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Health Emergency Management Staff of DOH

Hospital Settings

Mike Cruizer

on 23 September 2012

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Transcript of Health Emergency Management Staff of DOH

Health Emergency Management Staff of DOH Emergency Preparedness
Phase Emergency Response
Phase Emergency Recover
Phase National Policy Framework on Health Emergencies and Disasters
(Administrative Order No. 168 s. 2004; Joint Administrative Order No. 2007-001b)
The DOH’s role in health emergency management is to lead in Health Sector preparedness and response.
The Health Emergency Management Staff (HEMS) of the Department of Health
(DOH) was created with the vision of becoming Asia’s model in health emergency
Management systems. Michael P.Cruz, RN
Our Lady of Fatima University Graduate School The HEMS mission: To ensure a comprehensive and integrated health sector emergency management system. VISION & MISSION Its three-fold mission consists of:
1. Leading in the formulation of a comprehensive, integrated and coordinated health sector response to emergencies and disasters;
2. Ensuring the development of competent, dynamic, committed and compassionatehealth professionals equipped with the most modern and state-of-the-art facilitiesat par with global standards; and
3. Being the center of all health and health-related information on emergencies anddisasters. • Holistic Health Emergency Preparedness and Response to cover all phases of the
emergency/disaster: (1) pre-emergency/disaster phase for emergency preparedness
mitigation and prevention; (2) emergency/disaster phase for response; and (3) post emergency/ disaster phase for recovery and reconstruction.

• A focus on the Community Risk Reduction Strategy to include decreasing the hazard,
decreasing vulnerability, and increasing preparedness.

• Comprehensive coverage for an all-hazard approach, addressing all types of disasters(natural, man-made and technological) and all types of emergencies with a
potential to be a disaster through Mass Casualty Management, Public Health,
Mental Health, and recently with the Management of the Dead and the Missing. Focus: MILESTONES OF PHILIPPINE HEALTH EMERGENCY MANAGEMENT: • Mental Health in Disaster as a major component institutionalized in all phases of
disaster and provided to victims, relatives of victims, as well as responders.

• Health Emergency Management integrated in health programs of the community,
local government and the state. Two Executive Orders (E.O.) issued by the late President Manuel L. Quezonduring the Commonwealth era, namely, Executive Order Nos. 335 and 337.

Executive Order No. 335 -The Civilian Emergency Administration (CEA)National Emergency Commission(NEC) Philippine National Red CrossLocal emergency committees (LEC) cities & municipalities “ local chief executive”The sanitary officer was an official member of the LEC. Executive Order No. 337 - Volunteerism/volunteer guards

maintenance of peace and order
safeguard public utilities
safeguard public utilities
aid to people during natural or man-made disasters Executive Order No. 36 - Late President Jose P. Laurel during Japanese occupationThe Civilian Protection Service (CPS)
Handled by: CPA/Civilian Protection Administration
Civilian Protection Administrator, Chief of the Air WardenChief of the Medical and First Aid Republic Act 1190 or the Civil Defense Act of 1954
created the National Civil Defense Administration (NCDA)
“to provide protection and welfare to the civilian population duringWar or other national emergencies of equally grave character”
Its operating services at all levels:
Warden Service, Police Service,
Fire Service,
Health Service,
Engineering Service,
Emergency Welfare Service,
Transportation Service,
Communication Service,
Air Raid Warning Service,
Auxiliary Service. Administrative Order No. 151 (December 2, 1968)
Created a National Committee on Disaster Operation – collapse of the Ruby Tower building. Formulation of the Disaster and Calamities Plan (1970)
Prepared on October 19, 1970, after Typhoon Seniang, by an Inter-Departmental Planning Group on Disasters and Calamities as approved by then President Ferdinand E. Marcos.
Presidential Decree 1566 of 1978:
Strengthening of the Philippine Disaster Control Capability and Establishing the National Program on Community Preparedness. Republic Act 7160 or the Local Government Code of 1991
Contains provisions supportive of the goals and objectives of the disaster preparedness, prevention and mitigation programs. These provisions reinforce Disaster Management Program at the local government level.
Institutionalization of the Health Emergency Preparedness and Response Program at the local level. Section 16 – General Welfare
Allocation of five percent (5%) calamity fund for emergency operations such as relief, rehabilitation, reconstruction and other works of services in connection with the occurrence of calamities.
Section 17 – Basic Services and Facilities Devolved to the Local Government Units:
health servicessocial welfare services
relief operationspopulation development services: infrastructure facilities & roads Presidential Decree No. 1566 of 1978: Strengthening Philippine Disaster Control Capability and Establishing National Program on Community Disaster Preparedness.

