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

TYPHOON HAIYAN (YOLANDA)
AFFECTED AREA

STORM TRACK
CURRENT SITUATION
WEATHER OUTLOOK
CURRENT SITUATION - MEDICAL
NATIONAL RESPONSE
IFRC
NGO
CONTACTS

8 NOV 2013

RED ALERT FOR WIND IMPACT IN
LAOS, VIET NAM, PHILIPPINES, PALAU
This tropical cyclone is expected to have
a HIGH humanitarian impact based on the
storm strength and the affected population
in the past and forecasted path. GDDAC

LINKS

PHILIPPINES
National Disaster Risk Reduction and Management Council
Philippine Atmospheric, Geophysical and Astronomical Services
Administration
Department of Social Welfare and Development
Department of Transportation & Communications
Department of Health
Official Gazette
Philippine Coast Guard
Philippine Information Agency
Project NOAH
INTERNATIONAL/REGIONAL
RELIEFWEB
EUROPEAN
Humanitarian Aid and Civil Protection
UNITED STATES
The Department of State
OFDA
US Embassy – The Philippines
NOAA
PACOM
Joint Typhoon Warning Center
HEALTH INFORMATION
CDC
Disaster Information Management Center
PORTALS AND RESOURCES
ASEAN Coordinating Center for Humanitarian Assistance on
Disaster Management
GDDAC
Prevention Web – Philippines
Pacific Disaster Center
Thomas Reuters Foundation
Underground Weather
Google Crisis Relief Map
Humanity Road
AFFECTED AREA
AFFECTED AREA
STORM TRACK

http://weather.com.ph/announcements/super-typhoon-haiyan-yolanda-update-number-007
CURRENT SITUATION
WHERE: Guiuan, Eastern Samar, Philippines
WHEN: CRISIS IS ONGOING
SITUATION: SUPER TYPHOON HAIYAN

POWER: Power interruption is being experienced in the
following municipalities in Regions IV-B and VIII:
• San Francisco, Camotes, Cebu- 6:00 PM- 6:35 PM
• Torrijos and Buenavista, Marinduque- up to present

LOCATION: As of 9:00 a.m. PHT, November 8, 2013, the eye of
typhoon Yolanda was located at the coast of Palampon, Leyte
(11.0°N, 124.4°E)
STRENGTH: Maximum sustained winds of 215 kph (133 mph) near
the center and gust of up to 250 kph (155 mph)
MOVEMENT: West Northwest at 39 kph. It is expected to be at 55
km East of Coron, Palawan by Friday evening. By Saturday
evening, it will be at 1032 km West of Manila or outside the
Philippine Area of Responsibility.
EVACUATIONS: 26,675 families/125,604 persons were evacuated to
109 evacuation centers in 22 provinces, 13 cities, 73 municipalities
in Regions IV-B, V, VI, VII, VIII, X, and CARAGA

STATUS of SEA/AIR PORTS: 2,087 passengers, 50 vessels, 557 rolling
cargoes and 54 motorbancas are stranded in Regions IV-A, IVB, V, VI, VII, and VIII. 28 flights from Manila to
Tagbilaran, General Santors, Iloilo and Bacolod City have been
cancelled.
SOURCE:
OFFICIAL GAZATTE
NDRRMC SITREP – 8 NOV 2013 (6:00: am PHT)
CURRENT SITUATION
PUBLIC WARNINGS
•

Sea travel is risky over the seaboards of Northern Luzon and
over the eastern seaboard of Central Luzon.

•

Residents in low lying and mountainous areas under signal
#4, #3,#2 & #1 are alerted against possible flashfloods and
landslides.

•

Likewise, those living in coastal areas under signal #4, #3 and #2
are alerted against storm surges which may reach up to 7-meter
wave height.

AREAS UNDER PUBLIC STORM WARNING SIGNALS
• SIGNAL NUMBER 4: Southern Occidental Mindoro, Southern
Oriental Mindoro, Romblon, Calamian Group of
Island, Masbate, Northern Cebu including Cebu City and Bantayan
Island, Northern Negros
Occidental, Aklan, Capiz, Antique, Iloilo, and Guimaras.
• SIGNAL NUMBER 3: The rest of Occidental Mindoro, Rest of
Oriental Mindoro, Burias Island, Sorsogon, Marinduque, Ticao
Island, Northern Palawan, including Puerto Princesa City, Northern
Samar, Eastern Samar, Samar, Leyte, Southern Leyte, Bohol, Rest
of Cebu, Negros Oriental, Rest of Negros Occidental, Camotes
Island, Biliran Province, and Dinagat Province.

