Yale Tulane Special report - Typhoon Haiyan (Yolanda) - The Philippines- 16 NOV 2013

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In light of Typhoon Haiyan and its impact on Philippines, the Yale-Tulane ESF-8 Planning and Response Program has produced a special report. The Yale-Tulane ESF #8 Program is a multi-disciplinary, …

In light of Typhoon Haiyan and its impact on Philippines, the Yale-Tulane ESF-8 Planning and Response Program has produced a special report. The Yale-Tulane ESF #8 Program is a multi-disciplinary, multi-center, graduate-level, program designed to produce ESF-8 planners and responders with standardized skill sets that are consistent with evolving public policy, technologies, and best practices. 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.

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  • Updated 09:00 PM EST, November 16, 2013


  • 2. BACKGROUND Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the seconddeadliest Philippine typhoon on record, killing at least 3,681 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 5-equivalent 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. Many cities and towns experienced widespread destruction, with as much as 90 per cent of housing destroyed in some areas. Roads are blocked, and airports and seaports impaired; heavy ships have been thrown inland. Water supply and power are cut; much of the food stocks and other goods are destroyed; many health facilities are not functioning and medical supplies are quickly being exhausted. SOURCE: TYPHOON HAIYAN – WIKIPEDIA PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013 HTTP://RELIEFWEB.INT/SITES/RELIEFWEB.INT/FILES/RESOURCES/HAIYAN-INFO-16NOV.V1.PDF
  • 3. WEATHER OUTLOOK Synopsis: Northeast Monsoon affecting Northern Luzon. Forecast: The whole country will experience partly cloudy to cloudy skies with light rains over the regions of Cagayan Valley, Cordillera and Ilocos. Isolated rainshowers or thunderstorms are expected over Metro Manila and the rest of the country. Moderate to strong winds blowing from the Northeast will prevail over Luzon and Eastern Visayas and the coastal waters along these areas will be moderate to rough. Elsewhere, winds will be light to moderate coming from the Northeast with slight to moderate seas. AccuWeather Pagasa
  • 5. CURRENT SITUATION AS OF 6 PM, 16 NOV 2013 CASUALTIES: 3,637 individuals were reported dead, 12501 injured and 1,186 missing. ROADS AND BRIDGES: 2 roads in Regions VI and VIII remain impassable. The lack of access to affected areas due to blocked roads and damaged infrastructure, limiting assessment and response activities. AFFECTED POPULATION A total of 2,104,037 families (9,815,895 persons) were affected in 9,699 barangays in 44 provinces, 539 municipalities and 56 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA. 644,543 families (3,060,011 persons) were displaced. AIRPORTS: As of 13 November, 2013, all CAAP-controlled airports were again operational. To date, operations in Tacloban airport are still limited. Inside 1,086 evacuation centers: • 76,454 families / 367,759 persons inside evacuation centers • 568,089 families/ 2,692,252 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA) • DAMAGED HOUSES: 494,611 houses damaged in (248,176 totally, 246,435 partially) • INFRASTRUCTURE: The total cost of damages increased to PhP 10,339,290,061.00 = $ 236,924,83 1USD. • AGRICULTURE: PhP9,089,181,461.00 = $208,278,593.18 USD ‒ In agriculture, a total of PhP 4,607,619,150.00 ($105,583,592.00 USD) land planted with various crops. ‒ Damages and losses to livestock amounted to PhP 2,079, 107,275 ($4,7642,743 USD )while PhP 1,055,477,436 ($24,186,265) worth of damages to fisheries was reported. ‒ Damage to irrigation facilities and infrastructure amounted to PhP 212,700,000.00 ($4,874,020 USD) and PhP 1,134,277,600.00 ($25,991,971 USD ) respectively. SEAPORTS: All seaports are operational. FOOD: 2.5 million people are in need of food assistance, but nutrition supplies are inadequate and logistical constrains hamper delivery of food. POWER OUTAGE: • Power outage is still being experienced in the following provinces and municipalities in Regions IV-B, V, VI, VII and VIII. • Based on NGCP’s latest inspection, 566 transmission towers and poles are either leaning or toppled and 7 substations are affected which remain un-energized. WATER: Municipality of Barbaza, Antique and some municipalities/cities in Capiz and Iloilo, still do not have water supplies . As of November 15, water supply in Leyte is sufficient. NDRRMC.GOV.PH PAGASA.DOST.GOV.PH OCHA CARITAS TELECOMS SANS FRONTIERES
  • 6. CURRENT SITUATION NETWORK OUTAGE: • “Libreng Tawag” of Globe Telecom was set up at Hotel Alejandro, Tacloban City. DOH Philippine Health Atlas • As of 14 November 2013, Globe, Sun Cellular, Smart and Talk N’ Text Services have been restored in the following provinces: NDRRMC.GOV.PH PAGASA.DOST.GOV.PH OCHA CARITAS TELECOMS SANS FRONTIERES This interactive map set up by DOH and being utilized by NDRRMC not only shows where all eth health facilities are located, but also displays where all of the medical mission are being carried out, number of injured and dead and more. Excellent resource.
