Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 25 NOV 2013 - 12 PM

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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 this special report. The group that produced this summary and analysis of …

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.

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  • 2. BACKGROUND Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine typhoon on record, killing at least 5,235 people The thirtieth named storm of the 2013 Pacific typhoon season, Haiyan originated from an area of low pressure several hundred kilometers eastsoutheast 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. 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. AFFECTED POPULATION: 2,145,359 families (9,996,065 persons) in nine regions—over 10 percent of the country’s population—are affected 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. A man fans flames on a fire Tanauan on Nov. 19, 2013 in Leyte, Philippines. Dan Kitwood/Getty SOURCES: PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013 WIKIPEDIA - TYPHOON HAIYAN
  • 3. EMERGING NEEDS MEDICAL AND PUBLIC HEALTH • Increasing need for primary health care • Acute respiratory diseases, including pneumonia, are a concern in the coming months • Some patients are hesitating to seek medical care not realizing that health care is free FOOD AND WATER • Limited or no access to markets causing worry about long term food needs • Some people in Eastern Samar have only received limited assistance thus far : • Island barangays of Homonhon and Suluan in Guiuan Municipality • Indigenous people in Marabut Municipaity • Lack of water supplies in (Barbaza, Antique, and some municipalities/cities in Capiz and Iloilo) SECURITY • • • • • • Sexual Violence is expected to increase Security personnel lack knowledge of child protection issues Lack of lighting/electricity in homes and shelters at night Families sharing small spaces increasing tensions Women and children have been begging on the streets In Salcedo Municipality, there are 36 unaccompanied and separated children TEMPORARY SHELTER, EVACUATION CENTERS, AND CAMPS • 1,130,406 houses damaged or destroyed • 3.4 million believed to be displaced of which 240,793 are living in one of the 1,096 evacuation centers • 5,000 people living near Estancia (Iloilo Province) have been evacuated due to oil spill • Local markets can not meet the demand for shelter supplies • Lack of disaggregated data on IDPs • No legislative decision has been made on alternative resettlement or relocation arrangements for IDPs LOGISTICAL BARRIERS • • • • • Limited number of trucks for water trucking Still power outages Limited fuel in some areas (including Guiuan) Limited empty fuel barrels (Tacloban) Tacloban airport • Operations limited • Congestion • Most areas in Leyte and Samar remain unreachable by media EDUCATION • Tents for temporary learning spaces • Basic teaching and learning materials, including sports and recreation equipment for psychosocial support activities • Limited information on the status of day care centers and children OTHER • Affected people still lack critical information on aid, missing relatives, protection, health issues and recovery planning • Concern that those borrowing money under “5-6 loan scheme” in order to rebuild their homes will be at risk for debt • Many services providers in government agencies are not back at work PHILIPPINES: TYPHOON HAIYAN SITUATION REPORT 17 UN PROTECTION ASSESSMENT NO. 7 NEGROS OCCIDENTAL FIELD ASSESSMENT 4 NDRRMC SITEREP NO. 38
  • 4. EMERGING PRIORITIES IMMEDIATE WATER, SANITATION AND HYGIENE • Water kits • Water, sanitation and hygiene (WASH) interventions in many areas • 760 severely schools need WASH assistance (Leyte and Eastern Samar provinces) • 168 toilets for evacuation centers (Tacloban) FOOD AID FOR 2.5 MILLION PEOPLE • Farmers require agricultural inputs before the planting season ends in January • Funding for rice and corn production • 1,920 tons of rice seeds, 330 tons of corn seeds, 2,200 tons of fertilizers, 11,000 agricultural tool kits and 1,400 small irrigation water pumps needed for farmers • Funding to restore fishery based livelihoods • Building/repairing fishing boats ESSENTIAL HEALTH SERVICES • Creating capacity to treat TB, acute respiratory infections, dog bites, and wounds • Fill gaps in basic health care left by departing foreign assistance OTHER • Additional heavy equipment for debris clearing • Warehouses needed to store equipment (including Roxas) • Training workers on disaster risk reduction, preparedness, office safety and rescue techniques • Registration and profiling of IDPs SHELTER & URGENT HOUSEHOLD ITEMS • Tents, tarpaulins and shelter non-food items (NFIs) • Corrugated iron sheets, nails, building tools WOMEN AND CHILDREN • Nutrition counseling for the 1.35 million children underfive are at risk of malnutrition • Promote appropriate infant and young child feeding practices (IYCP) for 200,000 children • Camps need separate areas for women and children (Identification, documentation, tracing and reunification for unaccompanied and separated children) • Establishment of a specialized referral system for 3.2 million affected women of child-bearing age • Capacity building so that local governments can better understand and respond to gender based violence and child protections services (Guiuan) EDUCATION • Repair and rehabilitation of damaged and/or destroyed school buildings in areas not being reached by the Government • Schools and public buildings used as evacuation centers need to be vacated • Immediate cash assistance/transfers for affected teachers and day care workers • Emergency employment projects PHILIPPINES: TYPHOON HAIYAN ACTION PLAN - NOVEMBER 2013 PHILIPPINES: TYPHOON HAIYAN SITUATION REPORT 17 NEGROS OCCIDENTAL FIELD ASSESSMENT 4 UN PROTECTION ASSESSMENT NO. 7
  • 5. WEATHER OUTLOOK GALE WARNING NO. 16 For: Strong to gale force winds associated with the surge of Northeast Monsoon. Issued at 5:00 a.m. today, 25 November 2013 Strong to gale force winds is expected to affect the northern seaboard of Northern Luzon. Synopsis: Tail-end of a cold front affecting Northern Luzon. Forecast: Metro Manila and the regions of Ilocos, Cordillera, Cagayan Valley and Central Luzon will have partly cloudy to cloudy skies with isolated light rains. The rest of the country will be partly cloudy to cloudy with isolated rain showers 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 east to northeast with slight to moderate seas.
