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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

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

FOOD
NUTRITION
WASH
EMERGENCY SHELTER
LOGISTICS

PROTECTION
US RESPONSE

INJURED

DEAD

5,500

26,136

CLUSTER MEETINGS
COORDINATION HUBS
CLUSTER LEADS

27 NOV 2013
(As of 12 PM EST)

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
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
BACKGROUND
Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine
typhoon on record, killing at least 5,500 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
EMERGING NEEDS
MEDICAL AND PUBLIC HEALTH
• Reproductive health kits (Tacloban and elsewhere)
• Insufficient coordination between incoming foreign medical
teams and local health officials
• Limited capacity for the treatment of severe and moderate
acute malnutrition

FOOD AND WATER
• Nutrition supplies are urgently needed in Panay
• No water supplies in municipality of Barbaza, Antique, and
some municipalities/cities in Capiz and Iloilo
• Water services are down and pipes need repairing in northwest Leyte
• Government requested support for agricultural inputs and
crop to farmers in time for the planting season (mid-January)
•
•
•
•
•

• An estimated 4 million corrugated iron sheets and other shelter
material are needed
• CGI sheets, fixings and tools needed
• Evacuation centers lack safe spaces for lactating women to
breastfeed

LOGISTICAL BARRIERS
• Debris clearance and waste management
• Information about which small roads are blocked by debris
• Limited amount of warehouse facilities to store relief supplies
(Tacloban)
• Storage at Tacloban airport
• Lack of fuel in Guiuan
• Limited trucking capacity exists in Guiuan but could be
augmented from Tacloban
• Lack of heavy equipment for debris-clearing needed
• Power outages
• Some provinces and municipalities/cities in Regions IV-B,
V, VI, VII, and VIII

1,920 tons of rice seeds
330 tons of corn seeds
2,200 tons of fertilizers
11,000 agricultural tool kits
1,400 small irrigation water pumps

SECURITY
•
•
•
•

TEMPORARY SHELTER, EVACUATION CENTERS, AND CAMPS

The presence of female police remains limited
Security personnel lack knowledge of protection issues
Safe spaces for women and children
Documents need to be re-issued, as many were lost

• Philippines: Typhoon Haiyan Situation Report 18
• NDRRMC SitRep No. 43

OTHER
• Shortage of funds for Local Government Units to implement
short-term emergency employment and mid- to long-term
recovery and reconstruction projects
• An estimated 12,250 workers will need personal protective
equipment and tools for debris clearance
• Tents and other temporary learning spaces for schools
• Learning and recreation materials
EMERGING PRIORITIES
FOOD AND WATER
• Life-saving food assistance needed for 2.5 million people
• Gaps in food assistance in coastal areas of Eastern Samar
and small isles in northern Cebu
• Eight evacuation centers in Tacloban with the largest
number of IDPs are being prioritized for WASH support

SHELTER & URGENT HOUSEHOLD ITEMS
• Over 3.5 million displaced of which 222,600 are living in one of
the 1,068 evacuation centers
• Entire population (1,240 families) of the barangay affected by
the oil spill off the coast of Estancia, Iloilo Province, require
temporary shelter solutions
• Address overcrowding in evacuation centers
• Local markets cannot meet the demand for shelter materials
• More assistance from partners in Region VI (Western Visayas)

ESSENTIAL HEALTH SERVICES
• Region VIII (Eastern Visayas) has highest amount of
typhoon-relayed health needs
• 25% of the adult population suffers from hypertension
• 5% or adult population suffers from diabetes
• Promote appropriate infant and young child feeding
practices (IYCP) for 200,000 children
• 865 births/day in affected communities, with around 15%
experiencing potentially life-threatening complications
• Infant and young child feeding practices
•
•
•

• Over 800 schools have sustained major damage and 4,485
classrooms need replacement
• Debris clearing of schools
• Collect information on the non-assessed schools in the most
affected areas
• Collect information on the status of day care centers and
children
• Initial phases of the education response will focus on the
resumption of learning activities through the establishment of
temporary learning spaces, as well as the provision of
psychosocial support for children, teachers and other
education staff

