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ACTION-Project ! !2011-2012 ! ! ! ! ! !

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Activity Report


! ! ! ! ! ! ACTION(Project! 2011(2012!Activity!Report!


ACTION-Project 2011-2012 Annual Report

Contents! ! Forward!from!Project!Coordinator!(IOC!chair)

I.

Forward!from!LOC!chair!&!Vice!LOC!chair

! p4

Forward!from!Regional!Coordinator

!p6

Overview!of!ACTIONCProject! ! ! Project!Profile

II.

! p3

! p7

! ! Project!staffs![2011C2012]

!p9

ACTION2012!Training!camp ! ! Problem!Statement

! p11 ! p12

! ! Goals!and!Objectives

! p14

! ! Participants

! p16

! ! Schedule

! p19 ! p21

! ! Speaker’s!Profile ! ! Program!Report!(Activity!Reports)

p26 !

! ! Reflection!form!Participants

!p66

! ! Follow!up!Activity ! ! ! ! C!Thailand!

! p73 ! p74

! ! ! ! C!Japan

!p89

III. External!Meeting

! p98

! ! GA!(March!Meeting!2012)!in!Ghana ! ! APRM2012!in!Penang IV. Financial!Report ! ! Financial!Report ! ! Sponsors!and!Partners V.

! p104 ! p105 ! p109

Remarks! ! ! Greeting!Words!from!OB&OG

! p111

! ! Dissemination

! p112

! ! Organizing!Profile ! ! List!of!Abbreviation

News!Letter!Collection!

2

! p99 ! p101

! p114 ! p115


Forward!from!the!Project!Coordinator,! ! Greetings!to!all!participants!and!all!the!people!involved!with!ACTION2012.! ! The!theme!of!this!year’s!ACTION!training!camp!was!”Hydrological!Disaster!Control!and!International!Relief! against!Natural!Hazards”.!In!recent!years,!in!the!AsiaHPacific!region,!we!have!had!many!hydrological!natural! disasters,! such! as! tsunami! accompanying! earthquake! in! Japan! and! flood! attacking! in! Thailand! and! Philippines,!among!many!others.!The!damage!caused!by!hydrological!disasters!can!be!remarkable,!yet!some! rooms!of!capability!for!improvement!on!disaster!control!are!still!remaining!in!many!aspects,!including!the! medical!sectors.! ! ! As!you!may!be!aware,!during!a!disaster,!the!situation!surrounding!you!is!totally!different!from!usual.!In!such! situations,! everything! is! in! chaos.! ! Moreover! you! will! probably! face! a! lack! of! resources! and! be! exposed! other! risks! caused! by! secondary! disasters.! There! are! many! other! hardships! as! well.! As! long! as! you! have! been!staying!in!such!region,!you!also!cannot!avoid!becoming!a!victim!from!disaster.! Can! you! save! somebody’s! life! around! you! as! a! doctor! in! any! situation?! Without! any! preparation,! we! cannot!do!anything!immediately!and!accurately.!We!have!to!pay!attention!to!such!unanticipated!situation! and!should!always!be!aware!of!it.!As!a!medical!student,!preparing!for!emergency!situation!is!not!an!option,! but!an!obligation.! ! One!definite!goal!of!ACTION2012!was!to!motivate!participants!to!get!interested!in!“disaster!medicine”!and! medicine! in! something! crucial! emergency! situations.! In! total,! about! 120! medical! students! committed! to! making! this! year’s! ACTION! training! camp! and! more! than! 200! medical! students! from! 20! countries! got! involved!in!ACTIONHProject!through!not!only!training!camp!but!also!training!session!and!in!some!student’s! congresses! and! followHup! activities! in! some! countries.! Definitely,! it! was! the! biggest! scale! since! ACTIONHProject!has!started.!As!a!result!of!our!big!success!and!progress!of!this!term,!ACTIONHProject!won! “Best!Project!Fair”!in!IFMSA!Asia!Pacific!Regional!Meeting!in!September!2012!and!the!second!place!at!“Rex! Crossly! Awards”! in! IFMSA! General! Assembly! in! March! 2013.! We! are! no! longer! recognized! by! only! AsiaHPacific!but!gather!many!attentions!by!all!over!the!world.! ! ! ACTIONHProject!must!continue!to!insist!on!the!statement!“As!a!medical!student!and!as!a!future!doctor,!and! to!save!human!lives,!it’s!not!an!option!but!an!obligation!to!learn!disaster!medicine.”!for!all!the!happiness!of! human!beings.! ! Finally,!I!would!like!to!sincerely!thank!all!the!IOC!staffs!and!the!LOC!staffs!who!had,!with!their!great!efforts,! managed!this!project.!I!would!also!like!to!express!my!gratitude!to!all!the!people!who!have!been!involved!in! and!have!supported!ACTIONHProject!ever.! ! Best!Regards,! ! ! ! AYAKA!ISHIHATA! Project!Coordinator!of!ACTIONHProject,!IOC!Chair!2011H2012! ! International!Federation!of!Medical!Students’!Associations! IFMSAHJapan!

! A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

Forward!from!LOC!Chair!&!Vice!Chair! ! !

ACTION!2012,!we!have!completed!in!TAIWAN!within!seven!marvelous!days.!Taiwan,!the!heart!of!Asia,!

accepted!the!offer!to!be!the!host!of!ACTION!2012!in!August!2011.!At!first,!we!did!felt!nervous!while!recruitment! of! local! organizing! committees! (LOC)! in! every! medical! school! in! Taiwan.! However,! response! from! some! of! the! medical!schools!did!quite!well!and!we!have!successfully!recruited!a!superb!LOC!team.!Next,!theme!of!the!year! for!ACTION!2012!was!a!tough!question!for!us!to!set!up.!Luckily,!Disaster!Medical!Assistant!Team!(DMAT)!from! National!Taiwan!University!(NTU)!had!accepted!our!offer!to!collaborate!with!us!within!the!ACTION!project,!and! YES!!After!the!confirmation!with!International!Organizing!Committees!(IOC)!of!ACTION!project,!our!main!theme! in!2012!was!as!follow:! ! ! <Hydrological!Disaster!Control!C!International!Relief!against!Natural!Hazards>! ! !

Preparations!of!the!whole!activities!were!ongoing!started!from!September!2011,!until!the!end!of!the!

LOC!training!day!which!was!at!9th.!August!2012.!Indeed,!a!year!of!sustainable!preparation!for!ACTION!2012,!our! foremost! hope! was! to! share! the! greatest! efforts! and! comfortable! services! to! all! the! delegates! from! every! country.!With!all!the!meetings!and!discussions!with!DMAT!and!LOC,!we!had!provided!several!programs,!which! include!lectures!by!numerous!experts!in!the!field!of!disaster!medicine,!the!workshops!guided!by!the!experienced! DMAT!team!in!Taiwan,!the!field!trip!programs!which!request!the!delegates!to!live!in!the!tents!and!experience! the!living!mode!while!joining!the!outdoor!disaster!rescue!team.! ! ! !

Nevertheless,!the!powerful!LOC,!also,!were!well!prepared!for!the!social!activities!for!all!the!delegates.!

Their!vision!was!to!let!the!delegates!to!enjoy!themselves!so!much!in!Taiwan!as!to!forget!to!go!home.!We!have! tried! to! involve! all! the! cultures! and! local! events! within! the! programs,! such! as,! using! Metro! Taipei! as! the! transports! for! some! of! the! activities,! cultures! workshop! prepared! by! varieties! of! practical! tutorials! includes! calligraphy,!martial!art,!Chinese!knot!and!spring!roll!making!tutorial.!Visit!the!Chang!KaiHShek!Memorial!Hall!to! introduce!the!history!of!Taiwan,!and!also!Shilin!night!market!as!the!mustHvisit!place!for!every!tourist!in!Taiwan.! Other!than!that,!transfer!the!venue!from!Taipei!city!to!Yilan!County,!we!had!done!the!outdoor!field!trip!with!the! magnificent!sunny!day.!We!have!end!up!the!ACTION!events!in!Hualien!County,!the!eastern!region!of!Taiwan.!The! Taroko!National!Park!and!Chihsingtan!Beach,!wrote!an!intact!fullHstop!of!the!ACTION!2012!in!Taiwan,!yet!created! lots!of!wonderful!and!unforgettable!connections!and!memories!between!delegates.! ! ! !

We!would!like!to!show!our!fullest!gratitude!to!every!one!of!them,!which!involved!in!ACTION!2012!in!

Taiwan,!one!by!one.!First!and!foremost,!we!would!like!to!thank!all!the!delegates!from!all!the!countries!in!Asia! Pacific!region,!which!include!Japan,!Thailand,!Indonesia,!Malaysia,!China,!Philippines,!Australia!and!New!Zealand,! your! laughs! and! smiles! had! done! an! excellent! feedback! for! all! of! us,! the! LOCs! and! IOCs.! Next,! the! IOCs! from! several! countries,! especially! Ayaka! Ishihata,! the! chairman! of! IOC! ACTION! 2012,! all! the! helps! and! promotions!

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within! each! country,! had! helped! the! information! of! the! activities! successful! spread! out! and! the! outcome! of! registrations! were! pretty! awesome!! ALSO,! deepest! gratitude! to! all! the! experts! from! DMAT! team,! who! were! willing!to!share!your!precious!time,!provides!all!the!professional!knowledge!and!experience!to!all!of!us.!Thanks! again!! ! !

Last!but!not!least,!to!all!the!Taiwan!LOCs,!we!would!like!to!say!a!thousand!words!of!THANK!YOU!to!

every!one!of!you,!you!and!you!!One!year!of!preparations,!none!of!you!had!complained!the!hardship!to!us,!but! we!were!overwhelmed!with!much!of!encouragement!and!support!to!keep!on!moving!!Much!love!to!our!dearest! LOCs.! Yes! again!! Much! appreciation! is! dedicated! to! every! single! of! you,! and! also! full! wishes! to! the! next! host! country!of!ACTION!2013.! ! ALL!THE!BEST,!THAILAND!!! !

! ! ! ! ! ____________________________________________________________________________________! ! (Left)!Chang,!HanCPi! !

!

Chairman!of!ACTION!2012!in!Taiwan! Chung!Shan!Medical!University!

!

! !

!

(Right)!Ng!Shin!Rui!

Vice!Chairman!of!ACTION!2012!in!Taiwan! !

Tzu!Chi!University!

! ! ! ! ! A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

!

Forward!from!the!Regional!Coordinator! For! the! past! six! years,! IFMSA! AsiaHPacific! has! been! organizing! the! Asian& Collaborative& Training& on& Infectious& Diseases& Outbreaks,& Natural& Disasters,& and& Refugee& Management! –! what! we! all! popularly! call! ACTION.! This! transnational!project!serves!as!a!venue!for!medical!students!from!AsiaHPacific!to!study!about!medical!and!public! health! responses! to! emergencies,! but! also! to! interact! with! fellow! students! from! across! the! region! in! an! educational!yet!fun!way.!The!project!is!perfect!for!AsiaHPacific!–!the!theater!of!natural!disasters,!epidemics,!and! at!times!even!armed!conflicts.! This!year,!I!feel!very!glad!that!ACTION!remains!strong!and!is!even!continuously!growing!–!now!that!we!have!the! seventh! installment! being! held! in! Taipei,! Taiwan!! I! therefore! congratulate! both! the! International! Organizing! Committee! led! by! Ayaka! Ishihata,! as! well! as! the! Local! Organizing! Committee! –! the! Federation! of! Medical! StudentsHTaiwan,!one!of!IFMSA!AsiaHPacific’s!brightest!and!most!dynamic!organizations.! ! ACTION! occupies! a! special! part! in! my! life! as! a! medical! student,! because! it! is! the! first! international! event! that! introduced!me!to!the!world!of!IFMSA.!When!we!hosted!ACTION!in!Manila!in!2008,!I!was!inHcharge!of!the!opening! program,!and!I!can!still!vividly!remember!how!I!made!the!participants!shake!on!the!dance!floor!while!wearing! their!national!costumes.!Some!of!the!participants!of!ACTION!2008!are!still!my!good!friends!until!today!–!thanks! to!Facebook,!and!of!course!the!beautiful!memories!from!that!weekHlong!experience.! Two!years!later,!AMSAHPhilippines!would!again!host!ACTION.!This!time!I!was!tasked!to!organize!the!whole! academic!program!–!sitting!with!WHO!in!designing!the!curriculum,!inviting!experts!to!speak,!developing!the! guide!questions!for!small!group!discussions.! ! ACTION!2010!in!Manila!also!produced!a!medical!students’!manifesto,!declaring!that!“medical!students!from! Asia...!play!an!imperative!role!in!ensuring!the!safety!and!health!of!every!citizen!especially!in!times!of!public! health!emergencies.”!You!can!read!the!manifesto!in!the!Lancet!Student!

(http://www.thelancetstudent.com/legacy/2010/12/10/preparedHforHaction/).!I!hope!we!continue!to!strive!in! realizing!the!commitments!we!made!in!the!manifesto!–!from!ACTION!and!beyond.! ! Towards!a!healthier!AsiaHPacific,! ! ! ! RENZO! Ramon!Lorenzo!Luis!R.!Guinto,!MD! Regional!Coordinator!for!the!AsiaHPacific! International!Federation!of!Medical!Students’!Associations!

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!

! I.!Overview!of!ACTIONCProject! ! ! ! Project!Profile! Vision! The! Asian! Collaborative! Training! on! Infectious! Diseases,! Outbreak,! Natural! Disaster! and! Refugee! Management! (ACTON)! is! aimed! at! providing! healthcare! students! from! AsiaHPacific! most! of! the! essential! knowledge! and! skills! required! to! prevent,! cure! or! relieve,! and! rehabilitate! victims! of! infectious! diseases! and! natural! disasters! and! conflicts.! The! project! trains! future! health! workers! who! can!take!initiative!in!disaster!to!make!disaster!medicine!better!and!more!global.!

! Mission! This!project!is!the!only!Transnational!project!in!AsiaHPacific!Region.!Every!year,!ACTIONHProject! organizes!one!week!training!camp!in!another!Asian!country.!During!this!training,!participants!will! acquire!the!basic!skills!and!knowledge!of!disaster!relief!and!medical!control!with!all!of!its!related! aspects,!especially!focusing!on!Asia!Pacific!regionHspecific!approaches!through!the!lectures,!small! working!groups,!plenary,!and!field!trips.!Students!around!the!world!will!also!benefit!from!the!outcome! of!the!training!camp!as!all!followHup!activities!will!be!disseminated!through!the!IFMSA's!global!network.! ACTIONHProject!also!can!provide!a!training!session!and!workshop!in!another!medical!studentâ&#x20AC;&#x2122;s! congress.! !

Goals!

! Goal&1:&To#increase#and#develop#healthcare#studentsâ&#x20AC;&#x2122;#awareness#of#disaster#management#and#role#of# healthcare#professions#in#times#of#disasters.# ! Objectives:! !

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

■!To!encourage!healthcare!students!to!increase!involvement!in!work!areas!concerned!with!assisting! people!who!are!influenced!by!disasters! ■!To!encourage!other!potential!participants!as!healthcare!student!leaders!to!become!involved!in! disaster!relief!and!intervention.! ! ! Goal&2:&To#build#human#resources#–#trained#and#motivated#doctors#who#can#work#to#relieve#people#who# are#influenced#by#disasters.# ! Objectives:! ! ■!To!train!healthcare!students!as!youth!leaders!on!disaster!related!issues.! ! ■!To!provide!students!with!basic!professional!knowledge!and!the!skills!necessary!to!work!in!areas! struck!by!disasters!in!the!future.! ! ! Goal&3:&To#motivate#trained#healthcare#student’s#to#spread#their#knowledge#on#disaster#preparation# and#disaster#medicine#in#their#own#country.# ! Objective:! ! ■!To!build!the!capacity!to!initiate!and!participate!in!project!development,!implementation!and! evaluation!of!disasters!in!their!own!countries.! ! ■!To!disseminate!outcomes!of!the!workshop!to!other!potential!participants!in!their!own!countries!by! implementing!follow!up!activities.! ! ■!To!prepare!local!healthcare!workers!on!possible!outbreaks!of!infectious!diseases!prominent!and! nearby!areas!that!yet!to!impact!the!local!area.! ! ! Goal&4:&To!cultivate!medical!field!workers!who!have!international!perspective!in!dealing!with!disaster! medicine.! ! Objective:! ! ■!To!expose!medical!students!from!Asia!Pacific!to!the!internationalism!of!medical!field.! ! ■!To!educate!future!doctors!about!the!close!and!unbreakable!connection,!not!only!of!the!countries!in! Asia!Pacific!region!but!also!of!regions!around!the!globe.! ! ■!To!remind!medical!students!the!tremendous!importance!of!working!on!disaster!medicine! collaboratively,!truthfully!and!diligently!with!people!from!other!countries!

!

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Organizing!Staffs! ! International!Organizing!Committee!(IOC)!2011C2012! Position!

Name!

NMO!Country!

IOC!chair!

Ayaka!Ishihata!

IFMSAHJapan!

Vice!IOC!chair!

Hiro!Tsukizaki! Joanna!Marie!D.!Choa! Thawalsak!Ratanasiri!

IFMSAHJapan! AMSAHPhilippines! IFMSAHThailand!

IOC!Treasure!

Kazuaki!Mori!

IFMSAHJapan!

IOC!Secretary!

My!Ono!

IFMSAHJapan!

Publication!Manager!

Benjamin!So! Mariko!Kondo!

AMSAHHK! IFMSAHJapan!

Publication!Assistant!

Dai!Watanabe! Masashi!Nishikubo! May!Szu!Chua!

IFMSAHJapan! IFMSAHJapan! SUMMASHMalaysia!

Fund!raising!Manager!

Hillman!Zahni! Toshiyuki!Matui!

CIMSAHISMKI! IFMSAHJapan!

Project's!Assistant!

Maharita!Pandikasari!

CIMSAHISMKI!

IOC!Supervisor!

Misa!Hyakutake! Yuto!Takeuchi!

IFMSAHJapan! IFMSAHJapan!

Local!Organizing!Committee!(LOCCDirectors!fromTaiwan)!2011C2012! Position!

Name! Chairman!

HanHPi,!Chang!(Albie)!

Vice!Chairman!

Ng!Shin!Rui!(Phoenix)!

Public!Relation!

Chan!Cze!Ci!(Ceci)!

Treasurer!

HsuHChien,!Fu!(Frank)!

Academic!(1)!

ShuoHTing,!Hsu!(Jack)!

Academic!(2)!

Veronica!Chen!

Receptionist!

ChiaHYing,!Yu!(Justine)!

Social!Activity!(1)!

Chen!Chang!(Eddy)!

Social!Activity!(2)!

YiHFu,!Chen!(Yvonne)!

Living!Assistance!(North)!

Alvin!Lin!

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

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Info.!Tech.!

Lee!Khai!Liang!

Living!Assistance!(East)!(1)!

HuaHHsuan,!Kuo!(Serena)!

Living!Assistance!(East)!(2)!

ShihHWei,!Peng!(Cindy)!

Art!Designer!

YiHTing,!Kao!

Publication!

JiaHYing,!Ye!(Kelly)!


! ! !

II.!ACTION2012!Training!camp! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

Problem!Statement! ! According!to!the!United!Nations,!hydrological!disasters!are!â&#x20AC;&#x153;Events!caused!by!deviations!in! the!normal!water!cycle!and/or!overflow!of!bodies!of!water!caused!by!wind!setCup.â&#x20AC;?! Examples!include!flood,!hurricane,!cyclone,!typhoon,!and!tsunami.!This!year,!ACTION!focuses! on!International!Relief!against!Natural!Hazards,!especially!Hydrological!Disaster!Control.!New! sciences,!new!knowledge,!and!technologies!in!disaster!medicine!are!essential!for!the! management!of!hydrological!disasters.!It!is!vital!for!everyone,!especially!for!us,!future!doctors,! to!be!prepared!for!every!case,!even!for!the!worst!cases!scenario.! ! The!United!Nations!Economic!and!Social!Commission!for!Asia!and!the!Pacific!(ESCAP)! confirmed!that!the!number!of!disasters!has!increased!in!the!last!decades,!especially!in!the! AsiaHPacific!region.!The!increase!in!the!number!of!disasters!caused!by!floods!and!storms!has! been!the!main!contributor!to!the!overall!increase!in!the!number!of!disasters.!In!SouthHEast! Asia,!the!risk!of!death!by!disaster!is!1.5!times!higher!than!in!South!and!SouthHWest!Asia,! around!4!times!higher!than!in!East!and!NorthHEast!Asia,!6!times!higher!than!in!the!Pacific!and! 15!times!higher!than!in!North!and!Central!Asia.!Higher!risk!of!death!is!by!disasters!caused!by! hydrological!hazards.!The!economic!damage!and!loss!caused!by!meteorological!hazards!and!by! hydrological!hazards!are!the!highest.! ! Top!10!most!important!disasters!for!the!period!2003!to!2012!sorted!by!economic!damage! costs!at!the!country!level:! Disaster!

Date!

Damage!(000!US$)!

Thailand,!Flood!

05/08/2011!

40,000,000!

China!P!Rep,!Flood!

29/05/2010!

18,000,000!

United!States,!Flood!

09/06/2008!

10,000,000!

Pakistan,!Flood!

28/07/210!

9,500,000!

China!P!Rep,!Flood!

15/12/2003!

7,890,000!

Australia,!Flood!

25/12/2010!

5,130,000!

China!P!Rep,!Flood!

01/07/2003!

4,830,000!

China!P!Rep,!Flood!

15/06/2007!

4,425,655!

China!P!Rep,!Flood!

09/2011!

4,080,000!

United!Kingdom,!Flood!

25/062007!

4,000,000!

! !

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!

Top!10!most!important!disasters!for!the!period!2003!to!2012!sorted!by!numbers!of! total!affected!people!at!the!country!level:! Disaster!

Date!

Number!Total!Affected!

China!P!Rep,!Flood!

23/06/2003!

150,146,000!

China!P!Rep,!Flood!

29/05/2010!

134,000,000!

China!P!Rep,!Flood!

15/06/2007!

105,004,000!

China!P!Rep,!Flood!

01/07/2009!

39,372,000!

Bangladesh,!Flood!

20/06/2004!

36,000,000!

China!P!Rep,!Flood!

15/07/2004!

33,652,026!

India,!Flood! China!P!Rep,!Flood!

20/0602004!

33,000,000!

09/2011!

21,560,000!

Pakistan,!Flood!

28/07/2010!

20,359,496!

India,!Flood!

24/07/2005!

20,000,055!

Source:#"EMADAT:#The#OFDA/CRED#International#Disaster#Database"# ! 5!

Statistics!from!WHO!Collaborating!Centre!for!Research!on!the!Epidemiology!of!Disasters! (CRED)!have!also!shown!that!the!top!10!most!important!disasters!for!the!period!2003!to!2012! sorted!by!economic!damage!costs!and!numbers!of!total!affected!people!are!all!hydrological! disasters!and!which!most!of!the!countries!are!in!Asia!or!AsiaH!Pacific.!Therefore,!more! attention!has!to!be!put!on!hydrological!hazards!to!prevent!further!socioeconomic!damage!in! Asia.! ! ! As!medical!students,!we!should!be!trained!to!be!ready!to!face!all!future!hydrological!disasters! and!provide!the!proper!management!in!order!to!reduce!the!level!of!damage!and!prevent! infectious!outbreaks!from!happening.! ! ! ! ! ! ! ! !

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

Goals!and!Objectives! ! Goal&1:&To&develop&healthcare&studentsâ&#x20AC;&#x2122;&awareness&of&natural&disasters&and&role&of& healthcare&professions&in&Disaster&Relief.& Objectives:! ! !

To!encourage!healthcare!students!to!increase!involvement!in!work!areas!

concerned!with!assisting!people!who!are!influenced!by!natural!disasters.! ! !

To!encourage!other!potential!participants!as!healthcare!student!leaders!to!

become!involved!in!natural!disasterâ&#x20AC;&#x2122;s!relief!and!intervention.!

Goal&2:&To&build&human&resources,&trained&and&motivated&doctors,&who&can&work&to& relieve&people&influenced&by&natural&disaster.& Objectives:! !

To!train!healthcare!students!as!youth!leaders!on!natural!disasters!related!issues.!

!

To!provide!students!with!basic!professional!knowledge!and!the!skills!necessary!to!work!in! areas!stricken!by!natural!disasters!in!the!future.!

Goal&3:&To&motivate&trained&healthcare&studentâ&#x20AC;&#x2122;s&to&spread&their&knowledge&on& natural&disasters&in&their&own&country.& Objective:! !

To!build!the!capacity!to!initiate!and!participate!in!project!development,!implementation! and!evaluation!of!natural!disasters!in!their!own!countries.!

!

To!disseminate!outcomes!of!the!workshop!to!other!potential!participants!in!their!own! countries!by!implementing!follow!up!activities.!

! ! ! ! ! ! ! ! !

14


Method! Format! Plenary! Session!/! Lectures! !

Content! Professional!lectures!will!be!given!for!three!days.!From!those!sessions,! participants!are!expected!to!gain!knowledge!that!will!broaden!their! vision!and!experience.!The!following!items!are!enumerated!for!the! topics,!and!more!will!be!added!accordingly:! "

Overview!of!General!principles!of!disaster!management!and! preparedness!(for!medical!students)!

"

Overview!of!Common!outbreaks!in!refugee!and!evacuation!sites!

"

Overview!of!principles!of!outbreak!investigation! !

"

Overview!of!management!of!evacuation!camp!

The!above!sessions!will!also!include!triggers!for!the!following!sessions.! ! Small!working! In!these!sessions,!participants!are!expected!to!apply!what!they!learn! groups!session! during!the!lectures!to!analyze!situations!and!solve!given!problems.! /!Presentation! Field!exercise! Field!exercise!provides!participants!with!fairly!realistic!scenarios!and! situations!based!on!actual!hydrological!disasters!might!face!if! deployed.!Participants!are!expected!to!practice!what!they!have! learned!in!these!days.! Pre!followCup! This!session!includes!the!discrimination!of!followHup!activities!and! activities! plans!the!Plan!of!Action!(PoA)!as!one!of!the!important!outcomes!from! session!/! the!workshop;!for!the!purpose!of!spreading!knowledge,!skills!and! Training! motivation!to!futureHhealthcare!professionals.! session!/! In!addition,!participants!will!be!given!various!skills!during!this!training,! Planning! which!includes:!project!management!skill!and!expertise!in!handling! session! emergencies,!especially!after!the!disaster.!This!method!will!help!them! to!coordinate!followHup!projects!after!they!return!to!their!home! countries! Social! Sightseeing,!opening/closing!parties,!and!getting!along!between! programs!/! participants.! parties! ! ! ! ! A transnational project of the IFMSA since March 2006

15


ACTION-Project 2011-2012 Annual Report

Participants!

16

Name!

Country!

Group!

Note!

Alex!YuCCheng!Lai!

Australia!

4!

!

Xinyi!Zhou!

China!

1!

!

Feng!Zhou!

China!

3!

!

Jialin!Zhu!

China!

4!

!

Minghan!Jia!

China!

5!

!

Chia,!ChinCHsuan!

China!

6!

!

Sherin!Pai!

Indonesia!

1!

!

Belinda!Julivia!Murtani!

Indonesia!

2!

!

Yuke!Fawziah!Kemala!

Indonesia!

3!

!

Malahayati!Rusli!Bintang!

Indonesia!

4!

!

Rahayu!Octavia!

Indonesia!

5!

!

Nova!Lestarina!Ayu!Aisyah!

Indonesia!

6!

!

Hiroshi!Hayashi!

Japan!

1!

!

Azumi!Kashiwayanagi!

Japan!

1!

I.O.C!

Dai!Watanabe!

Japan!

2!

I.O.C!

Ayaka!Ishihata!

Japan!

3!

I.O.C!

Kana!Yamamoto!

Japan!

3!

!

Kazuaki!Mori!

Japan!

4!

I.O.C!

Shoko!Kitazawa!

Japan!

4!

!

Masashi!Nishikubo!

Japan!

5!

I.O.C!

Haruka!Ikeda!

Japan!

5!

!

Reiko!Suzuki!

Japan!

6!

!

Mariko!Kondo!

Japan!

