In light of Typhoon Haiyan and its impact on Philippines, the Yale-Tulane ESF-8 Planning and Response Program has produced this special report. The group that produced this summary and analysis of the current situation are graduate students from Yale and Tulane Universities.
It was compiled entirely from open source materials. Please feel free to forward the report to anyone who might be interested. Finally, for those of you who are deployed and responding to the crisis - if you need us to research a specific item/area for you let us know and we will do our best.
"Subclassing and Composition – A Pythonic Tour of Trade-Offs", Hynek Schlawack
Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 27 NOV 2013 - 12 PM
1. YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT
TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES
BACKGROUND
WEATHER OUTLOOK
EMERGING NEEDS/ PRIORITIES
CURRENT SITUATION
HEALTH
LINKS
PHILIPPINES
NATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCIL
PHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL
SERVICES ADMINISTRATION
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
DEPARTMENT OF HEALTH
DOH PHILIPPINE HEALTH ATLAS
DEPARTMENT OF TRANSPORTATION & COMMUNICATIONS
DSWD DISASTER MITIGATION AND RESPONSE SITUATION MAP
OFFICIAL GAZETTE
PHILIPPINE COAST GUARD
PHILIPPINE INFORMATION AGENCY
WEATHER PHILIPPINES
THE MANILA TIMES
GMA
PROJECT NOAH
FOOD
NUTRITION
WASH
EMERGENCY SHELTER
LOGISTICS
PROTECTION
US RESPONSE
INJURED
DEAD
5,500
26,136
CLUSTER MEETINGS
COORDINATION HUBS
CLUSTER LEADS
27 NOV 2013
(As of 12 PM EST)
INTERNATIONAL/REGIONAL
RELIEFWEB
OCHA HUB
Humanitarian Response - The Philippines
EUROPEAN
HUMANITARIAN AID AND CIVIL PROTECTION
CEDIM
UNITED STATES
THE DEPARTMENT OF STATE
OFDA
NOAA
PACOM
JOINT TYPHOON WARNING CENTER
NASA
VOA
US EMBASSY – THE PHILIPPINES
HEALTH INFORMATION
CDC
DISASTER INFORMATION MANAGEMENT CENTER
PORTALS AND RESOURCES
ASEAN COORDINATING CENTER FOR HUMANITARIAN ASSISTANCE ON
DISASTER MANAGEMENT
GDDAC
PREVENTION WEB – PHILIPPINES
THOMAS REUTERS FOUNDATION
UNDERGROUND WEATHER
GOOGLE CRISIS RELIEF MAP
HUMANITY ROAD
PACIFIC DISASTER CENTER
2. BACKGROUND
Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine
typhoon on record, killing at least 5,500 people
The thirtieth named storm of the 2013 Pacific typhoon season, Haiyan originated from an area of low
pressure several hundred kilometers east-southeast of Pohnpei in the Federated States of
Micronesia on 2 November. Tracking generally westward, environmental conditions favored tropical
cyclogenesis and the system developed into a tropical depression the following day.
After becoming a tropical storm and attaining the name Haiyan at 0000 UTC on 4 November, the
system began a period of rapid intensification that brought it to typhoon intensity by 1800 UTC on
November 5.
By 6 November, the Joint Typhoon Warning Center (JTWC) assessed the system as a Category 5equivalent super typhoon on the Saffir-Simpson hurricane wind scale; the storm passed over the island
of Kayangel in Palau shortly after attaining this strength.
it continued to intensify; at 1200 UTC on 7 November the Japan Meteorological Agency (JMA) upgraded
the storm's maximum ten-minute sustained winds to 235 km/h (145 mph), the highest in relation to the
cyclone. At 1800 UTC, the JTWC estimated the system's one-minute sustained winds to 315 km/h
(195 mph), unofficially making Haiyan the fourth most intense tropical cyclone ever observed.
On the morning of 8 November, category 5 Typhoon Haiyan (locally known as Yolanda) made a direct
hit on the Philippines, a densely populated country of 92 million people, devastating areas in 36
provinces.
The eye of the cyclone made its first landfall in the Philippines at Guiuan, Eastern Samar, without any
change in intensity.
AFFECTED AREA: Regions VIII (Eastern Visayas), VI (Western Visayas) and VII (Central Visayas) are
hardest hit, according to current information. Regions IV-A (CALABARZON), IV-B (MIMAROPA), V (Bicol),
X (Northern Mindanao), XI (Davao) and XIII (Caraga) were also affected. Tacloban City, Leyte province,
with a population of over 200,000 people, has been devastated, with most houses destroyed. An aerial
survey revealed almost total destruction in the coastal areas of Leyte province.
SOURCES:
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
3. EMERGING NEEDS
MEDICAL AND PUBLIC HEALTH
• Reproductive health kits (Tacloban and elsewhere)
• Insufficient coordination between incoming foreign medical
teams and local health officials
• Limited capacity for the treatment of severe and moderate
acute malnutrition
FOOD AND WATER
• Nutrition supplies are urgently needed in Panay
• No water supplies in municipality of Barbaza, Antique, and
some municipalities/cities in Capiz and Iloilo
• Water services are down and pipes need repairing in northwest Leyte
• Government requested support for agricultural inputs and
crop to farmers in time for the planting season (mid-January)
•
•
•
•
•
• An estimated 4 million corrugated iron sheets and other shelter
material are needed
• CGI sheets, fixings and tools needed
• Evacuation centers lack safe spaces for lactating women to
breastfeed
LOGISTICAL BARRIERS
• Debris clearance and waste management
• Information about which small roads are blocked by debris
• Limited amount of warehouse facilities to store relief supplies
(Tacloban)
• Storage at Tacloban airport
• Lack of fuel in Guiuan
• Limited trucking capacity exists in Guiuan but could be
augmented from Tacloban
• Lack of heavy equipment for debris-clearing needed
• Power outages
• Some provinces and municipalities/cities in Regions IV-B,
V, VI, VII, and VIII
1,920 tons of rice seeds
330 tons of corn seeds
2,200 tons of fertilizers
11,000 agricultural tool kits
1,400 small irrigation water pumps
SECURITY
•
•
•
•
TEMPORARY SHELTER, EVACUATION CENTERS, AND CAMPS
The presence of female police remains limited
Security personnel lack knowledge of protection issues
Safe spaces for women and children
Documents need to be re-issued, as many were lost
• Philippines: Typhoon Haiyan Situation Report 18
• NDRRMC SitRep No. 43
OTHER
• Shortage of funds for Local Government Units to implement
short-term emergency employment and mid- to long-term
recovery and reconstruction projects
• An estimated 12,250 workers will need personal protective
equipment and tools for debris clearance
• Tents and other temporary learning spaces for schools
• Learning and recreation materials
4. EMERGING PRIORITIES
FOOD AND WATER
• Life-saving food assistance needed for 2.5 million people
• Gaps in food assistance in coastal areas of Eastern Samar
and small isles in northern Cebu
• Eight evacuation centers in Tacloban with the largest
number of IDPs are being prioritized for WASH support
SHELTER & URGENT HOUSEHOLD ITEMS
• Over 3.5 million displaced of which 222,600 are living in one of
the 1,068 evacuation centers
• Entire population (1,240 families) of the barangay affected by
the oil spill off the coast of Estancia, Iloilo Province, require
temporary shelter solutions
• Address overcrowding in evacuation centers
• Local markets cannot meet the demand for shelter materials
• More assistance from partners in Region VI (Western Visayas)
ESSENTIAL HEALTH SERVICES
• Region VIII (Eastern Visayas) has highest amount of
typhoon-relayed health needs
• 25% of the adult population suffers from hypertension
• 5% or adult population suffers from diabetes
• Promote appropriate infant and young child feeding
practices (IYCP) for 200,000 children
• 865 births/day in affected communities, with around 15%
experiencing potentially life-threatening complications
• Infant and young child feeding practices
•
•
•
• Over 800 schools have sustained major damage and 4,485
classrooms need replacement
• Debris clearing of schools
• Collect information on the non-assessed schools in the most
affected areas
• Collect information on the status of day care centers and
children
• Initial phases of the education response will focus on the
resumption of learning activities through the establishment of
temporary learning spaces, as well as the provision of
psychosocial support for children, teachers and other
education staff
Micronutrient supplementation to 30,600 children aged
6-59 months
Blanket supplementary feeding for children aged 6-23
months
Rreatment for some 600 children aged 6-59 months
with severe acute malnutrition and 2,100 with
moderate acute malnutrition
• Only 18% of children under 5 fully immunized against
measles
• Only 83% of children under 5 immunized against polio
• 5.5 million affected children need psychosocial and health
services
• Tracing of the locations and causes of diarrhea outbreaks
•
•
•
EDUCATION
Philippines: Typhoon Haiyan Situation Report 18
NDRRMC SitRep No. 43
UNICEF: SitRep #6
OTHER
• Intensify tracking mechanisms for separated children
• Collection of sex and age disaggregated data on IDPs
• 40% of affected people have communication problems with
separated family members
• Most areas in Leyte and Samar are unreachable by the media
• 42% of affected people have documentation needs
• A targeted response to the Mamanwa ethnic group in Marabut
is needed
• Over 5 million workers’ livelihoods in nine of the country’s 17
regions were affected
5. WEATHER OUTLOOK
GALE WARNING NO. 21
For: Strong to gale force winds associated with the surge of Northeast Monsoon.
