2010 FIFA World Cup State of Readiness National Department of Health Health Portfolio Committee 10 March 2010

2010 FIFA World Cup

State of Readiness

National Department of Health

Health Portfolio Committee10 March 2010

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ContentsContents Government Guarantees Role of the Department of Health Scope of Responsibilities DOH / LOC Relationship Service Areas Responsibility Linkages Planning Cycle 2009 FIFA Confederation Cup Planning and Preparation Structures Preparations Activities Stadia / FIFA Fan Parks / Public Viewing Areas Legacy Challenges

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Ministerial Guarantees to FIFAMinisterial Guarantees to FIFA• Health and Medical ServicesHealth and Medical Services

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

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Ministerial Guarantees to FIFA Ministerial Guarantees to FIFA cont.cont.

The existing health infrastructure will The existing health infrastructure will be significantly upgraded in keeping be significantly upgraded in keeping with the governments mission to with the governments mission to promote the health of all people of promote the health of all people of South Africa, and to provide caring South Africa, and to provide caring and effective services ”and effective services ”

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Ministerial Guarantees to FIFA Ministerial Guarantees to FIFA cont.cont.

• Accreditation of Foreign Medical Accreditation of Foreign Medical PersonnelPersonnel

• Approval of medicines, Approval of medicines, scheduled substances and scheduled substances and medical substancesmedical substances

• Marketing, distribution, serving Marketing, distribution, serving and consumption of Alcoholand consumption of Alcohol

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Role of Department of Role of Department of HealthHealth

Mandated to ensure overall Mandated to ensure overall coordination and provision of health coordination and provision of health and medical services utilising the and medical services utilising the entire health systementire health system

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Scope of ResponsibilitiesScope of Responsibilities

Command and ControlCommand and Control Management and CoordinationManagement and Coordination PlanningPlanning National Health Operations Centre National Health Operations Centre Provincial Health Operations CentresProvincial Health Operations Centres Communications (Media)Communications (Media) Communications (Radio) Communications (Radio) Information SystemsInformation Systems Legislation, Policy and GuidelinesLegislation, Policy and Guidelines FinanceFinance

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Scope of Responsibilities Scope of Responsibilities cont.cont.

Health ServicesHealth Services Environmental HealthEnvironmental Health Port HealthPort Health Travel MedicineTravel Medicine Communicable DiseaseCommunicable Disease HospitalsHospitals Health PromotionHealth Promotion Pharmaceuticals / Medical EquipmentPharmaceuticals / Medical Equipment Forensic PathologyForensic Pathology

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Scope of Responsibilities Scope of Responsibilities cont.cont.

Medical ServicesMedical Services EMSEMS Medical Centres / Medical PostsMedical Centres / Medical Posts Mass Casualty / Deaths Contingency Mass Casualty / Deaths Contingency

PlanningPlanning Aero-medicalAero-medical Chemical, Biological, Radiological and Chemical, Biological, Radiological and

Nuclear Hazards Nuclear Hazards

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DOH / LOC RelationshipDOH / LOC Relationship

Overlap in service responsibilitiesOverlap in service responsibilities Government Guarantees versus Organising Government Guarantees versus Organising

Association AgreementAssociation Agreement Limited resource pool in the health sectorLimited resource pool in the health sector Establishment of a Memorandum of Establishment of a Memorandum of

Agreement in June 2008Agreement in June 2008 Background and mandatesBackground and mandates Duration of MOADuration of MOA DutiesDuties Financial considerationsFinancial considerations Conflict resolutionConflict resolution Responsibility MatrixResponsibility Matrix

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DOH / LOC RelationshipDOH / LOC Relationship cont.cont.

DOH appointed as service provider DOH appointed as service provider for LOCfor LOC

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DOH / LOC Relationship DOH / LOC Relationship cont.cont.

Sole Service ProviderSole Service Provider Players Medical CentrePlayers Medical Centre VIP Medical CentreVIP Medical Centre On-field PersonnelOn-field Personnel FIFA MotorcadesFIFA Motorcades FIFA HeadquartersFIFA Headquarters FIFA Headquarter HotelsFIFA Headquarter Hotels Team Base CampsTeam Base Camps Team Training GroundsTeam Training Grounds Team Training in StadiaTeam Training in Stadia Referee HeadquartersReferee Headquarters Referee Training SiteReferee Training Site Stadia Set Up and BreakdownStadia Set Up and Breakdown FIFA Medical Emergency NumberFIFA Medical Emergency Number Football for HopeFootball for Hope Final DrawFinal Draw

