Providing adequate shelter and sanitary facilities

Setting up medical camps and mobilizing resources.
 Providing adequate shelter and sanitary facilities.
 Development of search and rescue team

Systemic Approach for a Response to MCM(cont...)
3. Recovery:
 It involves measures, which support emergency affected areas in
reconstruction of the physical infrastructure and restoration of
economic and emotional well being.
 Counseling programme for those who lost the near ones
 Restoring services like roads, communication link
 Providing financial support employment
 Reconstructing damaged buildings
4. Prevention and Mitigation:
 It involves measures to eliminate or reduce the incidence of severity
of disasters.
 Preventing habitation in risk zones
 Disaster resistant buildings

Immediate Action Required in Different Type of
Disaster
The DISASTER Paradigm
• D detect
• I incident command
• S scene safety and security
• A assess hazards
• S support needed
• T triage/treatment
• E evacuation
• R recovery

Planning for MCM at Various Levels (National, Community & Health Care
Facility)
Ministry of
health
National Emergency Control
Center
Provincial Emergency Control
Center
Local Emergency Control
Center
Mass Causality
Incident
Information
& request
Direction &
advice
------------
Authority & advice
Authority & advice
Authority & advice
----------------
-----------------
Ministry of health
National
emergency
planning &
preparedness
committee
Governor
Mayor
Provincial
emergency
planning &
preparedness
committee
Local
emergency
planning &
preparedness
committee
Police
Defence
Health
Fire & rescue
Welfare
Local Govt
L. ER
Service
L. Health
Service
Community Representatives
Mass Casualty Management
Systems WHO, 2007

Issues, Challenges and Strategies for MCM
Issues, Challenges
1. The authority to activate or
approve the use of altered
standards of care under certain
conditions.
2. Financial issues related to
reimbursement and other
ways of covering medical care
costs.
3. Issues related to effective
communication with the
public.
4. Legal issues related to
liability, licensing, and inter-
governmental or regional
mutual aid agreements.
5. Issues related to populations
with special needs.
6. Issues related to transportation
of patients.
Strategies
1. Develop general and event-specific guidance for
allocating inadequate health and medical care
resources during a MC event.
2. Develop and implement a process to address
nonmedical (i.e., finance, communication, etc.)
issues related to the delivery of health and
medical care during a MC event.
3. Develop a comprehensive strategy for risk
communication with the public before, during,
and after a MC event.
4. Develop practical tools, such as searchable
databases, for verifying credentials of medical