Issued at 5:00 p.m. today, 27 November 2013
Strong to gale force winds is expected to affect the seaboards of Northern Luzon.
Synopsis:
Tail-end of a cold front affecting Northern Luzon. Trough of a Low Pressure Area affecting
Mindanao.
Forecast:
Metro Manila and the regions of Ilocos, Cordillera, Cagayan Valley, Central Luzon and
Mindanao will have cloudy skies with light to moderate rainshowers and thunderstorms. The
rest of the country will be partly cloudy to cloudy with isolated rainshowers or
thunderstorms.
Daily AccuWeather
PAGASA Gale Warning
PAGASA
PAGASA weather report PDF
Moderate to strong winds blowing from the northeast will prevail over Northern Luzon and
its coastal waters will be moderate to rough. Elsewhere, winds will be light to moderate
coming from the northeast to north with slight to moderate seas.
7. CURRENT SITUATION
As of 27 NOV 2013 – 6:00 PM PhT
AIRPORTS: To date, operations in Tacloban Airport is limited
CASUALTIES: 5,500 individuals were reported dead, 26,136 injured and
1,757 missing.
SEAPORTS: All seaports are operational.
• The Philippine Ports Authority has taken over the Port of Tacloban.
• A total of 16 barges is now operating and travelling from Matnog,
Sorsogon Port to Allen, Northern Samar, while sea crafts taking off
from Bulan Port, Sorsogon to Allen, Northern Samar are solely for
mercy missions.
AFFECTED POPULATION:
A total 2,177,863 families (9,927,335 persons) were affected in 11,939
barangays in 44 provinces, 574 municipalities and 57 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA.
782,222 families (3,542,370 persons) were displaced.
Inside 1,069 evacuation centers:
• 48,655 families / 225,922 persons inside evacuation centers
• 733,567 families/ 3,316,448 persons outside evacuation centers
DAMAGES (Regions IV-B, V, VI, and CARAGA):
• DAMAGED HOUSES: 1,149,529 houses damaged (574,392 totally /
575,137 partially)
The total cost of damages was pegged at P24,539,259,407.76 ($
559,551,979 USD)
• For infrastructures P13,182,975,034.00 ($300,603,469 USD)
• For agriculture P11,356,276,373.26 ($ 258,948,508) in Regions IV-A,
IV-B, V, VI, VII, VIII, and CARAGA
‐ Crops (rice, corn other crops): P5,168,997,352.20 ($117,863,698
USD)
‐ Livestock: PhP 2,184,011,8810 ($49,800,712 USD)
‐ Fisheries: P2,161,634,28.06 ($49,290,449 USD)
‐ Irrigation facilities: P212,700,000 ($4,850,070 USD)
‐ Other agricultural infrastructure: P: P1,628,932,860 ($37,143,578
USD)
POWER OUTAGE:
• As of 22 November 2013, NGCP reported that there were a total of
1,959 transmission facilities that were damaged including
backbone transmission lines, steel poles, and converter station;
electricity has been restored in Ormoc City, Leyte; and in the
municipalities of Anilao, Banate , Barotac Viejo & Ajuy, all of Iloilo.
• To date, power outage is still being experienced in some provinces
and municipalities in Regions IV-B, V, VI, VII, and VIII.
WATER SUPPLY:
• Municipality of Barbaza, Antique, and some municipalities/cities in Capiz
and Iloilo, still do not have water supply.
• Water supply in areas of Leyte (17 towns, 2 cities), Western Samar (2
towns,1 city) and Eastern Samar (1 town) has been restored.
• Several towns have access to water through a diesel-powered / electricpowered pump.
• Water supply system in Busuanga town proper is functional. Coron,
however, is implementing a rationing system.
NETWORK OUTAGE
• Globe Telecom Cellular Services were restored in Borongan, Eastern Samar,
Isabel and Palo in Leyte; Lavezares, Rosario, San Jose, and Lope de Vega in
Northern Samar; Hinunangan, Limasawa, and Sogod in Southern Leyte; San
Sebastian and Pagsanghan in Western Samar; Culasi and Laua-an in Antique;
NDRRMC
Dumarao, Capiz; and Daanbantayan, Cebu
9. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
Reports from the field show that medical support provided by international
and local teams need to increase in geographical area and scope of services
beyond the current hubs.
As the situation evolves, the need for emergency trauma care is decreasing,
and the need for primary health care is increasing, including for essential
medical and surgical care as well as preventive health services.
As of 26 NOV - Despite increasing humanitarian aid in typhoon-hit areas of
the Philippines, Doctors Without Borders/Médecins Sans Frontières (MSF)
teams are still finding villages and towns that have not yet received any aid.
WATER, SANITATION AND HYGIENE (WASH) AND ENVIRONMENTAL HEALTH
Following reports of diarrhoea from Bantayan, Cebu, and Region VII the WASH
cluster has coordinated the chlorination of shallow wells dug by the cluster.
Laboratory tests are being conducted to test for the adequacy of the level of
chlorination. Environment health assessment in health care facilities is being
conducted this week by a DoH and WHO in Eastern Samar.
PATIENT REFERRALS
AECID has supported DoH in developing a referral system for transfer of
patients in Tacloban. A specific reporting form for surgical referrals and
needs will be developed as part of the system.
• As of 26 November, surgical cases are to be referred to EVRMC, the
Australian FMT and Divine World health facility,
• Dialysis patients are to be referred to RTR
• Patients needing ventilators to be referred to the Australian FMT
• All other referrals including for obstetric care are to be referred to
EVRMC.
Additional transportation mechanisms are needed to support this system.
Currently the Red Cross ambulances stations at EVRMC are the main point of
call for transportation of patients.
DISEASE/INJURIES
There are also increasing numbers of cases with Acute Respiratory Infection
(ARI), dog bites and wounds related to debris clearing and reconstruction of
houses.
Some cases of chicken pox and leptospirosis have been reported and
verification is currently taking place.
Other areas of concern as reported by the medical teams include treatment
of spinal injuries and tetanus.
Treatment protocols and tetanus immunoglobulin have been dispatched.
MORBIDITY :
To date, the five main causes of morbidity identified include acute
respiratory infection, fever, diarrhea, hypertension and skin disease.
In Tacloban, the number of cases needing surgery and in-patient care is
decreasing while need for primary health care especially treatment of
chronic diseases (e.g. TB, hypertension) is increasing.
In Tacloban city, between 24 and 26 November, the following cases of note
were reported:
• Suspect leptospirosis cases (1 each) from Palo and Tacloban City were
admitted to Eastern Visayas Medical Center (EVRMC)
• Suspect tetanus cases (4 in total) from Tacloban city, Tolosa, and Leyte
were admitted to Eastern Visayas Medical Center (EVRMC)
NOTE: THE LASTEST TYPHOON
YOLANDA HEALTH CLUSTER ISSUE
#3 IS POSTED
WHO #3
WHO - #2
10. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
VACCINATION CAMPAIGN: The mass vaccination campaign for measles, polio
and vitamin A dosage started on 26 NOV in Tacloban. The campaign is supported
by WHO, UNICEF and other health cluster partners. Patients with wounds have
been provided with tetanus toxoid as the risk of tetanus still exits. Vaccines are
sup-plied mainly through local procurement but additional donations from
international entities are still welcome.
While the cold chain was brought from other sites for Tacloban to start the
campaign, shortages still exit to continue the vaccinations in other parts of
Region VIII. UNICEF, in support of DoH, is conducting cold chain assessments for
regions VI, VII and VIII.
MATERNAL HEALTH
It is estimated that 3.2 million women and girls of childbearing age are affected by the crisis. An estimated 233,697 pregnant
and 155,798 lactating women need specialized services for prenatal,
postnatal, child health, health promotion and family planning,
including 7,973 pregnant and 4,716 lactating women. Daily, an
estimated 865 births take place in the affected communities, of which
129 will experience potentially life-threatening complications
MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT
A rapid assessment by IMC shows that mental health is a significant
concern for affected populations and the current response measures
are insufficient to meet all the needs. The government is discussing
the means to train national health professionals on delivering mental
health and psychosocial care to the affected population. A mental
health expert from WHO is in Manila to help coordinate the actions in
support of the DoH.
