Emergency Medicine

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Emergency Medicine Emergency Medical Supply
Management System
Dr. Bipin Verma WHO /SEARO
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Emergency Medicine and Emergency Medical Supply
Management System

• Health Sector Emergency Supply Needs
• Emergency Supply Management System
• Emergency Supply Management Tools

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Short-term Public Health Impact of Natural
Disasters
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1987 Draught - Gujarat
Disease Pattern
Thousands
Year 1987
Source DHS Gujarat
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Analysis of Hospital Statistics (Latur Earthquake)
(30.9.93 to 6.10.93 - 400 PM)
Types of Injuries
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Casualties Treated within first 10 days (MH
Bhuj, Gujarat)
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Community Needs after Sudden Onset Disaster
Community Survival and health needs
Other Needs
Time
Community resources
IMPACT
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Tsunami-damaged government health facility
including local medical supply stores (Sri Lanka)
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• MSD storage capacity was constrained. Special
  bottleneck in shipping and receiving area due to
  lack of space.
• Many RMSD/Institution stores at or near full
  capacity, which was further aggravated by
  emergency Tsunami shipments and donations.
• Warehouse conditions at some locations needed
  considerable improvement (facilities,
  temperature, shelving, organization). Some
  stores were set up in hospital rooms or in tents.
• Batch traceability and shelf life monitoring were
  not adequate at MSD and periphery facilities due
  to lack of physical storage capacity, manual book
  keeping and/or lack of appropriate procedures.
• Proper cold storage capacity (cold rooms) is
  needed at many locations, currently using
  multiple household refrigerators without proper
  monitoring and backup systems.

Post-tsunami Scenario (Sri Lanka)
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Observations
Post-tsunami Scenario (Sri Lanka)

• Inventory Control System though adequate at
  Colombo, but programming was needed to include
  periphery stores, and warehouses.
• General lack of written procedures and manuals.
• Outside of Colombo, the entire supply chain was
  paper based.
• Limited number of computers, computer software
  and expertise available at RMSD/Institutions.
• Very limited internet/e-mail access. Limited
  data communication capabilities between periphery
  and Colombo.
• No Local Area Networks available at DPDHS and
  institutions.

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Emergency Medical Supply Strategies

• Reduce inflow of donation (Need-based donation)
• Meeting adequate appropriate supply needs in
  time through improved Supply Management System
  Networking amongst warehouses and user
  institutions.
• Appropriate stock-piling of life-saving medicines
  and equipment.

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Emergency Medical Supply Needs WHO initiatives
Need-based donation
Improve Supply Management System

• New Emergency Health Kits
• Stockpiling

SUMA
Guide-lines for Humanitarian Assistance in
Disaster Situations
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WHOs Humanitarian Advocacy
http//www.who.int/hac
http//www.paho.org/disasters
disaster-publications_at_paho.org

• Emergency Supply Related Documents
• New Emergency Health Kits.
• Guideline for health care donation (pdf 170kb).
• Guideline for safe disposal of unwanted
  pharmaceuticals in and after
• emergencies.
• Guidelines for drug donations (pdf 72kb)

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