  • 6. CURRENT SITUATION As of 25 NOV 2013 – 6:00 PM PhT AIRPORTS: To date, operations in Tacloban Airport is limited CASUALTIES: 5,235 individuals were reported dead, 25,559 injured and 1,613 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 2,146,418 families (9,923,917 persons) were affected in 11,918 barangays in 44 provinces, 574 municipalities and 57 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA. 733,491 families (3,430,881 persons) were displaced. Inside 1,093 evacuation centers: • 53,063 families / 240,365 persons inside evacuation centers • 680,319 families/ 3,190,768 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA): • DAMAGED HOUSES: 1,079,452 houses damaged (517,322 totally / 562,130 partially) The total cost of damages was pegged at PhP24,539,170,406.76 ($ 559,551,979 USD) • For infrastructures: PhP13,182,975,034.00 ($300,603,469 USD) • For agriculture PhP11,356,195,327.76 ($ 258,948,508) in Regions IVA, IV-B, V, VI, VII, VIII, and CARAGA ‐ Crops (rice, corn other crops): PhP5,168,916,351.70 ($117,863,698 USD) ‐ Livestock: PhP2,184,011,881.00 ($49,800,712 USD) ‐ Fisheries: PhP2,161,634,280.06 ($49,290,449 USD) ‐ Irrigation facilities: PhP212,700,000.00 ($4,850,070 USD) ‐ Other agricultural infrastructure: PhP1,628,932,860.00 ($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 supplies • Water supply in Leyte is sufficient as of 15 November 2013 • 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; Dumarao, Capiz; and Daanbantayan, Cebu NDRRMC
  • 7. http://reliefweb.int/sites/reliefweb.int/files/resources/MA008_SituationOverview_v11-300dpi.pdf.pdf
  • 9. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL Communities are in need of better shelter, nutrition and clean water to prevent a further spread of acute respiratory infections in the coming months. As foreign medical teams that have focused on trauma injuries begin to leave the country, gaps will occur for basic health care. Operational health facilities are reportedly overstretched, and there is still overall poor coverage of services in particular along the Eastern coast of Samar and Cebu. Cases of acute malnutrition continue to rise. Tacloban: 9 severe and 19 moderate; Eastern Visayas Region: 7 moderate and 9 severe VACCINATION CAMPAIGN: On November 22, the vaccination campaign was officially launched. The Department of Health has requested support for their Vaccination program, covering measles, tetanus and polio in children, TB (BCG) and Hepatitis B for newborns, and for influenza and pneumococcal within the elderly. The lack of consistent power is affecting the rapid scale up of these processes as it hinders establishment of sufficient cold chain capacity. MATERNAL HEALTH: An estimated 389,500 pregnant and lactating women need specialized services for prenatal, postnatal, child health, health promotion and family planning. Daily, an estimated 865 births take place in the affected communities. About 129 of these will have potentially lifethreatening complications HEARS CURRENT SITUATION NOV 25, 2013 HEARS CURRENT SITUATION NOV 24, 2013 HEARS CURRENT SITUATION NOV 23, 2013 DISEASE/ INJURY • Two leptospirosis deaths have been verified: A 22-year-old male from Tacloban City and a 58-year-old male from Palo, Leyte • DOH confirms that there have been a number of tetanus cases. Those verified were all males whose ages ranged from 19 to 60 years. One came from Tolosa, Leyte and the rest from Tacloban. All of them are alive. A team of medical experts from the San Lazaro Hospital in Manila was deployed to Tacloban to attend to typhoon victims who contracted tetanus, • Top health conditions reported are acute respiratory infections, injuries and wounds, fever, diarrhea, hypertension, asthma and insomnia, as well as chronic conditions. • The risk of outbreaks of diarrheal diseases and measles is substantial given the lack of safe water and sanitation, displacement and overcrowding, and sub-optimal vaccination coverage. At a meeting on Friday evening, 22 NOV 2013, where representatives of several dozen domestic and foreign medical groups described the biggest single public health problem to emerge since the typhoon is acute respiratory infections, including pneumonia which have been attributed to lack of shelter, poor weather, and lack of clothing (NYT) WHO - #2 HEARS CURRENT SITUATION NOV 22, 2013 HEARS CURRENT SITUATION NOV 21, 2013 HEARS CURRENT SITUATION NOV 20, 2013
  • 10. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL Medical consults conducted in selected evacuation centers (Astrodome, Dulag, EVRMC, Phil. Science High School, San Jose, Tanauan) revealed the following: • From November 9 to 16, 2013 is 1112 cases were seen. • The top five cases identified were: punctured/lacerated wound, influenza like illness, acute gastroenteritis, upper respiratory tract infection, and fever. Punctured/lacerated wounds (186) are highest among adults, • EASTERN VISAYAS REGIONAL MEDICAL CENTER has remained to be operational and being augmented by teams from DOH medical team from Metro Manila. Admitted patients for the period of Nov. 20-25 are the following: ER consultation 1, 524, OPD 1,795, surgery 357 and psychosocial 571. Medical Team and MHPSS team were deployed at VILLAMOR AIRBASE to conduct triaging and psychosocial services to arriving typhoon Yolanda survivors from Tacloban. A total of 3,070 OPD consultations and 885 psychosocial services were done for the period Nov. 15-24. Influenza-like Illness (92), acute gastroenteritis (78), upper respiratory tract infection (69) and fever (24) are highest among children. Tanauan Evacuation Center appears to be the evacuation center with the highest number of cases. SURVEILLANCE: The disease surveillance system in the affected areas has been disrupted by the typhoon as many of the reporting sites have ben destroyed. For the period November 13-21, 2013, Eastern Visayas Medical Center reported the following services: 1,524 ER consultations, 1,795 OPD consultations and 1,352 total in- patient census and 350 operations. The top 5 leading causes of consultation are: Systems for disease monitoring have been activated, but are hampered: • Damaged communications infrastructure, introducing latency in reporting • A shortage of trained staff • Poor internet connections 1. 2. 3. 4. 5. Trauma/typhoon related injuries Respiratory tract infection Acute gastro enteritis Hypertension Skin disease. A total of 100 patient given prophylaxis for leptospirosis and 18 tetanus toxoid in November 21. AS OF 25 NOV 2013: DOH TEAMS - 75 LOCAL TEAMS- 23 FOREIGN TEAMS: – 60 Surveillance in Post Extreme Emergencies and Disasters (SPEED), an emergency disease surveillance system, has been activated. SPEED is an early warning disease surveillance system for post-disaster situations launched by the GPH Department of Health and U.N. World Health Organization in 2010. The aim of the system is to determine early and potential disease outbreaks and monitor disease trends. HEARS CURRENT SITUATION NOV 25, 2013 HEARS CURRENT SITUATION NOV 24, 2013 HEARS CURRENT SITUATION NOV 23, 2013 WHO - #2 HEARS CURRENT SITUATION NOV 22, 2013 HEARS CURRENT SITUATION NOV 21, 2013 HEARS CURRENT SITUATION NOV 20, 2013
  • 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. • There were four (4) barangays and an estimate of 5,000 individuals affected. • According to the caretaker of the barge, approximately 300,000 out of 1.2 million liters have been released from the damaged portion and 35,000 have been recovered manually by cleanup workers. • A composite team from NCDPC, EAMC-Poison Control and UP-PGH in Collaboration with CHD-VI conducted the rapid health and environmental assessment. • As a result, A total of 110 residents and workers were examined. • The Main findings among the resident and the workers were respiratory problems, irritation of the eyes, skin and mucous membranes, effects on central nervous system and gastro intestinal system. • Essential medicines were provided by the EAMC-Poison Center from the management of acute signs and symptoms. • Water samples were also collected for lead, poly aromatic hydrocarbon and petroleum hydrocarbon tests. • Fish sampling was coordinated with the Bureau of fisheries and aquatic resources. • A forced evacuation was ordered to the residents of Barangay Botongon which are near from the oil spill incident. (Name of evacuation center and figures to follow). HEARS CURRENT SITUATION NOV 24, 2013 The National Power Corporation (Napocor) says it may take three months to contain the oil spill from a NAPOCOR barge along the waters of Barangay Botongan, Estancia, Iloilo at the height of super typhoon Yolanda.
  • 12. 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.
  • 13. 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.
