Skip to main content Accessibility help
×
Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-28T16:24:53.826Z Has data issue: false hasContentIssue false

Chapter 9 - Coordination and Organization of Medical Relief to Affected Areas

from Section 3 - Operational Considerations

Published online by Cambridge University Press:  09 January 2020

Elhanan Bar-On
Affiliation:
The Israel Center for Disaster Medicine and Humanitarian Response, Sheba Medical Center, Tel Hashomer, Israel
Kobi Peleg
Affiliation:
National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Health Policy and Epidemiology and Tel-Aviv University, Disaster Medicine Department
Yitshak Kreiss
Affiliation:
Sheba Medical Center, Tel Hashomer, Israel
Get access

Summary

Providing humanitarian relief to affected populations is a top priority following a major sudden onset disaster (SOD). The main form of medical relief to affected areas is the emergency medical teams (EMTs). These are groups of health professionals and support staff operating locally or outside their country of origin by providing healthcare to disaster-affected populations. Despite best intentions, for decades EMTs were disorganized and followed no clear standards. In the aftermath of the 2010 Haiti earthquake, the EMT Working Group of the World Health Organization‘s global health cluster initiated a global effort to standardize the EMTs system. This new system was put to the test in 2013 with the deployment of medical aid to the Philippines following Typhon Haiyan, and later on during the Ebola outbreak in West Africa and the earthquake in Nepal in 2015. This chapter reviews the history of medical aid to disaster affected areas, the process of coordinating and standardizing EMTs and the latest implementation of the new EMT coordination system.

