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Module: Organization: East Africa HEALTH Alliance, 2009-2012 Author(s): Dr. Joseph Chuwa (MoH, Tanzania) (Lead Author), Dr. Christoper Orach-Garimoi (MakSPH), Dr. Roy William Mayega (MakSPH), Dr. Simon Mamuya (Muhimbili Univ. SPH),, Dr. Tabu Simiyu (Moi Univ. SPH), Mr. Mike Renny Wafula (OPM, Uganda), Dr. G. Kabagambe (LIPHEA) Resource Title: Session 3.1 Fire License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution 3.0 License: http://creativecommons.org/licenses/by/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. For more information about how to cite these materials visit http://open.umich.edu/privacy-and-terms-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

Attribution Key for more information see: http://open.umich.edu/wiki/attributionpolicy Use + Share + Adapt { Content the copyright holder, author, or law permits you to use, share and adapt. } Public Domain Government: Works that are produced by the U.S. Government. (17 USC 105) Public Domain Expired: Works that are no longer protected due to an expired copyright term. Public Domain Self Dedicated: Works that a copyright holder has dedicated to the public domain. Creative Commons Zero Waiver Creative Commons Attribution License Creative Commons Attribution Share Alike License Creative Commons Attribution Noncommercial License Creative Commons Attribution Noncommercial Share Alike License GNU Free Documentation License Make Your Own Assessment { Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. } Public Domain Ineligible: Works that are ineligible for copyright protection in the U.S. (17 USC 102(b)) *laws in your jurisdiction may differ { Content Open.Michigan has used under a Fair Use determination. } Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (17 USC 107) *laws in your jurisdiction may differ Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair. To use this content you should do your own independent analysis to determine whether or not your use will be Fair.

Fire Compiled By The Eastern Africa Disaster Management Training Core Team Narrated by Dr. Roy William Mayega 3

Understanding Fire: Definition The uncontrolled burning of settlements, forests, vehicles and vessels A very frequent form of hazard in Eastern Africa May be accidental or deliberate (arson) May be natural or technological 4

Elements of Fire Represented by a triangle: Fuel Heat Oxygen If any of the three is removed then fire will not exist 5

Impact of fire Burns and Shock Disabilities and Deaths Damage and loss of property Environmental degradation and pollution 6

Factors that influence fire Vegetation and weather Combustibles and toxicity of flammables Absence of warning and Lack of knowledge Magnitude of exposure and age of victim Availability of fire fighting equipment Housing characteristics and absence of exits Access to nearest health facility 7

Causes of Fires i) Electrical causes - Broken and dirty insulators - Loose flexible wiring - Perishable or damaged insulation of wiring - Bad connections e.g. overloading - Incorrect fusing and poor earthing - Current traveling via a gas pipe 8

Causes of Fires i) Human causes - Smoking - Cooking and Unattended fire - Appliances left on cookers or irons - Aerosols and flammable liquids - Careless handling and Playing with fire - Arson - Misuse of appliances 9

Class A Fires Resulting from ordinary combustible materials such as wood, paper, grass, cotton (clothes) etc. Extinguishing media: Water, dry chemical powder, sand and fire beating 10

Class B Fires Result from flammable liquids such as kerosene, petrol, spirit, cooking fats etc. Extinguishing media: Foam and Dry chemical power 11

Class C Fires Involve gases such as methane, propane, butane etc. Gases can produce explosions Extinguishing methods: First close the valve of the container if possible You can also use dry chemical powder 12

Class D Fires Result from in metal heating such as Aluminum, Magnesium etc. Extinguishing media: Dry chemical powder 13

Freedom House, flickr 14

Electrical Fires Do not constitute a class on their own It becomes either a class A,B,C or D fire Extinguishing methods: Cut off the electricity then use extinguishing media Recommended media is Dry chemical powder or carbon dioxide 15

Methods of Fire Extinguition: i) Smothering: Process of removing oxygen (by blanketing) ii) Starvation: Process of removing fuel (by removing un burnt materials) iii) Cooling: is the process of removing heat (spraying water) 16

Omar Infante-Ramos, flickr 17

Demonstration: Portable Fire Extinguishers We shall have a brief demonstration on colour codes for fire extinguishers and their use Question: Examine the different types of fire extinguishers you see and read their lables What is their content? What classes of fires are they indicated for? Kindly check the expiry dates and service situation If possible, we shall also have a demonstration on the actual use of an extinguisher 18

