1. B-FAST
mission cycle
ISCRAM
Summer
School 2012
Created by: Marc Devalckeneer

2. The B-FAST history
Turkey France
Eartquake Hurricane
1999 Marianne
2000
Royal Decree
23 Feb 2003
Lessons Learned
A Federal approach
Is a must
Ministerial Decision
November 2000
Creation of B-FAST

3. General
International context
UN EU - MIC
EU - MIC EADRCC
OCHA Monitoring and
Monitoring and (NATO)
OSLO Information
Information guidelines &
guidelines Centre
Centre procedures
OCHA: Office for the Coordination of Humanitarian Affairs
EADRCC: Euro Atlantic Disaster Relief Coordination Centre

4. The phases of a disaster
DISASTER

5. B-FAST Structure
COUNCIL OF MINISTERS
B-FAST
COORDINATION COUNCIL
SECRETARIAT
ADVISORY
PLANNING COMMITTEE
COMMITTEE
HOME AFFAIRS DEFENCE PUBLIC HEALTH
PRIME MINISTER FINANCES DEVELOPMENT FOREIGN AFFAIRS
• All participants in the different modules
• Liaison with the LEMA, the Belgian Embassies
& International Organisations

6. Coordination Council
Executive body of B-FAST
• Takes decisions on Mid and Long term Planning
• Approves the proposals on Budget and Investments
• Approves the draft of SOP’s (Standard Operation
Procedures)
• Takes decisions on the proposal for action drafted by the
Planning Committee & Advisory Committee Proposals for
Operation and submit it to the Council of Ministers for
approval
Meetings
• Periodically at least twice a year & when a disaster occurs

7. Planning Committee
• Assessment of means, options and costs
• Submit to the Co-ordination Council proposal of Operation
• Assist the Co-ordination Council in the implementation of the
operation
• Sets up working groups
Meetings:
Operations: When a disaster is reported
Periodically: working groups…

8. B-FAST Means
Home Affairs Public Health
• Civil Protection & Fire • Field Hospital
brigades
• IDP Camp
• USAR
• Federal Police: DVI - Disaster • Co-ordination experts
Victim Identification • vaccination
• Co-ordination • water purification
• …
• Medic USAR
Defence
• Transport
Logistical Support
• CIS - Communication &
Information System • Humanitarian goods
• Co-ordination

9. A Modular System
B-FAST
Standard Module
Head of Mission Liaison- & Press Officer Logistical Support
Safety & Security Administration & Budget Communication
Medical Support

10. Airdrop B-FAST
Burn sets
Specific Modules
Floods Vaccination
Air Transport AMP – Advanced Medical Post
Pollution
DVI – Disaster Victim
Identification
USAR – Urban Search & Rescue
IDP – Internally Displaced Persons
Delivery of Humanitarian Goods
Air Cargo Handling & Warehousing Team
Field Hospital (base, Inpatient, Outpatient, Mother Child )

11. Urban Search And Rescue team
Module
Each team counts
27 persons
Team 1
Medium
Team 3
Team 2

12. Humanitarian Goods
Module
Blankets
Food (MRE’s)
Water
Sand Bags
Tents

13. • Medical support
• logistics
• Food & beverages
• Shelter & sanitation
• Technical support
• Personal equipment

14. IDP Module
Internally Displaced Persons
400 Tents
400 Lanterns
400 Buckets
400 H2O jerry cans
400 Cooking sets
400 Petrol Stoves
2000 Blankets
30 Bales Sheeting

15. Turkey Earthquake

16. Advanced Medical Post

17. 1. PURPOSE
To provide immediate basic, essential Field Hospital
curative, preventive and community
health care in emergency situations,
where local medical facilities are
insufficient or have been destroyed.
2. CAPACITY
This emergency unit has a principal
capacity of up to 30'000 population
served, using a modular approach
adjusting to the actual needs. There
is a secondary capacity of 20
overnight beds. The unit is self-
contained for one month.
3. PRINCIPAL TASKS
3. 1. Outpatient curative
Basic treatment according to WHO
basic treatment protocols, using
WHO Essential Drug lists.
Services, with 10 to 20 "overnight
beds" mainly for diarrhoeal and
observation cases.
3. 2. Preventive Mother and Child
Health Care (MCH)
Services, with an immunization
capacity for epidemics such as
measles.
Deliveries (very simple delivery bed ).

