MINISTRY of HEALTH of the REPUBLIC of TURKEY
Emergency Health Services General Directorate
Dr . Muzaffer AKKOCA

A- 112 EMERGENCY HEALTH SERVICES

PROVINCIAL ORGANOGRAM
MINISTRY OF HEALTH
Local Health Authority
Branch Office of Emergency
Health Services
(Ankara, İstanbul, İzmir, Bursa)
Local Ambulance Service (112)
112 Command and Control
Centre
112 Station
Branch Office of Disaster Health
Services
(Ankara, İstanbul, İzmir, Bursa)
Disaster Unit
UMKE
(National Medical
Rescue Team)

112 EMERGENCY HEALTH SERVICES
Hotline-112
Prompt and effective service at acsessing patients:
10’- Local
30’- Remote Area
Emergency Health Station 2.234
Ambulance
3
4+2 Number of Sea Ambulance
Number of Helicopter
Ambulance
Rapid Responce Team with motorcycle
Snow Track Ambulance
17
60
20
64 Ambulance with 4 stretcher
Intensive care &obese
Ambulance
91

112 EMERGENCY HEALTH SERVICES
112 Emergency
Capacity & Services
Patient transfered / year
Rural Population coverage(%)
Number of population per ambulance
4.228.297
100
18.561

112 EMERGENCY HEALTH SERVICES

112 EMERGENCY HEALTH SERVICES
Air Ambulance Services
Since 2008;
Case attended and transfered: 30.156
• Inbound Service: 8.128
patient/injured transfered with plane ambulance
.
•
Outbound Service: From abroad totally 391 patient/injured were transfered
.
• 22.028
patient/ injured transfered with helicopter ambulance

112 EMERGENCY HEALTH SERVICES
Sea Boat Ambulance Services
Since 2007;
Case attended and transfered: 6.957

B- HEALTH SERVICES AT DISASTERS

HEALTH SERVICES AT DISASTERS – HEALTH DISASTER PLANS
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DISASTER MANAGEMENT IN TURKEY
Prime Ministry
Crisis Management
Centre
Prime
Ministry
Crisis Centre of related ministry
Head of
Turkey
Disaster and
Emergency
Crisis Centres of Ministries
Domestic and
Foreign
Resources
General Staff Regional
Crisis
Managem ent Centre
Probable
Crisis Field
Govarnorate
Crisis
Management
Centre
Crisis Centres of district governors
Crisis (desks) offices of the state institutions and organizati ons
Crisis (desks) offices of the state institutions and organizations.
Garrison
Command
Needs
Precautions
Connection
Connection when needed

HEALTH MINISTRY – HEALTH DISASTER COORDINATION CENTRE (SAKOM)

HEALTH DISASTER COORDINATION CENTRE (SAKOM)
112
112 Call logging and Opr.
Management
Prime Ministry chief
Search and Rescue
The Red Crescent
AFOM
Turkish Military
Command
AFAD (Emergency and Disaster)
General directorate of health for borders and coasts . TELE Sağlık
SAKOM
Operation
Management
NGO’s WHO
OCHA/INSARA
G
Civil Aviation
Meteorology
Ministry of Internal
Affairs
Coast Guard

NATIONAL MEDICAL RESCUE TEAM (NMRT)
 Volunteer Health Staff
 Establishment: 2004
 Staff number: 7.557
 Theoretical Trainings
 Practical Trainings /
Practices

NMRT (NATIONAL MEDICAL RESCUE TEAM) LOGISTIC
 NMRT (NATIONAL MEDICAL RESCUE TEAM ) vehicle
 Mobile CC vehicle
 Heavy Climate type mobile hospital
 Inflatable tent hospital
 Mobile hospital equipment
 Mobile kitchen, bathroom-toilet and dorm
 KBRN material and equipments
 Mobile decontamination units

