CROSS CULTURAL MENTAL HEALTH CROSS CULTURAL MENTAL HEALTH AND AND - PowerPoint PPT Presentation

CROSS CULTURAL MENTAL HEALTH CROSS CULTURAL MENTAL HEALTH AND AND THE INDIAN THE INDIAN OCEAN TSUNAMI OCEAN TSUNAMI

WHAT’ ’S AHEAD S AHEAD WHAT The tsunami The tsunami Operation Unified Assistance Operation Unified Assistance Focus on behavioral health Focus on behavioral health – Infrastructure Infrastructure – – Observations Observations – – Considerations for action Considerations for action – Home stretch Home stretch

THE TSUNAMI THE TSUNAMI The most powerful earthquake in 40 years erupted under the The most powerful earthquake in 40 years erupted under the Indian Ocean near Sumatra on Dec. 26, 2004. It caused giant, Indian Ocean near Sumatra on Dec. 26, 2004. It caused giant, deadly waves to crash ashore in nearly a dozen countries, killing g deadly waves to crash ashore in nearly a dozen countries, killin tens of thousands. tens of thousands.

ABOUT THE EARTHQUAKE ABOUT THE EARTHQUAKE The 9.0 earthquake occurred along 1,200 km of The 9.0 earthquake occurred along 1,200 km of seabed at a depth of 10 km seabed at a depth of 10 km it was so powerful, it made the earth wobble on it was so powerful, it made the earth wobble on its axis and permanently altered the region its axis and permanently altered the region it generated energy equivalent to the it generated energy equivalent to the simultaneous explosion of 23,000 Hiroshima simultaneous explosion of 23,000 Hiroshima atomic bombs atomic bombs it moved small islands off Sumatra's coast by it moved small islands off Sumatra's coast by as much as 20 and the north- -western tip of western tip of as much as 20 and the north Sumatra by 36 metres metres Sumatra by 36

ABOUT THE TSUNAMI ABOUT THE TSUNAMI The tsunami struck on a Sunday morning when The tsunami struck on a Sunday morning when families had gathered for a day at the beach families had gathered for a day at the beach When the water receded, adults and children When the water receded, adults and children alike ran to pick up fish lay flapping in the sand alike ran to pick up fish lay flapping in the sand The first wave was small in comparison to the The first wave was small in comparison to the destructive second wave. In Banda Aceh, destructive second wave. In Banda Aceh, survivors described the approaching wave as survivors described the approaching wave as “…a black wall the height of a coconut tree. a black wall the height of a coconut tree.” ” “… [70- -100 ft tall] 100 ft tall] [70

Tsunami Strike Times Sunday, December 26, 2004 0830 0930 1.0 0900 0830 2.0 0930 0759 3.5 1000 6.0

KOH LANTA, THAILAND

PHUKET BEACH, THAILAND PHUKET BEACH, THAILAND

WORLDWIDE SUMMARY WORLDWIDE SUMMARY

BANDA ACEH, INDONESIA

BANDA ACEH SUMMARY BANDA ACEH SUMMARY 127,000 dead. 30,000 missing 127,000 dead. 30,000 missing 40% municipal employees perished 40% municipal employees perished 90% all public buildings destroyed 90% all public buildings destroyed 12 of 21 health centers, 5 of 7 hospitals 12 of 21 health centers, 5 of 7 hospitals destroyed destroyed 100 schools rendered unusable 100 schools rendered unusable Coastal fisheries, rice fields destroyed Coastal fisheries, rice fields destroyed

BANDA ACEH SUMMARY BANDA ACEH SUMMARY 2/3 of all land records lost 2/3 of all land records lost Majority of bank records gone Majority of bank records gone Cement industry ruined Cement industry ruined Main commercial strips leveled Main commercial strips leveled Warehouses flattened Warehouses flattened 8- -12 inches of dense, salt 12 inches of dense, salt- -saturated mud saturated mud 8 covers the city up to 3 km from the shore covers the city up to 3 km from the shore

