Journal of Health Science

«“√ “√«‘™“°“√ “∏“√≥ ÿ¢
ªï∑’Ë Ò˜ ©∫—∫‡æ‘Ë¡‡µ‘¡ ˜ (惻®‘°“¬π - ∏—𫓧¡) ÚııÒ Vol. 17 Supplement VII (November - December) 2008

Original Article

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SVIIÒ

Assessment of Current Situation on Emergency Preparedness for the Health Sector and Communities in Phuket, Thailand

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SVII2

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°“√®—¥°“√§«“¡‡ ’ˬߠ“∏“√≥– (The Public Safety
Journal of Health Science 2008 Vol. 17 Supplement VII

°“√ª√–‡¡‘π°“√‡µ√’¬¡§«“¡æ√âÕ¡‡æ◊ËÕ√Õß√—∫¿—¬æ‘∫—µ‘¢ÕßÀπ૬ߓπ “∏“√≥ ÿ¢·≈–™ÿ¡™π ®—ßÀ«—¥¿Ÿ‡°Áµ

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º≈°“√»÷°…“
1. ¢âÕ¡Ÿ≈¥â“𧫓¡‡ª√“–∫“ß (vulnerability)*
®”π«πª√–™“°√°≈“ߪï 2549 ¢Õß®—ßÀ«—¥ √«¡
300,737 §π (™“¬ 144,391 §π À≠‘ß 156,346 §π)(6)
®”π«πª√–™“°√µà“ߥ⓫ 3  —≠™“µ‘ (æ¡à“ ≈“« °—¡æŸ™“)
∑’Ë¢÷Èπ∑–‡∫’¬π·√ßß“πµà“ߥ⓫„π‡¥◊Õπ°ÿ¡¿“æ—π∏å 2547
®”π«π 31,473 §π (™“¬ 21,256 §π À≠‘ß 10,217
§π(8) ·≈–§“¥ª√–¡“≥·√ßß“π∑’Ë ‰¡à¢π÷È ∑–‡∫’¬π ®”π«π
36,483 §π(9)
®”π«π ∂“π∫√‘°“√ “∏“√≥ ÿ¢ √«¡ 29 ·Ààß
·∫à߇ªìπ ‚√ß欓∫“≈∑—Ë«‰ª (¢π“¥ 503 ‡µ’¬ß) 1 ·Ààß
*Vulnerability À¡“¬∂÷ß  ¿“æ·≈–≈—°…≥–∑“ß°“¬¿“æ ªí®®—¬·≈–
°√–∫«π°“√µà“ß Ê ∑“ß —ߧ¡ ‡»√…∞°‘®·≈– ‘Ëß·«¥≈âÕ¡ ´÷Ëß∫àß™’ÈÕ—πµ√“¬
·≈–¡’º≈∑”„Àâ™ÿ¡™π¡’§«“¡≈àÕ·À≈¡ ‡ª√“–∫“ß ÕàÕπ·Õ ·≈–‰ª‡æ‘Ë¡
‚Õ°“ ∑’Ë∑”„À⇰‘¥§«“¡‡ ’ˬߵàÕ°“√‡°‘¥¿—¬æ‘∫—µ‘·≈–°“√‰¥â√—∫º≈°√–∑∫
®“°¿—¬æ‘∫µ— ¡‘ “°¢÷πÈ (6)

«“√ “√«‘™“°“√ “∏“√≥ ÿ¢ ÚııÒ ªï∑’Ë Ò˜ ©∫—∫‡æ‘Ë¡‡µ‘¡ ˜

‚√ß欓∫“≈™ÿ¡™π (¢π“¥ 60 ‡µ’¬ß) 2 ·Ààß ‚√ß欓∫“≈‡Õ°™π 3 ·Ààß (√«¡ 371 ‡µ’¬ß) ·≈–  ∂“π’
Õπ“¡—¬/»Ÿπ¬å·æ∑¬å™ÿ¡™π √«¡ 23 ·Ààß
 ∂“π– ÿ¢¿“æ ªï 2549 ‰¡àæ∫ Õ—µ√“¡“√¥“µ“¬
·≈–æ∫«à“ Õ—µ√“∑“√°µ“¬ 1.9 µàÕ1000 Õ—µ√“µ“¬¢Õß
‡¥Á°Õ“¬ÿµË”°«à“ 5 ªï 5.05 µàÕ 1000 Õ—µ√“∑“√°πÈ”Àπ—°
πâÕ¬°«à“ 2,500 °√—¡ √âÕ¬≈– 8.56 ·≈–‰¡àæ∫Õ—µ√“
¿“«–∑ÿ æ ‚¿™π“°“√√–¥— ∫ √ÿ π ·√ß ·≈–Õ— µ √“§«“¡
§√Õ∫§≈ÿ¡¢Õß«—§´’πÀ—¥ æ∫√âÕ¬≈– 96(9)
¢âÕ¡Ÿ≈®“°°“√ ”√«®ªï 2547 æ∫«à“ Õ—µ√“°“√
Õà“πÕÕ°·≈–‡¢’¬π‰¥â¢Õߪ√–™“°√∑’ÕË “¬ÿ√–À«à“ß 15-60
ªï ‡ªìπ√âÕ¬≈– 94.5 ·≈–Õ—µ√“Õà“πÕÕ°·≈–‡¢’¬π‰¥â
¢Õß µ√’ ‡ªìπ√âÕ¬≈– 94.5(10)
¢âÕ¡Ÿ≈¥â“π ÿ¢“¿‘∫“≈·≈– ‘Ëß·«¥≈âÕ¡ ®“°°“√
 ”√«®¢âÕ¡Ÿ≈§«“¡®”‡ªìπæ◊Èπ∞“π ªï 2549 æ∫«à“ §√—«‡√◊Õπ¡’§«“¡¡—Ëπ§ß„π∑’ËÕ¬ŸàÕ“»—¬ ·≈– §√—«‡√◊Õπ®—¥∫â“π
‡√◊Õπ/∫√‘‡«≥∂Ÿ° ÿ¢≈—°…≥–√âÕ¬≈– 95.3§√—«‡√◊Õπ¡’πÈ” –Õ“¥¥◊Ë¡·≈–∫√‘‚¿§µ≈Õ¥ªï √âÕ¬≈– 94.5 ·≈–§√—«
‡√◊Õπ¡’πÈ”„™â‡æ’¬ßæÕµ≈Õ¥ªï√âÕ¬≈– 92.8(8)
ªí ® ®ÿ ∫— π ®— ß À«— ¥ ¿Ÿ ‡ °Á µ ¡’ ° “√µ‘ ¥ µ—È ß √–∫∫ — ≠ ≠“≥
‡µ◊Õπ¿—¬„πæ◊Èπ∑’ˇ ’Ë¬ß ®”π«π 19 ·Ààß
2. ¢âÕ¡Ÿ≈∑—Ë«‰ª¢Õß°≈ÿࡵ—«Õ¬à“ß
≈—°…≥– à«π∫ÿ§§≈¢Õß°≈ÿࡵ—«Õ¬à“ß ®”π«π
105 §π æ∫«à“ °≈ÿࡵ—«Õ¬à“߇ªìπ‡æ»À≠‘ß¡“°°«à“‡æ»™“¬ (57.1% ·≈– 42.9% µ“¡≈”¥—∫) ‚¥¬ªØ‘∫—µ‘ß“π
„πÀπà « ¬ß“π “∏“√≥ ÿ ¢ 34 ·Àà ß ®“° ”π— ° ß“π
 “∏“√≥ ÿ¢®—ßÀ«—¥/Õ”‡¿Õ 4 ·Ààß Àπ૬∫√‘°“√ —ß°—¥
°√–∑√«ß “∏“√≥ ÿ¢ (‚√ß欓∫“≈/ ∂“π’Õπ“¡—¬) 24
·Ààß  —ß°—¥‡∑»∫“≈ 3 ·Ààß·≈–‡Õ°™π 3 ·Ààß ®”π«π
76 §π (72.4%) ¿“§√—∞Õ◊πË Ê ·≈–¡Ÿ≈π‘∏‘ 29 ·Ààß ®”π«π
29 §π (27.6%) Õ“¬ÿ‡©≈’ˬ 41.7 ªï (SD 9.0) ¡’
µ”·Àπà߇ªìπºŸâ∫√‘À“√√–¥—∫µâπ¡“°∑’Ë ÿ¥ (40.0%) √Õß
≈ß¡“‡ªìπºŸâªØ‘∫—µ‘ß“π (26.7%) ·≈– à«π„À≠à‡§¬¡’
ª√– ∫°“√≥å°“√™à«¬‡À≈◊ÕºŸâª√– ∫‡Àµÿ¿—¬æ‘∫—µ‘§≈◊Ëπ
¬—°…å ÷π“¡‘ (85.6%)

