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Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 18 NOV 2013
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Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 18 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 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, responding to the crisis, if you need for us to research as specific item/area for you let us know and we will do our best.

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  • Updated 09:00 PM EST, November 17, 2013
  • Source 1:Go to this site and download the excel sheet
  • Transcript

    • 2. BACKGROUND Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the seconddeadliest Philippine typhoon on record, killing at least 3,681 people.[1] 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 percent 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 The cyclone caused devastation in the Philippines, particularly on Samar Island and Leyte. 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: An estimated 10-12.9 million people in nine regions—over 10 percent of the country’s population—are affected. As of 17 November over 4 million people are displaced by the typhoon (55 percent are in evacuation centers, the rest in host communities or makeshift shelters). Thousands of people have been killed or are still missing. Tens of thousands suffering from injuries, with the number of confirmed casualties still rising as more areas become accessible. Predisaster poverty levels and malnutrition rates in Regions VI, VII and VIII were already higher than the national average.
    • 4. WEATHER OUTLOOK GALE WARNING GALE WARNING NO. 04 For: Strong to gale force winds associated with the surge of Northeast Monsoon. Issued at 5:00 a.m. today, 19 November 2013 Strong to gale force winds is expected to affect the Northern and Western seaboards of Northern Luzon and the Eastern seaboard of Luzon. Synopsis: Tail-end of a cold front affecting Northern Luzon. Forecast: Cagayan Valley and the Province of Aurora will experience cloudy skies with light to moderate rain showers and thunderstorms. The Regions of Cordillera and Ilocos will have partly cloudy to cloudy skies with light rains. Metro Manila and the rest of the country will be partly cloudy to cloudy with isolated rain showers or thunderstorms. Moderate to strong winds blowing from the northeast will prevail over Luzon and Visayas. 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
    • 6. CURRENT SITUATION As of 18 NOV 2013 – 6:00 PM PhT CASUALTIES: 3,976 individuals were reported dead, 18,175 injured and 1,602 missing. AFFECTED POPULATION: A total 2,234,122 families (10,355,119 persons) were affected in 10,424 barangays in 44 provinces, 574 municipalities and 57 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA. 850,080 families (4,009,074 persons) were displaced. Inside 1,551 evacuation centers: • 74,037 families / 354,042 persons inside evacuation centers • 776,043 families/ 3,655,032 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA): • DAMAGED HOUSES: 595,662 houses damaged in s (295,264 totally / • 300,398 partially) • INFRASTRUCTURE: The total cost of damages increased to $238,069,019.64 USD. • AGRICULTURE: $208,369,484.99 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. 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. AIRPORTS: As of 13 November, 2013, all CAAP-controlled airports were again operational. To date, operations in Tacloban airport are still limited. 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. OCHA estimates they have reached over 814,000 people with food aid to date, mainly in Leyte province. POWER OUTAGE: • To date, power outages are still being experienced in some 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 . WATER: Municipality of Barbaza, Antique and some municipalities/cities in Capiz and Iloilo, still do not have water supplies. NDRRMC.GOV.PH PAGASA.DOST.GOV.PH OCHA CARITAS TELECOMS SANS FRONTIERES
    • 7. CURRENT SITUATION NETWORK OUTAGE: • As of 16 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
    • 8. HEALTH CURRENT ASSESSMENT HEALTH SYSTEM AND INFRASTRUCTURE: • Health infrastructures are severely damaged in the worst affected areas G • Providing health services to municipalities outside Tacloban (including elsewhere in Leyte province) and addressing intermediate and long-term public health needs are critical. According to reports, barangay-level health centers are largely not functioning. Precise figures are not currently available. A Working But Inadequate Not a Major Concern Currently R Generally Ineffective B Non-Functional Or Destroyed Unknown MEDICAL OPERATIONS AND PUBLIC HEALTH • 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. DISEASES/ INJURIES: • The need for essential and emergency health services and treatment for chronic conditions is increasing in affected areas, while the need for acute trauma care is decreasing. PH R R R R • Top 5 morbidities from hospitals, evacuation centers, and health centers are: 1) Wounds, 2) URTI, 3) Fever, 4) Diarrhea and 5) Hypertension. R R R R R PUBLIC HEALTH • 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. SURVEILLANCE: Systems for disease monitoring have been activated, but are hampered by damaged communications infrastructure, introducing latency in reportage. MATERNAL HEALTH: Over 370,000 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. DEPLOYED ASSETS: A total of eighty-eight (88) medical teams (43 foreign and 45 local) have been deployed to various areas in Regions IV-B, VI, VII, and VIII PH R R R R R R R R OVERALL PH/MEDICAL ASSESSMENT R B
    • 9. CURRENT ASSESSMENT PALO AND TANAUAN LEYTE • 2 Rural Health Units (RHU), 14 Barangay Health Stations (BHS) and 1 Local Government Unit (LGU) hospital (Leyte Provincial Hospital) were reported non-functional. RHU services are being done at the City Health Office. TACLOBAN • All RHU and BHS in Tacloban are not functional. • 3 private hospitals (Remedios P. Romualdez Hospital, Tacloban Doctors Hospital and Mercy Hospital) and 1 LGU hospital (Leyte Provincial Hospital) are not functional. • Hospital cases in Palo, Leyte were referred in Schistosimiasis Hospital wherein manpower is augmented by the Bethel Baptist Hospital team from Bukidnon. • Hospital cases in Tanauan Leyte were referred in EVRMC*. NOTE: Eastern Visayas Regional Medical Center (EVRMC) has remained to be operational and being augmented by teams from Metro Manila Hospitals. GUIUAN AND HERNANI, LEYTE • There are two (2) totally damaged/non-functional RHUs • 3 hospitals (2 private & 1 LGU) that were damaged but remains functional. ORMOC CITY • 34 BHS were damaged and reported not functional in Ormoc City • 6 RHUs (San Pablo, Cogon, Ipil, Valencia Curva and Linao) remains functional • • HEARS CURRENT SITUATION NOV 17, 2013 1 LGU Hospital (Ormoc District Hosptial) and 1 Private Hospital (Ospa Farmers Medical Center) are not functional 1 Private Hospital (Ormoc Doctors Hospital) is fully functional • 2 Private Hospitals (Gatchalian Hospital; and Maternity and Children’s Hospital) are partially functional.
