WELCOME

I Made Winarta, SKM.,M.Epid

MEDICAL PLANNER

Chief Medical Officer

Medical Officer (vacant)

FORCE MEDICAL OFFICER(Deputy CMO)

Lt. Col. (Dr)

Medical PlannerLt Col (Dr)

Force

Medical Officer (OPS)Maj. (Dr)

Force

Battalion - SMOs 18Senior M. O.Level 1 Clinic

Force

C. O. of Level IIand 1+ Hospitals

CHINMCEDOYUNIFIL HQ Hospital

Force

Medical Officer

Pharmacist IC

Local Nurse

Ambulance Driver Warehouse Clerk

Medical Officer

Chief Hygiene OfficerLt. Col. (Dr)

Force

4 Naval MOs 9 MTF Ships

Maritime Task Force

Admin Officer

Admin Assistant

International Nurse

Local Nurse

UNIFIL MEDICAL FACILITIESUNIFIL MEDICAL FACILITIES

33

UNIFIL MEDICAL SECTIONUNIFIL MEDICAL SECTION

St George HospitalSt George HospitalBeirutBeirut

SAIDA

BEIRUT

TYRE

ISRAEL Jabal Amel HospitalTyre

Referral Hospitals

Hammoud Hospital, Saida

Rafik Hariri Hospital, Beirut

Rafik Hariri Hospital (L4),BeirutRafik Hariri Hospital (L4),Beirut

55

St George Hospital (L4),BeirutSt George Hospital (L4),Beirut

66

77

18 HOSPITAL LEVEL - 1

UNIFIL HOSPITAL LEVEL 1+CHINESE HOSPITAL LEVEL 2

HAMMOUD HOSPITAL

UNIFIL MEDICAL FACILITIES

RHHST GEORGE

Overview UNIFIL Overview UNIFIL Medical Resources in AOMedical 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

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.

LEVEL 1 HOSPITALLEVEL 1 HOSPITAL

PERSONNEL

BELUBATT

CAMBCOY

CHINBATT

FCR 9.1

FCR 2.45

IRISHBAT

SPANBAT

PORTCOY

TURCOY

INDBAT

I NDOBAT

ROKBATT

N EPBAT

ITALBATT

ITALCSS

MALCOY

MA L BAT

GHANBAT

TOTAL

SPECIALIST 0 2 3 1 1 0 0 0 0 0 0 3 0 0 2 0 0 0 12

GENERALIST 1 0 2 1 1 2 3 1 3 2 3 0 2 2 1 2 2 2 30

DENTIST 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 1 4

NURSE 1 2 4 2 2 2 3 3 3 6 17 2 17 4 3 4 10

9 94

PARAMEDIC 6 7 4 10 10 8 3 4 3 4 16 3 6 4 3 3 0 9 103

HYGIEN 1 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 1 5

OTHERS 0 3 0 0 0 0 3 0 0 0 9 4 1 4 1 0 0 2 271010

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

LEVEL 2 HOSPITALLEVEL 2 HOSPITAL

HOSPITAL Sp Generalist

Dentist

Nurse Paramedic

Pharm HO Others Total

Chinese 14 2 2 20 3 1 1 16 60

UNIFIL 10 0 1 9 8 0 1 4 33

1212

PERSONNEL OF LEVEL 2 & 1+ HOSPITAL

LEVEL 2 & 1+ HOSPITALLEVEL 2 & 1+ HOSPITAL

CHINNESE LEVEL 2CHINNESE LEVEL 2 3x SURGEON3x SURGEON 4x INTERNIST4x INTERNIST 1x OPHTALMOLOGIST1x OPHTALMOLOGIST 1x ENT1x ENT 1x RADIOLOGIST1x RADIOLOGIST 1XGYNAECOLOGIST1XGYNAECOLOGIST 1x DERMATOLOGIST1x DERMATOLOGIST 1x ANAESTHETIST1x ANAESTHETIST 1XPATHOLOGIST1XPATHOLOGIST 2XGENERALIST2XGENERALIST 2XDENTAL SURGEON2XDENTAL SURGEON 20X NURSES20X NURSES

