National Department of Health 2010 FIFA World Cup

National Department of Health 2010 FIFA World Cup “A Health Strategy” 14 October 2009 1

Contents n n n n 2 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Health & Medical Services Planning Cycle Preparations Budget 2009 FIFA Confederations Cup Activities Challenges Department of Health

Contents n 3 Ministerial Guarantees Department of Health

Ministerial Guarantees to FIFA • Health and Medical Services “The infrastructure of the South African National Health System, with specific regard to the availability of a comprehensive medical service (including 24 -hour emergency medical treatment) and disaster management, will be put at the disposal of the 2010 FIFA World Cup in the cities where the games will be played. This applies to both foreign and local delegations including the FIFA delegation and representatives, SAFA, players, management and coaching staff, foreign and local spectators, media, sponsors, officials, administrators and the small business sector servicing the spectators at the respective venues. ” 4 Department of Health

Ministerial Guarantees to FIFA n 5 cont. The existing health infrastructure will be significantly upgraded in keeping with the governments mission to promote the health of all people of South Africa, and to provide caring and effective services ” Department of Health

Ministerial Guarantees to FIFA cont. Accreditation of Foreign Medical Personnel • Approval of medicines, scheduled substances and medical substances • Marketing, distribution, serving and consumption of Alcohol • 6 Department of Health

Contents Ministerial Guarantees n Legislation n 7 Department of Health

Legislation n n Special Measures Acts 11 & 12 National Health Act n Regulations Health and Medical Services for Mass Gatherings n Emergency Centres n Emergency Medical Services n 8 Department of Health

Contents Ministerial Guarantees n Legislation n Role of Department of Health n 9 Department of Health

Role of Department of Health n Minister n Custodian of health system Public n Private n n Government Guarantees n n Department of Health n 10 Minister has provided guarantee for health services mandated to ensure overall coordination and provision of health services Department of Health

Contents Ministerial Guarantees n Legislation n Role of Department of Health n Role of the LOC n 11 Department of Health

Role of the LOC 2010 FIFA World Cup n n Organisation Association Agreement (OAA) “ 36. Medical Services n n n 12 The Organising Association shall ensure and guarantee the availability of medical services and equipment of international standard throughout the Championship at all locations necessary for all people concerned also in line with the List of Requirements. By 30 June 2009 the Organising Association shall submit a concept for the provision of medical services and respective emergency measures (including 24 -hour emergency services, blood conserves and repatriation). FIFA may at all times require additional measures to cover medical services necessary for the Championship. ” Department of Health

Contents Ministerial Guarantees n Legislation n Role of Department of Health n Role of the LOC n DOH / LOC Relationship n 13 Department of Health

DOH / LOC Relationship n n n Overlap in service responsibilities Limited resource pool in the health sector Country event Establishment of a Memorandum of Understanding in June 2008 Established a Responsibility Matrix n 14 This is used mainly to determine who pays for what! Department of Health

STADIA MEDICAL SERVICES HEALTH SERVICES VOC medical centre - spectator medical post - spectator players medical centre doping control VIP medical centre information booths mass casualty station medical patrol - tiers medical patrol - precincts field response - players referees facilities ambulances - VIP / Players staging areas motorcades - govt VIPs hotels - govt VIPs ambulances response vehicles rescue vehicles aero-medical services port health environmental health communicable disease health promotion primary health care hospitals biochem, nuclear & rad emergency centres hospitals forensic pathology forensic medicine PHD X X X X X X X OC X X X X 15

BASE CAMPS AND TRAINING GROUNDS FIFA FAMILY REFEREES FIFIA RELATED EVENTS EG; FINAL DRAW hotels practice sessions-teams ambulances response vehicles practice sess-spectators Specialist Referrals Headquarters Hotels Hospitals Travelling Motorcades Headquarters Training Facilities Management FIFA family VIP medical centre - delegates EMS HQ hotels Communications motorcades X X X X X X X 16

DOH / LOC Relationship Casualty Clearing Station Stadia Spectator Medical Centre Players Medical Centre Spectator Medical Post Tier Personnel Precinct Patrols Environmental Health 17 cont. VIP Medical Centre Government OC On – Field Personnel Doping Control

DOH / LOC Relationship n Sole Service Provider n n n n 18 Players Medical Centre VIP Medical Centre On-field Personnel FIFA Motorcades FIFA Headquarter Hotels Team Base Camps Team Training Grounds Team Training in Stadia Referee Headquarters Referee Training Site Stadia Set Up and Breakdown FIFA Emergency Number Football for Hope Final Draw cont.

