EMERGENCY RESPONSE OF ACEH PIDIE EARTHQUAKE

BACKGROUND

A 6.4 magnitude earthquake struck Pidie Jaya District, a province of Aceh in Sumatra Island, Indonesia on the early morning of 7th December 2016. 104 people died in the quake, with at least 1,000 people left injured. In addition, the quake caused major infrastructure damages, where at least 72 stores, 1 mall and 5 mosques were destroyed. Furthermore, 19,130 houses were reportedly damaged, 17,673 of it were in Pidie Jaya alone, causing more than 90,000 people to be evacuated from their homes.

MERCY MALAYSIA’S EFFORTS/ ACTIVITIES MERCY

Malaysia deployed its emergency response team to Pidie Jaya from 8th December to 20th December 2016. The objectives of the mission were to assess the immediate needs of the aected population and to device an action plan. Throughout the mission, the team distributed a total of 956 hygiene kits and family kits. A psychosocial team was deployed to conduct activities and provide psychosocial support benetting 250 children at the evacuation centre, while a rehab team provided 33 rehab patients with bedside exercise as well as 55 Rumah Sakit Umum Daerah (RSUD) Chik Ditiro’s sta with hands-on training.

RECOVERY ASSISTANCE FOR FLOOD AFFECTED AREAS, NORTH HAMGYONG PROVINCE

BACKGROUND

From 29th August to 31st August 2016, heavy rains fell in North Hamgyong Province, DPRK. Within two days, more than 300mm of rain was reported, causing severe øoodingoftheTumenRiver anditsbranches in the region. The situation remained grave for weeks, aecting over 600,000 people acrosssix counties. By the endof September, a total of 138 deaths were reported, with a further 400 people reported missing, majority of which presumed dead. 7ast area of land remained submerged for weeks, leaving 70,000 internally displaced. In total, four counties were severely aected by øooding in North Hamgyong province, namely Musan, Yonsa, Kyonghun and Kyongwon County. The high altitude of the area caused temperatures to severely drop during winter months, placing people at risk to harsh winds and high levels of snowfall. The area is also mainly øood plains as there are several river banks and valleys.

MERCY MALAYSIA’S EFFORTS/ ACTIVITIES

Responding to a request by the Ministry of Foreign Aairs, DPRK, MERCY Malaysia sent its team to conduct further assessment on the damages as well as on future post-øood needs. After meeting with local authorities, the assessment team was advised to focus mainly on two counties, namely Musan and Yonsa. As part of the immediate relief eort, a donation of Tuberculosis (TB) medication consisting of isoniazid, rifampicin, ethambutol, and pyrazinamide was provided, as raging øood waters had swept away the existing TB hospitals causing a shortage of the medication. Further future relief eorts are currently being developed by MERCY Malaysia.

CAPACITY BUILDING FOR ORAL REHYDRATION THERAPY CORNER AT ANGKOR HOSPITAL FOR CHILDREN

BACKGROUND

MERCY Malaysia deployed mission members to Angkor Hospital for Children (AHC) to provide medical assistance since 2004. In 2005, MERCY Malaysia funded an Oral Rehydration Therapy (ORT) Corner at the outpatient department in Angkor Hospital for Children, and has since continued to support the project. The ORT corner is a project established to treat mild dehydration or diarrhea. Over the years in support of the hospital, MERCY Malaysia has donated medical equipment such as ventilator, incubator and refrigerated centrifuge to the hospital. In addition, MERCY Malaysia also employed a nurse and two trained OPD family service assistants to ensure that there will be enough support to complete the ORT work.

MERCY MALAYSIA’S EFFORTS/ ACTIVITIES

Throughout 2016, AHC’s Oral Rehydration Therapy (ORT) project treated 638 Cambodian children suering from dehydration between January and August 2016 in the ORT Corner, while children with severe dehydration were treated in the IPD and ERICU. The majority of these patients suered dehydration as a symptom of diarrhea, dysentery, vomiting, food poisoning or dengue fever. Between January and August 2016, 663 caregivers attended ORT corner education sessions on dehydration. In addition, ORT sta hosted a once a week education session

which was open to all caregivers in the OPD, which shared information on diarrhea, dehydration prevention as well as the appropriate treatment. AHC also trained 81 medical students and 285 nurses on illnesses which are present with dehydration, and all aspects of treatment including ORT.