• SIGNAL NUMBER 2: :Bataan, Metro Manila, Rizal, Cavite, Laguna
Batangas, Southern Quezon, Camarines Sur, Lubang Island, Rest of
Palawan, Albay, Siquijor, Surigao del Norte, including Siargao, and
Camiguin.
• SIGNAL NUMBER 1: Pampanga, Zambales, Bulacan, Camarines
Norte, the rest of Quezon, including Polilio
Island, Catanduanes, Surigao del Sur, Misamis Oriental, and
Agusan del Norte .

OFFICIAL GAZATTE
NDRRMC SITREP – 8 NOV 2013 (6:00: am PHT)
CURRENT SITUATION
•

As of 1:00 pm Friday, November 8, Project Nationwide
Operational Assessment of Hazards (Project NOAH)
updated its list of areas in the Philippines that may
experience storm surges due to Typhoon Haiyan .

•

These surges – which are floods caused by tides due to
a tropical cyclone – are projected to go over 5 meters
(16.5 feet).

•

A total of 68 localities were earlier asked to brace for
storm surges, which are expected to occur from
November 8 to November 9.

•

Based on data available at 1:00 pm, Ormoc, Leyte will
experience the highest storm surge at 2:00 pm PHT on
, 8 NOV. It is expected to receive a 5.2-meter or 17-foot
storm surge around this time.

•

The next highest storm surges will occur earlier at
around 1:20 pm, measuring 3.6 m (11.8 feet) in
Palompon, Leyte, and 3.4 meters (11.1 feet) in
Tuburan, Cebu.

•

For coastal communities, a storm surge is often the
greatest threat to life and property caused by a
hurricane. Aside from inundating buildings and
infrastructure, it causes battering waves to pummel
against structures and eventually destroy them.

BELOW IS A LIST OF THE LOCALITIES WITH THE TOP 10 HIGHEST
STORM SURGES AS OF 8 NOV, 1:00 PM PHT:
WEATHER

0430 Philippine Local Time
CURRENT SITUATION - MEDICAL
The most recent disaster in the Philippines, a 7.2-magnitude earthquake, occurred October 15, 2013
and killed over 220 people. The country is still recovering leaving the population deficient in medical
and public health resources. These conditions will likely degrade in the wake of this storm.
•

Public Health Issues:
–
–
–

Shortage of safe, clean water
Shortage of adequate sanitation facilities
Shortage of shelters
•
•

–

Shortage of food
•
•

–

markets not fully operational in many areas
fishing trade impeded due to destruction of boats and
gear

Sources and transmission of infectious diseases
•
•
•
•

–

thousands sleeping outdoors
exposure to weather and insects

diarrhea and other water-borne diseases
dengue fever and other vector-borne diseases
pneumonia and viral upper respiratory illness
impetigo

•

Medical Issues:
–
–

•

–
–
–
–
–

Increased mosquito population
•
•

vectors for dengue fever, malaria, etc.
outbreak of Chikungunya present prior to earthquake;
potential to worsen

Treatment capabilities for increased
infectious diseases
Increase in general medical complaints

–

more physician visits are needed but cannot be
accommodated

Poor hygiene
Posttraumatic stress disorders
Shortage of medications and other medical
supplies
Shortage of health care providers and
support staff
Community health centers and hospitals
rendered inoperable due to infrastructure
weakness
Diminished transportation capabilities
•
•

roads and vehicles severely damaged
shortage of personnel and helicopters for air
transport

