DISEASE CONTROL DIVISIONMINISTRY OF HEALTH MALAYSIA

cprc@moh.gov.my

CPRCCPRC

DEFINITIONCrisis - Disaster Preparedness

a proactive approach to comprehensive crisis management before, during and after the crisis period

ongoing, multi-sectorial activities designed to minimize loss of life and damage, to organize the temporary removal of people and property from a threatened location and facilitate timely and effective rescue, relief and rehabilitation

set of measures that ensure the organized mobilization of personnel, funds, equipments and supplies within a safe environment for effective relief

Actions & measures taken prior to & during the incident determines the final outcome

INTRODUCTIONCPRC has been established under the 9th MP (2005-2010) as part of the overall strategies to effectively manage crises and disasters related to health.

CPRC was established with the following intention:

- to increase the level of preparedness;

- to develop strategies to address public health issues & rehabilitation in the event of disasters;

- to coordinate all health-related activities to ensure effective and immediate response;

- to reduce morbidity & mortality before, during and after the event through the adoption of inter-sectoral approach; and

- enhancing collaboration & coordination: international organizations, NGOs, private sectors including pharmaceutical companies and laboratories

INTRODUCTION

CLINICAL EMERGENCY CRISIS

DISASTER

OUTBREAK

THE CHALLENGES

Jetty collapse Plane crash Sg Buluh fireworks explosion (22 deaths, 1647 injured) Port Klang Ship explosion Highland towers condominium collapse (48 deaths) ‘Greg’ storm landslide (230 deaths, 4925 homes) Mudslide in aborigines settlement (44 deaths, 30

homes) Bus plunging into ravine Tsunami (68 deaths, 767 injured) Haze Johor Floods Outbreaks

Cholera in Penang (1182 cases)Enterovirus in Sarawak (131 infants deaths)Nipah encephalitis (265 cases, 105 deaths)Anthrax scare (103 incidents)SARS (5 probable cases)H5N1 among poultryDengue & Chikungunya & Pandemic H1N1 2009

MALAYSIAN EXPERIENCEMalaysia has been spared from major natural disasters. However, there is a history of health emergencies caused by biological and natural hazards.

CPRC TERMS OF REFERENCE• To act as a command centre for coordination for all

Public Health incidents• To establish collaboration and coordination, and maintain networks with other national and international organizations and institutions• To plan and ensure availability of resources - manpower, training, equipments, budget, stockpiles of essential items• To establish and maintain an information centre and database• To prepare and disseminate information on crisis management• To formulate standard policy, guidelines and SOPs • To establish training programmes• To conduct risk assessment and analysis studies • To conduct regular simulation exercises/drills• To encourage research and documentation activities

CPRC ACTIVATION

• Confirmed infectious disease outbreak, crisis and disasters and• Upon advice from Director of Disease Control, Deputy DG (Public Health) or Director-General of Health

Criteria for activation:• Occurence of infectious disease in more than one State/Area/Division• Infectious disease with high morbidity and mortality• Unusual occurences/clusters of diseases/deaths in any area• Global alert on any relevant infectious disease (IHR)/PHEIC• Incidence of bioterrorism• Large scale of natural or man-made disaster • Level 3 disaster as spelled out under Directive 20 of NSC

CPRC ORGANIZATION CHART

MINISTER OF HEALTH

DDG (MEDICAL)

DDG (PH)

DEP-MINISTER OF HEALTH

DIRECTOR-GENERAL OF HEALTH

DDG (P&ST)

CPRC TECHNICAL COMMITTEE

DISEASE CONTROL, HEALTH EDUCATION

MEDICAL SERVICES

SENIOR DIRECTOR - PHARMACY

NIH, ENGINEERING

CPRC ORGANIZATION

CHART

Health EducationSurveillance and EpidemiologyTechnical Information & ITDocumentationResourve Management,

COMMANDER

DEPUTY COMMANDER

ADMINISTRATION

LOGISTICS OPERATIONS PLANNING

SECRETARIAT

LIAISON OFFICER

Commander: Director of Disease Control Dep. Commander: Deputy Director of Disease Control (Surv)Responsible to: Ministry of Health CPRC Technical Committee Chairperson (DG/DDG (PH))Members: All chairpersons of the Units/teams

Secretariat UnitSurveillance

SectionSupplies and

Procurement UnitHealth Promotion

and Information UnitGuidelines UnitLogistic Unit

Task:Issuing directive and commands Chair National Operations Room meetingOversees overall crisis response

CPRC ORGANIZATION

CHART

A. Task Force Secretariat.• Secretariat to National Crisis Control Task Force.• Secretariat to Inter-agency Committee• Arrange Task Force Meeting• Coordinate activity reports from all departments involved.