Micronutrient supplementation to 30,600 children aged
6-59 months
Blanket supplementary feeding for children aged 6-23
months
Rreatment for some 600 children aged 6-59 months
with severe acute malnutrition and 2,100 with
moderate acute malnutrition

• Only 18% of children under 5 fully immunized against
measles
• Only 83% of children under 5 immunized against polio
• 5.5 million affected children need psychosocial and health
services
• Tracing of the locations and causes of diarrhea outbreaks

•
•
•

EDUCATION

Philippines: Typhoon Haiyan Situation Report 18
NDRRMC SitRep No. 43
UNICEF: SitRep #6

OTHER
• Intensify tracking mechanisms for separated children
• Collection of sex and age disaggregated data on IDPs
• 40% of affected people have communication problems with
separated family members
• Most areas in Leyte and Samar are unreachable by the media
• 42% of affected people have documentation needs
• A targeted response to the Mamanwa ethnic group in Marabut
is needed
• Over 5 million workers’ livelihoods in nine of the country’s 17
regions were affected
WEATHER OUTLOOK

GALE WARNING NO. 21
For: Strong to gale force winds associated with the surge of Northeast Monsoon.
Issued at 5:00 p.m. today, 27 November 2013
Strong to gale force winds is expected to affect the seaboards of Northern Luzon.

Synopsis:
Tail-end of a cold front affecting Northern Luzon. Trough of a Low Pressure Area affecting
Mindanao.
Forecast:

Metro Manila and the regions of Ilocos, Cordillera, Cagayan Valley, Central Luzon and
Mindanao will have cloudy skies with light to moderate rainshowers and thunderstorms. The
rest of the country will be partly cloudy to cloudy with isolated rainshowers or
thunderstorms.

Daily AccuWeather
PAGASA Gale Warning

PAGASA
PAGASA weather report PDF

Moderate to strong winds blowing from the northeast will prevail over Northern Luzon and
its coastal waters will be moderate to rough. Elsewhere, winds will be light to moderate
coming from the northeast to north with slight to moderate seas.
CURRENT SITUATION

http://reliefweb.int/sites/reliefweb.int/files/resources/~6427821.pdf
CURRENT SITUATION
As of 27 NOV 2013 – 6:00 PM PhT

AIRPORTS: To date, operations in Tacloban Airport is limited

CASUALTIES: 5,500 individuals were reported dead, 26,136 injured and
1,757 missing.

SEAPORTS: All seaports are operational.
• The Philippine Ports Authority has taken over the Port of Tacloban.
• A total of 16 barges is now operating and travelling from Matnog,
Sorsogon Port to Allen, Northern Samar, while sea crafts taking off
from Bulan Port, Sorsogon to Allen, Northern Samar are solely for
mercy missions.

AFFECTED POPULATION:
A total 2,177,863 families (9,927,335 persons) were affected in 11,939
barangays in 44 provinces, 574 municipalities and 57 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA.
782,222 families (3,542,370 persons) were displaced.
Inside 1,069 evacuation centers:
• 48,655 families / 225,922 persons inside evacuation centers
• 733,567 families/ 3,316,448 persons outside evacuation centers
DAMAGES (Regions IV-B, V, VI, and CARAGA):
• DAMAGED HOUSES: 1,149,529 houses damaged (574,392 totally /
575,137 partially)
The total cost of damages was pegged at P24,539,259,407.76 ($
559,551,979 USD)
• For infrastructures P13,182,975,034.00 ($300,603,469 USD)
• For agriculture P11,356,276,373.26 ($ 258,948,508) in Regions IV-A,
IV-B, V, VI, VII, VIII, and CARAGA
‐ Crops (rice, corn other crops): P5,168,997,352.20 ($117,863,698
USD)
‐ Livestock: PhP 2,184,011,8810 ($49,800,712 USD)
‐ Fisheries: P2,161,634,28.06 ($49,290,449 USD)
‐ Irrigation facilities: P212,700,000 ($4,850,070 USD)
‐ Other agricultural infrastructure: P: P1,628,932,860 ($37,143,578
USD)

