philippine physiatrist in a LargeScale Natural Disaster The PARM Experience in Typhoon Haiyan 8th International Society of Physical Rehabilitation Medicine World Congress Cancun Mexico June 4 2014 ID: 412756
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The role of the philippine physiatrist in a Large-Scale Natural Disaster The PARM Experience in Typhoon Haiyan
8th International Society of Physical Rehabilitation Medicine World Congress Cancun, MexicoJune 4, 2014
Ganchoon
, FG, Martinez RR, Dy RT, Gosney JESlide2
typhoon in recorded history with estimated wind gusts of 235 mph and surface pressure measurement of 901.4
mb
storm recorded at landfall
Highest
intensity
of a Category 5 tropical cyclone with sustained winds of 315 kph (above the 252 kph threshold for a Category 5 hurricane, the highest category on the
Saffir
-Simpson
scale)
Reference:
Meteomedia
Strongest
storm
surge recorded in East Asia of 9.14m due to strong winds, resulting in the majority of deaths due to drowning and catastrophic
damageSlide3
Guiuan, eastern samarAFP CENTRAL COMMAND
November 8, 2013
First Landfall – Guiuan
, Easter SamarPopulation – 47,047 (est)Slide4
Anibong, Tacloban, LeyteREUTERS/ROMEO RANOCO
IMPACT
Significant national impact: 6,268
confirmed deaths, 28,689 injured, and 1,061 missing, with 3.4 million families (over 16 million
persons) affected in 44 provinces, 57 cities, and 591 municipalities .
Reference
: National Disaster Risk Reduction & Management Council (NDRRMC)Slide5
PARMPhilippine Academy of Rehabilitation Medicine
Membership: 340 PMR Centers: 412 Chapters
North
Luzon (46)
National Capital Region (178)
Visayas
(22)
Mindanao (20)Slide6Slide7
The Role of the Philippine Physiatrist in a Large-Scale Natural DisasterProvide descriptive epidemiology of Typhoon HaiyanC
ompare rehabilitation injury data from two affected populationsSummarize aid missions conducted by PARM members in the primarily-affected Visayas region
Describe the strategic development of PARM’s disaster rehabilitation program
Elaborate the potential role of a local physiatrist in a large-scale natural disaster using the example of the Philippine physiatrist in Typhoon Haiyan
OBJECTIVES OF THE STUDYSlide8
Medical Missions Conducted by PARM CARES (Nov 2013 – Feb 2014)NCR (Manila)Philippine Orthopedic CenterVillamor
AirbaseRegion VIAntiqueCapiz
IloiloLakawon IslandNorthern Negros Occidental
Region VIINorthern CebuBantayan IslandRegion VIIILeyte
Ormoc
23
MISSIONS
31,609
kits
distributed
7035
patients
servedSlide9
Pm & r CONDITIONS EVALUATED IN PHILIPPINE ORTHOPEDIC CENTER (POC) (Nov 10, 2013 –
DEC 18, 2014)Slide10
Table 1: PM & R Conditions Evaluated at Philippine Orthopedic Center (POC) (November 10, 2013 - December 18, 2013) Diagnosis
NumberTotalPercentage of 79 Persons
Percentage of 125 Conditions
MSK 73
92%
58%
Fractures
68
86%
54.4%
Upper Limbs
16
Ribs8
Spine
18
Pelvis
4
Lower Limbs
22
Amputations (Traumatic)
2
2%
1.6%
Other MSK Conditions
3
4%
2.4%
Soft Tissue Injuries
19
24%
15.2%
Wound/Skin Infections
15
19%
12%
Neurological
18
23%
14.4%
TBI
2
2.5%
1.6%
SCI
15
19%
12%
Ulnar Neuropathy
1
1.3%
0.8%
Total
125
125
Slide11
23 RELIEF & Medical MISSIONS OF
PARM CARES
(Nov 10, 2013 – FEB 18, 2014)Slide12
Table 2: parm CARES Missions (Nov.10, 2013 – Feb. 18, 2014)
DateLocation
Mission TeamRelief Kits
Patients ServedNovember 10
Brgy Tapilon, Daan, Bantayan; Northern Cebu
PARM(V)/Cebu
(40 MDs, AMRO)
500
300
November 12
Brgy (4), Cadiz City; Brgy (4), Sagay City; Northern Negros
PARM(V)/Bacolod
(1MD, 30 Volunteers)
3000
November 15-17
Brgy Libertad, Cagbuhangin,Mabato, Linao, Valencia; Ormoc City; Leyte
PARM(V)/
Ormoc
(3 MDs, 5 nurses, 12 HWs,
HELP for
Ormoc
)
3500
2000
(
Brgy
Libertad)
November 17-30
Villamor Air Base, Manila; Luzon
PARM National
420
December 28-29
Brgy
Marasbaras
, RTR;
Tacloban
, Leyte
PARM CARES (
National) ISPRM
(12MDs, 30 HWs)
2000
(
Brgy
Marasbaras
, RTR )
50 (children
(ASP
,
Tacloban
)
400
February 17
Tent City, San Jose; Tacloban, Leyte
Abuog General Hospital, Abuog; Franciscan Clinic, Baybay; Leyte
PARM( CARES (National)
(6 MD, 40HW,
ISPRM, PAPA)
ISPRM, PFP, PSPO
1300
1085
(basic needs/medical
screening
survey)
16 (P&O evaluations)
February 18
Burauen
, Leyte
RTR,
Tacloban
, Leyte
PARM CARES (National)
PAPA
ISRPM, PFP, PSPO
288
(basic needs/medical
screening survey)
283
(
344 diagnoses)
1 (P&O)
Total
Missions
23
31,609 kits distributed
7035 patients
servedSlide13
Parm cares Medical MISSION To burauen, leyte (FEB 18, 2014)Slide14Slide15
Clinical First ResponderTriage/ER Inpatient and Outpatient RehabilitationMedical Mission Volunteer Provider
Trainer
Physiatrist
Roles in Disaster ResponseNon-Clinical
Rehabilitation Needs AssessorMedical Mission Volunteer:
leader, coordinator, relief distributor
Trainer
Disaster Rehab Program Developer
ResearcherSlide16
Our deepest gratitude to all the donors and volunteers
International Society of Physical Rehabilitation Medicine (ISPRM) Japan Association of Rehabilitation Medicine (JARM)Korean Academy of Rehabilitation Medicine (KARM)
Royal College of Physiatrist of Thailand (RCPT)
Philippine American Physiatrist Association (PAPA) World Rehabilitation Fund (WRF) United Auburn Indian Community Tribe (UAICT)
Philippine National Day Association (PNDA)
All Donors and VolunteersSlide17
Bridging nations As oneSlide18
The Human Spirit is stronger than any disasterSlide19
MARAMING SALAMAT(Thank You)MERON BA KAYONG TANONG? (Questions?)Slide20