1. HEALTH SERVICES AT EMERGENCY AND DISASTERS MINISTRY of HEALTH of the REPUBLIC of TURKEY Emergency Health Services General Directorate Dr. Muzaffer AKKOCA

2. A- 112 EMERGENCY HEALTH SERVICES

3. PROVINCIAL ORGANOGRAM MINISTRY OF HEALTH Local Health Authority Branch Office of Emergency Health Services (Ankara, İstanbul, İzmir, Bursa) Local Ambulance Service (112) 112 Command and Control Centre 112 Station Disaster Unit UMKE (National Medical Rescue Team) UMKE (National Medical Rescue Team) Branch Office of Disaster Health Services (Ankara, İstanbul, İzmir, Bursa)

4. 112 EMERGENCY HEALTH SERVICES AFETLERDE SUNULAN SAĞLIK HİZMETLERİ Hotline-112 Prompt and effective service at acsessing patients: 10’- Local 30’- Remote Area Capacity Emergency Health Station 2.234 Ambulance 4.246 Number of Plane Ambulance 3 Number of Sea Ambulance 4+2 Number of Helicopter Ambulance 17 Rapid Responce Team with motorcycle 60 Snow Track Ambulance 20 Ambulance with 4 stretcher 64 Intensive care &obese Ambulance 91

5. 112 EMERGENCY HEALTH SERVICES 112 Emergency

6. 112 EMERGENCY HEALTH SERVICES

7. Air Ambulance Services Since 2008; Case attended and transfered: 30.156 Inbound Service: 8.128 patient/injured transfered with plane ambulance Outbound Service: From abroad totally 391 patient/injured were transfered. 22.028 patient/ injured transfered with helicopter ambulance.

8. 112 EMERGENCY HEALTH SERVICES Sea Boat Ambulance Services Since 2007; Case attended and transfered: 6.957

9. B- HEALTH SERVICES AT DISASTERS

10. HEALTH SERVICES AT DISASTERS – HEALTH DISASTER PLANS  Turkey Disaster Response Plan (TAMP)  Local Health Disaster and Emergency Plan (İL-SAP)  Hospital Disaster and Emergency Plan (HAP)  National Earthquake Strategy Plan(UDSEP)

11. DISASTER MANAGEMENT IN TURKEY Probable Crisis Field Regional Crisis Managem ent Centre Prime Ministry Crisis Management Centre Prime Ministry Head of Turkey Disaster and Emergency Domestic and Foreign Resources Crisis Centre of related ministry Crisis Centres of Ministries General Staff Crisis (desks) offices of the state institutions and organizati ons Garrison Command Crisis (desks) offices of the state institutions and organizations. Crisis Centres of district governors Needs Precautions Connection Connection when needed Govarnorate Crisis Management Centre

12. HEALTH MINISTRY – HEALTH DISASTER COORDINATION CENTRE (SAKOM)

13. 112 Call logging and Opr. Management HEALTH DISASTER COORDINATION CENTRE (SAKOM) 112 Prime Ministry chief Search and Rescue The Red Crescent AFOM Turkish Military Command AFAD (Emergency and Disaster) General directorate of health for borders and coasts. TELE Sağlık NGO’s WHO OCHA/INSARA G Civil Aviation Meteorology Ministry of Internal Affairs Coast Guard SAKOM Operation Management SAKOM Operation Management

14. NATIONAL MEDICAL RESCUE TEAM (NMRT)  Volunteer Health Staff  Establishment: 2004  Staff number: 7.557  Theoretical Trainings  Practical Trainings / Practices

15. NMRT (NATIONAL MEDICAL RESCUE TEAM) LOGISTIC  NMRT (NATIONAL MEDICAL RESCUE TEAM ) vehicle  Mobile CC vehicle  Heavy Climate type mobile hospital  Inflatable tent hospital  Mobile hospital equipment  Mobile kitchen, bathroom-toilet and dorm  KBRN material and equipments  Mobile decontamination units