    • 10. HEALTH - NEEDS HEALTH NEEDS: • The need for essential and emergency health services and treatment for chronic conditions is increasing in affected areas, while the need for acute trauma care is decreasing. • Providing health services to municipalities outside Tacloban (including elsewhere in Leyte province) and addressing intermediate and long-term public health needs are critical. According to reports, barangay-level health centers are largely not functioning. Precise figures are not currently available. • Over 390,000 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. • 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. • Injury management is urgently required. The Eastern Visayas Regional Medical Center is the only operational hospital in Tacloban City. • Health infrastructures are severely damaged in the worst affected areas and medical supplies are low. • • 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. According to preliminary reports, 25 health facilities in Region VIII are serving over 200 000 affected people. OCHA SITREP 10– 18 NOV 2013 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
    • 11. HEALTH - RESPONSE HEALTH • 43 international medical teams are supporting four hospitals with tertiary medical needs, including specialist care. These teams are primarily deployed to Leyte and Cebu provinces. This is in addition to 44 local medical teams deployed in affected areas. • Doctors and nurses in Tacloban City have mobilized to conduct reproductive health and medical missions. • SPEED, an emergency disease surveillance system, has been activated. • A campaign for mass vaccination against measles and polio is being organized and will begin this week in Tacloban. • 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. • 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. 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
    • 12. HEALTH – GAPS & CONSTRAINTS HEALTH GAPS & CONSTRAINTS: • Comprehensive data on pregnant and lactating women in the affected areas is lacking. • Temporary health facilities, generators, medication, surgical supplies, cold storage and WASH facilities are urgently required. • A disease surveillance system has been activated, but limited communication in some areas hampers reporting. • There is a high risk of acute respiratory infections, diarrhea, leptospirosis, measles, cholera and typhoid. • Transportation of medical supplies to the affected areas is currently one of the biggest constraints. • People are traumatized and lack psycho-social support • 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. 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
    • 14. DOH TEAMS CURRENTLY DEPLOYED TEAM CARAGA Composite Team Albay Team (BRTTH and Bicol Sanitarium) CHD VII team A DATE OF DEPLOYMENT TEAM COMPOSITION 10-Nov-13 Dulog, Tolosa, Tanauan, Palo, San Jose Medical Team 13-Nov-13 Salcedo and Mercedes, Eastern Samar 4 MD, 27 EMT/RN Medical/ WASH 11-Nov-13 10-Nov-13 12-Nov-13 12-Nov-13 12-Nov-13 Quirino Memorial Medical Center AREAS OF DEPLOYMENT Medical and MHPSS Medical and WASH 10-Nov-13 CHD VII team C Dr. Jose N. Rodriguez Memorial Hospital San Lazaro Hospital Tondo Medical Center TYPES OF TEAM 12-Nov-13 Medical Team/RHA Medical Team Medical Team Medical Team 3 MD, 3 MHPSS, 2 Drivers with Dir. Minerva Molon 2 MD, 1 RN, 2 EMT, 1 WASH, 1 Driver Samar, Basey, Marabut, Lawaan and 1 MD, 4 RN, 1 WASH Staff, 1 Driver Balangigga Tacloban City, Leyte 1 MD and 3 RN 2 MD and 3 RN 3 MD and 3 RN 3 MD and 2 RN Medical Team STATUS On-Site On-Site On-Site On-Site On-Site On-Site On-Site On-Site 3 MD and 2 RN On-Site 2 MD and 3 RN 4 MD and 2 RN 3 MD and 2 RN On-Site On-Site On-Site 5 MD and 4 RN Eastern Visayas Regional Medical Center On-Site National Children’s Hospital Amang Rodriguez Memorial Medical Center East Avenue Medical Center 12-Nov-13 12-Nov-13 12-Nov-13 Medical Team Medical Team Medical Team Dr. Jose Fabella Memorial Hospital Nov 12 ,2013 Medical Team National Center for Mental Health CHD V 12-Nov-13 12-Nov-13 On-Site On-Site 14-Nov-13 Psychosocial Team 9 Psychosocial Care Therapist Medical and WASH Team Catbalogan, Samar 4 MD, 1 Engineer and 12 Staff Eastern Samar Provincial Hospital, Medical Team 1 MD, 5 Nurses and EMT Borongan, Samar (as of Nov. 17, 2013) Medical Team Ormoc District Hospital 18 MD, 7 Nurses Technical Team Ormoc City 2 MD Medical Team, RHA, 8 Doctors, 10 RN, 3 Engineer, 1 Architect, 2 Nutritionist, Tacloban, CHD VIII OpCen WASH 2 Driver, 1 Data Encoder, 10 Staff, and 1 Logistic Officer Medical Team, WASH, 4 MD, 6 RN, 2 WASH Staff, 1 MHPSS, 1 Administrative Ormoc City MHPSS Staff CHD X 14-Nov-13 Medical Team, WASH Palompon, Leyte 3MD, 5 RN, 1 WASH, Supply Officer, 4 drivers On-Site Northern Mindanao Medical Center Southern Philippines Medical Hospital 14-Nov-13 11-Nov-13 Medical Team Medical Team Palompon, Leyte 6 MD, 4 RN, 1 Logistic Officer, 1 Driver 7 MD, 3 RN, 2 Ambulance Driver On-Site On-Site Davao Regional Hospital 11-Nov-13 Nov. 14, 2013 Nov. 14, 2013 Medical Team Divine Word Hospital, Tacloban City 20 Staff On- Site 1 MD, 3 RN, 1 Dentist, 1 NA, 2 Driver, 1 Staff 4 MD, 2 RN, 1 Staff On-Site On-Site Bicol Medical Center Vicente Sotto Memorial Medical Center (Team A) CHD VII DOH – Central Office Team (with Lakbay Buhay Kalusugan Bus – Health Promotion Team) CHD XI Veterans Regional Hospital Rizal Medical Center Paulino J. Garcia Memorial Research and Medical Center Dr. Jose Reyes Memorial Medical Center San Lazaro Hospital Manila Health Department CHD ARMM TOTAL 13-Nov-13 Nov 12, 2013 13-Nov-13 13-Nov-13 Medical Team Medical Team Nov. 14, 2013 14-Nov-13 Nov. 14, 2013 Nov. 14, 2013 Nov. 14, 2013 Medical Team Medical Team Medical Team Medical Team Medical Team 31 Teams Deployed Camp Lukban, Catbalogan, Samar 5 MD, 4 RN 1 RMT, 2 Staff 5 MD, 5 RN, 1 Staff Brgy. San Agustin, Marabot, Eastern 4 RN, 1 RMT, 1 Driver, 1 Staff Samar 1 foreman, 3 driver Tolosa, Leyte (as of 11/16/13; 3:00am) 1 MD, 3 RN, 1 driver, 2 staff 358 personnel were mobilized (109 MDs, 138 Nurse and 111 others such as Psychosocial therapist, EMTs, WASH, Engineer and Staffs) On-Site On-Site On-Site On-Site On-Site On-Site On-Site On-Site On-Site On-Site On-Site
