YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT

TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES
BACKGROUND
W...
BACKGROUND
Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine
typhoon on reco...
BACKGROUND

http://reliefweb.int/sites/reliefweb.int/files/resources/TC-2013-000139-PHL_snapshot_131205.pdf
WEATHER OUTLOOK

GALE WARNING NO. 42
For: Strong to gale force winds associated with the surge of
Northeast Monsoon.
Issue...
EMERGING NEEDS
FOOD, WATER, AND SANITATION
MEDICAL AND PUBLIC HEALTH
• Increases in rice seed provided to farmers is neede...
EMERGING PRIORITIES
FOOD AND WATER
• Nearly 3 million people are in need of life-saving food
assistance and agricultural s...
CURRENT SITUATION
As of 8 DEC 2013 – 6:00 AM PhT
AIRPORTS: To date, operations in Tacloban airport are still limited.

CAS...
CURRENT SITUATION
CURRENT SITUATION

http://reliefweb.int/sites/reliefweb.int/files/resources/MA1007_AssessmentsRegistry-300dpi.pdf.pdf
CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
OIL SPILL IN ESTANCIA
BACKGROUND: A significant spill of heavy oil (bunker ...
CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
AS OF 4 DEC 2013
• Foreign Teams: 102
• DOH Teams: 124
• Local Teams: 26
Th...
CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
The Health Cluster reports that acute respiratory infection, fever, diarrhe...
CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
VACCINATION CAMPAIGN:
• The mass vaccination campaign for measles, polio an...
HEALTH - NEEDS
HEALTH
NEEDS:
• Re-establishment of routine services is critical, especially regarding routine
vaccination ...
HEALTH - RESPONSE
RESPONSE:
• Health partners are increasing disease surveillance, though gaps remain
along the coast of E...
HEALTH – GAPS & CONSTRAINTS
GAPS & CONSTRAINTS:
• Intermittent power and communications in Eastern Samar
and Capiz provinc...
CURRENT ASSESSMENT
Estimates of Damaged Health Facilities (as of November 30, 2013

TYPHOON YOLANDA HEALTH CLUSTER BULLETI...
DAMAGED HEALTH FACILITIES
As of December 4, 2013

CURRENT SITUATION
AS OF DECEMBER 4, 2013, 8:00 AM

To date, twelve (12) ...
DOH MEDICAL TEAMS
Information gathered from Department of Health update report on Response to Typhoon Yolanda – 4 DEC 2013...
FOREIGN MEDICAL TEAMS

http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-03dec2013.pdf
FOREIGN MEDICAL TEAMS

http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-03dec2013.pdf
HEALTH AND MEDICAL – ORMOC
FOREIGN
• MERCY MALAYSIA at Ormoc District Hospital is providing patient services,
operating mo...
HEALTH AND MEDICAL – TACLOBAN
HEALTH INFRASTRUCTURE

• Taclobon Assessment shows that there are currently 5 health facilit...
HEALTH AND MEDICAL – TACLOBAN
KOICA is stationed at the
Tacloban St. Paul Hospital. They
are able to provide medical care....
Peace Ark – Humanitarian Mission
• After Typhoon Haiyan struck many areas in the central
Philippines, China sent a governm...
RED CROSS AND RED CRESCENT ACTION
OPERATIONS
• The FACT cash surge team and PRC cash focal point submitted a concept paper...
FOOD SECURITY & AGRICULTURE
FOOD

RESPONSE:

NEEDS:
• In the aftermath of Super Typhoon Haiyan (local name ‘Yolanda’),
whi...
FOOD SECURITY & AGRICULTURE
GAPS & CONSTRAINTS:
•

•
•
•
•
•
•

PRIORITIES:

Rapid delivery of food has been hampered by d...
http://reliefweb.int/sites/reliefweb.int/files/resources/PHL_FSAC_LEYTE_3W_011213.pdf

http://reliefweb.int/sites/reliefwe...
NUTRITION
Cases of malnutrition continue to rise.
Over 750 diagnosed cases diagnosed – large majority in Western Visayas
N...
NUTRITION
RESPONSE:

GAPS AND CONSTRAINTS:

• The Harmonized Initiative of Media for the Spread of Good
Nutrition was roll...
WASH
WATER, SANITATION AND HYGIENE
WATER, SANITATION AND HYGIENE

NEEDS:
•

RESPONSE:
• 65, 730 water kits distributed to ...
WHO, WHAT, WHERE - WASH
SHELTER

This map depicts the number of houses destroyed or partially damaged by Typhoon Haiyan (Yolanda). This map is bas...
SHELTER

This map depicts the number of houses destroyed or partially damaged by Typhoon Haiyan (Yolanda). This map is bas...
LOGISTICS
LOGISTICS
PRIORITIES
• Distribute food to the isolated islets off the eastern coasts of Capiz
and Iloilo.
• Debr...
LOGISTICS
GAPS
• Lack of electricity: most people in barangays use hand pumps and
wells which have high risk of contaminat...
LOGISTICS
RESPONSE
• In Guiuan, three 10-wheeler trucks are available for inter-agency use
and more can be made available ...
LOGISTICS
ROAD AND SEA TRANSPORT

AIR TARNSPORT CIV/MIL COORDINATION

http://reliefweb.int/sites/reliefweb.int/files/resou...
LOGISTICS

UNHAS Philippines
Flight Schedule (Monday to Sunday)
Morning Rotation

Afternoon Rotation

RXS
ILO

RXS
ILO

CE...
LOGISTICS CLUSTER CONTACTS
MANILA
John Myraunet (Logistics Cluster Coordinator)
Chiara Argenti (IM Officer)
Oliver Bartolo...
CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION
UPDATE:
• According to the Child Protection Working Group, an estimate...
CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION

CRITICAL RESOURCES:

RESPONSE:

TipSheet: Health and Gender

•

TipSh...
US RESPONSE

http://reliefweb.int/map/philippines/usg-humanitarian-assistance-typhoon-yolandahaiyan-last-updated-12032013
...
US RESPONSE
•
•

During a December 2–3 assessment trip, staff from
USAID’s Disaster Assistance Response Team (DART)
observ...
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Yale Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines - 8 DEC 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 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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  • Updated 09:20 PM EST, December 4st, 2013
  • Source 2:Go to this site and download the excel sheethttp://fts.unocha.org/pageloader.aspx?page=emerg-emergencyDetails&appealID=1043
  • Source 2:Go to this site and download the excel sheethttp://fts.unocha.org/pageloader.aspx?page=emerg-emergencyDetails&appealID=1043
  • Yale Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines - 8 DEC 2013