  • 14. HIGHLIGHT BRIEF- MEASLES DESCRIPTION TREATMENT • A respiratory disease caused by the measles virus • Highly contagious – 90% of people without immunity (those never vaccinated) sharing a living space with an infected person will develop the disease • Spread via respiration by coming in contact with fluids from an infected person’s nose and mouth either directly or through droplets in the air • Complications are common and usually more severe in adults • Most people with uncomplicated measles will recover without specific treatment • Rest and supportive care (e.g. fluids) • Hospitalization for those with severe complications • examples include pneumonia, ear infection, encephalitis (inflammation of the brain), corneal ulcerations, and miscarriage or premature delivery in pregnant women RISK FACTORS • Not getting vaccinated • Travel to or contact with someone who has travelled to developing countries where measles is common (endemic), vaccinations are limited, and/or malnutrition is common • Sharing the same living space with an infected person SYMPTOMS Symptoms develop in unvaccinated people 9 to 12 days after coming in contact with an infected person. • Fever (up to 40C or 104F) • The 3 C’s of Measles: Cough, Coryza (term that describes inflammation in the upper respiratory tract [nasal cavities] that commonly occurs with a ‘cold’), and Conjunctivitis (red eyes) • Runny nose • Loss of appetite • Rash -- classic symptom of measles • • a generalized (covers the entire body), flat-to-slightly raised red rash (see photo to the right) appears several days after the fever starts CURRENT SITUATION • Much of the Philippines is not immunized against measles • Medical and public health authorities have been monitoring for potential outbreaks, but communications is still an issue RECOMMENDATIONS • Individuals who have not been vaccinated should: • • • • Confirm you have had the measles vaccine prior to travelling to any endemic area • • • not share close spaces or intimate contact with infected persons wear masks and gloves if contact with infected persons is unavoidable wash hands thoroughly with antimicrobial soap and hot water vaccination is the primary and most effective method of prevention most people in developed countries have been vaccinated Infected individuals should be placed in isolation (Photos of the classical measles rash) CDC - Measles Doctors Without Borders
  • 15. HIGHLIGHT BRIEF- LEPTOSPIROSIS DESCRIPTION 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. RISK FACTORS TREATMENT Leptospirosis is treated with antibiotics, usually doxycycline or penicillin for a course of one week. CURRENT SITUTATION Two leptospirosis deaths have been verified: A 22-year-old male from Tacloban City and a 58-year-old male from Palo, Leyte 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 life-threatening 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
  • 18. HEALTH AND MEDICAL – BANTAYAN, CEBU HEALTH INFRASTRUCTURE • 1 Government Hospital (Bantayan District Hospital) functional but partially damaged ‐ The Bantayan District Hospital is in need of food, medicine, water, Tetanus Toxoid vaccine, and medical supplies. • 4 LGU Hospitals (Sillon, Kabangbang, Patao, and Kabac) notfunctional with partial damage FOREIGN MEDICAL MISSION: 2 LOCAL MEDICAL MISSION: 2 OTHER MISSIONS: 1 FOREIGN • Merlin, SC, British Surgeon arrived on November 14 with a team of twelve (3 emergency physicians, 2 orthopaedic surgeons, 1 plastic surgeon, 2 accident and emergency nurses, 1 theatre nurse, 2 anesthetists, and 1 specialist physiotherapist) Sabu, Bantayan, Cebu LOCAL • CHD II was deployed November 14 with a medical and WASH team comprised of 1 physician, 6 nurses, 1 sanitary engineer, and a nutritionist • Cagayan Valley Medical Center is still operational as of November 24. The medical team has 1 physician and 6 nurses. • Philippines Nurses Associations is providing augmentation. PH Health Atlas (Monitoring) as of Nov 25 PH Health Atlas (Medical Mission) as of Nov 25
  • 19. HEALTH AND MEDICAL – ORMOC HEALTH INFRASTRUCTURE (Info from DOH) • 1 LGU Hospital (Ormoc District Hosptial) not functional *emergency unit left • 1 Private Hospital (OSPA Farmers Medical Center) not functional • 2 Private Hospitals (Gatchalian Hospital; and Maternity and Children’s Hospital) are partially functional • 1 Private Hospital (Ormoc Doctors Hospital) is fully functional • 5 RHUs (Curva, Linao, Cogon, Ipil, Valencia) are functional • 1 RHU San Pablo District Hospital (Uncertain functionality) • 16 BHS in Ormoc City, and 34 in greater Ormoc area were damaged and reported not functional (NOTE: OCHA reports that 5 hospitals are operational and rehabilitation is progressing) FOREIGN • MERCY MALAYSIA at Ormoc District Hospital. Flooded rooms and wards means hospital operations are being shifted to the field hospital run with the Canadian Red Cross to allow rehabilitation work to be done. Video interview • SWISS HUMANITARIAN AID UNIT: the SHA team is working closely with SDC • MSF-HOLLAND: setting up field unit and will send mobile clinic units if needed • JOHANNITER GERNAMY At City Government Center. They are working with their local partner ”Balay Mindanaw Foundation1“ (team-12). • 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 • SINGAPORE RED CROSS arrived in Ormoc and split into 2 mobile clinical units. 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, Xray services and meds were given from the foundation’s mobile van. • ERUF MEDICAL TEAM CEBU served Barangay Macabug. They inspected the Ormoc Doctors Hospital; left some diesel fuel and extra provisions, and is returning to Cebu to regroup logistics. • PHILIPPINE NATIONAL RED CROSS emergency response personnel are building a field hospital outside the Ormoc District Hospital PH Health Atlas—Monitoring as of Nov 25 Task Force Yolanda Matrix DOH as of Nov 25 Local Volunteer Teams DOH as of Nov 20
  • 20. HEALTH AND MEDICAL – TACLOBAN HEALTH INFRASTRUCTURE • • • • 1 LGU Hospital (Leyte Provincial Hospital) is not functional 1 Private Hospital (Remedios Trinidad Romualdez Hospital) is not functional 1 Private Hospital (Bethany Hospital) is functional 1 DOH Hospital (Eastern Visayas Regional Medical Center) is functional UPDATES • Access to areas is slowly increasing as is an observed increase in water and food availability • Limited level II capacity continuing the need to airlift patients, including spinal injuries • Surveillance for Post Extreme Emergencies and Disasters (SPEED) system is being initiated but laboratory services remain insufficient; with requests to share treatment protocols by partners • Coordination of service provision remains challenging with increasing activity AusMAT team members perform surgery on a patient in the surgical theatre tent at the AusMAT medical facility in Tacloban. Supplied: Gemma Haines/DFAT TEAMS AID4LIFE (HUNGRAY HRCA) is a emergency relief team from Hungary. They are able to provide medical care. (11 people) 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 Disaster Relief team is using these medical tents in Rizal park, Tacloban. Agencia Espanola Cooperacion Internacional (SPAIN) has drinking water and two mobile care units which cover primary care, orthopedics, surgery, and gynecology. (35 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. PH Health Atlas—Monitoring as of Nov 25 Task Force Yolanda Matrix DOH as of Nov 25 Local Volunteer Teams DOH as of Nov 20
  • 21. HEALTH AND MEDICAL – TACLOBAN • DART (Canadian Armed Forces) proves basic medical care, water purification, basic infrastructure repairs, and helps to streamline communications. While they have a small presence in Tacloban, they are mainly based on the Northern end of Panay Island. • Hbaid Rescue 24 is a Hungary based team that is providing food and healthcare. (3 people) • Hope Emergency Response Team is a group normally based in Metro Manila that is helping to provide food and medical supplies. (5 people) • 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) PH Health Atlas—Monitoring as of Nov 25 Task Force Yolanda Matrix DOH as of Nov 25 Local Volunteer Teams DOH as of Nov 20