    • 15. FIELD HOSPITALS / MEDICAL TEAMS • 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. • MAMMOTH MEDICAL MISSIONS (California-based) 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 • 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 • BELGIUM B-FAST RELIEF TEAM has set up in Palo, some 10 kilometers from Tacloban in the Philippines. • SAVE THE CHILDREN - Of the two medical teams deployed in the wake of Typhoon Haiyan, one is treating the sick, injured and those needing antenatal and postnatal surgery in Tacloban. The other is on board a British naval vessel, the HMS Daring, and will be deployed by chopper to meet the medical needs of those living in remote islands severely hit by the Typhoon. • ACTS WORLD RELIEF has a First Response team of four that has been in the Philippines networking and establishing logistics for the medical team. They are assessing at the SDA hospital in Cebu as the hub base camp, and organizing three helicopters, two airplanes and a speed boat to take medical and emotional care teams to outlying devastated islands for emergency care. Team 2 is now deployed which is directed by Dr. Jason Shives. This team consists of orthopedic surgeons, anesthesiologists, PA’s, Search and Rescue, Psychological First Aid and Security. Displaced victims of Typhoon Haiyan are being treated for injuries at a field hospital set up by Australians. Photo: Brendan Esposito • AUSTRALIAN MEDICAL ASSISTANCE TEAM: A 50-bed field hospital now serves as the surgical hub for relief operations in Tacloban City. Has X-ray facility, two operating rooms, five triage tents, and supplies for 4,000 patients and 200 surgical operations. Staffed by 37 doctors, nurses, logisticians, environmental health specialists, and pharmacists. More than a hundred patients treated there in the two days since it has been running, the Australian. • The INTERNATIONAL SEARCH AND RESCUE GERMANY has a established a field hospital in Palo • In most areas where MÉDECINS SANS FRONTIÈRES is working—Panay, Guiuan, Ormoc, Tacloban, and Burauen—the health services have been severely disrupted and MSF is focusing on restoring quality primary health care and hospital services. In Guiuan, a tent hospital has been put in place on the premises of the damaged reference hospital, while in Tacloban, an inflatable hospital will be set up this week and will provide all services including emergency room, inpatient department, and operating theater. At the moment, women with complicated deliveries have nowhere to deliver safely or undergo a Caesarean section, so MSF teams will urgently set up maternity, obstetrics and gynecology units.
    • 16. FIELD HOSPITALS / MEDICAL TEAMS • INTERNATIONAL MEDICAL CORPS ERT has been providing services in GUIUAN, where the typhoon first made landfall. • Their reports indicate that approximately 90% of structures are destroyed, and 91 deaths have been recorded. • Of the 5 health facilities present in Guiuan, 3 have been completely destroyed. Limited health services have resumed in the remaining two centers, with International Medical Corps staff supporting one. • One week on from the typhoon, the number of trauma and injury cases has decreased, and the demand for health services has started to shift towards more minor injuries, including infected wounds. • There is also an increased demand for primary care, with high numbers of upper respiratory infections and a lack of drugs for chronic illnesses. It was also noted that the lack of power, telecommunication coverage and fuel shortages are affecting the ability to provide health services. Satellite phones provide inconsistent services, and staff are faced with the difficulties in charging equipment. • With International Medical Corps' Emergency Operations Center established in Cebu and all of the 11-person team present incountry, the ERT has been focused on developing key partnerships, creating a logistics hub, identifying additional local medical staff, and deploying those staff to provide direct medical care.
    • 17. DISEASE BRIEF-TETANUS (LOCKJAW) DESCRIPTION Tetanus is a serious illness caused by Clostridium tetani bacteria. The bacteria can enter the body through a deep cut. The bacteria are everywhere in the environment and are found in soil, dust, and manure. RISK FACTORS Dirty open wounds in individuals who have not been immunized with the tetanus vaccine or who have not received the tetanus booster vaccine as recommended. SYMPTOMS The symptoms usually start 3-21 days after coming into contact with the causative bacteria. Symptoms include painful tightening of the muscles. Death can occur without life-saving treatment. Some of the common symptoms include: • Headache • Jaw cramping • Fever • Trouble swallowing • Fast heart rate and high blood pressure • Seizures TREATMENT Hospitalization with aggressive wound care and antibiotics. Immediate treatment with human tetanus immune globulin (TIG). Drugs to treat muscle spasms. Vaccination for future prevention. CURRENT SITUTATION • Doctors without Borders expressed concern for tetanus development as survivors had extensive soft tissue wounds (cuts, lacerations, punctures, crushed tissue). Currently survivors with extensive skin injuries are being treated with TIG and receiving the tetanus vaccine. RECOMMENDATIONS • Immediate wound care • Tetanus vaccination
    • 18. DISEASE BRIEF - ACUTE STRESS DISORDER DESCRIPTION Acute stress disorder (ASD) is a temporary mental health condition that may occur weeks to months after physical or mental trauma. A diagnosis is not made unless symptoms last 30 days or more. It occurs in 6-30% of survivors. A majority of people with ASD will later develop Post-traumatic stress disorder (PTSD). RISK FACTORS • Multiple trauma • Violent trauma • History of mental health conditions SYMPTOMS • Anxiety • Difficulty concentrating • Feeling detached from one’s body • Difficulty sleeping • Reliving the event • Disoriented and feeling “dazed” TREATMENT Specific mental health counseling can treat ASD and prevent further development of PTSD. CURRENT SITUTATION • World Health Organization expressed concern regarding mental health issues post typhoon. • Mental health professionals have started to arrive to render aid to those in need. • The mental health need for acute stress disorder is expected to increase as time moves farther from the initial event. RECOMMENDATIONS Seek professional help should any of the symptoms occur. Proper rest, hygiene, and nutrition help to alleviate symptoms.