HEARS CURRENT SITUATION 26 NOV 2014
HEARS CURRENT SITUATION NOV 25, 2013
HEARS CURRENT SITUATION NOV 24, 2013
PUBLIC HEALTH RISKS
The main public health risks have been identified as follows:
• Disruption in the health sys-tem including lack of health facilities,
primary and secondary health care delivery and the subsequent
disruption to universal access to health care
• Communicable diseases especially in view of the disruption to
the surveillance system and problems related to water and
sanitation, overcrowded living conditions and low vaccination
coverage prior to the event especially for measles. Cholera,
dengue and leptospirosis are endemic in many of the affected
areas, increasing the risk of out-breaks of these diseases in view
of the increased vulnerability of the affected population.
• Chronic diseases including interruption of treatment for disease
needing long term treatment. This is an in-creasing problem as
chronic diseases including hyper-tension and diabetes ac-count
for a large number of morbidity and mortality
• Reproductive health – high number of pregnant women about to
deliver, low capacity of health facilities to de-liver obstetric and
surgical care
• Disruption in cold chain and medical provisions
• Lack of water and low sanitation level, and low capacity for waste
management, including medical waste
WHO - #3
WHO - #2
11. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
• An oil spill incident occurred during the height of the storm surge episode during typhoon Yolanda in Estancia,
Iloilo last November 08, 2013.
• The power barge sustained damage to its hull which also serves as storage for its fuel requirements. As a result,
an estimated 200,000 liters of bunker fuel has leaked out of the fuel tanks into the water and coastline with 1.2
million liters of bunker oil still in the fuel tanks and have to be unloaded.
• The Department of Health has recommended the mandatory evacuation of about 5,000 persons / 1,174
families living in the community.
•
Test results have showed that the level of the toxic substance benzene in
the air in the community reached 16.9 parts per million or 30 times
more than the allowable level of 0.5 ppm.
.
• National Power Corporation (NPC ) deployed the spill booms of PB103
supplemented with spill booms provided by the Philippine Coast
Guard. Spill booms from PSALM’s Power Barges 101 and 102 were also
transported from Iloilo City and deployed to help prevent the spilled oil
from drifting away from the immediate vicinity of the damaged power
barge.
• NPC, with the able assistance of the Philippine Coast Guard, also engaged
the services of the local community to manually scoop the spilled fuel oil
and place the same in available containers before it can be hauled off for
proper disposal.The Philippine Coast Guard has installed booms around
the barge to stop the spread of the oil spill.
HEARS CURRENT SITUATION NOV 24, 2013
NATION POWER CORPORATION
THE NAPOCOR power barge that was detached from its
moorings by storm surge and slammed into communities along
the coastline of Estancia, Iloilo. INQUIRER VISAYAS
12. HEALTH SERVICES RENDERED
VILLAMOR AIRBASE
EASTERN VISAYAS REGIONAL MEDICAL CENTER
Services
Services
NOV 20-25
Nov 15-Nov 25
ER Consultations
1,524
OPD Consultations
3,356
OPD Consultations
1,795
Psychosocial
2,520
Surgery
Admissions
Psychosocial
Total
TOP 5 CONSULTS:
1. Trauma/typhoon- related Injuries
2. Respiratory Tract Infection
3. Acute Gastro enteritis
4. Hypertension
5. Skin disease
DEPARTMENT OF HEALTH
HEARS CURRENT SITUATION 26 NOV 2014
357
1,352
571
5,599
Referred from AFP Gen.
Hospital to various hospitals
Total
502
6,377
TOP 5 CONSULTS:
1. URTI
2. 2.Headache/ dizziness
3. 3.Wounds (laceration, puncture, abrasions)
4. 4.Hypertension
5. 5.Musculoskeletal pain
NUMBER OF PATIENTS REFERRED FROM
TACLOBAN (AS OF NOV. 26, 2013,4:00 PM)
• To Cebu: 365 patients
• To Metro Manila: 518 patients
• 55 are walk-in, 463 were referred by AFGH & DOH
Medical Teams in Villamor Total: 883 patients
13. INITIAL ESTIMATES OF DAMAGE OF HEALTH FACILITIES
IN REGIONS IV- B, VI, VII, VIII
PROVINCES
TOTAL NO OF
HEALTH
HOSPITAL
FACILITIES
AFFECTED
TOTAL
ESTIMATED
AMOUNT
TOTAL
ESTIMATED
AMOUNT
USD
BHU
RHU
Region VIII
754
180
61
995
3,928,512,300
89,876,897
Region VII
43
15
2
60
21,880,000
500,572
Region VI
1,084
97
35
1,216
49,932,500
1,142,360
0
7
1
8
82,060,000
1,877,376
1,881
299
99
4,082,384,800
93,397,205
Region IV B
GRAND TOTALS
DOH UPDATED REPORT – 26 NOV 2013
14. IMMEDIATE NEEDS FOR REPAIR AND REHABILITATION OF HEALTH FACILITIES IN
REGIONS VI, VII, VIII
Provinces
No. of
Hospitals
Affected
Estimated
Amount
No. of RHUs
Affected
Estimated
Amount
Total No. of
Facilities
Affected
Total
Estimated
Amount
Total Estimated
Amount
USD
Region VIII
14
405,000,000
63
307,346,000
77
712,346,000
16,295,199
Leyte
6
205,000,000
40
203,379,100
46
408,379,100
9,343,999
Eastern
Samar
5
170,000,000
21
94,926,300
26
264,926,300
6,061,010
Western
Samar
3
30,000,000
2
9,040,600
5
39,040,600
893,069
Cebu
2
3,450,000
15
15,000,000
17
18,450,000
422,100
Region VI
18
80,000,000
38
38,000,000
56
118,000,000
2,699,615
Aklan
3
12,000,000
10
10,000,000
13
22,000,000
503.318
Antique
6
24,000,000
6
6,000,000
12
30,000,000
$686,343
Capiz
5
25,000,000
15
15,000,000
20
40,000,000
$915,124
Iloilo
4
19,000,000
7
7,000,000
11
26,000,000
$594,830
Grand Total
34
116
360,346,000
150
848,796,000
$19,418,839
Region VII
DOH UPDATED REPORT – 26 NOV 2013
15. IMMEDIATE NEEDS FOR PUBLIC HEALTH SERVICE
PUBLIC HEALTH INTERVENTION
COST
ESTIMATE (IN
PHP MILLION)
COST ESTIMATE (IN
USD)
Child Health
18.0
$411,805
Oral Rehydration Salt and Zinc Syrup
18.0
$411,805
Maternal Health
9.4
$215,054
Emergency Delivery Kit (4,000 deliveries)
9.0
$205,902
Iron Supplementation for Pregnant and Post-Partum Women
0.4
$9,152
Communicable Diseases
1.9
$43,468
Dengue Insecticide
1.5
$34,317
Doxycycline (Prophylaxis for Leptospirosis)
0.4
$9,152
17.6
$402,607
5.4
$123,541
Anti-Diabetic Medications
12.2
$279,079
Senior Citizens
29.0
$279,079
Influenza and Pneumococcal Vaccine for Senior Citizens
29.0
$279,079
Essential Medicines
6.48
$155,552
Essential Medicines and Supplies for Primary Care
6.48
$155,552
Medical/Surgical Assistance
20.0
$457,562
Non-Communicable Diseases
Anti-Hypertensive Medications
DOH UPDATED REPORT – 26 NOV 2013
16. DISEASE BRIEF-VITAMIN A DEFICIENCY
DESCRIPTION
Low levels or lack of vitamin A in the body
• Leading cause of preventable blindness in children
• Causes night blindness in pregnant women
• Vitamin A deficiency contributes to maternal mortality and other poor
outcomes in pregnancy
• Vitamin A deficiency reduces the body’s ability to fight infections. In
countries where children are not immunized, infectious disease like
measles have higher death rates
• It may increase children's risk of developing respiratory and diarrheal
infections, decrease growth rate, slow bone development, and decrease
likelihood of survival from serious illness
RISK FACTORS
•
•
•
•
•
Poor food choice, lack of food availability, or lack of nutritional food (even if
people get enough to eat, can cause malnourishment if the food does not
provide the proper nutrients)
Age
Pregnancy
Recent infection such as diarrheal disease
Low socioeconomic status
SYMPTOMS
•
•
•
•
•
•
Dry eyes/hair/fingernails
Night blindness
Skin disorders
Infections to include respiratory
Low blood cell count-anemia
Fatigue
Mayo Clinic
WHO
Medscape
TREATMENT
• Increase vitamin A rich foods-liver, beef,
chicken, eggs, fortified milk, leafy green
vegetables, mangoes, sweet potatoes
• Daily oral vitamin A supplementation
CURRENT SITUATION
FNRI 2008 survey 15% of children aged 6 months-5 years
are deficient-1.7 million children under age 5 and 500,000
pregnant women
RECOMMENDATIONS
• Promote breastfeeding for infants as breast milk is a good
source of vitamin A
• Encourage diets rich in vitamin A to include foods fortified
with this micronutrient
• Support home gardens where fruits and vegetables can be
grown
17. HIGHLIGHT BRIEF- MALNUTRITION
DESCRIPTION
TREATMENT
• Malnutrition is caused by inadequate or unbalanced nutrition.