    1. 1. YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES BACKGROUND WEATHER OUTLOOK EMERGING NEEDS/ PRIORITIES CURRENT SITUATION HEALTH FOOD NUTRITION WASH EMERGENCY SHELTER LOGISTICS PROTECTION US RESPONSE INJURED DEAD 5,796 27,022 8 DEC 2013 (As of 1 AM EST) LINKS PHILIPPINES NATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCIL PHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL SERVICES ADMINISTRATION DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT DEPARTMENT OF HEALTH DOH PHILIPPINE HEALTH ATLAS DEPARTMENT OF TRANSPORTATION & COMMUNICATIONS DSWD DISASTER MITIGATION AND RESPONSE SITUATION MAP OFFICIAL GAZETTE PHILIPPINE COAST GUARD PHILIPPINE INFORMATION AGENCY WEATHER PHILIPPINES THE MANILA TIMES GMA PROJECT NOAH INTERNATIONAL/REGIONAL RELIEFWEB OCHA HUB Humanitarian Response - The Philippines EUROPEAN HUMANITARIAN AID AND CIVIL PROTECTION CEDIM UNITED STATES THE DEPARTMENT OF STATE OFDA NOAA PACOM JOINT TYPHOON WARNING CENTER NASA VOA US EMBASSY – THE PHILIPPINES HEALTH INFORMATION CDC DISASTER INFORMATION MANAGEMENT CENTER PORTALS AND RESOURCES MapAction ASEAN COORDINATING CENTER FOR HUMANITARIAN ASSISTANCE ON DISASTER MANAGEMENT GDDAC PREVENTION WEB – PHILIPPINES THOMAS REUTERS FOUNDATION UNDERGROUND WEATHER GOOGLE CRISIS RELIEF MAP HUMANITY ROAD PACIFIC DISASTER CENTER
    2. 2. BACKGROUND Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine typhoon on record, killing at least 5,796 people. The thirtieth named storm of the 2013 Pacific typhoon season, Haiyan originated from an area of low pressure several hundred kilometers east-southeast of Pohnpei in the Federated States of Micronesia on 2 November. Tracking generally westward, environmental conditions favored tropical cyclogenesis and the system developed into a tropical depression the following day. After becoming a tropical storm and attaining the name Haiyan at 0000 UTC on 4 November, the system began a period of rapid intensification that brought it to typhoon intensity by 1800 UTC on November 5. By 6 November, the Joint Typhoon Warning Center (JTWC) assessed the system as a Category 5equivalent super typhoon on the Saffir-Simpson hurricane wind scale; the storm passed over the island of Kayangel in Palau shortly after attaining this strength. it continued to intensify; at 1200 UTC on 7 November the Japan Meteorological Agency (JMA) upgraded the storm's maximum ten-minute sustained winds to 235 km/h (145 mph), the highest in relation to the cyclone. At 1800 UTC, the JTWC estimated the system's one-minute sustained winds to 315 km/h (195 mph), unofficially making Haiyan the fourth most intense tropical cyclone ever observed. On the morning of 8 November, category 5 Typhoon Haiyan (locally known as Yolanda) made a direct hit on the Philippines, a densely populated country of 92 million people, devastating areas in 36 provinces. The eye of the cyclone made its first landfall in the Philippines at Guiuan, Eastern Samar, without any change in intensity. AFFECTED AREA: Regions VIII (Eastern Visayas), VI (Western Visayas) and VII (Central Visayas) are hardest hit, according to current information. Regions IV-A (CALABARZON), IV-B (MIMAROPA), V (Bicol), X (Northern Mindanao), XI (Davao) and XIII (Caraga) were also affected. Tacloban City, Leyte province, with a population of over 200,000 people, has been devastated, with most houses destroyed. An aerial survey revealed almost total destruction in the coastal areas of Leyte province. SOURCES: PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013 WIKIPEDIA - TYPHOON HAIYAN http://reliefweb.int/sites/reliefweb.int/files/resources/Phil.Haiyan.03Dec.pdf
    3. 3. BACKGROUND http://reliefweb.int/sites/reliefweb.int/files/resources/TC-2013-000139-PHL_snapshot_131205.pdf
    4. 4. WEATHER OUTLOOK GALE WARNING NO. 42 For: Strong to gale force winds associated with the surge of Northeast Monsoon. Issued at 5:00 a.m. today, 08 December 2013 Strong to gale force winds is expected to affect the northern seaboard of Northern Luzon and the eastern seaboard of Luzon. Synopsis: Tail-end of a cold front affecting Southern Luzon. Forecast: Quezon province will experience cloudy skies with moderate to occasionally heavy rain showers and thunderstorms which may trigger flashfloods and landslides. Bicol Region will be cloudy with light to moderate rain showers and thunderstorms. The regions of Cagayan, Cordillera and Ilocos will be cloudy with light rains. Metro Manila and the rest of the country will have partly cloudy to cloudy skies 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 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.
    5. 5. EMERGING NEEDS FOOD, WATER, AND SANITATION MEDICAL AND PUBLIC HEALTH • Increases in rice seed provided to farmers is needed • Child health: immunization, nutrition, hydration • Lack of funds is preventing the full restoration of rice and • Maternal health: iron supplementation, emergency delivery facilities maize production in the most affected areas • Medicine for hypertension, heart disease, and diabetes • Children and pregnant/lactating women need to be screened • Insecticide for mosquitoes carrying viruses for malnutrition and identified cases treated • Partners need to better document and standardize reporting of medical • Water quality surveillance and treatment is needed in Eastern consultations needed from partners Samar Province • Gaps in surveillance along the coast of Eastern Samar • 175 bunkhouses to be built in Eastern Samar will need water • Psychosocial support for children supply and sanitation facilities • Water system rehabilitation and construction of emergency LOGISTICS latrines in schools is needed • The lack of warehousing remains an issue across the affected areas. • Water supplies still needed in Municipality of Barbaza, • Debris clearance: schools, hospitals, and roads around Tacloban Antique, and some municipalities/cities in Capiz and Iloilo • Heavy equipment for debris clearing is in short supply • The DOLE requires personal protective equipment and tools to SHELTER AND SECURITY facilitate additional emergency employment activities • Shortage of early recovery building materials, good quality • Need for shared IT and telecommunications services for humanitarian corrugated iron sheeting is especially needed and tools to partners (Iloilo & Basey) repair their homes. • Customs controls are delaying ICT equipment deliveries • Non-targeted distribution of milk formula powder by churches • Guiuan port is severely congested and has poor road access and volunteer groups needs to be stopped, but evacuation • Key cluster messages are not being sufficiently disseminated by radio, center managers lack knowledge to do so in print, and through video • No relocation site has been identified for these affected families OTHER • Lack of protection desks in hospitals and police stations • Damaged schools need to be repaired, and schools being used as • Non-functioning local child protection networks evacuation centers need to be vacated for education • Documentation is lacking on people and adolescents who are • Local Government Units need funds for recovery & reconstruction travelling to Manila for work and may be at risk of GBV • Baby tents and infant and young children feeding materials are urgently needed in Region VI • Lack of a mechanism for replacing lost personal documents OCHA Situation Report No. 21 OCHA Situation Report No. 20 NDRRMC SitRep No. 49
    6. 6. EMERGING PRIORITIES FOOD AND WATER • Nearly 3 million people are in need of life-saving food assistance and agricultural support • Agreement by partners, UN agencies, and other donors to allow community management of acute malnutrition • Easier access to markets for elderly and disabled • Some water systems have salty water, and a number of have tested positive for fecal coliform ESSENTIAL HEALTH SERVICES • As of 29 November, 1,019 of 2,495 health facilities had been assessed. Of these, 113 are not functioning • The most common reasons for medical consultations across affected areas are acute respiratory infection, fever, diarrhea, hypertension, skin disease and wounds. Wounds include both injuries related to debris-clearance and follow-up care for those injured by the typhoon • Incidence of wounds and bruises has increased due to debrisclearing activities • Approximately 3.6 million women and girls of reproductive age are among the affected population, including 260,000 pregnant and 173,000 lactating women. • In the next 3 months, 88,500 births are expected. • Coordination and planning is needed to fill gaps in health services initially provided by foreign medical teams who are now phasing out • • • • • OCHA Situation Report No. 21 OCHA Situation Report No. 20 UNICEF: SitRep #10 World Food Programme SitRep #10 NDRRMC SitRep No. 49 SHELTER & SECURITY • 1,180,229 houses damaged, of which 587,598 were completely destroyed • 1,031 evacuation centers sheltering 204,131 individuals • Over 3.8 million people displaced are outside of shelters • Emergency shelter is still needed in some areas (particularly Regions VII – Central Visayas and Region VIII Eastern Visayas) • Lack of site committees in the vast majority of settlements • Long-term housing, land, and property support for people in coastal areas who are required to be at least 50m from shoreline • Some 50 families in Guiuan Municipality have not been permitted to return home due to ongoing construction of the fishing port • An estimated 375,000 women and girls of reproductive age in affected areas have experienced sexual violence EDUCATION AND LIVELIHOODS • The percent of children back in school in the typhoon affected regions ranges between 20% and 90%, depending on the municipality • 47% of schools in the most affected areas have yet to be assessed (especially in Region VIII Eastern Visayas) • More information on the status of day care centers & children • 5.6 million workers (including 2.2 million women) were affected, with their livelihoods and sources of income destroyed, lost or disrupted • Subsistence fishers urgently need to repair or replace boats and fishing gear to restore their daily sources of food