    • 19. DISEASE BRIEF-TYPHOID FEVER DESCRIPTION A life-threatening illness caused by the bacterium Salmonella Typhi, and can be acquired by eating or drinking food that has been handled by a person with Salmonella Typhi, or from sewage contaminated with Salmonella Typhi. The bacterium lives in the bloodstream and instestinal tract of contaminated humans, and a small number of persons (carriers), recover but continue to carry the bacteria. Persons who do not get treatment may continue to have fever for weeks or months, and as many as 20% may die from complications of the infection. RISK FACTORS Common where hand washing is less frequent, or water is contaminated with sewage. SYMPTOMS • Sustained fever s high as 103° to 104° F (39° to 40° C). • Feeling weak • Stomach pains • Headache • Loss of appetite • Some patients have a rash of rose-colored spots Must test blood or stool to confirm TREATMENT Treated with antibiotics. Choices for antibiotic therapy include fluoroquinolones (for susceptible infections), ceftriaxone, and azithromycin. Vaccinate, or get booster shot to prevent. CURRENT SITUTATION Possible outbreak in a hospital in Ormoc. RECOMMENDATIONS • Buy bottled water, or bring to a rolling boil for 1 minute before consuming. • Eat foods that have been thoroughly cooked and that are still hot and steaming. • Avoid raw vegetables and fruits that cannot be peeled. Vegetables like lettuce are easily contaminated and are very hard to wash well. Or, peel raw fruit or vegetables yourself. (Wash your hands with soap first.) Do not eat the peelings. • Avoid risky foods and drinks, get vaccinated. CDC JSOTF-P
    • 20. RED CROSS AND RED CRESCENT ACTION OPERATIONS • IFRC has deployed a Disaster Law expert to provide advice as needed to PRC and other partners to support humanitarian diplomacy. • As part of the cash working group, the IFRC recovery coordinator for Asia Pacific is deploying to Manila to move the cash coordination agenda forward. • The National Society has set up 20 welfare desks to assist with restoring family links and provide psychosocial support. LOGISTICS • More than 93 tons of relief materials are being flown from IFRC’s logistic hub in Dubai to devastated areas. • 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. • The Cebu airport is congested, many of the affected areas are inaccessible and transportation infrastructure is damaged, posing logistical challenges for the operation. SHELTER CLUSTER • The shelter cluster has full time capacity dedicated to cluster coordination in Manila, Roxas, Tacloban and Bohol. The inter-agency shelter coordination team will be increased from 8 to 16 staff members by mid-next week. • The shelter cluster will be creating sub operational hubs in Cebu and Roxas. Other hubs under consideration include Ormac (being considered as satellite under Tacloban) in Leyte; Borogan and Guiuan (potentially 2 hubs or 1 hub with 1 satellite) in Eastern Samar; and Iloilo (being considered as a satellite under Roxas) in Capiz. • The first shelter cluster meeting was held in Cebu on November 15th. • Detailed assessments will be taking place soon, including a WASH cluster rapid assessment team member, to do a joint assessment and ensure provision of shelter with Update No1, Nov. 17 IFRC Operation water and sanitation components. 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 Soaade Messoudi, ICRC Manila, Tel: +63 918 907 2125 Richard Gordon, Chairman PRC, Tel: +63 917 899 7898 Patrick Fuller, IFRC Manila, Tel: +60 12 230 8451 A community in one of hard hit areas of Tacloban, in the Philippines. Photo: Alanah Torralba/IFRC.
    • 21. 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. There is also serious concern for severely affected fishing communities – many families have no means of livelihood and decreased sources of protein. 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. • Estimated 814,000 people have received food aid. • On November 17th, the ICRC and Philippine Red Cross started distributing food to 10,860 families (54,300 people) in southeastern Samar. • 25+ municipalities have been reached with food assistance, with the government reporting reaching all affected areas to date. • 11,300 households will receive agricultural inputs, such as fertilizer, vegetable and rice seeds, and tools for the planting season. CLUSTER LEADS: The Food Cluster Coordinator is Jeffrey Marzilli ( The co-leads at WFP are Beatrice Tapawan (0917-539-9944, and Dipayan Bhattacharyya (0917-594-2450, GAPS & CONSTRAINTS: • Food Cluster is currently 29% funded out of a total US$76.2 million request. • Logistical constraints hamper the delivery of food assistance, particularly in mountain areas that remain unreached. • 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. • Delivered food supply is insufficient for many populations. • Over 40% of 130,000 hectares of affected crops (mostly rice and coconut) have been destroyed. • There is a limited timeframe in which to assist farmers in planting crops to ensure a viable harvest and food supply. PRIORITIES: • 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. FOOD SECURITY CLUSTER SOCIAL MEDIA: FACEBOOK TWITTER FOOD SECURITY CLUSTER MEETING MINUTES 11/15/13 HUMANITY ROAD - PHILIPPINES 11/17/13 UN OCHA SITUATION REPORT: 11/17/13 UN OCHA SNAPSHOT 11/16/13 ICRC UPDATE 11/17/13 FOOD SECURITY CLUSTER UPDATE 11/15/13 AGENCY LOCATIONS MAP 11/15/13 HUMANITARIAN NEEDS MAP 11/17/13
    • 22.
