SECURITY AND DISASTER MANAGEMENT State Of Preparedness – State of Gujarat

-:19th Skoch Summit:-

India Habitat Centre-New Delhi-22/23 January-2009 Dr S. J. Gandhi M.B.B.S. D.P.H. Deputy Director (Epidemic) Commissioerate of Health Services Dept. of Health and Family welfare, Govt. of Gujarat Gandhinagar

FORMULATION OF GSDMA POLICY The policy resulted in a shift of focus from relief oriented

Approach to proactive disaster mitigation and risk Reduction

The policy identified hazard mitigation, vulnerability reduction, capacity building, integration of development planning with disaster management and emergency preparedness as the key activities to be undertaken as part of the long term strategy

Defined roles and responsibilities of all stakeholders in various phases of disaster management

-DISASTER APPROACH• Gujarat – A multi- Disaster prone state• A State vulnerable to

– Drought– Earthquake– Cyclone– Flood– Chemical disaster

• Preparation of multi- hazard vulnerability and risk atlas• Emergency Response Plans for each Disaster• Early Warning and Emergency Communication System

MULTI

ENACTMENT OF DM ACTSteps to prevent, mitigate and efficient emergency response and recovery of disastersFunctions of govt. departments well identified

Roles & responsibilities of district administration, local authorities, communities, NGOs, GSDMA, State Relief Commissioner clearly spelled out

Provision for declaring disasters

State Relief Commissioner and Collectors have been Empowered for emergency response

Integrating development with disasters

GSDMA has been provided statutory status

GSDMA’s role as an expert body for disaster prevention

District Level Management• In each District Collector office Disaster Cell has been

Made functional and 'Mamlatdar Disaster' (Revenue Officer) have been posted to Co-ordinate necessary actions in situation of any disaster

• At present out of 25 Disaster Cell in State 20 posts have been filled up. Posts are currently vacant in Jamnagar, Narmada, Dahod, Surendranagar & Valsad districts.

• 3 Posts of Disaster Mamalatdar also exist at State Control Room under State Relief Commissioner Control Room atBlock no 1 Sachivalaya.

DISASTER MANAGEMENT PLANS

• District level Multi Hazard DM Plan are prepared every year for all 25 districts in Gujarat State

• At the State level Comprehensive response plan for chemical ,nuclearhazards, cyclone and flood are updated and made available in public domain • Guidelines and SOP for cyclone contingency plan are prepared and sent to districts

• State level earthquake management plan is prepared with seismological parameters

• On site/offsite plan for chemical disasters exist in all districts of the state who are having large no. of Industrial units

State Department of Health & Family Welfare services has also developed following Infrastructures (for effect ive decentralization) with delegation of administrative and financial powers of services.

(1)Officies of Regional Deputy Director which have 5-6 districts under their administrative and technical control for Health & Medical Services, and they closely integrate them with respective Medical Colleges in their zone for the mobilization of Rap id Response Teams of experts like Physician, Pediatrician, Microbiologist, Epidemiologist, professors of PSM etc at the time of natural epidemics, calamities and other emergency conditions and their investigation and subsequent Documentation.

(2)Various pre-service & in-service training activit ies have been strengthened by State level institute of Health & Family Welfare Department as an apex organization with its regional & District Training Centers in all d istricts for continuous capacity building of the staff round the year.

Strategic Actions By Health & Family Welfare Department, Gujarat

(3) State Institute of Disaster Management for train ing of various Departments has become functional at Sardar Patel Institute of Public Administration (SPIPA) campus at Ahmedabad, who is conducting regular train ing courses on Disaster Management.

(4)Hospital Preparedness for Emergencies has been undertaken under HOPE training courses developed by WHO/USAID for onsite & offsite emergency medical and, Hospital management of mass casualties evaluations plans at the time of emergency.

5)GSDMA itself has taken an initiative to train village level volunteers to act as first responders from the community in the event of disaster.