6!

I.O.C!

Yong!Sook!Min!

Malaysia!

1!

!

Lim!Zifan!

Malaysia!

2!

!

Wong!Wei!Lin!

Malaysia!

3!

!

Chua!Szu!May!

Malaysia!

4!

I.O.C!

Anantha!Kumar!Rajendran!

Malaysia!

5!

!

Diana!Lim!Chiaw!Suan!

Malaysia!

6!

!

SophieCAnn!Chin!

New!Zealand!

2!

!

Aufar!Bahri!

New!Zealand!

5!

!

Yamen!Alhaj!

Palestine!

6!

Absent!


Joanna!Marie!Choa!

Philipppines!

2!

I.O.C!

Yvonne!EeCWern,!Chiew!

Taiwan!

1!

!

Tsai,!ChinCWen!

Taiwan!

2!

!

Chang,!ShengCWei!

Taiwan!

3!

!

Chiang,!PoCYu!

Taiwan!

4!

!

Hung,!YaCWen!

Taiwan!

5!

!

Thagoon!Kanjanopas!

Thailand!

1!

!

Theerawich!Likitabhorn!

Thailand!

1!

!

Duangruthai!Thorthititum!

Thailand!

1!

!

Issareeya!Anugulprasert!

Thailand!

2!

!

Chalitphol!Waniphisitphan!

Thailand!

2!

!

Pattiya!Puttasinpornskul!

Thailand!

2!

!

Wasin!Pansiritanachot!

Thailand!

3!

!

Tanaporn!Unjitti!

Thailand!

3!

!

Somhathai!Saipo!

Thailand!

3!

!

Apipat!Wiriya!

Thailand!

4!

!

Kwanchat!Krairaweengarmwijitr!

Thailand!

4!

!

Krittika!Kengkoom!

Thailand!

4!

!

Kornkanok!Saringkarisate!

Thailand!

5!

!

Nutnicha!Yolsiriwat!

Thailand!

5!

!

Chanikarn!Khanutwong!

Thailand!

6!

!

Jutipat!Manomaivibul!

Thailand!

6!

!

Bawonpak!Pongkittilar!

Thailand!

6!

!

! ! Selection!of!training!participants!will!be!based!on!several!criteria.!One!of!the!most! important!criteria!is!to!have!participants!from!all!National!Member!Organizations!(NMO)!of! IFMSA!within!AsiaCPacific.!We!also!expect!to!have!at!least!two!participants!from!each!IFMSA! region!so!they!will!be!able!to!organize!similar!training!in!their!respective!region.! ! ! ! Participants!must!fulfill!the!following!criteria:! !

Student!who!major!in!healthcare!professions!(medicine,!nurse,!pharmacy,!etc),!preferably! in!the!last!preHclinical!year!or!first!clinical!year;!

A transnational project of the IFMSA since March 2006

17


ACTION-Project 2011-2012 Annual Report

!

Current!status!as!student!(opinion)!leader,!capable!of!training!and!mobilizing!local! students;!

!

Express!strong!commitment!and!will!to!work!in!this!field,!with!wellHdescribed!possible! future!activities;!

!

Able!to!communicate!effectively!in!English.! !

!

Participate!in!ACTIONHProject!fully.!

Applicants!will!be!required!to!provide!documents!below!to!be!processed!in!the!selection!of! participants:! ! !

FilledHin!application!form! !

!

Personal!letter!of!Motivation!

When!seen!suited,!travel!assistance!funds!(TAF)!will!be!provided!for!2!people!from!the! following!regions:!Latin!America,!the!Middle!East,!Africa,!and!Europe.!The!amount!per!TAV!will! not!exceed!300!Euros.! !

! ! ! ! ! ! ! ! ! !

18


Schedule! 10th!Aug!2012!

11th!Aug!2012!

12th!Aug!2012!

13th!Aug!2012!

NTU!Hospital!

NTU!Hospital!

NTU!Hospital!

06:00~07:00!

Morning!Call!

Morning!Call!

Morning!Call!

07:00~08:00!

Breakfast!

Breakfast!

Breakfast!

08:00~08:30!

Venue!Transfer!

Venue!Transfer!

Venue!Transfer!

08:30~09:00!

Lecture!2!

Lecture!4! !

09:00~09:50!

Introduction!of!EMS!

Common!Diseases!in!Disaster!

! Location!

!

Area!and!Management!

Country!Presentation!

Guidelines! 09:50~10:10!

Small!Group!Discussion!2!

Small!Group!Discussion!4!

10:10~10:20!

Break!

Break!

Break!

10:20~11:00!

Lecture!1!

Lecture!3!

Lecture!5!

11:00~11:30!

International!Management! and!Medical!Emergency! Operations!of!Water!Disaster!

11:30~12:00!

Resources!Management!and!

Operations!

Emergency!Command!Center! Small!Group!Discussion!5!

Lunch!

Lunch!

Lunch!

Workshop!

Workshop!

!

13:00~13:30!

!

13:30~14:00!

Register!&!

14:00~14:30!

Hotel!Check!In! station!

Tabletop!Training!

1.! The! setting! of! medical! 1.! Disaster! Telecommunication!

!

&!Wireless!Operations!Practice!

2.! Incident! Command! System! 2.! Introduction! to! Disaster! 1.

14:30~15:00!

Triage!

&!Practice! 15:00~15:30!

3.! Gathering! Information! &!

15:30~16:00!

The!Needs!During!Disaster!

16:00~16:30!

Advanced!Medical!Post!

2.

Command!Center!

3.

Logistics!Centre!Post!

City!Tour!

16:30~17:00!

!

17:00~17:30!

National!Chang!KaiCshek!

17:30~18:00! 18:00~18:30!

Opening!

18:30~19:00!

Ceremony!

Dinner!

Memorial!Hall! !

Dinner!

Dan!Shui!Old!Street!

19:00~19:30!

20:30~21:00!

Medical!Emergency!

Small!Group!Discussion!3!

ARRIVAL!

20:00~20:30!

Mode!of!Operation!of!Medical!

Small!Group!Discussion!1!

12:00~13:00!

19:30~20:00!

Management!System!of!

! City!Tour!

ShinLin!Night!Market!

Taipei!101!

Cultural!Workshop!

21:00~22:00!

A transnational project of the IFMSA since March 2006

19


ACTION-Project 2011-2012 Annual Report

!

14th!Aug!2012!

15th!Aug!2012!

16th!Aug!2012!

Location!

Yilan!(Field!Trip)!

Hualien!City!

Hualien!

06:00~07:00!

Breakfast!

Breakfast!&! !

Breakfast!

Removing!Tents!

07:00~08:00! 08:00~08:30! 08:30~09:00!

Venue!Transfer!to!Yilan!

09:00~09:50! 09:50~10:10! 10:10~10:20!

Register!&!Preparation!of!Equipment!

10:20~11:00!

Field!Trip! Taroko!National!

11:00~11:30!

Park!Tour!

Introduction!of!The!Environment!&!Itinerary! 11:30~12:00!

Lunch!

12:00~12:30! 12:30~13:00!

Put!Up!Medical!Tents!

13:00~13:30! 13:30~14:00!

Break!

14:00~14:30!

Workshop!

14:30~15:00!

1.!Advanced!Medical!Post!Management!&!Facilities!Operation!Training!

15:00~15:30!

2.!Maritime!Satellite!Phones,!Water!Purification,!Generator!

15:30~16:00!

3.!Theories!of!Electronic!Clinic!Operating!System!

16:00~16:30!

Break!

16:30~17:00!

4.! GPS! &! Wireless! communications,! Electrical! Bone! Marrow! Needles,!

17:00~17:30!

Solar!Panel!

17:30~18:00!

5.!Electronic!Clinic!Operating!System![Practical]!

Venue!Transfer!to! Hualien!

Goodbye!! International!Relief!

Transfer!to!Taipei!

6.! Search! &! Rescue,! Escape,! Transporting! Patients,! Tying! Knots,! Line! Throwing!Gun! 18:00~18:30!

Dinner!

18:30~19:00! 19:00~19:30!

Dinner![BBQ]!

19:30~20:00!

GPS!Games!

20:00~20:30!

!

20:30~21:00! 21:00~21:30! 21:30~22:00!

20

Cultural!Night! !

Good!night!

!


Speakerâ&#x20AC;&#x2122;s!Profile! Name:!FuhCYuan!Hsih,!MD,!PhD!( )! ! Education! ! MD:!National!Taiwan!University! ! PhD:!Graduate!institute!of!preventive!medicine,! ! college!of!public!health,!National!Taiwan!University! Experiences! Adjunct!assistant!professor!and!attending!physician!in!National!Taiwan!University!Hospital! Field! Disaster!medicine,Emergency!medicine,General!medicine,Biostatistics! Journal!Articles! ! *TingHI!Lai,!MD,!FuhHYuan!Shih,!MD,!WenHChu!Chiang,!MD,!ShihHTsuo!Shen,!MD,!MPH,!WenHJone! Chen,!MD,!PhD,!Strategies!of!Disaster!Response!in!the!Health!Care!System!for!Tropical!Cyclones:! Experience!of!Typhoon!Nari!in!Taipei!City.!Academic!Emergency!Medicine!accepted!(SCI).! ! *ChungHLiang!Shih,!MD;!FuhHYuan!Shih,!MD.!Plague!in!Bioterrorism,!Ann.!Disaster!Med.!1(1)!26H35,! 2002! ! *Jeffrey!Tsai,!Edward!Chen,!ShengHLi!Chang,!ShengHHu!Huang,!YiHChing!Lee,!ChenHYue!Lin,! FuhHYuan!Shih.!A!Pilot!Case!Study!of!Disaster!Victim!Database!System!Using!National!Health! Insurance!Claim!Format!As!The!Main!Frame,!Journal!of!Taiwan!Emergency!Medicine,!December! 2002!Vol4!No4.! ! *NaiHJen!Liang,!YawHTang!Shih,!M.D.,!Ph.D.,!FuhHYuan!Shih,!M.D.,!HsiuHMei!Wu,!Ph.D.,!Bill!Binglong! Wang!Ph.D.!Disaster!Epidemiology!and!Medical!Response!in!the!JiHJi!Earthquake!in!Taiwan,!Annals! of!Emergency!Medicine:!38:549H556,!2001. SCI *TeHIHWeng,!FuhHYuan!Shih,!Matthew!HueiHMing!Ma:!Psychological!Impact!on!disaster!rescue! workers!in!Taiwan!Earthquake:!distinct!character!and!risk!analysis.!(under!reviewing)!*TeHIHWeng,! FuhHYuan!Shih,!Matthew!HueiHMing!Ma:Intramedullary!abscess!of!the!spinal!cords.!Am!J!Emerg! Med.!19(2):177H8,!2001!7.!FuhHYuan!Shih:!Disaster!MedicineHEmergency!Medicine!New!Frontiers.! Formosa!Journal!of!Medicine.!4(2);!169H176,!2000.! ! *FuhHYuan!Shih,!Matthew!HueiHMing!Ma,!ShyrHChyr!Chen,!HsioHPo!Wang,!ChengHChung!Fang,! RenHShi!Shyu,!GuanHTarn!Huang,!ShihHMing!Wang.!Emergency!Department!Overcrowding!in!a! Teaching!Hospital!in!TaiwanH!Facts!and!Strategies.!Am!J!Emerg!med!17(2):198H202,!1999!Mar.!(SCI)! ! *Evaluation!of!Medical!Disaster!Communication!in!Taiwan:!A!Pilot!Study! Journal!of!Emergency!and!Critical!Care!Medicine.!11(3) 118H125,!2000! ! ! ! A transnational project of the IFMSA since March 2006

21


ACTION-Project 2011-2012 Annual Report

Name:!Matthew!HueiHMing!Ma,!MD,!PhD!(

)! !

Education! PhD!(Health!Policy!and!Management),!Dec!1998! ! School!of!Hygiene!and!Public!Health!The!Johns! ! Hopkins!University,!Baltimore!MD! M.D.,!June!1989!College!of!Medicine,!National!Taiwan! ! University!Taipei,!Taiwan! Experiences! *Associate!Professor!Department!of!Emergency!Medicine!School!of!Medicine!National!Taiwan! University,!Taipei,!TAIWAN! ! *Adjunct!Assistant!Professor!Graduate!Institute!of!Preventive!Medicine!College!of!Public!Health! National!Taiwan!University!Taipei,!TAIWAN! ! *Attending!Emergency!Physician,!Department!of!Emergency!Medicine!National!Taiwan!University! Hospital!Taipei,!Taiwan! ! *Chief!Medical!Director!Taipei!City!Fire!Department! ! *Honorary!Treasurer!Resuscitation!Council!of!Asia!(RCA)! ! Qualifications! Honors!&!Awards:!NTUMC!Alumni!Association!Best!Clinical!Faculty!Award!June!2001!Citation!of! Excellence,!National!Fire!Administration!June!2000!Phi!Beta!Kappa!May!1998! ! Delta!Omega!Public!Health!Honorary!Society!May!1998! ! Agency!for!Health!Care!Policy!and!Research!Sep!1996HAug!1997! ! Dissertation!Grant!(RH03HS09343)!

*Best!Faculty!Publication!Award!Feb!1996! National!Taiwan!University!Hospital!Annual!Outstanding!Staff!May!1994! National!Taiwan!University!Hospital!Resident!Representative!July!1993!H!June!1994! ! National!Taiwan!University!Hospital!Best!Resident,!1990,!1991! ! Department!of!Internal!Medicine!National!Taiwan!University!Hospital!Book!Coupon!Award! (Academic!Achievement!Award)!1983,!1984,!1986! ! College!of!Medicine!National!Taiwan!University!Youth!Ambassador!to!Japan!July!1985! ! ! ! ! ! ! !

22


Name:!FongHDee!Huang!(

)!

Education! MD:!Kaohsiung!Medical!University!MD:! ! Department!of!Biological!Sciences! ! Experiences! ! Director!of!Department!of!Emergency!Medicine! (Kaohsiung!Veterans!General!Hospital)! ! Qualifications! ! FongHDee!Huang,!ChiaHCheng!Yu,!YingHHuei!Lee!and!JongHKhing!Huang:!Intraoperative! SonoHConfirmed!Ureteral!Stenting.!Formosan!J!of!Surg!1999;32:116H119! ! Huang!D.F.D.,!Chang!HT,!Cheng!K.K.:!The!Pattern!of!Major!Trauma!in!Kaohsiung,!A!City!in!the! South!of!Taiwan:!An!Institutional!Based!Preliminary!Report!from!the!Major!Trauma!Registry.!J! Taiwan!Emerg!Med!2008;10:1H7! ! Tseng!YangHMing;!Jin!YiHRu;!Chen!IngHJun;!Huang!FongHDee;!Wu!SzuHHsien;!Ma!Hsu;!Chen!ShengHYi;! Tsai!LiHYu;!Tsai!ShihHMeng;!Lee!JangHHwa:Roles!of!the!genetic!variation!of!alcoholHmetabolizing! enzymes!on!biomarkers!in!trauma!patients!with!excessive!alcohol!intake!at!emergency! department.Clinica!chimica!acta;!international!journal!of!clinical!chemistry!2008;389(1H2):14H8.! ! Chou!CHP;!Pan!HHB;!Wu!THH;!Huang!FHD;!Wu!MHT:Traumatic!lumbar!artery!arteriovenous!fistula:! preclinically!detected!by!16HmultidetectorHrow!computed!tomography!and!postHprocessing! techniques.Acta!radiologica!(Stockholm,!Sweden!:!1987)!2007;48(4):401H4.! ! Tseng!YangHMing;!Hu!BowHWen;!Tsai!ShihHMeng;!Chen!IngHJun;!Jin!YiHRu;!Lee!JangHHwa;! HuangFongHDee;!Wu!SzuHHsien;!Yeh!FaHLai;!Tsai!LiHYu:Distribution!of!alcoholHmetabolizing!enzyme! genotypes!in!trauma!patients!with!excessive!alcohol!consumption!in!the!emergency! department.Clinical!biochemistry!2007;40(5H6):370H6.! ! Chou!ChenHPin;!Huang!JerHShyung;!Yu!ChiaHCheng;!Pan!HuayHBen;!Huang!FongHDee:!Urethral! diverticulum:!diagnosis!with!virtual!CT!urethroscopy.!AJR.!American!journal!of!roentgenology! 2005;184(6):1889H90.! Chou!ChenHPin;!Huang!JerHShyung;!Wu!MingHTing;!Pan!HuayHBen;!Huang!FongHDee;!Yu!ChiaHCheng;! Yang!ChienHFang:CT!voiding!urethrography!and!virtual!urethroscopy:!preliminary!study!with! 16HMDCT.AJR.!American!journal!of!roentgenology!2005;!184(6):!1882H8.! ! ! ! ! ! ! ! A transnational project of the IFMSA since March 2006

23


ACTION-Project 2011-2012 Annual Report

Name:!TzuHHsin!Lin(

)! !

Education! MD:!National!Taiwan!University!School!of!Medicine! ! MPH:!Boston!University! ! Experiences!Attending!Physician(Department!of! ! Traumatology!,National!Taiwan!University!Hospital!)! ! Specialty! Trauma,!General!Surgery,!Gastrointestinal!Surgery! ! ! Name! MingHtai,!Cheng( )! ! ! Education! MD:!Chung!Sang!Medical!University,!MPH:!National! ! Taiwan!University!of!Public!Health! ! Experiences!Attending!physician!in!Department! ! of!Emergency!Medicine!of!National!Taiwan!University!Hospital! Field!Emergency!Medicine,!Disaster!medicine! ! ! Name:!WeiHKuo!Chou( )! ! Current occupation: Attending physician of Emergency department o f Far!Eastern!Memorial!Hospital!

!

Education!National Taiwan University Medical School Experiences! Resident!of!National Taiwan University Hospital Chief resident of National Taiwan University Hospital Specialties!Emergency disease ! Name:!Dr.!ChienHHao!Lin(

)!

Current occupation Attending doctor of Emergency department of Sijhih Cathay!General!Hospital!

!

Education! ! Bachelor degree of National Taiwan University Medical School Master degree of Institute of Health policy and management, National Taiwan University

Experiences!

24


Resident!of!Emergency department of National Taiwan University Hospital Chief resident of Emergency department of National Taiwan University Hospital Attending doctor of National Yang-ming University Hospital

Specialties! ! Advanced!Cardiac!Life!Support!(ACLS)! technical!instructor!Emergency Medical Service(EMS) director Journal!Articles! *Institute of Health policy and Management, National Taiwan University-Critical Care Medicine Emergency Medicine Disaster Medicine

The health impact of the typhoon (tropical cyclone) on emergency department visits and disease patterns-A study in eastern Taiwan (Yilan , Hualien, and Taitung)

*!2010!Annual!meeting!of!Taiwan!Society!of!Emergency!Medicineâ&#x20AC;&#x201D;! A!review!of!the!analysis!and!the!comparison!of!the!foreign!and!domestic!standards!of!Emergency! medicine!quality! ! ! Name:!ChuehHWei!Wang!( )! Education! Department!of!Disaster!Management!of! ! Taiwan!Police!College! ! Experiences! ! Lecturer!in!Taiwan!Police!College!Lecturer!in!D.M.A.T.! Taipei!City!Fire!Department! Qualifications! Emergency!Medical!Technician!â&#x20AC;&#x201C;!Paramedic!Emergency!medicine!training!in!Central!Washington! University!Life!guard!qualified!by!Chinese!Taipei!Water!Life!Saving!Association!Journal!Articles! Health!World!Taipei!City!Fire!Department!National!Fire!Agency,!Ministry!of!the!Interior!

! ! ! ! ! ! A transnational project of the IFMSA since March 2006

25


ACTION-Project 2011-2012 Annual Report

Program!Report! There!are!reports!written!by!participants!of!ACTION2012!in!Taiwan.! 1.!Country!Presentation! 2.!Lectures!and!Discussions! 3.!Workshops! 4.!Field!Trip! 5.!Social!Activity! ! !

!

26


[1.!Country!Presentation]! Time!and!Date:!8:30amH10:10!am,!11th!August,!2012! Summary!of!presentations!and!Q&A:! Each!country!presented!for!6!minutes!+!2!minutes!of!Q&A.! !

!

Australia! A)

Summary! Australia!is!a!large!country!consisting!of! diverse!environment,!and!the!majority! of!population!is!located!in!the!East! Coast.! ! Despite!the!area!of!land,!the! population!is!less!than!that!of!Taiwan! and!it!is!very!dispersed.! ! Common! disasters!are!floods!and!bushfire! caused!by!droughts.! ! The!Australian! Defense!Force!and!the!State!Emergency! Services!work!together!then!disasters! occur.! ! At!the!Queensland!Floods!in! 2010H2011,!hospitals!were!not! damaged!due!to!good!site!selection!and! A transnational project of the IFMSA since March 2006

27


ACTION-Project 2011-2012 Annual Report

planning,!but!there!were!major!health!concerns!such!as!infectious!diseases.! B)

Q&A!

1.

If!Australiaâ&#x20AC;&#x2122;s!population!is!so!dispersed,!how!is!healthcare!provided!to!remote!areas?! Answer:!There!is!an!alliance!called!the!Royal!Australian!Flying!Doctors.! ! In!each!plane!there!are! a!pair!of!doctors!in!which!one!has!a!pilot!license.! ! They!are!able!to!reach!remote!areas!quickly,! especially!in!emergency.!

2.

Why!is!bushfire!so!common?! Answer:!Before!Western!colonization,!the!aborigines!did!controlled!burnings!of!bush!land!so!as! to!prevent!massive!fire!incidents.! ! Today,!the!government!does!not!manage!the!bush!land,!and! bushfires!occur!quite!often.!

3.

After!the!Queensland!Flood!in!2010,!were!any!measures!taken!to!prevent!flooding!disasters?! Answer:!The!government!set!precautions!for!flooding,!and!state!emergency!services!are!more! cautious!towards!hydrological!disasters!now.! ! Also,!it!used!to!be!that!land!around!water!banks! were!popular!due!to!good!view,!but!the!land!property!market!has!changed!and!less!people!live! close!to!water!bodies!now.!

!

China! A)

Summary!

It!is!well!known!that!China!has!the! worldâ&#x20AC;&#x2122;s!largest!population,!and!nearly! 50%!lives!in!rural!areas.! ! However,!the! number!of!health!workers!is!only!half! of!that!compared!to!urban!areas.! ! In! states!of!emergency,!the!government! and!military!work!together.! ! As!for! disaster!prevention,!publications!are! done!daily!to!prepare!the!public.! B) 1.

Q&A! With! such! large! population,!

how!are!people!controlled!during!times!of!disaster!when!many!people!are!panicked?! Answer:!Drills!are!done!daily!in!order!to!prepare!citizens!for!emergency!situations.! ! In!actual! disaster!scenes,!the!government!will!work!to!gather!people!and!take!them!to!safe!areas.! ! !

28


Indonesia! A)

Summary! Known!as!the!largest!Archipelago!in!the!Pacific!region,!Indonesia!consists!of!more!than!1,300! islands!in!which!there!are!grasslands,!forests,!mountains,!and!volcanoes.! ! Due!to!its!location!the! country!suffers!from!countless!disasters,!especially!those!related!to!the!countryâ&#x20AC;&#x2122;s!hydrological! topography.! ! Healthcare!professionals!are!scarce,!and!the!number!compared!to!population! differs!by!island,!with!most!doctors!working!in!the!larger!islands.! ! Disaster!management!is!done! mostly!by!the!government.! ! Also,!each!medical!school!in!Indonesia!has!its!own!medical!team,! which!includes!medical!students.! ! Training!and!education!of!student!members!are!done!daily.!

B)

Q&A!

1.

Are!all!medical!students!enrolled!in!the!emergency!medical!team?!

Answer:!Selection!is!done!based!on!application.! ! However,!basic!training!and!education!of!first!aid! are!done!to!all!1st!year!student! !

Japan! A)

Summary! Japan!has!the!worldâ&#x20AC;&#x2122;s!10th!largest!population,!most!of!which!working!in!the!service!sector.! ! There!are!approximately!3!times!as!many!private!hospitals!compared!to!public!hospitals.! ! The! most!common!disasters!are!earthquakes,!tsunamis,!typhoons,!and!volcanic!eruptions.! ! After!the! East!Japan!Earthquake!in!2011,!the!government!took!special!measures,!allowing!victims!to! receive!medical!care!under!healthcare!coverage!without!their!insurance!ID!cards,!for!most! victims!lost!most!of!their!belongings!in!the!floods.! ! The!whole!country!gives!effort!in!preparing! for!disasters!daily,!especially!after!March!2011.!

B)

Q&A! No!questions!were!asked.!

! Malaysia! A)

Summary! Malaysia!is!a!country!of!diverse!ethnic! backgrounds.! ! Currently!there!are!more! public!hospitals!compared!to!private! hospitals,!but!the!number!of!private! hospitals!is!increasing.! ! The!most!

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common!disasters!are!flash!floods!and!monsoon!floods,!and!monsoon!floods!occur!more!in!the! North!were!there!is!heavy!rainfall!annually.! ! Disaster!management!is!done!under!a!government! protocol!called!the!Early!Warning!System,!where!the!district,!state,!and!federal!levels!work! together!in!order!to!respond!quickly!to!emergency!situations.! ! By!collaborating!with!the!media,! the!government!spreads!accurate!information!quickly!to!the!public.! B)

Q&A! No!questions!were!asked.!

!

Philippines! A)

Summary! The!Philippines!consist!of!more! than!7,000!islands!and!the! country!is!the!12th!most! populous!in!the!world.! ! Many! of!the!islands!have!mountains! and!volcanoes,!and!the!region!is! called!the!“Pacific!Ring!of!Fire.”! ! Health!is!not!quite!funded!by! the!government!and!there!is!a! lack!of!healthcare!services! throughout!the!country.! ! As!for!disasters,!it!could!be!said!that!the!typhoons!are!brewed!near! the!country,!and!the!islands!suffer!from!continuous!hydrological!disasters.! ! Even!during!this! year’s!ACTION!summer!camp,!there!was!flooding!going!on!in!the!Philippines.! ! Rescue!operations! exist,!but!are!not!quite!organized.!

B) 1.

Q&A! How!long!does!it!take!for!an!average!flood!to!subside?! Answer:!When!it!rains!for!a!whole!day,!the!water!level!reaches!to!waistHdeep.! ! In!such!cases,!it! takes!about!2!days!for!the!water!to!subside!in!urban!areas.! ! In!rural!areas!it!takes!about!a! week!due!to!improper!waste!disposal!and!inadequate!sewage!systems.!

2.

When!patients!are!transferred!from!hospitals!in!smaller!islands!to!those!in!larger!islands,!how! do!they!communicate!in!terms!of!patient!followHup?! Answer:! Basically,! when! patients! are! transferred! there! also! is! a! transfer! of! obligation,! so! although!some!followHup!is!done,!the!original!hospitals!do!not!participate!in!that!patient’s!care! after!transfer.!

30


!

Taiwan! A)

Summary! Taiwan!is!a!country!surrounded!by!the!seas,!and!most!of!its!population!lives!in!the!western! flatlands,!but!some!also!live!in!the!eastern!mountainous!areas.! ! The!government!provides!social! insurance,!which!covers!much!of!the!population’s!healthcare.! ! It!used!to!be!that!the!country! consisted!of!firm,!solid!land,!but!since!the!great!earthquake!in!1999!there!have!been!cases!of! unexpected!landslides!following!typhoons!that!come!every!year.! ! The!government!responds!to! disasters!by!using!the!Disaster!Medical!Assistance!Team!(DMAT)!and!the!Emergency!Operation! Center!(EOC).! ! Details!of!these!two!systems!were!covered!during!this!year’s!ACTION!summer! camp.!

B)

Q&A! ! No!questions!were!asked.!

! Thailand! A)

Summary! Thailand!is!a!culturally!and!historically!unique!country!with!a!population!of!70!million.! ! There!are! 3!times!as!many!public!hospitals!compared!to!private!ones.! ! The!most!commonly!occurring! disasters!are!thunderstorms,!droughts,!typhoons,!and!floods.! ! Of!these,!droughts!and!floods! affect!the!most!people.! ! Flooding!is!especially!an!issue!because!of!ineffective!drainage!control! throughout!the!country.! ! In!disaster!situations,!citizens!respond!quickly!by!evacuating!early.! ! Medical!student!volunteers!are!allowed!to!stay!in!dormitories.! ! Such!student!volunteers!are! given!roles!such!as!providing!basic!healthcare!to!victims!in!remote!areas!and!researching!impacts! of!the!disaster.!