DOH / LOC Relationship n Budget Cost n n n R 30, 152, 000 Formal Contract Special Conditions n n n n 19 cont. Based on 2008 UPFS tariffs (to increase with new UPFS tariffs) Ambulances charges on standby rates only If patients transported then to the cost of OC Aero-medical Services standby will incur costs Motorcades charged for actual time deployed Costs for additional services not specified 50% up front to pay for additional equipment required Reconciliation post event

DOH / LOC Relationship Government cont. SA Football Assoc Strategic Structure DOH World Cup Unit Health Technical Task Team 20 Chief Medical Officer Medical Advisory Board Department of Health

DOH / LOC Relationship Government cont. SA Football Assoc Tactical Structure DOH World Cup Unit Health Technical Task Team Provincial Health 2010 Program Managers Chief Medical Officer Medical Advisory Board LOC Medical Officers Host Cities 21 Department of Health

DOH / LOC Relationship Government cont. SA Football Assoc Operational Structure Provincial Health 2010 Program Managers LOC Medical Officers Host Cities 22 Department of Health

Contents Ministerial Guarantees n Legislation n Role of Department of Health n Role of the LOC n DOH / LOC Relationship n Impact Areas : DOH n 23 Department of Health

Impact Areas : DOH n Ports of Entry n n n Headquarter Hotels (Govt. VIPs) n n n Medical Post Standby Medical Practitioners / Specialists Motorcade Routes (Govt VIPs) n 24 International Health Regulations Monitoring of communicable disease Teams Medical Equipment / Drugs Emergency Medical Services Strategic Deployment of Emergency Medical Services Department of Health

Impact Areas : DOH n n n n 25 cont. General accommodation areas Mass casualties Mass deaths Repatriation of patients / bodies Recreational areas Tourist destinations Tourist routes Department of Health

Impact Areas : DOH n Practice Sessions n 26 cont. Spectator Medical Centre / Medical Post Department of Health

Impact Areas n Stadium n n n Govt VIPs Spectators Support Personnel Vendors Service Providers Media cont. n n n n n 27 Medical Centres Medical Posts Casualty Clearing Station Ambulances Response Units Disaster Vehicles Rescue Units All Terrain Vehicles Golf Carts Department of Health

Contents Ministerial Guarantees n Legislation n Role of Department of Health n Role of the LOC n DOH / LOC Relationship n Impact Areas : DOH n Impact Areas : Host City n 28 Department of Health

Impact Areas : Host City n Primary n n Environmental Health Secondary Clinics n Communicable Disease n FIFA Fan Parks n Public Viewing Areas n 29 Department of Health

Contents Ministerial Guarantees n Legislation n Role of Department of Health n Role of the LOC n DOH / LOC Relationship n Impact Areas : DOH n Impact Areas : Host City n Scope of Responsibility n 30 Department of Health

Scope of Responsibilities n Command Control Management and Coordination n Planning n National Health Ops Centre (Nat. HOC/Prov. HOC) n Communications (Media) n Communications (Radio) n Information Systems n Legislation, Policy and Guidelines n Finance n 31 Department of Health

Scope of Responsibilities n cont. Health Services Environmental Health n Port Health n Travel Medicine n Communicable Disease n Hospitals n Health Promotion n Pharmaceuticals / Medical Equipment n Forensic Pathology n 32 Department of Health

Scope of Responsibilities n cont. Medical Services EMS n Medical Centres / Medical Posts n Mass Casualty / Deaths Contingency Planning n Aero-medical n Chemical, Biological, Radiological and Nuclear Hazards n 33 Department of Health

Contents n n n n n 34 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Department of Health

Health Technical Task Team Role Players n n n 35 Dept of Health (convener) Provincial Health Dept. SAMHS SA Police Services Host Cities SALOC SALGA Private Sector NGOs Professional Assoc. Statutory Bodies Department of Health

Health Technical Task Team Role Players n n n 36 Dept of Health (convener) Provincial Health Departments SAMHS SA Police Services Host Cities SALOC SALGA Private Sector NGOs Professional Associations Statutory Bodies n 14 Expert workgroups Department of Health

Health Technical Task Team n n n n 14 Expert Work Groups = n n n n 37 cont. Command & Control Communications Media Stadia Emergency Medical Services Hospitals Environmental Health Port Health Promotion Communicable Disease Pharmaceuticals Human Resources Forensic Pathology Chem, Bio, Radiological & Nuclear Department of Health