18. Field Hospital
reception
First aid &
minor pathology
Operation theatre
Recovery room
15 x25m² = 375m²
Pharmacy
Logistics/administration
Catering/shelter

20. Operation Criteria
• Operations in countries disaster victim with the exclusion of
the armed conflicts
• World Wide (with a focus on 6000 km)
• Based on different scenari, earthquakes, landslides, floods,
volcanic eruption, vegetation fires, droughts, famine,…
• International scope (knowledge, procedures,…)
• Interdepartmental “ad hoc” composition
• Self sustainable for max. 10 days unless otherwise decided by
the Council of Ministers
• Federal action in co-ordination with international organizations,
NGO’s, and the affected country
• Only during the Emergency Phase
• Engagement only after the official request of the affected
country

21. B-FAST operations in 2001
Poland
Algeria JUL 01
NOV 01 Floods
Landslides
Ukraine
El Salvador
MAA 01
FEB 01
Floods
Landslides
Peru
JUN 01
Earthquake
Bosnia-Herzegovina
JUN-JUL
Floods

22. B-FAST operations in 2002
Albania
SEP 02
Floods Czech Rep.
AUG 02
Floods
Ukraine
Spain/Portugal
AUG 02
NOV 02
Floods
Oil pollution
DRC GOMA
JAN - FEB 02
Vulcano outburst
Morocco
NOV 02
Floods, landslides,
Industrial accidents
Iran
JUN 02
Floods

23. B-FAST operations in 2003
Algeria
March
Earthquake
France
Dec 03
Floods
Filippines
Dec 03 /Jan 04
Landslides
Iran Bam
Dec 03/Jan 04
Earthquake

24. B-FAST operations in 2004
Paraguay
(Asuncion)
Aug 04
Fire in
warehouse
Filippines
Dec 04
Tornado
Morocco
Dec 03 / Jan 04
Al Hoseima
landslides
Feb 04
Earthquake
Iran Bam
Dec 03/Jan 04
Earthquake

25. B-FAST operations in 2005
Thailand
Romania Jan 05
Jul 05 Tsunami
DVI
Floods
Indonesia
Jan 05
Niger Tsunami
Aug 05 (UN Base
Starvation Camp)
Bulgaria
Aug 05
Floods
Pakistan
Okt 05
VS Earthquake
Aug 05
Tornado
Katrina

26. B-FAST operations in 2006
Roemenia
Suriname Apr 06
May 06 Floods
Floods
UNDAC
Bulgaria
Apr 06
Floods
Ethiopia
Aug 06
Floods

27. B-FAST operations in 2007
Earthquake Peru
Financial contribution UNDAC mission
Pakistan
Mexico
Floods & landslides UNDAC mission
Financial contribution
Ghana

28. B-FAST operations in 2008
Earthquake CHINA
Mei 2008
Mission 1: IDP
Mission 2: Field Hospital
HAITI MYANMAR
UNDAC mission Tropical cyclone
10 WHO kits
Water purification
station

29. B-FAST operations in 2009
SUMATRA Earthquake
Water purification station
EGYPT / GAZA
Evacuation wounded
children

30. B-FAST operations in 2010
Floods Romania
Supply of water purification
station and generators
Explosion DR Congo
Earthquake Haïti Floods Albanië Supply of medicines
Mission 1: USAR, Field Hospital medical coaching
Supply of boats and
Mission 2: Field Hospital medicines
Mission 3: referral hospital