http://www.oxfam.org/en/pressroom/pressrelease/2013-10-21/serious-public-health-issues-earthquake-bohol-philippines. Accessed 07 Nov 2013.
https://www.ifrc.org/news-and-media/news-stories/asia-pacific/philippines/mounting-health-concerns-in-the-aftermath-of-the-bohol-earthquake-ashospitals-destroyed-63670/. Accessed 07 Nov 2013.
HEALTH RISKS DURING/AFTER THE STORM
IMMEDIATE RISKS
• Wounds and Injuries
- Crushing injuries: compression of extremities or other body parts due to
the collapse of buildings and other structures. Can lead to muscle
swelling/neurological disturbances, and most often affects the lower
extremities. If possible, crushing object should be removed, and injured
person must be kept warm and comfortable, keeping any fractures
immobile.
- Lacerations: most common injuries occurring during and after a typhoon,
account for 80% of wounds and are often related to flying debris and
clearing off debris. Main priority of lacerations is to stop the bleeding and
protect wounds with a sterile dressing to prevent infections.
- Puncture wounds: often caused by flying debris.
- Risk of wound infection and tetanus are high due to the difficulties with
immediate access to health facilities and delayed presentation of acute
injuries.
- Gangrene occurring from wound contamination which requires immediate
treatment. Gangrenous wounds should be managed aggressively, with
surgical removal of gangrenous tissue. There is no risk of transmission of
gangrene to unaffected persons.
• Drowning and Mudslides
- Drowning: most common cause of immediate death during and following a
tropical storm.
- Mudslides: the region has already had multiple mudslides this year from
heavy rain along the mountainous terrain. More mudslides are expected as
a result of this storm.
- Caused by rising water levels from heavy rainfall, flash floods, rip currents,
storm surges, and storm tides.
- The greatest threat to life and property is along the coast, but a storm surge
can be well over 20 feet and travel miles inland. The Philippines’
Department of Science and Technology predicts storm surges for Tropical
Storm Haiyan may reach up to 7 meters (23 feet).
- Citizens along the coast need to evacuate to higher ground and avoid
driving their vehicles onto roads covered by water.

COMMUNICABLE DISEASES
• Water sanitation and Foodborne diseases
- Displaced populations are at high risk from outbreaks of water,
sanitation, and hygiene and foodborne-related diseases due to
reduced access to safe water and sanitation systems.
- Disruption of usual water sources and contamination of water by
damaged sewage infrastructure may result in unsafe drinking
water.
- Perishable foods, or any food with unusual color, odor and/or
texture should be discarded.
• Vector-borne and water-borne illnesses; injury-related infections
- Vector-borne, water-borne and other zoonotic diseases:
represent a major issue (malaria, dengue, rabies, etc.); pest control
dealing with stray animals and insect and rodent control necessary
during debris removal and clean up.
- Immunization against endemic communicable diseases
recommended.
- Tetanus: bacterial disease resulting from contact of non-intact skin
and contaminated objects. May lead to muscle rigidity and spams,
and severe disease may progress into respiratory failure and death.
- Up to date immunizations against tetanus highly recommended.
NATIONAL RESPONSE
•

National Disaster Risk Reduction Management Council
(NDRRMC)
‒

•

‒
‒

Department of Environment and Natural Resources
(DENR)
‒

•

Established a 24/7 Emergency Operations Center
Central Office
Provincial offices were alerted and asked to coordinate
with head office
Assessed the ability of drugs and medicines

Department of Social Welfare and Development (DSWD)
‒

Met on 11/6 to assess the country’s capabilities to
respond to the disaster

‒
‒
‒

Department of Health
‒

•

•

•

Advised Municipal Disaster Risk Reduction Management Councils to
identify shelters and asses if they are safe
Ready to assist with pre-emptive evacuation
Prepositioned P192.7 million worth of emergency relief resources
Partnering with the corporate social responsibility arms of private
companies to manage donations

Department of Public Works and Highways (DPWH)
‒
‒
‒

Activated District Disaster Risk Reduction and Management Teams
in order to monitor national roads and bridges
Resources prepositioned for clearing roads
Trees trimmed and branches cut along national roads and bridges to
prevent hazards

Provided a list of areas at risk for flooding and landslides
in Bicol region to Regional Disaster Risk Reduction
Management Council

Philippine Coasty Guard:
‒ Philippine Coast Guard Commandant Rear Admiral
Rodolfo Isorena directed all Coast Guard units in
areas that will be affected by typhoon Haiyan to
prepare its rescue units and to initiate proactive
measures to prevent/minimize loss of lives attributed
to maritime and land based incidents that may be
caused by the weather disturbance

OCHA Flash Update No. 2 Philippines | Tropical Storm Haiyan 6 November 2013
SitRep No. 05 Effects of Typhoon "Yolanda" (HAIYAN)
DSWD preps for supertyphoon

SHELTER. Evacuees sleep on the floor as they seek refuge inside
a gymnasium turned into an evacuation center in Sorsogon City,
Bicol region on Nov 7, 2013. Photo by Kit Recebido/EPA
RED CROSS AND RED CRESCENT ACTION
RED CROSS AND RED CRESCENT ACTION
•

The Philippine Red Cross (PRC) has been on
highest alert since the typhoon was sighted

•

All PRC chapters have been alerted to activate
disaster response teams and ready
supplies, assets, and personnel for immediate
response in the following areas:
• Central, Eastern, and Western Visayas
• Bicol
• Mindoro
• Caraga
• South Luzon

•

The National PRC headquarters are monitoring
the situation closely

•

Teams for rapid assessment are on standby for
immediate deployment in the aftermath of the
typhoon.

