August 2013 Issue 2 NZMAT Newsletter Solomon Islands – April 2013 Inaugural NZMAT Deployment – April 2013 Inside this issue Solomon Islands Dengue Fever Clinical Support Foreword 2 In response to a request from the Solomon Island Government and the Ministry of Health (MoH) for assistance in coping with a Dengue outbreak the first NZMAT deployment occurred in April 2013 with two medical personnel embedded within an AusMAT team. A combined Australian and New Zealand medical assistance team deployed to reinforce the health system in Honiara. The deployment not only provided personnel (doctors, nurses, a logistician and a laboratory technician) but also much needed supplies and equipment. In his first SITREP report Dr Ian Norton (medical team leader) from the National Critical Care and Trauma Response Centre in Darwin stated “the Australian and New Zealand team have combined into one highly effective clinical entity under one medical team leadership.” Dr Vicki Vertongen (Emergency Medicine Consultant) and Erin O’Connor (Registered Nurse) both from Capital and Coast DHB’s Emergency Department departed New Zealand to commence work on Monday 8th April at the National Referral Hospital in Honiara for two weeks. During the deployment clinicians worked alongside Solomon Islands counterparts to support them in providing assessment, treatment and follow up of patients with suspected and confirmed Dengue Fever as well the ‘business as usual’ presentations to the Emergency Department. Nursing personnel supported the local nursing workforce by providing rapid entry to the health care system. Get to know the NZMAT Reference Group Members 4 Introducing NZMAT Coordinator 4 NZMAT and CMH 5 NZMAT Website 5 NZMAT Partner – PMA 6 Upcoming Training Opportunities 7 NZMAT Training Venue 8 NZMAT Inaugural Team Member Course 9 NZMAT Team Member Course – Participant Viewpoint 1 10 NZMAT Team Member Course – Participant Viewpoint 2 11 USAR and NZMAT Training 13 NZMAT Team Leader Seminar 14 WADEM & MoH Seminar 15 WADEM Conference – UK 16 Register as a NZMAT Volunteer 17 Continued on page 2 Foreword: Director Emergency Management, Charles Blanch – Ministry of Health Welcome to the second NZMAT newsletter. Since March NZMAT ran its inaugural domestic team members course in Rotorua. This course saw 24 staff trained in NZMAT procedures and immersed in a 24 hour exercise. The training, a result of a lot of hard work and flexibility by the training team, was delivered in partnership with the Ministry, NZ Fire Service, Counties Manukau Health, Pasifika Medical Association and the Australian National Critical Care & Trauma Response Centre (NCCTRC) and was well regarded by participants. Attendees gained a better understanding of the broader implication of emergencies on their services – and whilst we hope we never have to deploy NZMAT 'in anger' many of these considerations and 'what if planning’s' are applicable to normal areas of work. The course was delivered to a standard common with the NCCTRC Faculty and the benefit of this approach was seen in April when NZMAT members Vicki Vertongen and Erin O'Connor deployed for two weeks embedded within the Northern Territory AusMAT Team supporting the Solomon Islands health response to a dengue fever outbreak. The response tested a lot of draft arrangements, and in spite of some initial uncertainty on whether the NZ offer was to be accepted, Vicki and Erin successfully deployed and were well received by both the Honiara Emergency Department and the AusMAT team. The Mission Leader summarised it as "one team in two different shirts" and this has proven the viability of a joint Australian / New Zealand response as an option in a Humanitarian Disaster. Administratively it was as challenging to deploy two people as 22 and a number of improvements to procedures and additional personal equipment have been purchased as a result. We also have 13 NZMAT personnel about to commence attending this year’s round of AusMAT training in Darwin and we will be working with all staff that have completed training to begin to address capability gaps and enhancements to specific modules. 2014 will see NZMAT run two team member courses from 15th – 18th March and 19th – 21st March conclusive, as well as another round of places on the AusMAT courses. There are some great opportunities to be involved and I look forward to working with you all. Register as a Volunteer for NZMAT via https://volunteerhealth.org.nz 8.8 magnitude earthquake – Concepcion Chille in February 2010 2 Inaugural NZMAT Deployment – April 2013 continued from Page 1 Upon arrival in Honiara, Vicki and Erin were met by a representative from the Australian High Commission who provided a tour of the city which outlined areas of safety and where to avoid travelling to before meeting with the AusMAT team in the afternoon. Vicki and Erin were allocated to work in the Emergency Department and the Dengue Clinic / Triage area working shifts from 08:00 – 18:00 hours. From a nursing point of view Erin had the following comments: “I have to say that what struck me the most was how hard working the Solomon Island nurses were given the large volume of patients they see and the