  • 22. 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. NAVIS, GERMANY 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
  • 23. HEALTH AND MEDICAL – GUIUAN, EASTERN SAMAR HEALTH INFRASTRUCTURE • Felipe J Abrigo Memorial Hospital was completely destroyed In Guiuan, the re-opened airport and cleared roads allow the expansion of humanitarian activities in .support of Government efforts. Most of Guiuan’s infrastructure is destroyed; only two of five water pumping stations are operating. Food water and shelter are priorities for an estimated 480 000 people. IMC doctor tends to a patient in the devastated town of Guiuan. • MSF is working in Guiuan. Their priority is reaching areas outside of the city that are currently difficult to reach. They are helping to restore services at the Guiuan hospital and are taking inpatients. In addition, they and have set up a maternity ward, and are able to do minor surgeries and are giving vaccines. ‐ On November 19, a team working at a rural health unit in Guiuan carried out 320 consultations, mainly for respiratory infections, diarrhea and chronic diseases. The team also did minor surgery, post-operative care, and vaccinations against tetanus. ‐ MSF also distributed 400 tents and is providing mental health counseling. ‐ A mobile medical team based out of Guiuan is traveling by boat to remote coastal villages to provide general healthcare. • International Medical Corps- International Medical Corps is conducting water, sanitation and hygiene (WASH); medical; and mental health assessments. • Typhoon Haiyan left the Felipe J. Abrigo Memorial Hospital in ruins after sweeping through the coastal community of Guiuan in Samar. © ICRC / G. Petrosyan Medical Teams International is working together IMC and AmeriCares PH Health Atlas (Monitoring) as of Nov 22 PH Health Atlas (Medical Mission) as of Nov 22
  • 24. HEALTH - NEEDS • NEEDS: • The need for treatment capacity for TB, acute respiratory infections, dog bites, and wounds related to debris clearing and reconstruction is increasing As of 19 November, 942 (mainly hospitals) of 2,495 health facilities in the affected area have been assessed; 104 are not functioning (11 per cent). However, village-level health facilities are also largely not functioning, creating a serious gap in health care. • Solar refrigerators and solar lamps are required for rural health units in areas still without power. • The need for emergency trauma care is decreasing, while the need for primary health care is increasing • In the hardest hit areas, one third of the children suffer from malnutrition while only 20 per cent have been fully immunized against measles, leaving them particularly vulnerable to the deadly disease. • An estimated 389,500 pregnant and lactating women need specialized services for pre-natal, post-natal and child health care, as well as health promotion and family planning services. Daily, an estimated 865 births take place in the affected communities. About 129 of these will have potentially life-threatening complications. Comprehensive data on pregnant and lactating women is needed to be able to address their needs • Injury management is urgently required. The Eastern Visayas Regional Medical Center is the only operational hospital in Tacloban City. • According to preliminary reports, 25 health facilities in Region VIII are serving over 200 000 affected people. • 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. • Most drugstores have been looted and medicines, including family planning supplies, are urgently required, particularly in Tacloban City. HEALTH • 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. • In Ormoc, partners confirm that the health situation is stable despite a few cases of upper respiratory infection in children under five. Health services have been fully restored, but drug supplies are running low. • • 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. Basic and essential health care services must be expanded, including for routine surgeries (e.g. Caesarians). OCHA SITREP 25 NOV 2013 OCHA SITREP 22 NOV 2013 OCHA SITREP -21 NOV 2013 OCHA SITREP - 20 NOV 2013 OCHA SITREP– 19 NOV 2013 OCHA SITREP – 18 NOV 2013 OCHA SITREP - 17 NOV 2013 OCHA SITREP - 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
  • 25. HEALTH - RESPONSE HEALTH • A campaign for mass vaccination against measles and polio is being organized and will begin this week in Tacloban. • 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. • The number of medical teams providing emergency health care has increased. 59 foreign and 72 local medical teams are currently deployed in affected areas. • A mass vaccination campaign (measles, polio and Vitamin A) will start in Tacloban next week. In Tacloban, measles vaccination and vitamin A distribution has already begun in some of the evacuation centres. • 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 OCHA SITREP 10– 19 NOV 2013 • 62 Government, private and foreign medical teams have been deployed across affected municipalities in Regions VI, VII and VIII. • In Roxas City, a cold chain has been established. • The Government and partners have provided essential medicines and tents to operational health facilities, but more supplies and equipment are needed. • 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. 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
  • 26. HEALTH – GAPS & CONSTRAINTS HEALTH GAPS & CONSTRAINTS: • Geographical coverage of health services needs to be expanded. • The lack of electricity is undermining cold chain operations. • Capacity is stretched due to the limited number of health facilities in operation. Overcrowding is increasing the risk of outbreaks of infectious waterborne diseases. • 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. • 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. • 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 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. • The lack of access to safe water, overcrowding and displacement pose serious risk of outbreaks of communicable diseases. Disease surveillance needs to be strengthened. • Plans to fill gaps by the eventual departure of foreign medical teams are required. • Establishing temporary points for delivery of health services is critical as infrastructure is damaged and people do not have access to medical care. • 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. • Medical teams require fuel, water purification and safe accommodation. • The disease surveillance system is currently patchy due to a disrupted communications network. Reporting and enquiries can be directed to haiyanops@wpro.who.int. OCHA SITREP 10-22 NOV 2013 OCHA SITREP 10-21 NOV 2013 OCHA SITREP 10-20 NOV 2013 OCHA SITREP 10– 19 NOV 2013 • 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
  • 27. RED CROSS AND RED CRESCENT ACTION OPERATIONS • The National Society has set up 20 welfare desks to assist with restoring family links and provide psychosocial support. • The Philippine Red Cross believes there is a sufficient supply of blood in central Visayas. Two new blood banks will be set up in Basey (Western Samar) and Guiuan (Eastern Samar). • In Tacloban City, the Philippine Red Cross has installed water bladders in the Astrodome, Barangay 49, City Convention Center (evacuation center), Tanauan, and Nazarene to provide potable water. • The Philippine Red Cross will use 6x6 trucks to transport affected people from Tacloban to Hilongos (Leyte), where a 4 hectare campsite is ready to provide temporary shelter to the homeless. LOGISTICS • The IFRC global logistics service has reserved 25,000 jerry cans and 100,000 tarpaulins with framework agreement suppliers. An additional 24,000 tarpaulins are booked for sea freight. • An IT/Telecoms ERU has deployed to Cebu and is setting up access in the operations warehouse. • A Jetstar special air cargo from Berlin has delivered 500 family tents, 500 kitchen kits, 1000 hygiene kits, 1000 tarpaulins, and 500 shelter tool kits to Cebu City. • A forensic expert has been sent to advise, coordinate, and cooperate with authorities on the proper management of the dead due to mass burials. • A 2-hectare campsite will be opened in Mandaue City (Cebu) to shelter the homeless, in cooperation with local government. SHELTER CLUSTER • The shelter cluster has full time capacity dedicated to cluster coordination in Manila, Roxas, Tacloban and Bohol. • In Roxas, goals of cluster coordination include transitioning from relief to recovery phase, and mobilization of cash to encourage rebuilding of houses. • Intermediate rains are hindering efforts access vulnerable populations. • Detailed assessments will be taking place soon, to ensure provision of shelter with water and sanitation components. Philippine Red Cross News & Updates IFRC Operation Update No1, Nov. 17 IMPERATIVE CONDITIONS FOR CONTINUED RED CROSS PROGRESS • Adequate support (financial) from partners • Weather conditions do not suspend activities for long periods • Disaster-affected areas remain accessible • Continued cooperation of the authorities • Security issues do not hinder field operations 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