    • 23. NUTRITION NEEDS: • The cluster estimates that approximately 4.9 million children are affected by the disaster, of whom 1.5 million are children under five years and are at risk for Global Acute Malnutrition (GAM) if appropriate nutrition solutions are not available to them. An estimated 800,000 pregnant and lactating women will also require nutrition interventions. • Priority interventions include infant and young child feeding Infant formula monitoring, micronutrient supplementation, management of acute malnutrition, and health and nutrition education. • Disruption to maternal care and child feeding practices, 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 to 9 percent global acute malnutrition (wasting), 21 to 26 percent underweight and 38 to 42 percent stunting). 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 in Emergency 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. RESPONSE • Infant and young child feeding counselors have mobilized in Eastern Samar, Leyte, Iloilo, Capiz, Cebu and Bohol provinces. • 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 2,082 post-partum women received Vitamin A capsules in Ormoc. • 100,000 displaced children are targeted for a Vitamin A supplementation and de-worming program which has started in barangays in Region VIII. • Nutrition supplies are en-route to Guiuan. And shipments from Manila and Cotabato City to Tacloban City are occurring. UNOCHA report Nov 16 2013 OCHA Situation Report 10 Nov 16 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 12 2013 • Coordination and technical support to the Nutrition Cluster. • Conduct standardized nutrition surveys for updated age- and genderdisaggregated nutritional status data. GAPS AND CONSTRAINTS: • Monitoring the quality of milk formula donations remains a challenge. • Of 7 million USD asked for in action plan, 7% of funds have been raised. • Limited IYCF partners to support local agencies. CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair UNICEF 0917-565-4062 02-901-0150
    • 24. WASH WATER, SANITATION AND HYGIENE WATER, SANITATION AND HYGIENE RESPONSE: • The Philippines Red Cross has established 3 water bladders in Leyte. province and provided water to a medical center and 2 bus terminals. • Partners have provided water bladders to 4 municipalities in Capiz province (Dao, Cuartero, Mambusao and Ivisan) and installed 2 water treatment units in Cebu province (San Remigio municipality). • Hygiene and water kits have been mobilized for Daanbantayan, Bogo, San Remigio and Medellin municipalities. All these municipalities are in northern Cebu province. • In Tacloban, about 276,400 people (80% of the population) now have access to piped water. The main pipeline and water treatment plant have been repaired. • Repairs to a network of smaller pipes in Tacloban are now underway. NEEDS: • Access to safe water remains a major challenge in many areas, including in island towns of Guiuan municipality (Eastern Samar province) and Bantayan Island (Cebu province). • Generator sets to power small water systems, water treatment and quality monitoring, water kits and household water treatment solutions (e.g. hyposol and aquatabs) are urgently needed. • Estimates of the total number of people without access to safe water are currently unavailable, although localized assessments exist in some areas. GAPS AND CONSTRAINTS: • • • • • • WASH cluster coordination and monitoring of WASH access. Debris in Eastern Samar province continues to hamper transport of WASH items. Piped water in Tacloban requires chlorination to be drinkable. Towns in Eastern Samar and Cebu provinces lack access to drinking water. Overcrowding and poor sanitation are concerns in large evacuation centers. Municipality of Barbaza, Antique, and some municipalities/cities in Capiz and Iloilo, still do not have water supplies. OCHA SITREP 11 – 17 NOV 2013 NDRRMC SITREP No 26 – 18 NOV 2013 Typhoon Haiyan survivors wash clothes next to a stricken ship in Tacloban. In times of disaster women and girls are particularly vulnerable to abuse. CLUSTER COORDINATOR Rory Villaluna UNICEF 0917-859-2578 02-901-0101
    • 25. EMERGENCY SHELTER GAP & CONSTRAINTS • Overcrowding and poor sanitation are concerns in large evacuation centers. In Tacloban, over 56,000 people are living in the Astrodome evacuation center alone. NEEDS: • Camp Coordination and Camp Management Cluster funding is at • Reports of poor sanitation in evacuation centers in Pontevedra 0% of the needed $6 million. Emergency Shelter Cluster is at 11% municipality (Capiz province). funding of the needed $46 million. (Latest numbers here). • Food supplies for in evacuation centers in Western Visayas. • Transportation of supplies to evacuation centers is still a challenge • Urgent need for tarps, tents & non-food items. • Shelter repair materials needed; many families are salvaging materials due to air & road congestion in Tacloban. • Too few organizations working in shelter support in Capiz province to build makeshift shelters. & other severely affected areas (others not mentioned). RESPONSE: • Over 4 million people are displaced, of which 72,986 families (349,870 people) live in 1,562 evacuation centers. An estimated 775,155 families (3,651,290 people) are living outside of evacuation centers in Eastern and Western Visayas. • Five evacuation centers in Capiz province were profiled using the Displacement Tracking Matrix (DTM) to classify camp needs. • 5,000 hygiene kits delivered to Astrodome evacuation center. • 5,000 tarps distributed in Tacloban. • Assessments underway to identify potential re-settlement sites for those living near geo-hazards. • 400 tents assembled at two locations (not specified) for resettlement. • 400 plastic sheets distributed in Tanauan municipality (Leyte province). The Astrodome evacuation center in Tacloban (source) • Camp Coordination & Camp Management Cluster Meeting Schedule GOVERNMENT LEAD AGENCY CLUSTER CO-LEAD AGENCY Patrick Elliot, IFRC Asec Camilo G. Gudmalin 0 920 948 5383 SHELTER CLUSTER – TYPHOON HAIYAN 2013 Phil. Int. Dialing Code: +63 OCHA SITUATION REPORT NUMBER 11 – NOV 17 0 908 401 1218 DAMAGE: Official numbers now report over 1 million damaged houses (over 490,000 completely destroyed).
