disaster management armed forces isa
TRANSCRIPT
Lt Col (Dr) A K Singh,Department of Anaesthesiology and
Critical CareCommand Hospital Central Command
Lucknow
Disaster Management: Role of Armed Force Medical Services
DISASTER ?
• What is disaster ?
FLOODS 2014
Proneness to disaster
• Is India a disastrous nation ???
• Highly vulnerable to natural hazards• unique geography
– surrounded by sea,– mountains– traversed by rivers.
Landslides 12% Earthquakes - 58 %
National Policy on Disaster Management 2009
Flood- 12% Wind and cyclone -8%
National Policy on Disaster Management 2009
Man made disasters related to
• Industrialisation, • Transportation,
• Environmental degradation
• Terrorist attacks.
About one million houses are damaged annually with irreparable losses
Need of nation...• Need to adopt proactive approach for
– prevention,– mitigation – preparedness
Prior to the origin of NDMA (Before 2005)....
– No clear cut policy for DM
till 2005.
– Indian Army the biggest rescue and succour providing organisation
Govt ‘s Initiative– In December 2005 NDMA –
to tackle multifarious aspects.
– Paradigm Shift response-centric approach, till 2005,
– Holistic, preparedness management and mitigation-centric approach.
Crisis Management – From Despair to Hope”, Third Report, Second Administrative Reforms Commission,Government of India, September 2006
NDMA
PM(NDMA)
State level under the Chief Minister
Chief Secretary
District level, the District Collector
Elected representative of the people (Co-Chairperson) a public-private interface
Multi-Disciplinary Process
– Disaster management is a multi-disciplinary process.
– Ministry of Home Affairs (MHA) - Administrative ministry for disaster management.
– Central ministries and departments• Assist NDMA, in discharging its functions.
– Addresses specific disasters as assigned to them.
Nodal ministries & departmentsMinistries of Home Affairs
(MHA).
Agriculture,
Health,
Environment and Forests,
Civil Aviation
Earth Sciences,
Space,
Atomic Energy,
Mines,
Railways .
Financial Mechanism and Activities
• Disaster Management Organisation financed by the Centre -Disaster Response Fund, (earlier Calamity Relief Fund).
• NDMA raised National Disaster Response Force (NDRF) to execute disaster relief.
NDRF
NDRF• Trained and equipped with
skills to tackle any kind of disaster .
• Eight battalions from Central Police Forces.
• Kosi floods in Bihar, rescued over 1,00,000 people.
• NDRF is the most vibrant face of the NDMA
Armed forces role....
• Coordinating disaster response and relief operation is of the home ministry.
• As per NDMA 2005
• Armed forces under the defence ministry are called out to assist and manage the situation.
. Vij, NC General, ‘Disaster Management at the National and State Levels’, the Journal of the United Services Institutions of India, Vol CXXXVII, No 569, July –September 2007, P 324
First responders
• Location in the entire country,
• Far-flung border areas
• Remote areas-where district administration– is weak or non-existent.
Our strength• Indian armed forces, the most
– Disciplined– Dedicated, – Professional, – Wide exposure – Experience.– Compassionate.– Well equipped
• Technically competent,• Man power and Rescue resources Capable of rescue and relief operations of any disasters.
We are One Stop Shop..
Trace
Reach
Rescue
Reassure
Relieve
Evacuate
Rehabilitate
Solution for all problems
Our records
– Tsunami in December 2004, under Integrated Defence Staff (IDS), AFS efficiently executed, relief, rescue and evacuation (Operation Sea Wave).
– Extended aid to Sri Lanka and Maldives (Operation Rainbow and Operation Castor on request of their respective govts .
List is long....
– Bhuj in 2001– Kashmir earthquake
of 2005,– Cyclone
in Bangladesh on 15 November 2007,
– Fire breakout at Burrabazar in Kolkata on January 12, 2008,
• Serial blasts at Bangalore and Ahmedabad on July 2008,
• 26/11 Mumbai terrorist attack.
• Flash floods in Ladakh’s capital Leh in 2010
• Sikkim earthquake of September 2011,
• Uttrakhand 2013• Floods in J& K 2014
Time and again Managed all types disaster
nation faced.
Mitigated the impact of any disaster.– promptness , – swiftness,– state of preparedness
Defied impact of any disaster
Saved Lives and property
Possible because...
• Continuous training,• Well rehearsed • Organized repeated
drills• Innovations • Improvisations.
.
Role of Medical services
• Well organized infrastructure and medical setup in country to tackle disaster– Resuscitation and first AID– Evacuation of causalities to hospitals.– Management of causalities at hospital.
Tri-services setup - uniform at all service hospitals.
Disaster management programme
• Carried out to assess hospital’s – Promptness,– Readiness, – Efficiency – Status of preparednes.
ARMY
Our set up in hospital
• Well laid out SOPs..
• Any type of disaster,
• Any place
• Any time.
Disaster plan – Pre- hospital,– Reception, – Triage, – Resuscitation,– Life saving surgeries– Treatment, – Rehabilitation
Salient features...
• Member’s role is pre-
assigned and predefined ,
• NEWS- Quick response
teams (QRT) moves
• Activation of Hospital
Disaster response.
Assume active pre-designated role
Everyone reaches respective departments,
Salient features...• Wards are earmarked• Routine patients shifted. • Medical store bricks • Equipments are laid out • Supportive stores -
mobilized • Earmarked places.• Reduces ambiguity,
panicky, confusion and commotion
Salient features...• Mock drills on short notice
• Team members earmarked
• Updated on monthly basis.
• List Displayed at prominent places.
• Replaced Leave, Duty, Sickness, Posting
We are there for you...
• Armed forces respond to disasters as a part of mandate to aid civil authorities.
• Meant ‘last to enter and first to leave’.
• Conversely ‘first to enter and last to leave’.
ConclusionDisasters management
fundamental element
• Prevention,
• Mitigation,
• Preparedness,
• Response,
• Relief and Recovery .. “Governance; Institutional and Policy Frameworks for Risk Reduction”, Thematic Discussion Paper Cluster 1; World Conference on Disaster Reduction, 18-22 January 2005, Kobe, Hyogo, Japan.
Our Armed forces
• State of operational readiness
• Any kind of disaster
• Adverse ground and climatic conditions
• Rescue and response has been exemplary .
• Increase in disasters in the SA region
• Play vital role in the years to come.
JAI HIND !!!!