  • 28. 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 assistanceWFP 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. OCHA Sitrep No. 17 Nov. 25 OCHA SITREP- Nov 20 OCHA SNAPSHOT – Nov 20 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
  • 29. NUTRITION Cases of acute malnutrition continue to rise. Tacloban: 9 severe and 19 moderate; Eastern Visayas Region: 7 moderate and 9 severe 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; • 1.35 million children under five, 650,000 pregnant and lactating women, and more than 800,000 elderly people in nine of the country's 17 regions are at risk of 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 17 – Nov 25 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
  • 30. 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 • There is limited capacity to implement nutrition programs in Eastern Samar Province • • • • One mobile team will provide SAM outpatient treatment from 25 November in Tacloban Breastfeeding support kits have been provided, and communitybased centers for the management of acute malnutrition have been set up Nutrition supplies are on their way to affected people. Anthropometric equipment such as scales and height boards and essential drugs for treatment of complicated cases of severe acute malnutrition have reached Tacloban 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 • • Essential nutrition supplies are slow to reach beneficiaries due to logistical challenges (ie downed bridges) • A lack of partners experienced in IYCF to support local agencies. Immediate action is needed to harmonize messages on IYCF • Vitamin A supplies are inadequate • 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 Infant and Young Child Feeding (IYCF) counselors have mobilized in Eastern Samar, Leyte, Iloilo, Capiz, Cebu and Bohol • • The Nutrition Cluster needs to establish a base in Cebu. Mass vitamin A supplementation began this week Nation nutrition council cluster meeting – Nov 20 2013 Emergency Appeal Operation Update - Nov 17 Unicef meeting notes: Nov 21 2013 OCHA Situation Report 17 – Nov 25 Philippines Typhoon Action Plan - Nov 2013 UNOCHA Report – Nov 23 CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org hmdebwe@gmail.com
  • 31. WASH WATER, SANITATION AND HYGIENE WATER, SANITATION AND HYGIENE NEEDS: • Communities are in need of better shelter, nutrition and clean water to prevent a further spread of acute respiratory infections in the coming months. • Water supply is being restored in many locations, but water kits are urgently needed in many of the affected areas • Water, sanitation, hygiene and protection services are urgently needed in • displacement sites. • WASH assistance in required for 760 severely affected schools in Leyte and Eastern Samar provinces, as well as the IDPs who will have to leave schools. • 168 toilets are needed in evacuation centers in Tacloban. • Immediate action is needed to provide a safe water supply at the Eastern Visayas Referral Medical Center, the main hospital for the region. • Access to potable water and a large number of water kits are needed, especially in densely populated areas such as evacuation centers and spontaneous camps. • The water supply is mainly functioning in town centers but is subject to temporary low pressure due to a shortage of electricity and does not serve all populations. • Most people in barangays use hand pumps and wells which have high risk of contamination. • Assessments show that some IDPs are no longer observing hygiene practices (hand washing, bathing) due to insufficient facilities • • 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 Basins and jerry cans improve water collection and hygiene for displaced people sheltering in the stadium. OCHA SITREP 17 – 25 NOV 2013 NDRRMC SITREP 40 – 25 NOV 2013 UNICEF SITREP 5 – 22 NOV 2013 UNICEF SITREP 4 – 20 NOV 2013 OCHA SITREP 16 – 22 NOV 2013 NDRRMC SITREP 36 – 24 NOV 2013 CLUSTER COORDINATOR Rory Villaluna UNICEF washccph@gmail.com Phone: 0917-859-2578 or 02-901-0101
  • 32. WASH WATER, SANITATION AND HYGIENE GAPS & CONSTRAINTS: • • • • • • • • Life-saving assistance is still urgently required, particularly food, water and shelter Emergency latrines are needed, as are repairs to home-based toilets. Supplies are still en route to affected areas. It is taking time for essential supplies to reach target populations. Some affected areas remain difficult to reach. Equipment for environmental clean-up and solid waste management is needed Water trucking is hampered by the low number of available trucks. Open defecation is occurring in many areas and WASH interventions are urgently needed to avert potential outbreaks. Efforts to raise awareness on good hygiene practices for the prevention of water-borne diseases are needed. Philippine Red Cross (PRC) Water Station with 45,000 Liters tank capacity installed at Municipality of Sagbayan, serves as water point of other municipalities (Catigbian, Clarin & Balilihan) RESPONSE: • In Ormoc, generators allow water systems to function, and wells in rural • areas are working. • A water filtration system with a capacity of 5,000 liters per hour has been set up in the central plaza of Guiuan, providing drinking water to the population. • Water is provided with water bladders to points across Guiuan. • 8 water treatment units are currently in place in affected areas in Guiuan. • Water stations are set up in Villamor Airbase, North Harbor (Manila) at the DSWD repacking and loading area and Villamor Elementary School for evacuees, serving thousands of evacuees. • An additional 698 hygiene kits have been distributed in Guiuan and 500 wate kits in Marabut. • Water chlorination solutions and disinfection tablets have been distributed in many affected areas. • Hygiene messages have been developed for broadcast on First Response Radio. • 3,200 collapsible water kits have been distributed in Eastern Samar and Leyte. • 374 hygiene kits have been distributed in Tacloban, and 400 hygiene kits in northern Cebu. • Access to safe water has been restored in Tacloban, Cebu, Capiz, Roxas City and several cities in Western Samar • UNICEF has arranged for the supply of 1,000 liters of diesel fuel for the two operational pumping stations, as well as supplied batteries for generators, and pipes for the repair of the main water system in Guiuan. • Polangui Municipal Fire Station personnel conducted water rationing in the following evacuation centers: BU Campus, Polangui General Comprehensive HS, Polangui Central Elementary School, and Polangui South Elementary School
  • 33. SHELTER/WASH REACH ASSESSMENTS REACH assessments completed as of 19 NOV 2013