    • 26. LOGISTICS LOGISTICS PRIORITIES • In Western Visayas, telephone lines are down in Aklan and Capiz provinces. Limited mobile coverage is available. • Restore stable power distribution in regions IV-B, V, VI, VII and VIII. • Increase logistical capacity to reach mountain areas. • Debris removal, access to cutoff communities. GAPS • Intermittent power in five regions: IV-B, V, VI, VII and VIII. • Access to safe water remains a major challenge in island towns of Guiuan municipality (Eastern Samar province) and Bantayan Island (Cebu province). • Fuel shortages continue to pose a challenge. CONSTRAINTS • Communications (mobiles, internet) is limited, particularly in remote areas- threatening the establishment of information management systems for the response. • Transportation of supplies for evacuation centers remains a challenge due to air and road traffic congestion in and out of Tacloban. Cluster Lead Contact Information Manila: Baptist Burgaud, Cluster Cord. 0917-5713160, Cebu: Henrick Hansen, Logistics Officer, +639152164926, Tacloban: Andrew Stanhope, Logistics Officer, OCHA Sitrep No. 11 Nov. 17 OPERATIONAL RELIEF ASSETS • Internet (through VSAT), electrical support, security communications and help desk services will be provided at the humanitarian hub in Roxas City. • ETC in Tacloban continues to provide internet, basic radio communications and IT help desk services to the humanitarian community. • All airports are now operational. • Roxas airport is only open during the day, and Tacloban airport has limited operations. • Ormoc, Guiuan and Borongan airports are now open to C130 aircraft transporting large amounts of relief goods. • Sea See Infrastructure Capacity Reports for Tacloban Port, NOTE: ports are also now operational. Ormoc Port, Guiuan Port, and Iloilo Commercial Port on the next page for planning guidance. NEEDS • Solar-powered refrigerators and diesel generators to re-establish health services. • Food supplies for evacuation centers in Western Visayas region. • More information is needed on the logistics capacity of Panay Island. • Generator sets to power small water systems, water treatment and quality monitoring, water kits and household water treatment solutions (e.g. hyposol and aquatabs) are urgently need. • Debris removal in Eastern Samar province to allow better transportation of WASH items. • On 16 November, the Roxas City coordination meeting highlighted the need to strengthen logistics to address the challenge in shipping, warehousing and distribution
    • 27. LOGISTICS LOGISTICS RESPONSE • A vessel being loaded with relief supplies in Cebu will depart for Tacloban on 17 November. • The Logistics Cluster will provide 20,000 liters of fuel to the humanitarian community under a coupon system. • Heavy vehicles and machines, including loaders, handlers, fork and shovel fixing, have arrived in Cebu to support logistics. • A fleet of trucks has been secured in Tacloban to meet the needs of humanitarian operations in the island of Leyte. • Two mobile storage units have been erected in Cebu airport and a hangar has been secured. • The Logistics Cluster has secured 20,000 liters (about 5,283 US Gal.) • WFP and the Logistics Cluster have established regular coordination with the Department for Social Welfare and Development to ensure no delays with Customs clearance Of Imported Humanitarian cargo. Logistics Cluster Situation Update Nov. 17 OCHA Sitrep No. 11 Nov. 17 COORDINATION An Air Transport User Group meeting will be held on 18 November in Manila. Manila Cluster Coordinator Contact: Baptist Burgaud Ph. 0917-5713160 Email: INFRASTRUCTURE CAPACITY REPORTS 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 Relief Item Tracking Application Guidance REVISION Request Form: USAID Facilitated Humanitarian Cargo Transport by Military Assets NOTE: All files are shared publically via Google Drive.
    • 28. LOGISTICS LOGISTICS OPERATIONAL FUEL STATIONS IN SAMAR AND LEYTE PROVINCES Petron service stations open and able to supply fuel in Samar and Leyte SAMAR PROVICE FUELING STATIONS • • • • • • • • • • • • • • • • • • Allen Cor San Francisco St., Catbalogan, Samar Del Rosario St., Catbalogan, Samar Maharlika Highway, Brgy. Capoocan, Calbayog City Poblacion 3, Maydolong, Samar Brgy. Nator, Taft, Eastern Samar Songco, Borongan, Eastern Samar Borongan, Eastern Samar Brgy. Buray, Paranas, Jiabong, Western Samar Salvacion, Lavezares, Northern Samar National Road Dolores, Eastern Samar National Road, Mondragon, Northern Samar National Highway, Kabulihan, Catbalogan, Samar Bobon, Northern Samar National Highway, San Jorge, Samar National Highway, Villareal, Samar National Highway, Old Manunca, Sta. Rita, Samar National Highway, Gandara, Samar National Highway, Dolores, Eastern Samar LEYTE PROVINCES FUELING STATIONS • Real, Tacloban City, Leyte • Poblacion, Silago, Southern Leyte • Real/Osmena, Ormoc City, Leyte • Himatagon Saint Bernard, Southern Leyte • Magsaysay Blvd., Baybay City, Leyte • National Highway, Brgy. Lunang, Hilongos, Leyte • Palo, Tacloban, Leyte • Brgy. Libertad, Ormoc City, Leyte • Maharlika Highway, Campetik, Palo, Leyte • National Highway, Mahaplag, Southern Leyte • Marasbaras, Tacloban City, Leyte • Central San Francisco, Southern Leyte • National Highway, Poblacion, Hindang, Leyte • Brgy. Candadam, Baybay City, Leyte • San Jose, Sogod, Southern Leyte • Pob. Hinunangan, Southern Leyte • National Highway, Maasin, Southern Leyte DISTRIBUTOR NOTES Petron is currently serving its retail network through its • Mantahan, Maasin, Southern Leyte Tacloban, Ormoc, and Pasacao depots. According to • Jose Rizal Street, Bato City, Leyte Petron, a temporary station was set up to augment the • Sta. Sofia Padre Burgos, Southern Leyte operational Petron stations in Tacloban. • L. Regis St., Sogod, Southern Leyte • Eight mobile dispensing pumps were deployed to • Alquino, Hilongos, Leyte Tacloban and nearby areas in lieu of the damaged • National Highway, Poblacion Gaas Ba, Leyte service stations. • San Juan, Southern Leyte • Malitbog, Southern Leyte • National Highway, Tunga, Leyte • Bontoc, Southern Leyte • National Highway, Pasay, Maasin City, Leyte • Hilongos, Leyte • Matalom, Leyte Source: GMA News