• Malnutrition is the largest single contributor to disease according to the
UN’s Standing Committee on Nutrition (SCN).
• Inhibits physical and mental development in children and can cause
mental retardation if severe at an early age
• Can cause women to give birth to low birth-weight babies
• Increase quality and quantity of food intake
• Nutrient supplementation
• People who cannot or will not eat may be fed intravenously or by a tube
inserted directly into the gastrointestinal tract
RISK FACTORS
• Illness or disease is often a factor of malnutrition either as a result or a
contributing cause
• Poor food choice, lack of food availability, or lack of nutritional food (even
if people get enough to eat, can cause malnourishment if the food does
not provide the proper nutrients)
• Injuries to the face or nerve damage to the muscles that control chewing
and/or swallowing
CURRENT SITUTATION
• The first cases of acute malnutrition have been diagnosed.
• Eastern Visayas region: 16 cases (7 moderate and 9 severe) of acute
malnutrition
• Cases also reported from the hospital at Tacloban airport
RECOMMENDATIONS
• Eat a well-balanced diet with adequate caloric intake to balance the
number of calories burned with the number of calories eaten each day.
• Take vitamins daily to supplement diet
SYMPTOMS
• Length of time to develop malnutrition depends on the severity of the
lack of nutrients
• There are a wide range of symptoms depending on the vitamin or mineral
that is deficient:
• Weight loss
• Thin or bloated body
• Pale, thick, and dry skin
• Bruises
• Rashes
• Thin hair that is tightly curled and pulls out easily
• Achy joints
• Gums bleed easily
• Swollen or shriveled and cracked tongue WORLD FOOD PROGRAMME
AMERICAN FAMILY PHYSICIAN
• Night blindness
JOHNS HOPKINS CHILDREN’S CENTER
PHILIPPINES NEWS AGENCY
• Increased sensitivity to light and glare
Prior to the typhoon malnutrition was present in the
Philippines. The conditions since the storm are only likely
to worsen the situation.
18. HIGHLIGHT BRIEF-PNEUMONIA
DESCRIPTION
TREATMENT
Pneumonia is an inflammatory condition that develops deep in the
lung and is usually caused by infection from viruses or bacteria. It is
spread through tiny particles of air coughed or exhaled by infected
persons. People can become ill with pneumonia by coming in contact
with infected individuals or with organisms in the air or on
contaminated surfaces. Despite advancements in treatment,
pneumonia remains a leading cause of death worldwide.
• Oral or intravenous antibiotics are the treatment of choice.
• Breathing support (oxygen masks, ventilation, etc.) may be needed
for those showing signs that they are not getting enough oxygen in
the blood (difficulty breathing, rapid breathing, blue discoloration of
the lips or fingertips, etc.).
RISK FACTORS
People most at risk for developing pneumonia are the very young,
the very old, and those with certain chronic conditions such as lung
disease or immune disorders such as HIV. Additional risk factors that
put a person at increased risk of pneumonia are poor nutrition, poor
sanitation and hygiene practices, living in impoverished and/or
overcrowded areas.
CURRENT SITUTATION
At a meeting on Friday, 22 Nov 2013, representatives of several dozen
domestic and foreign medical groups described the biggest single
public health problem to emerge since the typhoon as acute
respiratory infections, including pneumonia which have been
attributed to lack of shelter, poor weather, and lack of clothing.
RECOMMENDATIONS
•
SYMPTOMS
The symptoms usually start 2-10 days after coming into contact with
the causative organisms.
Some of the common symptoms include:
• Sudden onset
• High fever
• Shaking chills
• Chest pain
• Cough producing phlegm
• Difficulty breathing
CDC – Pneumococcal Disease
American Family Physician – Pneumonia
Doctors Without Borders
Mayo Clinic
•
•
Wash hands with antimicrobial soap and water or by using
alcohol-based waterless gels. If hands have been in contact with
mucus or other secretions, use soap and water only.
Wear gloves and masks when dealing with people/patients with
cough or other warning signs of respiratory (lung) illness.
Change clothes if soiled with mucus or other secretions.
19. DOH MEDICAL TEAMS
Information gathered from Department of Health update report on Response to Typhoon Yolanda - 27 NOV 0800H Nov 13
CATBALOGAN
BORONGAN
TACLOBAN
BASEY, BALAGIGA,
LAWAAN, MARABUT
Basey
SALCEDO,
MERCEDES
TANAUN, TOLOSA, DULAG, PALO,
SAN JOSE
ORMOC
21. HEALTH AND MEDICAL – PAYNAY ISLAND
• WHO coordinating with partners and bringing them
together with local health authorities
• Coordination and logistics remain challenging, goods
arriving and teams setting up
• Emergency care teams are established; surgical services
remain limited due to electrical outage and resources
• Disease surveillance system patchy due to disruption of
communication lines
• Health assessment is ongoing through several health
partners and is assessing longer-term service delivery
needs (Health Cluster Roxas)
MSF is based in Estancia and are carrying out mobile
clinics in in Estancia, Carles, and San Dionisio on
Panay island. The team is treating respiratory
infections, and have seen some patients with
diarrhea. Without proper shelter and being exposed
to the elements, a lot of people have colds and
fevers, especially the children. They have also seen
people who have been affected mentally by the
typhoon.
Roxas City, Philippines; November 16, 2013 – Master
Corporal Stephan Fortin, a medic with the Canadian
Forces Disaster Assistance Response Team (DART),
checks a local child at a refuge camp outside of Roxas
City, Philippines. The area was devastated by Typhoon
Haiyan, one of the largest typhoons on record. (Photo
Iby Corporal Darcy Lefebvre, Canadian Forces Combat
Camera Photographer)
Estancia
Merlin, SC, British Surgeon has combined efforts with Save the
Children and are now working side-by-side at head office bases in
Manila, Cebu, Roxas.
Canada DART Teams is a military organization ready to deploy
quickly to conduct emergency relief operations. It is one
component of Canada’s toolkit to respond to natural disasters
abroad. As of 0700 EST on 26 November 2013, Task Force
Philippines has:
• Purified approximately 56,000 liters of water;
• Distributed approximately 14,196 liters of purified
water;
• Treated nearly 1,733 medical patients;
PH Health Atlas—Monitoring as of Nov 26
Task Force Yolanda Matrix DOH as of Nov 26
Cut off from healthcare - Access to medical
services are a huge challenge for people
that are in isolated areas and are
homeless. Deborah Lau, one of our medical
experts treats a Typhoon survivor on Panay
Island (MERLIN/SAVE THE CHILDREN).
Photo by UK-IETR/Save the Children
23. HEALTH AND MEDICAL – ORMOC
INFRASTRUCTURE
• There are 2 operational health facilities. Carigara Hospital, originally a level 2 hospital, is only
partially functional and is unable to provide essential surgical care services including caesarean.
•
The Ormoc District Hospital is partially functional and is able to deliver emergency surgical care
including obstetric surgery, but not all operating rooms are functional and those that do function
are doing so under marginal conditions. ICRF and Mercy Malaysia are providing assistance to the
hospital in order to improve the situation.
•
The Ormoc Maternity and Children’s Hospital is fully functional except for surgical referral.
•
A few private facilities are also functional, with one that is well supplied and has suffered little
damage, but only on a paid basis. All hospitals have reduced admission levels due to lack of
electric and difficult operating conditions, and one private health facility is planning to close
completely to conduct full repairs on its facility.
FOREIGN
• MERCY MALAYSIA at Ormoc District Hospital and also operating medical tent units that offers
free consultations and medicine. Plans include WASH, increase medical relief efforts,
distribution of hygiene kits.
• SWISS HUMANITARIAN AID UNIT Over 1250 tetanus shots given to Ormoc District Hospital, in
addition to other relief supplies donated to the Leyte area.
• MSF-HOLLAND: setting up field unit and will send mobile clinic units if needed
• JOHANNITER GERNAMY At City Government Center. Operational goal of distributing 1,8 tons of
health kits
• IFRC-CANADIA AND NORWEGIAN at Ormoc District Hospital area with operating theater,
maternity wards and inpatient services. The ERU is a joint operation of Canadian, Norwegian and
Hong Kong Red Cross. Video Update
• CANADIAN MEDICAL ASSESSMENT TEAMS(CMAT) based near City Hall. Rotating team joined
NGO Plan International and visiting mobile clinics and bangarays. Setting up Field Hospital in city
center near CMAT base.