31. B-FAST operations in 2011
EQ Turkey
IDP-camp
Moldova
EADRCC – NATO – exercise
AMP and USAR

32. B-FAST operations in 2012
Blast ammunition depot
Supply of medicines
medical coaching

33. Chronology of Actions
1 2 3
• Pre-Alert • End of Operation:
(if possible) hand over &
• Official Request disengagement
• Assessment • Completion of
Implementation stocks: maintenance
• Draft Proposal of & refurbishment
of the Operation
Operation
• Debriefing
• Approval of the
Proposal of • Lessons learnt
Operation • Mission Report

34. Haiti Earthquake

35. Tuesday January 12 2010
• 23.15
“Red earthquake alert (6.5M,depth:40km) in Haiti (Aboni) 12/1
21:53UTC, Pop100km:5.6m www.gdacs.org – JRC”
• 23.19
“Red earthquake alert (7.3M,depth:0km) in Haiti (Aboni) 12/1
21:53UTC, Pop100km:5.8m www.gdacs.org – JRC”
• 23.45
“Red earthquake alert (7.2M,depth:33km) in Haiti (Bras Droit)
12/1 22:12UTC, Pop100km:5.4m www.gdacs.org – JRC”
35

36. Wednesday January 13
• Throughout the night: monitoring via V-OSOCC and GDACS
36

37. 37

40. Wednesday January 13
• Throughout the night: monitoring via V-OSOCC and GDACS
• 06.00 – 08.00: consulting partners via phone/e-mail
“Alert : examining possibility mission Haiti.
• 08.00: pre-alarm
Check availability for next 2 weeks and
communicate through email.
• 10.00: meeting planning committee B-FAST
USAR as well as medical team.
40

41. 41

42. Issues to consider
Accessability of disaster area
Deployment time (USAR)
Political considerations
Cost
Means of transport
Needs assessment
Request for assisstance
Security situation
Response other countries
42

43. Wednesday January 13
• Throughout the night: monitoring via V-OSOCC and GDACS
• 06.00 – 08.00: consulting partners via phone/e-mail
• 08.00: pre-alarm
• 10.00: meeting planning committee B-FAST
• 12.00: executing decision of sending USAR team and field hospital;
SMS & e-mail
43

44. 44

45. Briefing Wednesday evening
45

46. 46

47. 47

48. 48

49. 23.30: B-FAST is airborne
49

50. 14 January 06.00: Arrival at
airport of Port-au-Prince
50

51. 51

52. USAR Operations
14-17 January

53. USAR Operations

54. Base of Operations

55. 55

56. Haiti Earthquake: damage assessments

57. Field Hospital
14/01 – 05/02

58. Field Hospital: triage
58

59. Field Hospital: emergency care
59

60. Field Hospital: Interventions
60

61. Field Hospital: in patient
61

62. Field Hospital: warehouse
62

63. Field Hospital: logistics (food,
shelter, ….)
63

64. Field Hospital: sanitation, waste management, …..
64

65. 65

66. Wednesday 20 January 2010
• Meanwhile In Belgium
• 12.51
Naschok in Haiti. Contact gehad met voltallig B-
FAST team : allen OK. Wij houden jullie op de
hoogte. B-FAST
Nouvelle secousse en Haiti. Contact avec tous les
membres B-FAST : tous OK. On vous tient au
courant. B-FAST
66

67. Out of Hospital
67

68. Haiti Earthquake: IDP concentrations

70. Disengagement / handover

71. 71

72. End of mission
72

73. Outputs / Humanitarian impact
• USAR: 3 victims extracted alive from the rubble
• FH rotation 1: 800 patients, approx. 15 surgeries per day
• FH rotation 2: 3000 patients, treated in field hospital & OOHM

74. After a mission
• Return home, spend time with family and friends, take some rest
• Be aware of own reactions, both mentally and physically
• Take part in a technical debriefing
• Share experience
• Prepare for the next mission
74

75. Questions ?