Disaster and humanitarian assistance Jung

Your health - Our mission
Votre santé - Notre mission
Canadian Forces Response
to Earthquake in Haiti
Operation HESTIA
Presentation to:
AMMA 2010
Commodore HW Jung
Surgeon General/Commander
Canadian Forces Health Services

OVERVIEW
• History of CF DART deployments
• Haiti
– earthquake overview
– Country profile
• Canada’s response to the disaster
• CF response – Op Hestia
– Op Hestia Organizational Structure
• Op Hestia Health Services
– What we did
– What we learned

CF HUMANITARIAN OPERATIONS
• Recent CF DART deployments:
– 1998 - Honduras – Hurricane Mitch
– 1999 - Turkey earthquake
– 2005 - Pakistan earthquake
– 2004/2005 - Sri Lanka earthquake-generated tsunamis
– 2010 - Haiti earthquake

SITUATION
• Earthquake on 12 January at 1653L
– 7.0 magnitude;
– Approximately 13 km deep.
• Deaths: estimated at 150,000 by GoH
– Later revised at 230,000 (GoH)
– International estimate 92,000
• Injured: 300,000
• Affected by the event: 3,000,000
• Homeless estimated at 1,500,000

Jacmel
Dest: 50-60%
Pop: 40k
Léogâne
Dest: 80-90%
Pop: 134k
Port-au-Prince
Pop: 2M
Relocation ext: 469k
Epicentre
Mag: 7.3
16h53 12/01/ 10
Situation on 12 January 2010
Estimation of Devastation
Dead: 220k
Wounded: 300k
homeless: 1,2M
relocated: 272k
Needing food: 2M
standard.jpg (21
Ko)

• Canadian Forces (CF) participation in a whole-of-
government humanitarian response to the earthquake
• Under command of Brigadier-General Guy Laroche
• Over 2,000 CF personnel deployed
OPERATION HESTIA

OPERATION HESTIA CAPABILITIES
• Search and rescue
• Health Services Support services
• Disaster Victim Identification
• Food and water
• Engineering expertise
• Mobility by sea, land and air
• Defence and security support

HAITI DEPLOYMENT TIMELINE
0
500
1000
1500
2000
2500
12-Jan
14-Jan
16-Jan
18-Jan
20-Jan
22-Jan
24-Jan
26-Jan
28-Jan
30-Jan
01-Feb
03-Feb
05-Feb
Séisme
OPS start – 1Cdn
Fd Hosp
R2
Leogane
Ops Start
Arrival
HMCS HAL & ATH
Arrival
DART
Medical Recce
Quake
12-Jan 14-Jan 16-Jan 18-Jan 20-Jan 22-Jan 24-Jan 26-Jan 28-Jan 30-Jan 01-Feb 03-Feb
AO confirmed Last troops arrive
Arrival Comd HS
R1 Embassy R1 Leogane
USNS Comfort-R3
Total pers
Op Hestia

Detailed Timeline of Health Services Deployment
Earthquake
12 Jan 29 Jan
15 Jan
16 - 22 Jan
22-27 Jan19 Jan
Move to Trenton
Fd Hosp
IOCMND Announces
the deployment
of 1 Cdn Fd
Hosp
DART Med Pl
IOC
Warning Order
10 Mar
6-19 Mar
Closing of R2
Redeployment
Deployment
21 Jan

Land Component
DART
3 R22eR Battalion Group
1 Canadian Field Hospital
Maritime Component
HMCS ATHABASKAN
HMCS HALIFAX
(C2 and CH-124 Helo)
Naval construction troop
Ships' medical teams
Air Component
Airfield Operations
6 Griffons (Utility)
CC130 (Tactical Lift)
CC177 (Strategic Lift)
CC150 (Passenger lift)
CC144 (Passenger lift)
Aeromedevac teams
Search & Rescue
technicians teams
Op HESTIA – Force structure
Joint Task Force (JTF)
Support Element
Transport, shipping & receiving,
contract administration etc.
Joint Task Force Haiti (JTF-H)
Command Element - BGen Guy Laroche
(Command & control, Co-ordination with Cdn
and international partners)

NAVY
• Over 500 naval personnel
• HMCS ATHABASKAN - destroyer
• HMCS HALIFAX - frigate
• Sea King helicopter air detachment
• Naval Construction Troop

ARMY
• 500 soldiers in total
• Two infantry companies from 3 R22R
• Engineer company from 5 Combat
Engineer Regiment
• Support company

AIR FORCE
• Over 250 personnel
• Medical Evacuations
• Transport of humanitarian aid supplies,
equipment, vehicles and passengers
(including evacuees)
• Jacmel airstrip: air traffic and ground
control

CF HEALTH SERVICES - PERSONNEL
Over 180 CFHS members representing more than 18
different Health Services and Support professions/trades
* GD/Flt Surg Medical Offrs (13) * Gen/Orthopedic Surgeons (4)
* Anesthesiologists (2) * Radiologists (1)
* Intensivist (1) * Health Services Ops Officers
* Nursing : ICU, GD,OR, Flt * Pharmacists
* Social Worker (1) * Health Care Admin
* Advanced General Dentist (1) * Dental Techs
* Preventative Med Techs * Operating Room Techs
* Laboratory Technicians * Biomed Engineering Techs
* X Ray Technicians * Physician Assistants