B. Technical Information Unit.• Managing source of technical information about the outbreak.• Download all information related to the disease from the internet.• Compile the technical information.• Distribute the technical information to those concerned.

C. Epidemiological Analysis Unit• Analyse the epidemiological data from case investigation / notifications received.• Input of data to data base.• Perform epidemiological analysis.• Prepare and distribute of reports to the secretariat

CPRC FUNCTION OF EACH

UNIT

D. Supplies and Procurement Unit• Manage supply of vaccines / insecticides / drugs / personal protectiveequipment (PPE) and other supplies wherever applicable.

E. Health Education Unit• Prepare of health education materials.• Distribute of the health education material to related agencies and the public.• Coordinate health education activities with mass media.

F. Logistics Unit• Prepare Operations Room equipment• Prepare transportation• Prepare refreshments• Maintenance of the Operations Room.• Act as the secretariat for Operations Room daily meeting

CPRC FUNCTION OF EACH

UNIT

G. Human Resource Unit• Prepare the duty roster (according to shift).• List down the telephone numbers of all officers on duty.• Ensure the presence of officers on duty according to the roster (or their replacement). However it is the officer responsibility to find the replacement and inform the Human Resource Officer.• Coordinate with other departments for officers to be on call.

H. Documentation Unit• Receive daily reports from various departments.• Prepare the daily report.• Distribute the daily report to the relevant parties.• Document the chronology of events taken place in the outbreak.• Review media reports• Be responsible in maintaining the letters in–out files.

CPRC FUNCTION OF EACH

UNIT

I. IT Support Unit• Update the Homepage Information (if any).• Response to queries received through e-mail.• Manage guidelines in a software form.

J. Guidelines Preparation Unit• Prepare guidelines related to the infectious disease outbreak i.e.

• case management,• case follow-up,• quarantine,• screening,• transportation of cases• surveillance of health personnel

K. Hotline Unit• Respond to the hotline calls.

CPRC FUNCTION OF EACH

UNIT

Nature of Incident Numbers Percentage (%)

Food Poisoning 151 53.2

Hand Food and Mouth Disease (HFMD)50 17.6

Cholera 29 10.2

Measles 15 5.3

Rubella 7 2.5

URTI 7 2.5

Leptospirosis 6 2.1

AGE 3 1.1

Hepatitis A 3 1.1

Fire/Landslide 2 0.7

Conjunctivitis 2 0.7

Chicken Pox 2 0.7

Malaria 2 0.7

Syndromic notification 2 0.7

Typhoid 2 0.7

Adenoviral Infection 1 0.3

Total 284 100

Table 3.3f: On-Call Surveillance incidents reported to the CPRC in 2011

Crisis/Disaster/Outbreak/PHEIC

Physician / Paediatrician Lab –district / State

Dep. DirectorMedical

Dep. Director PH/Epid Officer

CPRC

Dep. DG (PH) / Director Disease Control

Hospital Director

District MOH

State Health Director

Director General

Minister /Sec-Gen

WHO / others

IMR /NPHL

SPEED OF INFORMATION FLOW

DISTRICT

STATE

CPRC(DIRECTOR OF DISEASE

CONTROL)MINISTER

DG

DDGs

OTHER AGENCIES

By 3.00pm

You need to set the time appropriately

By 8.00 am next day

By 12.00 noon

By 5.30pm

CPRC FACILITIES, COMPONENTS &

SECURITY Facilities:

Plasma TV with satellite connection, video-conferencing equipments, internet access and GIS system, CCTV, computers, printer, scanner, telephone lines, fax machine & lines, cabinet, soft board, white board, Policy, Guidelines & SOPs, Maps, Displays

Telephone, address, fax and email directory

Duty roster, Log book, Attendance book

Components:

Meeting Room, Hotline Room, Kitchen & Rest Area, Store RoomOnly authorized personnel will be allowed in

Security:Access only with thumb print reader machineNo information will be allowed out without the approval of Deputy Commander or Liaison OfficerNo equipment is allowed to be taken out

CPRC TELEPHONE, FAX &

HOTLINETelephone: 03 – 8881 0600 / 03 – 8881 0700

Fax: 03 – 8881 0400 03 – 8881 0500

Handphone: 013 – 669 9700 (Surveillance On-Call) 012-791 6811 (H1N1)Hotline: 03 – 8881 0200 / 03 – 8881 0300 (in the Hotline Room)

Webpage: http:www.moh.gov.my

Email: cprc@moh.gov.my

THANK YOU http://www.moh.gov.my/

survelans