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Government OC

Spectator Medical Centre

Stadia

Spectator MedicalPost

Tier Personnel

Precinct Patrols

EnvironmentalHealth

Casualty Clearing Station

Players MedicalCentre

VIP MedicalCentre

On – FieldPersonnel

Doping Control

Team Base Camps

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Government SA Football Assoc

HealthTechnical

Task Team

Medical Advisory

Board

DOHWorld Cup Unit

ChiefMedical Officer

Strategic Structure

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HealthTechnical

Task Team Provincial Health 2010

Program Managers

Medical Advisory

Board

LOCMedical Officers

HostCities

DOHWorld Cup Unit

ChiefMedical Officer

Tactical Structure

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Provincial Health 2010

Program Managers LOC

Medical Officers

HostCities

Operational Structure

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Service Areas : DOHService Areas : DOH Ports of EntryPorts of Entry

International Health RegulationsInternational Health Regulations Monitoring of communicable diseaseMonitoring of communicable disease Teams Medical Equipment / DrugsTeams Medical Equipment / Drugs Emergency Medical ServicesEmergency Medical Services

Headquarter Hotels (Govt. VIPs)Headquarter Hotels (Govt. VIPs) Medical PostMedical Post Standby Medical Practitioners / SpecialistsStandby Medical Practitioners / Specialists

Motorcade Routes (Govt VIPs)Motorcade Routes (Govt VIPs) Strategic Deployment of Emergency Medical Strategic Deployment of Emergency Medical

ServicesServices

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Service Areas : DOH Service Areas : DOH cont.cont. General accommodation areasGeneral accommodation areas Mass casualtiesMass casualties Mass deathsMass deaths Repatriation of patients / bodiesRepatriation of patients / bodies Recreational areasRecreational areas Tourist destinationsTourist destinations Tourist routesTourist routes Team Base Camps Team Base Camps FIFA HeadquartersFIFA Headquarters FIFA HQ HotelsFIFA HQ Hotels

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Service Areas : DOH Service Areas : DOH cont.cont.

Practice SessionsPractice Sessions Spectator Medical Centre / Medical PostSpectator Medical Centre / Medical Post

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Service Areas Service Areas cont.cont.

StadiumStadium Govt VIPsGovt VIPs SpectatorsSpectators Support PersonnelSupport Personnel VendorsVendors Service ProvidersService Providers Competitions AreaCompetitions Area

Players Medical Players Medical CentreCentre

On-field On-field VIPsVIPs

Medical CentresMedical Centres Medical PostsMedical Posts Casualty Clearing Casualty Clearing

StationStation AmbulancesAmbulances Response UnitsResponse Units Disaster VehiclesDisaster Vehicles Rescue UnitsRescue Units All Terrain VehiclesAll Terrain Vehicles Golf CartsGolf Carts

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Service Areas : Host CityService Areas : Host City

Environmental HealthEnvironmental Health ClinicsClinics Communicable Disease (concurrent)Communicable Disease (concurrent) FIFA Fan ParksFIFA Fan Parks Public Viewing AreasPublic Viewing Areas

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Responsibility LinkagesResponsibility Linkages

Department ofHealth

SA Police Services

Host City

OC VenueManager

OC Venue Medical Officer

SA Military Health

Services

CGTA DisasterManagement

SA AirportCompany

FIFA

StadiumManager

PrivateSector

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Health and Medical Services Health and Medical Services Planning CyclePlanning Cycle

PhasesPhases Phase 1Phase 1 Master PlanningMaster Planning 01/01/2008 – 31/03/200801/01/2008 – 31/03/2008 Phase 2Phase 2 PreparationPreparation 01/04/2008 – 31/01/200901/04/2008 – 31/01/2009 Phase 3Phase 3 TestingTesting 01/02/2009 – 01/02/2009 –

31/03/200931/03/2009 Phase 4Phase 4 Confederation CupConfederation Cup 01/04/2009 – 31/07/200901/04/2009 – 31/07/2009 Phase 5Phase 5 Review of PlanReview of Plan 01/08/2009 – 01/08/2009 –

31/01/201031/01/2010 Phase 6Phase 6 TestingTesting 01/02/2010 – 01/02/2010 –

31/03/201031/03/2010 Phase 7Phase 7 Final PreparationFinal Preparation 01/04/2010 – 31/05/201001/04/2010 – 31/05/2010 Phase 8Phase 8 Execution of PlanExecution of Plan 01/06/2010 – 31/07/201001/06/2010 – 31/07/2010 Phase 9Phase 9 Post EventPost Event 01/08/2010 – 31/03/201101/08/2010 – 31/03/2011

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2009 FIFA Confederations 2009 FIFA Confederations CupCup

Deployed from 30 May to 2 July 2009Deployed from 30 May to 2 July 2009 >98 000 deployment hours were utilised >98 000 deployment hours were utilised

with between 225 medical personnel on with between 225 medical personnel on non-match days and 690 on match daysnon-match days and 690 on match days

28 and 116 emergency medical vehicles 28 and 116 emergency medical vehicles utilised. utilised.