    7. 7. CURRENT SITUATION As of 8 DEC 2013 – 6:00 AM PhT AIRPORTS: To date, operations in Tacloban airport are still limited. CASUALTIES: 5,796 individuals were reported dead, 27,022 injured and 1,779 missing. AFFECTED POPULATION: A total 2,599,605 families (12,265,259 persons) were affected in 12,120 barangays in 44 provinces, 590 municipalities and 57 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA. 853,634 families (3,988,821 persons) were displaced. Since last update, 385 active evacuation centers compared to previous reports of ~1000: • 21,356 families / 103,494persons inside evacuation centers • 832,287 families/ 3,885,327 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA): • DAMAGED HOUSES: 1,148,879 houses damaged (551,991 totally / 596,888 partially) • INFRASTRUCTURE: The total of damage to infrastructure was PhP18,206,735,334.29/$414,354,344 • AGRICULTURE: PhP 17,321,150,996.38/$394,199,950 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. FOOD: 3.0 million people are in need of food assistance, but nutrition supplies are inadequate and logistical constrains hamper delivery of food. OCHA mentions 2 million individual rations were distributed in Leyte Province. 37 per cent of the Vasayas’ rice production area damaged , making it critical to increase rice seed provision to farmers 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: Roxas, Capiz, Metro Roxas has resumed services, though water remains limited. 40% of the municipal water districts are operational in Antique and 70% of districts in Iloilo Operational. Water supply system in Busuanga town proper is functional. Coron, however, is implementing a rationing system. NDRRMC
    8. 8. CURRENT SITUATION
    9. 9. CURRENT SITUATION http://reliefweb.int/sites/reliefweb.int/files/resources/MA1007_AssessmentsRegistry-300dpi.pdf.pdf
    10. 10. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL OIL SPILL IN ESTANCIA BACKGROUND: A significant spill of heavy oil (bunker C type) occurred when Power Barge No. 103 ran aground at the shores of Estancia during the height of typhoon Haiyan. Between 21 and 23 November, environment experts from the Philippines Environmental Management Bureau visited the site of the oil spill together with a United Nations Disaster Assessment and Coordination (UNDAC) environment expert, and a public health expert from the World Health Organization, in order to jointly undertake a preliminary assessment of the threats the spill poses to human health, livelihoods and the environment. HEALTH RISKS • Temporary workers who have been hired for the clean-up operations continue to stay close to the site of the accident. • The workers are currently exposed to significant occupational health risks due to the unsafe and ineffective practice of manual recovery of free phase oil in the open water and the insufficient and inappropriate provision of personal protective equipment. SIZE OF THE SPILL: • Current estimates by the management of the power barge amount to around 800,000 liters of oil having leaked. • Immediate change in the management of the clean-up operation is required in order to protect the workers from unacceptable health risks. • The contamination of the coast is putting the resident population at risk from accidental fires and other physical injuries. • The chemical risk to the affected population is limited as long as direct contact with contaminated debris is avoided. • The physical risk to the people sheltering in the immediate vicinity of the oil spill has been mitigated with the evacuation of most of the population to a temporary evacuation center. • As the ruptured tanks continue to leak and up to 600,000 liters of oil remain in the tanks, the amount of spill is increasing steadily. • Urgent action is required to pump out the remaining oil or seal the holes in the tanks. • Most of the spilled oil has washed ashore, contaminating the coast and mangroves up to 10 kilometers downstream. • The containment booms deployed are not sufficient to effectively contain all of the free phase oil in the water. • The free phase oil has been blown ashore by southeastern winds so far. A change of wind direction or a tropical depression could further complicate the containment of the free phase oil. A faster, mechanical clean-up process with oil skimmers is urgently required. • An urgent need for recovery and clean up equipment and expert advice has been identified. A request for technical assistance to the Environmental Management Bureau in Iloilo has been received by the United Nations on 22 November and an oil spill clean-up expert was deployed on 27 November. Note: For an in depth report on the oil spill in Estancia read the Joint Assessment Report
    11. 11. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL AS OF 4 DEC 2013 • Foreign Teams: 102 • DOH Teams: 124 • Local Teams: 26 The Philippine Health Insurance Corporation (PhilHealth) announced yesterday it will pay for the hospitalization of all supertyphoon Yolanda survivors who need medical or hospital care. • ORMOC ‐ Ormoc has reported that despite the extensive damage to the infrastructure most hospitals are functioning to some degree. For example, Ormoc District Hospital is able to conduct emergency surgery, including Obstetrics and Gynecology. To date, 25 hospitals in Leyte, 13 hospitals in Southern Leyte, 1 hospital in Biliran, 9 hospitals in Samar, 16 hospitals in Eastern Samar and 12 hospitals in Northern Samar are providing services. • Some hospitals are being augmented by the DOH Medical Teams. • The electricity of EVRMC is provided by a 600 KVE generator. Likewise, 82 % of the hospital employees resumed to their work. The laboratory department is fully operational and radiologic imaging is possible, except for the CT scan. The OPD has been transferred to another building. • Eastern Visayas Regional Medical Center reported the following services given for the period of Nov. 12 to Dec 4: ER consultation: 2,053; OPD: 3,790; surgery: 380 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 City. A total of 7,253 medical consultations and 4,587 psychosocial services were done for the period Nov. 15-Dec. 5. Likewise, 587 patients were transferred to different Metro Manila Hospital from Air Force General Hospital for the period Nov. 11 – Dec. 5, 2013. WHOI# 4 WHO #3 WHO - #2 HEARS PLUS 4 DEC 2013 HEARS PLUS – 1 DEC 2013 HEARS PLUS – 28 NOV 2013 Ormoc Maternity and Children’s hospital lacks surgical referral capacity. ‐ • Carigara Hospital is only partially functional and has lost the ability to do essential surgical care, including caesarean sections. ‐ HOSPITALS: ‐ All hospitals have reduced admission levels due to lack of electricity and difficult conditions and one private hospital is planning to close completely for repairs. Acute watery diarrhea were reported in municipality of Kanangga 123 cases, in Ormoc 333 cases and 329 cases from other municipalities (Burauen, Dagawin, La Paz, Tabon and Julita). Likewise, 50 cases reported by EVRMC. Date of onset of diarrhea ranged from Nov.8 to present. There is no outbreak reported. An increasing number of cases of AWD were noted but this is due to the increasing number of health facilities reporting. There is no clustering of cases noted in the areas identified and it is not within the epidemic threshold. Confirmatory laboratory test done in Kanangga and Ormoc City last December 4 revealed that rotavirus are present in 1 of 3 cases with specimen but was non reactive to cholera. Five (5) specimens are still for transport to RITM in order to check any other pathogens that maybe present. The following areas were found to have water systems positive for E.Coli: Sta. Fe, Tacloban City and Tanauan Leyte CURRENT SITUATION AS OF DECEMBER 6, 2013