Such training courses comprise components like first aid, triage, mass casualty management, emergency life saving measures and referralservices.

Strategic Actions By Health & Family Welfare Department, Gujarat

( (6)State Health Department has its own Central Medical Store Organization with Central & Regional medical stores for centralized procurement of drugs of prescribed quality and various equipments directly from manufacturers.

(7)Emergency Medical Serv ices (EMS) & Trauma Centers:It has been designed to provide on site medical services in the events like vehicular accidents, heart attacks, and mass casualties etc from most nearby hospitals who are well equipped and accessible round the clock.

(8)Course of Emergency Technician are carried out for health workers, nurses, ambulance drivers, ward servants, who are the first responders and trained in triage, A BC resuscitation, first-aid & communication with referral centers.

Strategic Actions By Health & Family Welfare Department, Gujarat

Disaster Management Services Web Site• The State Health & F W Department web site has been updated with

above heading on gujhealth@gujarat.gov.in• The various State regional & d istrict level Action Plans on Avian

Influenza, Natural Calamit ies, Chemical Disasters, Mass CasualtyManagement, Bio- Terrorism, useful contact numbers have been kept on the web-site.

• The useful training material and power point presentations in PDF format are also made availab le in the section of downloads for the ongoing training.

• Efforts have been initiated to impart specific hospital preparedness for management of disasters along with emergency hospital evacuationplans, incident command system etc under prescribed HOPE training programme for clinicians, orthopedic surgeons, hospital administrators etc.

State Level Management• Five sophisticated Vans with all life-saving equipments have

been recently procured by GSDMA & will be kept at Surat, Vadodara, Gandhinagar, Rajkot and Bhuj under Civil Hospitals to handle any such events of Mass casualty

• Needful Training has been arranged for the proper utilization ofequipments on 16th & 17th January 2009 by Gujarat State Disaster Management Authority at Gandhinagar.

• At least 10 Staff Members of Medical and Paramedical category per location of van will be trained for proper utilization ofequipments and they will function as T.O.T

• A post of Consultant, Emergency Medical Relief has been created at the State Level to further co-ordinate above issues

List of instrument under procurement for Disaster Preparedness 2008-09

N-95 Masks17

Triage System Kit18

Luminous Vests16

Life Jackets15

Breathing Apparatus14

Germicidal Protection (Chemical) Suits13

Stackable Stretchers12

Pulse-Oxymeter Capnograph (Multipara Monitor)11

Disposable Oxygen Cylinders10

Endotracheal Tube9

Laryngoscope8

B P Instrument with stand7

Oxygen Mask6

Ryle's tube5

Catheter4

IV stand3

Intracaths2

Endotracheal Intubations Models1

Name of InstrumentSr. No

Composition of RRT (Rapid Response Teams)

Health Personnel District State Central

Medical Epidemiologist District Health officer State Epidemiologist and Clinician

Epidemiologist and clinician

Microbiologist Pathologist or Lab technician

Microbiologist Microbiologist

Entomologist Malaria worker Entomologist or Malaria supervisor

Entomologist

Zone wise RRTs Repid Response team with district allotted

Poison Treatment Centers• Looking to the substantial growth of industries and chemical

units within the State there has been a need to establish PoisonTreatment & Management Centers in the Medical Colleges within the State.

• These Centers can be headed by HOD & Professor of Pharmacology and can be equipped with various life saving equipments and chemical anti dotes.

• In such centers patients of Poisoning with various chemicals due to accidental exposure and disasters in chemical industries can be admitted and suitably treated.

• Necessary guidelines & protocols has been issued.