OPERATION UNIFIED ASSISTANCE ► Floating Tertiary care hospital ► 1000 bed capacity, 250 for OUA 275 Medical Personnel: 90 Medical Personnel: 18 Pub Health Personnel: ► 12 Operating Rooms, CT, Pharm, O2 Physicians, Nurses, Physicians, Physicians, Nurses, ► Full crew – 1,200+ personnel Corpsman, Specialists Nurses, Environmental Health, Social Workers ► Built a Supertanker in ’74, convt’d ’86 Medical engineer ► 894 ft long, disp 70,000 t. Psychologists ► Last key mission: Persian Gulf War 1990 Social workers ► Instances of previous use of flight deck USNS MERCY for patient operations: 0

MISSION MISSION * Primary mission: Project support ashore. * Primary mission: Project support ashore. Project Primary Care medical capability ashore: Project Primary Care medical capability ashore: Primary Medical Care - - Internal Medicine, Internal Medicine, Primary Medical Care Infectious Disease, OB/GYN, Pediatrics, Infectious Disease, OB/GYN, Pediatrics, Optometry, Dental, and Mental Health Mental Health. . Optometry, Dental, and Project other support functions ashore: Project other support functions ashore: Disease Surveillance, Field Testing, Laboratory Services, Disease Surveillance, Field Testing, Laboratory Services, Immunizations, Insect Control, Preventive Medicine, Veterinary Immunizations, Insect Control, Preventive Medicine, Veterinary Assistance, Engineer, Supply Distribution and field- -based based Assistance, Engineer, Supply Distribution and field services determined by HN and NGO partners. services determined by HN and NGO partners. * Secondary mission: Shipboard Health Services * Secondary mission: Shipboard Health Services

MERCY OPERATIONS SEQUENCE MERCY OPERATIONS SEQUENCE As of 17 Mar 05 Transit HADR Medical / Transit Assistance Dental Ops TSC USPHS Events 1 ST Rotation 29 Jan 6 Jan 3 Feb 05 May 19 Mar 22 Apr Singapore U/W from VIC Banda Singapore Pearl RTHP San San Aceh, ID Harbor Diego Kepualuan Diego Alor, ID LOCATION Dili, TP Madang, PG Majuro, MH 1 Unclassified Unclassified

Participating Nation Military Operations Participating Nation Military Operations INDIA C-130 x 1 Ships x 30 Helos x 30 C-130 x 2 Fixed Wing x 22 U-tapao Ships x 2 Forensic Helos x 3 Ships x 5 Team Med Team AN-32 x 7 Eng Team MI-8/17 x 6 1 x DVI Fixed wing x 1 Team Helos x 3 MP Team Fixed Wing x 2 Medical Team x 2 Med Team Field Hosp C-130 x 1 Eng Team x 2 HH-60 x 2 LST to ID Med Team SRI LANKA ALT x 2 LST to SL Field Khao Lak Hospital FFG Ships x 7 ARS 2 x helos Field Hospital Field Hospital Ship x 1 Colombo Eng Team Enroute Ship x 1 Helos x 1 Aceh Hospital Ship C-130 x 1 C-130 x 2 C-160 x 2 Helos x 2 Medan Water System Helos x 2 Ship x 1 C-130 x 1 Meulaboh DART Team Med Team Helo x 1 C-130 x 1 Ships x 2 ROWPU x 4 K.L. Eng Team Ships x 2 LPA – CJTF 629 LPD/AOR Med Team Helos x 2 CH-47 x 3 Eng Team HH-60 x 2 Ships x 12 Med Team Male Helos x 4 Helos x 13 Fixed Wing x 5 C-130 x 2 Ships x 28 C-130 x 5 Ships x 2 Helos x 2 French Ships X 2 C-130 x 2 CH-47 x 4 Eng Team Fixed Wing x 15 Helos x 8 Super Puma x 4 Med Team Med Team Swiss Helos x 3 Ships x 4 ETA: TBD Helos x 3 LST x 2 C-130 x 6 Fixed wing x 3 INDONESIA Eng Team Hospital B-707 x 1 Medical Team x 4 Ship UH-1 x4 AUS BRN DEU IDA KOR NOR SGP RNZAF B-757 in region LKA NZL THA AUT CAN FRA IND USA CHE JPN MYS PAK BGD Darwin GBR 2 x C-130 UNCLASSIFIED UNCLASSIFIED