    12. 12. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL The Health Cluster reports that acute respiratory infection, fever, diarrhea, hypertension, and skin disease are the five main causes of morbidity in affected areas. Additionally, the incidence of open wounds and bruises has increased in recent days due to ongoing debris-clearing activities. SURVEILLANCE: Surveillance during Post Extreme Emergencies and Disasters (SPEED) had been activated in Region VIII since November 11, 2013. Data received from the reporting health facilities are being processed and analyzed daily SURVEILLANCE IN POST EXTREME EMERGENCY AND DISASTER FROM NOVEMBER 29 TO 30, 2013 • A total of 346 consultations (< 5 y/o. 123 / >= 5 y/o. 223) under SPEED were reported from three (3) reporting facilities. These facilities includes 2 hospitals (Dr. Manuel B. Veloso Memorial Hospital and Clinica Gatchalian Hospital), and 1 Municipal Health Office (Capoocan). Among the consultations, 35.54% are children below five years old. • The top 5 consultations were acute respiratory infection (120) 34.6%, hypertension (37) 10.6%, Skin diseases (8) 2.31%, Acute watery diarrhea (6) 1.73%, wound with bruises (6) 1.73% and Fever (5)1.45 %. • Consultation warranting immediate attention is acute watery diarrhea (6) 1.73 %. This was reported from Capooocan Municipal Health Office and Dr. Manuel B. Veloso Memorial Hospital. FROM NOVEMBER 10 TO 29, 2013 • A total of 14,079 consultations (< 5 y/o. 4,052 / >= 5 y/o. 10,027) under SPEED were reported from twenty-one (21) reporting facilities. These facilities includes 8 hospitals (Dr. Manuel B. Veloso Memorial Hospital, Leyte Provincial Hospital, Tabangon Community Hospital, Tacloban City Hospital, Eastern Visayas Regional Medical Center, Tacloban Airport Field Hospital, St. Paul Hospital and Villaba Community Hospital), 3 evacuation centers (Rizal Park EC, St. Paul School EC and Leyte National High School), 1 RHU (Guiuan RHU) and 9 Municipal Health Offices ( Albuera, Capoocan, Dagam, Kananga, Leyte, Merida, Palo, Palompon and Tabago). Among the consultations, 28.78 % were children below five years old. • The top 5 consultations were acute respiratory infection (7,033) 49.95%, wound with bruises (2,092) 14.86%, skin diseases (781) 5. 55%, hypertension (772) 5.48 %, and acute asthmatic attack (326) 2.7%. • Other consultations warranting immediate attention are acute watery diarrhea (582) 4.13%,suspected leptospirosis (59) 0.42%, paralysis of the limbs (34) 0.24%, acute bloody diarrhea (31) 22%, suspected acute hemorrhagic fever (19) 0.13%,acute malnutrition(14) 0.10%, suspected tetanus (8) 0.05% and yellow eyes or skin with or without fever (7) 0.05%. Note: The top five SPEED consultations does not reflect the whole medical consultations of region VIII. AS OF DECEMBER 2, 2013 11PM • A total of 114 consultations (< 5 y/o. 31 / >= 5 y/o. 113) under SPEED were reported from one (1) reporting health facility. This facility is Guiuan Rural Health Unit Eastern Samar. Among the consultations, 21.5% are children below five years old. • The top 5 consultations were acute respiratory infection (66) 45.8%, Skin diseases (24) 16.7%, Wound with bruises (20)13.9% hypertension (15) 10.4% and Fever with other symptoms (2) 1.4% • Other consultations warranting immediate attention is acute watery diarrhea (13) 9.03% HEARS PLUS 4 DEC 2013 HEARS PLUS – 1 DEC 2013 HEARS PLUS 30 NOV HEARS PLUS – 28 NOV 2013
    13. 13. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL VACCINATION CAMPAIGN: • The mass vaccination campaign for measles, polio and vitamin A dosage started on 26 NOV in Tacloban. The campaign is supported by WHO, UNICEF and other health cluster partners. Patients with wounds have been provided with tetanus toxoid as the risk of tetanus still exits. • As of December 1, the joint DoH–U.N. World Health Organization vaccination campaign had covered 114 out of 138 barangays in Tacloban. Active in Leyte and Samar provinces, the campaign had vaccinated more than 6,400 children for measles and approximately 7,500 for polio. The campaign also provided doses of Vitamin A to nearly 5,800 children. T DoH reports that additional vaccine supplies, including syringes, refrigerators, and thermometers, are needed. • The vaccination campaign is facing some challenges including other competing activities being carried out at the same time (such as food distribution) and the loss of access to many children who have already moved out of the affected areas. • Efforts are on-going to address the challenges through enhancing social mobilization and community awareness. The tracking of mobile communities (DTM) will also be used to track children from the affected areas. MATERNAL HEALTH It is estimated that 3.2 million women and girls of childbearing age are affected by the crisis. An estimated 233,697 pregnant and 155,798 lactating women need specialized services for prenatal, postnatal, child health, health promotion and family planning, including 7,973 pregnant and 4,716 lactating women. Daily, an estimated 865 births take place in the affected communities, of which 129 will experience potentially life-threatening complications WHOI# 4 WHO #3 WHO - #2 HEARS PLUS – 1 DEC 2013 HEARS PLUS – 28 NOV 2013 27 NOV 2013 USAID FACT SHEET MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT Mental health and psychosocial wellbeing is an increasing concern. In Tacloban there is a growing need for psychosocial support. This was identified through anecdotal reports from community health workers regarding increased attempts of suicide and self harm in the com-munity. Coordination discussions for mental health response have been occurring between WHO and the National Institute of Mental Health. SANITATION • Access to potable water and waste management as well as population movement are currently a major concern in affected areas. • Lack of sanitation and overcrowding are having a negative impact on public health condition. • Having largely addressed emergency and trauma needs the DOH is directing its efforts towards a public health focus. Further to this they are requesting that international teams on the ground ensure that they are working closely with local teams and integrating into the local systems with the goal of facilitating sustainability for a long-term recovery. Water, Sanitation, and Hygiene (WASH) Cluster partners warn of increased risks of disease outbreak as relief and recovery efforts continue. The GPH Department of Health (DoH) identified insecticide to prevent the spread of vector-borne diseases, including dengue fever and malaria, as an immediate need. Although partners continue to enhance disease surveillance capacity, gaps along the coast of Eastern Samar Province and in and around Ormoc city, Leyte Province, remain, in part due to damaged communication networks.
    14. 14. HEALTH - NEEDS HEALTH NEEDS: • Re-establishment of routine services is critical, especially regarding routine vaccination programs and non-communicable diseases like tuberculosis. • The most common reasons for medical consultations across affected areas are acute respiratory infection, fever, diarrhea, hypertension, skin disease and wounds. Wounds include both injuries related to debris-clearance and follow-up care for those injured by the typhoon. • Immediate needs are child health (immunization, nutrition and rehydration), maternal health (iron supplementation and emergency delivery facilities), non-communicable diseases (maintenance medicines for hypertension, heart diseases and diabetes) and communicable diseases (insecticide for dengue). • As of 29 November, 1,019 of 2,495 health facilities had been assessed. Of these, 113 are not functioning. • National data estimates that 25 per cent of the adult population (over 21 years) suffers from hypertension, and 5 per cent from diabetes. Primary health care services are required to treat these people. • Better polio and measles vaccination coverage is needed. In 2012, only 18 per cent of children under 5 were fully immunized against measles, and 83 per cent against polio. • An oral polio vaccination campaign is necessary but is hampered by lack of cold chain capacity • Repairs to health care facilities and basic services for patients • Solar refrigerators and solar lamps are required for rural health units in areas still without power. • Most drugstores have been looted and medicines, including family planning supplies, are urgently required, particularly in Tacloban City. • Basic and essential health care services must be expanded, including for routine surgeries (e.g. Caesarians). • Approximately 3.6 million women and girls of reproductive age are among the affected population, including 260,000 pregnant and 173,000 lactating women. 4,300 childbirth and pregnancy complications are expected every month. In the next 3 months, 88,500 births are expected. OCHA SITREP 17 - 25 NOV 2013 OCHA SITREP 16-22 NOV 2013 OCHA SITREP 21 NOV -6 DEC 2013 OCHA SITREP 15-21 NOV 2013 OCHA SITREP 20 - NOV - 3 DEC OCHA SITREP 14-20 NOV 2013 OCHA SITREP 18 -27 NOV 2013 OCHA SITREP 13– 19 OCHA SITREP 12– 18 OCHA SITREP 11– 17 OCHA SITREP 10– 16 OCHA SITREP 9– 15 NOV 2013 NOV 2013 OCHA SITREP 8 – 14 NOV 2013 NOV 2013 OCHA SITREP 6 - 12 NOV 2013 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013 NOV 2013