lack of resources in their dept. They were willing to accept advice on how to improve their processes and so grateful for our help. Lack of water was a big issue for us, as nowhere to wash hands. Amazing how the things we take for granted such as running water, clean linen, drug supplies etc were so limited however the staff just get on and do what they can with what they have.” The Medical Assistance Team assisted with: Rostering strategies Providing education around triage principles Strategies to improve data collection Providing release of NRH staff to return to normal duties or have respite breaks Strategies to reduce daily consumption of clinical supplies leading to significant cost savings Providing logistic advice regarding concepts of forward planning for potential surges in demand forward planning for potential surges in demand Vector control training to ground and maintenance staff Developing a grounds plan with the NRH team to develop sectors to control breeding of mosquitoes and a sustainable eradication programme within the campus (logistician lead) Joint AusMAT / NZMAT Team Members – Honiara, Solomon Islands Deployment April 2013 3 NZMAT Reference Group The NZMAT Reference Group is accountable to the Director of Emergency Management, NZ Ministry of Health. The objectives of the NZMAT Reference Group are to advise on: 1. The purpose and function of NZMAT and the scope of its operations 2. The recruitment and selection process and criteria for NZMAT volunteers 3. The development and selection of NZMAT work-stream group members and their work outputs 4. Operational documentation associated with the NZMAT, including standard operating procedures 5. Other existing and potential issues that affect the formation or deployment of a NZMAT 6. Suitable options for managing any issues NZMAT Reference Group Membership includes representatives from Ministry of Health Emergency Management team, Counties Manukau Health, Pasifika Medical Association, NZ Fire Service —Urban Search and Rescue and the NZ Defense Force. Get to know the NZMAT Reference Group Members Elizabeth Powell - General Manager – Pacific Health Development, Counties Manukau Health Elizabeth Powell joined Counties Manukau District Heath Board, Auckland in November 2005 to lead a partnering programme with a number of Pacific Islands sponsored by the New Zealand Government through NZAID. She later took up the role as Director Pacific Development and more recently as General Manager Pacific Health Development. With a background in Nursing and Health Management, Elizabeth has worked with the Ministry of Health in Pacific and Primary Health and in Correctional Health where she was instrumental in developing and implementing an inmate tattoo removal programme. She has been part of a Pacific research group with Auckland University School of Population Health that published ethnic specific research around the cultural protective factors in the prevention of sexual violence. Her current role is Pacific health development including the implementation of Pasifika Fanau Ola within Counties Manukau Health, Lotu Moui - faith-based health initiatives and growing the Pacific workforce to meet future need and cultural competency training. Elizabeth also has oversight of the Pacific Regional initiatives within the Pacific islands and the development of NZMAT (New Zealand Medical Assessment Team) which is an all of government health response to disasters in New Zealand and the South West Pacific. Born in Fiji, Elizabeth has a multi-ethnic background with Fijian, Samoan and Tongan. Introducing: NZMAT Coordinator Vicky Tafau – NZMAT Coordinator, Counties Manukau Health Fitting an active growing family of three children (2 girls aged 9 and 10 and a boy aged 3 and a half) around full-time work put’s Vicky’s coordination skills to the test! An experienced administrator, Vicky recently took on the role of NZMAT Coordinator fitting the 0.5 role into her busy week as Executive Assistant to the General Manager of Pacific Health Development at Counties Manukau Health. During her six years at Counties Manukau Health, the ever changing environment has seen the scope of Vicky’s role change multiple times, allowing her greater insight into many different facets of the healthcare business. Working closely with the NZMAT Programme Manager, Vicky liaises with purchasing staff around the purchasing of equipment for NZMAT deployments and NZMAT volunteers coordinating their travel and equipment arrangements for training courses both within New Zealand and in Australia among other tasks the role of NZMAT Coordinator presents her on a daily basis. 