Health & Medical Personnel Trained in Disaster Management

at SPIPA by GIDM

25Health Management af ter Natural Disasters30th29thJune2007

53Training Programme on Emergency Medical Response

14th13th September2007

15Epidemic Management12th11thOctober2007

208TOTAL

2006

2005

2005

2005

2005

Year

September

August

August

August

August

Month

29th

24th

22nd

8th

4th

FromDate

30th

25th

23rd

10t h

6th

Up to

20

24

25

24

22

No of OfficersTrained

Emergency Medical Response

Health & Medical Management in Disasters

Health & Medical Management in Disasters

Health & Medical Management in Disasters

Health & Medical Management in Disasters

Subject of Training

Year wise Health Personnel trained for Disaster Management in coordination with GS DMA

Y ea r Batc h No

CDM O/ Suptd. CDHO E M O BHO M O Sta ff Nurs e

X Ray Tec h

Lab Te c h P har ma cis t He al th

S uper vis or

1 9 3 0 1 9 0 0 0 0 0 2 2

2 6 3 0 0 1 5 0 0 0 0 0 2 4

3 0 0 0 0 0 1 2 2 2 5 4 2 5

4 0 0 0 0 0 1 1 2 3 4 4 2 4

20 06 -0 7 1 2 1 0 3 1 2 0 0 0 0 0 1 8

1 2 1 2 1 0 1 3 0 0 0 0 0 2 8

2 3 3 1 0 4 3 0 0 0 0 0 5 0

3 0 0 0 0 1 1 0 4 0 0 1 5 3 0

22 1 1 3 1 4 1 03 2 3 8 5 9 2 3 2 21Tota l

Total

C a te g o ry o f H e alth P ers o n n el

20 05 -0 6

20 07 -0 8

Year wise Health Personnel trained for Disaster Management in coordination with Indian Red Cross Society - Ahmedabad

2

1

1

Batch No

Medical College, Jamnagar

Medical College, Surat

Medical College, Vadodara

Place of Training

Emergency Medicine &

Disaster Preparedness

Name of Training

118Medical Students& Paramedicals

Medical Students& Paramedicals

Medical Students& Paramedicals

Categories of Personnel

427Total

1552008-09

1542007-08

Total No of Persons

Trained

Year

Addl. Di r DY. D ir As st Prof RDD CDMO / Suptd. CDHO E MO MO Total

2 006 -0 7 Ma y 0 0 0 1 0 3 0 1 5Ma y 0 0 0 0 0 0 4 1 5July 0 1 1 0 1 1 0 0 4Apr 1 2 0 0 4 0 0 0 7Nov 0 0 0 0 0 0 0 0 0

Tota l 1 3 1 1 5 4 4 2 21

2 007 -0 8

2 008 -0 9

Y ear w ise H ealth P erso nn el t rain ed fo r D isas ter M ana gem en t i n co o rd inat io n w ith N ID M /N D M A

C ateg o ry o f He alt h Perso n ne lYe ar Month

TYPICAL ADVERSE EFFECTS• Physical damage which may extend to surrounding area.• Large no of casualties involving deaths & serious injuries require

urgent medical attention on a large scale.• Trapped persons require special techniques & equipments for

retrieval and treatment.• Environmental degradation of air, water & land which sometimes

may take years to be rectified & so necessitate relocation of the population.

• Loss of employment of not only the involved persons but also of the affected area at large.

Mock-Drills:-

State: Gujarat

District Block Municipality/Village Scenario Remarks

Ankleshwar Ankleswar GIDC Off site Mock drill on Olium Leakage

Amod Rosa Tankariya village LPG Gas Leakage in IOCL Bottling Plant

Valiya Dungri village Industrial Gas leakage

Valiya Silodi Road accident Vagra IPCL, Dahej Industrial fire

Bharuch

Hansot Taluka level Flood Patan District level Earthquake Sidhpur Taluka level Flood Radhanpur Kamlapur village Earthquake Village level Chanasma Chanasma (Taluka level) Earthquake Chanasma City level Fire Harij Taluka level Fire Sami Taluka level Fire