LOCAL OR OTHER
• THE PHILIPPINE COLLEGE OF PHYSICIANS near Ormoc District Hospital in cooperation with the
Department of Health (DOH) (team=28).
• 1DREAM OF BALAY MINDANAW GROUP worked with multiple Barangays
• SM MEDICAL FOUNDATION helped barangay San Pablo in Ormoc City. ECG, X-ray services and
PH Health Atlas—Monitoring as of Nov 26
meds were given from the foundation’s mobile van.
Task Force Yolanda Matrix DOH as of Nov 26
• PHILIPPINE NATIONAL RED CROSS setting up a field office and carrying out “rapid assessments”. Local Volunteer Teams DOH as of Nov 20
24. HEALTH AND MEDICAL – TACLOBAN
HEALTH INFRASTRUCTURE
• Taclobon Assessment shows that there are currently 5 health facilities
operational including one public tertiary level hospital and four private
hospitals. All five are being supported by public health workers and
foreign medical teams that are co-located at the facilities.
• A secondary level field hospital is operational at the Tacloban airport
supported by the Australian government.
• Humedica (NGO) has also conducted a rapid structural assessment of
Mother Mercy Hospital. Results show that the 4-storey hospital is
serving about 130 – 200 outpatients per day from the community. Part
of the ground floor has been converted to a minor surgery center. The
major damage was loss of about 40% of the roof sheeting and the roof
structure. This damage has resulted in water ingress into the first and
second floors making these floors unusable, particularly with the
frequent rains.
• A similar rapid structural as-sessment of Bethany Hospital conducted by
MSF France in Tacloban shows minor dam-age to windows and door in
one of the operating rooms. One of the three operating theatre remains
completely untouched and will be func-tional for internal fixation surgery once a generator is in-stalled. One of two-storey buildings of the
hospital was severely damaged. Over 50% of the roof structure was destroyed in the Typhoon and numerous windows were damaged on the
2nd storey. This has made the entire up-per floor unusable.
AusMAT team members perform
surgery on a patient in the surgical
theatre tent at the AusMAT medical
facility in Tacloban.
Supplied: Gemma Haines/DFAT
Japan Disaster Relief team is
using these medical tents in
Rizal park, Tacloban.
PH Health Atlas—Monitoring as of Nov 26
Task Force Yolanda Matrix DOH as of Nov 26
25. HEALTH AND MEDICAL – TACLOBAN
KOICA is stationed at the
Tacloban St. Paul Hospital. They
are able to provide medical care.
(20 people)
Australian Medical Assistance
Team has deployed a 50 bed
field hospital. They have x-ray
capabilities, two operating
rooms, and five triage tents.
They are in operation near the
airport. (34 people)
Japan International Cooperation
Agency has teams in Samar and
Tacloban. They are able to
provide medical support and
have a sonogram. The 2nd
medical team arrived on 21 NOV
and are located at ontinue
treating patients in Rizal Park as
well as supporting Basey District
Hospital in Basey on the island of
Samar. Also, a plan is underway
to gather information and carry
out an assessment of new
medical needs in the affected
area.
MSF (France) has teams on the
ground in Tacloban and Cebu.
They have doctors and an
orthopedic specialist. More
doctors are expected to arrive
soon. (15 people)
USA – ACTS
26. HEALTH AND MEDICAL – ABUYOG
Ver Noveno
The Chinese Navy’s hospital ship the Peace Ark has joined a Chinese
government emergency field hospital in Abuyog in providing relief to
typhoon Haiyan survivors in the Philippines.
Efforts are being made in conjunction with UNICEF to vaccinate
children against communicable diseases.
Locals fluent in English are assisting Chinese medical staff in
communicating with patients.
The Chinese government emergency medical team began receiving
patients at its field hospital in Abuyog on Saturday night.
The Peace Ark, with 300 beds and over 100 medical professionals on
board, has been put into use since Monday.
.
CCTV
27. HEALTH AND MEDICAL – PALO
PALO
ASB Germany - On Friday, 22 November 2013, ASB Germany sent a FAST (First
Samaritan Assistance Team) eight member team Palo, to provide basic medical aid
to the population. The team is equipped with an “Emergency Health Kit ” for the
medical care of 30,000 people.
Samaritan's Purse/ US Level 1 Field Hospital –includes doctors, nurses, and a
biomedical technician, is working alongside the staff at the storm-damaged
Schistosomiasis Control & Research Hospital in Palo to provide emergency health
care to the community. The U.S. Air Force helped set up their mobile field hospital
on the grounds of the hospital. Local radio stations are directing injured people to
the expanded medical facility. (SITREP – 22 NOV 2013)
Field Hospital in Palo
PH Health Atlas—Monitoring as of Nov 26
Task Force Yolanda Matrix DOH as of Nov 26
29. HEALTH - NEEDS
HEALTH
NEEDS:
• Partners estimate that Region VIII (Eastern Visayas) has the highest
concentration of health needs related to the typhoon.
• National data estimates that 25 per cent of the adult population
(over 21 years) suffers from hypertension, and 5 per cent from
diabetes. Primary health care services are required to treat these
people.
• Repairs to health care facilities and basic services for patients – including
food and water – are urgently needed. Immediate action is needed to
provide a safe water supply at the Eastern Visayas Referral Medical
Centre, the main hospital for the region.
• Disease surveillance needs strengthening. Reports of chickenpox,
tetanus and leptospirosis deaths have emerged. Partners report
increased cases of gastroenteritis, acute respiratory infection, fever,
rashes and diarrhoea, especially in children.
• Better polio and measles vaccination coverage is needed. In 2012,
only 18 per cent of children under 5 were fully immunized against
measles, and 83 per cent against polio.
•
• An estimated 865 births occur daily in affected communities, with
around 15 per cent experiencing potentially life-threatening
complications. Reproductive health kits are urgently needed
• Basic and essential health care services must be expanded, including for
routine surgeries (e.g. Caesarians).
• The need for treatment capacity for TB, acute respiratory infections,
dog bites, and wounds related to debris clearing and reconstruction is
increasing
• The need for emergency trauma care is decreasing, while the need
for primary health care is increasing
OCHA SITREP 27 NOV 2013
OCHA SITREP 25 NOV 2013
OCHA SITREP 22 NOV 2013
OCHA SITREP -21 NOV 2013
OCHA SITREP - 20 NOV
2013
The Government has prioritized the restoration of primary and hospital
health services, including the structural safety of hospitals, appropriate
medical waste management and infection control.
•
Solar refrigerators and solar lamps are required for rural health units in
areas still without power.
•
In the hardest hit areas, one third of the children suffer from
malnutrition
•
Injury management is urgently required.
OCHA SITREP– 19 NOV 2013
OCHA SITREP 9– 15 NOV 2013
OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP – 18 NOV 2013
OCHA SITREP 6 - 12 NOV 2013
OCHA SITREP - 17 NOV 2013
OCHA SITREP - 16 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
30. HEALTH - RESPONSE
HEALTH
• In Roxas City, a cold chain has been established.
• A blood bank in Leyte provincial hospital run by the Philippine Red Cross is
now functional. The cold chain is running and vaccine supplies are sufficient
for the vaccination campaign in Tacloban.
• In Ormoc, all five hospitals are operational, and rehabilitation is progressing.
• Tents, generators, clean delivery kits, medicines, health supplies and body
bags have been distributed to priority facilities.
• Partners have delivered tents, generators, cold chain equipment,
medicine and about 11,000 body bags to priority facilities.
• Clean delivery kits, midwifery kits and kits for treatment of sexually
transmitted infections, each to serve 40,000 people, as well as clinical
delivery equipment and drugs for 90,000 pregnant women, are available
• through UNFPA.
• 153 medical teams (foreign, national and local) are providing
emergency health services.
• The Department of Health, working with partners, will start a
vaccination campaign for children aged 6 months to 5 years in
Tacloban City this week and target around 28,400 children for
measles and vitamin A, and 33,300 children aged 0-5 years for polio.
• 10,000 dignity and hygiene kits for pregnant and breastfeeding
women are being delivered to Tacloban City and Eastern Samar.
• Health facility damage is being mapped.
• Doctors and nurses in Tacloban City have mobilized to conduct
reproductive health and medical missions.
• SPEED, an emergency disease surveillance system, has been
activated.
OCHA SITREP 10-22 NOV 2013
OCHA SITREP 10-21 NOV 2013
OCHA SITREP 10-20 NOV
2013
CHA SITREP 10– 19 NOV 2013
OCHA SITREP 9– 15 NOV 2013
OCHA SITREP 10– 17 NOV 2013
OCHA SITREP 10– 16 NOV 2013
OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP 6 - 12 NOV 2013
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
31. HEALTH – GAPS & CONSTRAINTS
HEALTH
GAPS & CONSTRAINTS:
•
More attention needs to be focused on the health risks related to
migrating and vulnerable populations.