    15. 15. HEALTH - RESPONSE RESPONSE: • Health partners are increasing disease surveillance, though gaps remain along the coast of Eastern Samar, and within Ormoc City and surrounding areas. Rapid diagnostic test kits are being distributed to identify and help contain any potential disease outbreaks. • 181 medical teams (65 foreign, 116 local) are covering 25 municipalities in Regions VI, VII and VIII. Most can provide basic outpatient emergency care; seven provide more sophisticated services including surgeries. • As of 1 December, the vaccination campaign in Tacloban had covered 114 out of 138 barangays, including five barangays that had been completely washed away and had no inhabitants. Including reports from Leyte and Samar. 6,500 children have been vaccinated for measles and 7,500 for polio. • There are around 20 typhoon-related spinal cord injuries. Patients with major injuries have all been transferred to hospitals with rehabilitation facilities in Cebu and Manila. • Limited fumigation in hospitals and evacuation centers in Tacloban City has been undertaken by partners. • Partners have conducted reproductive health missions in 16 evacuation centers hosting about 18,000 displaced people in Tacloban City, providing pregnant and lactating women with pre/post-natal, health promotion and family planning services. • Partners have delivered tents, generators, cold chain equipment, medicine and about 11,000 body bags to priority facilities. • 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. • SPEED, an emergency disease surveillance system, has been activated. • In Roxas City, a cold chain has been established. • 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. • Clean delivery kits, midwifery kits and kits for treatment of sexually transmitted infections, each to serve 40,000 people, as well as clinical delivery equipment and drugs for 90,000 pregnant women, are available through UNFPA. OCHA SITREP 9– 15 NOV 2013 OCHA SITREP 8 – 14 NOV 2013 OCHA SITREP 21 NOV -6 DEC 2013 OCHA SITREP 16-22 NOV 2013 OCHA SITREP 13– 19 NOV 2013 OCHA SITREP 6 - 12 NOV 2013 OCHA SITREP 15-21 NOV 2013 OCHA SITREP 11– 17 NOV 2013 OCHA SITREP 20 - NOV - 3 DEC PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013 OCHA SITREP 14-20 NOV 2013 OCHA SITREP 18 -27 NOV 2013
    16. 16. HEALTH – GAPS & CONSTRAINTS GAPS & CONSTRAINTS: • Intermittent power and communications in Eastern Samar and Capiz provinces are hampering the provision of health services. • Capacity is stretched due to the limited number of health facilities in operation. Overcrowding is increasing the risk of outbreaks of infectious waterborne diseases. • Transport costs and lack of fuel are hampering the health response. • The number of vaccination teams and the quantity of cold chain equipment are insufficient. • More attention needs to be focused on the health risks related to migrating and vulnerable populations. • • The disease surveillance system is currently patchy due to a disrupted communications network. Reporting and enquiries can be directed to haiyanops@wpro.who.int. Additional and comparable assessments are needed to improve the understanding of the situation. • As the first wave of foreign medical teams begins to phase out, coordination and planning are important to ensure continued health services. • Health partners need to register and report medical consultations more consistently in order to create a clearer picture of the overall health response. There remains insufficient coordination between incoming foreign medical teams and local health officials. • The biggest gaps in surveillance reports remain along the coast of Eastern Samar (with the exception of Guiuan), and within Ormoc City and surrounding areas. • Non-functioning communication, particularly in Eastern Samar, is hampering coordination of field response and surveillance activities. • Some patients are hesitating to seek medical care due to economic concerns, unaware that health care is free. • The following materials are needed to provide health services: Interagency Emergency Health Kits, Reproductive Health kits, Diarrheal Disease Kits and WASH supplies. Cholera kits should be kept on stand-by. • 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. • People are traumatized and lack psycho-social support. OCHA SITREP 9– 15 NOV 2013 OCHA SITREP 8 – 14 NOV 2013 OCHA SITREP 13– 19 NOV 2013 OCHA SITREP 21 NOV -6 DEC 2013 OCHA SITREP 16-22 NOV 2013 OCHA SITREP 6 - 12 NOV 2013 OCHA SITREP 15-21 NOV 2013 OCHA SITREP 11– 17 NOV 2013 OCHA SITREP 20 - NOV - 3 DEC OCHA SITREP 10– 16 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013 2013 OCHA SITREP 18 -27 NOV 2013 OCHA SITREP 14-20 NOV
    17. 17. CURRENT ASSESSMENT Estimates of Damaged Health Facilities (as of November 30, 2013 TYPHOON YOLANDA HEALTH CLUSTER BULLETIN #4
    18. 18. DAMAGED HEALTH FACILITIES As of December 4, 2013 CURRENT SITUATION AS OF DECEMBER 4, 2013, 8:00 AM To date, twelve (12) hospitals in Leyte (Eastern Visayas Regional Medical Center, Schistosomiasis Hospital, Divine Word Hospital, Remedios Romualdez Hospital, Ormoc District Hospital, Dr. Manuel Veloso Memorial Hospital, Tabango Community Hospital, Mother of Mercy Hospital, Carigara District Hospital, Palompon General Hospital, Kananga Community Hospital and Abuyog District Hospital) , and three (3) in Eastern Samar (Borongan District Hospital, Eastern Samar Provincial Hospital, Balangiga District Hospital) are providing services. They are being augmented by the DOH Medical Teams. DOH
    19. 19. DOH MEDICAL TEAMS Information gathered from Department of Health update report on Response to Typhoon Yolanda – 4 DEC 2013 CATBALOGAN TACLOBAN BORONGAN BASEY, BALAGIGA, LAWAAN, MARABUT Basey PALPOMPON SALCEDO, MERCEDES TANAUN, TOLOSA, DULAG, PALO, SAN JOSE ORMOC
    20. 20. FOREIGN MEDICAL TEAMS http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-03dec2013.pdf
    21. 21. FOREIGN MEDICAL TEAMS http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-03dec2013.pdf
    22. 22. HEALTH AND MEDICAL – ORMOC FOREIGN • MERCY MALAYSIA at Ormoc District Hospital is providing patient services, operating mobile clinics, and serving local communities. MERCY Malaysia teams will be deployed there for at least another one and a half months. • SWISS HUMANITARIAN AID UNIT Around the city of Ormoc, the local authorities continue to distribute aid items purchased locally by SHA. Theses include tetanus vaccines, shelter, food and hygiene kits as well as kitchen sets. • MSF-HOLLAND is operating mobile clinics with a team made up of doctors, nurses, logisticians and a mental health officer. • JOHANNITER GERNAMY The MERT will continue to focus on medical support in Ormoc. • IFRC-All ERU teams are now fully operational from the hubs in Ormoc (Leyte). • Euro Volunteers-France - team is currently in Ormoc City, Leyte. • CANADIAN MEDICAL ASSESSMENT TEAMS(CMAT) based near City Hall. The global Red Cross network deployed a field hospital to Ormoc. LOCAL OR OTHER According to the Taskforce Yolanda the following teams are also present: • Philippine College of Physicians (PCP) Southern Luzon Chapter • Philippine College of Physicians (PCP) San Pablo City Medical Society Chapter • SM Medical Foundation • ERUF Medical Team • Philippine National Red Cross - Coordinating with international Red Cross chapters. Operation areas include the Ormoc District Hospital • San Pablo Laguna Medical Team • Pampanga Medical Society A volunteer doctor from Mercy Malaysia providing medical relief at one of the clinics Red Cross delivering supplies t communities around Ormoc PH Health Atlas—Monitoring as of Dec 4 Task Force Yolanda Matrix DOH as of Dec 4
    23. 23. HEALTH AND MEDICAL – TACLOBAN HEALTH INFRASTRUCTURE • Taclobon Assessment shows that there are currently 5 health facilities operational including one public tertiary level hospital and four private hospitals. All five are being supported by public health workers and foreign medical teams that are co-located at the facilities. • A secondary level field hospital is operational at the Tacloban airport supported by the Australian government. AusMAT team members perform surgery on a patient in the surgical theatre tent at the AusMAT medical facility in Tacloban. Supplied: Gemma Haines/DFAT • Humedica (NGO) has also conducted a rapid structural assessment of Mother Mercy Hospital. Results show that the 4-storey hospital is serving about 130 – 200 outpatients per day from the community. Part of the ground floor has been converted to a minor surgery center. The major damage was loss of about 40% of the roof sheeting and the roof structure. This damage has resulted in water ingress into the first and second floors making these floors unusable, particularly with the frequent rains. • A similar rapid structural assessment of Bethany Hospital conducted by MSF France in Tacloban shows minor damage to windows and door in one of the operating rooms. One of the three operating theatres remains completely untouched and will be functional for internal fixation surgery once a generator is in-stalled. One of two-story buildings of the hospital was severely damaged. Over 50% of the roof structure was destroyed in the Typhoon and numerous windows were damaged on the 2nd story. This has made the entire upper floor unusable. Japan Disaster Relief team is using these medical tents in Rizal park, Tacloban. PH Health Atlas—Monitoring as of Nov 30 Task Force Yolanda Matrix DOH as of Nov 29
    24. 24. HEALTH AND MEDICAL – TACLOBAN KOICA is stationed at the Tacloban St. Paul Hospital. They are able to provide medical care. (20 people) Australian Medical Assistance Team has deployed a 50 bed field hospital. They have x-ray capabilities, two operating rooms, and five triage tents. They are in operation near the airport. (34 people) Japan International Cooperation Agency has teams in Samar and Tacloban. They are able to provide medical support and have a sonogram. The 2nd medical team arrived on 21 NOV and continue 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. ACTS- WORLD RELIEF PUI, France Peace Ark – China – Operational one the ground at Tacloban City Hall Salvation Army http://www.wpro.who.int/philippines/typhoon_haiyan/media/Tacloban-03dec2013.pdf