  • 7. CURRENT SITUATION - HEALTH INJURY MANAGEMENT IS URGENTLY REQUIRED. THE EASTERN VISAYAS REGIONAL MEDICAL CENTER IS THE ONLY OPERATIONAL HOSPITAL IN TACLOBAN CITY. • The Department of Health is monitoring potential occurrence of outbreaks of communicable diseases because of the breakdown in water and sanitation facilities and the severe state of primary health facilities which were badly hit by the typhoon rendering them non-functional in delivering medical aid for victims. • Health Secretary Enrique Ona announced the implementation of a price freeze on about 200 essential medicines to ensure their availability to thousands of typhoon Yolanda victims, who are feared to be vulnerable to many diseases because of lack of clean water and food, and of continued harsh conditions in typhoon-stricken areas. • Essential drugs covered by the price freeze include those that address common chronic diseases such as diabetes, hypertension and asthma likely to be aggravated by the anxiety and stress as well as the difficult conditions faced on a daily basis by the victims. Guiuan is one of the hardest-hit areas, with every health facility destroyed, including the only facility in Eastern Samar province with capacity to help women with complications of child birth. Reproductive health kits have been sent to Guiuan to treat patients with obstetric complications. Health services in affected areas are completely hampered. Health priorities include injury management, preventing the spread of communicable diseases, maternal and child health services and mental health and psychosocial support. • • • A total of 22 Filipino medical teams have been deployed to typhoon-affected areas. For example, the Eastern Visayas Regional Medical Center—the only local health facility remaining operational in Tacloban—is being manned by teams from Metro Manila Hospitals. • 11 foreign medical teams are operational in areas including Tacloban, Ormoc City, Panay, Guiuan and Palo, and another 14 foreign teams are on their way. • WHO has teams on location in Tacloban and Cebu, coordinating the actions of foreign medical teams. Around 50 WHO experts have come to the Philippines to support government efforts, in excess of the staff who were already in country prior to the typhoon. AREA CONTACT DETAILS Eastern Visayas Dr. Emmanuel “Bong” Bueno at +63 9178391240 Director Gloria Balboa at +63 928-5072141 Director Baby Banatin at +63 9178455481 DOH Catbalogan Coordinating Center Director: Dr. Balboa at +63 9285072141 Executive Assistant: Dr. Rempillo at +63 9175584481 DOH Cebu Coordinating Center Director: Dr. Bernadas at +63 9189255908 NDRRMC.GOV.PH OFFICIAL GAZETTE WHO REPORT – 15 NOV 13 WHO SITREP 1
  • 8. EMERGING NEEDS MEDICAL AND PUBLIC HEALTH  Damages to 5 of the 50 health centers already assessed (167 in total)  Untreated trauma injuries  Growing queue of people in need of treatment for pneumonia and diarrhea  Overcrowding in shelters may lead to outbreaks of communicable disease  Lack of strong disease surveillance system  Approximately 2 million women of reproductive age need specialized information and services NEEDS FOR EVACUATION CENTERS  Food shortages  Water shortages  Lack of health services  Lack of non-food items such as beds  Lack of electricity outside centers threatens security  Inadequate amount of female police officers  Need for within shelter community based child protection network (CBCPN) and family tracing and reunification system (FTR)  Lack of trained camp managers in family reunification FOOD, WATER, AND SHELTER  Food shortages (2.5 million people)  Over 40% of crops have been destroyed  Lack of infant and young child feeding partners  Difficulty in monitoring milk donations  Inadequate supply of Vitamin A  Lack of safe drinking water  Lack of materials to build shelters  Limited fuel supply LOGISTICAL BARRIERS SECURITY  Looting and begging due to food shortages  Disruption to gender based violence (GBV) reporting and loss of records  No functional inter-agency mechanisms for reporting GBV between agencies EDUCATION  90% of day care centers and schools are damaged  Schools being used for evacuation centers, disrupting education  Relief good distribution is disorganized  Traffic jams due to trucks transporting relief goods  Remote areas are cut off from debris removal activities  Logistical and communication problems hampering response to delivering shelter materials  Lack of access and information needed to restore safe drinking water  Difficulty in transporting equipment and staff to restore telecommunication systems  Lack of storage capacity for aid deliveries  Air traffic congestion causing delays at Manila and Talcoban airports  Destruction to essential government infrastructure and loss of important documentation PHILIPPINES: TYPHOON HAIYAN SITUATION REPORT NO. 9