Portable Fire Extinguishers Are the FIRST AID FIRE FIGHTING APPLIANCES (FAFFA) Normally operated by one man Types: Water Red label Foam cream label Dry chemical powder blue label Carbon dioxide black label Nowadays most extinguishers are red and are only differentiated by a colour code 19

Safety Implications of Hand Held Extinguishers Always note the following hazards:- Electrocution. Water/foam extinguishers are good conductor of electricity Inhalation of dry chemical powder, smoke and toxic gases may cause respiratory problems Frostbite from Carbon dioxide Failure rate higher; Weight Noise, especially carbon dioxide type Impaired vision e.g. dry chemical powder 20

Pre Hospital Fire Management Organize and establish control authority Extinguish the fire Conduct Rapid Needs Assessment Search and Rescue and evacuation of victims Initial triage and First Aid to the victims Transport victims to health facility Use available resources and mobilize for others if needed 21

Hospital Based Operations Activate Hospital contingency plans Assess magnitude, severity, number of victims Establish advance teams to the fire site Establish receiving mechanism and prepare admission ward Identification of burn emergency team Treat and manage victims according to degree of burns 22

Hospital Based Operations Refer the patient to higher health institutions Establish special burn treatment centres Alleviate shock by fluids, transfusion, surgery etc Certify death if any and provide mortuary facilities Keep records and inform appropriate authorities Monitoring, evaluation and rehabilitation 23

Fire Prevention What factors increase fire risk and how do you think fires can be prevented in institutions in your district? 24

Fire Prevention Building standards that incorporate hazard reduction No smoking signs Orderly arrangements of goods to avoid spontaneous ignition Provide space between goods and avoid congestion in dormitories Fire segregated walls where applicable Preventive measures against easy spread of fire 25

Fire Prevention Good House keeping: Regular checks on practices especially in vulnerable groups like schools Create awareness about the impact of fires to the community Collaborate with Fire and Rescue departments Reinforce legislations which control the buildings requirements Set bylaws on preventing bush fires 26

Fire Protection Installation of fire equipment inside and outside Fire escapes, exits and escape signs Protect building from extensive damage resulting from fires Aim is to protect people and properties but assure the continuity of operations 27

Fire Protection Hand appliances :Fire Extinguishers; Buckets of sand Fixed installations (using water) :Risers; Hose reels; External private hydrants Fixed installations (not using water): Foam; Gases; Dry chemical powder Automatic Sprinkler systems: Detect and extinguish fires, give information, prevents fire spread. Discharge water/foam/co 2 in form of spray 28

longhairthai.com, flickr 29

Fire Drills Should cover:- Fire alarm effectives Timelines of notification The fire teams conformance with established fire procedures Safe evacuation and assembly Emphasis on orderly evacuation rather than on speed Participants assemble to a predetermined location Remain there till a roll-call and dismissal signal is given 30

Evacuation Removal of people from an area of danger to a safe area in an orderly manner to prevent confusion and panic Risk of injuries should be minimized by following the required instructions Routine Emergency drills (evacuation and assembly) every 3 months Can be announced or unannounced drills 31

Evacuation Evacuation Assembly Point: Selected area for workers (staff) to run and assemble Should be pre-determined by the staff If a staff member is not seen during the roll call then fire team conducts search and rescue Rendezvous point for evacuation: A meeting point for first responders such as fire engines, ambulance, fighters, mobiles etc. Should also be predetermined Can be changed due to wind direction and fire situation 32

Thank you for the attention! Loco Steve, flickr 33

Additional Source Information for more information see: http://open.umich.edu/wiki/citationpolicy Slide 14, Image 1: Freedom House, "Syrians gather next to a burning building in the centre of Idlib in northwestern Syria on February 24, 2012", flickr, http://www.flickr.com/photos/syriafreedom/6826209982/, CC: BY 2.0, http://creativecommons.org/licenses/by/2.0/. Slide 17, Image 1: Omar Infante-Ramos, "Fire!", flickr, http://www.flickr.com/photos/omar_infante-ramos/2214054587/, CC: BY-NC-SA 2.0, http:// creativecommons.org/licenses/by-nc-sa/2.0/. Slide 29, Image 1: longhairthai.com, "Fire Fighters In Action", flickr, http://www.flickr.com/photos/longhairthai/3280485878/, CC: BY-NC-ND 2.0, http://creativecommons.org/licenses/by-nc-nd/2.0/. Slide 33, Image 1: Loco Steve, "Pearl river fire..", flickr, http://www.flickr.com/photos/locosteve/4349003896/, CC: BY 2.0, http:// creativecommons.org/licenses/by/2.0/.