Creation of National Disaster Coordinating Council (NDCC).Creation of the multilevel organizations in charge of disaster management.Funding for a 2% reserve for calamities.
Calamities and Disaster Preparedness Plan, 1988
Department of Health is a member of the NDCC, which is the lead agency in coordinating, integrating, supervising and implementing disaster-related functions. The Department of Health organizes Health Service Units in all regions, provinces, cities, municipalities and barangays. Purpose of Health Service Units
To protect life through health and medical care of the populace.
To preserve life through proper medical aid and provision of medical facilities.
To minimize casualties through proper information and mobilization of allmedical resources. Constitution of Health Service UnitsChairman: Department of Health
Members (suggested as but not limited to):
Representatives of the Philippine National Red Cross
Medical and allied professionals
Chief of public/private hospitals/clinics/institutionsAFP medical reserve personnel on inactive status in the community Sub-units of the Health Service Unit
i. Medical and First-Aid Unitii. Field Emergency Hospitaliii. Sanitation Service Unitiv. Health Supply Unitv. Transportation and Ambulance Unitvi. Mortuary Unitvii. Records Unit Republic Act 8185 of 1997:
Emergency Powers of the Local Government Units
Criteria for Calamity Area Declaration:

Memorandum No. 13 s. 1998 – Amended Policies and Procedures on the Provision of Financial Assistance to Victims of Disasters.

Coverage – Disaster victims who died or got injured during the occurrence of a natural disaster.
Exception – Victims of man-made disasters such as fi res, vehicular accidents, grenade/ bombing incidents, armed conflicts, and air/sea mishaps, unless directed or approved
by the President of the Philippines upon the recommendation of the National

Disaster Coordinating Council (NDCC).
Amount of Financial Assistance:
Php10,000.00 – for dead victim
Php 5,000.00 – for injured victims
Validity of Claim – Within one (1) year from the occurrence of The disaster. PRESIDENTIAL ISSUANCES
Executive Order 948 S. 1994 – Grant of compensatory benefits to disaster volunteer workers (still for enforcement).
Proclamation No.296s. 1988 as amended by E.O. 137 s. 1999 – Declaring the first week of July of every year as Natural Disaster Consciousness Week, now, the whole month of July as National Disaster Consciousness Month.

PMO (PROJECT MANAGEMENT OFFICE.) No. 36 s. 1995 as amended by PMO No. 42s. 1997 – Establishment of a special facility for the importation and donation of relief goods and equipment in calamity-stricken areas.

Proclamation No. 705 – Declaring December 6, 1995, and December 6 of every year thereafter, as National Health Emergency Preparedness Day. RELEVANT EXECUTIVE/ADMINISTRATIVE ORDERS:
DOH Administrative Order No. 6-B of 1999: “Institutionalization of a Health EmergencyPreparedness and Response Program Within the Department of Health”
Institutionalized the Health Emergency Preparedness and Response Program of DOH.

Created the “STOP DEATH” Program as a comprehensive, integrated and responsive emergency/disaster-related, service and research-oriented program.
Aimed to promote health emergency preparedness among the general public and strengthen health sector’s capability to respond to emergency/disaster.
The program likewise gives advice and policy directions regarding health emergencies. Executive Order No. 102: “Institutionalization of the Health Emergency Management Staff (HEMS)”

The HEMS organizational structure places it directly under the Office of the Secretary.
It has two divisions: the Preparedness Division and the Response Division. Below are their respective functions: Functions of the Preparedness Division
Develop plans, policies, programs, standards and guidelines for the prevention
and mitigation of health emergencies.
Provide leadership in organizing and coordinating the health sector efforts for health emergency preparedness.
Provide technical assistance, consultative and advisory services to implementing agencies.
Facilitate capability building of implementing agencies.
Initiate advocacy activities.
Maintain/update the information center for emergencies and disasters.
Conduct/coordinate studies and researches related to health emergencies.
Conduct/facilitate monitoring and evaluation activities.
Functions of the Response Division

■ Maintain a 24-hour Operation Center to monitor health and health events nationwide.

■ Collect emergency and disaster reports nationwide, for the use of the Health Secretary, NDCC and other agencies and the public.

■ Lead in mobilizing health teams in anticipation of or in response to health emergencies.

■ Coordinate and integrate health sector response to emergencies and disasters. Develop networks with government agencies (GAs), nongovernment organizations
(NGOs), people’s organizations (POs), and health sector responders.
Develop plans, policies, programs, standards, guidelines and protocols for
emergency response.
Conduct/coordinate studies and researches related to emergency response.
Conduct/coordinate monitoring and evaluation activities.
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