NMRT LOGISTIC

NMRT LOGISTIC

FOREIGN MISSIONS AND PRACTICES
 2004 İran-Bam Earthquake
 2004 Indonesia Tsunami Disaster
 2005 Pakistan Muzafferabad Earthquake
 2007 Afganistan Flood Disaster
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2011 Libya Establishment of Sahara Hospital
2011 Moldova NATO-EADRCC Practice
2011-2012 Libya release of patient/injured
2012 Somali transport of patient/injured
 2007 Sudan Nyala Sahara Hospital  2013 Somali Embassy attack
 2008-2013 Iraq transport of patient/injured  2011-2014 Somali Sahara Hospital
 2014 Gaza-Palestine transport of injured
 2014 North Iraq Derebune /Bersava camps
 2009 Kazakhistan NATO EADRCC Practice
 2009 Indonesia Earthquake
 2010 Haiti Earthquake
 2010 Release of Mavi Marmara
 2010 Pakistan Flood Disaster
 2011 Tunusia KBRN Practice
 2011 Japan Tsunami ve Nuclear Leak
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 health services
2015 Nepal earthquake
2011-… Health Services to Syrians

FOREIGN MISSIONS
 First exam 28-31/12/2003 , 31.000 killed İran Bam Earthquake
 First foreign mission held with organisational team Pakistan Muzafferabad Earthquake

İRAN BAM EARTHQUAKE (2003)
11 days mission
20.000 vaccination
330 health staff
Chlorination,Public Health Services
33.000 response to injuries
Trainings

INDONESIA TSUNAMİ (2014)
Banda Aceh-90 days operation;
With 17 physician, patient examined: 7600 + regional medical screening, medicine , public healthservices

HUMANITARIAN AID TO PAKISTAN (2005)
Commissioned Health Staff
Policlinical Examination
Inpatient Treatment
Surgery Number
213
56.884
4.012
429

AFGANISTAN FLOOD DISASTER (2007)
Patient examinations and medicine distributions with mules - 8 days

SUDAN SAHARA HOSPITAL (2006-2012)
Operation time:6 years
With 454 health staff,
451.340 medical examination, 5.661 surgical operation, 57.261 laboratuary examination made,
10.634 radiology services
5 ton medicine and medical materials used.

IRAQ TRANSPORTAION OF INJURED FROM AIR (2008-2013)
340 injured transported; from Bagdad, Mosul, Kirkuk, Necef, Erbil to Ankara with C-130 Cargo (ambulance) plane.

2. INDONESIA PADANG EARTHQUAKE (2009)
National Medical Rescue Team (NMRT)

HAITI EARTHQUAKE (2010)
Health Staff
Clinical Examination
Laboratory Examination
X-Ray
Surgical Operation
46
24.086
1265
1024
353

ISRAEL MISSION AFTER «MAVİ MARMARA» (2010)
21 Injured humanitarian Aid Volunteers rescued by 3 Ambulance plane.

PAKISTAN FLOOD DISASTER (2011)
Duration of Operation :9 mnths
With 146 health staff (34 physician)
 146.156 patient examination
 9.307 laboratory
 2081 x-ray
 17388 surgery & treatment

JAPAN SENDAI EARTHQUAKE VE TSUNAMİ (2011)
• Duration of Operation :28 days
• With 50 SAR & 5 NMRT

SOMALİ (2011)
 With 365 NMRT;
 343.162 clinical examination,
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2.672 surgical operation,
 24.006 laboratory examination,
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6.406 X-ray .

LİBYA INJURED RELEASE (2011)
Libya - 575 injured release by ships.

TRANSPORTATION OF INJURED FROM SOMALİ (2012)
Transportation injured from Mogadishu to Ankara.

INJURED TRANSPORTATION GAZA-PALESTINE (2014)
Gaza- 123 injured transported to Turkey for treatment.

HEALTH SERVICES TO SYRIANS
Since 29.04.2011,
Health Services given to Syrian Guests;
 Emergency Health Services,
 Public Health Services (Maternal and Infant Health, Environmental
Health, Vaccination, psychosocial support),
 Diagnostic & Curative Health Services.

273.565 CAMP POPULATION
Population of Syrians under temporary protection- by cities
KİLİS ELBEYLİ- CONTAINER CITY

HEALTH SERVICES TO SYRIANS
Total clinical examination
In-patients
Surgical Operation
Total Delivery
10.016.084
418.739
293.950
67.586

HATAY, GAZİANTEP, ŞANLIURFA, KİLİS, MARDİN, KAHRAMANMARAŞ, OSMANİYE,
ADIYAMAN, ADANA, MALATYA 946 NMRT (National Medical Rescue Team)

SUGGESTION
In order to improve health care personel competencies for disasters:
• Standardised emergency and disaster medicine trainings for Islamic
Countries
• Islamic medical response teams for international operations
• Emergency/disaster medicine training and simulation center