SVIIÛ

Assessment of Current Situation on Emergency Preparedness for the Health Sector and Communities in Phuket, Thailand

√âÕ¬≈–

3. ¢âÕ¡Ÿ≈¥â“𧫓¡æ√âÕ¡°“√‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘
3.1 ¢âÕ¡Ÿ≈‡°’ˬ«°—∫§” —Ëß·≈–°“√∫√‘À“√ß“π
°≈ÿࡵ—«Õ¬à“ß®“°Àπ૬ߓπ “∏“√≥ ÿ¢
¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘ ¡“°°«à“§√÷Ëß¡’§” —Ëß∑’ˇ°’ˬ«¢âÕß
°—∫°“√ªØ‘∫—µ‘ß“π¥â“π°“√√—∫¿—¬æ‘∫—µ‘ (59.6%) ‡°◊Õ∫
∑—ßÈ À¡¥¡’ ‚§√ß √â“ß°“√∫√‘À“√ß“π¿“¬„π‡¡◊ÕË ‡°‘¥¿—¬æ‘∫µ— ‘
(97.5%) ´÷Ëß‚§√ß √â“ßœ¡’°“√·µàßµ—ÈߺŸâ√—∫º‘¥™Õ∫‡ªìπ
≈“¬≈—°…≥åÕ—°…√ √âÕ¬≈– 85.0 ·≈–√–∫ÿÀπâ“∑’Ë „Àâ·°à
ºŸâ√—∫º‘¥™Õ∫ √âÕ¬≈– 90.0
„πÀπ૬ߓπ “∏“√≥ ÿ¢πâÕ¬°«à“§√÷ËßÀπ÷Ëß∑’Ë¡’§” —Ëß∑’ˇ°’ˬ«¢âÕß (44.1%)  à«π„π¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘
¡’§” —Ëß∑’ˇ°’ˬ«¢âÕß√âÕ¬≈– 88.9 (√Ÿª∑’Ë 1)
3.2 ¢âÕ¡Ÿ≈‡°’ˬ«°—∫·ºπ°“√‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘
3.2.1 °“√®— ¥ ∑”·ºπ°“√‡µ√’ ¬ ¡√— ∫ ¿— ¬
æ‘∫—µ‘¢Õß°≈ÿࡵ—«Õ¬à“ß®“°Àπ૬ߓπ “∏“√≥ ÿ¢ ¿“§
√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘ ®“° 63 Àπ૬ߓπ æ∫«à“ √âÕ¬≈–
77.8 ¡’°“√®—¥∑”·ºπ°“√‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘ ·≈–√âÕ¬≈–
22.2 ‰¡à¡’°“√®—¥∑”·ºπ°“√‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘
°≈ÿ¡à µ—«Õ¬à“ßÀπ૬ߓπ “∏“√≥ ÿ¢ ®“° 34
Àπ૬ߓπ æ∫«à“ √âÕ¬≈– 58.8 ¡’°“√®—¥∑”·ºπ°“√
‡µ√’¬¡√—∫¿—¬æ‘∫µ— ‘  à«π°≈ÿ¡à µ—«Õ¬à“ß®“°¿“§√—∞Õ◊πË Ê ·≈–
¡Ÿ≈π‘∏‘ æ∫«à“ √âÕ¬≈– 62.1 ¡’°“√®—¥∑”·ºπ°“√‡µ√’¬¡
√—∫¿—¬æ‘∫—µ‘¢ÕßÀπ૬ߓπ ∑’ˇÀ≈◊Õ (37.9%) „™â·ºπœ
√à«¡°—∫·ºπ√Õß√—∫¿—¬æ‘∫—µ‘¢Õß®—ßÀ«—¥
100
90
80
70
60
50
40
30
20
10
0