  • 34. EMERGENCY SHELTER DAMAGE: Official numbers now report 1.1 million damaged houses (536,814 completely destroyed). NEEDS: • CONTINUING URGENT NEEDS: Tarps, tents, shelter-related nonfood items (NFIs), corrugated iron sheets, nails, building tools and materials, plastic sheeting, roofing materials • NEEDS IN DISPLACEMENT SITES: Food, Water, Mosquito Nets, Blankets, Hygiene Kits • Internally Displaced Persons living in make shift shelters in 9 municipalities in Eastern Samar Province face health and protection risks, and lack potable water and sanitation facilities • Support for displaced moving to areas like Manila; concerns are growing that they may end up on the streets. Reestablishing the local economy, providing jobs, is essential to avoid disastercaused poverty. • Shelter remains a top concern, in addition to food and water. 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. • No systems to prevent sexual and gender-based violence in shelters. RESPONSE: • 4.29 million people are displaced (including 1 million children), of which 361,249 people (77,755 families) are living in 1,512 evacuation centers. The rest (839,434 families, or 3.93 million people) are living outside the evacuation centers in six regions. • IDPs are seeking refuge in less affected areas like Manila Map of damages houses (source) SHELTER CLUSTER – TYPHOON HAIYAN 2013 OCHA SITUATION REPORT NUMBER 16 – NOV 22 VOICE OF AMERICA – NOV 24 TWO WEEKS AFTER – NOV 24 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
  • 35. LOGISTICS LOGISTICS PRIORITIES • The focus of UNHAS passenger services will be to move people between Roxas, Cebu, Ormor, Guiuan and Tacloban. • Establish user requirements of UNHAS transport to define the number and capacity of air assets. • Manila Cluster participants to communicate needs for cold storage in Tacloban. • Manila Cluster participants to share road access constraint information. Tacloban Logistics Cluster Meeting Notice Frequency: Mondays and Thursdays at 19:00 (until further notice) Location: The Office of Civil Defence (OCD), Tacloban Manila Logistics Cluster Meeting Notice • Cluster participants requested to send in Service Request Forms and share their pipelines/operational plans. Date/Time: Wednesday 27 November from 11:00-12:00 • Manila Cluster participants to share road access information for Guiuan-Borongan route and other corridors and to give updated status of the recently opened Bulan Port. G.C. Corporate Plaza • Debris removal, access to cutoff communities. • Improve air traffic/flight schedule management. • Flight planning is generally working. Reprogramming/reprioritization of air slots is occurring due to ad hoc management of flight plans. Bumped off flights are not being prioritized for the following day. Location: WFP Office is in Makati city 150 Legaspi Street- 5th floor Makati City 1226 Roxas Logistics Cluster Coordination Meeting Date/Time: Nov 24, 2013, from 11:00 to 12:00 Location: Humanitarian Hub, Provincial Capital Building, Main square, ROXAS • Logistics Cluster services are not intended to compete with the local transport market. Logistics Cluster has no plans to establish a common road transport service at this time. Tacloban Logistics Cluster Meeting Minutes Nov. 23 Logistics Cluster Situation Update Nov. 21 Cluster Meeting Notes Nov. 20
  • 37. LOGISTICS LOGISTICS GAPS • Access to safe water remains a major challenge in Guiuan municipality (Eastern Samar province) and Bantayan Island (Cebu province). • Fuel shortages continue to pose a challenge. • Tacloban airport is still experiencing light congestion. • Efficient use of humanitarian and military assets is hindered by the lack of visibility on the humanitarian upstream pipeline. • The Logistics Cluster has been receiving number of requests for additional storage capacity in Roxas. Requests will be addressed at at the Cluster Coordination meeting in Roxas on 24 November. NEEDS • Fuel needed in Guiuan. • Increased storage capacity at Tacloban Port. • A team of MSU experts will be arriving on November 23 to help erect MSUs and prefabs in Tacloban, Ormoc and Guiuan. • Stabilized clean water source Guiuan (Eastern Samar Province), and Bantayan Island (Cebu province). • Severe fuel shortage in Guiuan and fuel stations show no sign of reopening. The Logistics Cluster is working to transport fuel to Guiuan from Tacloban. • Some military entities are due to leave continuing operations to the Japanese and other militaries. Transport gaps may be created. CONSTRAINTS • Limited landing slots at Tacloban airport and lack of storage space continue to be constraints. • Availability of military cargo airlift is limited and participants were advised to use the road corridor from Manila to Matnog, ferry service and road to Tacloban. • Cebu is currently the main receiving hub for international aid. Commercial ferry services and Ro-Ro vessels are available, but have limited capacity. • Storage could pose a challenge at Tacloban Port. Relief goods continue to pour into Tacloban and other devastated areas. (picture: Joe Torres) Tacloban Logistics Cluster Meeting Minutes Nov. 23 Cluster Meeting Notes Nov. 20 Logistics Cluster Situation Update Nov. 22 Logistics Cluster Situation Update Nov. 21
  • 38. LOGISTICS RESPONSE • The Logistics Cluster in Tacloban will be delivering fuel, donated by Fuel Relief Fund, to organizations operating in Guiuan. • Cold-storage could be made available in Tacloban if needed. Please contact the Logistics Cluster with SRFs which can be found on the following link: http://logcluster.org/ops/phl13a • Philippine Airlines, Cebu Pacific and AirAsia are operating flights exManila and Cebu to Tacloban. • Shipping into Tacloban port is free for all humanitarian users (excluding labour costs). • Cebu based organizations interested in acquiring light equipment from DFID, contact: a-franklin@opsteam.org • Cebu: US army Chief Philips is coordinating with the Philippines Authorities on passenger movement using military air craft. • The Logistics Cluster confirmed that this is separate from UNHAS. • A GIS officer has been deployed to Manila. An Access Constraints Map has been shared and participants were asked to share any updates on bottlenecks. • There will be one Logistics Officer in Guiuan who will be available to assist the humanitarian community. • Bulan port is open to humanitarian cargo only. Ferries are operating. • The Roll On, Roll Off (RO/RO) vessel, the Sandy III, has been contracted has been received to provide sea transport services for the humanitarian community. • Following an assessment conducted in Ormoc, the Ro-Ro vessel contracted by WFP will be able to berth in Ormoc Port if the need arises. • Tacloban, free land provided free of charge to the municipality of Palo was prepared on November 21, and the first two MSUs are expected to be ready to receive cargo as of 23 November. Logistics Cluster Situation Update Nov. 22 Logistics Cluster Situation Update Nov. 21 Emergency Telecommunications Cluster (ETC) establishes connectivity at Tacloban town hall in the Philippines. Photo: WFP/FITTEST
  • 39. LOGISTICS CEBU AIRPORT: IMPORTANT DAILY DEADLINES Process for the use of military air assets • Civ-Mil SRFs submitted by organizations prior to 0800 will be eligible for flights the following day. • Requests will be taken to a Logistics Meeting at the operations center at Mactan Air Base (the meeting is open to the humanitarian community) at 0900. • Cargo will move in accordance with the priorities set by the Humanitarian Country Team (HCT). At the 0900 meeting participants will prioritize eligible requests within each sector of humanitarian activity. • By 1530 organizations with consignments that have been accepted for early morning flights (departing before 0800) will be contacted and may be asked to deliver the consignment for loading the evening prior to the flights departure day. Emergency situations requiring airlift should be communicated directly to UNHAS for appropriate action. For information on contact details, please email: unhas.philippines@wfp.org Assessment missions can be requested, the schedule may be open to change to accommodate these needs. Specific requests can be made to unhas.philippines@wfp.org Cebu Logistics Cluster Meeting Minutes 11/21 Source
