2010 FIFA World Cup State of Readiness

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

2. Contents • 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

3. 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. Ministerial Guarantees to FIFA 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 ”

5. 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. Role of Department of Health Mandated to ensure overall coordination and provision of health and medical services utilising the entire health system

7. Scope of Responsibilities Command and Control Management and Coordination Planning National Health Operations Centre Provincial Health Operations Centres Communications (Media) Communications (Radio) Information Systems Legislation, Policy and Guidelines Finance

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

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

10. DOH / LOC Relationship Overlap in service responsibilities Government Guarantees versus Organising Association Agreement Limited resource pool in the health sector Establishment of a Memorandum of Agreement in June 2008 Background and mandates Duration of MOA Duties Financial considerations Conflict resolution Responsibility Matrix

11. DOH / LOC Relationship cont. • DOH appointed as service provider for LOC

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

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

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

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

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

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

18. Service Areas : DOH cont. • General accommodation areas • Mass casualties • Mass deaths • Repatriation of patients / bodies • Recreational areas • Tourist destinations • Tourist routes • Team Base Camps • FIFA Headquarters • FIFA HQ Hotels

19. Service Areas : DOH cont. • Practice Sessions • Spectator Medical Centre / Medical Post

20. Stadium Govt VIPs Spectators Support Personnel Vendors Service Providers Competitions Area Players Medical Centre On-field VIPs Medical Centres Medical Posts Casualty Clearing Station Ambulances Response Units Disaster Vehicles Rescue Units All Terrain Vehicles Golf Carts Service Areas cont.

21. Service Areas : Host City • Environmental Health • Clinics • Communicable Disease (concurrent) • FIFA Fan Parks • Public Viewing Areas

22. Responsibility Linkages Stadium Manager SA Police Services SA Military Health Services OC Venue Medical Officer CGTA Disaster Management Department of Health OC Venue Manager SA Airport Company Host City FIFA Private Sector

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

24. 2009 FIFA Confederations Cup • 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 utilised. • 32 Hospitals designated • Only 344 patients seen but resources on standby for major events.

25. Role Players Dept of Health (convener) Provincial Health Dept. SAMHS SA Police Services Host Cities SALOC SALGA Private Sector NGOs Professional Assoc. Statutory Bodies Planning and Preparation Structures Health Technical Task Team

26. 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 Planning and Preparation Structures cont Health Technical Task Team

27. 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 Planning and Preparation Structures cont Health Technical Task Team

28. 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 Planning and Preparation Structurescont Preparations Workgroup

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

30. Preparations Activitiescont. • Requirement for all areas; • Medical Facility norms • Medical personnel norms • Medical equipment norms • Drugs and surgical sundries norms • Vehicle norms • Training • Standard Operations Procedures • Access & egress routes

31. Preparations Activitiescont. • 2010 FWC Plan • Environmental Health strategies • National Tenders and guidelines • Medical Equipment • Rescue Equipment • Aero-medical services (helicopters) • Uniforms • Emergency Vehicles • Mass casualty equipment

32. Preparations Activities cont. Provincial & Host City visits FIFA Inspection – October 2009 Designated hospitals Hospital preparations Disaster preparedness Technical Coordinating Committee Host City Forum Nat Joints Planning Support Team

33. Preparations Activities cont. • Web-based Project Management System • Web-site(http://www.doh.gov.za/sa2010) • Health Promotion • Volunteer Registration • Training • Forensic Pathology Services • Incident Management

34. Preparations Activities cont. • Training • Clinical Forensic Medicine 524 • Major Incident Medical Management System 281 • Hospital MIMMS 265 • SA Triage Scale 214 • CBRN Department of Health

35. Stadia / FIFA Fan Parks / Public Viewing Areas Department of Health World Cup Unit MEDICAL FACILITIES PLANNING 2010 MOSES MAHBIDA STADIUM Department of Health World Cup Unit

36. Stadia / FIFA Fan Parks / Public Viewing Areas cont. Criteria for; Medical facility design Specifications for; Lighting, ablutions, electrical points, back up power, telecommunications, IT, sluice, fixed equipment Casualty Clearing Station

37. Stadia / FIFA Fan Parks / Public Viewing Areas cont. FIFA has issued specific requirements for the players and VIP medical centres, and doping control DOH have recommended plans for spectator facilities based on statistics from previous events, and with a view to forthcoming legislation

38. Stadia / FIFA Fan Parks / Public Viewing Areas cont. Mass Gathering Regulations Will be utilised to determine medical resource requirements at Mass Gatherings Refers to the MINIMUM medical staff requirements for Mass Gatherings Each venue should still have an individual risk assessment taking into account the layout, number of tiers, access to levels (e.g. stairs/ramps/lifts etc) Each event will also have an individual risk assessment

39. Comprehensive Costings

40. Stadia / FIFA Fan Parks / Public Viewing Areas cont. Analysis of the plans for each stadium Compliance workshops with the Organising Committee Technical Team and host city project managers and architects Ad hoc site meetings and inspections with all stadia FIFA inspections in February and October 2007, February, September 2008, February 2009 and October 2009

41. 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

42. 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

43. Challenges Timeous Information Budget EMS and Port Health Resources Port Health FIFA Fan Parks / Public Viewing Areas Residential Spread / Team Base Camps