B)

Q&A! No!questions!were!asked.!

! 2)

Participants! discovered! the! similarities! and! differences! between! the! countries.! ! Although! we! are! all! from! the! Asia! Pacific! Region,! different! countries! hold! different! issues! and! are! vulnerable! to! various! types!of!natural!disasters,!and!also!respond!differently.! ! It!was!a!pity!that!there!was!limited!time!for! asking! questions,! especially! toward! the! end! of! the! session.! ! As! the! kickoff! program! of! this! year’s! ACTION!summer!camp,!the!country!presentation!session!was!an!effective!way!for!delegates!from!each! country!to!introduce!themselves!to!each!other.! (Mariko!Kondo)!

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!

[2.!Lectures!and!Discussions]! ! [Title:!International!Management!and!Medical!Emergency!Operations!of!Water!Disaster]! Speaker:!Dean!FongHDee!Huang! th

Time!and!Date:!10:20am!H12:00am,!11 !August,!2012!

!

Main!Content!of!Lecture:! Comprehensive!emergency!management!

! â&#x20AC;&#x153;The!best!way!to!train!people!learn!about!disaster!is!to!have!a!disaster"! H>!Preparedness;!Doing!workshop,!tabletop,!fullHscale!exercise,!and!check!medical!sources!as!usual.! H>!Response;!Getting!the!alarm!from!the!health!bureau!and!also!the!government!evacuation.!The!key!point!is!to!keep! communication,!cooperation,!and!coordination.! ! "The!best!method!to!control!people!is!to!be!control."!

!!!!!!!!!!!!!!! Incident!command!system!(ICS)! H!Commander! H!Liaison! H!Information! H!Security! H!Operating!section! H!Logistic!section! H!Planning!section! H!Finance!and!administration!section! ! !

32


! H>!Recovery;!We!need!to!know!who!response!for!the!area.! H>! Mitigation;! the! management! of! the! warehouse! and! the! emergency! disaster! kit! should! be! ready! to! use! any! time! when!disaster!happen.! !

!

Q&A:!

H>If!now!you!are!designated!as!the!chief!leader!of!volunteering!team!that!supports!the!flood!relief!work,!how!do!you! device!the!work!and!responsibilities?! We!divide!it!according!to!the!ICS!system.! H>How! will! you! choose! your! teammates! and! how! to! assign! them! to! proper! section! (for! example,! what! kind! of! characteristics!or!skills!one!should!have!in!medical!treatment!section?)! We! will! accept! any! volunteers! that! willing! to! help! and! we! will! sort! them! out! based! on! their! abilities.! However,! the! tram!leader!have!the!right!to!switch!the!member!from!section!to!section!based!their!performances.!Communication! skill!is!very!important!especially!during!a!disaster!to!ensure!a!quick!response!and!better!performances.! H>What!other!agencies!can!you!connect!with!and!collaborate!with!to!make!the!relief!work!more!efficient?! •!NGO:!Tzu!Chi,!Red!Cross!Society! •!Mass!media! •!Military! •!GovernmentHEOC! H>Though!you!are!the!leader!of!your!team,!when!at!the!disaster!scene,!whose!command!and!instruction!are!necessary! for!you!to!follow!and!to!coordinate?! We! should! take! orders! from! the! central! government! such! as! the! EOC! and! DMAT.! Opinions! of! the! respective! team! leaders!will!be!also!taken!into!consideration.! ! ! ! ! ! ! ! ! ! ! ! ! !

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!

Discussion:!

H>Is!EOC!set!up!to!lead!operation!during!disaster!time?! EOC!is!activated!by!government!and!they!will!assign!a!leader.!Each!EOC!is!an!individual!department!such!that!during! disaster,!they!will!work!individually!and!if!they!need!extra!helper,!they!will!ask!for!volunteers!instead!of!other!hospital! staff!to!avoid!complication.! H>During!disaster,!transportation!is!limited.!How!to!guarantee!the!reach!of!medical!team!to!those!who!need!them?! We!can!use!helicopter!or!government!military!car!if!the!road!are!being!crush.! H>Any!action!taken!if!any!volunteers!pass!away!in!volunteering!job?! UNFORTUNATE!!!! H>To!prepare!for!a!disaster,!the!best!way!is!to!have!a!disaster.!However!there!is!not!such!disaster!happen!and!how!do! we!prepare!for!this?! We!should!get!more!medical!knowledge!and!management.! ! ! !

! Conclusion:! ! The! three! vital! keys! for! success! in! managing! and! relieving! a! disaster! situation! especially! the! disaster! involving! multiHcasualties!are!communication,!coordination,!and!cooperation!among!those!who!are!dealing!with!the!situation.!A! great! commander! is! absolutely! not! able! to! control! the! situation! well! without! responsible! subordinates! and! brilliant! teamwork!which!those!three!keys!are!taken!into!consideration.! (Xinyi!Zhou,!Wong!Wei!Lin,!Wasin!Pansiritanachot,!Duangruthai!Thorthititum)!

34


[Title:!Introduction!of!EMS]! Speaker:!Matthew!HueiHMing!Ma! th

Time!and!Date:!09:00am!H10:10am,!12 !August,!2012! !

!

Main!Content!of!Lecture:!

①EMSS!(Emergency!Medical!Services!System)!requires!the!corporation!between!the!fire!department,!police!and!the! medical!department! ②!5!phases!of!EMS:!PreHresponse,!PreHhospital,!Hospital,!Critical!care!and!Rehabilitation! ③!EMSS!reflects!the!development!status!of!a!country!in!the!aspect!of!public!health,!public!safety!and!medical!care! ④! DominiqueH! JeanH! Larrey,! the! trauma! surgeon! of! Napoleon! Bonaparte,! is! the! father! of! emergency! medicine,! invented!the!triage!and!ambulance.! ⑤The!flow!of!EMS:!First!responder!→!Activation!→!Scene!Care!→Scene!control!→!Ambulance!care!→!Critical!care! transport!→!Trauma!center!→!Review!and!Evaluation! ⑥The! constituents! forming! an! EMSS:! Manpower,! Training,! Communications,! Transportation,! Facilities,! Access! to! health!care,!Patient!transfer,!Critical!care!units,!Public!safety!agencies,! ! Consumer!participation,!Record,!Education,! Evaluation,!Disaster!Response,!Mutual!aid! ⑦!Models!of!careHFrancoHGerman!model,!AngloHAmerican!model! ⑧!Operation!mode!of!Emergency!safety!net:!stay!and!play,!and!applying!the!chain!of!survival!during!cardiac!arrest,! load!and!go!when!trauma!occurs;!right!patient,!right!place/time;!golden!hour!concept! ! ⑨!Resuscitation:!AHBHC!(airway,!breathing,!and!circulation);!mobile!intensive!care!ambulance!(MICA)! ⑩!Public!demand!in!Taiwan!EMSS:!annual!growth!at!10%! ⑪!Levels!of!service:!Basic!Life!Support!(BLS),!Advanced!Life!Support!(ALS)! !

!

Discussion:!

! ! ! In!small!group!discussion,!we!have!three!topics!to!discuss.! 1.! EMTs! are! important! preHhospital! personnel.! However,! they! aren’t! doctors.! That! means! they! have! their! limits! to! rescue!people.!What!kind!of!work!do!you!think!they!can!do!or!the!society!might!allow!them!to!do?! ! 2.! Please! design! a! vehicle,! which! you! think! is! more! convenient! and! useful! for! EMS.! Use! your! imagination.! Drawing! could!help.! ! 3.!If!an!exercise!could!help!emergency!workers!familiar!with!the!process!of!EMS,!could!you!design!a!useful!exercise!for! Asian!countries?!Please!tell!us!the!premise!and!what!can!the!emergency!workers!learn!from!the!exercise.! ! ! ! For! the! first! question,! though! EMTs! are! not! doctors,! they! can! support! them! in! various! ways;! such! as! basic! life! support,!information!contacts,!resuscitation,!and!ABC!(which!stands!for!Airway,!Breathing,!and!Circulation.)! !

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! ! ! Regarding! second! topics,! Team3! drew! the! functional! design! ambulance,! which! seems! to! be! a! boat! and! have! a! propeller!like!Doraemon.!It!makes!the!ambulance!easy!to! move! efficiently! even! in! the! sky! and! on! the! water.! The! body! of! the! ambulance! is! like! semi! sphere! for! holding! patients! lying! and! offering! the! basic! life! support! for! example!the!oxygen!masks.! ! ! In!addition,!it!also!has!some!functions!for!communicating! with!hospitals!using!Skype.! ! ! ! For!the!final!question,!we!feel!that!it!is!possible!for!us!to! design! the! fullHscale! exercise.! When! the! real! disaster! occurs,!most!of!patients!and!even!people!engaged!in!EOC! are! easy! to! be! panic.! Therefore,! this! exercise! we! experienced! here! in! Action! is! really! essential! for! us! who! are!medical!students.! ! ! !

!

Conclusion:!

! There! is! no! right! or! wrong! when! it! comes! to! the! situation! when! we! have! to! make! a! decision.! ! Management! in! emergency! medicine! is! an! example! of! the! management! that! involves! human! and! nonHhuman! resources.! ! We! obviously!cannot!reach!our!highest!goal!of!taking!care!of!everyone!in!best!way.! ! That!is!because!we!have!a!limited! resource!and!when!we!have!to!choose!for!helping!someone!or!doing!something,!it!means!that!we!have!less!time!to!do! something!else.! ! ! ! The! small! group! discussion! not! only! helps! us! understand! the! lecture! more,! but! also! points! out! the! fact! that! we! normally! follow! the! instruction! too! much! or! depends! on! what! we! have! done! before.! This! strongly! prevents! us! from! trying! new! things! and! thinking!in!other!ways.! ! ! (Jialin!Zhu,!Shoko!Kitazawa,!Yvonne!EdHWern! Chiew!and!Thagoon!Kanjanopas)! ! !

!

36


[Title:!Management!System!of!Medical!Emergency!Operation]! Speaker:!Matthew!HueiHMing!Ma! ! th

Time!and!Date:!10:20am!â&#x20AC;&#x201C;!12:00am,!12 !August,!2012! !

!

Main!Content!of!Lecture:!

1.!The!Definition!of!the!Disaster:!A!term!describing!an!event!that!can!be!defined!spatially!and!geographically,!but!that! demands!observation!to!produce!evidence.!It!implies!the!interaction!of!an!external!stressor!with!a!human!community! and! it! carries! the! implicit! concept! of! nonHmanageability.! The! term! is! used! in! the! entire! range! of! riskHreduction! activities,!but!it!is!possibly!the!least!appropriate!for!response.! 2.!Phases!in!Disaster!Management:! ! Sometimes!itâ&#x20AC;&#x2122;s!not!only!the!problem!of!human!resources!issue,!different!environment!can!cause!trouble!for!medical! practitioner.!

Mitigation

Recovery

Preparedness

Respond !

3.!Example!of!Hanshin!Earthquake! Amongst! all! causes! of! death! of! earthquake,! Crush! Asphyxia! had! resulted! in! the! most! deaths.! Besides,! most! people! died!instantaneously.! ! 4.!The!myths!of!Disaster:!Response!and!Solution:! I.!One!Hazard,!one!system! ! H!It!is!better!not!to!have!individual!systems!for!every!hazard!as!it!may!cause!inconvenience!and!confusion.! II.!Disasters!are!central! ! H!Most!of!the!disasters!are!local,!and!the!help!from!the!central!government!usually!takes!time.!

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! III.!Ligne!Maginot! ! H!It’s!impossible!to!set!a!line!for!defense!only!because!the!disaster!is!always!changing.! IV.!Only!advanced!medical!techniques!can!control!disasters!and!save!our!lives! V.!Stereotypical!Disasters!Response! VI.!Commander!is!the!man!who!knows!everything,!and!controls!everything! ! H!As!a!commander,!you!should!make!your!own!judgment!and!decisions.! ! VII.!Crisis!communication!is!to!tell!a!lie.! ! !

!

Discussion:!

Q1!Compare!the!different!emergency!system!in!different!countries.! ! A1:!(Edited!Answered!by!SophieHann!Chin!from!New!Zealand)!we!have!the!examples!from!New!Zealand!and!Thailand.! In!Thailand,!because!people!are!used!to!the!floods,!so!they!don’t!really!think!the!floods!as!something!that!requires! numerous!input!of!emergency!medicine.!But!for!country!like!New!Zealand,!there!are!not!so!many!natural!disasters,! but! they! still! occur! from! time! to! time.! For! that! case,! when! disaster! really! happens,! the! government! actually! gets! confused.! Q2Why!are!they!different?! A2:!The!frequency!of!disasters!happening!in!a!country,!the!traffic!situation!and!population!make!them!so!different.! Q3!In!the!regionalization,!what!may!be!the!problem!without!the!leadership!of!central!government?! A3:!Everybody!has!their!own!point!of!views!and!may!not!be!easily!persuaded!by!others.!It!also!takes!time!for!them!to! know! what! they! have! now! and! what! they! really! needed.! (by! Krittika! Kengkoom! and! Pattiya! Puttasinpornskul! from! Thailand)! Q4!If!1!people!can!build!a!house!in!150!days;!it!means!that!150!people!can!build!a!house!in!a!day.!It!sounds!logical,!but! not!possible.!What!is!the!problem!inside!it?! A4:!it!can!be!divided!into!two!parts:!the!physical!part!and!the!mental!part.!For!the!physical!part,!because!the!priority! of!building!a!house!can!be!reversed!or!changed,!e.g.!we!cannot!build!the!second!floor!before!the!first!floor!is!built.! Another!thing!is!that!many!things!of!the!architecture!take!time,!like!carving!or!cement!building.!For!the!mental!part,! people!easily!get!lazy!when!there!are!too!many!people!working.!Besides,!every!people!have!their!own!opinions!and! it’s!difficult!to!settle!everybody’s!thinking!argument.! ! ! !

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!

Conclusion:!

EMSS! works! when! disaster! occurs! through! Emergency! Operating! Center.! ! However,! since! the! leadership! is! fragmented,!sometimes!you!cannot!handle!the!situation!well.!Because!there!might!be!a!lot!of!unexpected!situations! that!the!way!they!response!to!the!situation!could!be!different!in!terms!of!specialty.!The!commander!becomes!the!key! person,! but! usually! the! commander! cannot! meet! everyoneâ&#x20AC;&#x2122;s! needs! and! judge! things! without! bias.! It! might! include! some!compromises,!but!there!should!be!some!assistants!to!help!the!commanders!and!figure!out!the!best!situation!for! people.! ! (Chang,!ShengHwei,!Tanaporn!Unjitti,!Reiko!Suzuki)!

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[Title:!Common!diseases!in!disaster!area!and!management!guidelines]! Speaker:!Dr.!ChienHHao!Lin! th

Time!and!Date:!08:30am!–!10:10am,!13 !August,!2012! ! !

!

Main!Content!of!Lecture:!

1.!Before!you!go!to!the!disaster!scene,!do!some!researches!for!illness!you!expected!to!be!seen.!It!can!be!found!in! government!website!and!organization!publication!such!as!WHO,!CDC.! 2.!The!information!will!be!different!due!to!time,!different!disaster,!location!etc.! ! 3.!Critical!illness!such!as!cardiac!arrest,!respiratory!failure!should!be!treated!with!emergency!management!and! transfer!as!fast!as!possible.! 4.!Critical!illness!may!use!a!lot!of!resources,!both!time!and!manpower.! 5.!Common!trauma!in!disaster! ! ! ! H!Hemorrhage:!should!do!direct!compression!such!as!a!tourniquet! ! ! H!Wound!management:!irrigate!the!wound,!consider!delay!suture!in!disaster,!able!to!catch!a!wound!infection!easily.! ! ! H!Compartment!syndrome:!tissue!ischemia,!pain!greater!than!expected!and!aggravated!by!passively!stretching!of! ! ! ! ! ! ! involved!muscle! ! ! ! H!Crush!syndrome:!renal!disaster,!decrease!of!urea! ! ! H!Cholera:!oral!dehydration!solution! !

!

Discussion:!

According!to!time!order,!share!with!your!teammates!about!what!happened!in!a!‘certain’!disaster!which!you!might! have!experienced,!seen!on!YVs,!listened!on!the!radios!etc.! Ex.!Earthquake!in!Tohoku!>!Tsunami!(Rescue!team,!Medical!team,!no!transportation)!>!Nuclear!power!plant!explosion!>! Water!contamination!hazmat! ! Q1:!What!tools,!medical!equipments!and!drugs!should!be!prepared!for!the!disaster!mentioned!before?! A1:!H!Supplements:!food,!water,!clothes,!tents! ! ! ! H!Personal!protection!equipment! ! ! ! H!Medications:!drugs,!antibiotics,!first!aids!kits! ! ! ! H!Radiation!detectors! ! Q2:!After!know!how!to!treat!and!manage!the!disaster!situation,!do!you!still!need!to!receive!the!transHnational!help?! A2:!Yes,!because!the!country!might!not!have!enough!resources,!supplies,!and!enough!knowledge!to!manage!the! situation!by!itself!especially!the!country!will!lower!development.!For!example,!Thailand!really!needs!helps!from! transHnational!when!tsunami!occurred!in!2004!because!Thailand!has!never!been!prepared!for!the!tsunami!to!happen!

40


before.!Or!in!Japan,!when!it!was!a!tsunami,!flood!and!nuclear!disaster,!some!food!or!water!might!have!been! contaminated!so!accepting!some!food!supplies!from!transHnational!was!necessary.! Q3:!What!were!the!problems!for!using!transHnational!help?! A3:!Each!country!has!its!own!problem!but! the!biggest!problem!is!language.! TransHnational!team!might!not!understand! the!local!language!and!have!to!use!the! translator!which!should!have!been! prepared!before!the!teamâ&#x20AC;&#x2122;s!arrival.!Or! better!prepare!the!tools!to!help!in! communication!such!as!pictures.!Some! other!problems!are!governmentâ&#x20AC;&#x2122;s!hidden! information,! ! ! !

! !

Conclusion:! There!are!many!diseases!that!can!be!found!in!different!disaster!scene.!The!treatments!are!varies!but!the!

most!important!thing!is!to!manage!with!the!greatest!efficiency!in!the!use!of!resources!and!manpower.! (Haruka!Ikeda,!PoHYu!Chiang,!Kornkanok!Saringkarisate,!Somhathai!Saipo)! ! !

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ACTION-Project 2011-2012 Annual Report

[Title:!Mode!of!Operation!of!Medical!Resources!Management!and!Emergency!Command!Center]! Speaker:!Frank!FuhHYuan!Shin! th

Time:!Time!and!Date:!10:20am!H!12:00am,!13 !August,!2012!

! !

Main!Content!of!Lecture:! !

Medical!resources!utilization!in!disaster!and!the!roles!of!EOC! There!is!fire!in!tunnel.!How!to!solve!the!problem?! Examples!of!problem!in!disaster! ! ! Hlanguage!problem:!some!volunteers!cannot!speak!local!language,!so!it!is!difficult!to!communicate.! ! ! Hinformation:!who!want!information?! ! ! Hculture:!some!volunteers!cannot!eat!local!food.!For!example,!Muslims!cannot!eat!pork.! ! ! HThe!ambulances!do!not!know!where!should!they!go?! ! ! H!People!who!stuck!inside!the!tunnel!do!not!know!what!should!they!do?! However,!in!every!disaster,!universal!precautions!always!need!such!as!mask!and!glove.! Medical!resources!utilization!in!disaster! ! ! HQuality!of!management!is!an!important!thing.!There!is!the!different!between!management,!so!Quality!of! management!is!used!to!deal!with!this!situation.! ! There!are!many!problems!in!management.!For!example,!there!is!extreme!sophisticated!situation!in!disaster,!there!is! too!much!information,!but!it!is!not!analyzed,!and!there!is!different!type!of!the!center.!Moreover,!the!difference!of! resource!patterns!is!the!problem!such!as!in!rural!area,!in!suburban!area,!and!in!city!area.!Analyzing!data!is!difficult!in! disaster!because!it!needs!expert!to!do.!Disaster!management!should!have!people!who!are!monitoring!and!evaluating! the!effects.! ! The!most!important!in!EOC!is!personnel!and!communication!equipment.! ! When!the!disaster!happens,!EOC!has!to! analyze!situation!and!plan!for!action.!Then!it!has!to!make!the!decision!what!people!should!do!to!deal!with!situation.! Finally,!the!EOC!should!act!as!a!coordinator.! ! !

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!

Discussion:!

The!topic!is!about!â&#x20AC;&#x153;what!happens!when!the!disaster! comes!and!what!is!needed!for!the!moment!of!disasterâ&#x20AC;?.! ! My!group!comes!up!with!two!disasters:!earthquake! and!flood.! ! For!the!first!one,!earthquake,!we!came!up!with!many! things!because!we!have!many!friends!who!experienced! earthquakes!like!friends!from!Japan,!friends!from! Philippines,!and!friends!from!Indonesia.!What! happened!after!the!earthquake!is!the!entrapment!of! people!in!collapsed!buildings,!lack!of!supplies,!lack!of! electricity!and!water,!damage!to!nuclear!plants,!and! also!the!destruction!of!residence.!We!also!come!up! with!many!things!needed!when!earthquake!happened.! There!are!antibiotics,!analgesics,!foods,!lifeHsaving!bags,! IV!fluids,!medical!equipments,!automobile!for! exploring!areas!that!are!hard!to!reach,!Geiger's! counter!for!detecting!nuclear!radiation,!boats,!and!also! generators!for!emergent!electricity.! Another!topic!that!we!discussed!is!flood.!We!can!also! come!up!with!many!things.!What!happened!when! flooded!are!the!leakage!of!electricity,!and!venomous! animals!like!snakes.!What!we!needed!is,!definitely,! boats!for!transportation,!long!boots!for!reaching!flooded!areas,!and!also!a!kit!for!testing!electrical!leakage,!and!the! antidote!for!curing!people!attacked!by!venomous!animals.! !

!

Conclusion:!

Quality!of!management!is!an!important!thing.!There!is!the!different!between!management,!so!Quality!of!management! is!used!to!deal!with!this!situation.!The!most!important!in!EOC!is!personnel!and!communication!equipment.! ! When! the!disaster!happens,!EOC!has!to!analyze!situation!and!plan!for!action.!Then!it!has!to!make!the!decision!what!people! should!do!to!deal!with!situation.!Finally,!the!EOC!should!act!as!a!coordinator.! (Joy,!APIPAT!WIRIYA,!Yuke!Fawziah!Kemala,Jutipat!Manomaivibul)! ! !

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ACTION-Project 2011-2012 Annual Report

[3.!Workshops]! ! [Title:!The!Setting!of!Medical!Station]! Speaker:!MingHtai,!Cgeng!MD! th

Time!and!Date:!13:00pm!H15:40pm,!11 !August,!2012!

! !

Program:!

The! basic! needs! for! the! medical! station! are! adequate! space,! lighting,! shelter,! good! ventilation,! security,! and! traffic! flow.!The!field!medical!station!can!be!divided!into!two!parts:!medical!operation!unit!and!medical!support!unit.!Medical! operation! unit! includes! registration! section,! triage,! critical! section,! treatment! section,! transferring! section,! corpse! section.! As! for! medical! support! unit,! it! consists! of! pharmacy,! medical,! supply! section,! administration! section,! communication!section,!food!&!resting!section,!bathroom,!and!resting!section.!The!only!treatment!that!can!be!done!in! the! medical! station! is! opening! airway! and! stopping! bleeding.! The! critical! section! is! for! critical! patients.! They! do! resuscitation,! necessary! treatment,! and! shift! patient! to! other! area! after! stabilizing.! In! the! treatment! section,! contagious! patients! are! separated,! and! those! who! received! the! treatment! are! shifted! to! the! transferring! section.! Corpse!section!rarely!causes!health!problem!unless!the!cause!of!death!is!contagious!disease.!You!must!put!the!corpse! section! close! but! separate! from! other! sections.! Administration! section! monitors! other! section! and! juts! do! the! administration.!They!also!do!public!relation,!and!communicate!with!other!organization.! ! ! After! the! lecture,! we! had! a! small! discussion! about! the! design! of! the! medical! station.! The! situation! we! talked! about! was! an! explosion! which! happened!at!Ilan!train!station!on!1:30! pm.! We! designed! the! entrance! and! the!exit!route!for!the!medical!station,! and! the! location! of! each! station.! One! way! is! just! using! the! nearby! elementary!school!as!a!medical!station! because!electricity!and!water!supply!is! available!there.! ! ! ! (ChihHWen!Tsai,!Teerawich!Likitabhorn,!Belinda!Julivia!Murtani,!Hiroshi!Hayashi,!Nutnicha!Yolsiriwat)! ! !

44


[Title:!Incident!Command!System!&!Practice]! Speaker:!Jack!ChienHHao,!Lin,!MD! th

Time!and!Date:!15:40pm!H16:30pm,!11 !August,!2012!

!

Program:!

H!The!ICS!includes:!Command,!Control,!and!Cooperation! H!Before!the!ICS,!units!work!individually.! H!The!ICS!is!expandable!and!retractableHHH!the!function!of!each!section!can!be!expanded!or!decreased!at!any!time!due! to!the!situation.! H!The!key!functions!of!ICS:! ! ! ! ! ! ! 1.!Organizing!the!response!team! ! ! ! ! ! ! 2.!DecisionHmaking! ! ! ! ! ! ! 3.!Coordination! H!The!advantages!of!ICS:! ! ! ! ! ! 1.!Provides!a!means!to!coordinate! ! ! ! ! ! 2.!Individual!agencies! ! ! ! ! ! 3.!Efficient,!safe!use!of!resources! H!Why!we!need!the!ICS?! ! ! ! ! ! 1.!There!will!be!volunteers!that!needed!to!be!distributed!to!different!works!in!a!short!time! ! ! ! ! ! 2.!The!disasters!usually!are!not!common!situations! ! ! ! ! ! 3.!Control!(EX:!conflicts!between!A!&!B)! H!The!sections!of!the!ICS:! ! ! ! ! ! ! 1.!Incident!Command!Center! (1)!Liaison!officer:!communication!among!group!members! (2)!Information!officer:!contacting!other!units!outside,!speaking!to!the!media! (3)!Security!officer:!making!sure!the!safety!of!the!officers!and!the!victims! ! ! ! ! ! 2.!Operation!Section!(important!!!)! ! ! ! ! ! 3.!Planning!Section!(Itâ&#x20AC;&#x2122;s!a!good!planning!makes!the!ICS!useful!!)! ! ! ! ! ! 4.!Logistics!section! ! ! ! ! ! 5.!Finance!and!Administration!Section!(important!!!)!

!

Conclusion:!

The!ICS!really!solves!the!problem!that!WHO!should!be!responsible!for!a!certain!thing.! Q&A! Q:!How!many!people!should!ICS!have?! A:! In! a! common! situation,! within! 1~2! hours,! 9! people! is! the! standard! manpower! number! we! usually! can! handle! a! disaster.!You!can!also!combine!different!sections!if!they!are!not!needed!right!away!to!save!the!manpower.! (ChihHWen!Tsai,!Teerawich!Likitabhorn,!Belinda!Julivia!Murtani,!Hiroshi!Hayashi,!Nutnicha!Yolsiriwat)!

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ACTION-Project 2011-2012 Annual Report

[Title:!Gathering!Information!&!the!Needs!during!Disaster]! Speaker:!Jack!ChienHHao,!Lin!MD! th

Time!and!Date:!16:30pm!H17:00pm,!11 !August,!2012!

!

Program:!