°“√®— ¥ ‡µ√’ ¬ ¡·ºπ°“√√— ∫ ¿— ¬ æ‘ ∫— µ‘ · ¬°
ª√–‡¿∑ °≈ÿࡵ—«Õ¬à“ß®“°Àπ૬ߓπ “∏“√≥ ÿ¢ ¿“§
√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘ æ∫«à“ §√÷ËßÀπ÷Ëß®—¥‡µ√’¬¡·ºπ°“√
√Õß√—∫¿—¬æ‘∫µ— ∑‘ °ÿ ª√–‡¿∑‡ªìπ·ºπ‡¥’¬«°—π (52.5%) ‚¥¬
·ºπ°“√‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘∑’Ë¡’°“√®—¥‡µ√’¬¡¡“°∑’Ë ÿ¥
‰¥â·°à ·ºπ√Õß√—∫¿—¬®“°Õ—§§’¿¬— (72.5%) √Õß≈ß¡“‰¥â·°à
·ºπ√Õß√—∫¿—¬®“°§≈◊Ëπ¬—°…å ÷π“¡‘ (65.0%) ·≈–·ºπ
√Õß√—∫¿—¬®“°Õÿ∑°¿—¬/«“µ¿—¬/‚§≈π∂≈à¡ (57.5%)
µ“¡≈”¥—∫
 ”À√— ∫ °“√®— ¥ ‡µ√’ ¬ ¡·ºπ°“√√— ∫ ¿— ¬ æ‘ ∫— µ‘ · ¬°
ª√–‡¿∑Àπà « ¬ß“π√–¥— ∫ Õ”‡¿Õ·≈–®— ß À«— ¥ „π¿“§
 “∏“√≥ ÿ¢ 11 ·Ààß (‚√ß欓∫“≈/ ”π—°ß“π “∏“√≥ ÿ¢
®—ßÀ«—¥/ ”π—°ß“π “∏“√≥ ÿ¢Õ”‡¿Õ ·≈–»Ÿπ¬å∫√‘°“√
 “∏“√≥ ÿ¢ °Õß°“√·æ∑¬å ‡∑»∫“≈π§√) ¡“«‘‡§√“–Àå
‡∑à“π—Èπ‡π◊ËÕß®“° ”π—°ß“π “∏“√≥ ÿ¢Õ”‡¿Õ‡ªìπºŸâ√—∫
º‘¥™Õ∫®—¥∑”·ºπ¢Õß ∂“π’Õπ“¡—¬„π‡¢µæ◊πÈ ∑’√Ë ∫— º‘¥™Õ∫
æ∫«à“ ¡’ 9 Àπ૬ߓπ∑’Ë¡’°“√®—¥∑”·ºπœ  à«π∑’ˇÀ≈◊Õ
‰¡à¡’°“√®—¥∑”·ºπœ ´÷Ëߧ√÷ËßÀπ÷Ëß®—¥‡µ√’¬¡·ºπ°“√
√Õß√—∫¿—¬æ‘∫—µ‘∑ÿ°ª√–‡¿∑‡ªìπ·ºπ‡¥’¬«°—π (54.6%)
 à«π·ºπ°“√‡µ√’¬¡√—∫¿—¬æ‘∫µ— ∑‘ ¡’Ë °’ “√®—¥‡µ√’¬¡¡“°∑’ Ë ¥ÿ
‰¥â·°à ·ºπ√Õß√—∫Õÿ∫—µ‘‡ÀµÿÀ¡Ÿà ·≈–·ºπ√Õß√—∫¿—¬®“°
Õ—§§’¿—¬ (63.6%) √Õß≈ß¡“‰¥â·°à ·ºπ√Õß√—∫¿—¬®“°
°“√§¡π“§¡¢π àß (54.6%)
 à « π°“√®— ¥ ‡µ√’ ¬ ¡·ºπ°“√√— ∫ ¿— ¬ æ‘ ∫— µ‘ · ¬°

100 96.6 97.5
88.9

89.7

90.9 89.7 90
8.5

72.7
59.6

¿“§ “∏“√≥ ÿ¢
¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘
¿“§√«¡

44.1

¡’§” —ßË ‡ªìπ
≈“¬≈—°…≥Õ—°…√

¡’‚§√ß √â“ß
°“√∫√‘À“√ß“π

¡’§” —Ëß·µàßµ—Èß
ºŸâ√—∫º‘¥™Õ∫

‚§√ß √â“ß
√–∫ÿÀπâ“∑’Ë

√Ÿª∑’Ë 1 °≈ÿࡵ—«Õ¬à“ß®”·π°µ“¡¢âÕ¡Ÿ≈¥â“ππ‚¬∫“¬

SVII4

Journal of Health Science 2008 Vol. 17 Supplement VII

°“√ª√–‡¡‘π°“√‡µ√’¬¡§«“¡æ√âÕ¡‡æ◊ËÕ√Õß√—∫¿—¬æ‘∫—µ‘¢ÕßÀπ૬ߓπ “∏“√≥ ÿ¢·≈–™ÿ¡™π ®—ßÀ«—¥¿Ÿ‡°Áµ

ª√–‡¿∑„π¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘ æ∫«à“ §√÷ËßÀπ÷Ëß®—¥
‡µ√’ ¬ ¡·ºπ°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ ∑ÿ ° ª√–‡¿∑‡ªì π ·ºπ
‡¥’¬«°—π (51.7%) ·ºπ°“√‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘∑’Ë¡’°“√®—¥
‡µ√’¬¡¡“°∑’ Ë ¥ÿ ‰¥â·°à ·ºπ√Õß√—∫¿—¬®“°Õÿ∑°¿—¬/«“µ¿—¬/
‚§≈π∂≈à¡ (79.3%) ·ºπ√Õß√—∫¿—¬®“°§≈◊Ëπ¬—°…å ÷π“¡‘
(79.3%) √Õß≈ß¡“‰¥â·°à ·ºπ√Õß√—∫¿—¬®“° Õ—§§’¿—¬
(75.9%) ·≈–·ºπ√Õß√—∫¿—¬®“°°“√°àÕ«‘π“»°√√¡/
°àÕ°“√√⓬ (58.6%) µ“¡≈”¥—∫
3.2.2 °“√‡µ√’ ¬ ¡°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ „ π
¥â“π∫ÿ§≈“°√ æ∫«à“ ¡’°“√°”Àπ¥∫ÿ§§≈√—∫º‘¥™Õ∫
√âÕ¬≈– 77.5 ‚¥¬°”Àπ¥Õ—µ√“°”≈—߇®â“Àπâ“∑’ˇ¡◊ËÕ‡°‘¥

¿—¬æ‘∫—µ‘ √âÕ¬≈– 76.9 (µ“√“ß∑’Ë 1) „π¿“§ “∏“√≥ ÿ¢
¡’°“√°”Àπ¥∫ÿ§§≈√—∫º‘¥™Õ∫∑ÿ°ß“π √âÕ¬≈– 63.6 ¡’
°“√®— ¥ ‡µ√’ ¬ ¡∑’ ¡ °Ÿâ ™’ æ ªØ‘ ∫— µ‘ ß “π„π·ºπ°Õÿ ∫— µ‘ ‡ Àµÿ
©ÿ°‡©‘π·Ààß≈– 1 ∑’¡ ®—¥∑’¡°Ÿâ™’懠√‘¡‡æ◊Ëժؑ∫—µ‘ß“π„π
Àπ૬ߓπ √«¡ 3 ·Ààß Ê ≈– 1 ∑’¡ ®—¥∑’¡°Ÿâ™’懠√‘¡
‡æ◊Ëժؑ∫—µ‘ß“π ≥. ®ÿ¥‡°‘¥‡Àµÿ √«¡ 2 ·Ààß Ê ≈– 1 ∑’¡
 à«π∑’ˇÀ≈◊Õ„™â∑’¡°Ÿâ™’懥’¬«°—∫∑’¡ªØ‘∫—µ‘ß“π„π·ºπ°
Õÿ∫—µ‘‡Àµÿ©ÿ°‡©‘π
°“√‡µ√’ ¬ ¡‡®â “ Àπâ “ ∑’Ë  ”À√— ∫ „Àâ ¢à “ «·°à  ◊ÕË ¡«≈™π æ∫«à“ √âÕ¬≈– 85.0 ¡’°“√®—¥‡µ√’¬¡‡®â“Àπâ“∑’Ë
 ”À√—∫„Àâ¢à“« (µ“√“ß∑’Ë 1)

