NationalNational HealthHealth PerspectivesPerspectives inin thethe TsunamiTsunami CrisisCrisis (Myanmar)(Myanmar)

S U B D U C T I O N Z O N E 26-12-2004 &ufaeYwGif vIyf½Sm;cJhaom ajrivsifA[dkcsufESifh tiftm;jy ajryHk

jrefrmE dkifiH 20 N tdEd,E dkifiH &efuke fNrdKU 15 N Richter MST udkudk xdkif;E 12 scale (hr) ;uRef; dkifiH µ 8.5 07:32 1 5.9 08:18 10 N 2 5.8 08:45 11 uyÜvD 3 6.0 08:52 yifv,fjyif 4 5.8 09:04 5 5.8 09:06 6 6.0 09:21 7 5.9 09:29 5 N 8 6.1 09:38 9 7.3 10:51 µ 10 5.7 12:51 11 5.7 13:37 12 5.8 14:08 b*Fvm;yifv,fatm tif'dkeD;½S 0 f m;EdkifiH

5 S MyanmarMyanmar The organogram for Disaster Preparedness and Response National Disaster Preparedness, Relief and Resettlement Committee

State / Division Disaster Preparedness, Relief and Resettlement Committee

State/Division Disaster State/Division Disaster Relief and Preparedness Resettlement sub committee Subcommittee

Working Committee on

(a) Transport

(b) Security

(c) Information State / Division Disaster Preparedness, Relief and Resettlement Committee

Chairman Deputy Commander or Chairman of State / Division Peace and Development Council Secretary S/D Director Fire Services Department

Duties and Responsibilities – To draw state / divisional plan for disaster preparedness and relief and draw distinct / township plans in line with State/Division plan. Formulation of disaster preparedness plan and preventive measures. – To form distinct / township disaster preparedness, relief and resettlement committee and subcommittees and also form committee at ward and village tract level. State/Division Disaster Preparedness Sub- committee Chairman Secretary of State / Division Peace and Development Council

Secretary S/D Director Social Welfare Department

Duties and Responsibilities - To implement preparedness and prevention activities as planned by State/Division working committee. - To monitor planned activities actually implemented in case of emergency and prepare activities schedules to be forwarded to high authorities. - To co-ordinate and communicate with township working committee in disaster prevention and preparedness. - To supervise and assist township working committee. - To assign 24 hours duty to disseminate and receive MRTV news or announcement on meteorology /Hydrology information in case of impending disaster. State/Division Disaster Relied and Resettlement Sub-committee Chairman Director (General Administration)

Secretary S/D Director (Social Welfare Department ) Duties and Responsibilities

– To locate shelter sites or buildings as camp for victim as temporary settlement. – To transport the victims to the nearest shelter and provide food, safe water and medical treatment. – To Plan for the health and prevention of communicable diseases among the victims. – To collect exact lists of victims for distribution of relief materials. PublicPublic HealthHealth andand EmergencyEmergency ResponseResponse andand ManagementManagement TeamTeam MinistryMinistry ofof HealthHealth

Central Team

• Director General

• Deputy Director General

• All Director EmergencyEmergency ManagementManagement SupportingSupporting TeamTeam

• Deputy Director CMSD

• Deputy Director Laboratory

• Deputy Director Planning

• Deputy Director Finance

• Deputy Director General Admin

• Epidemiologists StateState && DivisionDivision EmergencyEmergency ManagementManagement TeamTeam

• Divisional/State Health Director

• Medical Superintendant

• Physician

• Paediatrician

• Surgeon

• Ortho Surgeon

• OG

• Psychiatrist

• Microbiologist / Pathologist

• Deputy Divisional/State Health Director

• Team Leader (Disease Control)

(All hospitals have emergency health management plan, (Mass casualty plan)) MyanmarMyanmar

Labutta Township

Affected HH Pop: Death Inj. Properties Village 7 337 1138 25 41 (99) boats (8) schools (4) rice factory (1) Pagoda