•
There remains insufficient coordination between incoming foreign
medical teams and local health officials.
•
Capacity is stretched due to the limited number of health facilities in
operation. Overcrowding is increasing the risk of outbreaks of
infectious waterborne diseases.
•
Transport costs and lack of fuel are hampering the health response.
•
A shortage of trained staff and poor internet connections are
hampering the emergency disease surveillance system.
• The disease surveillance system is currently patchy due to a disrupted
communications network. Reporting and enquiries can be directed to
haiyanops@wpro.who.int.
• The lack of electricity is undermining cold chain operations.
Geographical coverage of health services needs to be expanded.
•
• Available vaccines and supplies for planned campaigns are estimated to
be sufficient only for Eastern Visayas region. Volunteers are needed to
administer vaccines in these campaigns.
•
The transport of patients to referral hospitals is still an issue due to the
lack of ambulances and fuel. This is improving as roads are cleared.
•
Plans to fill gaps by the eventual departure of foreign medical teams
are required.
OCHA SITREP 10-22 NOV 2013
OCHA SITREP 10-21 NOV 2013
OCHA SITREP 10-20 NOV
2013
CHA SITREP 10– 19 NOV 2013
• The following materials are needed to provide health services:
Interagency Emergency Health Kits, Reproductive Health kits, Diarrhoeal
Disease Kits and WASH supplies. Cholera kits should be kept on stand-by.
• Basic and essential health care services, including routine surgical
capacity (including for Caesarians), must expand. There is an immediate
need for reproductive health kits across hardest hit areas.
• The lack of access to safe water, overcrowding and displacement pose
serious risk of outbreaks of communicable diseases. Disease surveillance
needs to be strengthened.
• Establishing temporary points for delivery of health services is critical as
infrastructure is damaged and people do not have access to medical care.
• Medical teams require fuel, water purification and safe accommodation.
• Temporary health facilities, generators, medication, surgical supplies,
cold storage and WASH facilities are urgently required.
• People are traumatized and lack psycho-social support.
OCHA SITREP 10– 17 NOV 2013
OCHA SITREP 10– 16 NOV 2013
OCHA SITREP 9– 15 NOV 2013
OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP 6 - 12 NOV 2013
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
32. RED CROSS AND RED CRESCENT ACTION
OPERATIONS
• As of November 26th, the International Federation of Red Cross/Red Crescent
Societies (IFRC) reports that the primary focus is on shelter.
• Immediate priorities are distributing shelter tool kits, roofing kits, solar lamps, and
tarpaulins.
• The Philippine Red Cross (PRC) has 25 chapters actively responding.
• PRC focus is in Leyte, mobilizing 744 volunteers, providing 6 welfare desks, and
setting up two health stations to provide medical advice and consultations. There
are also increased efforts to distribute food parcels and hygiene kits in East Samar
and northern Cebu.
• The International Committee of the Red Cross (ICRC) has installed a mobile watertreatment unit in Marabut and will set up basic-health care units in Basey and
Balangiga in the upcoming days.
• The PRC and IFRC have a joint base of operations in Cebu City, with two satellite
hubs in Tacloban and Maya (North Cebu). A third hub will be built around the
rapid deployment hospital in Ormoc and focus on emergency medical care.
LOGISTICS
• The IFRC has deployed 11 emergency response units to conduct rapid
assessments of needs in affected areas. This information is communicated to the
PRC/IFRC headquarters in Manila to help prioritize immediate assistance needs.
• ICRC has distributed food parcels to 64,800 people in Guiuan, Mercedes, Salcedo,
Balangkayan, Hernani and Victory Island, with upcoming distribution to 8,500
people in Homonhon Island. In Guiuan, 86,500 liters of clean water and 3
generators have been provided.
• See Table 1 for PRC resource deployment.
SHELTER CLUSTER
• There is now full-time dedicated shelter coordination capacity in Manila, Roxas,
Tacloban, Cebu, and Bohol, with 15 full time staff coordinating. Cluster partners
are supporting coordination efforts in Guiuan, Ormoc, and Borongan.
• Mid and longer term recovery plans are now being developed to cover livelihoods
(including cash programming) and more permanent shelter needs.
• A detailed inter-agency shelter assessment will start in the coming days.
IFRC Operation Update No2, November 26
MAIN CONSTRAINTS AND CHALLENGES TO PROGRESS
• Delays in transportation of relief goods to the operational hubs,
due to problems of access and congestion.
• Difficulties in communication with teams in the field due to
multi-tasking, field visits, and limited communications facilities.
• Difficulties in sourcing out local materials.
• Need for better sharing of assessment information.
POINTS OF CONTACT
Gwendolyn Pang, Secretary General PRC, Tel: +63 2 525 5654
Soaade Messoudi, ICRC Manila, Tel: +63 918 907 2125
Birte Hald, IFRC Phillipines, Tel: +63 2 336 8622
Richard Gordon, Chairman PRC, Tel: +63 917 899 7898
Patrick Fuller, IFRC Manila, Tel: +60 12 230 8451
33. FOOD
FOOD
NEEDS:
• 2.5 million people are in need of food assistance.
• It is critical to get rice seed and fertilizer to approximately
250,000 farmers by mid-December.
• Funding is needed rapidly to fill the gap in immediate needs in
order to restore rice and maize production in the most affected
areas.
RESPONSE:
•
Partners in the Philippines: ACF, ACTED, ADRA, CARE, CARITAS,
CONCERN, CRS, DRC, GOAL, HelpAge, ICRC, IFRC, IMC, IRC,
Islamic Relief, LWF, Mercy Corps, NRC, OXFAM, Samaritan’s
Purse, Solidarites International, UNICEF and WVI.
•
Implementing partners interested in rice/seed intervention,
livestock and fisheries intervention work should contact FAO
(mathias.mollet@fao.org)
•
Between 2.5 million and 3 million people have received food
assistance. WFP is working with DSWD to adjust the duration of
the food ration over the coming weeks.
•
Additional cluster partners have reached 225,565 people in
affected areas; the Philippines Red Cross has distributed food to
218 families in evacuation centers.
•
ICRC finished distributing three-day food rations to 4,300
households in 54 barangays in Guiuan and surrounding areas.
ICRC has launched a large operation in coordination with
partners, to distribute one-month food rations.
•
WFP-managed UNHAS is operating 2 helicopters & 9 passenger
Nov.
plane out of Cebu, for humanitarians. OCHA Sitrep No. 18 – Nov27
OCHA SNAPSHOT
26
WFP OPS UPDATE – NOV 26
GAPS & CONSTRAINTS:
• To date, no funds have been committed to restore
fisheries-based livelihoods.
• Isolated island communities, notably North and South
Gigante, have yet to receive assistance.
• Delivered food supply is insufficient for many populations.
• Food Cluster is currently 49% funded out of a total US$76.2
million request.
• Logistical constraints hamper the delivery of food assistance,
but rapid expansion is occurring; coordination hub now in
Cebu.
• Resources are overstretched as the cluster is also responding
to the Bohol and Zamboanga emergencies.
• Security is a concern as people have stormed warehouses
and food distribution sites.
PRIORITIES:
• Access isolated areas lacking assistance.
• General food distribution, with food baskets containing rice
and ready-to-eat high-energy biscuits.
• Emergency food-for-work and cash-for-work to help kickstart early recovery activities and rebuild livelihoods.
• Cluster leads are assembling information on locations of all
involved organizations for better coordination.
CLUSTER LEADS:
Food Cluster Coordinator: Jeffrey Marzilli, jeffrey.marzilli@wfp.org
WFP Co-Leads: Beatrice Tapawan, 0917-539-9944, beatrice.tapawan@wfp.org
Dipayan (0917-594-2450, dipayan.bhattacharyya@wfp.org
FACEBOOK
TWITTER
34. NUTRITION
CASES OF ACUTE MALNUTRITION CONTINUE TO RISE.
APPROXIMATELY 30 CASES DIAGNOSED SO FAR
NEED:
PRIORITIES (URGENT):
• Delay in access to affected populations increases likelihood of
deterioration of health and nutrition of affected populations with
potential outbreaks of diseases.
• Rapid nutrition assessments and screening for detection, referral,
and follow-up of girls, boys and women supported by local women's
groups, religious leaders, and child protections councils;
• Cluster partners estimate that 1.35 million children under five,
650,000 pregnant and lactating women, and more than 800,000
elderly people in affected areas are at risk of acute malnutrition.
• Prevent and manage acute malnutrition for 900,000 children under
5, and 300,000 pregnant and lactating women and older people
• Priority interventions needed include infant and young child feeding
(IYCF) Infant formula monitoring, micronutrient supplementation,
management of acute malnutrition, and health and nutrition
education.