    25. 25. Peace Ark – Humanitarian Mission • After Typhoon Haiyan struck many areas in the central Philippines, China sent a government emergency medical assistance team, a international rescue team of the Red Cross Society of China and the naval hospital ship "Peace Ark" to the severely-hit areas. • The three teams treated over 5,000 patients in Abuyog, Palo and Tacloban of the central Philippine province Leyte. • The emergency medical assistance team treated 1,831 people in Abuyog, provided clinic and emergency medical service to 2,144 people and conducted hundreds of assistant medical examinations. • The international rescue team of the Red Cross Society of China treated over 1,800 people by setting up fixed medical station in Tacloban and sending two teams to remote villages and towns. Foreign Ministry Spokesperson Hong Lei's Regular Press Conference on December 6, 2013 • At present, the "Peace Ark" is staying in the disaster-hit area for further rescue mission. The emergency medical assistance team of the Chinese government and the first batch of international rescue team of the Red Cross Society of China have completed their mission and are preparing for return. • A second batch of international rescue team of the Red Cross Society of China is leaving for the Philippines. • China will continue to provide humanitarian support and assistance to the disaster-hit areas according to the development of the situation and the needs of the Philippine people.
    26. 26. RED CROSS AND RED CRESCENT ACTION OPERATIONS • The FACT cash surge team and PRC cash focal point submitted a concept paper for unconditional cash grant to PRC for approval. The intended start date is the first week of December in PRC branches and the target for distribution is within 3 month. • An operations team comprised of 23 FACT members and 11 ERUs is based at the newly-established PRC operations center in Cebu, as well as at forward field locations in Leyte, North Cebu and Panay. • A staff health clinic is being established at the base camp in Palo to monitor and ensure the physical and mental health of all staff. • Security and Staff Health hold a joint briefing every morning in the PRC Operations Center in Cebu at 10:00 for newcomers. LOGISTICS • 3 mobile water treatment plants have been set-up in Borongo, Mercedes, and Salcedo on the island of Samar. • From 29 November to 4 January, 10,000 essential household items kits will be distributed in 8 barangays of Homonhon Island. • A cash for work program is being planned for the main communities south of Tacloban, focusing on debris clearnace so that shelter recovery efforts can begin. • A forensic expert has been sent to advise, coordinate, and cooperate with authorities on the proper management of the dead due to mass burials. SHELTER CLUSTER • Coordination, technical, information management, and communications capacity has been supplied to the Manila base and to hubs in Tacloban, Roxas, Cebu, and Bohol. Sub-hub coordination is being provided through cluster partnerships in Ormac (Save the Children), Guiuan (IOM), and Borongan City (Plan International), and coordinated through the Tacloban hub. • An inter-cluster strategic response plan is being developed, with the launch targeted for 9 December. • A number of inter-cluster Technical Working Groups (TWiGs) are being established to deal with specific issues related to defining appropriate modalities and addressing advocacy positions. TWiGs on Housing, Land & Property, Cash, and Coconut Timber usage are on-going in Manila. Philippine Red Cross News & Updates IFRC Operation Update No3, Dec. 4 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
    27. 27. FOOD SECURITY & AGRICULTURE FOOD RESPONSE: NEEDS: • In the aftermath of Super Typhoon Haiyan (local name ‘Yolanda’), which made landfall on 8 November, the main priority is to deliver food assistance to those living in the most affected areas while simultaneously laying the foundation for a shift to more targeted interventions that help people rebuild their lives. • 2.5 million people are in need of food assistance. • It is critical to get rice seed and fertilizer to farmers by mid-December, 77% of whom have lost their main income source. • 865,305 people working in agriculture have been affected. • Farmland needs to be cleared of debris, communal irrigation canals need to be de-silted. • • • In the first three weeks of the emergency response, WFP is using geographic targeting to reach people in the most affected areas with blanket food assistance. WFP rice and biscuits are being delivered across Tacloban, Ormoc, Roxas, Guiuan and remote islets and coastal communities, through ongoing government distributions as well as direct deliveries of rice and biscuits. Partners in the Philippines: ACF, ACTED, ADRA, CALP, CARE, CARITAS, CONCERN, CRS, CW, DRC, FAO, GOAL, HelpAge, ICRC, IEDA Relief, IFRC, ILO, IMC, IRC, Islamic Relief, LWF, Mercy Corps, NRC, OXFAM, Peace Boat, Phil FIDA, Philippines Red Cross, PLAN, Salvation Army, Samaritan’s Purse, Solidarites International, UNICEF, WFP and WVI.… Implementing partners interested in rice/seed intervention, livestock and fisheries intervention work should contact FAO (mathias.mollet@fao.org) . • • • • • • • • • OCHA SITREP #20 - Dec. 3 OCHA SNAPSHOT – Dec. 2 CLUSTER MEETING MINUTES - Dec. 2 WFP OPS UPDATE – Nov. 26 FINAL MIRA – Nov. 29 CLUSTER 3W MAP – Nov. 30 Around 3 million people have received food assistance, with DSWD distributing 1,152,121 food packs to date. Additional cluster partners have reached 738,220 people. FSAC to develop gap analysis for seeds and fishing inputs for Dec. Agencies are transitioning from food to cash-based assistance in moderately-affected areas, including Roxas. Food is now reaching small island communities near Guiuan. Rice distribution is about to begin across Eastern Visayas. Plumpy’doz has been pre-positioned in Tacloban and Guiuan. 686 tons of rice seed and 46 tons corn seed are being delivered to over 19,450 families for planting. Where the Government is providing seed in Mimaropa (Reg. IV-B), partners are providing fertilizer and tools, reaching 6,660 households WFP MONTHLY SNAPSHOT – 29 NOV 13
    28. 28. FOOD SECURITY & AGRICULTURE GAPS & CONSTRAINTS: • • • • • • • PRIORITIES: Rapid delivery of food has been hampered by difficult conditions on the ground. Many areas suffered severe damage making access and communication challenging. Local government units that would normally respond were also affected. To date, no funds have been committed to restore fisheries-based livelihoods. Isolated island communities, northern Cebu, coastal Eastern Samar and mountainous areas have received little to insufficient food assistance to date. Lack of funding for agricultural inputs is restricting production in the highly affected areas. Food Cluster is currently 51% funded out of a total US$113 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. • Immediate and ongoing food assistance, as well as restoration of agricultural livelihoods among top priorities identified in the MIRA (Nov. 28) • Emergency food-for-work and cash-for-work to help kick-start early recovery activities and rebuild livelihoods. • Cluster leads are assembling information on locations of all involved organizations for better coordination. • Security is a concern as people have stormed warehouses and food distribution sites. CLUSTER LEADS: OCHA SITREP #20 - Dec. 3 OCHA SNAPSHOT – Dec. 2 CLUSTER MEETING MINUTES - Dec. 2 WFP OPS UPDATE – Nov. 26 FINAL MIRA – Nov. 29 CLUSTER 3W MAP – Nov. 30 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. 29. http://reliefweb.int/sites/reliefweb.int/files/resources/PHL_FSAC_LEYTE_3W_011213.pdf http://reliefweb.int/sites/reliefweb.int/files/resources/PHL_FSAC_SAMAR_3W_011213.pdf
    30. 30. NUTRITION Cases of malnutrition continue to rise. Over 750 diagnosed cases diagnosed – large majority in Western Visayas NEED: PRIORITIES (URGENT): • Children and pregnant/lactating women need to be screened for malnutrition and identified cases treated • 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; • Partners aim to target 12,000 (50 per cent of need) children aged 659 months with community-based management of acute malnutrition (severe and moderate); up to 40,000 children aged 6-23 months with blanket supplementary feeding programs; and 197,500 children aged 0-23 months and pregnant women with infant/young child feeding in emergencies programs(80 per cent of need) over the next six months. • 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 • Priority interventions needed include infant and young child feeding (IYCF) Infant formula monitoring, vitamin A & micronutrient supplementation, management of acute malnutrition, and health and nutrition education. • Prevent and manage acute malnutrition for 900,000 children under 5, and 300,000 pregnant and lactating women and older people • 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 20 – Dec 03 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