Information!Gathering! ! H!According!to!the!ICS,!commander!is!the!one!who!has!the!responsibility!for!information!gathering.!And!he!is!also!only! one!who!makes!the!decision!during!crisis.! H!Tools!of!information!trade:!media,!laptop,!cell!phone,!GPS,!camera! H!REOC,!EOC,!etc.! ! Rapid!Needs!Assessment! H!Planning!the!visit:!compose!team,!select!a!leader,!and!collect!background!information,!gap!identification!chart! H!Initial!task:!prepare!checklist,!assess!the!exits!information,!timetable,!set!up!communication,!obtain!equipment,!and! organize!transport! H!Field!collection:!population,!vital!health!information,!health!care!infrastructure,!food,!environment,!needs! H!Analysis!of!data! H!Identification!of!high!risk!groups! H!Dissemination!of!information! H!Challenges!in!rapid!assessment:!multiple!assessments,!team!balance,!local!systems,!targeting! H!Key!principles:!aimed!at!determining!the!intervention!needed,!quickly,! ! !

!

Conclusion:!

Good!information!gathering,!assessment,!compilation,!and!recording!will!improve!response!efforts! (ChihHWen!Tsai,!Teerawich!Likitabhorn,!Belinda!Julivia!Murtani,!Hiroshi!Hayashi,!Nutnicha!Yolsiriwat)!

! ! ! ! ! ! ! ! ! ! ! !

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[Title:!Disaster!Communication!and!Wireless!Operation!Practice]! Speaker:!Jack!ShouHTing!Hsu! th

Time!and!Date:!13:00pm!H14:00pm,!12 !August,!2012! !

!

Program:! !

The! walkie! talkie! radio! exercise! involved! playing! a! code! guessing! game! which! required! frequent! and! clear! exchanges! between! up! to! 5! walkieHtalkie!radios.!It!is!designed!to! test!the!knowledge!learnt!during!the! discussion!session.! While!a!lot!of!fun,!the!exercise!was! poorly! carried! out! clue! to! our! unfamiliarity! with! using! the! radio.! There! were! frequent! interruptions! in!

conversation,!

members!

not!

and!

following!

group! radio!

protocol.! Those! talking! often! forgot! to!identify!themselves,!wait!for!confirmation!from!the!EOC!before!asking!their!question,!and!did!not!properly!indicate! when!they!were!finished.!This!led!to!groups!talking!over!each!other,!and!therefore!it!took!a!long!time!to!complete!the! exercise.! We!think!we!all!learned!a!lot!from!this!exercise,!and!while!most!people!have!not!tried!using!the!radio!before,!they! quickly!became!more!proficient.!The!ICS!excise!which!held!in!the!following!day!was!more!efficient!and!organized!radio! use!and!communication.! !

!

Conclusion:!

Although! this! was! our! first! time! having! this! kind! of! training,! and! the! situation! was! chaos! when! using! the! wireless! radio,! it! was! still! fun! to! play! and! we! enjoyed! it! very! much.! Besides,! we! realized! that! if! this! was! the! real! situation! happened!in!our!real!life,!such!as!disaster!areas,!we!could!not!manage!to!deal!with!the!situation!well!and!might!cause! more! trouble! to! the! scene! if! we! never! practice,! thus! practice! makes! perfect,! we! do! hope! that! there! will! be! more! training!programs!like!this!that!may!educate!people!and!let!other!people!have!this!new!experience!while!training!so! that!if!it!happened!in!real!cases,!people!may!behave!calmly!and!more!victims!can!be!saved!within!golden!hours.! ! ! ! !

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ACTION-Project 2011-2012 Annual Report

[Title:!Introduction!to!Disaster!Triage]! Speaker:!Matthew!HueiHMing,!Ma! th

Time!and!Date:!14:00pm!H15:00pm,!12 !August,!2012! !

!

Program:! !

Lecture!Part! Triage! is! a! basic! medical! treatment! for! medical! station.! There! are! various! kinds;! for! example,! MASS! triage! (move,! assess,!sort,!and!send),!and!START!triage!(simple!triage!and!rapid!treatment).! In! this! small! group! lecture! and! discussion,! we! know! how! to! assess! each! casualtyâ&#x20AC;&#x2122;s! symptoms! whether! his! or! her! injury!needs!to!be!treated!immediately!or!not.! ! ! ! ! ! In!the!triage,!we!classify!casualties!into!three!groups!as!the!following.!If!he!or!she!can!walk,!mark!"GREEN!zone"! (the!least!severe!injured).!If!he!or!she!cannot!walk!and!has!high!respiratory!rate!(over!30!times!per!minute),!mark!as! "RED!zone"!(the!most!severe!injured).!If!his!or!her!injury!is!not!serious!but!unable!to!walk,!mark!as!"YELLOW!zone".! Lastly,!the!death!bodies!are!classified!as!"BLACK!zone".!

!

Questions!and!Answers!

You!have!to!classify!patients!into!four!categories,!black,!red,!yellow,!and!green,!with!triage!standard.! (1)! 2! yearsHold! boy,! found! beside! the! street.! There! was! no! response! at! first,! crying! to! pain! stimulation,! just! some! abrasion!wounds.!He!could!not!walk!himself.! HHH>!GREEN!zone! (2)! 26! years! old! female,! suffered! from! deformity! below! half! the! left! thigh! due! to! accident.! Physical! examination! showed!conscious!clear,!radial!pulsation!palpable,!respiratory!rate!24!times!per!minute!smoothly! ! HHH>!YELLOW!zone! (3)! 34! years! old! female,! gestation! age! 32! weeks,! suffered! from! abdominal! pain! complicated! with! much! vaginal! bleeding.!Physical!examination!showed!radial!pulsation!impalpable,!and!one!laceration!wound!above!left!thigh.! ! HHH>!RED!zone! (4)!37!years!old!female,!suffered!from!bilateral!belowHkneeHamputation,!breathless!after!resuscitation!position,!radial! pulsation!palpable!but!weak.! HHH>!BLACK!zone! (5)! 43! yearsHold! male,! editor! of! newspaper! and! good! friend! of! Dr.Shi,! requested! priority! of! treatment.! Physical! examinations!showed!multiple!abrasion!wounds!around!bilateral!knees!and!left!palm,!one!14!centimeters!laceration! wounds!above!left!leg.! HHH>!GREEN!zone!

!

Conclusion:!

Triage!is!a!simple!and!timeHsaving!method!to!accelerate!the!medical!process.!It!is!very!useful!when!emergency!breaks! out,!and!every!patient!would!be!well!treated.!In!addition,!we!will!have!less!dead!rate!in!that!disaster.! (Yong!Sook!Min,!YaH!Wen!Hung,!Jutipat!Manomaivibul,!Krittika!Kengkoom,!Alex!YunHCheng!Lai)

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[Title:!Tabletop!Training]! Speakers:!Dr.!ChienHhao!Lin,!Dr.!MingHtai!Cheng! th

Time!and!Date:!13:00pm!H17:30pm,!13 !August,!2012! !

!

Program:!

The! tabletop! exercise! is! a! simulation! of! a! disaster! incident! where! we,! the! participants,! act! as! the! emergency! response! team! and! had! to! utilize! the! Incident!Command!System!(ICS)!that!we!learnt!earlier! on!in!ACTION.! The! participants! were! split! into! two! teams,! and! each! team! was! expected! to! appoint! an! incident! commander,!who!will!lead!the!command!centre.!This! consists! of! a! liaison! officer,! a! planning! section,! a! spokesperson,! a! safety/security! officer,! and! a! finance! officer.!In!addition!to!this,!the!rest!of!the!group!had!to!divide!themselves!into! an! operations! section!and!a! logistics!section.! !

[Scenario]:!A!mudslide!where!there!were!multiple!casualties!from!tourist!buses.!The!goal!of!this!theoretical!exercise! is!to!respond!to!this!disaster!by!triaging!and!treating!patients!and!transferring!them!appropriately,!as!well!as!planning! the!resources,!dealing!with!the!media,!and!responding!to!unexpected!situations.! !

[ACTION]! The! incident! commanderâ&#x20AC;&#x2122;s! role!was!to!organize!the! response!team,!to!coordinate!and!make!appropriate! decisions.! During! the! exercise,! the! commander! had! to! deal! with! complicated! problems! that! other! sections! could! not! face! on! their! own,! and! he! or! she! had!to!make!the!final!decision.!The!difficulties!faced! by! the! commander! are! that! there! is! a! tendency! to! want!to!be!involved!in!every!bit!of!the!exercise,!but!it! would! have! been! more! efficient! to! delegate! tasks! appropriately.! ! The!liaison!officer!was!responsible!for!being!contact!person!in!the!command!centre,!and!ensuring!smooth!information! flow!between!the!different!sections!and!the!command!centre.!Some!of!problems!faced!by!the!liaison!officer!were!the! difficulties!in!using!the!radio!as!it!could!be!unreliable!at!times,!especially!because!it!was!raining!during!the!exercise!

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ACTION-Project 2011-2012 Annual Report

and! this! might! have! interfered! with! the! signals.! At! times! there! was! too! much! information! or! requests! coming! in! at! once!and!this!made!it!difficult!to!deal!with.!He!or!she!also!had!to!be!skilled!at!communicating!and!negotiating!with!the! other!sections,!as!well!as!prioritizing!tasks.! ! The! information! officer,! or! spokesperson,! was! responsible! to! act! as! the! public! information! officer,! serving! as! the! conduit!for!information!to!external!stakeholders,!including!visitors!and!families,!and!the!news!media.!The!problems! faced! in! this! role! was! the! difficulty! in! obtaining! information,! as! sometimes! they! had! to! obtain! the! information! in! person! as! the! information! did! not! come! to! them! easily! via! radio.! They! also! had! to! have! a! very! good! working! relationship!with!the!liaison!officer.! ! The!security!officer!was!in!charge!of!the!safety!of!the!operation.!During!the!exercise,!the!security!officer!did!not!end! up!taking!up!a!major!role,!as!perhaps!the!role!was!not!properly!defined!or!understood,!and!there!was!not!much!to!be! done! physically! as! this! was! a! theoretical! exercise.! They! ended! up! helping! out! in! minor! roles.! The! security! officer! should!take!charge!when!security!issues!arise,!and!they!should!report!directly!to!the!incident!commander.! ! The! operation! section! needs! the! most! number! of! participants! as! they! are! the! busiest! section! and! rapid! responses! are! often! required! from! them.! Good! planning!would!help!in!the!management! of! the! patients.! They! are! required! to! triage!the!theoretical!patients,!and!then! to! register! the! patients! accordingly! and! give!

the!

appropriate!

treatment.!

Following! this,! they! are! required! to! contact! the! ambulance! to! transfer! patients!to!nearby!hospitals.!Each!of!the! subsections! in! operations! faced! its! own! problems.!In!triage,!often!there!can!be!too!many!patients!to!deal!with,!and!when!they!are!busy!there!is!a!tendency!to! underHtriage! or! overHtriage! patients.! In! treatment,! patients! have! been! classified! by! the! triage! section! into! critical,! semiHcritical,!and!nonHcritical!patients!(as!well!as!deceased).!The!critical!patients!are!expected!to!be!treated!first!and! prioritized,!whereas!the!nonHcritical!patients!are!of!low!priority.!They!are!required!to!write!a!lot!of!information!down,! including! the! diagnosis! and! treatment,! as! well! as! the! drug! of! choice! and! whether! or! not! the! patient! needed! to! be! transferred.! The! transport! section! was! very! important,! as! they! needed! to! learn! the! information! about! the! patients! from!other!sources!quickly,!as!they!need!to!be!able!to!relay!this!to!the!ambulance!officers.!They!had!to!be!skilled!in! using! the! radio! system.! During! the! exercise,! one! of! the! groups! had! trouble! contacting! the! ambulance! services! for! about!twenty!minutes,!resulting!in!a!buildHup!of!patients!waiting!to!be!transferred.! !

50


The! planning! section!is!located!in!the!command!center,!and!they!are!responsible!for!overseeing!all!incidentHrelated! data! gathering! and! analysis.! Throughout! the! exercise,! both! groups! were! given! ‘situation’! cards! that! they! were! expected!to!handle.!Often!the!commander!would!delegate!the!task!of!resolving!the!situation!to!the!planning!team.! The!issues!faced!by!them!are!linked!to!the!issues!with!communication!that!the!other!sections!faced!(because!of!the! radio!system).! ! Logistics! section! was! in! charge! of! sorting! out! theoretical! donations,! and! deciding! what! to! accept! and! what! to! reject! for! the! mission.! They! did! not! require! as! much! manpower! as! the! operations! section.! Communication! was! also! important! in! this! section! as! they! needed! to! ask! the! command! centre! about! what! the! other! sections! required,! and! they! had! to! ask! other! theoretical! organizations! e.g.! red! cross,! EOC,! for! what!supplies!they!need.! ! The!finance!and!administration!section!did!not!end!up!playing!a!large!role!at!all!in!the!exercise,!and!they!might!have! been!more!useful!helping!out!in!the!other!sections.! !

!

Conclusion:!

In!conclusion,!it!was!a!very!fun!exercise,!and!it!was!useful!in!teaching!the!participants!about!the!use!of!the!ICS.!This! was! very! useful! experience! before! the! ‘fullHscale’! exercise! that! we! had! later! on! in! ACTION.! It! also! taught! the! importance!of!efficient!communication!and!role!delegation.! (Zhou!Feng,!Sherin!Pai,!Aufar!Bahri,!Lim!Zifan,!Chanikarn!Khanutwong)! !

!

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ACTION-Project 2011-2012 Annual Report

[Title:!Small!Group!Lecture!(Practical!Operation)]! Health!Station!Management!&!Facilities!Operation!Training! Maritime!Satellite!Phones,!Water!Purifier,!Generators! Theories!of!Electronic!Clinic!Operating!System! th

Time!and!Date:!13:00pm!H16:00pm,!14 !August,!2012! !

!

Main!Contents!of!Lecture:! Theories! of! Electronic! Clinic! Operating! System! In! the! Theories! of! Electronic! Clinical! Operation! system,! we! learned! the! advantage! of! using! computer! to! help! medical! teamwork! more! efficiently.!There!are!some!essential!object!we!need! in!the!procedure,!such!as!barcode!printer!and!scan,! laptop! without! mouth.! And! in! this! situation,! electricity! becomes! very! important.! The! Electronic! Clinical!Operation!system!has!several!merits.!First,!it! makes! the! patients! information! more! clear.! For! example,!we!can!tag!patientsâ&#x20AC;&#x2122;!level!in!triage!and! enter! the! information! to! computer,! and! then! every! companion! in! medical! tents! can! understand! the! patientsâ&#x20AC;&#x2122;! situation! through! the! computer.! Second! is! the! computer! can! help! us! make!the!best!choices!in!transferring!station.!All! we! need! to! do! is! enter! the! hospitals! and! their! information! in! the! computer! and! when! we! have! patient!need!to!be!sent!to!the!hospital,!computer! will! give! us! a! big! hand! on! decide! which! hospital! we! should! choose! for! the! patient.! Last! but! not!

the!least,!it!help!us!doing!the!evaluation!after!the!rescue.!Because!if!we!enter!information!on!the!laptop,!it!convenient! for!people!to!make!statistic!for!evaluation.!

Water!purifier! Clean!Water!is!very!important!to!disaster!especially!in!hydrological!disaster.!Water!purifier!is!a!machine!that!purify!the! pollute! water! to! become! clean! water.! First,! the! water! filtrate! pollute! by! filtration.! Then,! bacteria! are! killed! by! UV.! After!that,!the!water!turns!to!become!cleaner.!So!we!can!use!it!in!consumption.!

Generator! Generator!is!device!that!generates!the!electricity.!It!is!easy!to!use!because!it!only!needs!some!of!diesel.!First,!fill!diesel!

52


to!generator.!Second,!open!main!switch.!Then,!slide!choke!to!open!valve.!Finally,!pull!starter!to!start.!

Maritime!satellite!phones! Maritime!satellite!phone!is!used!in!lack!of!signal!situation.!It's!likely!to!the!normal!mobile!phone!but!it!use!satellite! instead.!Consequently,!it!can!use!in!the!lack!of!signal!situation,!especially!in!disaster.! !

!

Conclusion:! 1.

In!the!critical!situation!electronic!medicine!will!be!the!most!important!in!there,!because!we!enter!information! on!the!laptop,!it!convenient!for!people!to!make!statistic!for!evaluation!and!it!make!our!job!will!be!easier.!

2.

Water!purifier!is!the!machine!which!can!make!a!dirty!water!become!cleaning!water.!In!critical!situation!the! clean!water!became!very!important.!

3.

Generator!in!the!machine!which!is!can!we!use!if!there!is!no!electric!in!their!place!is!just!a!simple!way!to!use! just!need!a!solar!to!operated!

4.

Maritime!satellite!phone!is!used!in!lack!of!signal!situation! (ChinHHsuan!Chia,!Rahayu!Octavia,!Diana!Lim!Chia!Suan,!Chalitphol!Waniphisitphan)! !

! ! ! ! ! ! ! ! ! ! ! ! ! ! !!! !

! ! [Built!a!Medical!Tent]! ! !

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ACTION-Project 2011-2012 Annual Report

[Title:!Small!Group!Lecture!(Practical!Operation)]! GPS!&!Wireless!communications,!Electrical!Bone!Marrow!Needles,!Solar!Panel! Electronic!Clinic!Operation!System!(Practical)! Search!&!Rescue,!Escape,!Transporting!Patients,!Tying!Knots,!Line!Throw!Gun! th

Time!and!Date:!16:30pm!H18:00pm,!14 !August,!2012! !

GPS!AND!WIRELESS!COMMUNICATIONS,!GENERATOR!AND!WATER!PURIFIER! We!have!been!introduced!to!GPS!device!which!is!the!most!crucial! device!for!the!exact!location!identification!by!using!the!satellite.! We!learn!the!basic!settings!and!operating!system!of!this!device! with!the!guidance!of!the!facilitator.!We!had!been!assigned!to! find!the!food!for!the!BBQ!session!by!using!the!GPS!system!as!a! practice!and!enhance!our!skills.! ! Not!only!that!we!also!have!been!introduced!to!gasoline! generator!which!is!being!used!to!generate!electrical!supply!at!the! disaster!area.!The!facilitators!brief!us!the!basic!operating! guidelines!for!the!machine!and!all!of!us!practice!to!use!it! independently.! Furthermore,!we!also!being!briefed!by!the!trained!facilitators! about!the!water!purifier!which!is!Taiwan!own!design.!It!able!to! filter!and!purifier!the!dirty!water!into!clean!water!and!further! sterilized!with!the!up!light.!All!of!use!learns!the!basic!system!of! handling!the!machine.! ! ! ! !

INTRAOSSEOUS!LINE!AND!SATELLITE!PHONE! We!have!been!introduced!to!the!IO!device!and!the! basic!operating!guidelines!by!the!facilitator.!The! device!which!is!being!used!to!replace!the!IV!line!in! the!situation!where!the!IV!line!setting!is!difficult! and!critical.!We!learn!to!use!the!device!by!practice! on!the!chicken!eggs!independently.! Not!only!that,!we!also!learn!to!use!and!the!function! of!the!satellite!phone!with!the!guidance!of!the! facilitator.!The!phone!which!communicates!directly!

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with!the!satellite!is!very!crucial!at!the!disaster!operating!unit.!The!device!gets!its!electricity!from!the!solar!panel!and! hence!can!be!used!at!most!of!the!place!without!any!hesitation.!

EMS!LIGHT! We!learned!about!EMS!Light!and!its!function!during!the!disaster!scene.!The!lecturer!taught!us!about!these!titles! •

The!equipment!concerned!

The!different!between!EMS!light!and!its!full!unit!

How!to!choose!the!location!for!the!unit!

Electricity,!map!and!electrical!device!inside!the!unit!

Barcode! ! system!

We!get!to!use!the!barcode!to!keep!record!of!the!patients.!We!also!practiced!how!to!triage!all!victims!in!the!scene.!The! system!is!used!to!keep!information!like!his/her!name,!ID!number,!condition,!the!medicine!he’s!got!and!where!he/she! will!be!transferred!to.! ! The!information!about!the!patient!is!really!important!in!the!identification!process.!Therefore!it’s!really!useful!that!we! get!to!use!the!real!devices!used!by!the!Taiwan!EMS.! !

Search!&!Rescue,!Escape,!Transporting!Patients,!Tying!Knots,!Line!Throw!Gun!

! !

! ! (Anantha!Kumar!Rajendran,!Nova!Lestarina!Ayu!Aisyah,!Bawonpak!Pongkittilar,!Issareeya!Anugulprasert)!

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

[4.!Field!Trip]! Speakers:!Dr.!Cheng!MingHTai,!Dr.!Chou!WeiHKuo,!Dr.!ChienHHao!Lin,!Dr.!Wang!CheuhHWei! th

Time!and!Date:!08:30amH12:00am,!15 !August,!2012!

!

Program:! ! This!activity!was!a!practical!training!exercise!designed!by!DMAT!to!train! the!members!of!their!team!to!respond!in!the!event!of!a!natural!disaster! where! the! local! resources! were! not! enough! to! cope! with! the! medical! needs!of!the!people!who!were!affected!in!the!disaster.! ! In!this!training!exercise!we!had!to!deal!with!30!patients!in!40!minutes.! We! had! to! triage! them,! treat! them,! and! transfer! them! to! the! appropriate! place.! We! were! using! the! START! system! of! triage! which! involved! categorizing! people! into! red,! yellow,! green,! and! black.! They! were! then! transferred! to! medical! tents! where! they! could! be! treated! and! transferred! as! appropriate.! Everything! had! to! be! recorded! on! the! computer!system.!This!was!a!very!busy!exercise!as!we!were!seeing!lots! of!critical!patients!who!needed!to!be!transferred!as!quickly!as!possible.! Some! of! the! difficulties! we! had! included! not! having! enough! space! for! the! number! of! patients! that! we! had,! having! difficulty! with! the! computer! system,! and! having! to! wait! for! transfer! for! patients.! Many! patients! were! also! very! demanding! and! wanted! to! be! treated!

immediately!even!though!they!were!less!unwell!compared!to!the!others.!This!made!things!difficult!as!well!as!it!was! harder!to!focus!on!the!work.! ! ! In! the! triage! area,! the! most! difficult! thing! seemed! to! be! that! they! got! lots! of! patients! all! at! once! and! there! were! not!always!enough!people!there!to!deal!with!every!patient! immediately.! Also! they! were! the! first! to! see! the! patients! so! it! was! not! always! easy! to! tell! who! was! the! most! sick! and! should! be! seen! first.! Another! problem! in! the! triage! area! was! that! there! were! not! always! enough! people! to! transfer!patients!to!the!critical!area!so!sometimes!people! had!to!wait!in!the!triage!area!in!order!to!be!seen.!A!way!to! fix! this! problem! would! be! to! allocate! more! people! to! triage! and! also! have! better! communication! to! get! help! with! transfer.! However,! in! the! real! world! patients! do! not! always!come!as!fast!so!they!may!actually!have!done!better!in!a!real!life!situation.!

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In! the! operation! area,! the! biggest! problem! seemed! to! be! that! we! were! not! familiar! with! the! computer! system.! This! meant! that! although! we! wanted! to! transfer! people! quickly! and! treat! them! quickly,! sometimes! there! were! 3! or! 4! people! around! the! computer! trying! to! work! out! how! to! put! the! information! in,! and! sometimes! people! waiting! to! put! information! in! about! the! patients.! This!often!meant!that!patients!were!left!alone!and! waiting!to!be!put!in!the!transfer!area,!even!though! we!already!knew!they!needed!to!be!transferred.!I! think! if! we! had! used! the! system! more! and! had! more! practice! with! it! that! the! computer! issues! would! not! have! occurred! and! we! may! have! been! better! in! getting! patients! moved! faster.! Other! difficulties! included! mental! health! patients,! reporters,! and! other! officials! who! wanted! to! see! what!was!happening!inside!the!medical!tents.!This! was!also!disruptive!to!patients!being!cared!for!and! meant! that! sometimes! you! were! spending! time! trying! to! get! the! people! to! leave! instead! of! treating!people.!Luckily!we!all!found!that!there!was!good!support!from!the!command!centre!and!the!officers,!as!they! would!show!up!and!help!to!deal!with!these!problems!so!we!did!not!get!as!distracted.! ! In! the! transfer! area,! there! were! two! problems! identified.! One! was! that! the! number! of! patients! was! overwhelming! compared!to!the!number!of!ambulances.! This! meant! that! there! were! often! many! very! unwell! people! waiting! for! transfer,! and!that!sometimes!staffs!were!occupied! looking! after! patients! that! were! more! disruptive! when! waiting! for! transfer.! Perhaps!this!would!be!less!of!a!problem! in! real! life! as! there! might! be! more! people! going! to! the! hospital! that! could! drive!other!people!there!rather!than!only! having!two!ambulances.!

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

We! also! had! to! use! the! incident! command! system! to! help! things! be! more! efficient.! The! incident! command! system! has! three!levels!of!hierarchy!consisting!of!the!Incident!Commander,! his! officers,! and! then! the! heads! of! the! different! sections.! In! this! exercise! the! logistics,! planning! and! finance! sections! were! less! important! because! the! focus! was! on! the! operations! section,! however! there! was! lots! of! work! for! the! Incident! Commander! and! his! officers! because! of! the! public! attention! that! was! also! simulated! as! part! of! the! exercise.! There! were! some!good!tips!on!how!to!deal!with!attention!from!people!like! reporters!and!government!officials!given!to!us,!such!as!setting! up!an!area!for!the!reporters!to!go!to.!This!means!that!instead! of!coming!into!the!medical!tents!that!the!reporters!will!go!to! that! area! and! can! find! out! information! there! from! someone! such! as! the! information! officer! or! spokesperson.! This! means! that!false!information!will!not!be!reported.!Another!tip!that!we! were! given! was! that! we! should! make! government! officials! comfortable,! for! example! the! mayor! could! be! taken! to! the! command! centre! and! given! some! food! and! drink,! rather! than! going!around!all!the!tents!as!they!could!interrupt!the!work!that! the!operations!sector!were!doing.! ! ! Unfortunately! because! it! was! raining! they! made! the! decision! to! move! the! training! area! inside! rather! than! using! the! real! tents! as! we! originally! had! hoped! to.! This! meant! that! the! situation!was!less!lifelike,!for!example!the!transfer!area!would! have!been!in!a!different!location.!It!also!meant!it!was!very!easy! for!people!to!come!and!be!disruptive!as!there!were!no!walls!or! doors!to!keep!them!out.! ! !

!

Conclusion:!

Overall! it! was! a! very! enjoyable! exercise! and! very! valuable! for! learning! about! the! practical! management! aspects! of! dealing!with!a!disaster.!We!were!very!fortunate!to!have!the!support!of!the!professionals!who!have!been!involved!in! such!training!exercises!and!disasters!before!who!could!coach!and!encourage!us!along!the!way.! ! (Malahayati!Rusli!Bintang,!Kana!Yamamoto,!SophieHAnn!Chin,!Kwanchat!Krairaweengarmwijitr)!

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[5.!Social!Activity]! ! Opening!Ceremony! Sightseeing! Cultural!Program! ! Cultural!Night! ! !

Opening!Ceremony! In! the! first! day,! ACTIONHProject! welcomed! all! participants! of! the! training! camp! and! hold! an! opening! ceremony!with!Taiwanese!dishes,!We!played!some!games!and!got!intimate!each!other.! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

Sightseeing

Sightseeing

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ACTION-Project 2011-2012 Annual Report

Sightseeing! The!Xinyi!Commercial!District!(Taipei!101)! The! heart! of! the! Xinyi! District! is! the! Xinyi! Commercial! District,! given! birth! as! part! of! development!plans!created!by!the!city!government,! launched! in! 1987! and! quickly! emerging! as! the! location! of! the! most! alluring! and! attractive! city! landscape.! During! the! day,! this! is! a! pulsating! mercantile! and! financial! center;! at! night,! it! reHemerges!as!a!sleek!and!sexy!gathering!spot,!for! the! chic! and! stylish.! On! weekends! and! holidays,! the! district! miraculously! turns! into! a! superHstage! for!a!mindHteasing!cavalcade!of!performances!and! activities,!leading!the!district!to!rightly!be!nicknamed!“Taipei!’s!Manhattan”.! The!city!government!and!city!council!are!located!in!the!heart!of!the!commercial!district,!and!have!been! instrumental!in!the!comprehensive!development!of!the!area,!especially!the!success!of!the!visual!focal! attraction,!the!iconic!Taipei!101,!long!the!tallest!skyscraper!on!earth.!These!skyHbridges!are!a!world!away! from!the!normal!pedestrian!overpass!you!are!familiar!with.!They!help!you!bypass!all!forms!of!traffic!and! plays!a!key!role!in!local!beautification!and!economic!development.!At!night,!the!interior!lighting!of!each! skyHbridge!makes!it!an!attractive!source!of!balanced!illumination!in!its!immediate!area,!lighting!up!the! pretty!structure!for!safe!travel!and!adding!luster!and!allure!to!the!district’s!nightHscape.!