UNIFIL L 1+ HospitalUNIFIL L 1+ Hospital 1x ENT1x ENT 1X OPHTHALMOLOGIST1X OPHTHALMOLOGIST 1X ANAESTHETIST1X ANAESTHETIST 1X INTERNIST1X INTERNIST 1X ORTHOPEDIC1X ORTHOPEDIC 2X RADIOLOGIST2X RADIOLOGIST 2X SURGEON2X SURGEON 1X DENTIST1X DENTIST GYNAECOLOGIST (NOT)GYNAECOLOGIST (NOT) 9xNURSES9xNURSES 8XPARAMEDICS8XPARAMEDICS

1313

FACILITY & EQUIPMENTFACILITY & EQUIPMENT

CHINNESE LEVEL 2CHINNESE LEVEL 2 1X OPERATING THEATER1X OPERATING THEATER 7X WARDS (20X BEDS)7X WARDS (20X BEDS) 2X ICU2X ICU 1X X-RAY1X X-RAY 1X LABORATORY1X LABORATORY 1X DENTIST ROOM1X DENTIST ROOM 5X SPECIALIST ROOM5X SPECIALIST ROOM 1X PHYSIOTHERAPY ROOM1X PHYSIOTHERAPY ROOM

UNIFIL HOSPITALUNIFIL HOSPITAL 1X OPERATING THEATER1X OPERATING THEATER 5X WARDS (11X BEDS)5X WARDS (11X BEDS) 3X ICU3X ICU 1X X-RAY ROOM1X X-RAY ROOM 1X LABORATORY1X LABORATORY 1X DENTIST ROOM1X DENTIST ROOM 5X SPECIALIST ROOM5X SPECIALIST ROOM 1X PHYSIOTHERAPY ROOM1X PHYSIOTHERAPY ROOM

NOT AVAILABLE NOT AVAILABLE ::1.1. OPHTHALMOLOGIST SURGERY OPHTHALMOLOGIST SURGERY

INSTRUMENT AND OPERATING INSTRUMENT AND OPERATING MICROSCOPEMICROSCOPE

1414

1515

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

1616

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

1717

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)

Principle : 20 min life saving : maximum 20min before doctor sees

a casualty

Principle : GOLDEN HOUR : maximum 60min before surgery if

necessary

Incident Medical ManagementIncident Medical Management

UNIFIL MEDICAL SECTIONUNIFIL MEDICAL SECTION 1919

15’

20’

30’

20’ 25

40’

20’

20’

45’

H

H

Level III Hosp SAIDA

Level IV Hosp’s BEIRUT

40’

H

40’

45’

Referral hospitals L3/4 Lebanon, ISR or CYP

Level - II

Level - I

Level – III/IV

POI

Casevac/Medevac

DEPEND ON CASE

CASEVACCASEVAC CASEVAC (2010): CASEVAC (2010): 66

1.1. Hotel Deu Hospital, Beirut : 4Hotel Deu Hospital, Beirut : 4

2.2. Hammoud Hospital, Saida : 2Hammoud Hospital, Saida : 2

CASEVAC (2011) : CASEVAC (2011) : 2929 (80% Injury)(80% Injury)

