26th January 2001

Earthquake In GujaratTime : 8.46 a.m.

Magnitude : 6.9 on Richter Scale

Aftershocks : More than 954 (above 2.8 an Richter Scale)

The world has seen it...

Earthquake Affected Areas

District 21 out of 25

Talukas 181 out of 225

Talukas severely 42 out of 181

Villages 7633 out of 18356

Population 1.61 crores out of 5.05

Severely affected

Affected

EarthquakeRelief and Reconstruction

Department of Health

Government of Gujarat

We experienced…

Gujarat Quake Beckons

Bhuj

Historic Collapse

Anjar Community Health Centre

in Rupture

• Most of the patients were removed out of the debris by the staff people.

• Local doctors and Indian Medical Association extended help immediately.

• Commissioner Health, Additional directors Health and Medical services with a team of 40 medical experts reported on the same day and systematically organised the measures.

Action on the Very Day

• Military hospital was utilised to provide treatment to seriously injured patients.

• Very seriously injured patients were air lifted to Army Hospital Pune at 1400 Hrs. (This type of air lifted referral to Pune, Mumbai, Jamnagar and Delhi continued for few more days.

Kutch Other Total District Districts

• Medical Officers 250 1584 1834• Specialist Doctors 400 363 763• Para Medical Staff 1000 1500 2500• Jeeps/Ambulance 1603 362 1965• 46 specialists with 183 medical teams operationalised in 24 hours for

medical assistance in Bhuj

• 615 specialist with 2371 medical teams reached with vehicles all over the State

• 1,66,036 injured cases treated of which 19,726 were of serious nature.

• Team from National Institute of Communicable diseases maintained surveillance.

• Team of doctors dispatched to Bhuj by Helicopter by Afternoon.

Emergency Medical Teams Deployed

• 13,811 Total Death in State

• 12,221 Death in Kutch

• 1,66,036 Total Injured Cases

• 19,726 Serious Injured Cases

Human Casualties

Interventions for a Rapid and

Effective Response• Early presence of staff at field and state level.• Health assessments.• Technical guidelines on disposal of dead bodies, prevention of

cholera and typhoid, water quality and sanitation and disease surveillance.

• Prompt release of donor funds for activities.• Provision of emergency health kits and coordinated distribution.• Coordination between sectors, within the health sector and

among NGOs working in health.• Provision of mobile and satellite phones and vehicles to senior

health staff-to strengthen communication.• Establishment of a coordinated disease surveillance system.• Provision of safe water and linkages with the disease

surveillance system.• Training and capacity building of health workers in disease and

water quality surveillance.

10

Early Presence of Staff at Field and State Level

• 1 Doctor dying.• 10 Nurses / Paramedics dying.• 5 Staff Persons dying.• Hospitals in use.• Mobile hospitals in use.• ST buses converted to hospitals for use. • Private doctors joined the battle.• Red Cross / Israel mobile hospitals in use.• Staff deputed with vehicles from all areas.• Staff moved on feet to reach houses and brought patient in mobiles.

Result • Successful control of epidemics.

Action During the First Two Days

• 33,000 Cases Were Treated• 3,000 Major Operations Performed• 6,004 Minor Operations Performed• 3,004 Cases were referred to other facilities from Bhuj

• Experts from Ahmedabad, Jamnagar, Rajkot and Delhi joined on the next day.Indoor including operative care initiated in the undamaged portion of the damaged General Hospital Mandvi with the help of generators.

• Assistance from local, national and international NGO started arriving in terms of medicines, appliances, tents, equipment,

• Director Central Medical Stores Organisation diverted required medical supplies immediately.

• Israel team and Red Cross Society commissioned 200 bedded tent hospital with all required services with the support of GOG.

Next Day Onwards

Prefab Structure ProvidedIntermediate Facility From EC Funds

Medical Treatment

Health Care in Ship Hospital

Completely Destroyed Health Facilities

5 General Hospital 13 Community Health Centre 58 Primary Health Centre 24 Dispensary 218 Sub Centre 458 Staff Quarters1037 Anganwadi

1813 Total Health Facilities Destroyed

Damaged Health Facilities4 General Hospital57 Community Health Centre154 Primary Health Centre18 Dispensary499 Sub Centre711 Staff Quarters2309 Anganwadi

Kutch-Bhuj

4 CHC

18 PHC

15 Disp.

105 SC

207 SQ

192 AW

541 Total

3812 Total Damaged Health Facilities in 14 District

Injury to Care

• 1,67,000 patients treated• 720 Spinal Injury cases• 104 Paraplegia• 268 Amputations• 8256 Total aids and

appliances given• Work shop and

Rehabilitation Centre for injured and Paraplegics established at Bhuj and Bidada

• Mobiles & Staff used for survey / treatment

Medical Relief Measures in Kutch

Medical Relief Measures After theEarthquake in Kutch

1,36,048 Injured Cases 13,441 Admission Indoor Cases 256 Medical Teams

Deployed 616 Specialists 1,800 Medical Officers 2,000 Para Medical Staff

Taluka wise progressive outdoor cases treated from 26 January to 11 February 2001- Kutch District

4317139894

30172

17462

4045 2259

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5000

10000

15000

20000

25000

30000

35000

40000

45000

50000

Bhuj Anjar &Gandhidham/

Bhachau Rapar Mandvi Others

Cas

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Operation Health in Action

Started from 1st June to Dec 2001 for strengthening diseases

surveillance and prevention of water borne and water related diseases 4692 cases of Neumonia 1821 cases of Diarrhea 3958 cases of Fever and Jaundice Treated thereby preventing the

likelihood of an epidemic Large Number of population were covered under Health Programme Deliveries safely done Children were given nutrition Many persons who were vaccinated or immunized

Operation Health

Mental Health

Mental Health

• Psychosocial Rehabilitation and Therapeutic support

• 1000 Teachers trained for Mental Rehabilitation.