! National!Chiang!KaiCshek!Memorial!Hall! ! This!memorial!hall!was!built!in!memory!of!Chiang! KaiHshek,! the! first! president! of! the! Republic! of! China.! Work! on! the! hall! began! in! 1976,! a! year! after!President!Chiang!passed!away.!Design!by!C.C.! Yang,! who! was! also! the! architect! for! The! Grand! Hotel,!the!memorial!hall!is!white!with!a!blue!roof,! representing!the!dominant!colors!in!the!ROC!flag;! while!the!emblem!of!the!Chinese!Nationalist!Party! (KMT)!adorns!the!vaulted!ceiling.!A!bronze!statue! of! Chiang! looks! west! symbolically! to! the! Presidential! Office! Building! and! mainland! China.! The! front! plaza! of! the! hall! is! also! a! major! venue! for!democratic!assemblies.!

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! ! ! ! ! ! ! !

Shilin!Night!Market! Each!day!from!5!to!6!pm,!the!city's!largest! night! market! –! Shilin! Night! Market! –! stirs! to!life,!people!first!dribbling!and!then!soon! pouring! in.! They've! come,! locals,! expats,! and!tourists!from!overseas,!to!explore!this! independent! world! of! traditional! snack! foods! along! with! the! latest! and! hottest! in! commercial! goods.!The! majority! of! the! people!who!come!out!at!night!to!prowl!the! night! market! have! snacking! and! shopping! in!mind.!Located!across!from!MRT!Jiantan!Station!where!Wenlin!Rd.!and!Jihe!Rd.!meet,!the!Shilin!Public! Market—more!familiarly!known!as!the!Shilin!Night!Market—is!stuffed!with!hundreds!of!stalls.!This!spot! is!known!throughout!the!country!as!perhaps!the!single!finest!bazaar!for!the!culture's!virtually!unlimited! amount!of!tasty!traditional!snack!delicacies.!

!

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ACTION-Project 2011-2012 Annual Report

Hualien!County!â&#x20AC;&#x201C;The!Homeland!of!the!Sun! Hualien!is!one!of!the!Eastern!provinces!of!Taiwan,!originally!named!by!the!Japanese!as!"Karen",!meaning! recurrent!waves.!With!the!Central!Mountain!Range!on!the!West!and!Pacific!Ocean!to!the!East,!it!is!also! referred!by!locals!as!"Behind!the!mountain!where!the!sun!rises".!Its!capital,!Hualien!City,!is!the!size!of!a! town.!Due!to!its!late!development,!visitors!can!enjoy!natural!sights!and!unique!culture!that!is!very!different! from!other!parts!of!Taiwan.!The!most!notable!and!popular!sight!is!Taroko!National!Park,!where!hikers,! bikers!and!fishermen!enjoy!beautiful!gorges,!cliffs!and!streams.!A!car!trip!up!south!or!north!from!Hualien! City!along!the!rocky!beaches!facing!the!Pacific!Ocean!is!also!a!good!option.! Taroko!Gorge!is!an!impressive!19HkmHlong!canyon,!situated!near!Taiwan's!east!coast.!The!area!of!the!gorge! is!also!identified!as!Taroko!Gorge!National!Park.!The!most!phenomenal!aspect!of!the!park!is!the!amazing! relief.!In!a!single!afternoon!you!can!travel!from!rugged!coastal!cliffs!through!a!maze!of!subtropical!forested! canyons!to!high!elevation!subalpine!coniferous!forests.!In!about!60!kilometers!the!landscape!rises!from!sea! level!to!some!of!the!tallest!peaks!in!Taiwan!at!over!3400!meters.This!unique!national!scenic!area!contains! abundant!natural!resources,!a!combination!of!mountain,!sea!and!island!sites.!! For!city!explorers,!explore!Hualien!City's!different!delicacies,!like!mochi,!night!market!food,!street!food,! exotic!seafood,!and!aboriginal!wine.!Different!ethnic!groups,!especially!the!Amis!and!Hakka,!brings!so!much! more!flavor!to!the!province!!

! ! ! ! ! ! ! ! ! !

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Cultural!Program! ! LOC! staffs! organized! the! original! programs.! This! program! are! enable! participants! to! experience! Culture!of!Taiwan().!All!participants!were!divided!into!4!groups!and!rotated!4!cultural!workshops! provided!by!LOC..! Make!a!Spring!Roll! Spring! roll! is! one! of! the! most! characteristic! Chinese! food.! How! to! make! is! to! put! various! ingredients! (vegetable,!chicken,!mushroom,!tasty!sauce)!on!a!rice!paper,!and!roll!it!together.!

!

! ! Chinese!Martial!Art! Participants!could!experience!some!typical!poses!and!methods!and!try!to!defeat!someone!with!it.!

! ! ! ! ! ! A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

! Calligraphy! With!a!writing!brush,!Chinese!ink,!and!fine!paper,!participants!wrote!some!characteristic!Chinese! character.! !

! ! ! ! ! ! ! ! Chinese!Knot! Participants!made!a!colorful!strap!with!knotting!the!Chinese!knot.!

! ! ! ! ! ! ! !

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Cultural!Night! In!last!day!of!the!training!camp,!we!had!a!cultural!Night!as!a!closing!ceremony.!Participants!joined!cultural! night!wearing!their!own!national!uniforms!and!surrounded!typical!Taiwanese!dishes.!During!the!dinner,! each!country!delegation!showed!national!performances.!And!all!participants!were!granted!a!certification!of! completing!ACTION!training!camp!by!the!project!coordinator.!They!recalled!past!days,!and!said!goodbye!to! friends.! !

! ! ! ! !

! ! A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

! ! ! REFLECTION!FROM!PARTCIPANTS! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

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Alex!Lai!(Australia)! !

! I! arrived! at! Chientan! Youth! Activity! Centre! in! Taipei! not! knowing! what! to! expect.! I’ve! never! heard! of! the! ACTION! conference! before,! much! less! attended! one,! and! yet! here! I! was,! because! a! friend! asked! me! to! come,! because! it! fitted! my! schedule,! because! two! weeks! of! holidays! in! Taiwan! sounded! great.! I! can! now! confidently! say! that! Action!2012!made!my!holidays!unforgettably!awesome!! ! ! The! lectures! at! NTU! were! good.! Although! I! felt! that! unfamiliarity! with! English! hindered! some! of! the! delivery! and! discussion,! the! content!of!the!lectures!were!something!else!entirely.!They!were!filled! with!useful!information!and!practical!examples!of!a!very!different!type!of!medicine,!which!I!found!strange! and!exciting.!It’s!like!being!a!first!year!again,!learning!about!a!completely!new!set!of!skills.!Perhaps!the!use! of!interpreters,!especially!during!discussions,!could!help!get!ideas!across.! ! ! The!practical,!handsHon!part!of!the!convention!is!what!has!made!this!experience!stand!out!from!the!others.! No!amount!of!lectures!can!make!you!truly!appreciate!what!it’s!like!to!set!up!medical!tents,!shimmy!down! ropes,!yell!at!people!on!the!radio,!and!practice!providing!medical!care!in!a!disaster!zone.!It!was!hot,! sometimes! wet! and! miserable,! and! often! chaotic,! but! I! loved! every! moment! of! it.! Thank! you! to! all! the! dedicated!hospital!staff!and!LOC!who!made!this!possible.! ! ! ! I!wish!to!congratulate!those!responsible!for!social!events!on!a!job!well!done.!They!were!able!to!hype!up! the!atmosphere!without!alcohol!!I!definitely!enjoyed!the!opening!and!cultural!nights!more!than!the!events! organized! by! the! Australian! Medical! Students! Association! Convention,! which! always! seem! to! involve! alcohol!and!night!clubs.!I!also!enjoyed!the!Taiwanese!culture!tours!and!workshops.!Even!though!I!was!born! in!Taiwan,!being!lead!through!the!night!markets,!camping!and!barbequing!traditional!Taiwanese!food,!and! visiting!Hua!lien!with!so!many!great!people!made!the!experience!special!and!unforgettable.! ! ! Most!important!of!all,!this!convention!has!allowed!me!to!meet!a!bunch!of!great!people!who!I’m!proud!to! call!colleagues!and!friends.!This!convention!felt!a!lot!more!personal!because!it!only!had!a!small!number!of! participants,! and! I! think! this! allowed! the! participants! to! form! close! friendships.! I! felt! very! sad! to! have! to! leave!you!all.!I!hope!we!all!get!to!meet!again,!perhaps!at!next!year’s!ACTION!! ! ! ! !

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Belinda!Julivia!Murtani!(Indonesia)! ! ! Firstly,! when! i! heard! about! ACTION! 2012! in! Taiwan,! I! was! very! interested!because!I!have!not!attended!any!international!training!before.! Thus,! I! registered! to! be! the! participant! at! that! time.! The! other! reason! that!i!want!to!join!is!because!I!have!never!been!to!Taiwan!before.! ! ! ! ! On! the! first! day! of! ACTION,! specifically! by! the! time! I! arrived! at! the! hostel,!I!was!really!amazed!by!the!committee.!They!all!greeted!me!nicely! and! I! can! easily! talking! with! them.! Getting! in! the! same! room! with! participants!from!another!countries!also!brings!great!impressions!for!me.! We!shared!a!lot!of!stories,!jokes!and!food!together.!We!also!washed!our! clothes! together! and! of! course! took! many! photographs! as! well.! There! were!so!much!fun!I!had.! ! ! ! Starting! another! days! full! with! lectures! and! trainings,! I! didn't! feel! bored! at! all.! The! topic! were! very! interesting! and! all! the! lecturers! could! bring! the! materials! in! such! interactive! way.! Group! discussions! allocated! in! between! the! lectures! were! very! useful,! because! we! could! directly! apply! the! knowledge! to! answer!the!questions!given.!We!also!insisted!to!think!creatively!for!example!in!designing!the!future!medical! vehicle!to!evacuate!victims!in!disaster!area,!designing!medical!assistance!area!and!many!more.!Many!out!of! the!box!ideas!came!up!from!the!participants!and!that!was!really!cool.! ! Moreover,!country!presentation!at! the!very!beginning!also!broaden!my!mind.!It!was!really!broaden!my!mind!about!what!happened(in!this!case! the! disaster)! in! another! countries! and! how! they! manage! it.! Various! great! managements! that! they! have! already!been!applied!during!disaster!can!be!learned.!Therefore,!some!improvements!are!able!to!be!made! by!my!country!as!well.! ! ! ! ! ACTION! 2012! became! more! and! more! interesting! when! we! started! to! do! table! top! training.! I! was! at! planning!section!at!that!time!and!we!were!given!so!many!complicated!situations!that!we!have!to!handle! immediately.! It! was! very! busy,! but! I! had! much! fun! being! at! that! section.! Press! conference! held! after! the! training! was! also! interesting! and! funny.! Both! of! the! teams! were! criticizing! each! other! and! took! some! revenges! as! well.! After! completing! the! table! top! training,! we! did! the! field! trip! which! was! more! real! and! challenging.!All!participants!acted!crazily!as!the!patients!while!the!committee!became!the!crazy!reporters! and! government! officers.! Being! in! such! a! real! disaster! situation! brings! a! remarkable! experience! for! me.! From!these!activities,!I!learn!that!we!always!have!to!be!calm!down!when!facing!problems,!so!that!we!will! able!to!think!clearly!and!find!the!solution!for!our!problems.!We!also!have!to!work!hand!in!hand!with!other! people!to!make!our!work!easier.! ! To!recapitulate,!ACTION!2012!was!really!awesome.!I!was!having!a!really!great!time!during!ACTION!2012.!I! found!a!lot!friends,!useful!knowledge!and!skills,!and!also!wonderful!experiences.!I!hope!I!can!apply!all!of!the! knowledge!that!I!got!to!contribute!more!helping!disaster!victims!in!my!country.! !

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Feng!Zhou,!Jinxuan!Jia,!Jialin!Zhu,!Minghan!Jia!and!Qianlin!Zhou!(China!Mainland)! ! ! As!the!Chinese!saying!goes,!the!farther!you!get!in!your!trip,!the!further!you!get!in!your!book.!Never!can! you! learn! something! such! as! creative! power,! negotiation! ability,! coordinates! and! cooperation! ability! that! you!cannot!learn!from!textbooks.!Since!this!is!the!first!time!for!us!five!Chinese!delegates!to!participate!the! activity!of!IFMSA,!we!feel!strange!about!the!organization!at!first.!We!wonder!whether!the!local!government! would!appoint!some!official!administration!to!help!the!running!of!the!conference;!we!wonder!that!how!the! host!would!deal!with!the!emergency!event!during!the!conference!and!we!wonder!the!difference!between! the!ACTION!conference!and!an!academic!conference.! ! ! ! We!were!really!inspired!by!the!organizer!from!Taiwan!for!their!accurate!meditate!and!enthusiastic!help!as! well!as!the!execution!carried!out!in!order.!Coincidently,!one!of!the!roommates!is!I.O.C!member.!During!the! action,!he!would!have!conference!every!day!and!it!last!very!late.!Every!time!when!we!pass!by!the!lobby!to! rehearse!our!program!for!the!culture!night,!we!always!saw!both!the!members!of!I.O.C!and!L.O.C.!discussing! the! plan! for! tomorrow! and! summarize! the! work! today.! It! was! really! tired! and! for! several! times! the! organizer!slept!on!the!shuttle!bus.!We!really!appreciate!for!what!they!had!done!for!us.!Thus,!as!described!in! the! opening! ceremony,! this! is! a! conference! held! by! the! medical! students! own! without! the! participant! of! government!or!other!organization.!It!must!be!a!GodHgiven!chance!for!all!of!the!members!to!exercise!their! confidence,!courage!and!wisdom.!This!is!what!we!were!lack!of!and!the!textbooks!will!never!teach!you!how! to!prepare!for!such!kind!of!events.!Definitely,!we!also!want!to!learn!more!about!IFMSA!and!prepare!that!if! there!is!a!chance!we!may!have!a!try!to!hold!such!an!event.! !! ! During! the! action,! we! learned! a! lot! from! the! training! on! the! treatment! during! disaster! especially! in! hydrological!calamity.!However,!what!we!harvest!most!is!the!friendship!with!other!participants!from!other! countries.!Although!the!action!is!only!one!week,!we!learn!more!about!each!other!through!the!workshop,! the!culture!communications!and!the!activities.!It!will!be!a!precious!memory!for!us!to!treasure!forever.!As! the!Chinese!poet!said!that!distance!can!no!longer!separate!the!friends!from!each!other!as!long!as!they!keep! the!memory!that!they!stayed!together.!We!may!go!on!study!when!we!be!back!to!our!own!country!and!do! what!we!usually!do.!However,!it!will!be!an!excellent!experience!in!our!life!and!we!hope!that!everyone!can! remember!us!when!we!meet!again.! ! ! ! Though!it!is!just!a!short!time!activity,!we!were!really!glad!to!make!friends!with!all!of!the!participants!and! at!last!we!showed!our!sincerely!appreciation!to!the!organizer.! ! ! !

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ACTION-Project 2011-2012 Annual Report

Po!Yu!Chiang!(Taiwan)! ! ! It! was! really! a! great! week! to! have! met! so! many! friends! from! other! countries,!and!had!such!great!time!learning!and!discussing!together.!I! enjoyed!the!camp!so!much!and!will!love!to!join!the!next!ACTION!if!I! can.! ! !! I! know! ACTION! at! the! closing! of! a! two! day! workshop! held! in! NTU,! which,! as! like! a! Chinese! preconference! of! ACTION,! consists! of! introduction!to!disastrous!control,!triage,!the!ICS,!function!of!EOC!and! tabletop! exercise.! I! act! as! the! commander! of! the! operation! team! in! the! tabletop! exercise,! the! part! I! enjoyed! most,! and! knowing! that! there!is!going!to!be!a!full!scale!exercise!in!ACTION!makes!me!want!to!participate!further.!With!the!limited! knowledge! of! disastrous! medical! control! and! interest! in! learning! more,! I! decided! to! apply! for! ACTION.! There!are!other!reasons!that!propels!my!joining.!I!am!doing!volunteering!work!in!the!ER!of!a!hospital,!and!I! felt! the! fascination! for! how! it! operates! and! cooperates! with! the! ambulance! to! save! people’s! lives.! Additionally,!I!love!interacting!with!people!from!other!countries!and!getting!to!knowing!them!more!through! speaking!English.!Knowing!that!ACTION!is!going!to!be!an!international!conference!held!in!Taiwan,!and!has! all!those!features!above,!I!just!can’t!wait!to!join.! !! ! During! this! week,! I! learned! a! lot! through! the! lectures! and! group! discussions,! and! still! more! from! interacting!with!other!international!friends.!There!are!many!new!concepts!learned!in!lectures!the!following! are! some! of! the! ones! that! are! totally! new! to! me.! When! discussing! about! common! patient’s! situations! at! earthquake!scene,!Dr.!Lin!put!emphasis!on!crushing!syndrome.!Before!this,!I!thought!that!reason!for!people! to!be!dead!by!being!crushed!is!because!of!severe!loss!of!blood!or!deforming!of!vital!organs!such!as!brain,! but! had! never! thought! of! renal! failure.! Because! crushing! of! limbs! result! in! leaking! of! body! fluids! from! intracellular!to!extracellular!space,!thus,!the!imbalance!of!ions!and!other!soluble!molecules!can!cause!renal! dysfunction,!which!is!vital.!And!if!the!limb!was!pressed!by!heavy!objects,!the!damage!and!swelling!of!tissues! may! oppress! the! blood! vessels! in! the! limb,! causing! the! regional! blood! pressure! to! run! high.! The! vessels! becoming!too!narrow!are!followed!by!regional!hypoxia,!which!may!result!in!amputation.!I!haven’t!entered! into!preclinical!studies!yet!and!am!not!familiar!with!the!mechanisms!behind,!thus!I!missed!a!whole!bunch!of! information!during!the!lecture,!but!there!is!one!very!important!concept!that!I!had!kept!in!mind.!If!I!were! never! told! of! these,! I! may! overlook! the! need! to! check! patient! limb’s! regional! blood! pressure,! and! I! may! never!thought!of!the!appropriate!treatment!under!this!specific!condition!which!is!different!from!usual.!The! priority!of!patient’s!treatment!is!also!different!from!usual.!In!triage!at!disastrous!scene,!the!patients!who! are!about!to!die!even!after!treatment!are!the!first!to!be!discarded!on!account!of!limited!resources!and!time.! Those!who!will!live!after!treatment!are!to!be!treated!first,!while!those!who!will!live!even!without!treatment! should!be!treated!later.!These!are!the!new!concepts!that!I!learned.! !

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! ! The! tabletop! and! full! scale! exercise! put! the! new! concepts! into! practice,! while! putting! up! medical! tents,! rope! management! as! well! as! practicing! other! devices! in! disastrous! emergency! give! an! insight! into! what! exactly! will! we! do! to! rescue! people.! This! is! the! first! time! I! participate! in! an! exercise! that! focus! on! real! practice,!not!just!conceptual!learning.!Cooperating!with!others!makes!all!the!learning!process!more!fruitful! and!enjoyable.!By!using!English!to!communicate!with!international!students!and!mother!tongue!to!national! students! in! and! out! of! exercises! and! lectures! is! truly! a! great! experience.! Through! discussions,! I! gained! knowledge! of! different! medical! education! system! in! different! countries,! which! with! other! exchanges! of! perspective!greatly!broadens!my!international!world!view.! ! ! ! I! saw! people! from! around! AsiaHPacific! region,! with! different! culture! background! but! the! same! fire! for! being!future!doctor,!opening!their!eyes!to!the!unique!traditions!and!accent!of!English!of!another!country.!I! felt! I! will! like! to! do! more.! Not! only! will! I! want! to! further! participate! in! global! events! and! international! conferences,!I!want!to!have!a!wider!view!of!what!a!doctor!can!do!to!help!the!world.!I!will!continue!on!to! learn!what!I!should,!and!all!that!I!can!outside!of!curricular.!I!want!to!be!part!of!the!real!rescue!team!one!day,! and!before!that,!promote!the!right!concept!I!have!gained!to!others!who!may!never!have!heard!of!it.!I!will! try! to! stay! in! contact! with! all! the! excellent! friends! and! cherish! a! hope! to! be! able! to! meet! them! again.! Thanks!ACTION,!for!this!great!experience!! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

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!

Kornkanok!Saringkarisate!(YUI)!(Thailand)! ! Before!ACTION! ! ! Well,!before!this,!I!have!never!heard!of!ACTION!before.!It!was! very!late!April!that!my!friend!asked!me!if!I’m!interested!in!this!program!or!not.! I!was!in!the!States!that!time!and!had!only!a!very!few!last!hours!to!finish!the! form.!But!I!have!never!been!to!neither!medical!conference!nor!Taiwan!before,! together!with!very!persuasive!friends,!I’ve!decided!to!complete!the!form.! ! ! ! ! ! ! ! ! ! ! ! Little!that!I!know!what!ACTION!is!for!and!what!I!have!to!do!in!this! 7!days!program,!I!didn’t!expect!much!from!this!trip.!But!since!the!first!day!of! participating,!I!really!have!to!change!my!mind. ! ! While!in!ACTION! !

It!was!such!a!pleasure!time.!7!days!learning,!discussing,!talking!and!experiencing!what!we!have!to!do!or!

mange!the!situation!when!the!disaster!comes.!It’s!more!than!a!normal!lecture,!but!we!had!a!very!good!opportunity!to! do!the!table!top!training!and!the!fullHscale!exercise!altogether.!Apart!for!the!first!hand!experience,!we!also!made! friend!and!learnt!about!their!countries!and!cultures.!These!might!seem!simple!and!can!be!seen!in!any!of!the! conference!held!up!in!this!world,!but!for!me,!it’s!different!here!in!ACTION.!It’s!like!we!are!a!part!of!family,!gathered!up! in!order!to!share!their!past!experiences!and!give!a!hand!to!help!the!others!in!learning,!protecting,!and!managing!the! situation!we!all!have!to!face!in!the!very!near!future.! ! !

!!!

After!ACTION! ! First!of!all,!I!and!other!Thai!participants!have!to!gather!everything!that!we!have!learnt!from!this!year!ACTION!to!hold! a!new!ACTION!2013!in!Thailand.!We,!Thai,!are!very!pleased!to!be!the!next!host!for!ACTION!family.! ! ! Secondly,!we!have!come!to!a!consensus!that!we!want!to!share!the!experience!and!knowledge!that!we!have!got! through!our!1!week!in!ACTION!to!the!others.!I!might!be!a!one!day!workshop!or!small!lecture,!but!we!want!to!tell!them! of!what!we!have!learnt!and!so!that!it!won’t!stop!with!just!me!or!the!17!Thai!participants.! ! Third,!ACTION!really!gives!me!inspiration.!I!feel!and!know!more!that!even!though!I’m!still!a!very!small!medical! student,!I!can!participate!to!handle!the!disasters.!So,!I!wish!I!could!be!a!useful!help!for!anyone,!any!organization!in!the! disaster!scene!if!it!happened.! ! ! Last!but!not!least,!I!really!want!to!express!all!of!my!thanks!to!the!I.O.C,!L.O.C!for!setting!up!ACTION!2012!and!every! participants! for! giving! me! such! a! good! time,! friendship! and! memory! that! it! won’t! stop! just! the! week! that! we! were! together,!but!will!last!long!forever.! !

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FollowCup!Activities! ! ACTION!workshop!will!not!stop!on!the!last!day!of!the!training.!To!achieve!and!evaluate!the! “GOAL!AND!OBJECTIVE”,!ACTIONCProject!offers!“FollowCup!activity”!and!which!will!include!2! parts.! ! 1.

First!of!all,!we!expect!this!workshop!will!be!the!beginning!of!a!bigger!snow!ball!effect,!and!more! medical!students!from!all!over!AsiaHPacific!will!get!the!impact!and!benefits!of!the!workshop!from!the! participants.!After!the!workshop,!all!participants!are!obligated!to!prepare!publications!in!their!home! countries!in!accordance!to!local!taste!and!healthcare!concerns.! !

2.

Secondly,!they!are!obliged!to!hold!training!sessions!or!other!sorts!of!followHup!activities!in!their! respective!countries!with!the!support!from!the!National!Member!Organizations!in!order!to!further!the! cause!of!ACTION.!Within!one!year,!each!participant!is!expected!to!hold!at!least!2!followHup!activities,! preferably!training!sessions.!

!

A!module!will!be!disseminated!to!all!the!participants!on!the!last!day!of!the!workshop!to!help!them!design! the!training!sessions!in!their!respective!countries.!Participants!will!also!be!equipped!with!a!starter!pack! which!contains!training!materials!on!project!management,!leadership,!and!fundraising;!a!sample!of! proposal;!sample!of!letters;!and!contact!information.! ! Moreover,!in!order!to!evaluate!the!contribution!of!ACTION!in!the!development!of!capable,!socially!aware,! active!and!responsible!medical!field!workers;!a!survey!shall!be!conducted!among!graduating!ACTION! participants.!The!FollowHup!survey!shall!focus!on!collecting!information!concerning!the!contribution!of! ACTION,!the!impact!the!training!program!has!made!on!the!participants!and!if!the!participants!feel!they!shall! benefit!from!it!in!the!future!as!actual!medical!field!workers.! ! ! ! !

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ACTION-Project 2011-2012 Annual Report

Follow!up!Activity!1!(Thailand)! Summary!Fact!Sheet! Project!Title!

miniHACTION!2012!

Category!

Development!of!Key!Human!Resources!

Sector!

Health!and!Education!

Period!

1!day!

Location!

Faculty!of!medicine!Siriraj!hospital,!Mahidol!university!Thailand!

Participants!

31!medical!students!

Goals!

1)!to!provide!medical!knowledge!for!natural!disaster!management!2)!to!encourage! social! response! in! preparation! of! natural! disaster! ! ! !3)! to! encourage! friendship! between!medical!students!

Expected!Outcomes!

After!joining!miniHACTION,!the!participants!got!certificate!to!show!dedication!and! social!responsiveness.!Moreover,!the!participants!could!spread!what!they!got!from! this! program! to! their! friends! to! make! an! impact.! We! expect! that! e! will! have! enough! potential! doctors! to! cope! with! natural! disasters! and! infectious! disease! according!to!the!primary!objectives!of!the!ACTION.! !

Organizer(s)! !

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Participants!of!ACTION2012!


Name!of!Participant!

1.!Apipat!Wiriya! 2.!Bawonpak!Pongkittilar!! 3.!Chalitphol!Waniphisitphan!! 4.!Chanikarn!Khanutwong!! 5.!Duangruthai!Thorthititum!! ! 6.!Issareeya!Anugulprasert!! 7.!Jutipat!Manomaivibul!! 8.!Kornkanok!Saringkarisate! 9.!Kwanchat!Krairaweengarmwijitr! 10.!Nutnicha!Yolsiriwat! 11.!Pattiya!Puttasinpornskul! 12.!Somhatai!Saipo! 13.!Tanaporn!Unjitti! 14.!Thagoon!Kanjanopas!! 15.!Theerawich!Likitabhorn!! 16.!Wasin!Pansiritanachot! and!general!participants!

Country!

Thailand!

NMO!

IFMSA!Thailand!

Assigned!Committee!

SCORP!

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Description!of!your!training!session! ! We! divided! the! program! into! 2! parts.! The! first! part! started! with! the! ‘ice! breaking’! activity! to! help! participants!get!along!with!each!other.!This!activity!consisted!of!games!and!appetite!questions.!Then,!we! provided! the! first! lecture! about! the! ‘triage’,! along! with! a! small! group! discussion,! in! order! that! the! participants!could!pick!up!the!idea!about!how!to!categorize!the!victim!based!on!severity.!The!second!part,! we!lectured!about!the!‘incident!command!system’,!a!mean!to!coordinate!the!effort!of!individual!agencies.! After!that,!we!had!a!session!about!how!to!use!walkyHtalky.!In!the!end,!we!integrated!all!of!the!lectures!into! a!table!top!training!activity,!a!simulation!of!disaster!activity.!

