospitals X Travelling X Motorcades X REFEREESHeadquarters X Training Facilities X FIFIA RELATED EVENTSManagement X EG; FINAL DRAWFIFA family X VIP medical centre X medical centre - delegatesX EMSX HQ hotels X CommunicationsX motorcadesXX

17. 17 DOH / LOC Relationship cont. GovernmentOC Spectator Medical Centre Stadia Spectator Medical Post Tier Personnel Precinct Patrols Environmental Health Casualty Clearing Station Players Medical Centre VIP Medical Centre On – Field Personnel Doping Control

18. DOH / LOC Relationship cont. Sole Service Provider Sole Service Provider Players Medical Centre Players Medical Centre VIP Medical Centre VIP Medical Centre On-field Personnel On-field Personnel FIFA Motorcades FIFA Motorcades FIFA Headquarters FIFA Headquarters FIFA Headquarter Hotels FIFA Headquarter Hotels Team Base Camps Team Base Camps Team Training Grounds Team Training Grounds Team Training in Stadia Team Training in Stadia Referee Headquarters Referee Headquarters Referee Training Site Referee Training Site Stadia Set Up and Breakdown Stadia Set Up and Breakdown FIFA Emergency Number FIFA Emergency Number Football for Hope Football for Hope Final Draw Final Draw 18

19. DOH / LOC Relationship cont. Budget Cost Budget Cost R 30,152,000 R 30,152,000 Formal Contract Formal Contract Special Conditions Special Conditions Based on 2008 UPFS tariffs (to increase with new UPFS tariffs) Based on 2008 UPFS tariffs (to increase with new UPFS tariffs) Ambulances charges on standby rates only Ambulances charges on standby rates only If patients transported then to the cost of OC If patients transported then to the cost of OC Aero-medical Services standby will incur costs Aero-medical Services standby will incur costs Motorcades charged for actual time deployed Motorcades charged for actual time deployed Costs for additional services not specified Costs for additional services not specified 50% up front to pay for additional equipment required 50% up front to pay for additional equipment required Reconciliation post event Reconciliation post event 19

20. 20 DOH / LOC Relationship cont. GovernmentSA Football Assoc Health Technical Task Team Medical Advisory Board DOH World Cup Unit Chief Medical Officer Strategic Structure Department of Health

21. 21 DOH / LOC Relationship cont. GovernmentSA Football Assoc Health Technical Task Team Provincial Health 2010 Program Managers Medical Advisory Board LOC Medical Officers Host Cities DOH World Cup Unit Chief Medical Officer Tactical Structure Department of Health

22. 22 DOH / LOC Relationship cont. GovernmentSA Football Assoc Provincial Health 2010 Program Managers LOC Medical Officers Host Cities Operational Structure Department of Health

23. 23Contents Department of Health

24. 24 Impact Areas : DOH Ports of Entry Ports of Entry International Health Regulations International Health Regulations Monitoring of communicable disease Monitoring of communicable disease Teams Medical Equipment / Drugs Teams Medical Equipment / Drugs Emergency Medical Services Emergency Medical Services Headquarter Hotels (Govt. VIPs) Headquarter Hotels (Govt. VIPs) Medical Post Medical Post Standby Medical Practitioners / Specialists Standby Medical Practitioners / Specialists Motorcade Routes (Govt VIPs) Motorcade Routes (Govt VIPs) Strategic Deployment of Emergency Medical Services Strategic Deployment of Emergency Medical Services Department of Health

25. 25 Impact Areas : DOH cont. General accommodation areas General accommodation areas Mass casualties Mass casualties Mass deaths Mass deaths Repatriation of patients / bodies Repatriation of patients / bodies Recreational areas Recreational areas Tourist destinations Tourist destinations Tourist routes Tourist routes Department of Health

26. 26 Impact Areas : DOH cont. Practice Sessions Practice Sessions Spectator Medical Centre / Medical Post Spectator Medical Centre / Medical Post Department of Health

27. 27 Impact Areas cont. Stadium Stadium Govt VIPs Govt VIPs Spectators Spectators Support Personnel Support Personnel Vendors Vendors Service Providers Service Providers Media Media Medical Centres Medical Centres Medical Posts Medical Posts Casualty Clearing Station Casualty Clearing Station Ambulances Ambulances Response Units Response Units Disaster Vehicles Disaster Vehicles Rescue Units Rescue Units All Terrain Vehicles All Terrain Vehicles Golf Carts Golf Carts Department of Health