EMERGENCY RESPONSE (MENTAL HEALTH AND PSYCHOSOCIAL SERVICES) AT SULTANAH AMINAH HOSPITAL, JOHOR BAHRU, JOHOR

BACKGROUND
A fire broke out at the Intensive Care Unit(ICU) of the Sultanah Aminah Hospital (HSA)
in Johor Bahru on Tuesday, 25th October 2016. It was believed to have started at
around 8.55am at the ICU ward, located on the second floor of the hospital’s main
building. The incident resulted in six (6)casualties and many others injured. Patients
affected by the fire were evacuated to nearby hospitals which were Hospital
Permai (HP) and Hospital Sultan Ismail (HSI). It was also realised that the effects of the
unexpected incident went beyond physical injuries including psychological trauma
on those affected, including the hospital sta. Due to the urgent situation and lack
of skilled personnel, the Sultanah Aminah Hospital (HSA) and Johor State Health
Department (JKNJ) reached out to MERCY Malaysia (MM) requesting for assistance
and support in psychosocial interventions for their affected staff and patients.

MERCY MALAYSIA’S EFFORTS/
ACTIVITIES

In response to the tragedy and request made by Sultanah Aminah Hospital (HSA)
as well as Johor State Health Department(JKNJ), an assessment and discussion was
made by MERCY Malaysia and JKNJ to identify the immediate needs. Although
HSA indicated they had sucient capacity to manage the usual operations since its
Outpatient Department were redirected to HSI, they reported the need for mental
health and psychosocial support for the staff and patients affected.
Thus, MERCY Malaysia was requested by the Psychosocial Coordinator from JKN Johor
and HSA Disaster Team to all the gap by providing a Mental Health and Psychosocial
Support (MHPSS) team to assist in providing support for the aected sta, whilst JKM
provided counsellors for aected patients and their families.
A Mental Health and Psychosocial Support (MHPSS) team was deployed from 28th
October 2016 (Friday) to 2nd November 2016 (Wednesday) for the duration of 6
days. The MHPSS team comprised of 2 psychosocial volunteers and 2 MERCY
Malaysia’s sta who coordinated with Johor State Health Department (JKN
Johor)’s Psychosocial Coordination team to provide Psychosocial First Aid (PFA) and
mental health support to patients and staff together aected by the tragedy.
In addition, in response to another urgent appeal sent by Johor Bahru District Health
Offce (PKDJB), MERCY Malaysia also donated 20 units of digital blood pressure
monitors as well as 20 units of thermoscans to ensure that the provision of emergency
delivery to the patients in Klinik Kesihatan Mahmoodiah (KKM) and Klinik Kesihatan
Sultan Ismail (KKSI) were not affected

Basic Health Centre in Zam Zam IDP Camp

Background
MERCY Malaysia has been engaged in North Darfur since
2009, providing medical attention to Internally Displaced
Persons (IDPs) in Zam Zam camp. A 2004 conflict that
occurred in Darfur forced villagers to become refugees in
their own country. Since then, the people of Darfur battle
death each day due to various causes, including diseases
and malnutrition.

As the influx of IDP continues, MERCY Malaysia and
partners remain on location to offer health services for
this vulnerable group of people to prevent the situation
from deteriorating further.

MERCY Malaysia efforts
A basic health centre was built to run a full range of
primary health care (PHC) and reproductive health
services, seven hours a day, six days a week for the whole
ZamZam camp population. An average of 230 patients
are being treated and consulted in the clinic each day. In
addition to that, MERCY Malaysia has a stand-by vehicle
as an ambulance service from 9am to 3pm to refer
emergency cases to either El Fasher Teaching Hospital
or El Fasher New Hospital which includes a Fistula Care
Centre. With the continuation of the full range PHC
elements, MERCY Malaysia has been able to contain
the most communicable diseases below the emergency
threshold.