•

Preparedness stocks, including
blankets, sleeping mats, jerry cans, and
hygiene kits, are being transferred to a regional
PRC warehouse in Cebu for immediate
dispatch to areas where they will be needed

IFRC- Information Bulletin #1 7 Nov 2013

•

In Bohol, teams already undertaking relief
distributions are prepared for potential
secondary impact due to the typhoon

•

The PRC is meeting with Red Cross Red
Crescent Movement partners from around the
world to determine how best to coordinate
interventions
NGO SUPPORT
Plan International is preparing to support
40,000 sponsored children. “Go team” has
been notified. Humanitarian country team is
planning the response course of action. Prepositioned water-purification kits and
emergency shelter.
Save the Children has deployed a rapid
response team to meet the needs of children
in the city of Tacloba, and. pre-positioned
relief material kits for children and families:
include toiletries, household cleaning
items, temporary school tents and learning
materials.
Samaritans Purse is in contact with partners
on the ground and has deployed a team of
disaster relief specialists.

Direct Relief Eight pallets of emergency medicines and supplies
are to arrive next as part of Direct Relief’s earthquake response.
An additional delivery of supplies is currently being coordinated
in response to Super Typhon Haiyan.
World Vision is working with government disaster unites to alert
communities of the storms path. Response teams are on standby.

Mercy Corps emergency response teams have been placed on
standby.
AmeriCares has global health aid workers on standby and has
pre-positioned medicines and relief supplies.
POINTS OF CONTACT
National Emergency Telephone Number: 117
National Disaster and Risk Reduction and Management
Council (NDRRMC) hotlines: (02) 911-1406, (02) 9122665, (02) 912-5668, (02) 911-1873
NDRRMC hotlines for Luzon
National Capital Region: (02) 421-1918
Region I: (072) 607-6528
Region II: (078) 844-1630
Region III: (045) 455-1145
Region IV-A: (049) 531-7266
Region IV-B: (043) 723-4248
Region V: (052) 481-1656, (052) 481-5031
Cordillera Administrative Region: (074) 304-2256, (074)
619-0986
Office of the Civil Defense regional office telephone
directory
National Capital Region: (02) 913-2786
Region I: (072) 607-6528, 700-4747
Region II: (078) 844-1630
Region III: (045) 455-1526
Region IV-A: (049) 834-4244, 531-7279
Region IV-B: (043) 723-4248
Region V: (052) 481-1656
Region VI: (033) 337-6671, 509-7971;
Region VII: (032) 416-5025, 416-5025
Region VIII: (053) 323-8453
Region IX: (062) 215-3984
Region X: (088) 857-3988, 875-3907
Region XI: (082) 233-2022, 233-0611
Region XII: (083) 552-9759; 553-2994
Cordillera Administrative Region: (074) 304-2256
CARAGA: (085) 815-6345, 342-8753, 341-8629

Philippine National Police (PNP) Hotline Patrol
117 or send TXT PNP to 2920
Bureau of Fire Protection (NCR)
117, (02) 729-5166, (02) 410-6319 (Regional Director,
Information Desk)
Metro Manila Development Authority (MMDA)
136, 882-0925 (flood control)
Trunkline: (02) 882-4150-77 loc. 337 (rescue), 255
(Metrobase)
Metrobase: 882-0860
Red Cross hotline
143, (02) 527-0000, (02) 527-8385 to 95
Philippine Atmospheric, Geophysical and
Astronomical Services Administration (PAGASA)
hotline
(02) 433-8526
Philippine Coast Guard
(02) 527-3877, (02) 527-8481, 0917-724-3682 (globe),
0917-PCG-DOTC (globe)
Manila Water Hotline
1627

PHIVOLCS
Trunkline: (02) 426-1468 to 79, local 124/125
(emergency);
Text/call: 0905-313-4077 (globe)
DSWD
(02) 951-7119
Disaster Response Unit: (632)931-81-01 to 07, local
426

