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. 2023 May 18;14(6 Spec edition):1-6.
doi: 10.5365/wpsar.2023.14.6.1026. eCollection 2023.

Tonga national emergency medical team response to the 2022 Hunga Tonga-Hunga Ha'apai volcanic eruption and tsunami: the first deployment of the Tonga Emergency Medical Assistance Team (TEMAT)

Siosifa Sifa  1 , Sela Ki Folau Fusi  1   2 , Sean T Casey  3   4 , Penisimani Poloniati  5 , Kaloafu Tavo  5 , Yutaro Setoya  1 ; Ana; Akauolae
Affiliations

Tonga national emergency medical team response to the 2022 Hunga Tonga-Hunga Ha'apai volcanic eruption and tsunami: the first deployment of the Tonga Emergency Medical Assistance Team (TEMAT)

Siosifa Sifa et al. Western Pac Surveill Response J. .

Abstract

Problem: The undersea Hunga Tonga-Hunga Ha'apai volcano erupted on 15 January 2022, causing a tsunami that affected Tonga as well as other countries around the Pacific rim. Tonga's international borders were closed at the time due to the coronavirus disease pandemic, but clinical surge support was needed to respond to this disaster.

Context: Tonga's Ministry of Health formed the Tonga Emergency Medical Assistance Team (TEMAT) in 2018 to provide clinical care and public health assistance during disasters, outbreaks and other health emergencies. TEMAT was activated for the first time in January 2022 to respond to medical and public health needs following the eruption and tsunami.

Action: On 16 January 2022, a five-person TEMAT advance team was deployed to conduct initial damage assessments and provide casualty care. Subsequently, TEMAT rotations were deployed to provide clinical care and public health support across the Ha'apai island group for over 2 months.

Outcome: TEMAT deployed to the islands most affected by the volcanic eruption and tsunami within 24 hours of the event, providing emergency clinical, psychosocial and public health services across four islands. TEMAT reported daily to the Ministry of Health and National Emergency Management Office, providing critical information for response decision-making. All TEMAT actions were documented, and an after-action review was conducted following the deployment.

Discussion: TEMAT's deployment in response to the 2022 volcanic eruption and tsunami highlighted the importance of national emergency medical teams that are prepared to respond to a range of emergency events.

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Conflict of interest statement

STC is an associate editor of the Western Pacific Surveillance and Response journal. He was not involved in the editorial decision to publish this article. The other authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Map of Ha’apai islands indicating the islands to which TEMAT responded
See this image and copyright information in PMC

References

    1. First official update following the volcanic eruption. Nuku’alofa: Prime Minister’s Office, Government of the Kingdom of Tonga; 2022. Available from: https://pmo.gov.to/index.php/2022/01/28/first-official-update-following-..., accessed 27 April 2023.
    1. Hunga-Tonga Hunga-Ha’apai volcanic eruption. Nuku’alofa: National Emergency Management Office, Kingdom of Tonga; 2022 (Situation Report No. 4). Available from: https://www.gov.to/wp-content/uploads/2022/01/Sitrep-4_HTHH-Volcanic-Eru..., accessed 27 April 2023.
    1. Population and housing census 2021. Nuku’alofa: Tonga Statistics Department; 2021. Available from: https://tongastats.gov.to/census-2/population-census-3/, accessed 27 April 2023.
    1. Fakhruddin B, Reinen-Hamill R, Robertson R. Extent and evaluation of vulnerability for disaster risk reduction of urban Nuku’alofa, Tonga. Prog Disaster Sci. 2019;2:100017. 10.1016/j.pdisas.2019.100017 - DOI
    1. World risk report 2018: focus child protection and children’s rights. Berlin: Bündnis Entwicklung Hilft; 2018. Available from: https://reliefweb.int/report/world/world-risk-report-2018-focus-child-pr..., accessed 27 April 2023.

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