Patan

Santalpur Taluka level Fire Rajkot city District level Serial Bomb Blast Tankara Tankara town Earthquake Padhdhri PadhdhriTown Earthquake Maliya Maliya Town Cyclone

Rajkot

Jasdan Jasdan town Fire

Ju naga dh city Corp oration level Fire d ue to Electr ic short circuit

School le vel

M angrol Ma ngrol town Cyclone V anthli Sa pur villa ge Cyclone V anthli School level ea rthqu ake

Juna gad h

K od inar Ta luka level cyclone P alitana city level Fire M ahu va Ma huva city Fire At school le vel T alaja T Fire N .J.Dosi, High

school B havn agar Nari village Ea rthqu ake T aluka le vel V allbhipu r Ta luka level Cyclone School le vel Ghogha Ta luka level Fire Ghogha Avanya village Fire Fa rm lan ds Sihor Ta luka le vel/ city

leve l Fire N on -DRM

Bha vna gar

B havn agar city Silve r Bell School Fire Am reli Sava rku ndla Ta luka level Ea rthqu ake K ham bha Ta luka level Flood

L imbdi Limd i town LP G Ta nker accide nt

Da sa da Nabran gp ura v illa ge Bu ilding collap se

C hotila Kha tdi Da kabd ala villa ge

Flood

Sure ndran agar

V ad hvan Va dvan village Drow nin g accide nt

Amirgadh Amirgadh Para (Village level)

Earthquake

Amirgadh Taluka level (on N.H.8

Road accident

Deesa Block level Road accident

Banaskantha

Bhavor Taluka level LGP Gas leakage

Non-DRM

Dehgam Paleya village Flood Non-DRM Gandhinagar Indroda village Earthquake

Gandhinagar (Non-DRM District)

Mansa Lodra village Flood Unjha Taluka level Fire Mehesana Mehesana town Fire in the LPG

Gas Godown

Bechraji Fire

Visnagar Fire in the LPG Gas Godown

Satlasana Drowning & Rescue drill at Dharoi Dam

Vijapur Fire Vadnagar Road accident Kadi GIDC, Kadi Fire

Mehesana(Non-DRM District)

Kheralu GIDC, Kheralu Fire

L u na va da T a lu ka lev el Flood De rol Dam Bu rst

P a nch ma ha ls ( No n-DR M Distr ict)

M orva H adap T a lu ka lev el Dam Bu rst M orva Dam Rap ar T a lu ka lev el E a rth qu ake B ha ch au T a lu ka lev el E a rth qu ake A nja r T a lu ka lev el E a rth qu ake A bdasa T a lu ka lev el E a rth qu ake L akhp a t T a lu ka lev el E a rth qu ake N akha tran a T a lu ka lev el E a rth qu ake B hu j T a lu ka lev el E a rth qu ake M u nd ra T a lu ka lev el C yclone

K achch h

M a nd vi T a lu ka lev el C yclone P orban d ar T a lu ka lev el C yclone Ranavav T a lu ka lev el C yclone

P orba nd ar

K u tiana T a lu ka lev el Flood V alsa d M a god Du ng ri V illa ge leve l Flood Jamn ag ar

Sa laya T a lu ka lev el T sun ami

Jod ia

T a lu ka lev el C yclone

Ja m Jod hp ur

T a lu ka lev el E a rth qu ake

Dw a rka T ata C hem ica ls L td . M ithap ur T a luka lev el

In du str ia l fire T alu ka leve l

Dw a rka T ata C hem ica ls L td . M ithap ur (T C L)

Fire T alu ka leve l

Total available B ed Strength in G ujarat f or Emergency Hospital Organization

Sr.No Type of institution Total No.of institutions

Beds

1 C.H.C 188 6684 2 District hospitals 25 4286 3 Taluka hospitals 21 1444 4 Mental Hospital 4 683 5 Other hospitals 6 54 6 Medical college hospitals 8 7460 7 Specialised hospitals 4 420 8 Grant-in-aid institutions 140 3610 9 Ayurved hospitals 45 1745 10 ESIS Hospitals 10 1395 Total available beds 26,386