    31. 31. NUTRITION RESPONSE: GAPS AND CONSTRAINTS: • The Harmonized Initiative of Media for the Spread of Good Nutrition 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 • The limited presence of partners on the ground and security concerns, especially in Tapaz and Capiz (both in Capiz Province of Region VI), are challenging the scale-up of integrated nutrition interventions. • In Region VI (Western Visayas), of the 3,452 children aged 6-59 months screened in Iloilo and Capiz provinces, 9 per cent were either acutely malnourished or at risk of acute malnutrition. Of these, 17 per cent of the 946 screened pregnant/lactating women were also found to be acutely malnourished. • Facilities for transportation and accommodation are damaged; food and water supplies are limited. Deployed teams need to be fully self-sufficient • In Region VII (Central Visayas), 49 children aged under 5 were found to have severe acute malnutrition and 162 children were found to have moderate acute malnutrition. • 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 • In Region VIII (Eastern Visayas), 14 severe and 118 moderate cases have been detected. • In Region VIII (Eastern Visayas), children under-5 in all evacuation centers in Tacloban covered by the integrated vaccination, vitamin A and malnutrition screening campaign. The first parent- and babyfriendly tent was erected at Astrodome (in Tacloban City) Nation nutrition council cluster meeting – Nov 20 2013 Emergency Appeal Operation Update - Nov 17 OCHA Situation Report 20 – Dec 03 Philippines Typhoon Action Plan - Nov 2013 UNOCHA Report – Nov 23 World Vision team distributes relief packs for mothers and young children during the Women and Young Children Space in Tabogon, Cebu
    32. 32. WASH WATER, SANITATION AND HYGIENE WATER, SANITATION AND HYGIENE NEEDS: • RESPONSE: • 65, 730 water kits distributed to date • 132 latrine slabs have been distributed in Dulag, Leyte Province and 64 emergency latrine slabs with hand-washing capabilities have been created for 3,000 individuals • 88,679 hygiene kits and 65,730 water kits have been distributed in total • 72 bottles of hyposol and 16,000 aquatabs have been sent to Hernai Rural Health Unit, Eastern Samar, to benefit around 700 households. • DART reports that all evacuation centers in Tacloban are currently housing more than 10 families. • • • Some water systems have salty water and a number have tested positive for faecal coliform Water quality surveillance and treatment is needed in Eastern Samar Province to mitigate risk of waterborne disease Water system rehabilitation and construction of emergency latrines 175 bunkhouses must be build in Eastern Samar with water supply and sanitation GAPS & CONSTRAINTS: • Flooded water pipelines and lack of electricity combined with low fuel has made water treatment and pumping impossible • IDP movements to different municipalities and provinces are making the monitoring and tracking of beneficiaries a challenge • Warn of increased risks of disease outbreak. The GPH Department of Health identified insecticide to prevent the spread of vector-borne disease. • Overcrowding and unpredictable population movements make it difficult to supply enough sanitation facilities and safe drinking water. A Typhoon Haiyan survivor carries a bottle of drinking water past a Catholic icon, decapitated by the storm, as he enters a cathedral where he and other homeless people are squatting in Tacloban, Philippines • • • 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 Clusters aim to present a 12-month strategic response plan for the Haiyan response by December 8, 2013. OCHA SITREP 20 – 3 DEC 2013 UNICEF SITREP 7 – 27 NOV 2013 USAID Fact Sheet- Dec 3 CLUSTER COORDINATOR Rory Villaluna UNICEF washccph@gmail.com Phone: 0917-859-2578 or 02-901-0101
    33. 33. WHO, WHAT, WHERE - WASH
    34. 34. SHELTER This map depicts the number of houses destroyed or partially damaged by Typhoon Haiyan (Yolanda). This map is based on information from NDRRMC Situation Report #53, 05 DEC 13, 0600 PHT. Only data for those municipalities who have reported are shown. http://reliefweb.int/map/philippines/philippines-number-damaged-houses-typhoon-haiyan-yolanda-05-december-2013
    35. 35. SHELTER This map depicts the number of houses destroyed or partially damaged by Typhoon Haiyan (Yolanda). This map is based on information from NDRRMC Situation Report #53, 05 DEC 13, 0600 PHT. Only data for those municipalities who have reported are shown. http://reliefweb.int/map/philippines/philippines-number-damaged-houses-typhoon-haiyan-yolanda-05-december-2013
    36. 36. LOGISTICS LOGISTICS PRIORITIES • Distribute food to the isolated islets off the eastern coasts of Capiz and Iloilo. • Debris clearance, particularly from schools, hospitals and roads around Tacloban, remains a top priority. • Support the establishment of sustainable and consistent solid waste management practices. • Support the establishment of a consistent power supply for communications, water treatment and pumping, refrigeration, lighting, etc. Online Cluster Meeting Schedule You can synchronize your own electronic agenda with the Cluster Meeting calendar page (meetings displayed on this calendar page link directly in your Google Calendar / Lotus Notes / Outlook / Thunderbird / ICal) by using this link. Detailed instructions on how to do so can be found here. NEEDS • Baby tents and infant and young children feeding materials are urgently needed in Region VI. • Water, food, mosquito nets, blankets and hygiene kits are the immediate priority needs in displacement sites. • Corrugated iron sheets, nails, hurricane straps, building tools and building materials are urgently needed to support early recovery. • Shelter materials currently available are insufficient: corrugated iron sheets, fixings and tools, need to be procured in large quantities. Local markets cannot meet the demand. • Debris-clearing and solid waste management are urgently required for the safe operation of schools and evacuation centers. • Logistical support (e.g. dump trucks) is required to accelerate debris-clearing operations. • Potable water and a large number of water kits are needed in densely populated areas, evacuation centers and spontaneous camps. • Water supply is mainly functioning in town centers but is subject to low pressure due to inconsistent electricity. • Emergency latrines are needed and repairs to home-based toilets. • The Department of Labor and Employment (DOLE) requires personal protective equipment and tools to facilitate additional emergency employment activities. OCHA Sitrep No. 20 Dec. 3 OCHA Sitrep No. 19 Nov 29 Tacloban Logistics Cluster Meeting Nov. 28 Free-to-User Services Overview Nov. 30 Infographic Free-to-User Services
    37. 37. LOGISTICS GAPS • Lack of electricity: most people in barangays use hand pumps and wells which have high risk of contamination. • There is a lack of capacity at Tacloban airport now that the US Military has withdrawn. • Shelter NFIs are arriving in bulk to Tacloban, but logistical challenges are slowing the distribution of items. • Transport costs and lack of fuel are hampering the health response. • An estimated 12,250 workers will need personal protective equipment and tools to assist in debris clearance operations. • Supplies are still en route to affected areas. It is taking time for essential supplies to reach target populations. • Some affected areas are difficult to reach. • The airport authorities in Tacloban as well as commercial operators are concerned about the serious need for infrastructure repair on most airport facilities following the typhoon. • Heavy equipment for debris clearing is in short supply. CONSTRAINTS • Guiuan port is severely congested, consisting only of a small dock measuring 8 x 15 m. Road access is also poor. The nearby port of Barangai Molos is being assessed. • Certain companies have increased their prices by over 300%. Pricing for trucking was given at 13,000 pesos ($297.04 USD) per day, 60,000 pesos($1,370.96 USD) a trip, all-inclusive. • Limited landing slots at Tacloban airport continue to be a constraint. • Storage could pose a challenge at Tacloban port. • Power shortages remain a challenge for ETC operations, especially in Tacloban. • There is a lack of fuel in Guiuan. • Poor communications and long distances to office hubs pose challenges for potential beneficiaries. • An information management system to systematically track needs and response is not yet in place. • Customs clearance is slow due to the amount of equipment arriving at Cebu airport. • Supplies are still en route to affected areas. It is taking time for essential supplies to reach target populations. • Some affected areas are difficult to reach. • Insufficient Food Security and Agriculture Cluster partner personnel on isolated islands constrains efforts to provide food aid in these areas. OCHA Sitrep No. 20 Dec. 3 OCHA Sitrep No. 19 Nov 29 Tacloban Logistics Cluster Meeting Nov. 28 Free-to-User Services Overview Nov. 30 Infographic Free-to-User Services