! Supports!(institution!or!NGOs!which!have!helped!you!with!the!training)! !

•! IFMSA!Thailand!and!faculty!of!medicine!Siriraj!hospital! Funding!raised!(total!amount!of!money!you!have!raised!and!the!source)! !

•9,920!baht!from!faculty!of!medicine!Siriraj!hospital!and!Siriraj!medical!student!union! Obstacles!during!the!preparation!and!your!way!of!solving!them! !!! In! the! process! of! preparation,! we! had! minor! problems! in! many! parts.! First,! we! started! to! promote! our! program!quite!late,!so!we!got!the!number!of!the!delegates!lower!than!expected!on!the!deadline!date.!In! order! to! solve! the! problem,! we! sent! the! information! to! the! medical! students! from! various! schools! to! promote!our!project.! ! We!also!used!social!media!to!spread!the!information,!and!simplified!some!complex! method!in!registration.!Second,!we!asked!for!the!sponsor!quite!late,!so!we!spent!our!own!money!in!some! cases!to!keep!the!project!running.!

What!can!be!improved?! ! ! If!we!start!to!plan!on!promoting!our!project!earlier,!we!will!manage!the!registration!better.!For!example,! we!can!have!some!interactive!activities!to!make!sure!that!our!delegates!are!really!available!on!that!day.!To! run!the!project!smoothly,!we!should!finish!our!preparation!fast!enough!to!test!all!our!activities!2H3!times.!

! ! !

! !

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National!Level!FollowCup!Activity!1!(Thailand)! This!is!a!report!on!the!local!level!followHup!activity!in!Bangkok,Thailand.!

Introduction:! According! to! the! main! objective! of! ACTION,! we! hold! up! local! training! also! called! as! Mini! action! in! Bangkok,! Thailand.! We! provide! some! lectures! and! activities! to! enhance! experience! in! natural! disaster!management!to!Thai!medical!students!in!order!to!increase!manpower!on!incoming!disasters! which!prone!to!occur!more!frequently.!

Reporters:! Chalitphol!Wanitphisitphan!,!Bawonpak!Pongkitilar,!Chanikarn!Khanutwong,!Nutnicha!Yolsiriwat!

Country:! Thailand!

Place:! Faculty!of!medicine!Siriraj!hospital,!Mahidol!University!

Date:! November!3th,!2012.! Number!of!Participants:! 40!medical!students!

Detailed!Program!of!the!Training:! ! We!started!our!program!with!game!to!let!the!participants!know!each!other!and!then!we!gave!some! problems!to!each!group!so!that!they!can!get!the!whole!picture!of!what!we!are!going!to!do!in!this! day.!Then!we!lectured!about!“triage”,!the!process!of!determining!the!priority!of!patient’s!treatment! based!on!the!severity.!We!give!them!an!exercise!problem!to!them!at!the!end!of!lecture!to!review!the! knowledge! and! check! for! understanding.! After! lunch! break,! we! had! a! walky! H! talky! workshop! to! demonstrate!how!it!works.!Then,!we!had!a!lecture!about!Incident!command!system,!a!model!tool! for!command,!control!and!coordination!of!a!response.!The!last!activity!is!Table!top!training!activity! to!make!our!lectures!practical.!

Review!of!Workshop/Suggestions:! ! ! In!Mini!action,!we!start!the!program!with!easy!workshop!to!let!the!participants!know!each!other.! We!give!the!name!of!the!place!to!each!group!and!let!them!act!the!posture!in!order!that!the!other! groups! guess! it.! We! provide! small! group! discussion! after! each! lecture! consisting! of! triage! and! ICS.! We!also!have!game!that!use!walkyHtalky!to!demonstrate!how!to!use!it.!The!last!work!shop!is!table! top!training.!This!activity!is!to!integrate!all!of!lectures!in!the!day!into!real!like!situation!activity.!We! divided!participants!into!2!groups!and!then!designate!them!into!each!section!according!to!ICS.!After! that,!we!give!them!a!situation!and!problems!for!them!to!solve.!

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Evaluation:! Organizer’s!Evaluation!–! ! ! Statistical!analysis!has!been!conducted!to!19!Siriraj!medical!students,!staffs!in!the!miniACTION,!in!order! to! evaluate! skill! improvement.! The! evaluation! form! has! been! designed! based! on! 21st! Century! Skills! and! H.R.H! Prince! Mahidol! of! Songkla’s! philosophy,! and! applied! to! all! of! the! participants! before! and! after! participation.! Qualitative! and! quantitative! evaluations! are! segregated,! to! find! the! skills! learnt! from! participation!and!measure!the!improvement!of!skills,!respectively.!Those!aspects!of!assessment!are!listed! below,!together!with!the!results:! !

Aspects!

Qualitative!evaluation1! Pretest!

Posttest!

Quantitative!evaluation2! Pretest!

Posttest!

pHvalue! (2Htails)!

Communication!

94.44!(17)!

100.00!(18)! 7.33±0.77! 8.50±0.79! 2.14x10H6!

Collaboration!

100.00!(18)!

100.00!(18)! 7.83±0.86! 8.83±0.38! 3.66x10H5!

Creativity!

66.67!(12)!

100.00!(18)! 7.39±0.50! 8.61±0.61! 3.49x10H8!

Critical!Thinking!

94.44!(17)!

100.00!(18)! 7.44±0.62! 8.56±0.62! 3.15x10H7!

Digital!Literacy!

27.78!(5)!

55.56!(10)!

7.11±0.68! 7.89±0.58! 5.97x10H7!

Leadership!

61.11!(11)!

94.44!(17)!

7.06±0.54! 8.17±0.79! 3.15x10H7!

Professionalism!and! Ethics!

38.89!(7)!

83.33!(15)!

6.94±0.24! 7.83±0.38! 3.65x10H7!

Public!Consciousness!

72.22!(13)!

100.00!(18)! 7.50±0.79! 8.61±0.50! 2.26x10H6!

Program!planning!

83.33!(15)!

100.00!(18)! 7.61±0.78! 8.61±0.61! 9.99x10H6!

Systems!Thinking!

83.33!(15)!

100.00!(18)! 7.50±0.62! 8.78±0.55! 3.60x10H8!

Identity!

44.44!(8)!

66.67!(12)!

7.61±0.50! 8.39±0.61! 8.86x10H5!

Medical!Knowledge!

50.00!(9)!

88.89!(16)!

7.22±0.55! 8.44±0.62! 3.49x10H8!

1!

Percentage!(Number!of!staff!learnt!about!each!topic)!

2!

Mean!±!SD,!pHvalue!using!95%!confidence!interval!from!twoHtailed!paired!tHtest! ! ! ! ! !

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The! result! shows! the! increase! in! the! number! of! staff! skillHlearnt! in! every! aspect,! except! for! collaboration,! in! which! every! staff! expected! to! be! improved.! More! interestingly,! the! result! illustrates! significant! improvement! (p! <! 0.05)! of! “all! aspects! evaluated”.! This! could! be! rationally! implied! that! Siriraj! staffs! of! ACTION2012! have! gained! benefits! and! improved! in! the! level! of! overexpected! satisfactory.! However,! the! aspect! of! professionalism! and! ethics! scores! the! lowest! among! others.! This! suggests! more! ethical!activity!blended!into!sessions.! ! Nevertheless,!this!evaluation!in!every!aspect!based!merely!on!opinions!of!the!staffs.!There!is!still!no! concrete!evidence!to!support!that!these!internal!changes!really!occur.!New!assessment!method!is!indeed! needed!to!be!researched!on.!If!there!is!such!appropriate!evaluation,!not!just!rely!on!subjective!course!–!the! objective!one!–!the!improvement!within!individuals!will!be!certainly!clarified.! Considering!the!overall!performance!of!the!staff!members,!and!examination!score!and!satisfaction! of! the! delegates,! statistical! evidence! reports! successfulness! of! miniACTION! 2012,! held! by! Faculty! of! Medicine! Siriraj! Hospital.! Staffs! have! proved! of! worth! attempt! and! contribution.! On! the! other! hand,! participants!gained!several!improvements!as!we!expected.! ! All!of!these!could!not!ever!happened!if!lack!of! brilliant!staff!members!and!great!advisors!who!guide!the!staff!team!into!the!right!path.! ! ! ! ! ! ! !

Participants’!Evaluation!C! ! ! ! ! Upon!31!participants!in!total,!29!participants!stayed!to!be!evaluated!by!two!distinct!assessment!forms:! the! assessment! on! event! satisfaction! and! quick! quiz,! which! comprises! of! 10! questions! to! evaluate! what! they!had!learnt!from!the!miniACTION!after!all!sessions.! !

•Assessment!on!event!satisfaction! The! assessment! of! satisfaction! is! divided! into! 4! subtopics:! lecture,! comprehension! of! contents,! application!of!knowledge,!and!accommodation!–!including!venue,!time,!and!food!–!as!listed!below!together! with!the!results!(full!score!of!5!in!each!aspect):!

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Lecture!

Mean!±!SD!

Percentage!

1.!Clear!statement!

4.41!±!0.50!

88.20!

2.!Method!of!teaching!

4.41!±!0.50!

88.20!

3.!Application!to!real!practice!

4.31!±!0.60!

86.20!

4.!Thorough!contents!

4.38!±!0.62!

87.60!

5.!Time!limitation!

4.24!±!0.74!

84.80!

6.!Questions!&!Answers!

4.41!±!0.57!

88.20!

4.36!±0.59!

87.20!

Overall! !

Application!

Mean!±!SD!

Percentage!

1.!Application!in!field!

4.17!±!0.66!

83.40!

2.!Confident!to!apply! knowledge!

3.90!±!0.56!

78.00!

3.!Ability!to!pass!on!knowledge! 3.79!±!0.73!

75.80!

Overall!

3.95!±!0.66!

79.00!

! The! result! shows! fairly! high! score! in! every! aspect.! Accommodation! is! the! most! satisfied! with! the! average! score! 4.53! (90.6%).! The! lecture! scores! 4.36! (87.2%)! on! average.! The! aspect! of! knowledge! application! scores! the! least! 3.95! (79.0%).! This! shows! that! critical! thinking! stimulation! is! necessary! taking! more!to!conduct!the!benefit!of!application!to!all!of!the!participants.!Even!though!it!has!the!lowest!among! other!aspects,!the!score!is!still!considered!fairly!high.! In!the!aspect!of!comprehension!of!contents,!evaluated!by!the!delegates!themselves,!we!interpret!the! result! distinctly! from! the! other! three! aforementioned! aspects.! By! conducting! paired! THtest,! the! statistical! result!shows!the!improvement!of!comprehension!felt!by!the!delegates!is!better!significantly!(P!<!0.05)!after! all!sessions,!as!shown!in!the!table!below:!

Comprehension1!

!

80

!

Mean!±!SD!

Before!

2.24!±!1.02!

After!

4.03!±!0.68!

PHvalue2! 7.23!x!10H12!

1!

The!comprehension!evaluated!scores!out!of!five!

2!

PHvalue!of!95%!confidence!interval!from!twoHtailed!paired!tHtest!


•Quick!quiz!(academic!assessment)! Quick! quiz! was! done! by! 29! delegates! within! the! given! 3! minutes! in! order! to! evaluate! those! main! objectives!of!lessons!lectured!in!the!miniACTION.!Ten!questions!included!in!this!quiz,!composing!of!the!3! questions! from! the! triage! lecture,! 3! questions! from! the! ICS! lecture,! 2! questions! from! the! setting! of! field! medical!station!lecture,!and!2!questions!from!the!walkieHtalkie!session.!The!result!is!shown!below:!

Lecture(full!score)!

Mean!±!SD!

Percentage!(%)!

Triage(3)!

2.14!±!0.88!

71.26!

ICS(3)!

2.07!±!0.70!

68.97!

FMS(2)*!

1.17!±!0.71!

58.62!

WalkieHTalkie(2)!

1.55!±!0.51!

77.59!

Total!

6.93!±!1.46!

69.31!

Max!

10!

100!

Min!

4!

40!

*FMS!is!the!abbreviation!for!the!setting!of!field!medical!station!lecture.! ! The!results!shows!that!the!majority!of!participants!have!passed!the!exam!with!the!score!6.93!±!1.46!out! of!10.!This!score!is!not!prominently!high,!yet!shows!that!the!delegates!acquired!knowledge!in!a!fair!level.! The!delegates!score!most!in!the!walkieHtalkie!part,!triage,!the!ICS,!and!the!setting!of!field!medical!station,! respectively.! This! illustrates! quite! low! comprehension! upon! the! lecture! of! the! setting! of! field! medical! station,!which!later!has!to!be!improved.!Anyhow,!there!were!delegates!got!the!perfect!score!in!the!exam.! Our! suggestion! is! to! conduct! the! exam! both! before! and! after! the! sessions,! and! make! more! sophisticated!exam!in!order!to!precisely!evaluate!the!delegates!with!statistically!more!efficient!and!reliable! results.!

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Appendices! â&#x20AC;˘! Pictures!of!miniCACTION!2012! Figure!I!:!Ice!Breaking! !

! ! ! ! ! ! ! ! ! !

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Figure!II!:!Small!Group!Discussion!on!Triage! !

!

! !

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Figure!III!:!Presentation!after!Discussion! !

!

Figure!IV!:!WalkieCTalkie!

!

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Figure!V!:!TableCTop!Training!Activity! !

!

!

! !

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Figure!VI!:!Simulation!on!Press!Conference!

!

Figure!VII!:!Closing!ceremony! !

! !

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â&#x20AC;˘! Quick!Quiz! 1.!What!is!the!correct!sequent!of!START!Triage!assessment?! !!

a.!Perfusion,!Respiration,!Walking!ability,!Mental!status!

!

b.!Walking!ability,!Perfusion,!Mental!status,!Respiration!

!

c.!Walking!ability,!Respiration,!Perfusion,!Mental!status!

!

d.!Mental!status,!Respiration,!Perfusion,!Walking!ability!

2.! A! 25HyearHold! female,! suffered! from! multiple! wounds! on! the! right! leg! with! some! part! of! femoral! bone! apparent! from! outside,! active! bleeding! wounds! on! abdomen,! respiratory! rate! 24! per! minute,! radial! pulsation!palpable,!cannot!answer!coherently!to!simple!questions.! ! Which!category!does!he!belong?! ! ! ! ! ! ! ! ! a.!Minor! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! b.Delayed! ! ! ! ! ! ! ! ! c.!Immediate! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! d.!Deceased!

3.!What!criteria!do!you!use!to!separate!the!red!patient!from!the!yellow!one?! !

a.!Blood!pressure!

!

! ! ! ! ! ! b.!Respiratory!rate!

c.!Mental!status! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! d.!Pulse!rate!

4.!If!you!want!to!contact!the!EOC!for!the!lists!of!available!hospitals,!who!will!be!responsible!for!the!task?! !

a.!Liaison!Officer!

!

!

b.!Chief!of!Logistic!Section!

!

c.!Information!Officer!

!

d.!Chief!of!Operation!Section!

5.! A! psychiatric! patient! invades! into! your! medical! station,! running! around,! uncontrollable.! As! an! incident! commander,!how!will!you!response?! ! a.!Command!the!Operation!section!to!inject!the!sedative!medicine.! b.!Send!out!the!Security!officer!to!deal!with!the!situation.! c.!Call!for!a!police!to!take!him!to!the!psychic!ward.! d.!Planning!section!makes!a!plan!to!deal!with!the!situation.! !

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6.!Although!the!incident!commander!has!the!highest!authority!in!making!decisions,!there!is!another!person! who’s!the!responsibility!to!check!whether!his!command!is!appropriate!or!not.!Who!is!he?! !

a.!Chief!of!Operation!section! ! ! ! ! ! ! ! ! ! ! b.!A!mayor!

!

c.!Security!Officer!

!

! ! ! ! ! ! ! ! d.!Liaison!Officer!

7.! ! Transferring!section!must!be!closest!to!what!section?! !

a.!Command!Post!

!

!

! ! ! ! b.!Logistic!tent!

!

c.!Triage!area!

!

!

! ! ! ! d.!Red!Zone!

8.!Which!of!the!followings!is!not!a!factor!considered!for!location!of!a!field!medical!station?! !

a.!Distance!from!the!disaster!scene! ! ! ! ! ! ! b.!HazMat!

!

c.!Medical!Supplies! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! d.!Land!Owner!

9.!What!is!PPT!button!used!for?! !

a.!Push!to!talk! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! b.!Switch!on! ! c.!Change!station! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! d.Adjust!volume!

10.!Which!is!correct!method!to!use!WalkieHTalkie?! !

a.!All!stations!can!speak!at!the!same!time.!

!

b.!Charlie!stands!for!C!in!NATO!system.!

!

c.!“Over”!means!you!finish!talking!and!expect!no!response.!

!

d.!It!is!good!to!identify!speaker!before!speaking!every!sentences.! !

! ! ! ! ! ! ! !

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Follow!up!Activity!2!(Japan)! Summary!Fact!Sheet! Project!Title!

ACTIONHJapan!Seminar!in!Ishinomaki!

! Category!

Development!of!Key!Human!Resources!

! Sector!

Health!and!Education!

! Period!

2days!

! Location!

Ishinomaki!city,!Temporal!Clinic!of!Ishinomaki!city!Hospital,! ! OPEN!JAPAN!(NGO)!

! Participants!

16!medical!students!

Goals!

1)! to! understand! the! situation! in! Ishinomaki! where! was! attacked! by! East! Japan! Earthquake! and! Tsunami! after! the! disaster! to! now!2)! to! encourage! medical! students!to!learn!the!essence!of!current!problems!in!medical!field!and!think!of!the! future!in!long!span!!3)!to!encourage!medical!students!to!understand!and!consider! about!the!painful!mind!of!people!who!are!living!the!city!sine!before!the!disaster! !

Expected!Outcomes!

! Participants!may!be!available!to!learn!the!situation!of!East!Japan!Earthquake!and! have! a! deep! insight! into! the! plan! of! reconstruction! in! the! future.! They! also! can! have!many!purpose!of!view,!what!they!can!do!for!the!district!as!a!medical!student.!

Organizer(s)!

Participants!of!ACTION2012!and!ACTION!IOC!staffs!

! ! ! ! ! ! ! ! ! !

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Name!of!Participant!

1.!Ayaka!Ishihata!(JOC!chair!2012H2013,!IOC!chaire!2011H2012)! 2.!Mariko!Kondo!! (JOC!staff,!IOC!chair!2012H2013)! 3.!Reiko!Suzuki!(JOC!staff,!Participant!of!ACTION2012)! 4.!Mariko!Otani!(JOC!staff)! ! and!general!participants! !

Country!

Japan!

NMO!

IFMSAHJapan!

Assigned!Committee!

SCORP!

Description!of!your!training!session! The!program!was!divided!into!3!sections.!In!the!first!day,!we!held!an!interactive!academic!sessions!including! the! lectures! by! experts! to! check! our! knowledge! of! the! overview! of! East! Japan! Earthquake,! in! Kaisei! Temporary! Medical! Clinic! run! by! Ishinomaki! City! Hospital.! In! the! second! day,! we! visited! the! Red! Cross! Ishinomaki!Hospital,!one!of!the!most!famous!hospital!functioned!during!East!Japan!Earthquake!and!OPEN! Japan!one!of!the!biggest!NPO!which!worked!on!reconstruction!of!Tohoku!region!after!the!disaster.!In!the! Red! Cross! Ishinomaki! Hospital,! we! had! a! few! lectures! about! hospital’s! situation! right! after! the! tsunami! attack!and!the!plan!of!reconstruction!of!the!healthcare!system!in!this!decade.!By!OPEN!JAPAN!(NPO),!we! grated!opportunities!to!visit!some!areas!directly!suffered!from!tsunami!attacks!and!to!have!a!dialogue!with! victims.! Supports!(institution!or!NGOs!which!have!helped!you!with!the!training)!

•Dr.!Cho!worked!at!Kaisei!Temporary!Medical!Clinic! ! •Red!Cross!Ishinomaki!Hosiptal! •OPEN!JAPAN!(NPO)! Obstacles!during!the!preparation!and!your!way!of!solving!them! ! We!could!not!gather!enough!number!of!stuff!to!manage!this!program!on!the!spot!because!the!late!start!of! coordination.!We!should!make!an!arrangement!of!the!program!at!least!2!months!before!the!event!in!the! next!time.! What!can!be!improved?!

We!didn’t!gather!questionnaire!to!participants!for!evaluation!of!this!program.!It!was!not!good!idea!to! develop!our!activity!and!feedback!to!each!participant.!From!the!next!time,!we!will!make!participants! fill!out!questionnaire!as!an!obligation.! ! ! ! !

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National!Level!FollowCup!Activity!2!(Japan)! This!is!a!report!on!the!local!level!followHup!activity!in!Ishinomaki,!Miyagi!Prefecture,!Japan!

Introduction:! ! ! The!mighty!earthquake!(magnitude9.0)!hit!Japan!on!March!11th!2011.!Both!earthquake!and!tsunami! inflicted!mainly!Tohoku!region!(on!the!side!of!Pacific!Ocean),!left!there!devastated.!It!is!known!as!2011! Tohoku!earthquake!and!tsunami.! ! ! The!academic!seminar!held!in!Ishinomaki!City!in!Miyagi!prefecture,!the!city!most!seriously!affected!by! earthquake!and!tsunami.!Several!tsunamis,!up!to!about!10!meters!high!traveled!inland!up!to!5!kilometers! from!the!coast.!During!this!camp,!we!have!seen!how!temporary!medical!clinic!and!the!Doctor!works,!how! chair!person!of!a!local!government!think!to!improve!human!relations!in!temporary!residence,!and!how! local!people!and!volunteers!do!during!this!chronic!period!of!earthquake.!We!also!went!to!Japanese!Red! Cross!Ishinomaki!Hospital!which!had!functioned!as!an!only!one!regional!hospital!after!earth!quake!had! stricken.!Fortunately,!we!had!given!an!opportunity!to!interact!with!suffering!people!at!cafe!at!the!end!of! camp!as!well.! ! ! The!camp!had!been!held!only!for!2!days,!but!we!had!such!a!fruitful!time!and!a!lot!to!think!about! postHdisastrous!medicine.!!

!

Reporters:!Reiko!Suzuki! Country:!Japan! Place:! ! Miyagi!Prefecture,!Tohoku!Region! Kaisei!Temporary!Medical!Clinic! Red!Cross!Ishinomaki!Hospital!

Date:! 23nd!~24th!February!2013.! Number!of!Participants:! 16!medical!students!

! [Schedule]! 1st!day!(on!Feb.23rd.2013)!! Visiting!â&#x20AC;&#x153;Kaisei!Temporary!Medical!Clinicâ&#x20AC;?! 1. Workshop!with!assessments!of!Dr.!Cho! ! !!! !! !! !! !! !! !! !! !! !! HMedical!Infrastructure! !!! !! !! !! !! !! !! !! !! !! HMental!problems! !!! !! !! !! !! !! !! !! !! !! HElderly!people! ! ! ! 2.!Lecture!from!Dr.!Cho!! !

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2nd!day!(on!Feb.24th.2013)! Visiting!HJapanese!Red!Cross!Ishinomaki!Hospital”! !! !! !! !! !! !! HOPEN!JAPAN!(a!general!corporation!or!Volunteer!Organization)! !! !! !! !! !! !! HOkawa!elementry!school!(now!closed)! Having!conversation!with!victims!of!earthquake!and!tsunami!at!cafe!! ! !

[The!Kaisei!Temporary!Medical!Clinic]! ! ! The!Ishinomaki!City!Hospital!had!been!located!very!close!to!water,!East!side!of!the!hospital!faced!to!the! Pacific!Ocean!(0.4km!inland)!and!mouth!of!Kitakami!River!(right!in!front)!was!to!the!South!of!the!hospital.! Unfortunately,!the!hospital!fell!in!to!dysfuctioning!due!to!tsunami!on!March.11th.2011.!! ! ! The!Kaisei!Temporary!Medical!Clinic!for!Ishinomaki!City!Hospital!have!been!built!and!the!head!of!clinic! became!Dr.!Junichi!Cho!(Dr.!Cho)!who!had!given!us!a!lecture!and!some!ideas!toward!Post!Disastrous! Medicine.! ! ! After!having!workshop!about!3!topics(Medical! Infrastructure,!Mental!problems!and!Elderly!people),! we!realized!developing!a!good!community!around! neighborhood!is!a!way!to!solve!those!postHdisastrous! problems.! ! ! After!a!month!from!disaster!(we!call!it!a!chronic! period),!the!most!important!thing!is!to!know!actual! condition!and!answer!its!needs.!For!example,!all! stricken!medical!facilities!has!to!be!rebuild,! construction!of!medical!infrastructure!and!medical! system!regarding!protection!against!disaster.!There!are! many!patients!waiting!to!receive!dialytic!treatment!and!Home!Oxygen!Therapy.!There!has!to!be!easier!way! to!access!temporary!medical!clinic!for!those!living!in!doctorless!area.! ! ! ! Above!all,!the!community!medical!service!in!doctorless!area!especially!for!elderly!and!people!who!needs! to!be!nursed!has!to!be!the!highest!priority!to!be!concerned!on!time.!Elderly!are!those!weak!in!disaster.! They!are!hard!to!notice!when!danger!is!coming!or!they!know!that!they!are!in!dangerous!situation!but!they! cannot!act!properly.!They!are!the!weak!but!the!majority.!Majority!is!strong.!How!should!we!deal!with!this! aging!society?!The!only!answer!is!to!stop!declining!number!of!children’s!birthrate.!In!short,!we!need!a!lot! more!children.!! ! ! Dr.!Cho!said,!”Most!important!themes!are,!Family,!Land,!and!Health.!Everybody!has!to!be!healthy.!An! unequal!society(a!society!with!a!large!gap!between!rich!and!poor)!leads!to!An!unequal!Health.!We!have!to! make!relationship!between!neighborhood!and!care!each!other.!Paternalism!to!protect!the!weak!should!be! ready!to!take!action.”!

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In!his!idea,!In!Stricken!area,!Doctors!should!take!a!close!look!at!society!with!himself!inside,!then,!he!would! know!what!we!needs.!Doctors!really!do!not!have!to!act!like!doctors,!but!find!problems!from!doctor’s!point! of!view!and!try!to!solve!it,!cooperating!with!local!people.! ! ! Finally,!mental!health!problems!can!be!cured!by!volunteers!in!the!first!place.!Not!only!a!doctors!can!do! anything!to!patients!and!suffering!people,!but!the!small!action!do!work!by!local!people!or!even!by! volunteers.!Don’t!forget!about!the!fact!that!public!employees!working!at!local!city!hall!are!the!victims!of! the!earthquake!as!well.!They!work!for!citizens!but!they!are!in!pain!as!well.! ! ! During!postHdisastrous!chronic!period,!those!public!workers!get!tired!of!working!and!tend!to!end!in! suicide!themselves.!Loneliness!! gets!deeper!as!neighborhood!moves!to!temporary!houses!from!the!original! temporary!shelter,!Human!Relations!gets!complicated,!Burnout!Syndrome!take!away!lives!we!might!had! chance!to!save.!! ! ! We!have!to!use!what!we!have!now,!resources.!Primary!care!on!mental!health!could!be!done!by!the! simple!questionnaire.!“Do!you!sleep!well!and!eat!well?”!Depressed!people!wouldn’t!know!if!they!are! depressed.!Primary!care!for!suffering!people!within!a!community!is!very!important!to!find!mental!disorders! to!cure!them!in!an!early!stage.! !!