  • 40. LOGISTICS NOTES FOR USERS UNITED NATIONS HUMANITARIAN AIR SERVICE (UNHAS) NOTE: The passenger service will be free of charge to the users until further notice. Booking address for requests: unhas.philippines@wfp.org ----Jared.komwono@unhas.org and ismail.osman@wfp.org should be copied on all emails. • Be prepared to inform UNHAS of their required destinations and estimated number of passengers per week/destination. • All requests must include the passengers name, date of travel, passport details, etc. • The priority is to establish user requirements in order to define the number and capacity of air assets. • The schedule will be defined by the needs of the participating organizations. • Care will be taken to balance the routes with those of commercial operators. Organizations intending to use the service should appoint one or two flight focal points, preferably including the country director. Communicate your details as soon as possible to unhas.philippines@wfp.org. For UNHAS standard operating procedures go to: http://logcluster.org/ UNHAS Weekly Flight Schedule Effective Nov. 25 Logistics Cluster Tacloban Update Nov. 20 DOCUMENTS OF USE UNHAS Standard Admin. and Operating Procedures INFRASTRUCTURE CAPACITY REPORTS UPDATE: Ormac Port Assessment Nov. 22 Logistics Snapshot Tacloban Port, Leyte Island Logistics Snapshot: Ormoc Port, Leyte Logistics Snapshot: Guiuan Port, Samar Island Logistics Cluster Snapshot: lloilo Commercial Port PROTOCOL GUIDANCE DOCUMENTS Customs Guidance Relief Item Tracking Application Guidance REVISION Request Form: USAID Facilitated Humanitarian Cargo Transport by Military Assets MAPS Ormoc CIty Map Tacloban City Map Guiuan City Map Cebu City Map Roxas City Map
  • 41. LOGISTICS CLUSTER CONTACTS LOGISTICS MANILA John Myraunet (Logistics Cluster Coordinator) Chiara Argenti (IM Officer) Oliver Bartolo (UPS Customs Procedures Advisor) Jared Komwanu (Chief Air Officer) Ismail Osman (Air Officer) Thierry Crevoisier (GIS Officer) Email: john.myraunet@wfp.org Email: chiara.argenti@wfp.org Mobile: +63 926 618 9007 Mobile: +63 9276613901 Mobile: +63 9158481559 Email: jared.komwanu@wfp.org Email: imail.osman@wfp.org Email: thierry.crevoisier@wfp.org CEBU Henrik Hansen (Logistics Officer) Colin Hourihan (IM Officer) Sean Price (Consignment Tracking Officer) Email: henrik.hansen@wfp.org Email: colinp.hourihan@wfp.org Email: sean.price@wfp.org TACLOBAN Irving Prado (Logistics Officer) Esther Russell (IM Officer) Andrew Jackson (Consignment Tracking Officer) Email: irving.prado@wfp.org Email: esther.russell@wfp.org Email: andrew.jackson@wfp.org CEBU Tanveer Siddiqui (Information Management Officer) Sean Price (Consignment Tracking Officer) Email: tanveer.siddiqui@wfp.org Email: sean.price@wfp.org For general Logistic Cluster inquiries please email: Philippines.Logs@logcluster.org Mobile: +63 9278328557 Mobile: +63 9151438193 Mobile: +63 9278328557
  • 42. 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. NEEDS: • URGENT: Identification and profiling of IDPs moving out of affected areas is needed. Many are leaving through airports and seaports with minimal (if any) controls. This increases the risk of exposure to human trafficking. • Identification, documentation, tracing and reunification for unaccompanied and separated children is needed. The number of children displaced from Leyte and Samar Provinces arriving in Cebu Province is increasing. • 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. • 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. • Lighting is needed in the island barangays of Homonhon and Suluan (Guiuan, Eastern Samar). • There needs to be de-congestion of camps. In Eastern Samar Province, IDPs are living in overcrowded camps without separate areas for women and children. RESPONSE: • 36 unaccompanied and separated children have been identified. • Over 1,000 people have been registered at the Migration Outflow Desk in Tacloban City. • A response desk at Villamor Airbase, Pasay City (Manila), was established to monitor possible cases of trafficking and/or unaccompanied, separated, or missing children. • Women and Child Protection Units have been set up in Borongan, Balangkayan, Hernani, Llorente, Oras, Salcedo, and San Julian municipalities (Eastern Samar). • Two new child-friendly spaces have been established in Tacloban City. • Women and children protection desks have been set up in three evacuation centers in Tacloban City. • UNFPA supports the deployment of female police officer teams in 196 municipalities and safe haven reconstruction in 4 regions. • UNFPA will create safe women spaces in evacuation centers while strengthening interagency protection mechanisms in 700 villages and barangays. OCHA SitRep#17 25Nov 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
  • 43. CHILD PROTECTION & GENDER BASED VIOLENCE PROTECTION GAPS & CONSTRAINTS: • 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. • Power remains cut off in parts of Regions IV-B, V, VI, VII, and VIII. • There are not enough staff to conduct IDP registration for those leaving Guiuan Municipality (Eastern Samar). • Information on missing persons remains large unavailable. • IDPs in the island barangays of Homonhon and Suluan in Guiuan Municipality (Eastern Samar) have received limited assistance. • Some indigenous people in Marabut Municipality (Eastern Samar) have not been receiving regular assistance. • Security personnel lack knowledge of child protection and human rights issues. • Schools and public buildings used as evacuation centers need to be vacated. • Safe spaces for women and children and a referral system for specialized services remain limited. • Disaggregated data on IDPs is unavailable. • No legislative data has been made on alternative resettlement or relocation arrangements for IDPs. OCHA SITREP#17 25NOV OCHA SITREP#16 22NOV OCHA SITREP#15 21NOV PROTECTION CLUSTER ASSESSMENT#6 20NOV IASC SUB-WORKING GROUP ON GENDER 18NOV UNICEF SITREP#4 20NOV CRITICAL RESOURCES: TipSheet: Education and Gender 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 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
  • 46. US RESPONSE - OPERATION DAMAYAN Department of Defense (DoD): OPERATION DAMAYAN PRIORITIES: • Increase potable water production. • Stabilize the fuel supply to affected areas. • Continued support of logistical needs to distribute food/relief items, reestablish power, communications, and water production. NEEDS: • Water production and logistics, mainly ground transportation and fuel. • Debris-clearing and solid waste management are urgently required • Greatest needs in affected areas are water, shelter, food, and medical assistance. • Disease surveillance needs strengthening GAPS AND CONSTRAINTS • Capacity is stretched due to the limited number of health facilities in operation. • Operations at Tacloban Airfield are still limited. • Lack of shelter and building materials for individuals returning to their land. • An information management system to systematically track needs and response is not yet in place. • Some isolated islets, for example off the eastern coasts of Capiz and Iloilo, have yet to receive food aid. RESPONSE • Small number of local broadcast stations have restarted broadcast in the last 48 hours. • DoD delivered 18 WFP mobile storage units to Tacloban • While water is still needed in many areas , there is a sufficient supply in Leyte as of Nov 15. • The Department of Agriculture has pre-positioned rice seeds in all regions and is ready to start distributions. • Two DoD amphibious ships arrived in the Philippines • A water filtration system with a capacity of 5,000 litres per hour has been set up in the central plaza of Guiuan • DoD delivered 18 WFP mobile storage units to Tacloban. • DOE deployed 152 generator sets (gensets) to Semar, Capiz, and Palawan provinces. Operation Damayan Daily Source Report NOV 24 OCHA SIT-REP 16 – NOV 22 GUIUAN, Eastern Samar Province, Republic of the Philippines (Nov. 21, 2013) - Explosive Ordnance Disposal 1st Class T.J. Baranek, from Inarajan, Guam, center, and Guiuan residents pass supply boxes to a staging area for distribution in support of Operation Damayan.