Contents n n n n n 38 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Department of Health

Responsibility Linkages National Health Command & Control X Communications Media Provincial Health X X Stadiums X EMS X Hospitals X Environmental Health X Port Health X Health Promotion X X X Human Resources X X X Communicable Disease X District/Primary Health X Forensic Pathology X X Biochem, Nuc & Radio X Pharmaceuticals 39 Local Government X X Department of Health

Responsibility Linkages SAPS Stadium Manager SAMHS CGTA Disaster Management Department of Health OC Venue Manager OC Venue Medical Officer Airport Company Host City 40 cont. Private Sector Department of Health

Contents n n n 41 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Health & Medical Services Planning Cycle Department of Health

Health and Medical Services Planning Cycle n 42 Phases n Phase 1 n Phase 2 n Phase 3 n Phase 4 n Phase 5 n Phase 6 n Phase 7 n Phase 8 n Phase 9 Master Planning Preparation Testing Confederation Cup Review of Plan Testing Final Preparation Execution of Plan Post Event 01/01/2008 – 31/03/2008 01/04/2008 – 31/01/2009 01/02/2009 – 31/03/2009 01/04/2009 – 31/07/2009 01/08/2009 – 31/01/2010 01/02/2010 – 31/03/2010 01/04/2010 – 31/05/2010 01/06/2010 – 31/07/2010 01/08/2010 – 31/03/2011 Department of Health

Contents n n n 43 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Health & Medical Services Planning Cycle Preparations Department of Health

Preparations n n Web-based Project Management System Web-site (http: //www. doh. gov. za/sa 2010) Health Promotion n Volunteer Registration n n Training Clinical Forensic Medicine n Incident Management n 44 Department of Health

Preparations n cont. Requirement for all areas; Medical Facility norms n Medical personnel norms n Medical equipment norms n Drugs and surgical sundries norms n Vehicle norms n Training n Standard Operations Procedures n Ingress & egress routes n 45 Department of Health

Preparations cont. n n n 2010 FWC Planning Framework Environmental Health strategies National Tenders and guidelines Medical Equipment n Rescue Equipment n Aero-medical services (helicopters) n Uniforms n Emergency Vehicles n Mass casualty equipment n 46 Department of Health

Contents n n n n 47 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Health & Medical Services Planning Cycle Preparations Budget Department of Health

Budget n 48 Funds allocated to Provinces for 2010 FWC (2007/8; 2008/9; 2009/10) R 825 Department of Health

Contents n n n n 49 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Health & Medical Services Planning Cycle Preparations Budget 2009 FIFA Confederations Cup Department of Health

2009 FIFA Confederations Cup n n n 50 Deployed from 30 May to 2 July 2009 >98 000 deployment hours were utilised with between 225 medical personnel on non-match days and 690 on match days 28 and 116 emergency medical vehicles were utilised. Department of Health

2009 FIFA Confederations Cup n 32 Hospitals designated n cont. Training Clinical Forensic Medicine 524 n Major Incident Medical Management System 281 n Hospital MIMMS 265 n SA Triage Scale 214 n n 51 Only 344 patients seen but resources on standby for major events. Department of Health

Contents n n n n 52 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Health & Medical Services Planning Cycle Preparations Budget 2009 FIFA Confederations Cup Activities Department of Health

Activities n n Health Technical Task Team (quarterly) Preparations Work Group (monthly) Private Sector Forum (monthly) Debrief related Task Teams n n n n 53 Command & Control Private Sector SOPs Volunteers Accreditation Inter-provincial agreements Establish provincial response teams Department of Health

Activities n Provincial & Host City visits n n n 54 cont. Completed Ethekwini, Nelson Mandela Bay, Cape Town – Nelspruit on 6/10/2009 FIFA Inspection Hospital disaster preparedness Technical Coordinating Committee Host City Forum Nat Joints Planning Team Department of Health

Activities n 55 cont. Project Management (PPO) Department of Health

Contents n n n n 56 Ministerial Guarantees Legislation Role of Department of Health Role of the LOC DOH / LOC Relationship Impact Areas : DOH Impact Areas : Host City Scope of Responsibility Health Technical Task Team Responsibility Linkages Health & Medical Services Planning Cycle Preparations Budget 2009 FIFA Confederations Cup Activities Challenges Department of Health

Challenges n n n 57 Budget Resources Port Health Residential Spread / Team Base Camps FIFA Fan Parks / Public Viewing Areas Department of Health

Any additions or subtractions? Thank you! 58