PELATIHAN PENATALAKSANAAN PELAYANAN FISIOTERAPI DI FASILITAS PELAYANAN KESEHATAN

PELATIHAN PENATALAKSANAAN PELAYANAN FISIOTERAPI DI FASILITAS PELAYANAN KESEHATAN JAKARTA 1 – 6 NOVEMBER 2010

Bencana (disaster) ? Adalah peristiwa atau rangkaian peristiwa yang mengancam dan mengganggu kehidupan dan penghidupan masyarakat yang disebabkan baik oleh faktor alam dan/atau faktor non-alam maupun faktor manusia sehingga mengakibatkan timbulnya korban jiwa manusia, kerusakan lingkungan, kerugian harta benda, dan dampak psikologis 2

JENIS ANCAMAN/HAZARDS GEOLOGI n. Gempa Bumi n. Tsunami n. Letusan Gn Api HIDRO-METEOROLOGI n. Banjir n. Tanah Longsor n. Kekeringan n. Topan/Badai BIOLOGI n. Hama n. Penyakit KEGAGALAN TEKNOLOGI n. Kecelakaan Industri n. Kebocoran Reaktor Nuklir LINGKUNGAN n. Kebakaran (permukiman, hutan) SOSIAL 3 n. Konflik Sosial

Konsep Kejadian Bencana Pemicu Dam Bahaya/Ha zards Kemungkinan Dam jebol Curah Hujan Tinggi RISIKO BENCANA Kerentanan Pengetahuan kurang Rendahnya kemampuan Tinggal dekat aliran 4 Dam jebol menyebabkan banjir bandang dan menyapu hunian di bantaran sungai, korban jiwa dan kerugian harta

LATAR BELAKANG KEJADIAN • PROSES ALAM PEMBENTUK RUPA BUMI – Tenaga Endogen • Tenaga/energi yang berasal dari dalam bumi. Membentuk Gunung api , pengangkatan daratan/benua dan gempa bumi – Tenaga. Eksogen • Tenaga yang berasal dari luar bumi. Sifat umum tenaga eksogen adalah merombak bentuk permukaan bumi hasil bentukan dari tenaga endogen • Prinsip kekekalan energi 5

GAMBARAN KONDISI GEOLOGI BUMI 70 km 2900 km ARUS KONVEKSI ENERGI PANAS 6370 km 6

PEMEKARAN DASAR SAMUDRA Gempabumi 7 7

Penyebab dan Parameter • Pelepasan energi secara tiba-tiba pada zona penunjaman atau patahan aktif yang menyebabkan getaran dan goncangan. • Parameter Gempabumi Ø Ø Energi diukur secara instrumental/magnitudo : skala Richter. Skala 5 setara dgn energi Bom Hiroshima Tingkat keterasaan dan kerusakan dalam Skala Modified Mercally Intensity (MMI). Gempa < 2 SR , terjadi 8. 000/hari di Dunia 8

KONDISI TEKTONIK INDONESIA 9

JALUR GEMPA BUMI DUNIA “Ring of Fire” 10 10

KEGEMPAAN DI INDONESIA PERIODE 1973 -2007 11

METEOROLOGI EKSOGEN/TENAGA ASAL LUAR 12

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Super Market Indonesia facing by Disaster Concequencies

Current Issues in Indonesia • • • Disaster Avian Flu HIV DHF Malaria

- Tsunamis - Earth quakes - Volcanic eruptions - Landslides/ Avalanches - Flood/Sea surge - Droughts Epidemics/Pandemics - Bombing, Explosion - Aircraft crash - Civil disturbance like Mass riots &