µ“√“ß∑’Ë 1 °≈ÿࡵ—«Õ¬à“ß®”·π°µ“¡¢âÕ¡Ÿ≈¥â“π°“√‡µ√’¬¡∫ÿ§≈“°√
°“√ª√–‡¡‘π¥â“π°“√‡µ√’¬¡
·ºπ√—∫¿—¬æ‘∫—µ‘
°“√‡µ√’¬¡∫ÿ§≈“°√ (·Ààß)
- ¡’°“√°”Àπ¥∫ÿ§§≈√—∫
- º‘¥™Õ∫∑ÿ°ß“π
- ¡’°“√®—¥∑”∫—≠™’Õ—µ√“
- °”≈—ß„π°“√ªØ‘∫—µ‘ß“π
- ¡’°“√°”Àπ¥„Àâ¡’ºŸâ∑”Àπâ“∑’Ë
- „Àâ¢à“« “√·°à ◊ËÕ¡«≈™π
«‘∏’°“√‡√’¬°√–¥¡‡®â“Àπâ“∑’Ë (§π)
- ‚∑√»—æ∑åæ◊Èπ∞“π
- ‚∑√»—æ∑凧≈◊ËÕπ∑’Ë¢Õß
Àπ૬ߓπ
 à«πµ—«
- «‘∑¬ÿ ◊ËÕ “√
- ºà“π SMS
- ºà“π ∂“π’«‘∑¬ÿ
- ºà“π∫ÿ§§≈
- ºà“π‚∑√∑—»πå
- „™â√–∫∫‡ ’¬ß —≠≠“≥

Àπ૬ߓπ “∏“√≥ ÿ¢
n ®”π«π %

¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘
n ®”π«π %

n

11*

29

40

√«¡
®”π«π

%

7

22.5

24

77.5

31

100.0

6(1)

20.0

24

80.0

30(1)

100.0

9

26.5

25

73.5

34

100.0

76

29
70

73.6

32(1) 65.3
68
71.5
45
62.5
29
87.8
(1)
53.4
16
50
71.5
(1)
10
71.4
23
88.5

105
25

26.4

95

100.0

17
27
27
4
14
20
4
3(1)

34.7
28.5
37.5
12.2
46.6
28.5
28.6
11.5

49(1)
95
72
33
30(1)
70
14(1)
26(1)

100.0
100.0
100.0
100.0
100.0
100.0
100.0
100.0

(1)

‰¡àµÕ∫ (missing) = 1 (§”π«≥√âÕ¬≈–√«¡ºŸâ‰¡àµÕ∫)
*Àπ૬ߓπ “∏“√≥ ÿ¢ 11 ·Ààß = ‚√ß欓∫“≈√—∞+‡Õ°™π 6 ·Ààß  ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥/Õ”‡¿Õ 4 ·Ààß ·≈–°Õß°“√·æ∑¬å ‡∑»∫“≈ 1 ·Ààß

«“√ “√«‘™“°“√ “∏“√≥ ÿ¢ ÚııÒ ªï∑’Ë Ò˜ ©∫—∫‡æ‘Ë¡‡µ‘¡ ˜

SVIIı

Assessment of Current Situation on Emergency Preparedness for the Health Sector and Communities in Phuket, Thailand