DSWD
(02) 951-7119
Disaster Response Unit: (632)931-81-01 to
07, local 426
Cebu Provincial Government emergency
numbers:
Command Centers
Cebu City Hall Command Center - 2530357
Cebu Province Disaster Risk Reduction and
Emergency Management - 255-0046
Cebu City Disaster Risk and Emergency
Management - 255-0046
Ambulance / Rescue Team
ERUF (Emergency Rescue Unit Foundation)
Dial 161 from any landline within Cebu
* ERUF Banilad: +63.32.233-9300
* ERUF Lapu Lapu: +63.32.340-2994 / 261-9788
* ERUF Abellana Sports Complex: +63.32.2557287
LAPU-LAPU CITY RESCUE UNIT FOUNDATION
(32) 3402994
Bohol Provincial Government emergency
numbers:
Police: 09173051833, 09128089279
Army: 09082682695
Fire: 160
Emergencies: 117

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Super Typhoon Haiyan Updates and Health Risks

  • 1. YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT TYPHOON HAIYAN (YOLANDA) AFFECTED AREA STORM TRACK CURRENT SITUATION WEATHER OUTLOOK CURRENT SITUATION - MEDICAL NATIONAL RESPONSE IFRC NGO CONTACTS 8 NOV 2013 RED ALERT FOR WIND IMPACT IN LAOS, VIET NAM, PHILIPPINES, PALAU This tropical cyclone is expected to have a HIGH humanitarian impact based on the storm strength and the affected population in the past and forecasted path. GDDAC LINKS PHILIPPINES National Disaster Risk Reduction and Management Council Philippine Atmospheric, Geophysical and Astronomical Services Administration Department of Social Welfare and Development Department of Transportation & Communications Department of Health Official Gazette Philippine Coast Guard Philippine Information Agency Project NOAH INTERNATIONAL/REGIONAL RELIEFWEB EUROPEAN Humanitarian Aid and Civil Protection UNITED STATES The Department of State OFDA US Embassy – The Philippines NOAA PACOM Joint Typhoon Warning Center HEALTH INFORMATION CDC Disaster Information Management Center PORTALS AND RESOURCES ASEAN Coordinating Center for Humanitarian Assistance on Disaster Management GDDAC Prevention Web – Philippines Pacific Disaster Center Thomas Reuters Foundation Underground Weather Google Crisis Relief Map Humanity Road
  • 5. CURRENT SITUATION WHERE: Guiuan, Eastern Samar, Philippines WHEN: CRISIS IS ONGOING SITUATION: SUPER TYPHOON HAIYAN POWER: Power interruption is being experienced in the following municipalities in Regions IV-B and VIII: • San Francisco, Camotes, Cebu- 6:00 PM- 6:35 PM • Torrijos and Buenavista, Marinduque- up to present LOCATION: As of 9:00 a.m. PHT, November 8, 2013, the eye of typhoon Yolanda was located at the coast of Palampon, Leyte (11.0°N, 124.4°E) STRENGTH: Maximum sustained winds of 215 kph (133 mph) near the center and gust of up to 250 kph (155 mph) MOVEMENT: West Northwest at 39 kph. It is expected to be at 55 km East of Coron, Palawan by Friday evening. By Saturday evening, it will be at 1032 km West of Manila or outside the Philippine Area of Responsibility. EVACUATIONS: 26,675 families/125,604 persons were evacuated to 109 evacuation centers in 22 provinces, 13 cities, 73 municipalities in Regions IV-B, V, VI, VII, VIII, X, and CARAGA STATUS of SEA/AIR PORTS: 2,087 passengers, 50 vessels, 557 rolling cargoes and 54 motorbancas are stranded in Regions IV-A, IVB, V, VI, VII, and VIII. 28 flights from Manila to Tagbilaran, General Santors, Iloilo and Bacolod City have been cancelled. SOURCE: OFFICIAL GAZATTE NDRRMC SITREP – 8 NOV 2013 (6:00: am PHT)
  • 6. CURRENT SITUATION PUBLIC WARNINGS • Sea travel is risky over the seaboards of Northern Luzon and over the eastern seaboard of Central Luzon. • Residents in low lying and mountainous areas under signal #4, #3,#2 & #1 are alerted against possible flashfloods and landslides. • Likewise, those living in coastal areas under signal #4, #3 and #2 are alerted against storm surges which may reach up to 7-meter wave height. AREAS UNDER PUBLIC STORM WARNING SIGNALS • SIGNAL NUMBER 4: Southern Occidental Mindoro, Southern Oriental Mindoro, Romblon, Calamian Group of Island, Masbate, Northern Cebu including Cebu City and Bantayan Island, Northern Negros Occidental, Aklan, Capiz, Antique, Iloilo, and Guimaras. • SIGNAL NUMBER 3: The rest of Occidental Mindoro, Rest of Oriental Mindoro, Burias Island, Sorsogon, Marinduque, Ticao Island, Northern Palawan, including Puerto Princesa City, Northern Samar, Eastern Samar, Samar, Leyte, Southern Leyte, Bohol, Rest of Cebu, Negros Oriental, Rest of Negros Occidental, Camotes Island, Biliran Province, and Dinagat Province. • SIGNAL NUMBER 2: :Bataan, Metro Manila, Rizal, Cavite, Laguna Batangas, Southern Quezon, Camarines Sur, Lubang Island, Rest of Palawan, Albay, Siquijor, Surigao del Norte, including Siargao, and Camiguin. • SIGNAL NUMBER 1: Pampanga, Zambales, Bulacan, Camarines Norte, the rest of Quezon, including Polilio Island, Catanduanes, Surigao del Sur, Misamis Oriental, and Agusan del Norte . OFFICIAL GAZATTE NDRRMC SITREP – 8 NOV 2013 (6:00: am PHT)