S r N o D ist r i c t T a lu k a P H C M ob i l e U n i ts1 S u ra t C h or ya s i V a n j 1 V a n j*/

M a h uv a A n a va l 2 A n a va l* / B a r do l i S a rb ho n 3 S a r bh on */O lpa d M o r 4 O lp a d* / (M o r) /K a ra n jK a m r e j K a m re j 5 K a m re j

2 T a pi S on ga d h S on a g a dh 6 S o na g a dh ** */ (r e m o te )V a lod K a m a lku i 7 K a m a lku i*/U c hh a l K a r od 8 K a r od

3 B ha r uc h V a ga ra D a h e j , K e sh va n , 9 D a h e j** /A nk le s hw a r M a n dv a * B u z a rg 10 M a nd va * B u z a rgJa m b us a r J a m b us a r 11 N e t r a ng *

4 J a m na g a r D w a rk a V a r va l a 12 V a r va l a * */D hr ol l J a l i ya d e v a ni 13 J a l iya de v a ni* **Ja m jod hp u r J a m jo dh pu r 14 J a m jo dh pu r* **Jo diy a J od iya 15 J od iyaJo diy a J od iya 16 H a d iya n a * **

5 B h a vn a g a r V a rt e j N a r i 17 N a r i** /M a h uv a M a h uv a 18 M a hu va * **G a dh a d a K h od a la 19 D a d a v a ** *

6 M e h s a na K a di K a ly a np ur 20 K a ly a np u r** *7 P a ta n S a m i S a m i 21 L o la d a

R a dh a np ur G o ta rk a 22 G o ta rk aS a nta lp ur M a d hu t ra 23 M a dh ut ra ** /

8 R a jk ot M a l iy a M iya n a K h a kh re c h i 24 K h a kh re c hi /9 A m r e l i R a ju l a B he r a i 25 R a jul a ** /

L a th i C ha v a nd 26 C ha v a n d* ** /1 0 D a ho d L im b a d i L im ba d i 27 L im bd i*

D a ho d K a th a l a 28 K a th a l a * **D ha n pu r D h a np ur 29 M a nd ol* **

1 1 S a b a rk a n tha Id a r C hi to rd a 30 C hi to da * ** (R e m o te a re a )Id a r J a s w a ntg a dh 31 J a s va n tga dh ** * (R e m o te

)K he d br a hm a P os h ina 32 P o sh ina *B h i lod a L a s u niy a 33 L a su niy a *Id a r M u de t i 34 M u de t i*B h i lod a M u de t i 35 T o ra d a *

1 2 Ju na g a d h U na T a d 36 T a d* */V i sa va d a r K a l s a ri 37 K a l s a r i** *T a la l a S a s a n 38 S a s a n gi r* **M a n gro l M a n gr ol 39 M a ng rol* **U na J a m v a da / J o kh a dv a 40 T u l s i sh ya mK od ina r V e la n 41 V e la n ** *

1 3 B a na s ka nth a A m i r ga d h Iq ba lg a d h 42 I qb a lga d hV a v D h im a 43 D h im a * ** *B h a b ha r B ha b ha r 44 B ha b h a r* ** *V a v S uig a m 45 S u iga m ** **T h a ra d P i lud a 46 P i lu da * ** *

M o b ile C o m pr e he ns i v e H e a lt h C a r e Un it s

S r N o D is tr i c t T a lu k a P H C M ob i l e U n i ts1 4 S u re nd ra na ga r D a s a d a P a ta d i 4 7 P a ta di* * /

H a lv a d H a lv a d 4 8 H a lva d* */1 5 A h m e da ba d S a n a nd U pa rd a l 4 9 U p a r da l** *