  • 9. EMERGING PRIORITIES IMMEDIATE WATER, SANITATION AND HYGIENE FOR 500,000 PEOPLE  Installation of water bladders, water points and mobile water treatment units  Rehabilitation of water supply systems  Distribution of water and hygiene kits  Water quality surveillance  Construction of gender-segregated emergency latrines and bathing facilities  Management of solid waste ESSENTIAL HEALTH SERVICES FOR UP TO 9.8 MILLION PEOPLE            Medical/surgical consultations Reproductive health Mental health Psycho-social support Health promotion Immunization Disease surveillance and outbreak control Restore referral system from community health facilities to higher levels of care Establish temporary health facilities and services Repair or rehabilitate damaged health facilities Deliver the Minimum Initial Service Package including maternity tents and hospital delivery room “containers” Mobile health teams NUTRITION SERVICES FOR 100,000 CHILDREN AND 60,000 MOTHERS     Provision of nutrition supplies for therapeutic feeding Micronutrient supplements and equipment Rapid nutrition assessments and screening Community-based therapeutic feeding centers for girls & boys with severe acute malnutrition FOOD AID FOR 2.5 MILLION PEOPLE  General food distribution of food basket containing rice and ready-to-eat high-energy biscuits SHELTER & URGENT HOUSEHOLD ITEMS FOR 562,000 PEOPLE  Tarpaulins, basic tools and other inputs to repair damaged and makeshift shelters, and tents for displaced people  Non-food items such as family kits, sleeping kits, sanitization and hygiene kits  Care and maintenance of existing evacuation centers and transitional sites IMMEDIATE SHORT-TERM EMPLOYMENT FOR AT LEAST 200,000 WOMEN AND MEN  Toward the removal and safe disposal of debris SUPPORT REHABILITATION OF SOLID WASTE FACILITIES & OPERATIONS COORDINATED ROAD AND SEA TRANSPORT SUPPORT OTHER NEEDS IN SPECIFIC PLACES  Temporary storage at Cebu Airport, Tacloban and across the affected areas  Deployment of fully operational communications centers that will provide both data/Internet service and common security communications service to the humanitarian community in Cebu, Tacloban and Roxas city, and two other locations. PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
  • 10. HEALTH HEALTH NEED • Injury management is urgently required. The Eastern Visayas Regional Medical Center is the only operational hospital in Tacloban City. • Over 360,000 pregnant and lactating women need specialized services for prenatal, postnatal, child health, health promotion and family planning services. • Health infrastructures are severely damaged in the worst affected areas and medical supplies are low. • According to preliminary reports, 25 health facilities in Region VIII are serving over 200 000 affected people. • The Health Cluster has assessed 24% of total health facilities (167) in the worst affected areas of Regions IV-A, VI, VII and VIII. Of the 40 facilities assessed, five are damaged. • According to NDRRMC 12,501people have been injured, with numbers expected to rise as more areas become accessible. • An oral polio vaccination campaign is necessary but is hampered by lack of cold chain capacity. • Emergency surveillance systems needs to be established. The population is at increased risk of tetanus as well as outbreaks of acute respiratory infections, measles, leptospirosis and typhoid fever • There is no delivery of routine health services in affected areas, as well as lack of medicine, surgical and general medical supplies. • Most drugstores have been looted and medicines, including family planning supplies, are urgently required, particularly in Tacloban City. • Health service delivery points, including for emergency obstetric and neonatal care, are compromised by the sustained damage. RESPONSE: • Staff is coordinating three medical teams in Tacloban and one in Medellin, which are delivering outpatient emergency care, pediatric and primary health care; 16 medical teams are en-route to affected areas. • A sub-national health cluster has been established in Cebu. • Emergency supplies were shipped to Tacloban including four emergency kits with medicines and supplies to cover basic health services for 120,000 people for one month, supplies to perform 400 surgical interventions and four diarrheal disease kits with medicines and supplies to treat 3,000 cases of acute diarrhea. • Reproductive health kits 6A and 6B (clinical delivery assistance) were sent to Guiuan, Eastern Samar to treat patients with obstetric complications. Additionally, a generator set, one refrigerator to store medicines, one delivery bed, midwifery kits and hygiene kits were sent. • Coordination is well under-way in Tacloban City and Eastern Samar Region. • First medical teams have arrived in Cebu. Others teams, currently in Manila, are preparing for their deployment. • Public health epidemiologists will be deployed for field disease surveillance and response activities. • Non-food items like medicines, hygiene kits and dignity kits are prepositioned with the Family Planning • Organization of the Philippines (FPOP) and ready for deployment. Partners procured an additional 100,000 dignity kits and 100,000 hygiene kits as well as well as reproductive health (RH) kits for distribution in eight severely affected provinces. 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
