[L'OMS vient de publier en anglais seulement la nouvelle version du "Kit
sanitaire d'urgence : Médicaments essentiels et matériel médical pour une
population de 10 000 personnes pendant environ 3 mois". La dernière version
a été publiée en 1998.CB]
WHO/PSM/PAR/2006.4
The Interagency Emergency Health Kit 2006
Medicines and medical devices for 10,000 people for approximately 3 months
An interagency document
http://www.who.int/medicines/publications/mrhealthkit.pdf
Introduction
The organizations and agencies of the United Nations system and
international and nongovernmental organizations are called upon to respond
to an increasing number of largescale emergencies and disasters, many of
which pose a serious threat to health. Much of the assistance provided in
such situations is in the form of medicines and medical devices (renewable
and equipment).
During the 1980s, the World Health Organization (WHO) took up the question
of how emergency response could be facilitated through effective emergency
preparedness
measures. The aim was to encourage the standardization of medicines and
medical supplies needed in emergencies to permit a swift and effective
response with medicines and medical devices using standard, pre-packed kits
that could be kept in readiness to meet priority health needs in disaster
situations.
The Interagency Emergency Health Kit 2006 (IEHK 2006) is the third edition
of the WHO Emergency Health Kit which was the first such kit when it was
launched in
1990. The second kit, "The New Emergency Health Kit 98" was revised and
further harmonized by WHO in collaboration with a large number of
international and nongovernmental agencies. This updated third edition
takes into account the global HIV/AIDS epidemic, the increasing parasite
resistance to commonly available antimalarials and the field experience of
agencies using the emergency health kit.
Over the years the concept of the emergency health kit has been adopted by
many organizations and national authorities as a reliable, standardized,
affordable, and quickly available source of the essential medicines and
medical devices (renewable and equipment) urgently needed in a disaster
situation. Its content is based on the health needs of 10,000 people for a
period of three months.
This document provides background information on the composition and use of
the emergency health kit. Chapter 1 describes supply needs in emergency
situations and is intended as a general introduction for health
administrators and field officers. Chapter 2 explains the selection of
medicines and medical devices - renewable and equipment - which are included
in the kit and also provides more technical details intended for
prescribers.
Chapter 3 describes the composition of the kit, consisting of the basic and
complementary units. The annexes provide more details on treatment
guidelines, sample forms, a health card, guidelines for suppliers, other
kits for emergency situations, guidelines for medicines donations, a
standard procedure for importation of controlled medicines, references, and
useful addresses. A feedback form is also included to report on experiences
when using the emergency health kit and to encourage comments and
recommendations on the contents The WHO Department of Medicines Policy and
Standards (formerly known as the Department of Essential Drugs and Medicines
Policy) has coordinated the review process and has published this
interagency document on behalf of all collaborating partners.
Contents
Acknowledgments
Introduction
Chapter 1. Essential medicines and medical devices in emergency
situations
What is an emergency?
Principles behind the IEHK2006
Composition of IEHK2006
Referral system Immunization and nutrition in emergency
Reproductive health
Malaria
HIV, AIDS, tuberculosis and leprosy
Procurement of IEHK 2006
Post-emergency needs
Chapter 2: Selection of medicines and medical devices included in IEHK 2006
Selection of the medicines for IEHK 2006
Medicines not included in IEHK 2006
Selection of medical devices for IEHK 2006
Selection of equipment
Medical devices not included in IEHK 2006
Major changes in content since the 1998 edition of the emergency health kit
Chapter 3: Content of IEHK 2006
10 basic units - for health care workers with limited training
One supplementary unit - for physicians and senior health care workers
Basic unit (for 1,000 people for 3 months
Supplementary unit (for 10,000 people for 3 months)
Annex 1: Basic unit: treatment guidelines
Anaemia
Pain
Diarrhoea
Fever
Respiratory tract infections
Measles
"Red eye" condition
Skin
conditions
Sexually transmitted and urinary tract infections
Preventive care in pregnancy
Annex 2. Assessment and treatment of diarrhoea
A-2.1 Assessment of diarrhoeal patients for dehydration
A-2.2 Treatment of acute diarrhoea (without blood)
A-2.3 Treatment Plan B: oral rehydration therapy for children with some
dehydration
A-2.4 Treatment Plan C: for patients with severe dehydration
Annex 3: Management of the child with cough or difficult breathing
A-3.1 Assess the child
A-3.2 Decide how to treat the child
A-3.3 Child less than two months old
A-3.4 Child two months to five years old
A-3.5 Treatment instructions
Annex 4: Sample data collection forms
Annex 5: Sample health card
Annex 6. Guidelines for suppliers
Specifications for medicines and medical devices
Packaging
Packing list
Information slips
Annex 7. Other kits for emergency situations
Immunization
Nutrition
Reproductive health
Annex 8. Guidelines for Drug Donations
Selection of drugs
Quality assurance and shelf-life
Presentation, packing and labelling
Information and management
Annex 9. Model Regulatory Aspects of Exportation and Importation of
Controlled Substances
Introduction
Standard procedure for international transfer of narcotic and psychotropic
substances
Procedure to be followed in disaster relief
Outline of standard agreement between supplier and control authorities of
exporting countries
Shipment request/notification form for emergency supplies of controlled
substances
Annex 10.
References
Medicines
Medicine management
Communicable diseases
General public health
Child health
HIV and STIs
International travel and health
Malaria
Mental health
Nutrition
Reproductive health
Tuberculosis
Annex 11. Useful
addresses
Partners
Suppliers
Feedback form