• Disruption to maternal care and child feeding practices and damage
to WASH and health facilities place children and women at a high
risk of malnutrition, especially in high poverty areas.
• Pre-disaster data shows that the affected regions have high rates of
malnutrition (5 percent to 9 percent global acute malnutrition
(wasting), 21 percent to 26 per cent underweight and 38 percent to
42 percent stunting).
• Promote appropriate infant and young child feeding practices (IYCP)
for 200,000 children
• Establish community-based therapeutic feeding centers for girls and
boys with severe acute malnutrition integrated in to local health
systems;
• Provision of nutrition supplies for therapeutic feeding,
micronutrient supplements and equipment;
• Capacity-building on management of acute malnutrition and
nutrition in emergencies targeting local health staff;
• Coordination and technical support to the Nutrition Cluster;
OCHA Situation Report 18 – Nov 27
Nation nutrition council cluster meeting – Nov 20 2013
Emergency Appeal Operation Update - Nov 17
Philippines Typhoon Action Plan - Nov 2013
CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair
UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org
hmdebwe@gmail.com
35. NUTRITION
RESPONSE:
GAPS AND CONSTRAINTS:
• The Harmonized Initiative of Media for the Spread of Good
Nutrition in Region 8 (HIMSoG-8) was rolled out. Key messages for
infant and young child nutrition were formulated and shared to
affected parents and children using the media and local
communication channels
• Safe spaces for lactating women to breastfeed are lacking in
evacuation centers
•
One mobile team will provide SAM outpatient treatment from 25
November in Tacloban
• Partners are needed in all regions, specifically Ormoc,
Abuyog, Alangalang, Kananga, Palompon, Carigara, Albuera,
Bato and Tabango
•
In Cebu, 314 children aged 6-59 months received Vitamin A
supplements; 345 pregnant and lactating women received infant
and young child feeding counseling
• A lack of partners experienced in IYCF to support local agencies.
Immediate action is needed to harmonize messages on IYCF
•
In Roxas, partners screened 682 children aged 6-59 months and
222 pregnant/lactating women. 10 are moderately malnourished,
and one is severely malnourished. Of the women, nine were
found to be acutely malnourished. All 984 people screened
received high-energy biscuits.
•
•
World Food Program to implement 2 phase plan: 1 – prevent acute
malnutrition and micronutrient deficiencies; 2 – treatment of
moderate acute malnutrition in children 6 – 59 months old
In Tacloban, 90 per cent of children 6-59 months will be screened
for malnutrition during this week’s integrated vaccination and
vitamin A campaign
Emergency Appeal Operation Update - Nov 17
Unicef meeting notes: Nov 21 2013
OCHA Situation Report 18 – Nov 27
Philippines Typhoon Action Plan - Nov 2013
UNOCHA Report – Nov 23
• There is limited capacity for the treatment of severe and
moderate acute malnutrition
• Nutrition supplies are urgently needed in Panay
• Facilities for transportation and accommodation are damaged;
food and water supplies are limited. Deployed teams need to be
fully self-sufficient
• Of the 12 million USD asked for in action plan, 4.2% of funds
have been raised
• Most of the affected areas in Leyte and Samar remain
unreachable by media
CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair
UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org
hmdebwe@gmail.com
37. WASH
WATER, SANITATION AND HYGIENE
WATER, SANITATION AND HYGIENE
NEEDS:
•
•
•
•
•
GAPS & CONSTRAINTS:
•
In Tacloban, 45% of sites have off-site access to water and an average of one •
latrine per 61 people.
•
Debris clearance and waste management remain urgent priorities.
Water services are down and pipes need repairing in north-west Leyte.
8 evacuation centers in Tacloban with the largest number of IDPs are being
prioritized for WASH support.
According to the Shelter Cluster in Tacloban, the Government is planning to
set up one transitional site in Palo and two in Tanauan , which will need WASH
Facilities.
Efforts trace the locations and causes of diarrhea outbreaks need better
systems and more support.
Partner capacity is stretched in light of the large number of affected
municipalities.
Gender analyses are critical and need to be conducted to understand
the social and gender dynamics that could help or hinder WASH aid
effectiveness.
RESPONSE:
•
•
•
•
•
•
•
•
•
Partners are assisting the waste management process around Tacloban City.
Community clean-up and de-sludging have been organized in Tacloban and
Leyte through cash-for-work.
3 additional water treatment units (35,000 liters per day each) have been
installed in Dulag, Leyte.
Disinfection and distribution of emergency drinking water continues. 5 tankers
are currently in the coastal barangays of Basey, Marabut, Lawaan, Balangiga,
Salcedo, Mecedes and Guiuan.
All pumping stations in Northern Guiuan are now operational following the
repair of pumping station number 5.
Partners have distributed hygiene kits and jerry cans in Eastern Samar.
The broadcasting of hygiene promotion messages through mobile trucks
continues throughout Tacloban city, in an effort to raise awareness on good
hygiene practices for the prevention of water-borne diseases.
Cluster partners are encouraged to send assessment data, information and
updates on their activities in order to support Who Does What Where (3Ws)
mapping to philippines@humanitarianresponse.info
WASH cluster meetings will be held every day at 16:00 until December 31, 2013
in Tacloban City at the OSOCC. Contact person is Silvia Ramos at 0906-516-0271
People covering their faces pass a car in debris after super typhoon
Haiyan battered Tacloban City, in central Philippines
OCHA SITREP 18 – 27 NOV 2013
UNICEF SITREP 6 – 26 NOV 2013
CLUSTER COORDINATOR
Rory Villaluna UNICEF washccph@gmail.com
Phone: 0917-859-2578 or 02-901-0101
39. EMERGENCY SHELTER
GAP & CONSTRAINTS
• Camp Coordination and Camp Management Cluster funding is at 14%
of the needed $6 million.
• Emergency Shelter Cluster is at 36% funding of the needed $46 million.
NEEDS:
• Concerns over potential supply pipeline failure locally and
• Shelter need identified as an immediate life-saving need
internationally; unable to meet demand
according to the preliminary results from the Multi-Cluster Initial
• Overcrowding and poor living conditions continue in evacuation
Rapid Assessment (MIRA)
centers. In Tacloban, less than half of the evacuation centers have
• CONTINUING URGENT NEEDS: Tarps, tents, shelter-related nonaccess to water, and an average of 1 latrine per 61 people.
food items (NFIs), 4 million corrugated iron sheets, nails, building
tools and materials, plastic sheeting, roofing material, hurricane • Difficult access to remote communities, poor communications, power
outages are affecting operations
straps
• Corrugated iron sheets need to be procured at scale
• NEEDS IN DISPLACEMENT SITES: Food, Water, Mosquito Nets,
• More partners needed to cover needs in Region VI (Western Visayas)
Blankets, Hygiene Kits
• Issues of housing, land and property have begun to surface in
severely affected area; Protection cluster is covering these
• Entire population (1,240 families) of barangay affected by oil spill
A resident begins
needs housing (Estancia, Iloilo Province). 162 families evacuated
by oil spill are in an evacuation center. Rest are still looking.
repairs on his damaged
DAMAGE: Official numbers now report 1,139,902 damaged
houses (576,280 completely destroyed).
home (source)
RESPONSE:
• 3.54 million people are displaced (including 1 million children),
of which 226,048 people (48,681 families) are living in 1,086
evacuation centers. The rest are living outside evacuation
centers.
• Large numbers of people continue to leave affected areas, largely
from Region VII (Eastern Visayas)
• MIRA results expected on 27 November, and a 12-month
strategic plan by 8 December.
• Work underway to set up new camp in Guiuan.
SHELTER CLUSTER – TYPHOON HAIYAN 2013
OCHA SITUATION REPORT NUMBER 18 – NOV 27
GOVERNMENT LEAD AGENCY
Asec Camilo G. Gudmalin
cgudmalin@dswd.gov.ph
0 920 948 5383
Phil. Int. Dialing Code: +63
CLUSTER CO-LEAD AGENCY
Patrick Elliot, IFRC
coord.phil@sheltercluster.org
patrick.elliott@ifrc.org
0 908 401 1218
40. CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION
UPDATE:
• According to the Child Protection Working Group, 10% of Filipino
women and girls aged 15 to 49 have experienced sexual violence.
This percentage is expected to increase.
URGENT: NEEDS:
•
Identification and profiling of IDPs moving out of affected areas is
needed. Many are leaving through airports and seaports with
minimal (if any) controls.
•
An estimated 5,000 people continue to leave Region VII (Eastern
Visayas) every day.
•
Land issues have emerged as a potential obstacle to the return of
displaced people. In Barangay 6 of Guiuan Municipality, 40 families
reportedly cannot return home due to a planned development
project. Most of these families do not own land titles.