  • 11. HEALTH HEALTH GAPS & CONSTRAINTS: • Transportation of medical supplies to the affected areas is currently one of the biggest constraints. • There is a need for more comprehensive data on pregnant and lactating women in the affected 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. • The breakdown in communication facilities in many affected areas has hampered reporting and planning for reproductive health activities. • Temporary health facilities, generators, medication, surgical supplies, cold storage and WASH facilities are urgently required. • There is a high risk of acute respiratory infections, diarrhea, leptospirosis, measles, cholera and typhoid. • People are traumatized and lack psycho-social support PRIOITIES (URGENT): • Deliver care for those with injuries to prevent complications such as infection, tetanus, and disability. • According to the Assistant Secretary of the Department of Health, WASH facilities, measles vaccination campaigns and restoration of cold chain facilities are priorities. • Deliver essential medicines and medical supplies to affected populations. • Increase provision and access to essential health services (i.e. medical/surgical consultations, reproductive health, mental health, psycho-social support, health promotion, immunization). • Strengthen disease surveillance and outbreak control. • Strengthen referral system from community health facilities to higher levels of care. • Provide support to systematic immunization for vaccine-preventable disease outbreaks. • Establish temporary health facilities/ services and/or repair/rehabilitate damaged health facilities. • Provide support to information management and to the coordination of the health sector response. • Maternal and newborn health services have been identified as an important health priority, especially considering that estimated 203,250 pregnant and 135,500 lactating women need service -- in a setting where health services have been substantially depleted. 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
  • 12. HOSPITALS • CANADIAN RED CROSS plans 70-bed (surgical capacity) field hospital, potential to treat 100,000 through clinic admission or out-patient services. (per day: 300 as out-patient, immunize 1,000 children) It is deployed with core of 12 Canadian medical and support staff, and will have personnel and material support from Norwegian and Hong Kong Red Cross. Their ERU/ field hospital equipment landed in Cebu, Philippines, and are dispatched on Friday to set up in Tacloban. • California-based MAMMOTH MEDICAL MISSIONS arrived at Villamor Air Base in Manila. Operations set up in Tanauan: three surgical teams and >30 parcels of medical supplies and self-contained surgical tent. The team also has a satellite phone, expect daily updates • The ROYAL AUSTRALIAN AIR FORCE landed at Cebu, delivering a portable field hospital that was soon sent on its way to Tacloban. • The ISRAELI DEFENSE FORCE (IDF) field hospital functional in city of Bogo, began treating first patients Friday morning. Capacity to treat at least 500 patients at a time, with x-ray and birthing room, women’s and ambulatory care departments, as well as a general admission department. twitter: #IDFinPhilippines • Japanese doctors examine a baby in a field hospital set up for people affected by Typhoon Haiyan in Tacloban, Philippines, on Saturday. AP photo The Belgium B-FAST Relief Team has set up in Palo, some 10 kilometers from Tacloban in the Philippines. A small child from the town of Palo, undergoes an operation performed by a team of Belgian and German doctors and nurses at a make-shift hospital opened by Belgian relief organization B-Fast in Palo
  • 13. HOSPITALS - MSF SAMAR • MSF's emergency team in the far east of Samar Island has started medical activities in Guiuan town. They performed 600 medical consultations on the first day of medical activities, mostly for infected wounds and lacerations. The MSF staff are working with two Filipino doctors and there are many people from the community who are volunteering to help in whatever way they can. • Half of Guiuan hospital is destroyed and the other half damaged almost beyond repair. For now the medical staff are working among the ruins, but work has started to set up a makeshift tent hospital. • Thirty tons of material and supplies have reached the team in Guiuan. More cargo planes will be landing in the coming days, among them one with water and sanitation equipment and one with around 1,700 tents to distribute as shelter. More medical supplies will also arrive. LEYTE • In Tacloban city a team of eight is being reinforced with additional staff – medical doctors, nurses, logisticians, a psychologist - to prepare for setting up an inflatable hospital. • The site will be located next to Bethany hospital, on the seafront of Tacloban which has been severely damaged by the tidal wave. The plan is to set up comprehensive medical services including an Emergency Room, in-patient department, gynaecology unit, maternity delivery room, psychosocial activities, blood bank, X-Ray, and an isolation ward. In Palo ,12 kilometers south of Tacloban, a team of three is organizing primary healthcare activities. In and around Ormoc town, teams that include a medical doctor, nurses, logistics specialists and a psychologist started to conduct mobile clinics while assessing further needs. The focus is especially on the evacuation centers where people have gathered following the typhoon. The team has provided some basic medical care. Two teams conducted assessments along the east and west coasts of the island. Along the west coast there was structural damage in most of the houses, but generally the situation was not as bad as on the east coast, where most of the health structures visited have been damaged and have supply problems. In Dulang , with a population of around 48,000, the health facility has been partially destroyed and the medical staff report an increase in patients with diarrhoea. They have also received some wounded people, mainly with cuts. The referral system is not working anymore because there is no fuel to transport patients. The MSF team is planning distributions of relief items and support for the medical facility.