Type
Chapter
Information
Field Hospitals
A Comprehensive Guide to Preparation and Operation
, pp. 68 - 79
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Strömberg, D. Natural disasters, economic development, and humanitarian aid. Journal of Economic Perspectives 2007: 21: 199222.Google Scholar
United Nations University – Institute of Environment and Human Security (2016). World risk report. http://weltrisikobericht.de/wp-content/uploads/2016/08/WorldRiskReport2016.pdfGoogle Scholar
World Health Organization (2013). Registration and coordination of foreign medical teams responding to sudden onset disasters: the way forward. http://www.who.int/hac/global_health_cluster/fmt_way_forward_5may13.pdfGoogle Scholar
World Health Organization/Pan American Health Organization (2010). Working groups background paper registration, certification and coordination. Presented at the technical consultation on international medical care assistance in the aftermath of sudden onset disasters, Cuba.Google Scholar
Fisher, D. Regulating the helping hand: improving legal preparedness for cross border medicine. Prehospital and Disaster Medicine 2010: 25(3): 208–12.CrossRefGoogle ScholarPubMed
Norton, I, von Schreeb, J, Aitken, P, Herard, P, Lajolo, C. Classification and minimum standards for foreign medical teams in sudden onset disasters. Geneva: World Health Organization; 2013.Google Scholar
Pan American Health Organization (2013). Epidemiological update – cholera. http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=23696+&Itemid=999999&lang=enGoogle Scholar
von Schreeb, J, Riddez, L, Samnegård, H, Rosling, H. Foreign field hospitals in the recent sudden-onset disasters in Iran, Haiti, Indonesia, and Pakistan. Prehospital and Disaster Medicine 2008: 23(02): 144–51.Google Scholar
Davey, E, Borton, J, Foley, M. (2013). A history of the humanitarian system: western origins and foundations. London, UK: Humanitarian Policy Group. https://www.odi.org/sites/odi.org.uk/files/odi-assets/publications-opinion-files/8439.pdfGoogle Scholar
Rysaback-Smith, H. History and principles of humanitarian action. Turkish Journal of Emergency Medicine 2015: 15: 57.Google ScholarPubMed
Loescher, G. The UNHCR and world politics: a perilous path. Oxford, UK: Oxford University Press: 2001: 156.Google Scholar
Bar-On, E, Abargel, A, Peleg, K, et al. Coping with the challenges of early disaster response: 24 years of field hospital experience after earthquakes. Disaster Medicine and Public Health Preparedness 2013: 7(5): 491–8.CrossRefGoogle ScholarPubMed
Heyman, SN, Eldad, A, Wiener, M. Airborne field hospital in disaster area: lessons from Armenia (1988) and Rwanda (1994). Prehospital and Disaster Medicine 1998: 13(01): 1421.CrossRefGoogle ScholarPubMed
Bar‐Dayan, Y, Mankuta, D, Wolf, Y, et al. An earthquake disaster in Turkey: an overview of the experience of the Israeli Defense Forces field hospital in Adapazari. Disasters 2000: 24(3): 262–70.Google Scholar
Kreiss, Y, Merin, O, Peleg, K, et al. Early disaster response in Haiti: The Israeli field hospital experience. Annals of Internal Medicine 2010: 153(1): 45–8.CrossRefGoogle ScholarPubMed
World Health Organization (2016). Emergency medical team coordination cell (EMTCC). Coordination handbook – draft version 10. http://www.searo.who.int/about/administration_structure/hse/emt_coord_handbook.pdf?ua=1Google Scholar
Abolghasemi, H, Radfar, MH, Khatami, M, et al. International medical response to a natural disaster: lessons learned from the Bam earthquake experience. Prehospital and Disaster Medicine 2006: 21(03): 141–7.Google Scholar
Peleg, K, Kellermann, AL. Medical relief after earthquakes: it’s time for a new paradigm. Annals of Emergency Medicine 2012: 59(3): 188–90.Google Scholar
Naor, M, Bernardes, E. Self-sufficient healthcare logistics systems and responsiveness: ten cases of foreign field hospitals deployed to disaster relief supply chains. Journal of Operations and Supply Chain Management 2016: 9(1): 1.Google Scholar
Lind, K, Gerdin, M, Wladis, A, Westman, L, von Schreeb, J. Time for order in chaos! A health system framework for foreign medical teams in earthquakes. Prehospital and Disaster Medicine 2012: 27(01): 903.Google Scholar
Nickerson, JW, Chackungal, S, Knowlton, L, McQueen, K, Burkle, FM. Surgical care during humanitarian crises: a systematic review of published surgical caseload data from foreign medical teams. Prehospital and Disaster Medicine 2012: 27(02): 184–9.Google Scholar
Gerdin, M, Wladis, A, von Schreeb, J. Foreign field hospitals after the 2010 Haiti earthquake: how good were we? Emergency Medicine Journal 2013: 30(1): e8.Google Scholar
Jafar, AJ, Norton, I, Lecky, F, Redmond., AD. A literature review of medical record keeping by foreign medical teams in sudden onset disasters. Prehospital and Disaster Medicine 2015: 30(02): 216–22.Google Scholar
Djalali, A, Ingrassia, PL, Della Corte, F, et al. Identifying deficiencies in national and foreign medical team responses through expert opinion surveys: implications for education and training. Prehospital and Disaster Medicine 2014: 29(04): 364–8.CrossRefGoogle ScholarPubMed
Hopmeier, MJ, Pape, JW, Paulison, D. Reflections on the initial multinational response to the earthquake in Haiti. Population Health Management 2010; 13(3): 10513.Google Scholar
Growth of aid and the decline of humanitarianism. The Lancet 2010: 375(9711): 253.CrossRefGoogle Scholar
Van Hoving, D., Haiti disaster tourism – a medical shame. Prehospital and Disaster Medicine 2010: 25(3): 201–02.CrossRefGoogle ScholarPubMed
Peleg, K, Kreiss, Y, Ash, N, Lipsky, AM. Optimizing medical response to large-scale disasters: the ad hoc collaborative health care system. Annals of Surgery 2011; 253(2): 421–3.CrossRefGoogle Scholar
United Nations Office of Coordination of Humanitarian Affairs (2016). Cluster coordination. Website. https://www.unocha.org/our-work/coordinationGoogle Scholar
Katoch, A. Personal communication (October 30, 2016).Google Scholar
Tatham, P, Spens, K. Cracking the humanitarian logistic coordination challenge: lessons from the urban search and rescue community. Disasters 2015: 40(2): 246–61.Google Scholar
Tan, YA, von Schreeb, J. Humanitarian assistance and accountability: what are we really talking about? Prehospital and Disaster Medicine 2015: 30(03): 264–70.Google Scholar
World Health Organization (2016). Emergency medical teams. Website. http://www.who.int/hac/techguidance/preparedness/emergency_medical_teams/enGoogle Scholar
World Health Organization. The WHO EMT Initiative. Website. https://extranet.who.int/emt/Google Scholar
McPherson, M, Counahan, M, Hall, JL. Responding to Typhoon Haiyan in the Philippines. Western Pacific Surveillance and Response Journal 2015: 6(1): 14.Google Scholar
Brolin, K, Hawajri, O, von Schreeb, J. Foreign medical teams in the Philippines after Typhoon Haiyan 2013 – who were they, when did they arrive and what did they do? PLOS Currents 2015: 7.Google Scholar
Peiris, S, Buenaventura, J, Zagaria, N. Is registration of foreign medical teams needed for disaster response? findings from the response to Typhoon Haiyan. Western Pacific Surveillance and Response Journal 2015: 6(1): 2933.CrossRefGoogle ScholarPubMed
Read, DJ, Holian, A, Moller, CC, Poutawera, V. Surgical workload of a foreign medical team after Typhoon Haiyan. ANZ Journal of Surgery 2016: 86(5): 361–5.CrossRefGoogle ScholarPubMed
Shrivastava, SRBL, Shrivastava, PS, Ramasamy, J. Deployment of foreign medical teams: an initiative to reduce the aftermaths of public health emergencies. Biology and Medicine 2015: S3: 006.Google Scholar
Government of Nepal. (2019). Disaster Risk Reduction Portal. Website. http://drrportal.gov.np/Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×