4 NZMAT and Counties Manukau Health Counties Manukau Health (CMH) has been contracted by the Ministry of Health (MoH) to support the development of an NZMAT capability since May 2012. After the 2009 Samoa tsunami, CMH was the lead organisation, overseeing the deployment of the contingent of medical professionals who provided medical assistance. CMH has a strong link with the Pacific community with 22% of its population identifying as Pacific – this is 39% of New Zealand’s total Pacific population. CMH through the Pacific Health Development business unit, manages other MoH’s Pacific regional contracts including: managing & organising work placements for clinician managing & organising patient transfers to New Zealand for medical treatment supporting the develop of health services within Pacific nations CMH works closely with NZMAT’s other partners – Pasifika Medical Association (PMA), NZ Fire Service Urban Search & Research, St John and NZ Defence Force to ensure a NZMAT will be fully supported during a deployment domestically or internationally. Introducing the NZMAT Website Is there is any information you are looking not found on the website let the NZMAT Programme Manager. Its official - NZMAT has its own website! The website is hosted by the Ministry of Health and can be accessed it via http://www.health.govt.nz/nzmat. On this website you can find information covering the following areas: About NZMAT Volunteering information Background Applying Deployment Notice of deployment Reference Group Prerequisites for volunteering Team Structure Training Photos What to expect on Information about any deployment current deployment Resources Related publications Employer information Related websites Past Newsletter editions Q & A sheet 5 NZMAT Partner – Pasifika Medical Association Pasifika Medical Association (PMA) is a regional nonGovernmental Organisation with over 2000 Pacific health professional members throughout New Zealand and the Pacific region. The membership includes specialist trained doctors, nurses, pharmacists, speech language therapists, social workers and community health workers. The organisation provides the largest Pacific workforce development programme in the region with a pipeline of programmes focused on secondary schools, tertiary training institutions and progression to Pacific Health Professional organisations such as the Tonga or Fiji Nurses Association or the Cook Island Health Network. PMA played a key role in the New Zealand health sector response to the Tsunami in Samoa, working with Counties Manukau DHB coordinating the deployment of clinical staff with specific experience in working in Samoa including a considerable number of Samoan doctors and nurses. The Pasifika Medical Association maintains close contacts with Pasifika health professional members in New Zealand and with health authorities, Pacific health professionals within the Pacific and sister organisations such as the Fiji Medical Association, Tonga Medical Association, Samoa Medical Association, Vanuatu Medical and Dental Association, Cook Islands Medical Association, Pacific Islands Surgeons Association, Pacific Anaesthetists Society, Pacific Reproductive Health Society, Pacific Paediatric 6 Society and the Internal Medicine Society of the Pacific. Within New Zealand PMA provides support to 7 Pacific Health professional Organisations. PMA has facilitated, with the National Critical Care and Trauma Response Center, access for Pacific based clinicians and health management staff to complete disaster training in Darwin. Participants from 7 countries have been involved in the Surgeons and Anaesthetists Course, Logistics Course, Team Members and Team Leaders Course. In 2012 a total of 11 completed the courses and in 2013 a total of 12 are scheduled to attend. PMA is therefore in a good position to provide advice, training and support the deployment of appropriate New Zealand-based Pacific health professionals into the region. Mr Kiki Maoate President of PMA, Mrs Debbie Sorensen CEO PMA and Dr Ted Hughes Clinical Advisor and Anaesthetist, Waitemata DHB are members of the reference group. Upcoming training opportunities for NZMAT Registered Volunteers NZMAT registered volunteers are attending the following AusMAT Courses this year: August: Surgical & Anaesthetic Course Logistics Course September: Team Member Course October: Team Leaders Course Participants on the Augural NZMAT Team Member Course 29th April to 2nd May 2013 Planning is in full swing for the next NZMAT training opportunity. Mike McEnaney (NZ Fire Service – USAR) introducing course participants to the equipment available to set up a team camp on a deployment The Ministry of Health and Counties Manukau Health in affiliation with their NZMAT partners, will be hosting two Team Member courses in 2014 on the following dates: 15th to 17th March 19th to 21st March Prerequisite for attendance at one of the courses is being a registered NZMAT volunteer. Course participants will be selected from the NZMAT Volunteer Database with the aim to ensure NZMAT deployable modules have the appropriate pool of volunteers to select from when a team is being assembled for deployment. Charlie Blanch getting ready for the emersion exercise portion of the NZMAT Team Member course Abi Trewin & Nick Coatsworth from NCCTRC presenting a classroom session 7 NZMAT Team Member Course Training Venue Once again the NZMAT training courses will be hosted by the NZ Fire Service (NZFS) at the NZFS National Training Centre in Rotorua. This multi-million dollar centre was commissioned in 2008 and includes conference facilities, mess block, transport and equipment storage buildings and the most interesting part: buildings and spaces that can be