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The role of the philippine physiatrist in a Large-Scale Natural Disaster The PARM Experience in Typhoon Haiyan. Ganchoon , FG, Martinez RR, Dy RT, Gosney JE. 8th International Society of Physical Rehabilitation Medicine World Congress Cancun, Mexico June 4, 2014. Strongest.
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The role of the philippine physiatrist in a Large-Scale Natural Disaster The PARM Experience in Typhoon Haiyan Ganchoon, FG, Martinez RR, Dy RT, Gosney JE 8th International Society of Physical Rehabilitation Medicine World Congress Cancun, Mexico June 4, 2014
Strongest • typhoon in recorded history with estimated wind gusts of 235 mph and surface pressure measurement of 901.4 mb • storm recorded at landfall • storm surge recorded in East Asia of 9.14m due to strong winds, resulting in the majority of deaths due to drowning and catastrophic damage Highest • intensity of a Category 5 tropical cyclone with sustained winds of 315 kph (above the 252 kph threshold for a Category 5 hurricane, the highest category on the Saffir-Simpson scale) • Reference: Meteomedia
Guiuan, eastern samar AFP CENTRAL COMMAND November 8, 2013 First Landfall – Guiuan, Easter Samar Population – 47,047 (est)
Anibong, Tacloban, Leyte REUTERS/ROMEO RANOCO • IMPACT • Significant national impact: 6,268 confirmed deaths, 28,689 injured, and 1,061 missing, with • 3.4 million families (over 16 million persons) affected in 44 provinces, 57 cities, and 591 municipalities . • Reference: National Disaster Risk Reduction & Management Council (NDRRMC)
PARM Philippine Academy of Rehabilitation Medicine Membership: 340 PMR Centers: 412 Chapters • North Luzon (46) • National Capital Region (178) • Visayas (22) • Mindanao (20)
The Role of the Philippine Physiatrist in a Large-Scale Natural Disaster • Provide descriptive epidemiology of Typhoon Haiyan • Compare rehabilitation injury data from two affected populations • Summarize aid missions conducted by PARM members in the primarily-affected Visayas region • Describe the strategic development of PARM’s disaster rehabilitation program • Elaborate the potential role of a local physiatrist in a large-scale natural disaster using the example of the Philippine physiatrist in Typhoon Haiyan OBJECTIVES OF THE STUDY
Medical Missions Conducted by PARM CARES (Nov 2013 – Feb 2014) • NCR (Manila) • Philippine Orthopedic Center • Villamor Airbase • Region VI • Antique • Capiz • Iloilo • Lakawon Island • Northern Negros Occidental • Region VII • Northern Cebu • Bantayan Island • Region VIII • Leyte • Ormoc
Pm & r CONDITIONS EVALUATED INPHILIPPINE ORTHOPEDIC CENTER (POC) (Nov 10, 2013 – DEC 18, 2014)
Table 1: PM & R Conditions Evaluated at Philippine Orthopedic Center (POC) (November 10, 2013 - December 18, 2013)
23 RELIEF & Medical MISSIONS OF PARM CARES (Nov 10, 2013 – FEB 18, 2014)
Physiatrist Roles in Disaster Response • Clinical • First Responder • Triage/ER • Inpatient and Outpatient Rehabilitation • Medical Mission Volunteer Provider • Trainer • Non-Clinical • Rehabilitation Needs Assessor • Medical Mission Volunteer: leader, coordinator, relief distributor • Trainer • Disaster Rehab Program Developer • Researcher
International Society of Physical Rehabilitation Medicine (ISPRM) Japan Association of Rehabilitation Medicine (JARM) Korean Academy of Rehabilitation Medicine (KARM) Royal College of Physiatrist of Thailand (RCPT) • Philippine American Physiatrist Association (PAPA) World Rehabilitation Fund (WRF) United Auburn Indian Community Tribe (UAICT) Philippine National Day Association (PNDA) All Donors and Volunteers Our deepest gratitude to all the donors and volunteers
MARAMING SALAMAT • (Thank You) • MERON BA KAYONG TANONG? • (Questions?)