    • 29. CHILD PROTECTION & GENDER BASED VIOLENCE PROTECTION NEEDS: • UNICEF’s Humanitarian Action for Children requests US$61.5 million to respond to the needs of children and women affected by Typhoon Haiyan, an increase for its original requirements. 89% currently remains unfunded. • Approximately three million women of reproductive age need specialized information and services. An estimated 4.6 million affected children need psychosocial support and protection against violence, trafficking, and exploitation. • Internally displaced women and children require information on relief distribution points. Many in remote and isolated communities have not received humanitarian assistance. VULNERABILITIES: • Food and water shortages and inadequate security have incited looting and people scouring through garbage. Women and children are particularly at risk. • Rapid assessments indicate that 90% of day care centers (DCCs) and public schools are damaged in Region VI. In Region VII alone, 1.948 schools and 1,600 day care centers are destroyed impacting the education of 590,000 children and 48,000 children respectively. • Children do not have access to bathing facilities – putting them at risk. • Children are exposed to dangers of physical injuries due to falling debris. • Due to the destruction of livelihoods, more children will be at risk of becoming engaged in the sex and pornography industries, or in transactional sex. • Cash for work programs in the response and recovery phases may place children at increased risk of separation if provision for child care is not made when parents are working. RESPONSE: • Child friendly spaces were established in four barangays of Estancia and Ilollo. • The Child Protection sub-cluster has set up operations in Roxas City and child-friendly spaces were established in evacuation centers in 13 barangays of Roxas City. GAPS & CONSTRAINTS: • GBV reporting and prevention services were disrupted and there are no available records. • There is no disaggregated data on the number of children at the regional, municipal and barangay levels. • Referral pathways are absent and local child protection councils are not functioning. • Limited fuel and trucks in Tacloban City and airport congestion in Cebu City hamper the delivery and distribution of protection kits. • No functional inter-agency mechanisms for GBV on the provincial and municipal levels in the worst affected areas. • Lack of sufficient lighting for protection at night. • Lack of protective mechanisms for equal food distributions to decrease women and children street begging. • Barangay Councils for the Protection of Children (BCPCs) are the state mandated child-protection structures at the local level, and these and other pre-existing groups should be supported to help address the immediate child protection needs. Child Protection Working Group; Reproductive Health Working Group Sarah Norton Staal Cluster Co-Lead;; 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 OCHA SitRep#11 17Nov Global Protection Cluster Report
    • 31. 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, clear debris from roads, reestablish power, communications, and water production. • Decrease airport congestion to decrease aircraft take off and landing time. • Increase the warehousing capacity at airports, distribution and evacuation centers. NEEDS: • Water production and logistics, mainly ground transportation and fuel. • Greatest needs in affected areas are water, shelter, food, and medical assistance. • Debris removal to allow ground access to affected areas. • EX) Main highway south of Guiuan to the end of the peninsula: one major obstruction with only one passable lane. Light lift equipment is required to remove obstruction. RESPONSE • Nov. 15-16. Six more VM-22B Ospreys with Marine Medium Tiltrotor Squadron 265 arrived in the Philippines at Clark Air Field. In total fourteen Ospreys are now delivering food and water to the most isolated areas affected by the typhoon. • The last 24 hours, more than 66,000 pounds of food, water and shelter items have been delivered to Tacloban, Borongan and Guiuan. • The USNS Bowditch, an oceanographic survey ship, has provided charted data of safe, navigable channels and identified new hazards that will prove invaluable in the relief efforts that have and will continue to occur in the region. • There are now 150,000 people in Tacloban being served by clean water (USAID). • Aid delivery increased considerably south of Tacloban due to number of assets fragged and level of coordination between elements. Nov. 18 Admiral's Morning Brief UNCLAS Ospreys Fly Supplies to Remote Areas in Philippines Military, USAID Continue Relief Efforts in Philippines GAPS AND CONSTRAINTS • Lack of medical facilities and the slow pace of relief operations causing further harm to individuals and vulnerable communities. • Inadequate helicopter landing zone preparation increases risk to crew and equipment: soft ground (sand and marsh lands, in some areas) uneven ground, debris coverage. • Medium to large passive and aggressive crowds, with varying levels of organization are present at landing zones (crowds of 30-200+ people reported), in some cases rushing the aircraft, increases the risk of competition for aid and the potential for violence. • Minimal security at some landing zones has disallowed aircraft to land. Aid is delivered via hoist in-flight. • Weather conditions have prohibited helicopters from accessing Tacloban Airfield. • Congestion at Tacloban Airfield has forced aircraft to circle for 40 minutes before clearance to land. • Main highway north of Guiuan appears intact and unobstructed; however 30% of secondary roads are passable. Field Notice: Current Requests for Information What is the current status of secondary roads and roads around HLZs in Eastern Samar and Leyte? What are the environmental conditions surrounding port facilities on Samar and Leyte (underwater debris, etc.)?