  • 7. CURRENT SITUATION • As of 1:00 pm Friday, November 8, Project Nationwide Operational Assessment of Hazards (Project NOAH) updated its list of areas in the Philippines that may experience storm surges due to Typhoon Haiyan . • These surges – which are floods caused by tides due to a tropical cyclone – are projected to go over 5 meters (16.5 feet). • A total of 68 localities were earlier asked to brace for storm surges, which are expected to occur from November 8 to November 9. • Based on data available at 1:00 pm, Ormoc, Leyte will experience the highest storm surge at 2:00 pm PHT on , 8 NOV. It is expected to receive a 5.2-meter or 17-foot storm surge around this time. • The next highest storm surges will occur earlier at around 1:20 pm, measuring 3.6 m (11.8 feet) in Palompon, Leyte, and 3.4 meters (11.1 feet) in Tuburan, Cebu. • For coastal communities, a storm surge is often the greatest threat to life and property caused by a hurricane. Aside from inundating buildings and infrastructure, it causes battering waves to pummel against structures and eventually destroy them. BELOW IS A LIST OF THE LOCALITIES WITH THE TOP 10 HIGHEST STORM SURGES AS OF 8 NOV, 1:00 PM PHT:
  • 9. CURRENT SITUATION - MEDICAL The most recent disaster in the Philippines, a 7.2-magnitude earthquake, occurred October 15, 2013 and killed over 220 people. The country is still recovering leaving the population deficient in medical and public health resources. These conditions will likely degrade in the wake of this storm. • Public Health Issues: – – – Shortage of safe, clean water Shortage of adequate sanitation facilities Shortage of shelters • • – Shortage of food • • – markets not fully operational in many areas fishing trade impeded due to destruction of boats and gear Sources and transmission of infectious diseases • • • • – thousands sleeping outdoors exposure to weather and insects diarrhea and other water-borne diseases dengue fever and other vector-borne diseases pneumonia and viral upper respiratory illness impetigo • Medical Issues: – – • – – – – – Increased mosquito population • • vectors for dengue fever, malaria, etc. outbreak of Chikungunya present prior to earthquake; potential to worsen Treatment capabilities for increased infectious diseases Increase in general medical complaints – more physician visits are needed but cannot be accommodated Poor hygiene Posttraumatic stress disorders Shortage of medications and other medical supplies Shortage of health care providers and support staff Community health centers and hospitals rendered inoperable due to infrastructure weakness Diminished transportation capabilities • • roads and vehicles severely damaged shortage of personnel and helicopters for air transport http://www.oxfam.org/en/pressroom/pressrelease/2013-10-21/serious-public-health-issues-earthquake-bohol-philippines. Accessed 07 Nov 2013. https://www.ifrc.org/news-and-media/news-stories/asia-pacific/philippines/mounting-health-concerns-in-the-aftermath-of-the-bohol-earthquake-ashospitals-destroyed-63670/. Accessed 07 Nov 2013.
  • 10. HEALTH RISKS DURING/AFTER THE STORM IMMEDIATE RISKS • Wounds and Injuries - Crushing injuries: compression of extremities or other body parts due to the collapse of buildings and other structures. Can lead to muscle swelling/neurological disturbances, and most often affects the lower extremities. If possible, crushing object should be removed, and injured person must be kept warm and comfortable, keeping any fractures immobile. - Lacerations: most common injuries occurring during and after a typhoon, account for 80% of wounds and are often related to flying debris and clearing off debris. Main priority of lacerations is to stop the bleeding and protect wounds with a sterile dressing to prevent infections. - Puncture wounds: often caused by flying debris. - Risk of wound infection and tetanus are high due to the difficulties with immediate access to health facilities and delayed presentation of acute injuries. - Gangrene