Emergency Surgery Workshop Davos 2011: Presentation by Olivier Hagon, MD, Anaesthesiologist and Emergency Doctor HUG, Medical Director Swiss Humanitarian Aid Unit and Swiss Rescue, SDC Bern, Switzerland

1. Eidgenössisches Departement für auswärtige Angelegenheiten EDA
Direktion für Entwicklung und Zusammenarbeit DEZA
Specialized Group medecine
Logistic
considerations
Emergency surgery workshop
Global Risk Forum
10 Dec 2011
O.Hagon MD
Federal Department of Foreign Affairs FDFA
Swiss Agency for Development and Cooperation SDC

2. Warehouse
Haiti Jan 2010

3. Logistics manager
Haiti Jan 2010

4. Blind assessment

5. Mission cycle
Preparedness Mobilization
Post-mission Mission
Demobilization
Source: INSARAG guidelines: International Search And Rescue Advisory Group

6. Preparedness (1/2)
Specifications of material and equipment (medical, food,
shelter, IT...)
Tender process
Awarding of suppliers
Purchasing
Tailoring / assembling of kits as per requirements (Tags)
Storage (accessibility, heat, humidity..)

7. Preparedness (2/2)
Maintenance: Expiration dates, sterilization, software
updates, batteries, test of technical equipment,…
Packaging: fit for rough handling, air transport, small
packages up to 100 kg (manual handling)
Manifest of equipment, drugs (Narcotics,…)
Dangerous goods: IATA regulations, documents
Official authorization of export
(documents, contact…)
Human Resources: Passenger list,…

8. Mobilization
Transport to meeting point (Airport): Personnel and
equipment
Uploading in the plane, Offloading on the recipient country
Export clearance: Customs (already prepare re-import),
dangerous goods
Transport from local airport to disaster area: available by
host country (fuel, truck…)
Specific issues: Fuel-supply to be organized locally,
oxygen available for technical equipment
Human Resources

9. Mission (1/2)
Set up of the logistic base: Housing, kitchen, first aid, IT
telecommunication, management meeting room,
“warehouse” for equipment, workshop for repairs, hygiene
installation (toilet / washing facilities,…)
Storage (accessibility, heat, humidity..): Big challenge,
as usually only storage-tents for specific / delicate
equipment, otherwise outside.
Security: Basically under responsibility of host country
Management of the material, medications: Stock control,
repairs, supply of consumables

10. Mission (2/2)
Catering: Auto sufficient for X days, but need for
water, fuel and fresh food iv available (fruit,
vegetables)
Distribution: Management of drivers/transports
(local capacity), ev. translators
Human Resources

11. demobilization
Control of equipment
Donation in kind (food, medicine, fuel,…)
Packaging: Ensure good packaging for multiple
handling and air transport
Documents: Establish updated cargo manifest and
dangerous goods documents
Transport
Human Resources

12. Post mission
Debriefing
SWOT analysis
Improvement for the next mission
Human Resources

13. Conclusions
Logistic a key element
Mission cycle
Interaction at every level and topic
All-rounder / specialized logistician
Sometimes a nightmare!

14. Special consideration
Donation in kind (2nd disaster?)
Guidelines for Drug Donations
Revised 1999
World Health Organization
Caritas Internationalis
Churches’ Action for Health of the World Council of Churches
International Committee of the Red Cross
International Federation of Red Cross and Red Crescent Societies
International Pharmaceutical Federation
Joint United NationsProgramme on HIV/AIDS
Médecins Sans Frontières
Office of the United Nations High Commissioner for Refugees
OXFAM
Pharmaciens Sans Frontières
United Nations Children’s Fund
United Nations Development Programme
United Nations Population Fund
World Bank

15. “As much as you are learning as much as you are
conscious of your ignorance”

16. Enjoy Switzerland
Dent Blanche and Matterhorn (Herens valley) 16