set on fire for training purposes. Essentially, this is a mock town built from concrete and galvanised steel, incorporating fire ‘scenario’ buildings and external ‘incident’ set-ups. This facility is considered to be the most advanced in Australasia and the NZMAT Faculty staff were given a guided tour of the area which contains buildings in their rawest forms, capable of withstanding extremely high temperatures, fire, smoke and water on a regular basis. Various building types are catered for, including hotels, retail, various residential and commercial property options (such as petrol stations) in addition to set-ups for cruise ships, road / train crossings, car fires and oil-tanker spillages. The Ministry of Health and Counties Manukau Health would like to thank again the NZ Fire Service for making the centre available to NZMAT and fitting our courses into their extremely full training calendar. 8 NZMAT’s Inaugural Team Member Course Birth of a New Era Murray Halbert, Manager Emergency Management Capability, Ministry of Health & Exercise Director, NZMAT Team Member Course The end of April 2013 gave birth to the inaugural NZMAT Team Member course in Rotorua, of which the gestation of nine months’ worth of planning finally came to the delivery date. Did we have labour pains in the process...You bet! Was it worth it? Absolutely, every last bit of it! Despite the Braxton Hicks days out from delivery. Apart from the maternal humour, the team that help build the inaugural course worked together to pull off a very classy course that was received with high praise from the participants and support crew across the entire course. Our success has only been achieved by the tremendous direction and support we have received from our colleagues from NCCTRC (Darwin), faculty staff in NZ and support staff based in the DHB's in the Midland region, and in some cases even rounding up the kids to help out. All these people have provided an enormous amount of encouragement and deserve recognition for their relentless amounts of energy and commitment, ensuring our course was successful in Rotorua. As for next year, we're expecting twins, yes we are set for running back to back courses in March next year for the Team Member training based at the same location in Rotorua. We'll give you a progress report in the next update. Register as a Volunteer for NZMAT via the following website: https://volunteerhealth.org.nz Classroom exercise during the Augural NZMAT Team Member Course 29th April to 2nd May 2013 NZMAT will deploy only at the request of the local medical authority in the disaster area 9 NZMAT Team Member Course 2013 – Participant Viewpoint 1 Cathy Sinclair – Registered Nurse ICU – Southern DHB A few months ago I read an article in the NZ Nurses` journal about a new medical team that was being set up to assist in disasters within New Zealand and the South Pacific. I thought that what was described was something I would enjoy being a part of, and decided to register as a volunteer. Sometime later I got a call from Judy Fairgray telling me I had been selected to attend their inaugural training course, to be held in Rotorua at the end of April. I was one of 24 health professionals attending this course. We came from a variety of backgrounds; a pharmacist, an anaesthetist, a paramedic, GP`s, nursing and other medical staff; and from all around the country. The faculty also came from many different areas, bringing different experiences and perspectives to the course – NZMAT, the Ministry of Health, Pasifika Medical Association, and of course Squiz and the AUSMAT contingent here to experience life in a cooler climate. The course was held at the National Fire Training Centre in Rotorua and we girls soon got used to having doors held open for us wherever we went by smiling firemen! We had two very full days on site covering everything from the NZ Emergency Management framework, to Pasifika Health and Cultural Awareness, to learning how to drive in convoy (including safety measures when being stopped at a security checkpoint), how to use handheld GPS devices and basic radio communication using walkie talkies – and so much more. The second of the three days (was it only three days, it felt like more), was a field exercise starting at 0530 hours with a briefing on a mocked up disaster in a small Pacific island. We were split into five teams and had to prepare for our deployment later that morning. I have promised not to spoil the surprises for future groups by giving away too many details, but I can tell you it was a very full day with a few unexpected adventures along the way. We spent the night in a remote rural fire station in the company of four gentlemen from the Fire Service`s USAR teams after an interlude along the way treating mock casualties injured in the disaster and its after effects. After such a full day, with so many new experiences, we were all ready for bed pretty early – after we`d 10 Cathy (second on left) with her fellow course participants assembled them, that is! Another early start saw us packed up and ready to leave at 0630, awaiting instructions from Base before we could set out. Amazingly, as tired and cold as we