°“√°”À𥫑∏’°“√‡√’¬°√–¥¡§πÀ√◊Õ‡®â“
Àπâ“∑’ˇæ◊ËÕ¡“ªØ‘∫—µ‘ß“π‡¡◊ËÕ‡°‘¥¿—¬æ‘∫—µ‘ ‚¥¬ à«π„À≠à
°”Àπ¥°“√‡√’¬°¥â«¬‚∑√»—æ∑åæ◊Èπ∞“π ·≈–‚∑√»—æ∑å
‡§≈◊ËÕπ∑’Ë à«πµ—« (90.5%) (µ“√“ß∑’Ë 1)
3.2.3 °“√‡µ√’ ¬ ¡°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ „ π
¥â“π ∂“π∑’Ë æ∫«à“ ¡’°“√°”Àπ¥ ∂“π∑’Ë®—¥µ—Èß»Ÿπ¬å
ªØ‘∫—µ‘°“√‡¡◊ËÕ‡°‘¥¿—¬æ‘∫—µ‘ √âÕ¬≈– 85.0  ∂“π∑’Ë√Õß√—∫
ºŸªâ √– ∫‡Àµÿ √âÕ¬≈– 72.4 ‚¥¬„πÀπ૬ߓπ “∏“√≥ ÿ¢
Àπ૬ߓπ√–¥—∫Õ”‡¿Õ·≈–®—ßÀ«—¥ 11 ·Ààß ¡’°“√®—¥
‡µ√’¬¡ ∂“π∑’˵“¡§«“¡ “¡“√∂¢ÕßÀπ૬ߓπ√Õß√—∫
ºŸâ∫“¥‡®Á∫„π√–¥—∫Àπ—°/√ÿπ·√ß√«¡ 47 √“¬ ºŸâ∫“¥‡®Á∫
„π√–¥—∫ª“π°≈“ß √«¡ 160 √“¬ ·≈–∫“¥‡®Á∫‡≈Á°πâÕ¬
√«¡ 500 √“¬  ∂“π∑’Ë°“√µ√«®ºŸâµ‘¥‡™◊ÈÕ‚√§‰¢âÀ«—¥π°
·≈–‚√§∑“߇¥‘πÀ“¬„®‡©’¬∫æ≈—π√ÿπ·√ß (SARS) √«¡
160 √“¬  ∂“π∑’√Ë ∫— ºŸµâ ¥‘ ‡™◊ÕÈ ‚√§‰¢âÀ«—¥π°·≈–‚√§ SARS
‡ªìπºŸâªÉ«¬„π √«¡ 16 √“¬ ·≈– ∂“π∑’ˇ°Á∫»æ (µŸâ‡¬Áπ
‡°Á∫»æ) √«¡ 18 »æ
3.2.4 °“√‡µ√’ ¬ ¡°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ „ π
¥â“π°“√ª√– “πß“π æ∫«à“ °≈ÿࡵ—«Õ¬à“ß à«π„À≠à¡’
°“√®—¥‡µ√’¬¡√“¬™◊ËÕÀπ૬ߓπÕ◊Ëπ∑’ˇ°’ˬ«¢âÕß°—∫°“√√—∫
¿—¬æ‘∫—µ‘„π√–¥—∫®—ßÀ«—¥ (68.2%) √“¬™◊ËÕÕ“ “ ¡—§√
¥â“π¿“…“µà“ߪ√–‡∑»„π√–¥—∫®—ßÀ«—¥ √âÕ¬≈– 17.5 ¥â“π
‡§√◊Ë Õ ß¡◊ Õ  ◊Ë Õ  “√ æ∫«à “ „π¿“æ√«¡¡’ ®”π«π«‘ ∑ ¬ÿ
 ◊ËÕ “√¡“°∑’Ë ÿ¥ 663 ‡§√◊ËÕß √Õß≈ß¡“§◊Õ‚∑√»—æ∑åæ◊Èπ∞“π √«¡ 360 §Ÿà “¬ ·≈–‚∑√ “√ √«¡ 95 ‡§√◊ËÕß
3.2.5 °“√‡µ√’ ¬ ¡°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ „ π
¥â“π«— ¥ÿ Õÿª°√≥å æ∫«à“ „πÀπ૬ߓπ “∏“√≥ ÿ¢¡’
°“√®—¥‡µ√’¬¡‡«™¿—≥±å∑’Ë “¡“√∂„Àâ∫√‘°“√ºŸâª√– ∫‡Àµÿ
‰¥â „ π¿“æ√«¡ ®”π«π 3,952 √“¬ ¡’ ° “√ ”√Õß
‡«™¿—≥±å‡æ‘Ë¡‡µ‘¡„π¿“«–¿—¬æ‘∫—µ‘/©ÿ°‡©‘π∑’Ë “¡“√∂„Àâ
∫√‘°“√ºŸâª√– ∫‡Àµÿ‰¥âÕ’° ®”π«π 305 √“¬ ¡’°“√
‡µ√’¬¡Õÿª°√≥å∑“ß°“√·æ∑¬å‡æ◊ËÕ√Õß√—∫ºŸâª√– ∫‡Àµÿ
®”π«π 3,456 √“¬  ”√ÕßÕÿª°√≥å∑“ß°“√·æ∑¬å‡æ‘Ë¡
‡µ‘ ¡ „π¿“«–¿— ¬ æ‘ ∫— µ‘ / ©ÿ ° ‡©‘ π ∑’Ë   “¡“√∂„Àâ ∫ √‘ ° “√ºŸâ
ª√– ∫‡Àµÿ‰¥âÕ’° ®”π«π 182 √“¬ ·≈–‡°◊Õ∫∑—ÈßÀ¡¥¡’

°“√µ√«® Õ∫‡«™¿—≥±å∑’Ë®—¥‡µ√’¬¡ (96.0%)
3.2.6 °“√‡µ√’ ¬ ¡°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ „ π
¥â“π¬“πæ“Àπ– æ∫«à“ ‚√ß欓∫“≈∑—ÈßÀ¡¥„π®—ßÀ«—¥
¿Ÿ‡°Áµ¡’®”π«π√∂欓∫“≈æ√âÕ¡Õÿª°√≥尟♒梗Èπ Ÿß √«¡
20 §—π √∂欓∫“≈æ√âÕ¡Õÿª°√≥尟♒梗Èπæ◊Èπ∞“π √«¡
8 §—π „π¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘ æ∫«à“ ¡’®”π«π√∂
欓∫“≈æ√âÕ¡Õÿª°√≥尟♒梗Èπæ◊Èπ∞“π √«¡ 5 §—π ‡√◊Õ
‡§≈◊ËÕπ∑’ˇ√Á«æ√âÕ¡Õÿª°√≥å°Ÿâ¿—¬ 1 ≈” √∂µ√«®°“√≥å 6
§—π √∂¬πµåæ√âÕ¡Õÿª°√≥å°Ÿâ¿—¬ 5 §—π
3.2.7 °“√‡µ√’ ¬ ¡°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ „ π
¥â“π°“√ªØ‘∫—µ‘ß“π‡¡◊ËÕ‡°‘¥¿—¬æ‘∫—µ‘
°“√®—¥‡µ√’¬¡°“√≈ß∑–‡∫’¬πÀ√◊Õ√“¬ß“π
µ—«ªØ‘∫—µ‘ß“π‡¡◊ËÕ‡°‘¥¿—¬æ‘∫—µ‘¢Õ߇®â“Àπâ“∑’Ë „π¿“æ√«¡
æ∫«à“ √âÕ¬≈– 69.9 ¡’°“√‡µ√’¬¡°“√≈ß∑–‡∫’¬πÀ√◊Õ
√“¬ß“πµ—«ªØ‘∫—µ‘ß“π¢Õ߇®â“Àπâ“∑’Ë √âÕ¬≈– 68.9 ¡’
°“√°”Àπ¥Àπâ“∑’Ë≈à«ßÀπâ“„ÀⷰຟâªØ‘∫—µ‘ß“π ‚¥¬„π
Àπ૬ߓπ “∏“√≥ ÿ¢ æ∫«à“ √âÕ¬≈– 67.1 ¡’°“√‡µ√’
¬¡°“√≈ß∑–‡∫’¬πÀ√◊Õ√“¬ß“πµ—«ªØ‘∫µ— ß‘ “π¢Õ߇®â“Àπâ“∑’Ë
√âÕ¬≈– 68.4 ¡’°“√°”Àπ¥Àπâ“∑’Ë≈à«ßÀπâ“„ÀⷰຟâªØ‘∫—µ‘
ß“π „π¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘ æ∫«à“ √âÕ¬≈– 77.8 ¡’
°“√‡µ√’¬¡°“√≈ß∑–‡∫’¬πÀ√◊Õ√“¬ß“πµ—«ªØ‘∫—µ‘ß“π
¢Õß∫ÿ§≈“°√ √âÕ¬≈– 70.4 ¡’°“√°”Àπ¥Àπâ“∑’Ë≈à«ßÀπâ“
„ÀⷰຟâªØ‘∫—µ‘ß“π
°“√®—¥‡µ√’¬¡°“√≈ß∑–‡∫’¬πÀ√◊Õ√“¬ß“π
µ—«ªØ‘∫µ— ß‘ “π‡¡◊ÕË ‡°‘¥¿—¬æ‘∫µ— ¢‘ ÕßÕ“ “ ¡—§√„π¿“æ√«¡
æ∫«à“ √âÕ¬≈– 65.0 ¡’°“√‡µ√’¬¡°“√≈ß∑–‡∫’¬πÀ√◊Õ
√“¬ß“πµ—«ªØ‘∫—µ‘ß“π¢ÕßÕ“ “ ¡—§√ √âÕ¬≈– 55.0 ¡’
°“√°”Àπ¥Àπâ“∑’Ë≈à«ßÀπâ“„Àâ·°àÕ“ “ ¡—§√
3.2.8 °“√‡µ√’ ¬ ¡°“√√Õß√— ∫ ¿— ¬ æ‘ ∫— µ‘ „ π
¥â“π°“√‡µ√’¬¡√–∫∫¢âÕ¡Ÿ≈
°“√®— ¥ ‡µ√’ ¬ ¡√–∫∫«‘ ‡ §√“–Àå ¢â Õ ¡Ÿ ≈ /
 ∂“π°“√≥å¢ÕßÀπ૬ߓπ∑—Èß¿“§ “∏“√≥ ÿ¢·≈–¿“§
√—∞/¡Ÿ≈π‘∏‘¡“«‘‡§√“–Àå (40 Àπ૬ߓπ) æ∫«à“ ¡“°°«à“
§√÷ßË ¢ÕßÀπà«¬ß“π¡’°“√π”¢âÕ¡Ÿ≈®“°°“√«‘‡§√“–Àå¢Õâ ¡Ÿ≈/
 ∂“π°“√≥å ‰ª„™â „π°“√«“ß·ºπ/ªØ‘∫—µ‘ß“π (60%) ·µà