  • 14. HOSPITALS - MSF PANAY • In the northern part of Iloilo City, and in nearby offshore islands, there is 90% destruction. • MSF is planning to focus on the most acute needs including primary medical care through mobile clinics, and distribution of relief items. Needs assessments continue in other parts of the island to identify where MSF’s medical response is most acutely required. • Following an assessment in Iloilo province, a team will now respond to the acute needs identified in the areas of Estancia, Concepcion and San Dionisio where several thousand houses have been totally destroyed. • Some small islands off the eastern coast have also been heavily affected and assessments are currently being carried out there. • On the western coast of Panay, the team visited the village of Tibiao where they estimated 60% destruction. • Relief items will arrive in Roxas City and MSF is opening two out-patient departments, in the towns of Cartes and Estancia. MASBATE: MSF has started a needs assessment on Masbate island. MSF teams are finding their efforts limited by huge logistical impediments that the storm left in its wake. The areas affected by the typhoon are spread out across a very wide area. Many of the main roads and airports in the region are either destroyed, closed, or littered with debris. Some airstrips are too small to land large planes, and electricity and fuel supplies are very limited. It has been difficult to deliver the cargo necessary, in the amounts necessary, in order to set up programs and provide medical care. http://www.msf.org/article/typhoon-haiyan-msf-starts-treating-patients
  • 15. DISEASE BRIEF- LEPTOSPIROSIS There are no reported outbreaks yet. But risk for diarrhea, respiratory illnesses, leptospirosis and influenza outbreaks remain high. TREATMENT Leptospirosis is treated with antibiotics, usually doxycycline or penicillin for a course of one week. DESCRIPTION CURRENT SITUTATION Leptospirosis is a disease caused by a type of bacteria. It is spread by contacting the urine of an infected animal (usually rats). People get sick by touching, eating, or drinking water or soil that has been infected by animal urine. Outbreaks often happen with floodwaters after a hurricane. • The are no reported outbreak of Leptospirosis in the affected areas of the Philippines yet. • The Philippines, however, sees cases of Leptospirosis very often following hurricanes and flooding. • Public health officials are remaining vigilant to the possibility of an outbreak RISK FACTORS Drinking, eating, or touching contaminated water or soil. SYMPTOMS People usually start getting sick with a fever, chills, and vomiting 2 days to 4 weeks after the bacteria enters their body. Without treatment, people can be sick for a few days or sometimes more than 3 weeks. Some people recover after a few days but will later become sick again with lifethreatening symptoms. Some of the common symptoms include: • High fever • Headache • Chills • Muscle aches • Vomiting • Jaundice (yellow skin and eyes) • Red eyes • Abdominal Pain • Diarrhea • Rash RECOMMENDATIONS • Aid workers should avoid consuming any unfiltered water. • Keep floodwater and soil off skin, especially, from the eyes, nose, mouth, or open wounds. • Anybody experiencing a combination of the listed symptoms should seek medical attention as soon as possible. CDC The New York Times - 14 Nov
  • 16. DISEASE BRIEF-DYSENTERY DESCRIPTION TREATMENT Dysentery is an inflammatory disorder of the intestine caused by bacteria, amoeba, or viruses. It is spread by coming into contact with water or food contaminated with feces. People get sick by touching, eating, or drinking water or food that is contaminated. Oral or intravenous hydration therapy is the treatment of choice as well as antibiotics. RISK FACTORS • There have been cases of dysentery reported in Tacloban. • Dysentery is endemic in the Philippines. • Public health officials are remaining vigilant to the possibility of outbreaks in other cities and/or towns affected by the typhoon. Most common in overcrowded, impoverished areas with poor sanitation, inadequate hygiene practices, and unsafe water supplies. Drinking, eating, or touching contaminated water or food. CURRENT SITUTATION SYMPTOMS The symptoms usually start 1-14 days after coming into contact with the causative organisms. Symptoms include fever, chills, vomiting, and watery or bloody diarrhea. Without treatment, people can have life-threatening symptoms such as severe dehydration. Some of the common symptoms include: • High fever • Chills • Muscle aches or cramps • Vomiting • Abdominal Pain • Watery diarrhea with blood or mucus AMERICAN ACADEMY OF FAMILY PHYSICIANS - TRAVELERS' DIARRHEA CDC - TRAVELERS’ DIARRHEA RECOMMENDATIONS • • • • • • Regularly wash hands Only drink water from reliable sources (bottled water) Avoid ice cubes Use bottled water for brushing teeth Avoid raw uncooked fruits and vegetables Avoid undercooked foods