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[Japanese!Red!Cross!Ishinomaki!Hospital]! ! ! Japanese!Red!Cross!Ishinomaki!Hospital!is!located!on!4.8km!inland!when!measured!straight!from! Ishinomaki!port.!Tsunami!was!nearly!approaching!to!this!hospital!and!it!stopped!right!in!front.!This!hospital! was!originally!located!very!close!to!the!Pacific!Ocean.!However,!it!was!rebuilt!due!to!former!flooding!in! Kitakami!River!to!present!location!three!years!before!this!earthquake!happened.!When!the!earthquake! happened,!it!was!on!weekday!afternoon;!therefore,!fortunately!the!manpower!in!the!hospital!was!at!the! largest.!This!hospital!was!the!only!functioning!hospital!right!after!the!earthquake!in!Ishinomaki.!! ! ! The!earthquake!hit!Tohoku!at!14:46!pm.!Four!minutes!later,!the!headquarters!of!emergency!disaster! control!were!established.!And!by!15:43,!all!staffs!in!hospital!finished!preparing!for!triage!and!treatment.! There!was!instruction!to!be!followed!when!disastrous!situation!occurs.!The!drills!had!been!held!often!and!it! helped!getting!ready!for!emergency!patient!right!away.!Actually,!it!was!two!days!after!the!earthquake! that!rescuing!and!treatment!gets!in!mode.!Because!there!were!huge!tsunami!damage,!the!patients!were! either!mild!case!or!severe!case.!Most!of!the!severe!cases!were!to!be!labeled!as!black.! !! ! ! Over!two!thousand!patients!were!brought!to!the!hospital!on!the!second!day.!Including!sofas!in!the!lobby! or!even!the!floor!becomes!patientsâ&#x20AC;&#x2122;!bed!as!well!as!their!family!and!medical!staffs.!It!was!like!a!field!hospital,! the!medical!staff!said.!People!whom!houses!washed!away!also!came!and!had!being!sheltered!as!well.!Since! this!hospital!had!private!power!generator!and!waters!for!emergency,!two!hundred!thousand!citizen!around! Ishinomaki!were!to!be!charged!to!this!hospital.!! ! ! The!record!of!this!tragedy!had!been!taken!minute!by!minute!on!paper!in!the!middle!of!chaotic!situation.! This!document!could!be!a!lesson!for!the!next!devastated!calamity.!! Japanese

Red

Ishinomaki Hospital

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Cross


Entrance of the hospital. Commands were taken from second floor in the middle of picture.

! Seismic Isolated Structure in basement

! !

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[OPEN!JAPAN]! ! ! “OPEN!JAPAN”!is!a!nationwide!organization!formed!by!both!individuals!and!certain!groups!of!people.!A! week!after!3.11.2011,!volunteers,!who!had!had!met!and!experienced!volunteering!in!former!places! together,!gathered!and!started!their!actions!in!Ishinomaki.!Each!groups!and!individuals!has!their!specialty! and!worked!as!local!people’s!needs.!For!example,!one!group!is!called!“MUD!BUSTERS”.!They!clean!tiles,! pebbles!and!sludge!out!of!houses!and!buildings!which!were!devastated!by!tsunami.!They!also!distributed! warm!foods!for!people!at!temporary!shelters.!Victims!were!shivering!with!cold!in!Tohoku.!(Tohoku!is!a! region!of!Japan!where!winter!is!severe.)!!

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! ! We!had!a!chance!to!talk!with!suffering!people!who!had!been!helped!by!one!of!the!OPEN!JAPAN’s! projects,!the!“Car!Sharing!Project”.!Most!of!people’s!cars!in!Ishinomaki!were!washed!away!by!tsunami! while!driving!a!car!is!necessary!to!move!around!in!countryside!of!Japan.!However,!suffering!people!has!to! live!in!economy!saving!mode!because!their!houses,!clothes!even!the!cash!were!all!gone.!! ! ! This!project!has!begun!in!April!2011,!started!with!searching!and!gathering!cars!to!share.!Finally,!One!car! were!offered!in!May!and!now,!there!are!more!than!60!offered!cars!for!this!project.!This!project!is!aimed!at! people’s!transporting!conveniences!as!well!as!developing!neighborhood!self!governing!body.!Because!they! help!picking!up!each!other!and!ride!back!to!same!temporary!houses!together.!And!patients!who!needs!to! go!hospitals!regularly!also!uses!this!project!and!go!to!medical!checkHups!with!no!inconvenience.! ! ! Car’s!maintenance!were!done!by!technical!college!student!from!Himeji!(city!in!the!west!region!of!Japan)! as!volunteer.!They!change!tires!and!repairs!car!so!that!users!could!ride!a!car!with!safe.!“OPEN!JAPAN”! thinks!that!those!people!in!project!shares!not!only!a!car!but!also!a!heart!to!help!each!other.!This!would! leads!to!ideal!society!we!should!be!looking!at.!! ! ! I!talked!to!one!women!who!uses!this!system.!She!goes!to!a!hospital!once!a!week!and!the!car!comes!to! pick!her!up!to!her!temporary!home!and!hospitals.!The!gathering!between!people!using!car!sharing!were! held!at!little!pretty!cafe!on!the!second!day(Feb.!24th.2013),!having!pieces!of!cake!and!coffee.!She!told!her! memory!on!3.11!as!she!revealed!us!that!she!is!left!side!partial!paralysis!which!is!an!aftereffect!from!her! former!disease.!Her!houses!were!gone!but!family!members!were!all!okay.!Tears!were!fallen!from!her!eyes.! She!said!she’s!sorry!but!she!just!could!not!stop!crying.!! ! ! As!conversation!goes!on,!smile!lit!up!her!faces.!What!had!helped!her?!She!says!“I!have!got!to!learn!how! to!make!homeHmade!textile!and!I!make!scarves,!key!cases,!and!some!accessories.!There!was!an!exhibition! at!the!temporary!houses!presented!by!volunteers.!That!is!why!I!met!this!pretty!handmade!textile.!I!love! combining!colors!and!it!relives!me!a!lot.!I!also!have!friends!who!make!these!homeHmade!textiles!together.! And!I!am!a!leader!of!that!team.”!! ! ! “Something!to!live!for.”!Those!words!came!into!my!mind!after!conversation!with!her.!Disaster!brings!not! only!injured!people!to!hospital!but!also!long!term!issues!to!local!residents.!I!think!mental!problem!occupies! most!of!postHdisastrous!period.!Hope!and!dream!overcomes!exhaustion.!And!for!sure,!helping!in!hand!each! other!is!indispensable!to!revival!from!disaster.!!

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The height of tsunami reached to red line in picture.

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Most of students were lost in tsunami

at

Okawa

Elementry

School (now closed)

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! ! !

! III.!External!Meeting! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

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IFMSA!General!Assembly,!March!Meeting!2012!in!Ghana! Location:!Accra!Ghana! ! Duration:!3rd!â&#x20AC;&#x201C;!10th!March!2012! ! ACTIONCProject!Representatives:!Misa!Hyakutake!(Japan)!&!Masashi!Nishikubo!(Japan)! ! !

! ! Misa!Hyakutake!(the!former!project!coordinator)!and!Masashi!Nishikubo!(the!publication!staff)!participated!in! the!General!Assembly!(GA),!March!Meeting!2012!in!Ghana,!March!3rd!â&#x20AC;&#x201C;!10th,!as!project!representatives!of! ACTION!project.! ! Our!main!aim!was!to!promote!ACTION!in!GA!and!to!get!more!participants!mainly!from!AsiaHPacific!region.!In! particular,!we!aimed!to!get!participants!from!countries!where!there!had!been!no!or!few!ACTIONers!so!far,!such! as!South!Korea,!India,!Australia!and!New!Zealand.! ! We!worked!as!project!representatives!mainly!in!two!occasions,!Project!Fair!and!AsiaHPacific!regional!meeting.! 1.!Project!Fair!on!March!5th! ! ! We!had!a!booth!at!Project!Fair.!We!prepared!activity!reports!of!ACTION!in!2011!and!in!2010,!news!letters,! leaflets,!photo!albums!and!movies!for!Project!Fair.!Many!delegates!seemed!to!get!interested!in!ACTION.!In!this! Project!Fair,!many!other!Japanese!delegates!helped!us!to!manage!our!booth.!We!really!appreciate!it.! ! 2.!AsiaHPacific!regional!meeting!on!March!4th!and!March!8th! ! These!meetings!were!very!good!chance!to!promote!ACTION,!especially!to!countries!where!there!had!been!no! or!few!ACTIONers!so!far.!We!succeeded!in!giving!our!promotion!materials!to!all!participants!of!these!meetings,!

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of!course!including!those!from!South!Korea,!India,!Australia!and!New!Zealand.! ! In!addition,!at!the!meeting!on!March!8th,!Chu,!YenHHao,!one!of!GA!general!delegates!from!Taiwan,!did!a! promotion!presentation!on!behalf!of!FMSHTaiwan.!The!presentation!was!so!great!that!we!thought!it!gave!great! motivation!to!join!ACTION!2012!to!delegates.! !! And!through!this!GA,!we!also!took!part!in!various!activities!of!GA!just!the!same!as!other!general!delegates.!We! mainly!participated!in!those!of!SCORP!because!ACTION!is!one!of!the!projects!of!SCORP.!We!communicated!with! each!other!and!we!promoted!ACTION!at!any!chances.! ACTION!2012!in!Taiwan!(August!10th!â&#x20AC;&#x201C;!16th)!ended!in!success,!with!the!largest!number!of!participants!from!all! over!the!AsiaHPacific!region!ever,!and!now!the!preparation!toward!ACTION!2013!in!Thailand!is!under!progress.! We!are!really!glad!if!our!promotion!in!GA!made!some!sort!of!contribution!to!the!success!of!ACTION!2012.!We! really!thank!to!all!that!helped!our!activities!in!GA.!

Misa! Hyakutake! (Keio! University,! 5th)! Masashi! Nishikubo! (Kobe! University,! 4th)!

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Asia!Pacific!Regional!Meeting!(APRM)!2012!C!IFMSA! ! Location:!Penang,!Malaysia! ! Duration:!13th!–!16th!September!2012! ! ACTIONCProject!Representatives:!Ayaka!Ishihata!(Japan)!&!Chua!Szu!May!(Malaysia)! ! This!year!marks!ACTION’s!(Asian!Collaborative!Training!on!Infectious!Diseases,!Outbreak,!Natural!Disaster! and!Refugee!Management)!first!participation!in!APRM!in!providing!training!sessions!as!well!as!making!a! more!definite!presence!in!the!global!platform!of!medical!students.!Fresh!from!the!recent!ACTION!2012!in! Taiwan!which!this!year’s!theme!covers!hydrological!disasters,!the!basic!training!and!knowledge!of!triage! was!brought!about!and!disseminated!in!the!IFMSA!fraternity.! ! This!annual!meeting,!which!also!marks!Malaysia’s!maiden!participation!in!IFMSA,!was!impressive!with!an! extensive!participation!of!300!international!&!100!local!medical!students,!over!4!days!&!3!nights!in!the! culturally!rich!Penang.!It!was!chaired!by!Dr.!Vincent!Khor,!the!newly!appointed!Regional!Chairperson!of!Asia! Pacific!in!IFMSA.!The!theme!of!APRM!this!year!was!“TRANSITIONS!2012!:!DoctorsHinHTraining!Changing! Global!Health!Landscape!of!AsiaHPacific”!which!aims!to!address!paramount!issues!which!is!currently! affecting!the!AsiaHPacific!region,!which!includes!health!system!transformation,!increasing!health!inequities,! emerging!health!threats.! ! The!participants!were!indeed!lucky!to!have!a!lineHup!of!notable!speakers!which!include!Dr.!Tikki!Pang,!the! former!Director!of!Research!and!Cooperation,!World!Health!Organization,!Geneva!which!gave!a!talk!in!line! with!the!theme!itself:!DoctorsHinHTraining!Changing!Global!Health!Landscape!of!AsiaHPacific.!Health!forums! were!the!highlight!of!the!second!day,!which!highlights!include:!Transition!in!Health!Research:!Knowledge! Translation!and!the!Future!of!Health!Research!by!Dr.Tikki!Pang,!Transition!in!Medical!Education:!Global! Health!in!Medical!Education!in!the!AsiaHPacific!by!Prof!Hemadram!Yadav,!Epidemiological!Transition:!The! Rise!of!NCDs!and!Its’!Socioeconomical! and!Development!Impact!by!A/Prof! Dr.!Abdul!Rashid!Khan!B.!Md!Jagar! Din,!and!Tobacco!Control!in! AsiaHPacific:!Challenges!and! Opportunities!by!Prof.!Dr.!Rahmat! Awang.! ! The!student!panel!discussion!on! comparative!health!was!an!eye! opener!for!many!whereby!each! A transnational project of the IFMSA since March 2006

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country!presented!on!the!current!health!status!and!health!issues!pertaining!to!their!country!and!an!open! discussion,!as!well!of!exchange!of!ideas!between!the!panel!and!delegates!from!the!floor!ensued.!It!was!a! healthy!and!mind!provoking!discussion!with!issues!on!the!challenges!faced!and!ways!to!improve!for!each! country!in!terms!of!the!overcoming!the!healthcare!burden!in!their!country.! ! Standing!committee!sessions!were!held!daily!in!small!groups!of!30H40!participants!per!group;!SCORP,! SCORA,!SCOPE,!SCOME!and!SCORE.!Discussions!were!held!in!different!topics!with!creative!methods!of! expressing!views,!making!the!discussions!interesting!and!dynamic,!allowing!active!participation!from!all! groups.!In!the!SCORP!session,!which!both!ACTION!members!participated,!issues!discussed!include!LGBT! issues,!environmental!issues!affecting!health!of!the!communities,!and!the!torment!of!prisoners!of!war.!The! outgoing!Regional! ! Chairperson,!Dr.!Renzo!Guinto!gave!a!talk!on!the!pressing!issues!of!Human!Rights!as!well.!Practical!issues! were!brought!about!whereby!participants!were!grouped!to!their!respective!countries!&!presented!on! issues!regarding!human!rights!which!were!of!concern!back!in!their!own!country.!Speaking!by!experience! encouraged!dynamic!discussion!between!the!facilitator!and!the!participants,!as!well!as!among!the! delegates!themselves.! ! Training!sessions!were!held!over!2!days,! covering!topics;!Root!Out!!Reach!Out!! Social!Determinants!of!Health!for! Beginners,!Promoting!Health:!How!to! sell!health,!and!How!to!Start!a!Project!on! your!own.!ACTION!provided!2!training! sessions!over!2!days;!ACTION!in!APRM! 2012:!A!Mini!Simulation,!conducted!by! both!Ayaka!Ishihata!&!Szu!May!Chua.! Introduction!of!ACTION!and!the!past! efforts!over!the!last!6!years!were! presented,!as!well!as!an!introduction!to!Emergency!Medicine!in!Malaysia.!A!total!of!25!participants! participated!in!the!workshop,!with!Triage!simulation!and!group!work!regarding!different!disaster!situations,! namely!earthquake,!tsunami,!and!flood!were!discussed.!Groups!were!given!real!life!scenarios!throughout! the!group!discussion,!and!ways!to!overcome!such!situations!were!discussed!thoroughly.!Participants! provided!feedback!for!the!event,!and!newsletters!of!ACTION!were!shared!with!the!delegates.!Projects!fair! was!held!on!the!second!day,!whereby!ACTION!set!up!a!booth,!providing!information!and!newsletters!as! well!as!reports!of!all!previous!6!ACTION!meetings!were!available!to!all.!ACTION!made!a!presentation!during! the!projects!presentation!session,!whereby!all!present!and!up!and!coming!projects!were!presented!by!the! IFMSA!representatives!of!each!country.!

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The!international!democracy!night!marks!a!cultural!celebration!of!each!country’s!culture!and,!with! Penang’s!Hawker!festival!concurrently!running!where!there!is!a!sharing!of!food!in!the!National!Food!and! Drink!cultural!party.!Each!country!performed!their!respective!cultural!dance!which!made!the!night!an! incredibly!memorable!night.!During!the!last!day!of!APRM,!a!walking!heritage!tour!was!conducted!for!the! participants!in!small!groups,!exploring!the!bits!and!corners!of!Penang!which!was!truly!enjoyable!for!the! international!&!local!participants.!The!conference!was!closed!by!Dr.!Tikki!Pang!during!the!closing!ceremony,! and!winners!of!the!various!competitions!held!throughout!the!conference!were!announced!and!they!were! deservingly!rewarded.! ! It!was!a!proud!moment!for!ACTION!as,!the!team!managed!to!clinch!the!spot!of!“Best!Project!Fair”!in!the! Projects!Fair!session.!Best!Project!Presentation!went!to!CIMSA!Indonesia.!All!in!all!it!was!a!meaningful!and! extremely!beneficial!conference,!with!many!firsts’!for!the!participants,!for!ACTION!as!well!as!for!IFMSA.!Not! only!were!there!sharing!of!knowledge,!there!were!many!new!found!friendships,!with!which!would! definitely!have!managed!to!inspire!many,!and!most!importantly!achieving!the!IFMSA!objectives!in! connecting!all!medical!students!globally,!bringing!forward!pertinent!health!issues!in!each!of!our!region!to! increase!awareness!and!further!disseminate!these!issues!and!knowledge!in!line!with!working!towards! better!healthcare!in!our!world!today,!as!well!as!in!the!future.! ! Prepared!by,! ! Szu!May!Chua! ! IOC!Committee!–!ACTION!15th!November!2012! ! ! ! ! !

!

!

!

!

! ! ! ! ! ! ! ! ! !

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ACTION-Project 2011-2012 Annual Report

!

! IV.!Financial!Report!&!Sponsors! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

104


Financial!Report! !

Expenditure!

!

Categories!

Details!

Accommodation!

Activity!Center,!Hotel!etc!

Site!Rental!Fees! Admission!Fees!

Ceremonies,! Workshops!

Tutor!Fees!

Transportation!

Meals!

!

TWD!

!

EUR!

404905!

10693.54105!

National!Taiwan!University!(11th!to!13th! Aug.)!

4950!

130.7295!

Wo!Lau!Mountain!Stream!(14th!Aug.)!

5220!

137.8602!

Opening!Ceremony!(11th!Aug.)!

1562!

41.25242!

Tabletop!Training!(13th!Aug.)!

1584!

41.83344!

Cultural!Workshop!(13th!Aug.)!

2094!

55.30254!

Cultural!Night!(16th!Aug.)!

1174!

31.00534!

111000!

2931.51!

Train!

42806!

1130.50646!

Bus!

72360!

1911.0276!

MRT!

1616!

42.67856!

Taxi!

12270!

324.0507!

City!Tours!

4795!

126.63595!

Breakfasts!

20271!

535.35711!

Lunches!

32360!

854.6276!

Dinners!

106807!

2820.77287!

!

Beverages!

Tea,!Coffee!etc!

2638!

69.66958!

Insurance!

10th!to!16th!Aug.!

5670!

149.7447!

Photocopying!

581!

15.34421!

18522!

489.16602!

60!

1.5846!

Documents!

Printing! Fax!

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

Postage!

905!

23.90105!

Polo!Shirts!

35190!

929.3679!

CDs!

2783!

73.49903!

Stationery!

671!

17.72111!

ID!Card!Holders!

2235!

59.02635!

Stirring!Rods!for!Coffee!

87!

2.29767!

Paper!Cups!for!Tea!

81!

2.13921!

Raincoats!(11th!Aug.,!City!Tour)!

240!

6.3384!

Daily!Necessities!of!the!Staffs!

1063!

28.07383!

Banking!Charges!

Wire!Transfer!

390!

10.2999!

Registration!Fees!

Refunds!

21593!

570.27113!

Tokens!

Others!

Subtotal!

918483!

24257.136!

! !

Revenue! Category!

Registration!Fees!

106

!

Countries!

!

TWD!

!

EUR!

Australia!

20838!

550.33158!

China!

47792!

1262.18672!

Egypt!

9875!

260.79875!

Hong!Kong!

11118!

293.62638!

Indonesia!

58953!

1556.94873!

Japan!

131074!

3461.66434!

Jordan!

8994!

237.53154!

Malaysia!

55606!

1468.55446!

New!Zealand!

9969!

263.28129!


Fundraising!

Philippines!

8042!

212.38922!

Taiwan!

55662!

1470.03342!

Thailand!

167751!

4430.30391!

Ministry!of!Foreign!Affairs,!Republic!of! China!(Taiwan)!

50000!

1320.5!

Department!of!Health,!Executive!Yuan,! Republic!of!China!(Taiwan)!

40000!

1056.4!

The!Ministry!of!Education,!Republic!of! China!(Taiwan)!

30000!

792.3!

Pfizer!Co.,!Ltd.!

28950!

764.5695!

Taipei!City!Department!of!Information! and!Tourism!

18000!

475.38!

National!Youth!Commission,!Executive! Yuan,!Republic!of!China!(Taiwan)!

10000!

264.1!

Taiwan!Medical!Association!

10000!

264.1!

Foundation!( )!

10000!

264.1!

National!Taiwan!University!

10000!

264.1!

5000!

132.05!

temple!Foundation!( )!

5000!

132.05!

Ho!Chi!Book!Publishing!

5000!

132.05!

2000!

52.82!

16497!

435.68577!

826121!

21817.85561!

Taipei!Cultural!and!Educational!

Taipei!County,!Taishan!rock!Foundation! (

)!

Taipei,!Taiwan!Province!Town!God's!

Clinic! Make!up!the!Balance! Subtotal!

!

! ! !

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

! ! ! !

! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !

108


Sponsors! Government!Departments!

! ! ! ! ! ! !

Universities!/!Foundations/!NonC!Governmental!Organizations!

National!Taiwan!University!School!of!Medicine!

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

Taiwan!Medical!Association! Taipei!Cultural!and!Educational!Foundation! !(

)!

Taipei!County,!Taishan!rock!Foundation,! (

)!

Taipei,!Taiwan!Province!Town!God's!Temple!Foundation (

)!

! ! !

Private!Company!

Pfizer!Co.!Ltd.!(

! Hop!Kee!Book!Publishing!( Andrew!Lo,!Clinics!(

!

110

)!

)!

)!


! V.!Remarks! ! ! Greeting!Word!from!OG!&!OB! ! What!ACTIONCproject!brought!me! ! ! ! ! ! Two! years! have! passed! since! I! graduated! medical! university,! four! years! since! I! retired! from! ACTIONHproject.! I’m! working! as! a! resident! physician! and! I’m! sometime! reminded! of! IFMSA! and! ACTION! days! with! nostalgia.! This! project! brought! me! a! dream! of! contributing! to! universal! health! system! in! AsiaH! pacific!region.!I!am!going!to!apply!for!graduate!school!of!public!health!in!some!years!though!it!is!all!I!could! do!to!work!in!clinical!training.! ! There!seems!to!be!no!direct!relation!between!ACTION!and!universal!health!system!but!I!think!that!universal! health!system!is!needed!for!daily!life!of!people!and!it!may!prevent!exacerbation!of!chronic!disease!even!if! there!are!few!resources!in!case!of!disaster.! Though!it!is!true!that!not!all!students!in!this!project!intend!to!work!in!public!health,!more!students!should! get!interested!in!public!health!since!Japanese!welfare!reform!must!be!carried!out!and!we!should!show!our! policy!to!world.! ! I’ve! got! inspiration! from! elder! and! younger! students! who! had! similar! aims! through! this! project.! Public! health!brought!me!discoveries!and!delights,!which!are!not!in!clinical!jobs.!I!hope!younger!ACTION!members! will!gain!their!opportunity!for!their!glorious!future.! !

! nd

ShonanHKamakura!Hospital,!2 !year!junior!residenst! Masami Nakamura (ACTION-Project Coordinator 2007-2008)

A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

Dissemination! The!learning!effect!of!the!workshop!will!not!be!limited!to!the!participants.!Innovative!dissemination!of! information!acquired!at!the!workshop!will!allow!more!people!to!benefit!from!the!information!presented,! ideas!and!conclusions!generated!during!the!workshop.!The!dissemination!means!to!be!used!include:! !

Hardcopy!Report.!200!copies!of!a!report!booklet!will!be!distributed!to! ! IFMSA!member!organizations! ! (InterH)!governmental!agencies!and!nonHgovernmental!organizations!which!are!working!in! related!fields! ! Medical!libraries! ! Other!medical!student!organizations! ! Sponsors! ! Participants!of!the!workshop.! !

!

CDHROM!Report.!A!CDHROM!version!will!be!developed!due!to!its!added!value!in!terms!of!large! information!capacity,!interactivity,!audiovisual!material,!low!production!and!mailing!costs.!100!copies! of!the!CDHROM!report!will!be!distributed!mainly!in!those!countries!where!the!CDHROM's!are! commonly!used.! !

!

Website.!To!further!disseminate!the!information,!a!PDF!version!of!the!workshop!report!will!be! generated!and!posted!on!the!Web:! ! ! ! ! ! ! ! ! ! ! ! ! https://sites.google.com/a/fmstw.org/actionH2012Htaiwan/! ! Complete!with!a!downloadable!electronic!copy!of!the!complete!workshop!report!will!become! available.!Standard!information!to!be!distributed!by!these!means!will!include:! Information!on!the!workshop!rationale! Goals!&!objectives! ! Course!program! Samples!workshop!material!used!(case!studies!and!case!stories)! ! Summarized!text!of!keynote!lectures! Summary!of!discussions!and!conclusions! Resource!lists,!including!addresses!of!participants,!facilitators!and!partner!organizations!

112


Sample!Plans!of!Action!by!the!course!participants,!annotated!by!the!facilitators,!as!concrete! examples!of!possible!follow!up!activities! Thanks!and!Acknowledgements! ! List!of!board!members! ! Sponsors! Workshop!team!members! ! !

Course!Evaluation!results!and!suggestions!for!future!workshops,!Any!resolutions,!position!papers,!to! reflect!how!the!participant!from!the!workshop!or!IFMSA!sees!the!problem,!and!suggest!what!actions! to!follow!Information!about!the!network,!its!aims,!scope!of!planned!activities,!how!to!join!and!other! information!on!where!to!seek!help!locally.! !

!

Multimedia!versions!will!also!include!some!additional!information:!Video!clips!and!PowerPoint! presentations!used!in!the!workshops,!to!highlight!the!most!important!message(s)!thereof!Multimedia! fragments!of!important!workshopHrelated!events.! Examples!of!photos,!paintings,!posters,!etc.!used!in!the!workshop!Full!interactive!texts!of!and/or! hypertext!links!to!preHreading!material,!lecture!notes,!course!material,!etc.!which!are!posted!on!the! web.!

! !

Direct!hypertext!links!to!related!web!pages,!mailto!links!to!workshop!coHcoordinators,!relevant!project! teams,!etc.!Hypertext!links!to!other!important!(interH)!governmental!agencies,!NGO's,!action!groups! working!on!the!issue,!as!well!as!web!information!resources!for!further!information.!

!

! ! ! !

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ACTION-Project 2011-2012 Annual Report

Organizational!Profile! International!Federation!of!Medical!Students’!Association! ! IFMSA!is!the!largest!medical!student!organization!in!the!world.!It!is!an!independent,!nonHgovernmental!and! nonHpolitical!federation!of!medical!students’!associations!internationally.!In!2004,!IFMSA!consisted!of! national!medical!student!associations!in!93!countries!on!six!continents.!

Our!members!represent!around!

850,000!medical!students!worldwide.! ! Sine!1951,!IFMSA!has!been!run!by!medical!students!on!a!nonHprofit!basis.!Officially!recognized!as!a!Non! Governmental!Organization!within!the!United!Nations!system,!it!is!also!recognized!by!the!World!Health! Organization!as!the!international!voice!for!medical!students.! IFMSA!is!registered!as!a!charitable! organization!in!the!Netherlands.! Its!activities!include!7,000!student!exchanges!a!year!and!an!incredible!wealth!of!studentHled!projects!that! fall!into!four!main!fields!of!interest:!medical!education,!public!health,!human!rights,!refugees!and!conflict! prevention!and!reproductive!health,!including!HIV/AIDS.! ! Recent!recognition!of!IFMSA!student!work!include!a!Gold!Medaille!d’Excellence!from!the!International! Human!Rights!Consortium!for!a!kit!entitled!“HIV/AIDS!and!Human!Rights:!Young!People!in!Action”!and!a! substantial!grant!from!UNESCO!to!develop!the!organization’s!student!leadership!training!program.! ! It!shall!aim!to!develop!a!culture!of!academically!competent,!globalHoriented,!culturallyHsensitive!students!of! medicine!who!can!serve!as!role!models!in!the!health!profession.! !

! ! ! ! ! !

114

!

!

!

!

!

!