16. NMRT LOGıSTıC

18. FOREIGN MISSIONS AND PRACTICES  2004 İran-Bam Earthquake  2004 Indonesia Tsunami Disaster  2005 Pakistan Muzafferabad Earthquake  2007 Afganistan Flood Disaster  2007 Sudan Nyala Sahara Hospital  2008-2013 Iraq transport of patient/injured  2009 Kazakhistan NATO EADRCC Practice  2009 Indonesia Earthquake  2010 Haiti Earthquake  2010 Release of Mavi Marmara  2010 Pakistan Flood Disaster  2011 Tunusia KBRN Practice  2011 Japan Tsunami ve Nuclear Leak  2011 Libya Establishment of Sahara Hospital  2011 Moldova NATO-EADRCC Practice  2011-2012 Libya release of patient/injured  2012 Somali transport of patient/injured  2013 Somali Embassy attack  2011-2014 Somali Sahara Hospital  2014 Gaza-Palestine transport of injured  2014 North Iraq Derebune /Bersava camps health services  2015 Nepal earthquake  2011-… Health Services to Syrians

19. FOREIGN MISSIONS  First exam 28-31/12/2003, 31.000 killed İran Bam Earthquake  First foreign mission held with organisational team Pakistan Muzafferabad Earthquake

20. İRAN BAM EARTHQUAKE (2003) 11 days mission 20.000 vaccination 330 health staff Chlorination,Public Health Services 33.000 response to injuries Trainings

21. INDONESIA TSUNAMİ (2014) Banda Aceh-90 days operation; With 17 physician, patient examined: 7600 + regional medical screening, medicine, public healthservices

22. HUMANITARIAN AID TO PAKISTAN (2005) Commissioned Health Staff 213 Policlinical Examination 56.884 Inpatient Treatment 4.012 Surgery Number 429

23. AFGANISTAN FLOOD DISASTER (2007) Patient examinations and medicine distributions with mules - 8 days

24. SUDAN SAHARA HOSPITAL (2006-2012) Operation time:6 years With 454 health staff, 451.340 medical examination, 5.661 surgical operation, 57.261 laboratuary examination made, 10.634 radiology services 5 ton medicine and medical materials used.

25. IRAQ TRANSPORTAION OF INJURED FROM AIR (2008-2013) 340 injured transported; from Bagdad, Mosul, Kirkuk, Necef, Erbil to Ankara with C-130 Cargo (ambulance) plane.

26. 2. INDONESIA PADANG EARTHQUAKE (2009) National Medical Rescue Team (NMRT)

27. HAITI EARTHQUAKE (2010) Health Staff46 Clinical Examination24.086 Laboratory Examination1265 X-Ray1024 Surgical Operation353

28. ISRAEL MISSION AFTER «MAVİ MARMARA» (2010) 21 Injured humanitarian Aid Volunteers rescued by 3 Ambulance plane.

29. PAKISTAN FLOOD DISASTER (2011) Duration of Operation :9 mnths With 146 health staff (34 physician)  146.156 patient examination  9.307 laboratory  2081 x-ray  17388 surgery & treatment

30. JAPAN SENDAI EARTHQUAKE VE TSUNAMİ (2011) Duration of Operation :28 days With 50 SAR & 5 NMRT

31. SOMALİ (2011)  With 365 NMRT;  343.162 clinical examination,  2.672 surgical operation,  24.006 laboratory examination,  6.406 X-ray.

32. LİBYA INJURED RELEASE (2011) Libya - 575 injured release by ships.

33. TRANSPORTATION OF INJURED FROM SOMALİ (2012) Transportation injured from Mogadishu to Ankara.

34. INJURED TRANSPORTATION GAZA-PALESTINE (2014) Gaza- 123 injured transported to Turkey for treatment.

35. HEALTH SERVICES TO SYRIANS Since 29.04.2011, Health Services given to Syrian Guests;  Emergency Health Services,  Public Health Services (Maternal and Infant Health, Environmental Health, Vaccination, psychosocial support),  Diagnostic & Curative Health Services.

36. 273.565 CAMP POPULATION KİLİS ELBEYLİ- CONTAINER CITY Population of Syrians under temporary protection- by cities

37. HEALTH SERVICES TO SYRIANS

38. HATAY, GAZİANTEP, ŞANLIURFA, KİLİS, MARDİN, KAHRAMANMARAŞ, OSMANİYE, ADIYAMAN, ADANA, MALATYA 946 NMRT (National Medical Rescue Team)

39. SUGGESTION In order to improve health care personel competencies for disasters: Standardised emergency and disaster medicine trainings for Islamic Countries Islamic medical response teams for international operations Emergency/disaster medicine training and simulation center

40. Thank you