occurring from wound contamination which requires immediate treatment. Gangrenous wounds should be managed aggressively, with surgical removal of gangrenous tissue. There is no risk of transmission of gangrene to unaffected persons. • Drowning and Mudslides - Drowning: most common cause of immediate death during and following a tropical storm. - Mudslides: the region has already had multiple mudslides this year from heavy rain along the mountainous terrain. More mudslides are expected as a result of this storm. - Caused by rising water levels from heavy rainfall, flash floods, rip currents, storm surges, and storm tides. - The greatest threat to life and property is along the coast, but a storm surge can be well over 20 feet and travel miles inland. The Philippines’ Department of Science and Technology predicts storm surges for Tropical Storm Haiyan may reach up to 7 meters (23 feet). - Citizens along the coast need to evacuate to higher ground and avoid driving their vehicles onto roads covered by water. COMMUNICABLE DISEASES • Water sanitation and Foodborne diseases - Displaced populations are at high risk from outbreaks of water, sanitation, and hygiene and foodborne-related diseases due to reduced access to safe water and sanitation systems. - Disruption of usual water sources and contamination of water by damaged sewage infrastructure may result in unsafe drinking water. - Perishable foods, or any food with unusual color, odor and/or texture should be discarded. • Vector-borne and water-borne illnesses; injury-related infections - Vector-borne, water-borne and other zoonotic diseases: represent a major issue (malaria, dengue, rabies, etc.); pest control dealing with stray animals and insect and rodent control necessary during debris removal and clean up. - Immunization against endemic communicable diseases recommended. - Tetanus: bacterial disease resulting from contact of non-intact skin and contaminated objects. May lead to muscle rigidity and spams, and severe disease may progress into respiratory failure and death. - Up to date immunizations against tetanus highly recommended.
  • 11. NATIONAL RESPONSE • National Disaster Risk Reduction Management Council (NDRRMC) ‒ • ‒ ‒ Department of Environment and Natural Resources (DENR) ‒ • Established a 24/7 Emergency Operations Center Central Office Provincial offices were alerted and asked to coordinate with head office Assessed the ability of drugs and medicines Department of Social Welfare and Development (DSWD) ‒ Met on 11/6 to assess the country’s capabilities to respond to the disaster ‒ ‒ ‒ Department of Health ‒ • • • Advised Municipal Disaster Risk Reduction Management Councils to identify shelters and asses if they are safe Ready to assist with pre-emptive evacuation Prepositioned P192.7 million worth of emergency relief resources Partnering with the corporate social responsibility arms of private companies to manage donations Department of Public Works and Highways (DPWH) ‒ ‒ ‒ Activated District Disaster Risk Reduction and Management Teams in order to monitor national roads and bridges Resources prepositioned for clearing roads Trees trimmed and branches cut along national roads and bridges to prevent hazards Provided a list of areas at risk for flooding and landslides in Bicol region to Regional Disaster Risk Reduction Management Council Philippine Coasty Guard: ‒ Philippine Coast Guard Commandant Rear Admiral Rodolfo Isorena directed all Coast Guard units in areas that will be affected by typhoon Haiyan to prepare its rescue units and to initiate proactive measures to prevent/minimize loss of lives attributed to maritime and land based incidents that may be caused by the weather disturbance OCHA Flash Update No. 2 Philippines | Tropical Storm Haiyan 6 November 2013 SitRep No. 05 Effects of Typhoon "Yolanda" (HAIYAN) DSWD preps for supertyphoon SHELTER. Evacuees sleep on the floor as they seek refuge inside a gymnasium turned into an evacuation center in Sorsogon City, Bicol region on Nov 7, 2013. Photo by Kit Recebido/EPA