SVII6

Journal of Health Science 2008 Vol. 17 Supplement VII

°“√ª√–‡¡‘π°“√‡µ√’¬¡§«“¡æ√âÕ¡‡æ◊ËÕ√Õß√—∫¿—¬æ‘∫—µ‘¢ÕßÀπ૬ߓπ “∏“√≥ ÿ¢·≈–™ÿ¡™π ®—ßÀ«—¥¿Ÿ‡°Áµ

¡’‡æ’¬ß§√÷ËßÀπ÷Ëß (55.0%) ∑’Ë¡’°“√®—¥‡µ√’¬¡‡®â“Àπâ“∑’Ë
«‘‡§√“–Àå¢âÕ¡Ÿ≈ ·≈–¡’‡æ’¬ß√âÕ¬≈– 15.0 ·≈– 7.5 ∑’Ë¡’
°“√®—¥‡µ√’¬¡‡§√◊ËÕß¡◊Õ·≈–‚ª√·°√¡«‘‡§√“–Àå¢âÕ¡Ÿ≈
Àπ૬ߓπ√–¥—∫Õ”‡¿Õ·≈–®—ßÀ«—¥„π¿“§
 “∏“√≥ ÿ¢ 11 ·Ààß æ∫«à“ √âÕ¬≈– 45.5 ¡’°“√®—¥
‡µ√’¬¡‡®â“Àπâ“∑’«Ë ‡‘ §√“–Àå¢Õâ ¡Ÿ≈ ¡’‡æ’¬ß√âÕ¬≈– 27.3 ·≈–
9.1 ∑’Ë¡’°“√®—¥‡µ√’¬¡‡§√◊ËÕß¡◊Õ·≈–‚ª√·°√¡«‘‡§√“–Àå
¢âÕ¡Ÿ≈ ‚¥¬§√÷ËßÀπ÷ËߢÕßÀπà«¬ß“π¡’°“√π”¢âÕ¡Ÿ≈®“°
°“√«‘‡§√“–Àå¢âÕ¡Ÿ≈/ ∂“π°“√≥å ‰ª„™â „π°“√«“ß·ºπ/
ªØ‘∫—µ‘ß“π (54.6%)
 ”À√—∫Àπ૬ߓπ„π¿“§√—∞Õ◊Ëπ Ê ·≈–
¡Ÿ≈π‘∏‘ æ∫«à“ √âÕ¬≈– 58.6 ¡’°“√®—¥‡µ√’¬¡‡®â“Àπâ“∑’Ë
«‘‡§√“–Àå¢âÕ¡Ÿ≈ ¡’‡æ’¬ß√âÕ¬≈– 10.3 ·≈– 6.9 ∑’Ë¡’°“√
®—¥‡µ√’¬¡‡§√◊ËÕß¡◊Õ·≈–‚ª√·°√¡«‘‡§√“–Àå¢âÕ¡Ÿ≈ ‚¥¬
¡“°°«à “ §√÷Ë ß ¢ÕßÀπà « ¬ß“π¡’ ° “√π”¢â Õ ¡Ÿ ≈ ®“°°“√
«‘‡§√“–Àå¢Õâ ¡Ÿ≈/ ∂“π°“√≥å ‰ª„™â „π°“√«“ß·ºπ/ªØ‘∫µ— ‘
ß“π (62.1%)
3.3 ¢âÕ¡Ÿ≈¥â“πß∫ª√–¡“≥
°“√‡µ√’¬¡ß∫ª√–¡“≥‡æ◊ËÕ√Õß√—∫¿—¬æ‘∫—µ‘
 à«ππâÕ¬¡’°“√‡µ√’¬¡ß∫ª√–¡“≥·¬°®“°ß∫ª√–¡“≥
ª√°µ‘ (20.6%) ‚¥¬„πÀπ૬ߓπ “∏“√≥ ÿ¢‰¡à¡’°“√
®—¥‡µ√’¬¡ß∫ª√–¡“≥‡æ◊ËÕ√Õß√—∫¿—¬æ‘∫—µ‘ ·≈–§‘¥«à“ß∫
ª√–¡“≥ª√°µ‘‰¡à‡æ’¬ßæÕµàÕ°“√√Õß√—∫ºŸâª√– ∫‡Àµÿ
µ“¡·ºπ°“√√—∫¿—¬æ‘∫—µ‘  à«π¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘¡’
°“√‡µ√’¬¡ß∫ª√–¡“≥‡æ◊ËÕ√Õß√—∫¿—¬æ‘∫—µ‘·¬°®“°ß∫

