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What is the situation disaster medicine in your country? What are the issues and needs of disaster medicine in your country?
Indonesia: Disaster medicine has not yet been established as of yet. Disaster medicine is included in disaster management. However, there is a push for doctors and medical students to study disaster medicine.
Philippines: All hospitals have an emergency response coordinator. The Philippines also often sends its professionals in disaster medical to other countries. Hospitals are divided into responding teams and receiving teams. One issue when responding to Haiyan was that medical responders sent to Tacloban were not able to bring their food and medicine to the site. In this aspect the Philippines can learn from the best practices in Japan.
Malaysia: Since 1998 disaster medicine has been implemented. However, it is still a goal to equip every hospital with an emergency medicine department. Although emergency medical teams are not as well trained as Japan’s DMAT they are improving. Malaysia aims to standardize its medical teams in terms of training and in terms of registration. Additionally it aims to coordinate all its volunteers.
Myanmar: Myanmar is still developing in many aspects including its disaster management system. It recently instituted its ministry of Welfare Relief and Resettlement. After 2012 Myanmar sent 18 people to get trained by the Australian College of Emergency Medicine. These people will help develop Myanmar’s emergency medical capacities. Myanmar is also developing emergency medicine specific laws.
Lao PDR: Lao PDR has generally been safe from disasters in the past due to its low population. However, the ministry of health is still developing its capacities in this regard. A curriculum has been developed to train professionals in the field of disaster medicine.
Brunei: There are only a few emergency medical professionals in Brunei. Getting the state to recognize this field as a specialty still remains a challenge. Disaster medicine is still in its infancy and as of yet nobody specializes in this field solely. In terms of disaster management the NDMC coordinates the actors during a disaster including the ministry of health. Although, Brunei is a well protected country geographically, it is still doing its best to improve its emergency medical capacities.
Vietnam: Vietnam worked together with Thailand to conduct the survey. This survey was the first step to improve cooperation within the region in order to improve disaster medical systems.
Cambodia: In Cambodia floods occur every year. There is a national committee on disaster management. Laws on disaster management are still yet to be passed. As regard Cambodia’s disaster medical capabilities there is no capacity as of yet.
Thailand: Emergency/Disaster Medicine is relatively new in Thailand starting from 2004. Dr. Wiwat trained in Japan to institute DMAT in Thailand. Currently Thailand’s emergency medical capabilities are still relatively new and improving.
ASEAN: Disaster medicine is one of the priority areas endorsed in the last ASEAN summit. Some priorities that need to be addressed are:
-creating a regional strategy framework
-addressing gaps and needs
-addressing the roles of different stakeholders, including focal points at the national level and those at the sectoral level.
All these aspects need to come together.
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