  • 47. US RESPONSE USAID/OFDA RESPONSE: • • USAID/OFDA had provided more than $3.1 million to support shelter and settlements activities USG has provided nearly $52 million to support the needs of typhoon-affected populations STATUS UPDATE: • • All USAID/OFDA-procured relief commodities, such as water containers, hygiene kits, and plastic sheeting, are expected to arrive in Tacloban by November 24 DART logistics officer traveled to Tacloban to coordinate ongoing cargo operations U.S. Marine and Philippine army members carry USAID relief supplies DOD Website USAID Fact Sheet No. 11– Nov 22
  • 48. CLUSTER MEETINGS - 26 NOV 2013 Daily Press Briefing (Tacloban) 26/11/2013 - 07:30 Tacloban Town Hall Philippines mildren@un.org Protection Cluster Working Group (Tacloban) 26/11/2013 - 09:00 to 11:00 OSOCC Philippines Roberto Mignone 09175979667 mignone@unhcr.org Education Cluster Meeting (Roxas) 26/11/2013 - 09:00 Provincial Capitol 2nd floor Philippines Preethi Nampoothiri 09154932066 3rd Nutrition Cluster Meeting 26/11/2013 - 09:00 National Nutrition Council, Manila Philippines Ayadil Saparbekov asaparbekov@unicef.org ETC Meeting (Manila) 26/11/2013 - 10:00 Plan International office Philippines MCDA Tasking meeting (Cebu) 26/11/2013 - 10:00 Cebu Air Base Philippines PAF, Foreign MCDA, Logistics Cluster Donor Briefing (Manila) 26/11/2013 - 10:00 ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City) Philippines Food Security and Agriculture Cluster Meeting (Manila) 26/11/2013 - 11:00 5/F GC Corporate Plaza, 150 Legazpi St., Legaspi Village Makati City, Manila Philippines Sandra Hart 09151438195 Sandra.Hart@wfp.org Education Cluster Meeting (Manila) 26/11/2013 - 12:00 tbc Philippines Tri-cluster meeting Health-Nutrition-WASH with DOH CHD VI (Roxas) 26/11/2013 - 13:00 to 17:00 tbc Philippines Raoul A. Bermejo III CCCM/Protection Cluster Meeting (Cebu) 26/11/2013 - 13:30 DSWD Regional Office Conference Room. The address is MJ Cuenco St. corner Gen. Maxilum Ave., Cebu City Philippines Rex Alamban Logistics Cluster Coordination Meeting (Ormoc) 26/11/2013 - 14:00 Ormoc City Hall Philippines Shelter Cluster Meeting (Tacloban) 26/11/2013 - 14:00 Philippines Cash Working Group Meeting (EMMAMarket Assessment) 26/11/2013 - 14:00 to 16:00 Plan Intl Office, 4/F Bloomingdale Bldg Salcedo St., Makati City Philippines Carla Lacerda 0929-7958061 asia@cashlearning.org CCCM Meeting (Tacloban) 26/11/2013 - 15:00 OSOCC Philippines Conrad Navidad 0908-865-4543 Nutrition Cluster Meeting (Tacloban) 26/11/2013 - 15:00 OpCen EWRMC Philippines Dina A. Leilane / Mathisen Rogers IM Working Group (Manila) 26/11/2013 - 16:00 RCBC Plaza - 30th floor OCHA Conference room Makati Philippines Andrej Verity verity@un.org WASH Cluster Meeting (Tacloban) 26/11/2013 - 16:00 OSOCC Philippines Silvia Ramos 0906-516-0271 Health Cluster Meeting (Ormoc) 26/11/2013 - 17:00 City Hall Philippines Health Meeting (Tacloban) 26/11/2013 - 17:00 Eastern Visayas Regional Medical Center (DOH OpCen) Philippines Boy Llacuna / Dana van Alphen Security Briefing (Tacloban) 26/11/2013 - 17:00 OSOCC Philippines LTC Madarang / John Schot Humanitarian Briefing (Ormoc) 26/11/2013 - 18:00 City Hall Philippines Coordination Meeting (Tacloban) 26/11/2013 - 18:00 OSOCC Philippines Sebastian Rhodes Stampa 0926-690-3679 General Coordination Meeting (Guiuan) 26/11/2013 - 18:00 Philippines Mark McCarthy +882167000964 Coordination Meeting (Roxas) 26/11/2013 - 18:00 (ROXAS provincial hall) Philippines UNDAC +63 91 86569199 Public Information and Communications Meeting (Tacloban) 26/11/2013 - 19:00 OSOCC Philippines Matthew Cochrane 0906-572-3983 FSAC Meeting (Roxas) 26/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Cherie LO 0917981828 CCCM Cluster Meeting (Roxas) 26/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Robert Shaw 09193243185 3rd GNC conference call on IYCF-E in Philippines 26/11/2013 - 22:00 to 23:00 Philippines https://philippines.humanitarianresponse.info/calendar
  • 49. COORDINATION HUBS NAME TELEPHONE EMAIL LOCATION ADDRESS 1 ADDRESS 2 CITY STATE POSTAL COUNTRY CODE Busuanga Unknown philippines@humanitarianresp onse.info IV-B (MIMAROPA) Unknown Busuanga IV-B 5317 PH Cebu Unknown philippines@humanitarianresp onse.info VII (Central Visayas) Unknown Cebu VII 6000 PH Mindanao 9600 PH Cotabato Sub- +63 (0) 64 421 muktar@un.org Office 7935 Cotabato City No. 080 Rufo Manara St. Davao City 082 285 2562 schmidtm@un.org Samal City No. 384. Sampaguita, corner Tulip Street, Juna Matina subdivision Davao City Region 11 1124 PH Guian Unknown Unknown Guian 6809 PH Manila +63 (0) 843 9553 ochaphilippines@un.org 30/F, Yuchengco Tower, Ayala RCBC Plaza Avenue Makati City NCR 1226 PH Roxas Unknown philippines@humanitarianresp VI (Western Visayas) onse.info Capiz Government Business Centre Roxas VI 5800 PH Tacloban unknown undac.tacloban@gmail.com Tacloban City Hall, 1F Sen. Enage St cor Magsaysay Blvd Tacloban VIII 6500 PH philippines@humanitarianresp onse.info VIII (Eastern Visayas) Metro Manila(NCR) VIII (Eastern Visayas) Rosary Cotabato Heights 10 City VIII https://philippines.humanitarianresponse.info/system/files/documents/files/Contact%20List_Cluster%20co-leads_Typhoon%20Haiyan_Yolanda%2013Nov2013.pdf
  • 50. CLUSTERS POC https://philippines.humanitarianresponse.info/system/files/documents/files/Contact%20List_Cluster%20co-leads_Typhoon%20Haiyan_Yolanda%2013Nov2013.pdf