List!of!Abbreviations! ! APRM!H!Pacific!Regional!Meeting!(IFMSA)! GA!H!General!Assembly!(IFMSA)! IFMSA!H!International!Federation!of!Medical!Students’!Associations! IOC!–!International!Organizing!Committee!(ACTIONHProject)! LOC!H!Local!Organizing!Committee!(ACTIONHProject)! MM2012!–!March!Meeting!2012!in!Ghana!(=GA)! NMO!H!National!Member!Organization!(IFMSA)! SCORP!H!Standing!Committee!on!Human!Rights!and!Peace!(IFMSA)! !

! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! ! A transnational project of the IFMSA since March 2006

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ACTION-Project 2011-2012 Annual Report

! ! ! ! ! ! ! ! ! ! ! ! !

ACTIONCProject! !

Newsletter!Collection! ! !

! ACTIONCProject!regularly!issues!a!newsletter!twice!a!year!in!March!and!August! forward!to!IFMSA!General!Assembly.! ! !

116


on Refugee

Infectious

WHAT’S THE ACTION-Project?? Traning and

Collaborative

The Disaster

Asian

Diseases,Outbreak,Natural Management (ACTON) is aimed at providing healcare students from Asia-Pacific most of the essential knouledge and skills repuired to prevent ,cure or relieve,and rehabilitate victims of infectious diseases and natural disasters. This project is the only international project in AsiaPacific Region. Every year, we organize one week training in another Asian country. During this training, participants will acquire the basic skills and knouledge through the lectures,small working groups,plenary,and fields trips. Students around the world will also benefit from the through the IFMSA's global network.

outcome of the training as all follow-up activities will be disseminated ACTION is based on some goals. (1) To increase and develop healthcare students’ awareness of infectious diseases and role of healthcare professions in natural Disasters and Infectious Diseases Relief. (2) To build human resources – trained and motivated

JAPAN NEED YOUR SUPPORTS

The

earthquake with tsunami, its size

thought possible only once in 1000 years, which struck

Japan on March 11th, 2011, was beyond the reach of our

immediately

after

the

earthquake

were

the

hypothermia caused by tsunami. A doctor who performed

treatment for people who got injured, pneumonia, or

needs

missing 5,344 persons (As of July 12th, 2011). The medical

the earthquake. The damages are: dead 15,555 persons,

Japan. First, I would like to look back on the aftermath of

IFMSA-Japan established the donation account. We will give the

【BANK NAME】 THE BANK OF TOKYO-MITSUBISHI UFJ,LIMITED

assumption and perplexed specialists in disaster medicine.

suffered by natural disasters.

【 BRANCH】 TOKYO JYOSHIIDAI SUB BRANCH

donations to Japanese Red Cross Society, Central Community Chest

(3) To motivate trained healthcare student’s to spread

【BAND ADDRESS】8-1 KAWADACHO SHINJUKU-KU TOKYO

Some critical lessons were left in the medical systems of

their knowledge on natural disasters in their own

【 SWIFT ADD】 BOTKJPJT

of Japan and other NGOs/NPOs/GOs.

country.

【 ACCOUNT NAME】 IFMSA Japan

doctors, who can work to relieve people who are

(4) To cultivate medical field workers which have

the rescue operation in the stricken area immediately after

the earthquake said, "The corpses were piled up, and there

【 ACCOUNT NO.】 0015650 If you need further information about the account and transfer,

were few casualties who could be helped." After some

homes. After the acute phase of the disaster, the health

prevalent among people who had evacuated from their

respiratory inflammation by things like dust became

enteritis due to the unsanitary condition and the upper

the cold temperature, lack of food, etc. Moreover, virus

people began to upset their health from the stress due to

suffer from their aggravating symptoms. In addition, many

and could not take their medicine as usual, started to

time, patients who lost their daily medicine by the tsunami

please contact our Treasurer, Rena treasurer@ifmsa.jp.

international perspective in dealing with natural disasters. To accomplish these goals, we will plan appropriate various programs for Asia camp and each National camps.

If you get interested in this Project, please contact us !! AYAKA ISHIHATA (Secretary 10-11) E-MAIL:action.project@gmail.com WEB:www.action2011indonesia.co.jp Facebook:ACTION 2011 Indonesia

matter feared the most among the refugees was infectious

diseases. The public health center called for measures of

preventing

infectious

gastroenteritis

caused

by

the

Norovirus and obliged to take cautious care of meal, wash

hands with ethanol, and so on.The feature in local medical

needs was occupied mostly by treatment of so-called

"Common Diseases" and the management of chronic

malady. Although there was a regional variation in the

damage situation, many areas had no access to the

medical treatment because the large medical institutions

didn't work entirely, and quite a lot of man power was

required for doctors to go visit patients who need support.

It can be said that the medical treatment was working out

appropriately in the point of promptness. The medical

team based on a public support system, such as Disaster

Medical Teams (DMAT) and the Japanese Red Cross, had

taken action immediately. To add, a lot of medical

professionals from Japan Medical Association and Japan

Primary Care Association, etc. had offered medical

services in the stricken area. The large area transportation

for rescue functioned well as the university hospitals in the

inland, who didn't suffer from the tsunami, eagerly

accepted severely-traumatized patients from the coast

part. However, the problem that remains here is that

"Medical needs that actually came up were different in


4 2 3 1

entire medical support became difficult because a lot of

high on site. In each community, the management of the

internal

primary care physicians

that the needs for the

efficiently.” It is said

local

difficult it is to match

had

prepared

A

what our medical system

respect

lesson

needs

medical support to the

great

the

fund-raising. Actually, I personally could not visit the site

medical treatment with doctors and schoolmates, or do

events for victims, hold study meetings about the disaster

you are far from the disaster site, you can hold charity

way to support. There are various ways of helping out. If

And, of course, actually going to the field is not the only

feeling, seeing, and learning what the actual field is like.

motivated to help people in need from their experiences of

Medical students who voluntarily visited the site should be

I think this attitude is a first step of humanitarian relief.

and offer your help to anything you have the ability to do.

be medical treatment. At site, grasp the individual needs,

help people, whose method of the approach happened to

dreaming to become is somebody with strong desire to

people are the most important thing. A doctor we are

that the feelings of wanting to contribute to the local

Miyagi Prefecture, next to Fukushima Prefecture. I wanted

anybody. Soon I got the news that the hypocenter was in

their safety, but the line was too busy and couldn’t reach

wanted to call or send e-mail to my family to confirm

and windows were waving as if they were going to break. I

floating in the air. The earth sound reverberated heavily

me feel very dizzy and unsteady, like my feet were

from the buildings. Afterquakes continued, and it made

There were a lot of people at the ground who escaped

at the ground. It was snowing a little, and it was cold.

building might come down, so we went outside and stayed

many times throughout the day. Teachers said that the

scattered everywhere.

Strong afterquakes happened

my laboratory in a total mess, with books and papers

continued but after a while, I got out of the table to find

immediately. I didn’t know how long the earthquake

professor told me to hide under the table, which I did

wondered why this person can only see from the medical

like we don’t need to do any volunteering for now.” I

“They have enough people in the hospital, so it seems

onto my friends for volunteering, one of them said,

fact that we are ‘medical’ students. When I first called

strongly feel that we don’t have to be so bound to the

and doing all we could do. Through my experience, I

thinking what the victims want, asking what they need,

pregnant women better. My activity was very simple:

understand the health condition of anxious elderly and

advantage I felt as a medical student was that we could

evacuation centers. Through my activity, the only

enough, I decided to work not at the hospital but at the

hospital and the number of volunteers in the hospital is

senior medical students as volunteers in the university

medical student. Since I heard that there are a lot of

with them. I didn’t do anything special because I am a

today, we also teach children in the shelters

well-versed

is

in

medicine

how

were

and play

individual volunteer doctors, who didn't belong to any

but did those things as well. You should choose how you’d

to contact my brother as soon as possible, because He

point of view when we are only students. Medical

of

medical team under Japan Medical Association, entered the

support in respect of your situation.Don’t drop your

lived in Sendai City, Miyagi Prefecture. After staying

quality

site. We must reexamine and establish the ideal way of the

the

students are just students. However, that is why we can

of

chain of command that can manage the whole medical shoulder,

outside for about 30 minutes, I returned to the building

help people in various ways.

for."

support.An Israeli medical team offered medical practice as

helplessness, and do something can you do and continue

because the shaking seemed to have quieted down a little.

medical

the first overseas medical team in this earthquake. 50

on. That’s the first step of helping other people, and

When I turned the television on, an unbelievable scene of

Overcome

staffs, including 14 doctor and 7 nurses, came to Japan by

medical students should do so as future doctors.

tsunami burst into the view. In the TV, the tsunami was

my home at about 20:00 pm to find tableware shattered

helpless.”

rescue planes of the army. They brought and used medical

Now, I want to introduce a medical student who was

attacking and swallowing many buildings and cars, which

stricken area.

and bookshelf fallen.

am

equipments such as heart rate monitor and X-ray diagnosis

actually struck by the disaster and has kept acting ever

most certainly contained living people inside. I returned

Japan received supports from a lot of countries. Messages

about how the victims would probably run away and might

“I

device, ultrasonic diagnostic equipment, and when they

since the earthquake occurrence in the field.

from other countries, "It’s our turn to help," have given deep

reach Fukushima city as refugees, and how we should take

saying,

were to return home, they donated all those devices to the

impression and still remains in the mind of Japanese people.

action. It would probably take some time to be able to

Not only in medicine, but in numerous ways,

Then, what could medical students have done in the field? I

rely on the rescue from the outside with this size of

wagons. Since one month after the earthquake and until

the refugee shelters, such as small theaters or book

service, we offered some kind of amusement for people in

and providing meal. After that, continuing the meal

anxiety of victims, especially elderly victims, and cooking

syndrome, listening attentively to difficulty, sadness, and

information, instructing exercise to prevent economy-class

2 weeks, we mainly did 4 activities: gathering and offering

mostly our friends, have gathered to help until today. First

volunteer group by ourselves. About 30 participants,

victims in the reach of our hands, and we organized a

My friend and I talked that night

heard that at least 300 medical students actually did the

damage. That’s why we decided to do something for

My Experience of East Japan Earthquake

professor who was in the room next to mine. The associate

long time. I became afraid and called out to the associate

stronger than I expected. The shaking didn’t stop for a very

frequently these days. But this earthquake was longer and

soon, since we had been having earthquakes quite

university. At first, I thought the earthquake would stop

earthquake occurred, I was in the laboratory of my

Fukushima Prefecture, on March 11th. The time the

I fell victim to the Earthquake in Fukushima City,

volunteer work in the fieldThere were few students who were able to help the diagnosis and treatment by taking side with a doctor, and most medical students engaged in the removal of debris and cleaning of destroyed houses. Students who returned from volunteering in the locale said, "I couldn't do anything." Most medical students entered the locale aiming to help from the medical prospect. That's why they were shocked to face the reality of not being able to engage in the medical practice at all. Can you, after being enthusiastic to save people, keep cleaning the rest room for one week? Should you continue to stay being involved in the medical treatment in the disaster field? A lot of doctors pointed out


WHAT’S THE ACTION-Project?? The ACTION-Project studies disaster medicine with medical students from abroad. It is the only international project in the Asia-Pacific region that is officially recognized by the IFMSA headquarters. Every August, an Asia camp is held in a country from the Asia-Pacific region. International participants spend a week sharing information with each other and receiving training from disaster medicine specialists. Students attend lectures, join in discussions, and go through various workshops, learning about disaster medicine from various viewpoints. Not only do students gain knowledge about disaster medicine as a whole, but they also form strong bonds of friendship with peers from other countries in Asia. Also, members hold study sessions and camps within their home countries, concentrating on domestic and more local themes. Project staff members organize the Asia camp from scratch, such as carrying out fundraising across the sea, so staffs are able to learn operation organization know- hows. Usually, staffs organize projects by contacting each other via Skype, Facebook, and mailing lists. This year’s Asia camp is going to be held in Taiwan in August!

Asia is the…

“SUPERMARKET OF NATURAL DISASTER”

EARTHQUAKE, TSUNAMI, ERUPTION, FLOOD, DROUGHT, TYPHOON etc…

If you want more information about us, please feel free contact us !! AYAKA ISHIHATA (Coordinator 11-12) E-MAIL:action.project@gmail.com

Asian Collaborative Training on Infectious diseases, Outbreak, Natural disaster and Refugee management


Here, there is one report of severe FLOOD from THAILANDâ&#x20AC;Ś Thailand severe floods crisis in 2011 "The worst flooding yet in terms of the amount of water and people affected"

Severe

were expected to continue further than usual due to the effect of La NiĂąa. Large areas

in

4

downstream

provinces in upper-central were being increasingly affected and the flood death toll continued to rise to 37 by August 22nd, 2011. By September 19th, 2011 almost all lower-central provinces were being affected by flood. Broken floodgates caused water from the Chao Phraya River flowing through irrigation canals and inundating large areas of paddy

flooding in Thailand occurred during the

fields in upper-central, but lessening the damage on

monsoon season in 2011, spread through many provinces

Bangkok, the capital city of Thailand, because the paddy

in Northern, Northeastern and Central Thailand along

fields served as water retention areas.

Mekong and

Chao Phraya river basins. Flooding began

By the beginning of October, 2011, Flood water entered

at the end of July, 2011 and remained in some areas until

the city of Ayutthaya and Nakhon Sawan, provinces in the

the middle of January, 2012. Resulting in a total of 815

upper-central, inundating the Ayutthaya Historical Park

deaths (with 3 missing) and 13.6 million people affected.

and major factories in industrial estates. Hundreds of

65 of Thailand's 77 provinces were declared as flood

patients had to be transferred out of Ayutthaya and

disaster zones, and over 20,000 square kilometers of

Nakhon Sawan Regional Hospitals by boat as water levels

farmland was damaged. The flooding has been described as "the worst flooding yet in terms of the amount of water and people affected". As of December1st, 2011, The World Bank has estimated 1,425 billion Baht (US$ 45.7 billion) in economic damages due to flooding, ranked as the world's fourth costliest disaster exceeded by the Great East Japan Earthquake and Tsunami in 2011, Kobe Earthquake in 1995 , and Hurricane Katrina in 2005. Flooding began as Tropical Storm Nock-ten made landfall in Northern Vietnam, causing heavy precipitation in Northern and Northeastern Thailand and flash flooding in many provinces. Flood death toll had risen to 13 within a week, with ongoing flooding in 15 provinces in northern, upper northeastern and upper-central Thailand. Flooding was still ongoing by late August. Heavy rains

Asian Collaborative Training on Infectious diseases, Outbreak, Natural disaster and Refugee management


rose over the hospital floors and power supplies and life

global trade in rice and 25 percent of the main crop are

support systems were disrupted.

being flooded. This event will have a global impact on rice

By the middle of October, 2011, Bangkok was becoming seriously threatened. Continuous efforts to reinforce and repair sandbag flood barriers were undertaken to prevent the Chao Phraya River from overflowing into Bangkok. Several districts in eastern Bangkok which lie outside Bangkok's flood barriers, as well as parts of the surrounding provinces, became flooded as water was diverted from the Chao Phraya River. As flood barriers in Pathum Thani, province bordering Bangkok to the north, failed, even more industrial estates and suburban residential areas became flooded. Disruption

prices.

of a barrier protecting the Khlong Prapa canal early on

Effects of the trash and sewage within the waters are

October 20th, 2011 allowed floodwaters to enter the canal

expected to peak when waters subside leaving behind

and rapidly flow down to Sam Sen district in central

stagnant pools of water. Since a household sanitation

Bangkok, overflowing and flooding several areas along the

system won't operate under flood water, individuals that

banks. Several floodgates controlling canal systemsin

remained in flooded areas, both exposed themselves to

Bangkok became overwhelmed and were forced to release

risks, and increased the risks for those living downstream

water towards more residential areas.

by continuing to generate more sewage and trash in waters carried downstream. Reference: http://en.wikipedia.org/wiki/2011_Thailand_floods

Our Experiences on Floods Crisis as Thai Medical Students During the severe floods crisis in Bangkok and many provinces in central Thailand, most of Thai students are in the end of first semester. This situation caused more By the end of October, Federation of Thai Industry has estimated at least 185 billion Baht (US$ 5.9 billion) damage which includes 95 billion Baht (US$ 3 billion) damage on Thai industry, 25 billion Baht (US$ 0.8 billion) damage on Thai Agriculture and 65 billion Baht (US$ 2.1 billion) damage on the housing in the communities and suburb villages.Thailand accounts for about 30 percent of

than 1,000 schools which have been affected were forced to end the term early. Even though having longer holiday between semesters was not good for my studying, I had a chance to take part in many flood relief activities. First, I went to my school, Faculty of Medicine Vajira Hospital, University of Bangkok Metropolis, to build up sandbags barriers to protect from floods with the Vajira Medical Students Committee. Many of medical students

Asian Collaborative Training on Infectious diseases, Outbreak, Natural disaster and Refugee management


came together to protect our beloved hospital. A week

Thawalsak Ratanasiri (Nett)

later, I went to pack sandbags at Suvarnabhumi Airport. I

Bangkok and many provinces in Central Thailand were

saw a lot of Thai people helped each other even they didn’t

being affected by flood due to ineffective water

know each other.

management, began at the beginning of October until the

In late November, I joined the flood relief project as an

late December, 2011. Many of people living in the affected

assistant medical team with my friends from IFMSA -

area became victims and lacked of “The 4 Necessities of

Thailand at Bangkadi Industrial Park, Pathum Thani

Life” which are food, lodging, clothing, and medicine. In

which was affected by flood for 2 month. This project was

consequence of delayed victim management, many of

the cooperation of Toshiba Thailand Company, Aeroklas

private organizations and independent entities handed to

Company, and Singha Corporation. I had a chance to use

relieve the disaster.

the basic skills from ACTION 2011, which was held in

Whereas the disaster occurred, the kindness of Thai

Indonesia in August, 2011. I got on the fiberglass boat

people also occurred at the same time. The kindness of

manufactured by Aeroklas Company and had a chance to

Thai people is not only money or things but also strength

assist the doctors and nurses on prescribe basic

and inner strength to help the refugees.

medication for common diseases which come with water

Spirit” is being mentioned many times during the previous

and gave advices to victims to relieve their stress. Even I

disaster. And I think I am the one who have the volunteer

was very tired and got sunburn from the strong sunlight;

spirit.

I was very proud and glad that I had an opportunity to

I went to many places where they need volunteers. Even I

join this flood relief activity once in my life.

didn’t have much money, but I have strength and inner strength

to

help.

First,

I

went

“The Volunteer

to

Institute

of

Administration Development, Pathum Thani, province bordering Bangkok to the north, with my friends from Faculty of Engineering, Chulalongkorn University to pack the sandbags for barrier. I also pack the sandbags at Mahidol University, Salaya Campus. After that, I went to Siriraj Hospital with ASA Mahidol Group (In Thai “ASA” means “Volunteer”) to build up wall barriers protecting hospital from overflowing water. Then, I went to flooding area in Ban Bua Thong district, Nonthaburi, province bordering Bangkok to the northwest, to distribute the disaster relief packages to the victims. I went to construct fiber glass boat at Chonburi, province located at the northern end of the Gulf of Thailand, with my friends from Faculty of Engineering, Chulalongkorn University for 2 days. After that, I went to Rajamangala University of Technology Tawan-ok, Bangphra Campus

Asian Collaborative Training on Infectious diseases, Outbreak, Natural disaster and Refugee management


Evacuation Center and stayed here for 3 days. Since this

knowledge and many abilities on health care management

center was just opened and the system was not well

and workmanship to help the others. I am very proud to

organized, I and my senior in ASA Mahidol Group who

be the small parts which can drive my country overcome

experienced working in Mahidol University Evacuation

this crisis.

Phadungkiat Tipmanee (James)

Center came here to assist them on planning working system.

During

the 2011 Monsoon, Thailand experienced a

devastating case of severe flooding. This disaster had an effect on the provinces of Northern and Central Thailand including the capital city of Bangkok. Rajapha Tabtim Ruamjai, a Chao Phraya river-side community, is located near my school, Faculty of Medicine Vajira Hospital. Each year, the community suffers from severe effects due to flooding; however, this year was the worst. Many people were affected by diseases as a result of flooding such as Athlete's foot disease, diarrhea, and Dengue fever etc. We, as medical students of Vajira Hospital, have a project that focuses on the promotion and

prevention

of flood-related illnesses:

"Flooding gone... Diseases come". Our purpose is for citizens to be informed of ways to prevent and protect themselves from these diseases. Thitirat Supasil (Meaw) I met many patients, doctors, and nurses. I saw them working and ask them to let me help. On that day, I had a chance to measure blood pressure, bandage, prescribe medication, and gave advices to patients to relieve their stress from home lost. I never forget the situation on that day. Because everything Iâ&#x20AC;&#x2122;ve done is the first time in my life, which can test how I can make decision and apply the medical knowledge to the real situation. I was very excited and feared. However, I could cross the situation and I was very satisfied myself. This floods crisis gives me a lot of new experiences. Iâ&#x20AC;&#x2122;ve met a lot of people, learned a lot of ideas. Especially, my home was not affected, so that I could bring my

Asian Collaborative Training on Infectious diseases, Outbreak, Natural disaster and Refugee management


The ACTION Project Newsletter Vol 3. Summer 2012 What is ACTION? !The Asian Collaborative Training on Infectious Disease, Outbreak, Natural Disaster and Refugee Management (ACTION) is aimed at providing healthcare students from the Asia-Pacific Region with essential knowledge and skill required to prevent, cure, relieve, and rehabilitate victims of infectious diseases and natural disasters. !T h e A C T I O N P r o j e c t i s t h e o n l y international project in the Asia-Pacific Region. !Every summer, we organize an one-week training session in an Asian country. During this week, participants will acquire basic skills and knowledge through lectures, small working groups, plenary, and field trips. Students around the world will also benefit from the outcomes of this training, as all follow-up activities will be made open throughout IFMSA’s global network.

Contact Us! ACTION-Project Coordinator 11-12

Asia-

Ayaka Ishihata action.project@gmail.com

the “Supermarket of Natural Disasters”


Our Goals -Disasters occur not only in special areas of the world, but they could happen anywhere! If a disaster happens in your neighborhood, what could you do as a medical student?!ACTION raises the following goals. (1)To increase and develop the awareness of healthcare students towards the role of healthcare professionalism in natural disasters and infectious disease relief. (2)To build human resources- trained and motivated doctors, who can work to relieve people who are suffered by natural disasters. (3)To motivate trained healthcare students to spread their knowledge on natural disasters in their own country. (4)To cultivate medical field workers which have international perspective in dealing with natural disasters. To accomplish these goals, we will plan appropriate various programs for the summer Asia camp and for domestic programs held within member countries.

The Second Spring After 3.11 -An Experience Report

by Dai Watanabe (Japan) After the biggest tragedy for the Japanese in this century (or so I believe. Even though we may be facing another big hardships ahead, the Tohnankai (south-east sea) Great Earthquake, we’ve gained a lot of precious experiences from this disaster. Of course, the “tuition fee” was too expensive…). Now we greeted the second spring since “3.11” and the second summer is coming up.

This is a report of the changes inside and outside Tohoku, both physically and emotionally. I am a medical student living outside of Tohoku, having “experienced” the tsunami only by watching TV as most people probably had. Also, I have joined re-building activities at Shichigahama last summer, and at Ishinomaki this spring, both of which are located near the coastline hit by the tsunami. From these, points, I believe I’d be one of the typical Japanese (and some foreign) students regarding “3.11.” I hope this report will add a little to your “experience” with “3.11.”


By the way, can you believe that there are still devastated areas in Kobe that were damaged by the Hanshin-Awaji Great Earthquake in 1997? This is true even today, after more than 10 years have passed. As for myself, I couldn’t believe this until I visited the town of Ishinomaki this spring, which was my second visit to a damaged region in Tohoku. I strongly remember how during my first visit I was surprised as I looked around the area hit by tsunami, because the area was much more cleared out than I had expected. Even so, there were a bunch of collapsed houses, cars turned over in the rice fields, and a port still devastated, requiring us to clear up debris for the whole day. Nothing was actually “cleared.” However, a big shopping center was open, many cars ran, and no mud from the tsunami was on the roads… there was an established lifeline and thus it seemed like the re-building was going well. As I saw the big pile of debris on a hill, presumably carried from the coastline, I thought that humans are strong enough to re-build from nothing. But coming back to Tohoku, this time to Ishinomaki, I noticed the scenery I saw was almost the same as I’d seen it the summer before. Re-building was going well, but debris still lay around. I realized how I was lacking imagination on the hardships involved in the rebuilding process. I could still find many scars caused by the great tsunami that told me how the tsunami swept lives away. I felt very sad when I found graves that were still left damaged. Near the cemetery, I found a devastated elementary school. The school was located 1km away from the coastline, but

I saw that the tsunami reached here because there was a vivid brawny line on the wall of the first floor. Every clock on the wall was stopped, showing the same time. I was shocked by the deep damages brought by the disaster. As I mentioned, 10 years have passed since the Hanshin-Awaji Great Earthquake but there are still devastated areas. As for Tohoku, I cannot estimate when this rebuilding would be considered finished, at least from a physical aspect. However there are not only physical problems, but there are also emotional problems regarding “3.11.” But the problems I’d like to mention here are not of people inside Tohoku hit by the tsunami. They’re mainly about those outside Tohoku. Obviously, people damaged by the tsunami still have a scar on their emotions too deep for me to imagine, but such damage is gradually healed by time. I mentioned prior that I visited a devastated school. Inside, I found many encouraging messages like “I’m back! Let’s meet again” left on a blackboard by students, along with the date “March 11, 2012.”


Also, I had the chance to talk with elderly people through an activity to visit those who live in temporary housings alone and to keep in touch with them, in an attempt to prevent them from becoming isolated and committing suicide or dying alone without anyone noticing for years. This is from a lesson acquired from the HanshinAwaji Great Earthquake, when many elderly people died alone because they were isolated from the community due to allocation to temporary housings. By visiting and talking with them, I got to know that their mental health was gradually getting well. One old man, who was now able to enjoy his hobby of taking photos with his friends, gave me a photograph taken at last summer’s festival, in which people carried a portable shrine (made of debris!). So now, what are the emotional problems I’d like to mention regarding people outside Tohoku? -They are about people’s interests towards the disasters. A member of my host organization told me that donations to their activities are gradually declining. Compared to the time when the highest amount was gathered, the amount of donations these days have lowered to 1/7. Not only that, but also the number of volunteer staff is decreasing to a point where sometimes running projects become difficult. They even said that there were no volunteers for the activity I joined for the next month. Also, there were unnoticed victims behind “3.11” due to people’s lack of interest. Did you know Japan had a big typhoon after “3.11” and the Wakayama prefecture was severely damaged? The damage was smaller than that of “3.11,” but enough to rob people there of lifelines. The lack of help and resources there

might’ve been severer because the media only broadcasted the re-building of Tohoku and failed to report on other devastated areas, and today, the frequency of broadcasts about disasters as a whole has decreased. There is another episode related to people’s decreasing interests. In April, I joined an activity for collecting donations on the street for Tohoku re-building. The activity was informed to medical students of my university via email. Can you imagine how many students gathered to join the activity? Only 4 people came. I could understand there might have been some problems in the way we informed and gathered participants, but the number of people who came that day was, sadly, too small, especially considering the fact that we called upon medical students. In my introduction, I mentioned how Japan has faced its biggest tragedy over this century and I counted the years that passed since “3.11.” Surely, I must count the 3rd, and will count the 4th, probably the 5th, maybe 6th, hopefully 7th, 8th, 9th…but honestly, I’m not sure about the 10th and so on. This withering of memories and emotions might be the biggest tragedy for the human race. ! Fellow students, now we are gathering from all over the world to engage in special trainings and enthusiastic discussions and, moreover, to brush up our emotion, motivation, and “will” to confront such “hardships”. We are the ones who can prepare for upcoming disasters. Be prepared, for disasters come whenever people are off their guards, and we are the ones who must take care.


& The&Asian&Collaborative&Training&on&Infectious&Diseases&Outbreaks,& Natural&Disasters,&and&Refugee&Management& A transnational project of the IFMSA since March 2006

A transnational project of the IFMSA since March 2006

117


ACTION-Project Annual Report 2011-2012