32 Hospitals designated32 Hospitals designated Only 344 patients seen but resources on Only 344 patients seen but resources on

standby for major events.standby for major events.

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Planning and Preparation Structures

Role Players Dept of Health

(convener) Provincial Health

Dept. SAMHS SA Police Services Host Cities SALOC SALGA Private Sector NGOs Professional Assoc. Statutory Bodies

Health Technical Task Health Technical Task TeamTeam

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Planning and Preparation Structures cont

Role Players Dept of Health Provincial Health

Departments SAMHS SA Police Services Host Cities SALOC SALGA Private Sector NGOs Professional

Associations Statutory Bodies

14 Expert workgroups

Health Technical Task TeamHealth Technical Task Team

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14 Expert Work Groups =

Command & Control Communications Media Stadia Emergency Medical Services Hospitals Environmental Health Port Health Health Promotion Communicable Disease Pharmaceuticals Human Resources Forensic Pathology Chem, Bio, Radiological &

Nuclear

Health Technical Task TeamHealth Technical Task Team

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Participants NDOH 2010 World Cup Unit (convenor) NDOH Program Managers Provincial Health 2010 Coordinators SA Military Health Services SA Police Services LOC Medical Office Host Cities

Preparations WorkgroupPreparations Workgroup

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Preparations ActivitiesPreparations Activities Health Technical Task Team (quarterly)Health Technical Task Team (quarterly) Preparations Work Group (monthly)Preparations Work Group (monthly) Private Sector Forum (monthly)Private Sector Forum (monthly) Debrief related Task TeamsDebrief related Task Teams

Command & ControlCommand & Control Private SectorPrivate Sector SOPsSOPs VolunteersVolunteers AccreditationAccreditation Inter-provincial agreementsInter-provincial agreements Establish provincial response teamsEstablish provincial response teams

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Preparations ActivitiesPreparations Activities cont.cont.

Requirement for all areas; Requirement for all areas; Medical Facility normsMedical Facility norms Medical personnel normsMedical personnel norms Medical equipment normsMedical equipment norms Drugs and surgical sundries normsDrugs and surgical sundries norms Vehicle normsVehicle norms TrainingTraining Standard Operations ProceduresStandard Operations Procedures Access & egress routesAccess & egress routes

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2010 FWC Plan2010 FWC Plan Environmental Health strategiesEnvironmental Health strategies National Tenders and guidelinesNational Tenders and guidelines

Medical EquipmentMedical Equipment Rescue EquipmentRescue Equipment Aero-medical services (helicopters)Aero-medical services (helicopters) UniformsUniforms Emergency VehiclesEmergency Vehicles Mass casualty equipmentMass casualty equipment

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Preparations ActivitiesPreparations Activitiescont.cont.

Provincial & Host City visitsProvincial & Host City visits FIFA Inspection – October 2009FIFA Inspection – October 2009 Designated hospitalsDesignated hospitals Hospital preparationsHospital preparations

Disaster preparednessDisaster preparedness Technical Coordinating CommitteeTechnical Coordinating Committee Host City ForumHost City Forum Nat Joints Planning Support TeamNat Joints Planning Support Team

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Preparations ActivitiesPreparations Activitiescont.cont.

Web-based Project Management Web-based Project Management SystemSystem

Web-site(http://www.doh.gov.za/Web-site(http://www.doh.gov.za/sa2010)sa2010) Health PromotionHealth Promotion Volunteer RegistrationVolunteer Registration

TrainingTraining Forensic Pathology ServicesForensic Pathology Services Incident ManagementIncident Management

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TrainingTraining Clinical Forensic MedicineClinical Forensic Medicine 524 524 Major Incident Medical Management System 281Major Incident Medical Management System 281 Hospital MIMMSHospital MIMMS 265 265 SA Triage ScaleSA Triage Scale 214 214 CBRNCBRN

Department of Health

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Department of HealthWorld Cup Unit

Stadia / FIFA Fan Parks / Public Viewing Stadia / FIFA Fan Parks / Public Viewing Areas Areas

MEDICAL FACILITIES PLANNING

2010

MOSES MAHBIDA STADIUM

Department of Health

World Cup Unit

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Stadia / FIFA Fan Parks / Public Viewing Stadia / FIFA Fan Parks / Public Viewing Areas Areas cont.cont.