Roles:
– Primary medical care
– Clean-up and construction
– Safe drinking water
– Security
DISASTER ASSISTANCE RESPONSE TEAM
(DART)
• Rapid-response capability
Total of 200 CF members:
• engineers,
• Defence & security platoon &
• Medical Pl: 47 pers:
• General Duty Medical
Officers
• Nursing
• Pharmacy
• Preventive Medicine
• Medical Technicians

DART Med Platoon
Roles:Roles:
• Work with/augment local/international health staff to support their objectives; and
• Work with other military and non-government organizations to do the same.
• To provide Primary Medical Care in order to
– Stabilize the primary effects;
– Limit/mitigate secondary effects; and
– Address humanitarian needs while domestic or international mobilizes to facilitate long-term recovery
Limitations:
No trauma capability as standard DART
No surgical capability as standard DART
Enhancements (pull):
Laboratory
Mental health
Forensics
X-Ray
Extra Holding
*Acute Medical Surgical Capability

Map of DART Medical Assistance Ops
DART AOR

Traum
a cases (com
partm
ent,
burns, fractures, etc)
Dehydration
(headaches, stom
ach
aches) Dressing changes
Skin
infections (scabies),
dehydration
(headaches,
stom
ach
pain)
Vaginosis,
parasites,
headache, chroni
DART Medical Ops

Critical Relief 1.5 wk
Stabilisation and FU 1.5 wk
Follow-Up Care 0.5 wk
Beyond disaster care
DART Medical Ops

Disaster Victim Identification
• CF Dental Services Forensic Odontologist deploy upon request from
– Dept of Foreign Affairs
– RCMP / Provincial Police / Municipal Police
– Coroners / Medical Examiners
• Haitian community saw little value in disturbing buried victims for
identification purposes.
– Birth and death certificates are not the norm for Haiti
– Local customs favoured not disturbing the dead
– Most decedents would not have ante-mortem records suitable for
identification purposes
• Canada sent three teams of 6 investigators, each for a two week
rotation

CF HEALTH SERVICES IN LÉOGÂNE
• Role 2 - 1 Canadian Field Hospital (1 Cdn Fd Hosp)
– 2 operating rooms,
– 4 resuscitation bays,
– 103 beds: 5 critical care, 10 intermediate care, 88 minimal-
care,
– pharmacy, laboratory, diagnostic imaging, and dental svcs.
• Role 1 - 3 R22eR Battalion Group
– Physician, Physician Assistant (PA) and Med Techs
• Village Medical Outreach clinics in isolated communities;
• 1 Cdn Fd Hosp augmentees
• Primary Care- HMCS ATHABASKAN
– Physician, PA and Med Techs embedded with other teams

130’
120’
320’
Dental
Triage
OR 2
OR 1
CSS
MIR
WARD B
WARD C
WARD D
Support/Engr
Generators
TOC/CS8
RESUS
HQ
CCW
Lab
Diag Imag
Pharmacy
FMED
Reefer
WARD A
Entrance
1 Cdn Fd
Hosp

1 Canadian Field Hospital STATISTICS
• 4922 patients seen in 40 days
– 711 children
• 178 surgical procedures
– 123 General Surg
– 55 Ortho Surg
• 364 dental patients
– 421 extractions
– 258 surgical procedures
• 243 admissions
– 18 ICU admissions

1 Dental
Unit
1 Dental
Unit

CF HUMANITARIAN HEALTHCARE SUMMARY
# of patients
Patients / consultations 22 447
Surgery 198
Medical Outreach in rural regions 5 558
Strategic Aeromedical Evacuation to Canada of Canadian Entitled
Persons
62
Canadian Entitled Persons seen at Embassy 438
Total Canadian Entitled Persons evacuated 3291

CC-177 Globemaster III strategic airlifters
LESSONS LEARNED

LESSONS LEARNED: Health Services Support to
Future Humanitarian Operations / Disaster Response
Lesson # 1: Arrive rapidly in location within 7-10 days of the
event
Need to balance capability with mobility
Lift Requirements need to be minimized
Task Force Movement Tables / Sequencing essential

LESSONS LEARNED: Health Services Support to
Future Humanitarian Operations / Disaster Response
Lesson # 2: Health care delivery must be tailored to the
population at risk:
Standards of Care
Medical / Dental Rules of Eligibility
“Filling the Right Niche”

LESSONS LEARNED: WAY AHEAD
• Refining of the DART primary care high readiness module
• Public Health module
• Fwd AE/ Ground evacuation module
• Disaster Victim Identification module
• High Readiness Acute Medical Surgical module

Scalable Acute Med/Surg Module (48 hrs NTM)
Basic Functional Module:
Bed Count (30):
2 OR beds
4 CCW/Resus/PACU
10 ICW
16 minimum care beds
Total Personnel Required: 92
Lift Required: 3 CC-177 Chalks
Sustain: 14 DOS
• This module could be added onto
the DART Med Pl module which
contains an existing 50 pers and 30
minimum care beds
Follow On module if required:
Additional Beds (50):
6 CCW/Resus/PACU
12 ICW
32 minimum care
Additional Personnel Required: 26
Additional Lift: 1.5 CC-177 chalks
TOTAL: 80 beds
118 personnel
4.5 C-177 chalks to move

QUESTIONS

Disaster and humanitarian assistance Jung

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Andere mochten auch

Andere mochten auch (18)

Ähnlich wie Disaster and humanitarian assistance Jung

Ähnlich wie Disaster and humanitarian assistance Jung (20)

Mehr von Leishman Associates

Mehr von Leishman Associates (20)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

Disaster and humanitarian assistance Jung