D h a nd h uk a P ipa l i 5 0 P ip a l i* ** /1 6 N a vs a r i C h ik ha l i K he rg a m 5 1 K h e r ga m * /

C h ik ha l i R a nv e r i K a l l a * 5 2 R a n ve ri K a l l a * /N a v s a ri K ha ds u pa 5 3 K a ds u pa */C h ik ha l i A l ipo r 5 4 A l ip o r*G a n de vi G a d a t 5 5 G a da t * /Ja l a lp or e A br a m a 5 6 A b ra m a ** /

1 7 V a l s a d U m e rg a m F a ns a 5 7 F a n s a * */ K a p a ra da L a v ka r 5 8 L a vk a r / P a ra d i O rv a d 5 9 O r va d/ D ha ra m p ur S idu m b u r 6 0 S id um b a r/ V a l s a d A tga m 6 1 A tg a m /V a l s a d D ha ra s a n a 6 2 D h a r a s a n a * */U m a rg a m U m a rg a m 6 3 U m a r ga mK a p a ra da 6 4 K a pa r a d a

1 8 K u tc h R a pa r S uv a i 6 5 S u va i*/A n ja r B h im a s a r 6 6 B h im a s a r (C h )* * /

M u nd ra B h a d re sh w a r 6 7 B h a dr e s h w a r ** /R a pa r A de sa r 6 8 A d e s a r ** /B h a c ha u V a n dh iy a 6 9 S a m ik hiy a l i* * /B h a c ha u M a n fa ra 7 0 M a nf a r a ** /B h a c ha u J a na n 7 1 J a n a n ** * */B h u j G or e v a l i 7 2 G o re va l i** * */L a k h pa t G a d hu l i 7 3 G a dh u l i** * */R a pr a B e la 7 4 B e la * * ** /A b a da s a N a l iy a 7 5 A b d a s a * ** * /

1 9 N a rm a d a R a jpip a l a T a r op a 7 6 T a ro p a *S a g ba r a S a gb a r a 7 7 S a g b a ra *D e d iya pa da D e d iya pa d a 7 8 D e diy a p a d a * **

2 0 D a ng s -A hw a D a n g A hw a 7 9 G a lku n d* * *2 1 V a d od a r a C h h ota ud e p ur R a ng p ur ( S ) 8 0 R a n gp u r( S )

N a s w a d i G a d ha bo riy a d 8 1 G a dh a b or iy a d* * *S a n kh e d a B a ha d a r pu r 8 2 B a h a d a rp u rP a v i J e tpu r K a d va l 8 3 K a dv a l* **

2 2 P a n c h m a h a l G h og ha m b h a R a ga d h ba riy a * 8 4 R a g a d hb a r iya *K a lo l V e ja lp u r 8 5 V e ja lp ur *S a n ta rm p ur S a nt r a m pu r 8 6 S a n t r a m p u r* **N o te : * T ri b a l M o b i l e U n i ts

* * A g a ri y a M o b il e U n i ts* * * P o o r A re a M o b il e U n i ts* * * *B o r d e r a r e a M o b i le U n its / G P S

M o b ile C o m pr e h en s i v e H ea lt h C a r e U n it s

Mobile Units in Districts with Manpowerin Districts with Chemical Industries

13333Vadodara

8888Surat

5555Jamnagar

1111Rajkot

NGODriverMPHW/Staff Nurse

M.O

Man PowerNo 0f Mobile Units

District

141110615359793M.B.B.S. Doctor

997584152Anaesthetist

86236850Radiologist

625529106Pathologist

405914Neuro Surgeon

53013717Cardiologist

491036746E & T Surgeon

112860172Eye Surgeon

117557772Orthopedic

1771758477Pediatrician

376481271122Gynecologist

24956770199General Surgeon

16012026Psychiatrist

25326997157Physician

Non Govt.Govt.Non Govt.Govt.

Specialists at places other than District H.Q.Specialists at District H.Q .