INDONESIA DISASTER CHART NAD 2, 3, 4, 5, 6, 7, 14 W. Kalimantan 3, 8, 4, 6, 10, 9, 5, 11, 1 3, 14 C. Kalimantan 6. 10, 8, 9, 3, 11, 7, 14 S. Kalimantan 3, 10, 5, 13, 14 E. Kalimantan 3, 10, 8, 9, 5, 14 N. Sulawesi 1, 3, 8, 2, 4, 11, 13, 14 Gorontalo 3, 14 N. Sumatra 3, 4, 7, 14 C. Sulawesi 2, 3, 6, 9, 7, 13, 14 W Sumatra 1, 2, 3, 4, 8, 11, 14 Bangka Belitung 3, 14 S. Sulawesi 3, 4, 6, 7, 13, 14 S. E Sulawesi 3, 6, 14 S. Sumatra 3, 4, 14 N. Maluku 2, 4, 6, 7, 9, 13, 14 Riau 3, 5, 7, 8, 14 Papua 2, 3, 4, 6, 7, 9, 11, 13, 1 4 Kep Riau 14 3 Lampung 2, 3, 14 Maluku 2, 3, 6, 7, 9, 11, 13, 14 Bengkulu 2, 4, 14 Jambi 3, 14 Banten 2, 3, 5, 12, 14 Jakarta 3, 4, 6, 7, 9, 14 W, Java 2, 3, 4, 5, 6, 7, 11, 14 C. Java 1, 2, 3, 4, 5, 9, 11, 12, 14 Jogyakarta 1, 14 E. java 1, 2, 3, 5, 6, 7, 9 , 11, 12, 13, 14, NTT 1, 3, 6, 9, 11, 2, 13, 4, 5, 14 Bali NTB 2, 3, 4, 6, 7, 9, 14 3, 6, 2, 9, 4, 5, 11, 7, 14 KIND OF DISASTER 1. 2. 3. 4. Eruption Earthquake Flooding Land Slide 5. Hurricane 6. Mass Conflict 7. Terorism 8. Environtment dirtiness 9. Outbreak 10. Tornado 11. Drought 12. Industries Accident 13. Tsunami 14. Transportation 17

EFFECT OF HEALTH CONDITION 2 Disaster 1 Mass Victims • Injury • Disability • Mortality Refugee • Morbidity • Mortality • Nutricient disorder • Environtmental (-) • Health Services Collapse • etc 3 Health Facilities Damage • Hospital Damage • Loses Med Equipment • Med Supplies Loses

DISASTER • Local Health Facilities couldn’t Function Well Limitation Health Resources Infra Structures Damage

(A) NATIONAL DISASTER MANAGEMENT AGENCY (NDMA) NON DEPARTMENT INSTITUTION OF RI GOV EQUAL MINISTRY LEVEL RESPONSIBLE IN DISASTER MANAGEMENT + 29 BPBD Prov & 171 BPBD Kab/Kota Kecuali DKI/Papua/Riau : Belum ada BPBD Kab/Kota (B) CRITICAL MITIGATION CENTER – MOH RESPONSIBLE IN DISASTER HEALTH PROBLEM + 9 Regional & 2 Subregional Critical Center

REGIONAL & SUB REGIONAL CRITICAL CENTRE Meda n Padang Banjarmasi n Makassar Manado Palembang Jakarta Semarang Denpasar Jayapura Surabaya 21

DETERMINATION OF DISASTER SCALE STATUS RI LAW No 24 – 2007 CHAPTER 51 DETERMINED BY RI PRESIDENT INDICATIONS OF DISASTER SCALE : • VICTIMS & MATERIALS DAMAGES • INFRA STRUCTURES DAMAGES • PUBLIC SERVICES COLLAPS • AREA & COOPING ( HOW WIDE/LARGE ) • SOCIAL – ECONOMIC EFFECT • LOCAL RESOURCES CAPABILITIES

ARAHAN PRESIDEN RI tentang Penanggulangan Bencana Disampaikan pada tanggal 15 September Tahun 2007 di Kab Pesisir Selatan, Sumbar pada saat peninjauan dampak gempa bumi Bengkulu dan Sumatera Barat (7, 9 SR, 12 September 2007) 1. Pemda Kabupaten/Kota menjadi penanggung jawab utama penyelenggaraan penanggulangan bencana di wilayahnya. 2. Pemda Provinsi segera merapat ke daerah bencana untuk memberikan dukungan serta mengerahkan seluruh sumberdaya yang ada di tingkat Provinsi jika diperlukan 3. Pemerintah memberi bantuan sumberdaya yang secara ekstrim tidak tertangani daerah. 23 4. Libatkan TNI dan POLRI. 5. Laksanakan secara dini