  • 17. FOOD FOOD NEEDS: About 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. 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. • On November 14th 170,475 people received family food packs, with over 34,000 packs distributed in Leyte. • On November 14th, 1,500 kilos worth of food packs successfully deployed to Guiuan, with plans to distribute food supplies to Eastern Samar. • On November 14th, 5,000 people received high energy biscuits at Tacloban airport with deliveries to Guiuan, Eastern Samar, and other parts of Leyte to start November 15th. • 10,000 households will receive agricultural inputs, such as seeds. FOOD SECURITY CLUSTER SOCIAL MEDIA: FACEBOOK TWITTER FOOD SECURITY CLUSTER MEETING MINUTES 11/15/13 IFRC UPDATE 11/12/13 HUMANITARIAN ROAD - PHILIPPINES 11/14/13 UN OCHA SITUATION REPORT: 11/15/13 UN OCHA SNAPSHOT 11/14/13 WFP UPDATES 11/12/13 FOOD SECURITY CLUSTER UPDATE 11/15/13 GAPS & CONSTRAINTS: • Logistical constraints hamper the delivery of food assistance. • Resources are overstretched as the cluster is also responding to the Bohol and Zamboanga emergencies. • To expand the ability of the cluster to respond, additional partners need to be identified. • Security is a concern as people have stormed warehouses and food distribution sites, including within Tacloban City. • Over 40% of 130,000 hectares of affected crops (mostly rice and coconut) have been destroyed. • Food Cluster is currently 18% funded out of a total US$76.2 million request. PRIORITIES: • General food distribution, with food baskets containing rice and ready-to-eat high-energy biscuits, an ideal form of food assistance in the initial phase of an emergency. • 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: The NEW Food Cluster Coordinator is Jeffrey Marzilli (jeffrey.marzilli@wfp.org). The co-leads at WFP are Beatrice Tapawan (0917-539-9944, beatrice.tapawan@wfp.org) and Dipayan Bhattacharyya (0917-594-2450, dipayan.bhattacharyya@wfp.org)
  • 18. NUTRITION NEED: • Amongst the 1.9 million displaced by Typhoon Haiyan, there are an estimated 112,000 children between the ages 0 to 59 months and 70,000 pregnant or lactating women. • An estimated 4.9 million children are at risk to malnutrition. • Priority interventions include infant and young child feeding (IYCF) Infant formula monitoring, micronutrient supplementation, management of acute malnutrition, 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 per cent to 9 per cent global acute malnutrition (wasting), 21 per cent to 26 per cent underweight and 38 per cent to 42 per cent stunting). RESPONSE • Emergency supplies were procured for community-based management of acute malnutrition. • Breastfeeding and complementary feeding counseling has started among displaced communities. 2,002 pregnant women received iron folic acid in Ormoc and 2082 post-partum women received Vitamin A capsules in Ormoc. • 100,000 displaced children are targeted for a Vitamin A supplementation and de-worming programme which has started in barangays in Region VIII. • Nutrition supplies en-route to Guiuan and being shipped from Manila and Cotabato City to Tacloban City. • Ten surge staff are mobilized and ready for deployment by 16 November to provide nutrition interventions. UNOCHA report Nov 15 2013 OCHA Situation Report 9 Nov 15 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 12 2013 UNICEF PRIORITIES (URGENT): • 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. • Establish and support Infant and Young Child Feeding (IYCF) in Emergencies, community peer counseling activities with women's groups, and other trained community counselors. • 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. • Conduct standardized nutrition surveys for updated age- and genderdisaggregated nutritional status data. GAPS AND CONSTRAINTS: • Of 7 million USD asked for in action plan, 0% of funds have been raised. • Limited IYCF partners to support local agencies. • Difficulty in monitoring milk formula donations. • Inadequate supply of Vitamin A. • Lack of staff to provide nutrition interventions. CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org hmdebwe@gmail.com
  • 19. WASH WATER, SANITATION AND HYGIENE WATER, SANITATION AND HYGIENE NEEDS: • Water treatment units are needed for barangays outside Tacloban city and those in outlying areas. • Damaged water systems: limited or no water supply in affected areas. • Water kits, hygiene kits and large generator sets for water systems and portable treatment units are needed. RESPONSE: • Water systems are restored to 30% capacity serving 28,000 connections in eight municipalities serving an estimated 150,000 people. The Philippines National Army donated 6,000 liters of fuel, which will run the pumps for 6 days. Also, USAID/OFDA committed to providing funds for fuel for 10 to15 days until water systems are completely restored. The rehabilitation of water pipelines is ongoing. • A cargo from the United Kingdom carrying 16 tons of aid worth $200,000 USD, including water and sanitation equipment, is arriving into the country on Saturday and will immediately be taken to affected areas. • Water treatment plants in Pastrana and Dagami municipalities in Leyte were repaired. • Water supply service has been partially restored and is operational in Tacloban City with fuel, generators and spare parts secured for continued operations. • WASH rapid needs assessment teams arrived in Leyte, Samar, Iloilo, Cebu and Aklan. • USAID/OFDA partners are providing point-of-use water treatment solutions for household-level treatment and utilizing bulk chlorine for larger-scale treatment, as well as providing water containers to assist with distribution OCHA SITREP 9 - 15 NOV 2013 USAID Fact Sheet #4 - 14 NOV 2013 Typhoon Haiyan: Oxfam GAPS & CONSTRAINTS: • • • • Access and lack of information restrict the ability of the cluster to gather essential data. Water systems that are now intact need to be tested for contamination. Groundwater supplies remain contaminated in most storm-affected communities. According to NDRRMC, 239 municipalities do not have electricity as of 13 November. Water systems in these areas may not be fully operational as they often rely on power to pump water. UNICEF Philippines Representative Tomoo Hozumi helps unload hygiene kits that were airlifted via a charter flight to the city of Tacloban, Leyte, Philippines, on 15 November 2013. UNICEF supplies CLUSTER COORDINATOR Rory Villaluna UNICEF 0917-859-2578 02-901-0101 washccph@gmail.com