    38. 38. LOGISTICS RESPONSE • In Guiuan, three 10-wheeler trucks are available for inter-agency use and more can be made available if the need arises. • Over 6,000 m2 of storage space is being supplied in Tacloban, Guiuan, Ormoc, Roxas and Cebu. • Transport by sea, air and road has been provided for over 1,500 tons /4,500 m3 of relief items on behalf of over 25 different organizations. • Since the beginning of the operation, 600 passengers and 3.1 tons of cargo have been transported on 122 UNHAS flights to Manila, Cebu, Ormoc, Roxas. • Guiuan, Tacloban, Romblon, Alcantara, San Roque, Palawan, Cuyo, Lungsod, Borangan and Iloilo. • 30 November and 1 December, 119 tons (444 m3) of relief items were moved by air from Cebu to Tacloban, Roxas, Guiuan and Ormoc. UPDATED REGIONAL MAPS Leyte Island-Eastern Region Leyte Island-Southern Region Leyte Island-Western Region Leyte Island Tacloban Region Leyte Island Dulag Region Visayas General Logistics Planning Map Samar Island Guiuan Region Samar Island-South Eastern Island PLANNING DOCUMENTS AND FORMS UNHAS Routes as of Dec. 3 Port of Roxas Assessment UNHAS Focal Point Assignment Form • Logistics Cluster is providing over 6,000 m2 of storage space to the humanitarian community, in Tacloban, Guiuan, Ormoc, Roxas and Cebu with the capacity to scale-up rapidly. • The Port of Barangai Molos in the vicinity is being assessed as an alternative point of discharge. OCHA Sitrep No. 20 Dec. 3 OCHA Sitrep No. 19 Nov 29 Tacloban Logistics Cluster Meeting Nov. 28 Free-to-User Services Overview Nov. 30 Infographic Free-to-User Services WFP has been coordinating with the Australian, Canadian, Indonesian, Japanese, New Zealand, Philippines, Swedish, UK, and US militaries to deliver and scale-up vital assistance to isolated areas, including island barangays. SOURCE: WFP/Antony Chase Lim
    39. 39. LOGISTICS ROAD AND SEA TRANSPORT AIR TARNSPORT CIV/MIL COORDINATION http://reliefweb.int/sites/reliefweb.int/files/resources/Logistics_Cluste r_Philippines_Cargo_Snapshot_131206.pdf
    40. 40. LOGISTICS UNHAS Philippines Flight Schedule (Monday to Sunday) Morning Rotation Afternoon Rotation RXS ILO RXS ILO CEB TAC CEB Depart at GUI OMC 09:00 CEB TAC CEB Back before Depart at Back before 12:00 14:00 GUI OMC Submit bookings before 12:00 (noon) the day before the flight. Tasking will be flexible to accommodate as many requests as possible. Schedule is effective from December 2nd 2013. Source 17:00 RXS: ILO: TAC: GUI: OMC: Roxas Iloilo Tacloban Guiuan Ormoc
    41. 41. LOGISTICS CLUSTER CONTACTS 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) Oliver Bartolo (UPS Customs Procedures Advisor) 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 Mobile: +63 9158481559 CEBU Henrik Hansen (Logistics Officer) Colin Hourihan (IM Officer) Sean Price (Consignment Tracking Officer) Tanveer Siddiqui (Information Management Officer) Sean Price (Consignment Tracking Officer) Email: henrik.hansen@wfp.org Email: colinp.hourihan@wfp.org Email: sean.price@wfp.org Email: tanveer.siddiqui@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 For general Logistic Cluster inquiries please email: Philippines.Logs@logcluster.org Mobile: +63 9278328557 Mobile: +63 9151438193 Mobile: +63 9278328557
    42. 42. CHILD PROTECTION & GENDER BASED VIOLENCE PROTECTION UPDATE: • According to the Child Protection Working Group, an estimated 375,000 women and girls of reproductive age in affected areas have experienced sexual violence. • The number of people estimated to leave Ormoc City daily has fallen from 5,000 to 2,400 people. URGENT NEEDS: • IDPs in schools need protection and proper shelter assistance when classes resume in schools currently serving as evacuation centers. • IDPs need information regarding government assistance and relocation plans. ADDITIONAL NEEDS: • Land issues have emerged as a potential obstacle to the return of displaced people. In Barangay 6 of Guiuan Municipality, 40 families reportedly cannot return home due to a planned development project. Most of these families do not own land titles. • According to Protection Cluster estimates: • 42% of affected people have documentation needs • 40% have communication problems with separated family members • 20% have security fears • Approximately 3.2 million women of reproductive age and 5.5 million overall affected children need psychosocial support and protection against violence, trafficking, and exploitation. • 1.8 million children are estimated to be displaced. • There needs to be de-congestion of camps, especially in Guiuan and Ormoc City. • Coastal and uplands barangays in remote locations need protection. FUNDING APPEALS: • UNFPA has developed a $110 million plan for national authorities and humanitarian partners to ensure that no woman dies giving birth and that each woman and girl is protected from violence. UNFPA launched an appeal for $30 million to fulfill its commitments in the next six months. • UNICEF’s requests $61.5 million to respond to the needs of children and women affected by Typhoon Haiyan. 28% currently remains unfunded GAPS & CONSTRAINTS: • Some 50 families in Guiuan Municipality have not been permitted to return home due to ongoing construction of the fishing port. No relocation has been identified for these affected families. • Protection desks in hospitals and police stations are lacking. • Local child protection networks are not functioning. • A mechanism for replacing lost personal documents is lacking. Documentation is lacking on people and adolescents who are travelling to Manila to work and may be at risk of GBV. • Better coordinated in the delivery of psychosocial support is needed. • The presence of female police officers remains limited. • Safe spaces for women and children remains limited. • There are reports that cash-for-work programs are only offered to men. OCHA SitRep#20 03Dec NDRRMC SitRep#38 24Nov UNFPA Master Plan Protecting Women & Girls OCHA SitRep#16 22Nov OCHA SitRep#15 21Nov Protection Cluster Assessment#9 29Nov IASC Sub-Working Group on Gender 18Nov
    43. 43. CHILD PROTECTION & GENDER BASED VIOLENCE PROTECTION CRITICAL RESOURCES: RESPONSE: TipSheet: Health and Gender • TipSheet: Education and Gender • • • • • • • The first Protection Cluster meeting was conducted in Ormoc City. Priorities: strengthening information dissemination regarding assistance and family tracing system; and reactivating referral pathways.. Three Child-Friendly Spaces (CFS) in Ormoc City, Nine CFS in Tacloban City, and one in Estancia Municipality are providing psychosocial support and safe environments. The Migration Outflow Desk at Tacloban airport has registered 638 households (2,864 people) to date. A response desk at Villamor Airbase, Pasay City (Manila), was established to monitor possible cases of trafficking and/or unaccompanied, separated, or missing children. IDP registration in Ormoc City has begun. 100 child protection workers in Tacloban City and 13 municipalities in Leyte Province have received training in child protection and documentation. 34,120 people received protection kits in Eastern Visayas Region. 200 women and adolescent girls participated in two information sessions on gender-based violence in Tacloban City. OCHA SitRep#20 03Dec OCHA SitRep#16 22Nov OCHA SitRep#15 21Nov Protection Cluster Assessment#9 29Nov IASC Sub-Working Group on Gender 18Nov TipSheet: Gender in Coordination Projects Tip Sheet: Addressing GBV in Health Assessments and Initial Program Design Tip Sheet: Addressing GBV in Shelter Assessments and Initial Program Design Tip Sheet: Addressing GBV in WASH Assessments and Initial Program Design Minimum Standards for Child Protection in Humanitarian Action Handbook Handbook for Coordinating GBV Interventions in Humanitarian Settings Guidelines for Child-Friendly Spaces in Emergencies Key Messages for Caregivers in a Sudden Onset Actions in case of Missing or Separated Children Child Protection Working Group; Reproductive Health Working Group Sarah Norton Staal Cluster Co-Lead snortonstaal@unicef.org; snstaal@gmail.com; Sexual and Gender-Based Violence Working Group; Reproductive Health Working Group Florence Tayzon, Assistant Representative, Working Group Chair UNFPA 0917-859-3520 02-901-0304 tayzon@unfpa.org
    44. 44. US RESPONSE http://reliefweb.int/map/philippines/usg-humanitarian-assistance-typhoon-yolandahaiyan-last-updated-12032013 FACT SHEET NO# 15
    45. 45. US RESPONSE • • During a December 2–3 assessment trip, staff from USAID’s Disaster Assistance Response Team (DART) observed a wide range of self-recovery and clean-up activities, including large-scale debris removal, ongoing in typhoon-affected areas. • The main roads in Tacloban city, Leyte Province, and Guiuan municipality, Eastern Samar Province, as well as the coastal road between the two areas, are cleared, and crews continue to work on secondary roads. Market activity in Eastern Samar, Leyte, and Samar provinces has increased significantly since the initial days after the typhoon, with fresh fruits, vegetables, and fish, as well as other food items, for sale in affected areas. • USAID/OFDA partners continue to provide much-needed relief and early recovery assistance in Eastern Samar, Leyte, and Samar provinces. During the recent assessment trip, the DART verified the distribution of USAID/OFDA commodities and noted the use of the commodities throughout the three provinces. • 1,020 metric tons (MT) of Title II pre-positioned rice provided by USAID’s Office of Food for Peace (USAID/FFP) arrives in the Philippines. FACT SHEET NO# 15

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