Designation

INFORMATION ABOUT SPECIALISTS AND M.B.B.S. DOCTORS (GOVT. & NON GOVT.)

District wise Blood Bank FacilityN o . o f b lo o d b a n ks S r .

N o D i s tr i c t

G o v t . P r i v a t e V o l .o r g n . T o ta l 1 A h m e d a b a d 7 1 8 6 3 1 2 A m r e l i 2 - 1 3 3 B a n a s k a n th a 1 3 1 5 4 B h a r u ch 1 2 2 5 5 B h a v n a g a r 3 3 2 8 6 G a n d h in a g a r 1 2 2 5 7 J a m n a g a r 1 2 1 4 8 J u n a g a d h 1 4 2 7 9 P o r b a n d a r 1 - 1 2 1 0 K h e d a 1 1 4 6 1 1 A n a n d 1 3 3 7 1 2 K u t c h 3 3 2 8 1 3 M e h s a n a 1 3 4 8 1 4 P a t a n 2 1 2 5 1 5 P a n c h m a h a l s 1 1 1 3 1 6 D a h o d - 2 - 2 1 7 R a j k o t 0 3 8 1 1 1 8 S a b a r ka n th a 1 5 2 5 1 9 S u r a t 2 2 5 9 2 0 S u r e n d r a n a g a r 3 3 1 7 2 1 V a d o d a r a 3 2 3 8 2 2 D a n g s 1 - - 1 2 3 V a l s a d 1 - 3 4 2 4 N a v s a r i - - 3 3 2 5 N a r m a d a - - - - T o t a l 3 8 6 3 5 9 1 5 9

141110615359793M.B.B.S. Doctor

997584152Anaesthetist

86236850Radiologist

625529106Pathologist

405914Neuro Surgeon

53013717Cardiologist

491036746E & T Surgeon

112860172Eye Surgeon

117557772Orthopedic

1771758477Pediatrician

376481271122Gynecologist

24956770199General Surgeon

16012026Psychiatrist

25326997157Physician

Non Govt.Govt.Non Govt.Govt.

Specialists at places other than District H.Q.Specialists at District H.Q .

Designation

INFORMATION ABOUT SPECIALISTS AND M.B.B.S. DOCTORS (GOVT. & NON GOVT.)

Ambulances Available at each District Hospitals

6Mehsana/ VIsnagar129Surendranagar/ Limdi/ Dhangadra1113Kheda/ Nadiad105Junagadh99Himmatnagar88Gandhinagar77Bharuch65Godhara510Bhuj/ Mandavi/ Gandhidham46Ahwa37Amreli/ Lathi/ Savarkundala25Sola Civil Hospital1

No of A mbulancesName of District HospitalsSr No

Ambulances Available at each District Hospitals

1Tapi252Narmada24

151TOTA L

3Petlad232Palitana228Rajkot/ Dhoraji/ Jetpur/ Gondal2113Dahod/ Dev- Bariya/ Lunavada202Jamkhambhaliya197Valsad184Vadodara173Porbandar166Patan/ Deesa157Palanpur143Navsari/ Vansada13

No of A mbulancesName of District HospitalsSr No

Ambulances Available at each District Hospitals

1Tapi252Narmada24

151TOTA L

3Petlad232Palitana228Rajkot/ Dhoraji/ Jetpur/ Gondal2113Dahod/ Dev- Bariya/ Lunavada202Jamkhambhaliya197Valsad184Vadodara173Porbandar166Patan/ Deesa157Palanpur143Navsari/ Vansada13

No of A mbulancesName of District HospitalsSr No

28492566Class-IV

27904963782871124503797

Admin istrative staffPharmacistLab.,X-ray TechnicianDriversNursesOther Nursing staff

Class III

6264901343

Medical officersBiochemistAdmin istrative officers

Cl. II

94941322

Full timePart time

Class I specialists

Teaching hospitalNo.District hospitalCategory

Staff Available for Emergency Hospital Organization.