28. 28Contents Department of Health

29. 29 Impact Areas : Host City Primary Primary Environmental Health Environmental Health Secondary Secondary Clinics Clinics Communicable Disease Communicable Disease FIFA Fan Parks FIFA Fan Parks Public Viewing Areas Public Viewing Areas Department of Health

30. 30Contents Department of Health

31. 31 Scope of Responsibilities Command and Control Command and Control Management and Coordination Management and Coordination Planning Planning National Health Ops Centre (NatHOC/ProvHOC) National Health Ops Centre (NatHOC/ProvHOC) Communications (Media) Communications (Media) Communications (Radio) Communications (Radio) Information Systems Information Systems Legislation, Policy and Guidelines Legislation, Policy and Guidelines Finance Finance Department of Health

32. 32 Scope of Responsibilities cont. Health Services Health Services Environmental Health Environmental Health Port Health Port Health Travel Medicine Travel Medicine Communicable Disease Communicable Disease Hospitals Hospitals Health Promotion Health Promotion Pharmaceuticals / Medical Equipment Pharmaceuticals / Medical Equipment Forensic Pathology Forensic Pathology Department of Health

33. 33 Scope of Responsibilities cont. Medical Services Medical Services EMS EMS Medical Centres / Medical Posts Medical Centres / Medical Posts Mass Casualty / Deaths Contingency Planning Mass Casualty / Deaths Contingency Planning Aero-medical Aero-medical Chemical, Biological, Radiological and Nuclear Hazards Chemical, Biological, Radiological and Nuclear Hazards Department of Health

34. 34Contents Department of Health

35. 35 Health Technical Task Team Role Players Dept of Health (convener) Dept of Health (convener) Provincial Health Dept. Provincial Health Dept. SAMHS SAMHS SA Police Services SA Police Services Host Cities Host Cities SALOC SALOC SALGA SALGA Private Sector Private Sector NGOs NGOs Professional Assoc. Professional Assoc. Statutory Bodies Statutory Bodies Department of Health

36. 36 Health Technical Task Team Role Players Dept of Health (convener) Dept of Health (convener) Provincial Health Departments Provincial Health Departments SAMHS SAMHS SA Police Services SA Police Services Host Cities Host Cities SALOC SALOC SALGA SALGA Private Sector Private Sector NGOs NGOs Professional Associations Professional Associations Statutory Bodies Statutory Bodies 14 Expert workgroups 14 Expert workgroups Department of Health

37. 37 Health Technical Task Team cont. 14 Expert Work Groups = 14 Expert Work Groups = Command & Control Command & Control Communications Communications Media Media Stadia Stadia Emergency Medical Services Emergency Medical Services Hospitals Hospitals Environmental Health Environmental Health Port Health Port Health Health Promotion Health Promotion Communicable Disease Communicable Disease Pharmaceuticals Pharmaceuticals Human Resources Human Resources Forensic Pathology Forensic Pathology Chem, Bio, Radiological & Nuclear Chem, Bio, Radiological & Nuclear Department of Health

38. 38Contents Department of Health

39. 39 Responsibility Linkages National HealthProvincial HealthLocal Government Command & ControlXX CommunicationsX MediaXX StadiumsX EMSX HospitalsX Environmental HealthXX Port HealthX Health PromotionXX Communicable DiseaseXXX Human ResourcesXX District/Primary HealthXX Forensic PathologyX Biochem, Nuc & RadioXXX PharmaceuticalsX Department of Health

40. Responsibility Linkages cont. 40 Department of Health Department of Health SAPS Host City OC Venue Manager OC Venue Medical Officer SAMHS CGTA Disaster Management Airport Company Private Sector Stadium Manager

41. 41Contents Department of Health

42. 42 Health and Medical Services Planning Cycle Phases Phases Phase 1Master Planning01/01/2008 – 31/03/2008 Phase 1Master Planning01/01/2008 – 31/03/2008 Phase 2Preparation01/04/2008 – 31/01/2009 Phase 2Preparation01/04/2008 – 31/01/2009 Phase 3Testing01/02/2009 – 31/03/2009 Phase 3Testing01/02/2009 – 31/03/2009 Phase 4Confederation Cup01/04/2009 – 31/07/2009 Phase 4Confederation Cup01/04/2009 – 31/07/2009 Phase 5Review of Plan01/08/2009 – 31/01/2010 Phase 5Review of Plan01/08/2009 – 31/01/2010 Phase 6Testing01/02/2010 – 31/03/2010 Phase 6Testing01/02/2010 – 31/03/2010 Phase 7Final Preparation01/04/2010 – 31/05/2010 Phase 7Final Preparation01/04/2010 – 31/05/2010 Phase 8Execution of Plan01/06/2010 – 31/07/2010 Phase 8Execution of Plan01/06/2010 – 31/07/2010 Phase 9Post Event01/08/2010 – 31/03/2011 Phase 9Post Event01/08/2010 – 31/03/2011 Department of Health