1.1. Rafik Hariri Hospital, Beirut : 4Rafik Hariri Hospital, Beirut : 4

2.2. Hammoud Hospital, Saida : 25 Hammoud Hospital, Saida : 25

2121

UNIFIL HOSPITALUNIFIL HOSPITALNAQOURANAQOURA

Chinese Level II Hospital

MEDICAL STAFF AID 3AMEDICAL STAFF AID 3A

60,94860,948

Jan - Dec 2011

42,47742,477

Jan - Dec 2012

OUTPATIENTOUTPATIENT

PERSONEL FREQ 2010

FREQ2011

UNMO 231 243

CivPol 388 7

TROOP 61175 56945

Int’l Staff 1609 1868

Local Staff 2133 1885

2525

2626

MEDICAL STAFF AID 3BMEDICAL STAFF AID 3B

Jan - Dec 2010 Jan - Dec 2011

43,92243,922 49,48349,483

OUTPATIENT BY DISEASEOUTPATIENT BY DISEASE

BY DISEASE IN 2010BY DISEASE IN 2010 BY DISEASE IN 2011BY DISEASE IN 2011

2727

MEDICAL STAFF AID 3AMEDICAL STAFF AID 3A

852 852

Jan - Dec 2010

1,205 1,205

Jan - Dec 2011

INPATIENTINPATIENTPERSONEL FREQ

2010FREQ2011

UNMO 5 2

Civ Pol 3 30

TROOP 802 1170

Int’l Staff 38 2

Local Staff 4 1

2929

INPATIENT BY DISEASEINPATIENT BY DISEASE

BY DISEASE 2010BY DISEASE 2010 BY DISEASE 2011BY DISEASE 2011

3030

SURGERYSURGERY

SURGERIES IN 2011SURGERIES IN 2011

HOSPITAL MAJOR MINOR

L-2 HOSP 21 75

L-1+ HOSP 32 0

SURGERIES IN 2012SURGERIES IN 2012

SURGERY MAJOR MINOR

L-2 HOSP 18 73

L-1+ HOSP 32

3131

ADMISSION IN L 2 &1+ HOSPITALADMISSION IN L 2 &1+ HOSPITAL

HOSPITAL 2010 2011

Chinese L-2 51 66

Unifil L -1+ 272 279

3232

ADMISSION L3/L4 HOSPITALADMISSION L3/L4 HOSPITAL

ASSESSMENT 2011 2012

ADMIT 86 86

INVESTIGATION 148 148

3333

6565 Cases Cases

Jan - Dec 2011

7070 Cases Cases

Jan - Dec 2012

Repatriation by CausedRepatriation by Caused

BY CAUTIONBY CAUTION

Caution 2011 2012

INJURY 19 26

NONINFECTIOUS 46 40

INFECTIOUS 0 3

DEATH 0 1

TABLE CHARTTABLE CHART

3535

Austria

Banglades

h

Belubatt

Finland

Frencbatt

Ghanbatt

Indbatt

Indobatt

Irishbatt

Italbat

t

Malcoy

Nepbatt

Rokbatt

Spanbatt

Tanza

5 1 1 1 13 5 3 2 6 16 5 1 1 9 1

REPATRIATION 2013 BY CONTRY

274274 Cases Cases

Jan - Dec 2011

Exclude : Dental & Routine examination

222 Cases222 Cases

Jan - Dec 2011

MEDICAL PROBLEMMEDICAL PROBLEM

1.1. Medical structure is unclearMedical structure is unclear

2.2. Timely replacement of doctor/nurse/SOTimely replacement of doctor/nurse/SO

3.3. Surgery team should be from one countrySurgery team should be from one country

4.4. Medical section need one more vehicle to Medical section need one more vehicle to support medplan & Chief hygiene for ORI support medplan & Chief hygiene for ORI and COE inspections.and COE inspections.

3838

MEDICAL PLANNERMEDICAL PLANNER

Major I Made WinartaMajor I Made Winarta, , SKM.,M.EpidSKM.,M.Epid

INTRODUCTIONINTRODUCTION

NameName : : I Made I Made Winarta,SKM.,M.EpidWinarta,SKM.,M.Epid

Rank Rank : : MajorMajor AgeAge : : 3939 years old years old StatusStatus : Marriage/ : Marriage/ 44 DAUGHTER DAUGHTER Last PostingLast Posting : Eastern Fleet Command, : Eastern Fleet Command, JktJkt Unifil JobUnifil Job : Medical Planner : Medical Planner

JOB DESCRIPTIONSJOB DESCRIPTIONS ASSIST FMO TO ARRANGE THE MEDICAL ASSIST FMO TO ARRANGE THE MEDICAL

SUPPORT PLANSUPPORT PLAN ASSIST FMO TO MAKE DECISION IN MASCAL ASSIST FMO TO MAKE DECISION IN MASCAL

CASUALTYCASUALTY ASSIST FMO TO CONDUCT CASEVAC AND ASSIST FMO TO CONDUCT CASEVAC AND

ORGANIZE BASIC LIFE SUPPORTORGANIZE BASIC LIFE SUPPORT ASSIST FMO TO CONDUCT SMO CONFERENCEASSIST FMO TO CONDUCT SMO CONFERENCE COLLECT WEEKLY MEDICAL REPORTCOLLECT WEEKLY MEDICAL REPORT ASSIST TO CONDUCT INSPECTION L1 &2 UNIFIL ASSIST TO CONDUCT INSPECTION L1 &2 UNIFIL