Criteria for;Criteria for; Medical facility designMedical facility design Specifications for;Specifications for; Lighting, ablutions, electrical points, Lighting, ablutions, electrical points,

back up power, telecommunications, IT, back up power, telecommunications, IT, sluice, fixed equipmentsluice, fixed equipment

Casualty Clearing StationCasualty Clearing Station

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FIFA has issued specific requirements FIFA has issued specific requirements for the players and VIP medical for the players and VIP medical centres, and doping controlcentres, and doping control

DOH have recommended plans for DOH have recommended plans for spectator facilities based on statistics spectator facilities based on statistics from previous events, and with a from previous events, and with a view to forthcoming legislationview to forthcoming legislation

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Mass Gathering RegulationsMass Gathering Regulations Will be utilised to determine medical Will be utilised to determine medical

resource requirements at Mass resource requirements at Mass GatheringsGatherings

Refers to the MINIMUM medical staff Refers to the MINIMUM medical staff requirements for Mass Gatheringsrequirements for Mass Gatherings

Each venue should still have an individual Each venue should still have an individual risk assessment taking into account the risk assessment taking into account the layout, number of tiers, access to levels layout, number of tiers, access to levels (e.g. stairs/ramps/lifts etc) (e.g. stairs/ramps/lifts etc)

Each event will also have an individual Each event will also have an individual risk assessment risk assessment

Comprehensive CostingsComprehensive Costings

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Service Area

Number of services

Hour per service Service component

Minimum Number of units

Adjusted units for 2010

Cost per unit per service

Total cost per service component

Total cost per service area

Total cost for all service areas

Ambulance 4 R 472 R 1,888Emergency Care Practitioner BLS / First Aiders 25 R 656 R 16,400Emergency Care Practitioner ILS 4 R 816 R 3,264Emergency Care Practitioner ALS 6 R 1,504 R 9,024Ambulance Personnel 8 R 656 R 5,248Doctor 2 11200 R 1,904 R 3,808Nurse 8 R 1,200 R 9,600Dedicated Medical Co-ordinator 8 R 816 R 6,528Medical Facility 8 R 0Ambulance 10.00 R 708 R 7,080Emergency Care Practitioner BLS / First Aiders 5.00 R 984 R 4,920Emergency Care Practitioner ILS 5.00 R 1,224 R 6,120Emergency Care Practitioner ALS 3.00 R 2,256 R 6,768Ambulance Personnel 20.00 R 984 R 19,680Specialist Medical practitioner 2.00 R 5,076 R 10,152Doctor 1.00 R 2,856 R 2,856Nurse 3.00 R 1,800 R 5,400Dedicated Medical Co-ordinator 1.00 R 1,224 R 1,224Operator 1.00 R 984 R 984Medical Command and Control Officer 2.00 R 1,224 R 2,448

R 24,024VOC 7 12 R 3,432

R 390,320

Mass Casualty Staging Area- Standard/Medium Stadium Stadium(50 000- 70 000)

7 12 R 64,200 R 449,400

DEPARTMENT OF HEALTH RESPONSIBILITY

Main matches Medium Stadium (70 000 spectators)

7 8 R 55,760

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Analysis of the plans for each stadiumAnalysis of the plans for each stadium

Compliance workshops with the Organising Compliance workshops with the Organising Committee Technical Team and host city Committee Technical Team and host city project managers and architectsproject managers and architects

Ad hoc site meetings and inspections with Ad hoc site meetings and inspections with all stadiaall stadia

FIFA inspections in February and October FIFA inspections in February and October 2007, February, September 2008, February 2007, February, September 2008, February 2009 and October 20092009 and October 2009

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Legacy

Emergency Medical Services Ambulances Aero-medical Services Communications National Tenders Volunteer Database

Web-based Project Management System Web-site (

http://www.doh.gov.za/sa2010) Health & Medical Services at Mass

Gathering Regulations Emergency Care Training

Emergency Care Technician Provincial Emergency Care Colleges

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Legacy cont.

Emergency Centres MIMMS SA Triage Score

Forensic Medicine Reception Centres Training

Volunteer Database Enhancing major incident / disaster

management strategies Improved co-operative governance Improved association between public and

private sectors

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ChallengesChallenges

Timeous InformationTimeous Information BudgetBudget EMS and Port Health ResourcesEMS and Port Health Resources Port HealthPort Health FIFA Fan Parks / Public Viewing AreasFIFA Fan Parks / Public Viewing Areas Residential Spread / Team Base Residential Spread / Team Base

CampsCamps

Documents

2010 FIFA World Cup State of Readiness National Department of Health Health Portfolio Committee 10 March 2010