Ngaputaw Township 9 108 1007 5 - (19) boats (1) bridge (2) Pagoda

Bogale Township Urban - - 1 - Collapse of Wall

27-12-2004 3:30 PM

MyanmarMyanmar CoCo CoCo KyunKyun YangonYangon DivisionDivision

CoCo CoCo KyunKyun

• Sometimes Traditional habit can save the people’s life. Many people from Cocogyun saved their life by their traditional habit. On every Full moon day, due to the increasing tidal wave, nobody went to the sea and do fishing. Fortunately, 26 December is Full moon day and everybody was in their home. So their lives were saved by their habit. This is one thing.

• 2nd things was seismic gap or end point of subduction zone is near Cocogyun.

• 3rd point, water level was unexpectedly reduced lowering down to (6)ft. from normal level. MyanmarMyanmar Rakhine State

Affected Township Death Sittwe 2 Manaung 1 Thandwe 4 Ramree 4 Kyaukpyu 2 Gwa 1 Myebon 4 Taungup 4 Total 22

No coastal area was affected and only fishermen were killed by the tidal wave in the sea. No damage was there. MyanmarMyanmar Kaw Thaung District Tanintharyi Division

Affected HH Pop: Death Properties Village 7 92 447 8 (44) Boats (3) Ware house (1) Bridge

Chairman of Tanintharyi Division Peace and Development Council commander of coastal region command, Maj.Gen.Ohn Myint. The commander took arrangement on relief and resettlement to be carried out for victims of tidal waves triggered by a strong earthquake.

TotalTotal LossLoss ofof LifeLife andand PropertiesProperties

• (61) deaths, 42 injured

• (601) houses of 17 villages were destroyed

• (2592) people homeless.

• Total Loss of property valued at about 1585.6 million kyats

(All these dead bodies were management by local people in traditional way.) IImmediatemmediate InterventionIntervention byby MinistryMinistry ofof HealtHealthh

• Emergency Medical Care

• Supply of Emergency Health Kits

• Establish early warning surveillance system

• Water and sanitation

• Provision of Food

• Immunization

• Vector Control

• Health education and social mobilization --OverallOverall purposepurpose ofof MinistryMinistry ofof HealthHealth Protect the health of survivors and other vulnerable affected people affected by disaster. Monitoring Public Health to provide early warning of emerging healht threats , timely necessary response. Facilitating early recovery and rehabilitation. MAIN CHALLENGES

Specific • INFRASTRUCTURE DEVELOPMENT Logistic Support Lab.Euipment, Lab.Supply for Surveillance of communicable diseases following disaster Transport Communication Equip. Emergency Kits MAINMAIN CHALLENGESCHALLENGES

• RESPONSE CAPACITY

TECHNICAL EXPERTISE

SURVEILLANSE AND RESPONSE

CO ORDINATION AND COLLABORATION

AWARENESS,EARLY WARNING SYSTEM HEALTHHEALTH PROTECTIONPROTECTION ANDAND DISEASEDISEASE PREVENTIONPREVENTION

• STRENGTHEN SURVEILLANCE OF RISK FACTORS AND DISEASE SURVEILLANCE AND RESPONSE

• EARLY WARNING SYSTEM AND ADVOCACY AND AWARENESS

• MAPPING DISASTER PRONE AREAS AND UPDATES HEALTHHEALTH SERVICESSERVICES DELIVERYDELIVERY ENHANCEMENTENHANCEMENT • CAPACITY BUILDING • LOGISTIC SUPPORT • EMERGENCY SUPPLIES,BUFFER STOCKS • CO ORDINATION/COLLABORATION • COMMUNITY EMPOWERMENT MAINMAIN ISSUEISSUE

• TRAINING • LOGISTIC SUPPORT • TECHNICAL ASSITANCE • IEC • INFRASTRUCTURE