ª√–¡“≥ª√°µ‘ √âÕ¬≈– 46.4 (√Ÿª∑’Ë 2) ´÷Ëßß∫ª√–¡“≥
∑’ˇµ√’¬¡π—Èπ √âÕ¬≈– 54.5 ¢Õß°≈ÿࡵ—«Õ¬à“ߧ‘¥«à“‡æ’¬ß
æÕµàÕ°“√√Õß√—∫ºŸâª√– ∫‡Àµÿµ“¡·ºπ°“√√—∫¿—¬æ‘∫—µ‘
3.4 ¢âÕ¡Ÿ≈‡°’ˬ«°—∫°“√Ωñ°´âÕ¡·ºπ
°≈ÿà ¡ µ— « Õ¬à “ ß√à « ¡°“√Ωñ ° ´â Õ ¡°“√ªØ‘ ∫— µ‘
ß“πµ“¡·ºπ°“√‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘√à«¡°—∫‚√ß欓∫“≈
√âÕ¬≈– 67.6 ´÷Ëß à«π„À≠à¡’°“√Ωñ°´âÕ¡§√—Èß ÿ¥∑⓬‡¡◊ËÕªï
æ.». 2549 (83.1%) ‚¥¬„πÀπ૬ߓπ “∏“√≥ ÿ¢ ¡’
°“√√à«¡Ωñ°´âÕ¡°“√ªØ‘∫—µ‘ß“πµ“¡·ºπ°“√‡µ√’¬¡√—∫
¿—¬æ‘∫—µ‘ √âÕ¬≈– 65.8  à«π„À≠à¡’°“√Ωñ°´âÕ¡§√—Èß
 ÿ¥∑⓬‡¡◊ËÕªï æ.». 2549 (84.0%)  à«π¿“§√—∞Õ◊Ëπ Ê
·≈–¡Ÿ≈π‘∏‘¡’°“√√à«¡Ωñ°´âÕ¡°“√ªØ‘∫—µ‘ß“πµ“¡·ºπ°“√
‡µ√’¬¡√—∫¿—¬æ‘∫—µ‘ √âÕ¬≈– 72.4  à«π„À≠à¡’°“√Ωñ°´âÕ¡
§√—Èß ÿ¥∑⓬‡¡◊ËÕªï æ.». 2549 (81.0%)
°“√ª√–‡¡‘πº≈À≈—ß°“√Ωñ°´âÕ¡·ºπœ æ∫«à“
¡’ ° “√ª√–‡¡‘ π º≈√â Õ ¬≈– 70.4 ·≈–π”¢â Õ ¡Ÿ ≈ °“√
ª√–‡¡‘πº≈¡“ª√—∫‡ª≈’ˬπÀ√◊Õ·°â ‰¢·ºπœ √âÕ¬≈– 90.0
‚¥¬„πÀπ૬ߓπ “∏“√≥ ÿ¢¡’°“√ª√–‡¡‘πº≈√âÕ¬≈–
74.0 ·≈–π”¢âÕ¡Ÿ≈°“√ª√–‡¡‘πº≈¡“ª√—∫‡ª≈’ˬπÀ√◊Õ
·°â ‰¢·ºπœ √âÕ¬≈– 89.2  à«π¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘
¡’ ° “√ª√–‡¡‘ π º≈√â Õ ¬≈– 61.9 ·≈–π”¢â Õ ¡Ÿ ≈ °“√
ª√–‡¡‘πº≈¡“ª√—∫‡ª≈’ˬπÀ√◊Õ·°â ‰¢·ºπœ √âÕ¬≈– 92.3
°“√®—¥/ àß∑’¡∫ÿ§≈“°√‡¢â“Õ∫√¡øóôπøŸ°“√
ªØ‘∫µ— ß‘ “π∑’‡Ë °’¬Ë «¢âÕß°—∫°“√√—∫¿—¬æ‘∫µ— ‘ æ∫«à“ ¡’°“√®—¥/
 àß∑’¡∫ÿ§≈“°√‡¢â“Õ∫√¡øóôπøŸ √âÕ¬≈– 50.0 ¡’°“√®—¥∑”

100
85.3

80

√âÕ¬≈–

66.7

Àπ૬ߓπ “∏“√≥ ÿ¢
¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘
¿“§√«¡

60
44.8

44.8

40
20.6

20
0

11.8
3.5

0

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7.9

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2.9 3.5 3.2

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√Ÿª∑’Ë 2 Àπà«¬ß“π®”·π°µ“¡¢âÕ¡Ÿ≈¥â“π°“√‡µ√’¬¡ß∫ª√–¡“≥
«“√ “√«‘™“°“√ “∏“√≥ ÿ¢ ÚııÒ ªï∑’Ë Ò˜ ©∫—∫‡æ‘Ë¡‡µ‘¡ ˜

SVII˜

√âÕ¬≈–

Assessment of Current Situation on Emergency Preparedness for the Health Sector and Communities in Phuket, Thailand
80
70
60
50
40
30
20
10
0

60.7
50.7

56.7

65.6

66.7
59.6
50.0

50.0

54.6

Àπ૬ߓπ “∏“√≥ ÿ¢
¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘
¿“§√«¡
36.4
31

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ª√–™“™π

32.5

®—¥∑”§Ÿà¡◊ժؑ∫—µ‘µπ
„Àâ·°àª√–™“™π

√Ÿª∑’Ë 3 °≈ÿࡵ—«Õ¬à“ß®”·π°µ“¡¢âÕ¡Ÿ≈°“√Õ∫√¡/„À⧫“¡√Ÿâ

§Ÿà¡◊Õ/·π«∑“ß°“√ªØ‘∫—µ‘ß“π¢Õß∫ÿ§≈“°√ √âÕ¬≈– 59.6
„π¿“§ “∏“√≥ ÿ¢¡’°“√®—¥/ àß∑’¡∫ÿ§≈“°√‡¢â“Õ∫√¡øóπô øŸ
√âÕ¬≈– 50.7 ¡’°“√®—¥∑”§Ÿà¡◊Õ/·π«∑“ß°“√ªØ‘∫—µ‘ß“π
¢Õß∫ÿ§≈“°√ √âÕ¬≈– 57.6 „π¿“§√—∞Õ◊Ëπ Ê ·≈–¡Ÿ≈π‘∏‘
¡’°“√®—¥/ àß∑’¡∫ÿ§≈“°√‡¢â“Õ∫√¡øóôπøŸ √âÕ¬≈– 60.7 ¡’
°“√®—¥∑”§Ÿ¡à Õ◊ /·π«∑“ß°“√ªØ‘∫µ— ß‘ “π √âÕ¬≈– 65.5 (√Ÿª
∑’Ë 3)
„π¿“æ√«¡π”Àπ૬ߓπ∑’Ë¡’Àπâ“∑’Ë„π°“√„À⧫“¡√Ÿâ
·°àª√–™“™π¡“«‘‡§√“–Àå (66 ·Ààß) æ∫«à“ ¡’°“√®—¥
Õ∫√¡/„À⧫“¡√Ÿâ·°àÕ“ “ ¡—§√À√◊Õª√–™“™π √âÕ¬≈–
54.6 ¡’ ° “√®— ¥ ∑”§Ÿà ¡◊ Õ /·π«∑“ß°“√ªØ‘ ∫— µ‘ ß “π¢Õß
ª√–™“™π„π°“√ªØ‘∫—µ‘µπ‡¡◊ËÕ‡°‘¥¿—¬æ‘∫—µ‘ √âÕ¬≈– 32.5
(√Ÿª∑’Ë 3)