•
According to Protection Cluster estimates:
•
42% of affected people have documentation needs
•
40% have communication problems with separated family
members
•
20% have security fears
•
An estimated 5,000 people continue to leave Region VII (Eastern
Visayas) every day.
•
A targeted response to the Mamanwa ethnic group in marabut is
needed.
•
Approximately 3.2 million women of reproductive age and 5.5
million overall affected children need psychosocial support and
protection against violence, trafficking, and exploitation.
•
1.8 million children are estimated to be displaced.
•
There needs to be de-congestion of camps.
FUNDING APPEALS:
•
UNFPA has developed a $110 million plan for national authorities
and humanitarian partners to ensure that no woman dies giving
birth and that each woman and girl is protected from violence.
UNFPA launched an appeal for $30 million to fulfill its
commitments in the next six months.
•
UNICEF’s requests $61.5 million to respond to the needs of children
and women affected by Typhoon Haiyan. 28% currently remains
unfunded
GAPS & CONSTRAINTS:
• Documents need to be re-issued, as many were lost.
• Distribution of Family Access Cards is urgently required to ensure
women and children access to humanitarian assistance.
• Stronger mechanisms are badly needed to prevent trafficking at air
and sea ports.
• The presence of female police officers remains limited.
• Safe spaces for women and children remains limited.
• A referral system for specialized services remain limited.
• Sex- and age-disaggregated data on IDPs is unavailable.
• Security personnel lack knowledge of protection issues.
• Information on missing persons remains large unavailable.
• No legislative data has been made on alternative resettlement or
relocation arrangements for IDPs.
OCHA SitRep#18 27Nov
NDRRMC SitRep#38 24Nov
UNFPA Master Plan Protecting Women & Girls
OCHA SitRep#16 22Nov
OCHA SitRep#15 21Nov
Protection Cluster Assessment#6 20Nov
IASC Sub-Working Group on Gender 18Nov
UNICEF SitRep#4 20Nov
41. CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION
CRITICAL RESOURCES:
RESPONSE:
TipSheet: Health and Gender
•
TipSheet: Education and Gender
•
•
•
•
•
•
•
The Migration Outflow Desk at Tacloban airport has registered
638 households (2,864 people) to date. DSDW detected one
possible case of human trafficking of a minor girl.
A response desk at Villamor Airbase, Pasay City (Manila), was
established to monitor possible cases of trafficking and/or
unaccompanied, separated, or missing children.
34,120 people received protection kits in Eastern Visayas Region.
200 women and adolescent girls participated in two information
sessions on gender-based violence in Tacloban City.
Approximately 2,500 women and adolescent girls will benefit
from 5 women-friendly spaces in Tacloban City.
Over 1,800 children are visiting 7 child-friendly spaces
established in Western Visayas Region.
Four child-friendly spaces are also operating in Roxas and
Estancia, primarily for young children and their mothers living in
school-based evacuation centers who must vacate the schools
during the day for classes.
Women and Child Protection Units have been set up in
Borongan, Balangkayan, Hernani, Llorente, Oras, Salcedo, and
San Julian municipalities (Eastern Samar).
OCHA SitRep#18 27Nov
OCHA SitRep#16 22Nov
OCHA SitRep#15 21Nov
Protection Cluster Assessment#6 20Nov
IASC Sub-Working Group on Gender 18Nov
UNICEF SitRep#4 20Nov
TipSheet: Gender in Coordination Projects
Tip Sheet: Addressing GBV in Health Assessments and Initial Program Design
Tip Sheet: Addressing GBV in Shelter Assessments and Initial Program Design
Tip Sheet: Addressing GBV in WASH Assessments and Initial Program Design
Minimum Standards for Child Protection in Humanitarian Action Handbook
Handbook for Coordinating GBV Interventions in Humanitarian Settings
Guidelines for Child-Friendly Spaces in Emergencies
Key Messages for Caregivers in a Sudden Onset
Actions in case of Missing or Separated Children
Child Protection Working Group;
Reproductive Health Working Group
Sarah Norton Staal
Cluster Co-Lead
snortonstaal@unicef.org; snstaal@gmail.com;
Sexual and Gender-Based Violence Working Group;
Reproductive Health Working Group
Florence Tayzon, Assistant Representative,
Working Group Chair
UNFPA 0917-859-3520 02-901-0304 tayzon@unfpa.org
42. CHILD PROTECTION & GENDER BASED VIOLENCE
https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th
43. CHILD PROTECTION & GENDER BASED VIOLENCE
https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th
44. US RESPONSE
KEY DEVELOPMENTS
•
As access to typhoon-affected areas continues to improve, aid delivery is
increasing, particularly in more remote areas, according to the U.N. In
addition, the number of people displaced by the typhoon is decreasing as
populations return to their home areas to reconstruct damaged and
destroyed houses.
•
USAID’s Disaster Assistance Response Team (DART) reports that
humanitarian actors are increasingly turning from emergency response to
transition and early recovery assistance.
•
While some populations are returning to home areas, others continue to
depart affected regions. The GPH estimates that 5,000 people are leaving
Eastern Visayas Region every day, including 600 to 700 people from Guiuan
municipality, with up to 6,000 people arriving in Cebu and 800 people at
the Manila airport every 48 hours.
•
On November 25, DoD transported 36 metric tons (MT) of U.N. World Food
Program (WFP) food commodities to five outlying islands near Guiuan on
November 25. To date, DoD has transported approximately 1,810 MT of relief
commodities to typhoon-affected areas, including Borongan, Guiuan, Ormoc, and
Tacloban. DoD has also evacuated approximately 540 American citizens, 19,600
Filipino citizens, and 300 third-country nationals from typhoon-affected areas.
•
As of November 25, DART logistics officers had facilitated the transfer of all
USAID/OFDA-provided relief commodities, including collapsible water containers,
from the Tacloban airport to warehouses managed by the GPH Department of
Social Welfare and Development (DSWD) for onward distribution.
Non-governmental organizations (NGOs) note the difficulty in determining
where to provide services, as it remains unclear whether people plan to
return to their home areas.
•
•
The DART reports significant progress in debris removal in Tacloban in
recent days, noting the opening of side streets and designation of debris
sorting and disposal sites outside of Tacloban city. The DART also observed
small markets selling produce, fish, and meat; an open pharmacy; and
several open gas stations, indicating fuel availability.
LOGISTICS AND RELIEF COMMODITIES
•
Civilian and private-sector commercial capacity has significantly
increased during the past week. Several DoD C-130 aircraft remain in
the Philippines to support deliveries of USAID-validated relief
commodities to affected areas. The U SS Ashland and USS
Germantown continue ship-to-shore logistics for the relief effort.
USAID FACT SHEET NO. 12– NOV 25
http://www.usaid.gov/haiyan/infographic
45. US RESPONSE
PROTECTION
• On November 23, the DART assessed the DSWD-managed evacuation center at Villamor Air
Base in Manila, which DSWD established to monitor possible cases of trafficking and
unaccompanied, separated, or missing children. The DART reports that all evacuees are
registered at the evacuation center upon arrival in Manila and provided with a meal,
clothes, medical services, and psychosocial support, as needed. DSWD also provides
onward transportation to pre-determined destinations or to a location managed by DSWD
and NGOs.
• Staff from several National Child Protection Working Group member agencies have started
providing specialized on-site support at the evacuation center for vulnerable children,
including initiating family tracing and interim care arrangements for separated and
unaccompanied children, as well as alternative care arrangements.
WATER, SANITATION, AND HYGIENE (WASH)
• Humanitarian organizations report that water quantity is generally sufficient in typhoonaffected areas, but water quality needs to be tested. The DART water, sanitation, and hygiene
(WASH) advisor reports that coastal communities are served by municipal water systems and
distribution networks, as well as wells and hand pumps. The storm surge likely affected
shallow wells, which may need to be cleaned and chlorinated to provide safe drinking water.
• The DART WASH advisor reports that evacuation centers in Tacloban lack sufficient latrines.
USAID/OFDA partner the U.N. Children’s Fund (UNICEF) and NGOs are addressing sanitation
gaps; however, latrines are not uniformly available for typhoon-affected populations. In
addition, sanitation facilities at the airport in Tacloban are not sufficient to meet the needs of
people waiting to evacuate. The Armed Forces of the Philippines reports that existing
sanitation facilities are overwhelmed and in need of maintenance and that additional
temporary latrines and hand-washing facilities are necessary to meet existing needs.
• USAID/OFDA has provided more than $4 million to respond to WASH needs in East Samar,
Leyte, and Samar provinces to date. USAID/OFDA-supported activities include improving
access to safe drinking water, restoring access to latrines, and conducting hygiene promotion
activities.
USAID Fact Sheet No. 12– Nov 25