HOSPITALs in AO.HOSPITALs in AO. COORDINATION WITH ALL SMO IN AO COORDINATION WITH ALL SMO IN AO

JOB DESCRIPTIONSJOB DESCRIPTIONS ASSIST FMO PREPARING AND EXECUTING THE ASSIST FMO PREPARING AND EXECUTING THE

MEDICAL SUPPORT PLANMEDICAL SUPPORT PLAN TAKE PART TO UPDATE OF UNIFIL MEDICAL TAKE PART TO UPDATE OF UNIFIL MEDICAL

SOPSOP COORDINATE WITH CIMIC PLANNER DURING COORDINATE WITH CIMIC PLANNER DURING

MEDICAL ASSIST PROGRAM FOR LOCAL MEDICAL ASSIST PROGRAM FOR LOCAL PEOPLEPEOPLE

ASSIST CMO AND FMO IN PLANNING UNIFIL ASSIST CMO AND FMO IN PLANNING UNIFIL PREPAREDNESS TO TACKLE H1N1 PANDEMIC PREPAREDNESS TO TACKLE H1N1 PANDEMIC THREATTHREAT

Duty PerformedDuty Performed

HAVE CONDUCTED WEEKLY MEDICAL REPORTHAVE CONDUCTED WEEKLY MEDICAL REPORT CONDUCTED CASEVAC/MEDEVAC AND EXERCISECONDUCTED CASEVAC/MEDEVAC AND EXERCISE CONDUCTED EXERCISE OF CASEVAC IN SEAGULL CONDUCTED EXERCISE OF CASEVAC IN SEAGULL

TRAINING (MTF PROGRAM)TRAINING (MTF PROGRAM) CONDUCTED SMOs CONFERENCE in MCC NAQOURACONDUCTED SMOs CONFERENCE in MCC NAQOURA CONDUCT ED HYGIENE INSPECTION WHEN HYGIENE CONDUCT ED HYGIENE INSPECTION WHEN HYGIENE

OFFICER IS LEAVINGOFFICER IS LEAVING CONDUCTED INSPECTION OF L1&2 HOSPITAL IN AOCONDUCTED INSPECTION OF L1&2 HOSPITAL IN AO ARRANGE FOR AMET TRAINNING WITH MAOCARRANGE FOR AMET TRAINNING WITH MAOC MAKE MOP, DUTY ROASTER and ATTENDANCE SHEET MAKE MOP, DUTY ROASTER and ATTENDANCE SHEET

FOR FMO, MED OPS AND HYG OFFFOR FMO, MED OPS AND HYG OFF

DUTY PERFORMEDDUTY PERFORMED

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

PLANNING IN 201PLANNING IN 20144

TO ARRANGE SMOs CONFERECE, Wednesday, TO ARRANGE SMOs CONFERECE, Wednesday, 22/022/088/201/20144 in Naqoura. in Naqoura.

TO ARRANGE TRAINING BASIC LIFE SUPPORT FOR TO ARRANGE TRAINING BASIC LIFE SUPPORT FOR SMO & NURSES SUCH LIFE AID,USING SMO & NURSES SUCH LIFE AID,USING INSTRUMENTS SUCH AS LARYNGOSCOPE, INSTRUMENTS SUCH AS LARYNGOSCOPE, INTUBATION, DEFIBRILATOR, INFUS PUMP, USING INTUBATION, DEFIBRILATOR, INFUS PUMP, USING OPHTHALMOSCOPE etc in L1+ & L2 .OPHTHALMOSCOPE etc in L1+ & L2 .

TO CONDUCT SMOs MEETING EVERY ONCE/ TO CONDUCT SMOs MEETING EVERY ONCE/ MONTH IN L1&2 UNIFIL HOSPITAL.MONTH IN L1&2 UNIFIL HOSPITAL.

TO CONDUCT MULTIPLE CASEVAC EXERCISE IN TO CONDUCT MULTIPLE CASEVAC EXERCISE IN AOAO

PLANNING 201PLANNING 20144 TO MAKE GUIDELINE BOOK OF CASEVAC FOR TO MAKE GUIDELINE BOOK OF CASEVAC FOR

SMOSMO TO PERFORM ORI AND COE INSPECTIONTO PERFORM ORI AND COE INSPECTION TO MAKE REPORT OF MEDICAL WEEKLY, TO MAKE REPORT OF MEDICAL WEEKLY,

MONTHLY MEDICAL (3 MONTH) AND YEAR MONTHLY MEDICAL (3 MONTH) AND YEAR MEDICAL REPORTMEDICAL REPORT

TO ASSIST FMO FOR UP DATE MEDICAL SOP AND TO ASSIST FMO FOR UP DATE MEDICAL SOP AND AMANDEMENT CASEVAC/MEDEVAC SOPAMANDEMENT CASEVAC/MEDEVAC SOP

4848