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SVII8

Journal of Health Science 2008 Vol. 17 Supplement VII

«‘®“√≥å

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SVII˘

Assessment of Current Situation on Emergency Preparedness for the Health Sector and Communities in Phuket, Thailand

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SVII10

Journal of Health Science 2008 Vol. 17 Supplement VII

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SVIIÒÒ

Assessment of Current Situation on Emergency Preparedness for the Health Sector and Communities in Phuket, Thailand
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1. Ministry of Public Health of Thailand. Thailand health
aspects and the management of the Tsunami disaster.
Document for WHO conference on the health aspects
of the Tsunami disaster in Asia Phuket; 2005; May 46 Bangkok: Thailand. n.p.; 2005.
2. Israngkura A. Economic impact of Tsunami on Thailand. [online] 2005 [cited July 17, 2007] Available
from: URL: http://www.info.tdri.or.th/reports/published/n75.pdf
3. Regional Office for South East Asia World Health
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4. United Nations World Health Organization and International Federation of Red Cross and Red Crescent
Societies. Tsunami recovery impact assessment and
monitoring system (TRIAMS) workshop Report. Report of Tsunami recovery impact assessment and monitoring system (TRIAMS) workshop; 2006 May 3-5.
Bangkok: Thailand; 2006.
5. π‘≈ÿ∫≈  Ÿàæ“π‘™. ·π«∑“ß°“√ªØ‘∫—µ‘ß“π ”À√—∫ºŸâªØ‘∫—µ‘ß“π
¿“§ π“¡„π°“√®— ¥ °“√§«“¡‡ ’Ë ¬ ß®“°¿— ¬ æ‘ ∫— µ‘ ‚ ¥¬Õ“»— ¬
™ÿ¡™π‡ªìπ∞“π„πª√–‡∑»‰∑¬. °√ÿ߇∑æ¡À“π§√: §≈—ß«‘™“;
2549.
6. World Health Organization. The public safety risk management framework. [cited 2006 Dec]. Available from:
URL: http://risk.rdec.gov.tw/Upload /A10/TechFile/
44.pdf
7.  ”π—°ß“π ∂‘µ‘ °√¡°“√ª°§√Õß °√–∑√«ß¡À“¥‰∑¬. Alien
population 2005. [online] 2006 [cited 2007 July 7];
Available from: URL: http://www.khonthai.com/
Alien/report_alien_25480228.html
8.  ”π—°ß“π ∂‘µ‘ °√¡°“√ª°§√Õß °√–∑√«ß¡À“¥‰∑¬. Department of Provincial administration, Ministry of Interior. Thailand population 2006. [online] 2007 [cited
2007 July 7]; Available from: URL: http://www.
dopa.go.th/dopanew/pop2549 html
9.  ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥¿Ÿ‡°Áµ. √“¬ß“πº≈°“√¥”‡π‘πß“π.
‡Õ° “√ª√–°Õ∫°“√µ√«®√“™°“√ ·≈–π‘‡∑»ß“π √Õ∫∑’Ë 1

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ªïß∫ª√–¡“≥ 2550 «—π∑’Ë 28 °ÿ¡¿“æ—π∏å - 2 ¡’π“§¡ 2550
(‡Õ° “√Õ—¥ ”‡π“). ¿Ÿ‡°Áµ:  ”π—°ß“π “∏“√≥ ÿ¢®—ßÀ«—¥¿Ÿ‡°Áµ;
2550.
The National Statistical Office. Population and Housing Census 2000. [cited 2007 January]; Available from:
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(ISDR). Hyogo framework for action 2005-2015:
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SVIIÒÛ

Assessment of Current Situation on Emergency Preparedness for the Health Sector and Communities in Phuket, Thailand

Abstract

Assessment of Current Situation on Emergency Preparedness for the Health Sector and
Communities in Phuket, Thailand
Surangsri Seetamanotch*, Lakkana Thaikruea**, Wiwat Seetamanotch***
*Thalang Hospital, Phuket, **Department of Community Medicine, Medicine Faculty, Chiang Mai
University, ***Phuket Provinicial Office
Journal of Health Science 2008; 17:SVII
One important issue for effective humanitarian relief is disaster preparedness that incorporating all the stakeholders at all levels. This study was aimed at assessing current situation on
emergency preparedness in Phuket. All target institutes from health (34) and communities (29)
involving with disaster preparedness at the first 24 hours were recruited. The responsible personnel
(105) from the institutes filled in the questionnaires based on their preparedness plan. Secondary
data were also retrieved. A cross-sectional descriptive design was conducted on January 2007. The
overall results showed that 85.6 percent of the personnel had experiences in rescuing disaster victims. For policy and management, there were 77.8 percent of institutes that had their own disaster
preparedness plans while 52.5 percent of institutes had general plan for any type of disaster. The
majority of the institutes’ plans had assignment for responsible personnel in all sections/departments (77.5%), manpower allocation for duty (76.9%), and assigned personnel for public relation
(85.0%) once disaster occurs. The common methods of recruitment personnel, if need be, were
telephone (90.5%) and personal mobile phone (90.5%). For space allocation, 85 percent of the
institute defined where to set a war room. The space allocations for injured victims were 47 severe
cases, 160 moderate cases, 500 mild cases, 18 corpses (freezer containers). They could handle 160
suspect avian influenza/severe acute respiratory syndrome (AI/SARS) cases at outpatient department and could admit 16 AI/SARS cases. For communication and coordination, 68.2 percent of the
institutes prepared lists of other institutes that involved with the disaster at a provincial level. The
institutes in health sector had medicine and medical supply in stocks that could cope with 3,952
victims. Some hospitals had Advance Life Support ambulances (20) and Basic Life Support ambulances (8). Only 20.6 percent of the institutes specially set aside disaster budget for the plan. About
67.6 percent of the institutes conducted rehearsal incorporated with hospitals and 50.0 percent of
them sent the personnel attending refreshing courses. There were different in preparedness between
health and non-health sectors. The overall current situation on emergency preparedness in Phuket is
good. However, some important issues still needs to be strengthened, including co-ordination, health
information system, communication system, budget allocation, and capacity training.

Key words:

SVII14

preparedness, disaster, health sector, communities

Journal of Health Science 2008 Vol. 17 Supplement VII

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