43. 43Contents Department of Health

44. 44 Preparations Web-based Project Management System Web-based Project Management System Web-site (http://www.doh.gov.za/sa2010) Web-site (http://www.doh.gov.za/sa2010) Health Promotion Health Promotion Volunteer Registration Volunteer Registration Training Training Clinical Forensic Medicine Clinical Forensic Medicine Incident Management Incident Management Department of Health

45. 45 Preparations cont. Requirement for all areas; Requirement for all areas; Medical Facility norms Medical Facility norms Medical personnel norms Medical personnel norms Medical equipment norms Medical equipment norms Drugs and surgical sundries norms Drugs and surgical sundries norms Vehicle norms Vehicle norms Training Training Standard Operations Procedures Standard Operations Procedures Ingress & egress routes Ingress & egress routes Department of Health

46. 46 Preparations cont. 2010 FWC Planning Framework 2010 FWC Planning Framework Environmental Health strategies Environmental Health strategies National Tenders and guidelines National Tenders and guidelines Medical Equipment Medical Equipment Rescue Equipment Rescue Equipment Aero-medical services (helicopters) Aero-medical services (helicopters) Uniforms Uniforms Emergency Vehicles Emergency Vehicles Mass casualty equipment Mass casualty equipment Department of Health

47. 47Contents Department of Health

48. Budget Funds allocated to Provinces for 2010 FWC (2007/8;2008/9;2009/10) R825 Funds allocated to Provinces for 2010 FWC (2007/8;2008/9;2009/10) R825 Department of Health 48

49. 49Contents Department of Health

50. 2009 FIFA Confederations Cup Deployed from 30 May to 2 July 2009 Deployed from 30 May to 2 July 2009 >98 000 deployment hours were utilised with between 225 medical personnel on non-match days and 690 on match days >98 000 deployment hours were utilised with between 225 medical personnel on non-match days and 690 on match days 28 and 116 emergency medical vehicles were utilised. 28 and 116 emergency medical vehicles were utilised. 50 Department of Health

51. 2009 FIFA Confederations Cup cont. 32 Hospitals designated 32 Hospitals designated Training Training Clinical Forensic Medicine 524 Clinical Forensic Medicine 524 Major Incident Medical Management System 281 Major Incident Medical Management System 281 Hospital MIMMS 265 Hospital MIMMS 265 SA Triage Scale 214 SA Triage Scale 214 Only 344 patients seen but resources on standby for major events. Only 344 patients seen but resources on standby for major events. 51 Department of Health

52. 52Contents Department of Health

53. Activities Health Technical Task Team (quarterly) Health Technical Task Team (quarterly) Preparations Work Group (monthly) Preparations Work Group (monthly) Private Sector Forum (monthly) Private Sector Forum (monthly) Debrief related Task Teams Debrief related Task Teams Command & Control Command & Control Private Sector Private Sector SOPs SOPs Volunteers Volunteers Accreditation Accreditation Inter-provincial agreements Inter-provincial agreements Establish provincial response teams Establish provincial response teams Department of Health 53

54. Activities cont. Provincial & Host City visits Provincial & Host City visits Completed Ethekwini, Nelson Mandela Bay, Cape Town – Nelspruit on 6/10/2009 Completed Ethekwini, Nelson Mandela Bay, Cape Town – Nelspruit on 6/10/2009 FIFA Inspection FIFA Inspection Hospital disaster preparedness Hospital disaster preparedness Technical Coordinating Committee Technical Coordinating Committee Host City Forum Host City Forum Nat Joints Planning Team Nat Joints Planning Team Department of Health 54

55. Activities cont. Project Management (PPO) Project Management (PPO) Department of Health 55

56. 56Contents Department of Health

57. 57 Challenges Budget Budget Resources Resources Port Health Port Health Residential Spread / Team Base Camps Residential Spread / Team Base Camps FIFA Fan Parks / Public Viewing Areas FIFA Fan Parks / Public Viewing Areas Department of Health

58. Any additions or subtractions? Thank you! 58