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PUBLIC HEALTH RESPONSE- COMMUNICABLE DISEASES EXPERIENCE AT PENANG INTERNATIONAL AIRPORT

By: DR SUNITA BT ABDUL RAHMAN

PUBLIC HEALTH PHYSICIAN MD(USM), MPH(UM)

SENIOR MEDICAL OFFICER AT PENANG INTERNATIONAL AIRPORT HEALTH OFFICE MINISTRY OF HEALTH MALAYSIA

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IN THE PAST..

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NEW IMAGE…. At present

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Penang Airport Health Office

Located at 1st floor at Arrival Curbside

Main activities: Preventive and control measure at POE

Vector control activities (Yellow fever, plague) Food and water Safety and

Quality Tobacco enforcement

activities at POE 5

Cont.. Health surveillance and response of

communicable diseases (body temperature screening for all international passenger arrival at POE) Quarantine facilities (located at 3rd floor-

international wing)- Yellow Fever Medical emergency facilities (Air Disaster

Unit)

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Quarantine facilities- in the airport terminal (Yellow fever)

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Penang International Airport Influenza Pandemic Committee

Chairman : Senior Airport General Manager ofMASB Secretary: Senior Airport Medical Officer of Health Members: - DCA - Penang International Airport Health Office - Malaysia Airport Sdn Bhd - Immigration department - Royal Malaysian Custom - Royal Malaysian Police - Airlines Operating Committee - Department of veterinary services

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Penang Airport influenza commitee

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Process of handling Communicable Diseases at POE

• Received the notification about the event – pilot in command notification to air traffic control for

suspected onboard requested medical personnel on arrival and request gate number

• ATC will alert MAB on possible cases of communicable diseases

• Dissemination of the information from Malaysia Airport to all stakeholders ( Health Authority, Immigration , Airlines and others agency involved in the committee for response

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Mobilize and preparation of the dedicated team, holding and

examination area, medical facilities and standard precaution (PPE),

documents etc to dedicated gate

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Dedicated gate

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Communication within Health team -Identification of work task and dedicated personal (medical team, investigation team and support team) - Done at dedicated gate

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Coordination with staffs from other departments/ agencies

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Preparing examination and holding area

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Preparing examination and holding area

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Preparing medical team

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Essential medical equipment and sanitizer

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Distributing of personal protection equipment (PPE) for dedicated staff handling the passenger

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Preparing thermo scanner camera (body temperature screening) at dedicated gate

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Distributing of Health Alert Card for the passengers (depends on the alert level from WHO/ Ministry/ State advise )

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Example

Managing the passenger and patient under investigation (PUI)

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Managing passenger flow at dedicated gate

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Body temperature screening at the dedicated gate

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Body temperature screening at dedicated gate

• Patient under investigation (PUI)- received guideline criteria from Ministry of Health

• PUI- sign and symptoms (fever, coughing, sore throat, difficulty in breathing)

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Medical team- examination area

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PPE (mask) to the sick / patient under investigation

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Investigation team • Taking patient

information- name, contact person, address staying in Malaysia, duration of staying, history of travelling etc

• Notification to the higher authority (Health department/ state/ Ministry level )

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Medical examination of PUI

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Preparing PUI (patient under investigation) to dedicated hospital

•Staff nurse in charged will contact the call centre for dedicated ambulance

•Clearance of the passport

•Clearance of the luggage

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Preparing PUI to the dedicated hospital

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Dedicated ambulance (from the hospital)

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Transportation of the patient to the ambulance

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Transportation patient to the ambulance

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Transportation patient to the ambulance

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Transportation of the patient to

the ambulance

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Health measure

• List of passenger and crew infected flight • List of staff handling with PUI • Inspection of the aircraft • Disinfection procedure • Health alert card • Active medical and health surveillance • Risk communication (? types of disease, morbidity

and mortality, prevention and control measure)

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Active surveillance

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Conclusion

Good communication and collaboration within airport authority/ agency is very important in providing good Public Health Response at POE

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Thank you

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Airport Assistant visit by ICAO…