INDICATION OF HEALTH PROBLEM DURING DISASTER HAPPENED 1. DISASTER VICTIMS & REFUGEE PROBLEM a. TRAUMA b. RESPIRATORY DISORDER c. BURN / COMBUSTIO d. PSYCHONEUROSIS e. DEATH BODY 2. HEALTH RESOURCES PROBLEM

DISASTER MITIGATION AND MANAGEMENT ( Cycle of Disaster ) 1. PRE DISASTER PREVENTION, MITIGATION AND READINESS 2. DURING DISASTER ( EMERGENCY PHASE ) HEALTH RESOURCES DEPLOYMENT & ORGANIZING 3. POST DISASTER REHABILITATION & RECONSTRUCTION

Health Resources Assistant should be arranged in Disaster area

What Logistics to be assisted ?

Medical Supplies Med. Equipment

Field Hospital Med. Services Tend

Additional Food Corps Bag

Ambulance Emergency Field Vehicle

Mobile clinic Rubber Boat

Water Purifier Sanitation Equipment

PRE DISASTER : TEAM BRIEFING

PRE DISASTER : DRILL & ENHANCE SKILL

BILATERAL DISCUSSION : INDONESIA – USA IN DISASTER READINESS

TRILATERAL CONFERENCE : INDONESIA – USA – INDIA IN DISASTER READINESS

INTERNAL TRAINING : HOW TO HANDLED BEFORE EVACUATED

KESEPAKATAN LATIHAN BERSAMA PADALARANG 22 JUNE 2009

BILATERAL TRAINING INDONESIA - USA

BILATERAL TRAINING INDONESIA - USA

INTERNAL TRAINING BEFORE EVACUATED

Penanggulangan Bencana Malaria Australia

Penanggulangan Bencana HIV/AIDS Thailand

Penanggulangan Bencana Pandemic Influenza Nepal

PADANG EARTHQUAKE OKTOBER 2009

PADANG EARTHQUAKE OKTOBER 2009

DEPLOYMENT TO HAITI EARTHQUAKE HALIM AIRFORCE BASE 17 JAN 2010 21. 30

LOGISTICS UNLOADING SANTO DOMINIKA

CIWIDEY LANDSLIDE 23 FEB 2010 – 08. 00

Tsunami Aceh Desember 2004 KALAU SUDAH BEGINI HARUS BAGAIMANA? ? ?

EVACUATED / TRANSFER BY BED : NO MORE TRANSFER EQUIPMENT

Philipine Landslide February 2006 Ground Zero Guinsaugon, Landslide : buried 3650 population

Medical services for displace people at the refugee camp

Surgery Room

Dental service

Populations who will have health care.

Yogya Earth Quake Mei 2006 A PART OF DAMAGE BUILDINGS

SHORTLY AFTERWARD : SOME PEOPLE GATHERED TO ASIST

50 Bed Field Hospital completed by laboratory & supporting equipment

Morning Roll Call : Before starting dayli task

Out Door Patient Care: No more place available at the Hospital

Bengkulu Earth Quake 2007 The Hospital was establised in 6 hours

Field Tend : Available for 10 boarding patient

PLA of CHINA 3 rd Division Training Center

Latihan / Demo Penanggulangan Bencana ( Disaster Mitigation )

Penyemprotan / Fogging Disinfektan

Triage dan jalur evakuasi

GREAT WALL CHINA : 6007 KM Oleh : Dinasty Cin, Ming dan Quing HOVERDAM NEVADA USA Ternyata. . . . Alam Dapat ditaklukkan

UPAYA MANUSIA TAKLUKKAN ALAM. .

KALAU SUDAH BEGINI. . . PASRAH DAN INGAT TUHAN!!!

SEKUAT APAPUN DAN SEHEBAT APAPUN. . . AKHIRNYA TAKLUK OLEH ALAM Thank You for Attention