all were, there were no grumpy faces – or was I just too sleepy to notice? After an uneventful drive back to Rotorua, we were all happy to hit the showers and grab a change of clothes before debriefing the previous day`s challenges. Funnily enough, none of us were terribly sympathetic to hear all the faculty had had an unsettled night, having to evacuate their hotel after a fire alarm in the middle of the night – it wasn`t us, honest! I could tell you so much more, about our travels and adventures, and who snored the loudest among other things, but what happens on tour stays on tour as they say, so will conclude by saying if you`re sitting there thinking maybe NZMAT might be what you need to bring a few new challenges to your life, I would thoroughly recommend it! Just make sure your immunisations and your passport are up to date and have the support of your boss, and you`ll be ready to go – might see you there! Feedback received for the NZMAT Team Member Course 2013 “I thought the training I attended recently in Rotorua was excellent and I really really enjoyed it. It was well organised, extremely informative and the faculty staff and Fire Service and USAR team, including your coordination of the 3 day training event was EXCELLENT!” Sipaia Kupa – Mental Health Nurse NZMAT Team Member Course 2013 – Participant Viewpoint 2 Sarah Clarke – Physician, Urgent Care / Rural Hospital – Taranaki DHB So, joining a team proposed to “deploy domestically or internationally to provide rapid, efficient, health support” doesn’t sound all that bad… With my medical career well underway surely it’s time to “give a little back”. With this in mind I sign the dotted line and find myself heading off to the inaugural New Zealand Medical Assistance Team (NZMAT) training on 29th April to 2nd May 2013. In preparation for the training I diligently read the gear list and pack. Items including raingear, a compass, headlamp, warm clothes, leatherman, walking boots, sleeping bag, sunscreen, insect repellent, electrolyte replacement drink, and thermals make their way into my backpack, along with an extra blanket (for luck). With all this gear required I am beginning to wonder just what I’ve got myself in for! On arrival at the Ibis in Rotorua I am still wondering. A lovely room overlooking Lake Rotorua with two beds all to myself! Followed by delicious dinner at one of the town’s finest to get to know one another. Not that bad after all! Day One finds us all piling in to the vans en route to the National Fire Training Centre– our base for the next three days. I find it easy to make small talk with the bunch of like-minded individuals in my van which has an air of anxious anticipation. We arrive to some introductory lectures. No time to muck about – it isn’t long before we’re on to risk analysis and security actions then out the door for some more hands on training. Quick time we take turns practicing convoy driving, navigating road blocks, familiarise ourselves with “our” gear for future deployments and then a feed before delving into the depths of GPS navigation and radio Feedback received for the NZMAT Team Member Course 2013 “I just wanted to thank you for the fantastic job that you and your team did on the NZMAT TM course last week. It was without doubt one of the best organised and most useful courses I have done during my time in medicine and you deserve a huge amount of credit for your role in this.” Chris Jephcott – ED Physician Sarah in the hot seat in an inactive classroom lecture based on ‘Who wants to be a Millionaire’ communications. All in a days work, but I’m not sure that I feel ready for deployment just yet. Dinner at the hotel finds us all quite chatty but weary of what the new day will bring and thus it’s early to bed for all involved. And just as well as it’s an early wakeup call! I hurriedly grab my gear and head back to the van for the trip out to base. A latent sense of excitement drifts amongst us as we all puzzle over what lies ahead. On arrival it’s straight into intelligence gathering and preparing the team for “deployment”. Things are sounding pretty serious and we don’t have much time to get it together. There is a sense of organised chaos as we go about our planning while news bulletins blare in the background. Next thing I know the time has come to leave. A short trip lands us “in country” where we begin our first mission. Many lessons learned there, and our first chance to try out the gear and test the teamwork. The rest of the day finds us challenged to use the skills that we have acquired, as well as to rely on those prior learned abilities of our team-mates to complete each task. As daylight dwindles we are pleased to see our final destination for the day and to tuck in to our evening meal. The evening is filled with tales of Japan and Christchurch and other various events. We tuck up for a chilly night’s sleep and are thankful for the rest and for the urn preparing our cuppa’s for the morning. Morning comes too soon and we pack up and are back to base for a few more sessions. 