Available Man-Power With Department of Health & Family Welfare

104Director, Central Medical Store Organization

383438TOTA L ( Including Sachivalaya)

1915Director, Indian System Of Medicine And Homeopathy

5090Director, ESIS

1083Commissionerate of Food & Drug Control Admin.

29889Commissionerate of Health, Medical Services & Medical Education

Man PowerDepartment

Call 108• Toll free across the State for all

emergencies.

• It is available from all fixed lines and phones

• Common across the State for Medical, Police and Fire Emergencies

Ambulances• Light beacons• Siren• GPS• PA system• Mobile phone• Digital camera• Intercom• Inverter• Side lights• FM radio and

CD player• Pilot cabin

also A/C

Interiors • A/c• Defibrillator with

multipara monitor• Ventilator• Mini refrigerator• Storage spaces• EMT Seat• Oxygen delivery

system• Foot operated wash

basin• 5 types of stretchers• Fire extinguisher• Extrication equipment

Scoop Stretcher

Spine board

Contagious disease body bag

Isolation transportation bag

Inflatable rescue shelter

Silicone resuscitators Airways

Face masks Resuscitation bags

Airway Training

First Aid

Chemical Toxic Agents

NoneMucous membrane & skin irritation lacrimation

CN, CS (Mace)Riot Control Agents

NoneNoncardiac pulmonary edema, hypoxemia, Respiratory failure

PhosegenePulmonary Agents

Amyl nitrite, Sodium nitrite, Sodium thiosulfate

Cellular asphyxia, anaerobic metabolism, cardiovascular collapse, shock, CNS dysfunction, seizures, coma

Hydrogen cyanide, cyanogen chloride

Cyanides

British-Anti-Lewisite (BAL) for Lewisite only

Vesiculation, chemical burns of skin and mucous membranes

Lewisite, sulfur, mustard, phosegeneoxime

Vesicants

2-PAM, atropineCholinergic crisis, parlysis, vent failure, coma

Tabun, Sarin, So man, VX

Nerve agents

AntidotesEffectsNamesClass

Ammonia Leak

• Determine wind direction by letting some dust on ground.Run in direction other than that of wind

• Go away speedily in a vehicle• If leak is less, close doors & windows of

your house• Extinguish all open flames- gas, stove,

sigri.• Do not light match or lighter

Ammonia Leak

Accident

Wind Flow

Wind FlowSafe Direction To Run

Safe Direction To Run

Ammonia Leak• Life is more precious than belongings• Do not wait to collect some things• Release your cattle so that they run

away to safety

• Wash eyes & skin with copious amount of water if burning sensation

• If mouth & throat affected, rinse mouth with water and drink more water

Ammonia Leak• Reach nearest PHC or Hospital if

sensation persists• After reaching safety, return only when

authorities declare it safe• Cooperate with rescue measures taken by

authorities

Ammonia Leak- Action at PHC

• Assist evacuation• Guide on first aid• Establish ventilation with bag & mask• Administer IV fluids & antibiotics • Administer oxygen to critical cases &

transfer them

Ammonia Leak- Action at Hospital

• Hospitals identified in L0 phase• Oxygen inhalation• Keep patient in atmosphere rendered

moist with steam• Pain killers / analgesics• Antibiotics for respiratory infection• Artificial ventilation / tracheostomy

Ammonia Leak-Post accident activity

• Check residual functional disability• Certify accordingly• Learn lessons from the experience &

strengthen services accordingly• Teach safety drill in L0 phase

Chlorine Gas Exposure

• Unpleasant, irritating odour• Chocking, suffocation• Sense of tightness in chest• Laryngeal Spasm• painful, frequent coughing• Headache, pain & watering eyes• Abdominal pain, rapid respiration,

sneezing ---------------Mild Symptoms

Wish you all A Happy & Successful Disaster Preparedness