    • 32. US RESPONSE USAID/OFDA RESPONSE: • • • USAID and DoD assistance helps restore water service to most Tacloban residents. ‒ USAID/OFDA and DoD will continue to support Tacloban’s water production in the coming days, until the GPH and humanitarian partners can organize additional fuel suppliers. The USAID DART has established a forward operating base at Tacloban, posting a logistics officer and a military liaison officer at the city’s airport to strengthen coordination with other humanitarian stakeholders and enable closer tracking of USG commodities scheduled for distribution. USG humanitarian funding increases from $22.5 million to $27.2 million, primarily to augment logistical activities. STATUS UPDATE: • • On November 16, USAID DART members noted significant improvements in the speed and efficiency of relief supply distributions at the GPH Department of Social Welfare and Development (DSWD) warehouse in Tacloban. The DART also visited a portion of the most-affected areas of Tacloban and observed rapid improvements in road clearing and cleanup operations. Plan International & USAID unload urgently-needed relief supplies in Tacloban city. Source. USAID Fact Sheet No. 6 Nov. 16
    • 33. CLUSTER MEETINGS - 20 NOV 2013 Health Meeting (Tacloban) 20/11/2013 - 08:00 Eastern Visayas Regional Medical Center (DOH OpCen) Philippines Ms. Patricia Kormoss 0908-892-0515 General Coordination Meeting (Tacloban) 20/11/2013 - 08:30 Tacloban City Hall, Ground Floor Philippines UNDAC Team Donor Briefing (Manila) 20/11/2013 - 10:00 ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City) Philippines Shelter Cluster Meeting (Tacloban) 20/11/2013 - 14:00 Philippines Education Cluster Meeting (Tacloban) 20/11/2013 - 14:30 Leyte National High School Philippines Nonoy Fajardo 0917-542-9875 Early Recovery Cluster Meeting (Tacloban) 20/11/2013 - 14:30 OSOCC Philippines Tim Walsh 0915-807-5756 Coordination Meeting (Tacloban) 20/11/2013 - 18:00 OSOCC Philippines Sebastian Rhodes Stampa 0926-690-3679 CCCM Meeting (Tacloban) 20/11/2013 - 15:00 OSOCC Philippines Conrad Navidad 0908-865-4543 Coordination Meeting (Roxas) 20/11/2013 - 18:00 (ROXAS provincial hall) Philippines UNDAC +63 91 86569199 WASH Cluster Meeting (Tacloban) 20/11/2013 - 16:00 OSOCC Philippines Silvia Ramos 0906-516-0271 Public Information and Communications Meeting (Tacloban) 20/11/2013 - 19:00 OSOCC Philippines Matthew Cochrane 0906-572-3983 HCT Sustainable Solutions Group (Manila) 20/11/2013 - 16:00 Room 506 at the Yuchengco Institute for Advanced Studies (YIAS), 5TH Floor Tower II RCBC Plaza, 6819 Ayala Ave. cor. Gil Puyat Philippines Jahal de Meritens 09175975759
    • 34. CLUSTER MEETINGS - 21 NOV 2013 Health Meeting (Tacloban) 21/11/2013 - 08:00 Eastern Visayas Regional Medical Center (DOH OpCen) Philippines Ms. Patricia Kormoss 0908-892-0515 General Coordination Meeting (Tacloban) 21/11/2013 - 08:30 Tacloban City Hall, Ground Floor Philippines UNDAC Team Donor Briefing (Manila) 21/11/2013 - 10:00 ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City) Philippines Shelter Cluster Meeting (Tacloban) 21/11/2013 - 14:00 Philippines Education Cluster Meeting (Tacloban) 21/11/2013 - 14:30 Leyte National High School Philippines Nonoy Fajardo 0917-542-9875 Early Recovery Cluster Meeting (Tacloban) 21/11/2013 - 14:30 OSOCC Philippines Tim Walsh 0915-807-5756 Early Recovery Cluster Meeting (Manila) 21/11/2013 - 10:30 tbc Philippines CCCM Meeting (Tacloban) 21/11/2013 - 15:00 OSOCC Philippines Conrad Navidad 0908-865-4543 GBV subcluster meeting (Manila) 21/11/2013 - 14:00 UNFPA meeting room, RCBC tower, Manila Philippines Devanna de la Puente WASH Cluster Meeting (Tacloban) 21/11/2013 - 16:00 OSOCC Philippines Silvia Ramos 0906-516-0271 HCT Sustainable Solutions Group (Manila) 21/11/2013 - 16:00 Room 506 at the Yuchengco Institute for Advanced Studies (YIAS), 5TH Floor Tower II RCBC Plaza, 6819 Ayala Ave. cor. Gil Puyat Philippines Jahal de Meritens 09175975759 Shelter Cluster Meeting (Manila) 21/11/2013 - 17:00 19th floor, ILO (RCBC Plaza) Philippines Patrick Elliot 09084011218 Coordination Meeting (Tacloban) 21/11/2013 - 18:00 OSOCC Philippines Sebastian Rhodes Stampa 0926-690-3679 Coordination Meeting (Roxas) 21/11/2013 - 18:00 (ROXAS provincial hall) Philippines UNDAC +63 91 86569199 Public Information and Communications Meeting (Tacloban) 21/11/2013 - 19:00 OSOCC Philippines Matthew Cochrane 0906-572-3983
    • 35. COORDINATION HUBS NAME TELEPHONE EMAIL LOCATION ADDRESS 1 ADDRESS 2 CITY STATE POSTAL COUNTRY CODE Busuanga Unknown philippines@humanitarianresp IV-B (MIMAROPA) Unknown Busuanga IV-B 5317 PH Cebu Unknown philippines@humanitarianresp VII (Central Visayas) Unknown Cebu VII 6000 PH Mindanao 9600 PH Cotabato Sub- +63 (0) 64 421 Office 7935 Cotabato City No. 080 Rufo Manara St. Davao City 082 285 2562 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 30/F, Yuchengco Tower, Ayala RCBC Plaza Avenue Makati City NCR 1226 PH Roxas Unknown philippines@humanitarianresp VI (Western Visayas) Capiz Government Business Centre Roxas VI 5800 PH Tacloban unknown Tacloban City Hall, 1F Sen. Enage St cor Magsaysay Blvd Tacloban VIII 6500 PH philippines@humanitarianresp VIII (Eastern Visayas) Metro Manila(NCR) VIII (Eastern Visayas) Rosary Cotabato Heights 10 City VIII
    • 36. CLUSTERS POC