11 NZMAT Team Member Course 2013 – Participant Viewpoint 2 Continued from page 11 How to get out of a crowd, and exactly what is the difference between a crowd and a mob anyway? An introduction to coordinated incident management systems and exactly where this NZMAT “thing” fits amongst the other agencies precedes yet another good feed. I’m not sure whether I’m feeling overwhelmed or reassured at this stage. We are treated to a tour of “camp” as set up by the USAR team complete with showers, toilets and water treatment plant. Will this be my home for a couple of weeks sometime in the future? I’m at the stage that I can imagine working with these people, in this environment. Following lunch it’s tropical medicine, tips for the field and strategies for media and negotiation. Sure could have used some of those tips yesterday! And hard to believe it’s already over. I come away from the training having made new friends and feeling that I really could rely on these people should the need arise. I also feel much better prepared for deployment and have a few more tools in my tool-belt for dealing with adversity. I head home to arrange my “grab bag” and update my vaccinations. Just in case of course. You never know when you might get the opportunity to “give a little back”. Memories from the NZMAT’s Augural Team Member Course 2013 12 USAR and Training NZMAT Volunteers As outlined in the first edition of the NZMAT Newsletter in March 2013, the NZ Fire Service USAR’s Auckland Region Taskforce is a valuable partner to NZMAT. A twelve strong USAR team participated in the NZMAT Team Member Course in April / May 2013 consisting of retrieval, communications, engineering and technical experts. Several USAR members joined in on the training exercise part of the course, where they were on hand to provide advice to the course participants when erecting tentage, while others spent the night ‘camping’ out with the course participants. On the final day of the course, the USAR team displayed some of the equipment in their logistics cache which will be deployed to support a NZMAT in a disaster area to provide a ‘home away from home’. There was plenty of opportunity for course participants to ask the USAR team about the equipment on display, some of which are shown in the associated photos. USAR team on hand to provide advice for putting up a tent Communications equipment to provide phone & internet access One example of a ‘medical’ tent and supplies USAR team providing a ‘run down’ on equipment Paul Callaghan explaining the options for ‘sleeping’ arrangements Mike McEnaney explaining the ‘mess’ tent and food supplies on deployment 13 NZMAT Team Leader Seminar 2013 A NZMAT Team Leader Seminar was held on Friday 3rd May 2013. The aim of the day was to provide an introduction to attendees (who have previously attended AusMAT training or identified as potential Team / Clinical Leaders on a deployment) to NZMAT policies and procedures such as: Expectations of volunteers prior to deployment Daily routine on deployment Reporting expectations Participants were also invited to engage in discussions on topics including: Response guidelines Deployment procedure out of NZ Fire Service USAR Base at Pitt Street Auckland Rapid Assessment Team (the initial team deployed when a request for aid has been received) Clinical leadership framework Participants were also taken through the display of equipment in the USAR logistics cache by the USAR team before heading back in doors to receive information around: Key agencies involved in a deployment Sphere outline Clusters in Disaster response Contingency planning including risk assessment planning and evacuation planning Vicki Vertongen and Erin O’Connor also presented on their recent deployment to the Solomon Islands (see opening article) providing an insight into conditions faced and lessons learnt during that time. As time was short for in-depth discussions to take place, further opportunities will be provided in the future. Visit the NZMAT Website @ http://www.health.govt.nz/nzmat “Natural disasters are the stuff that fear is made of. We can prepare for them, but we can't prevent them; we can anticipate them, but we can't accurately predict them” Quote credit: http://science.discovery.com/life-earthscience/10-natural-disasters.htm 14 Image credit: the 2009 Haiti earthquake, via http://peaceandloveinternational.com WADEM & MoH Seminar – April 2013 in Auckland In April a two-day seminar and workshop was held in Auckland in conjunction with the World Association for Disaster and Emergency Medicine (WADEM) that focused on managing clinical responses to complex emergencies, and reflected on recent responses in New Zealand, Australia and the Pacific. Feedback from the participants has been very positive and the outcomes of the work undertaken in the workshop will assist the Emergency Management team in the Ministry of Health (MoH) to plan future initiatives to support the health sector in terms of preparedness for emergencies. Topics presented and discussed on Day 1 included: Lessons from hospital evacuation in complex emergencies, implications for planning Lessons from Christchurch, key points for earthquake preparedness Control and coordination is a response Key competencies for responders Community-based health services in a health