  • 21. EMERGENCY SHELTER DAMAGE: Government data reports 285,993 damaged houses (160,573 destroyed). These numbers are expected to rise and the cluster estimates that over 500,000 houses may be severely affected, particularly in coastal areas inhabited by the vulnerable & poor. NEEDS: • Tarps needed on the Island of Batbatan also known as Kinatacan/Guintacan/Guinatacan (Coordinates: 11.316667,123.9) • Tarps needed in Salcedo (Coordinates: 11.151880,125.639847) • Shelter needed on Lipayran Island (Coord: 11.054910,123.626312) • Food, water, health services and non-food items (NFI) such as beds are priorities for the following evacuation centers in Tacloban: Astrodome, Rizal Central School, San Jose Elementary School, San Fernando Elementary School, & Redemptorist Church. RESPONSE: • Map of emergency shelters available here. • Currently, 1,145 evacuation centers are serving 423,000 people while 1.4 million are living outside of evacuation centers. • Donor support for early recovery projects needed immediately. • The cluster conducted camp management orientation on establishing participative leadership structures among the residents of the ECS. Some residents were identified to serve as ad hoc camp leaders and were tasked with generating the master list of families living in their ECs. IDPs responded positively and have listed families. SHELTER CLUSTER – TYPHOON HAIYAN 2013 TYPHOON YOLANDA CRISIS MAP HUMANITY ROAD DIGITAL SITUATION REPORT NOV 16 KEY MESSAGES FOR THE SHELTER CLUSTER (12.11.2013) SHELTER CLUSTER - EMERGENCY AND ER STRATEGY OCHA SITUATION REPORT NUMBER 9 – NOV 15 GAP & CONSTRAINTS • Shelter Cluster partners urgently need additional emergency shelter materials and household non-food items. The Shelter Cluster calls on donors and aid agencies to provide additional emergency shelter materials and non-food items to the affected areas as quickly as possible. • Only 7% of $42.6 million needed for emergency shelter raised. • Health concerns in evacuation centers due to overcrowding, lack of food, safe water, and medicine. • A lack of power in evacuation centers is making residents fearful. A woman stands among destroyed homes (source) 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
  • 23. LOGISTICS LOGISTICS NEEDS: • Ground and sea transport vehicles (ferries in high demand), debris removal, increased transit storage capacity, fuel, and stable telecommunications. • Increased logistical capacity to reach mountain areas. • Expeditious processing and release of international relief goods (guidance). Cluster Leads City Name Title Phone Email Manila Baptiste Burgaud Cluster Coordinator 0917-5713160 Baptiste.burgaud@wfp.org Cebu Henrick Hansen Logistics Officer +639152164926 Henrik.hansen@wfp.org Tacloban Andrew Stanhope Logistics Officer Not Available Andrew.stanhope@wfp.org RESPONSE: • On 16 November, a barge linking Cebu City and Leyte province sea ports started operating. • Relief supplies, generators and vehicles shipped from Cebu City are expected to arrive in Tacloban City on 17 November. • Two mobile storage units were installed at Cebu International Airport. • Tacloban port is now operational. • WFP is contracting sea transport service to operate out of Cebu. • Logistics Cluster is planning transit storage temporarily in Cebu. • Public Works and Highways have been able to open the national roads in Eastern Visaya. • C-130 planes can now fly into Tacloban Airport. OCHA Situation Report No. 10 Nov. 16 LOGISTICS CLUSTER – MEETING MINUTES – NOV 15 LOGISTICS CLUSTER – CUSTOMS SNAPSHOT– NOV 14 USAID FACT SHEET #4 – NOV 15
  • 24. LOGISTICS GAPS & CONSTRAINTS: • Limited fuel, vehicles, air transportation, and impassable roads to affected areas are slowing the response capabilities of all clusters. ‒ Airport storage and unloading facilities are becoming backlogged, especially Cebu airport. ‒ Tacloban Airport Hospital overloaded and evacuation list is too long. ‒ There is a lack of trucks in Leyte to meet the volume of expected deliveries. ‒ Storage in Cebu and Tacloban is limited and likely to become a constraint as more agencies forward their cargo. ‒ In Cebu, airport delays were reported in offloading due to heavy congestion and limited availability of equipment. • Matnog ferry crossing connecting Sorsogon to northern Samar: six-hour ferry-handling is taking up to 3 days due to backlog of vehicles of Filipinos visiting family members. Could take up to one week to identify additional ferries.
  • 26. CHILD PROTECTION & GENDER BASED VIOLENCE PROTECTION NEEDS: • Family tracing and reunification of separated families is urgently needed. • Approximately two million women of reproductive age need specialized information and services. VULNERABILITIES: • The lack of electricity in affected areas in Regions IV-B, V, VI, VII, and VII is making women and children inside and outside evacuation centers fearful and desperate. • Food shortages and inadequate security measures have provoked negative behaviors-looting, begging in the streets and people scouring through garbage. RESPONSE: • UNHCR is co-leading the protection cluster with the Philippine federal Department of Social Welfare and Development under the inter-agency emergency response. • UNHCR provides protection coordination and delivery, identifying the most vulnerable people and ensuring their access to basic aid and services. • The cluster provided mapping and information management support to NDRRMC to facilitate the coordination of logistics in Cebu City. • The child protection working group (CPWG) conducted an initial Child Protection Assessment in Ormoc City and verified that the referral and reporting mechanisms for the referral of violence against women and children is in place. • UNICEF has announced an appeal of $61.5 million for the Typhoon Haiyan response. All funds