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  1. 1. Concept and terms used by government of Estonia in the field of health care preparedness for disaster Ursel Kedars, M.D. Ministry of Social Affairs of Estonia Public Service Academy of Estonia
  2. 2. Conceptual questions <ul><li>How disasters are characterized from medical point of view in Estonia? </li></ul><ul><li>What is the emergency preparedness ideology the Estonian healthcare system is based on? </li></ul><ul><li>How does the organization and management of health care resources look like in emergency ? </li></ul><ul><li>What are the responsibilities of Estonian Government and Ministry level in the area of health care preparedness for emergency? </li></ul><ul><li>What are the definitions of important terms used in Estonia? </li></ul>
  3. 3. How disasters are characterized from medical point of view in Estonia? <ul><li>Disasters (i.e. emergencies) are characterized by </li></ul><ul><li>an acute and unforeseen imbalance between the capacity and resources of the healthcare system and the needs of the victims or the people whose health is threatened, over a certain period of time , taking into account the number of victims. </li></ul>
  4. 4. Emergency preparedness ideology the healthcare system is based on <ul><li>The strategy aimed at limitation of the effects of a disaster on health is reached in particular through saving the greatest possible number of victims. </li></ul><ul><li>Close cooperation between central and local authorities according to a strategy aimed at prevention and the limitation of the effects of a disaster on the health of populations concerned </li></ul>
  5. 5. Emergency preparedness ideology the healthcare system is based on <ul><li>Disaster medicine ideology incorporates : </li></ul><ul><li>medical resources (emergency health care, public health techniques, medical stockpile etc) </li></ul><ul><li>non-medical resources, capabilities and services ( fire and rescue services etc ). </li></ul><ul><li>disaster medicine and management methodologies </li></ul>
  6. 6. Organization and management of health care resources in emergency <ul><li>Governmental Crisis Committee – Government </li></ul><ul><li>Governmental Crisis Management Team </li></ul><ul><li>Crisis Management Team of Ministry of Social Affairs – Minister of Social Affairs </li></ul><ul><ul><li>Emergency Medical Coordinator </li></ul></ul><ul><li>Rescue Work Coordinator </li></ul><ul><li>On-Scene Operation Commander </li></ul><ul><li>On-Scene Medical Commander </li></ul><ul><li>Headquarters ( on-scene management structure ) </li></ul><ul><li>IMS & IMMS methodologies </li></ul>
  7. 7. Estonian Government in the area of preparedness for emergency <ul><li>Crisis (management) Committee of the Government of Republic is the main structure formed by Government in order to develop a crisis management policy and make proposals for coordinating and directing the activities of ministries in the field of crisis management. </li></ul><ul><li>C risis Management Team formed by the C risis (management) C ommittee of the Government which closely cooperates with crisis management committees of counties. </li></ul>
  8. 8. Ministry of Social Affairs in the area of preparedness for emergency has to: <ul><li>form a crisis management team of Ministry </li></ul><ul><li>perform risk assessment in order to identify the emergencies which may occur </li></ul><ul><li>prepare crisis management plan for health care and ensure the implementation of plan in an emergency </li></ul><ul><li>organize crisis management training in its area of government </li></ul><ul><li>direct the responding to an emergency in its area of government, i.e. health care emergency , medical field operations </li></ul>
  9. 9. Definitions of important terms used in Estonia based on legal framework <ul><li>Emergency ( disaster ) </li></ul><ul><li>Health care emergency </li></ul><ul><li>International emergency </li></ul><ul><li>Emergency situation (state of emergency) </li></ul>
  10. 10. Definitions of important terms used in Estonia based on legal framework <ul><li>Crisis management </li></ul><ul><li>International crisis management </li></ul><ul><li>Crisis Management Team </li></ul><ul><ul><li>Government CMT </li></ul></ul><ul><ul><li>Ministry CMT </li></ul></ul><ul><ul><li>County CMT </li></ul></ul>
  11. 11. Definitions of important terms used in Estonia based on legal framework <ul><li>Emergency medical coordinator </li></ul><ul><li>Rescue work coordinator </li></ul><ul><li>Headquarters – temporary management structure </li></ul><ul><ul><li>Rescue commander onsite </li></ul></ul><ul><ul><li>Medical commander onsite </li></ul></ul><ul><ul><li>Police commander onsite </li></ul></ul><ul><ul><li>others </li></ul></ul>
  12. 12. Definitions of important terms used in Estonia based on legal framework <ul><li>Catastrophe </li></ul><ul><li>Natural disaster </li></ul><ul><li>Spread of infectious disease </li></ul><ul><li>National stockpiles </li></ul>
  13. 13. Thank You!

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