  • 12. RED CROSS AND RED CRESCENT ACTION RED CROSS AND RED CRESCENT ACTION • The Philippine Red Cross (PRC) has been on highest alert since the typhoon was sighted • All PRC chapters have been alerted to activate disaster response teams and ready supplies, assets, and personnel for immediate response in the following areas: • Central, Eastern, and Western Visayas • Bicol • Mindoro • Caraga • South Luzon • The National PRC headquarters are monitoring the situation closely • Teams for rapid assessment are on standby for immediate deployment in the aftermath of the typhoon. • Preparedness stocks, including blankets, sleeping mats, jerry cans, and hygiene kits, are being transferred to a regional PRC warehouse in Cebu for immediate dispatch to areas where they will be needed IFRC- Information Bulletin #1 7 Nov 2013 • In Bohol, teams already undertaking relief distributions are prepared for potential secondary impact due to the typhoon • The PRC is meeting with Red Cross Red Crescent Movement partners from around the world to determine how best to coordinate interventions
  • 13. NGO SUPPORT Plan International is preparing to support 40,000 sponsored children. “Go team” has been notified. Humanitarian country team is planning the response course of action. Prepositioned water-purification kits and emergency shelter. Save the Children has deployed a rapid response team to meet the needs of children in the city of Tacloba, and. pre-positioned relief material kits for children and families: include toiletries, household cleaning items, temporary school tents and learning materials. Samaritans Purse is in contact with partners on the ground and has deployed a team of disaster relief specialists. Direct Relief Eight pallets of emergency medicines and supplies are to arrive next as part of Direct Relief’s earthquake response. An additional delivery of supplies is currently being coordinated in response to Super Typhon Haiyan. World Vision is working with government disaster unites to alert communities of the storms path. Response teams are on standby. Mercy Corps emergency response teams have been placed on standby. AmeriCares has global health aid workers on standby and has pre-positioned medicines and relief supplies.
  • 14. POINTS OF CONTACT National Emergency Telephone Number: 117 National Disaster and Risk Reduction and Management Council (NDRRMC) hotlines: (02) 911-1406, (02) 9122665, (02) 912-5668, (02) 911-1873 NDRRMC hotlines for Luzon National Capital Region: (02) 421-1918 Region I: (072) 607-6528 Region II: (078) 844-1630 Region III: (045) 455-1145 Region IV-A: (049) 531-7266 Region IV-B: (043) 723-4248 Region V: (052) 481-1656, (052) 481-5031 Cordillera Administrative Region: (074) 304-2256, (074) 619-0986 Office of the Civil Defense regional office telephone directory National Capital Region: (02) 913-2786 Region I: (072) 607-6528, 700-4747 Region II: (078) 844-1630 Region III: (045) 455-1526 Region IV-A: (049) 834-4244, 531-7279 Region IV-B: (043) 723-4248 Region V: (052) 481-1656 Region VI: (033) 337-6671, 509-7971; Region VII: (032) 416-5025, 416-5025 Region VIII: (053) 323-8453 Region IX: (062) 215-3984 Region X: (088) 857-3988, 875-3907 Region XI: (082) 233-2022, 233-0611 Region XII: (083) 552-9759; 553-2994 Cordillera Administrative Region: (074) 304-2256 CARAGA: (085) 815-6345, 342-8753, 341-8629 Philippine National Police (PNP) Hotline Patrol 117 or send TXT PNP to 2920 Bureau of Fire Protection (NCR) 117, (02) 729-5166, (02) 410-6319 (Regional Director, Information Desk) Metro Manila Development Authority (MMDA) 136, 882-0925 (flood control) Trunkline: (02) 882-4150-77 loc. 337 (rescue), 255 (Metrobase) Metrobase: 882-0860 Red Cross hotline 143, (02) 527-0000, (02) 527-8385 to 95 Philippine Atmospheric, Geophysical and Astronomical Services Administration (PAGASA) hotline (02) 433-8526 Philippine Coast Guard (02) 527-3877, (02) 527-8481, 0917-724-3682 (globe), 0917-PCG-DOTC (globe) Manila Water Hotline 1627 PHIVOLCS Trunkline: (02) 426-1468 to 79, local 124/125 (emergency); Text/call: 0905-313-4077 (globe) DSWD (02) 951-7119 Disaster Response Unit: (632)931-81-01 to 07, local 426 DSWD (02) 951-7119 Disaster Response Unit: (632)931-81-01 to 07, local 426 Cebu Provincial Government emergency numbers: Command Centers Cebu City Hall Command Center - 2530357 Cebu Province Disaster Risk Reduction and Emergency Management - 255-0046 Cebu City Disaster Risk and Emergency Management - 255-0046 Ambulance / Rescue Team ERUF (Emergency Rescue Unit Foundation) Dial 161 from any landline within Cebu * ERUF Banilad: +63.32.233-9300 * ERUF Lapu Lapu: +63.32.340-2994 / 261-9788 * ERUF Abellana Sports Complex: +63.32.2557287 LAPU-LAPU CITY RESCUE UNIT FOUNDATION (32) 3402994 Bohol Provincial Government emergency numbers: Police: 09173051833, 09128089279 Army: 09082682695 Fire: 160 Emergencies: 117