• 10 UNFPA mobile vans with counsellors delivered Mental

Health services at door step.

• 6500 persons given psychotherapeutic intervention.

• As a result cases of mental trauma restricted to only 3%

survey shows as against the ICMR expectations of 10-15%

due to quick interventions.

General Care In Earthquake

Collaboration with NICD and WHO for Early detection and Control of Waterborne Diseases

• 552 MT Bleaching Powder Used• 1.06 Crores Chlorine Tablets Distributed to Families• 5000 Phenyl Tins (5 litres each) Sprayed in Earthquake Area• Worth Rs. 8 Crores Medicine & Equipment Supplied

Successfully Prevented Waterborne Infections and Possible Spread of an Epidemic

Health Care Centre on Wheels

Mobile Care for Earthquake Victims

• 12 Well equipped Health Centres on wheels• For Malaria, P.Falciparum, Diarrhea, Fever, Jaundice• Health Team comprising of Medical Office, Staff/Nurse,

Counsellor• Coverage of 181 Earthquake affected villages

fortnightly for provision of preventive, curative services and psycho-social counselling

Trauma Rehabilitation13 Diagnostic & Operative camps1364 Total Patients Followed-up6000 Disability Certificates Issued in Kutch5721 House to House Survey Examination in Dec-20015722 House to House Physiotherapy services3 lacs Patient Compensation Scheme for ParaplegicRs. 2000 Per month Recurring Assistance to Patients

Initial Phase for 24 Months

Immediate Relief to Restoration of Services with all Facilities

70 General Hospital Rooms32 Community Health Centre Rooms58 Primary Health Centre Rooms15 Dispensary Rooms259 Staff Quarters Rooms15 Labor Rooms449 Total Restoration of Services

145 Restoration of Services in

Bhuj, Surendranagar, Jamnagar, Bhavnagar

Co-ordination & Networking

Co-ordination & Networking – The Key

• Weekly Meetings with the NGOs in collaboration with WHO• Disease surveillance• Health Promotion Psycho-Social Support• Reproductive and Child Health• Prosthetics and Rehabilitation• Logistics• Health Infrastructure• Weekly Monitoring Activities• Prosthetic Camps• Logistics Total Quantity• Repairs Activities

Reconstruction of Health Facilities Work in Progress/Constructed

1 General Hospital4 Community Health Centre3 Primary Health Centre2 Dispensary81 Sub Centre43 Anganwadi135 Total

Kutch, Jamnagar, Patan, Surendranagar, RajkotHealth Facilities Work in Progress/Constructed1 General Hospital3 Community Health Centre7 Primary Health Centre2 Dispensary110 Sub Centre133 Total

Anganwadi

Repair of Anganwadies

1962 Damaged 949 Repaired1013 Repair Works in Progress

Ahmedabad, Banaskantha , Jamnagar, Kutch, Mehsana, Patan, Rajkot, Surendranagar

Construction of New Anganwadies

1006 Damaged 44 Constructed 114 Work in Progress 569 Site Selected

Kutch, Rajkot, Surendranagar, Jamnagar

PMO Assistance for Kutch

• 300 bedded Ultra modern state of the art hospital with all specialties at a cost of Rs. 100 Crores

• ANM training nursing school

• Facilities for Indian Systems of Medicines

• Fully earthquake proof having base isolation technique being used for the first time in India

• To be equipped with state of the art equipment

• To be commission by 26th January 2003

Funds Committed by Donor Agencies

Rs. In Purpose Donor Agencies Crores

120.05 General Hospital PMO, IMA, DMC, Gems & Jewellery

29.13 CHCs, PHCs GOG & Other Agencies

57.30 PHCs, SCs Individual donors & NGOs namely UNICEF AWs, SCs Save the Children, Red Cross & Merlin

170.00 Others European Commission (Including reform activities)

14 Bedded Maternity Hospital at Mundra

Collaboration with International NGOs for Reconstruction

JICA 2 Work in Progress

UNICEF 463 Work in Progress

FICCI-CARE 10 Work in Progress

Save the Children 127 Work in Progress

Indian Red Cross Soc. 572 Work in Progress

50 Bedded Community Health Centre at Anjar

Reform with Reconstruction• European Commission assistance worth Rs. 170 Crores for post earthquake reconstruction and reform activity.• Creation of wireless network for better management and coordination of disaster / epidemics.• Establishing satellite communication network for health education, instruction and training.• Public / Private partnership concept.• Structural Assessment to make all fully earthquake resistance.• Community Needs Assessment a condition.• Decentralization of repair works for Anganwadis and Sub centers.• Provision of user intermediate health facility and staff quarters with basic requirements.

We have come out of it...

Let's Hope for Better Future.....

Thank You