17 ağustos 1999 marmara ve 12 kasım 1999 bolu-düzce depremleri ...

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USA Agency for In.Dev.
Scott Tobias has arrived on 24.8.1999 and represents Georgia Centre of Disease Control. He is
leaving on 14.9.1999. He will be reporting to the US government about the sanitation, health and
environmental problems.
Norwegian Red Cross Health Team:
The Norwegian Team has arrived on the 21.8.1999 and they have an ERU. The Norwegian
hospital has 120 beds and is placed next to the Kocaeli University and SSK hospitals. The University
Hospital requires limited support unlike the SSK one. SSK doctors are visiting patients in Norwegian
hospital. The number of patients is expected to increase as the population is returning to the are. The
future plans will be decided. 3 tents needs to be winterised.
German Red Cross Team:
The German Team has arrived on the 21.8.1999 and can stay up to one year should this be
necessary. The German hospital has 80 beds and can be expanded up to 150 beds. 14 medical staff
are currently working. They need permanent bilingual Turkish doctors and medical staff are needed to
reduce the number of expats. They need doctors with longer rotation periods. 8 weeks will be
necessary to prepare the hospital for the winter conditions.
American Red Cross:
They are here to find out what is needed and what the American Red Cross can do to help. When
these are established, they will be ready to proceed with support for health related issues.
İzmit Municipality:
They are carrying out disinfection programme and checking out the environmental conditions. Yenimahalle
Health Centre building is in good condition and has lung disease specialist, 30 beds dialysis
centre based in İzmit and an out-patient department which operates in the city centre of İzmit.
Turkish Medical Association:
They are represented in Adapazarı, Golcuk and İzmit. They co-ordinate the medical services,
supply volunteer doctors, inform MoH about field services and build a health data base for the MoH.
They have long term intentions.
3-The Future of the Field Hospitals
Plans have not been finalised. Current problems are as follows:
-Staffing:Short term rotation periods, Turkish medical staff is needed.
-Continuity
-Tents:Winter conditions. Hygiene training.
-Training:Equipment and system training of the medical staff.
-Co-ordination:
The Spanish Team indicated that they had very close co-operation and enough doctors for the
first 15 days but after this period more doctors were needed. Training and co-ordination is needed for
an efficient operation. MoH appointed a long term medical co-ordinator, dr.Hasan Saglam who gave
the specifics of the operation related to the area and indicated that the system was under pressure of
ever increasing number of patients. Therefore they need more doctors, especially specialists.