collected for the Typhoon Haiyan emergency will be used for the Typhoon Haiyan emergency; they will not be reserved for future emergencies. OCHU Situation Report #9 http://www.unhcr.org/5286316a6.html GAPS & CONSTRAINTS: • GBV reporting and prevention services were disrupted and there are no available records. • No functional inter-agency mechanisms for GBV on the provincial and municipal levels. • There are not enough female police officers in the evacuation centers. • A community-based child protection network (CBCPN) and family tracing and reunification (FTR) system need to be established in evacuation and relocation sites. • Camp managers are not adequately trained on, or experienced in, family tracing and unification. • Lack of sufficient lighting for protection at night. • Lack of protective mechanisms for equal food distributions to decrease women and children street begging. 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
  • 27. US RESPONSE DEPARTMENT OF DEFENSE (DOD) PRIORITIES: debris removal, providing potable water, food, shelter and medical care. CHALLENGES: • Passable roads, vehicles, and ground transportation is limited. • Many remote affected areas have not received aid and damage assessments have not been conducted due to lack of access. RESPONSE: • U.S. Pacific Command has established a joint task force to coordinate the DOD’s relief efforts. • Supply drops are being made in at least 16 locations in the worst-hit island provinces. • Aircraft carrier USS George Washington has arrived: Marine Corps MV-22 Ospreys (helicopter) are distributing supplies. • Eight MV-22 Osprey tilt-rotor aircraft from Marine Medium Tilt rotor Squadron 265 assigned to the 31st MEU are expected to fly from Okinawa to Clark International Airport in the Philippines in the coming days, doubling the number of Osprey aircraft available to fly missions. • The first Air Force C-17 Globemaster III transport jet landed at Tacloban airfield, delivered water production capabilities to the Philippine armed forces. • About 300 U.S. Marines are currently on the ground. 900 Marines based in Okinawa are deploying aboard the USS Germantown and USS Ashland. • USS Germantown and USS Ashland are delivering backhoes, dump trucks and wreckers; amphibious assault vehicles; generators; and portable water tanks. Sailors aboard the U.S. Navy's forward-deployed aircraft carrier USS George Washington load containers of water onto an MH-60S Seahawk for the Philippines, Nov. 15. 2013. (U.S. Navy) U.S. Marines load a pallet of gear onto a KC-130J Hercules aircraft on Marine Corps Air Station Futenma, Okinawa, Japan, Nov. 12, 2013 NAVY OFFICIAL DETAILS AID MOVING TO PHILIPPINES USPACOM ESTABLISHES JOINT TASK FORCE AID TO REMOTE AREAS
  • 28. US RESPONSE USAID • Through a cash contribution, USAID/FFP has enabled WFP to purchase 2,500 metric tons of rice in local markets for inclusion in the family food packs that the GPH Department of Social Welfare and Development is distributing to typhoonaffected populations. • USAID and DOD continue working together closely to coordinate airlifts to convey USG and non-USG relief commodities to remote typhoon-affected areas.
  • 29. CLUSTER MEETING POC Agriculture (No meeting scheduled) Alberto Aduna (Cluster Coordinator) +63 917 587 1463 /+63 2 901 0352 Camp Coordination / Management (No meeting scheduled) Alberto Aduna (Cluster Coordinator) +63 917 587 1463 /+63 2 901 0352 Early Recovery Early Recovery Cluster Meeting (Manila) 18/11/2013 - 10:30 Room 506 Yuchengco Institute for Advanced Studies, 5F Yuchencgco Tower 2, Philippines Alma Evangelista (Cluster Coordinator) +63 917 893 3706 / +63 2 901 0226 Education (No meeting scheduled) Maria Lourdes de Vera-Mateo (Cluster Coordinator) +63 917 867 8352 / +63 2 901 0166 Emergency Shelter Shelter Cluster Meeting (Cebu) 18/11/2013 - 09:00 DSWD offices, conference room, Philippines Patrick Elliott (IFRC) email: coord.phil@sheltercluster.org tel: +63 908 401 1218 Emergency Telecommunications Next Global ETC Teleconference on Philippines: 18 November Next Local ETC Working Group meeting: 19 November Karen Barsamian (ETC Coordinator) Email: karen.barsamian@wfp.org Mobile: +639152164938 Food Security (No meeting scheduled) Beatrice Tapawan +63 917 539 9944 Health (No meeting scheduled) Arun Mallik (Cluster Coordinator) +63 908 625 8619
  • 30. CLUSTER MEETING POC Inter-Cluster Coordination Government coordination meeting(Tacloban) 18/11/2013 - 16:00 Oval Grand Stand, Tacloban City, Philippines Elizabeth Marasco Information Manager +63 917 543 7217 / +63 2 844 1108 John Marinos Information Management Officer +63 906 570 2109 Coordination Meeting (Roxas) 18/11/2013 - 18:00 (ROXAS provincial hall), Philippines, UNDAC General Coordination Meeting (Tacloban) 19/11/2013 - 08:30 Tacloban City Hall, Ground Floor,UNDAC Team Marcus Culley marcus.culley@undss.org UNDAC Contact Number: +63 91 86569199 Security Meeting for SFPs and INGO partners (Manila) 19/11/2013 - 15:30 RCBC complex Coordination Meeting (Roxas) 19/11/2013 - 18:00 (ROXAS provincial hall) Livelihood (No meeting scheduled) Simon Hills +63 917 894 9329 / +63 2 580 9900 Logistics (No meeting scheduled) Chiara Argenti chiara.argenti@wfp.org Nutrition (No meeting scheduled) Henry Mdebwe (Cluster Coordinator) +63 917 565 4062 / +63 2 901 0150 Protection (GBV / Children) (No meeting scheduled) Sarah Norton-Staal (Cluster Coordinator) +63 917 867 8363 / +63 2 901 0129 Devanna De La Puente (Cluster Coordinator) +63 917 515 3559 WASH (No Meeting scheduled) Souleymane Sow /09202218148 wash.coordregion7@gmail.com
  • 31. CLUSTERS POC https://philippines.humanitarianresponse.info/system/files/documents/files/Contact%20List_Cluster%20co-leads_Typhoon%20Haiyan_Yolanda%2013Nov2013.pdf