emergency response Trauma and surgical responses in New Zealand & the South West Pacific – integrated planning and preparation for future responses The topic and objective for the workshop on Day 2 was: Hospital Evacuation Planning in New Zealand: Where to from here? To raise awareness and inform District Health Board (DHB) planning for partial or full hospital evacuation by reviewing key issues and components of plans to address to those issues: Interest in attending this seminar was high however spaces were limited. Due to the interest and success of the seminar, future events are planned and will advertised widely so keep an eye out! Do you have a burning question related to NZMAT? Is there information you would like to see in Newsletter? Send your questions and comments to: Judy.Fairgray@middlemore.co.nz 15 WADEM Conference – Manchester United Kingdom The 18th World Congress on Disaster and Emergency Medicine (WADEM) was held in Manchester on 28th – 31st May 2013. According to the WADEM President Professor Paul Arbon, the aim of the congress was to address issues at the forefront of thinking about the cause, impact and response to destructive challenges that affect the health of communities post a disaster occurring. Each day of the congress began with a key note speaker followed by concurrent breakout sessions throughout the rest of the day providing presentations on a range of topics such as: triage mass gathering disaster medicine emergency preparedness vulnerable populations disaster health information trauma humanitarian issues pre-hospital care patient tracking protocols ethics civil military collaboration psycho-social disaster risk management education nursing climate change paediatrics toxicology and infections radiation foreign medical teams health system evaluations risk reductions research earthquakes and tsunamis tactical medicine advancing technology in ER use of technology and social media international humanitarian responses earthquake & tsunamis in Japan use of syndromic surveillance for crisis response and recent events such as the preparedness earthquake in Haiti planning and responding to major mass strengthening country and community gatherings emergency risk management for health Daily key note speakers spoke on a range of topics: ‘Against a Tide of Evil: Confronting the Special Disaster of Mass Atrocities and Crimes against Humanity’ was presented by Mukesh Kapila CBE, Professor of Global Health and Humanitarian Affairs at the University of Manchester. ‘From Anecdote to Evidence: Building a True Profession Of Humanitarian Response’ was presented by Dr. Peter Walker, Director of the Feinstein International Center at Tuffs University. ‘History, Recent “Advances”, and Future of Resuscitation Science’ was presented by Professor Douglas Chamberlain CBE Abstracts of Scientific Papers presented at the congress can be found in the journal ‘Pre-hospital and Disaster Medicine, Volume 28, Supplement 1, 2013’. For Further Information about the NZMAT Contact: Judy Fairgray NZMAT Programme Manager Judy.Fairgray@middlemore.co.nz Charles Blanch Director, Emergency Management – MoH Charles_Blanch@moh.govt.nz Vicky Tafau NZMAT Coordinator Vicky.Tafau@cmdhb.org.nz Martin Buet Regional Emergency Management Advisor (Midlands) – MoH Martin_Buet@moh.govt.nz 16 Register as a NZMAT Volunteer Interested in volunteering? Registrations are invited from clinicians and supporting staff working in prehospital, primary, secondary and tertiary care settings within New Zealand. Registering now will enable you to be considered for future NZMAT training, including attendance at domestic NZMAT Team Member training or Australian Medical Assistance Team (AusMAT) training at the National Critical Care Trauma Response Centre in Darwin. If you are interested in volunteering for NZMAT you must read the NZMAT Operational Manual in advance of registration in order to understand the requirements and obligations of being an NZMAT volunteer, including agreeing to abide by the NZMAT Code of Conduct specified in the Operational Manual which can be accessed via http://www.health.govt.nz/nzmat How to register Register interest electronically through https://volunteerhealth.org.nz All registrants will be expected to provide information including their professional skills and capabilities, previous experience in health disaster relief or work in developing counties, physical fitness, availability for deployment, vaccinations, passport details, contact numbers detail, referees for example. You need to allow twenty minutes or more to complete the registration form once you have assembled the data required. Every six months you will receive a reminder notice to confirm your continued registration. Note that registration on the database does not mean that you will automatically be selected for training or an NZMAT deployment. A confirmed registration will however mean you are known to the Ministry of Health Emergency Management Team and it’s agent CMDHB as a member of a pool of appropriately skills and experienced people available to respond to a disaster situation A view of Honiara at sunset during the Solomon Islands Deployment April 2013 17