POWER OUTAGE:
• As of 22 November 2013, NGCP reported that there were a total of
1,959 transmission facilities that were damaged including
backbone transmission lines, steel poles, and converter station;
electricity has been restored in Ormoc City, Leyte; and in the
municipalities of Anilao, Banate , Barotac Viejo & Ajuy, all of Iloilo.
• To date, power outage is still being experienced in some provinces
and municipalities in Regions IV-B, V, VI, VII, and VIII.
WATER SUPPLY:
• Municipality of Barbaza, Antique, and some municipalities/cities in Capiz
and Iloilo, still do not have water supply.
• Water supply in areas of Leyte (17 towns, 2 cities), Western Samar (2
towns,1 city) and Eastern Samar (1 town) has been restored.
• Several towns have access to water through a diesel-powered / electricpowered pump.
• Water supply system in Busuanga town proper is functional. Coron,
however, is implementing a rationing system.
NETWORK OUTAGE
• Globe Telecom Cellular Services were restored in Borongan, Eastern Samar,
Isabel and Palo in Leyte; Lavezares, Rosario, San Jose, and Lope de Vega in
Northern Samar; Hinunangan, Limasawa, and Sogod in Southern Leyte; San
Sebastian and Pagsanghan in Western Samar; Culasi and Laua-an in Antique;
NDRRMC
Dumarao, Capiz; and Daanbantayan, Cebu
CURRENT SITUATION

HTTP://RELIEFWEB.INT/SITES/RELIEFWEB.INT/FILES/RESOURCES/MA008_SITUATIONOVERVIEW_V16-300DPI.PDF.PDF
CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
Reports from the field show that medical support provided by international
and local teams need to increase in geographical area and scope of services
beyond the current hubs.
As the situation evolves, the need for emergency trauma care is decreasing,
and the need for primary health care is increasing, including for essential
medical and surgical care as well as preventive health services.
As of 26 NOV - Despite increasing humanitarian aid in typhoon-hit areas of
the Philippines, Doctors Without Borders/Médecins Sans Frontières (MSF)
teams are still finding villages and towns that have not yet received any aid.
WATER, SANITATION AND HYGIENE (WASH) AND ENVIRONMENTAL HEALTH
Following reports of diarrhoea from Bantayan, Cebu, and Region VII the WASH
cluster has coordinated the chlorination of shallow wells dug by the cluster.
Laboratory tests are being conducted to test for the adequacy of the level of
chlorination. Environment health assessment in health care facilities is being
conducted this week by a DoH and WHO in Eastern Samar.
PATIENT REFERRALS

AECID has supported DoH in developing a referral system for transfer of
patients in Tacloban. A specific reporting form for surgical referrals and
needs will be developed as part of the system.
• As of 26 November, surgical cases are to be referred to EVRMC, the
Australian FMT and Divine World health facility,
• Dialysis patients are to be referred to RTR
• Patients needing ventilators to be referred to the Australian FMT
• All other referrals including for obstetric care are to be referred to
EVRMC.
Additional transportation mechanisms are needed to support this system.
Currently the Red Cross ambulances stations at EVRMC are the main point of
call for transportation of patients.

DISEASE/INJURIES
There are also increasing numbers of cases with Acute Respiratory Infection
(ARI), dog bites and wounds related to debris clearing and reconstruction of
houses.
Some cases of chicken pox and leptospirosis have been reported and
verification is currently taking place.
Other areas of concern as reported by the medical teams include treatment
of spinal injuries and tetanus.
Treatment protocols and tetanus immunoglobulin have been dispatched.
MORBIDITY :
To date, the five main causes of morbidity identified include acute
respiratory infection, fever, diarrhea, hypertension and skin disease.
In Tacloban, the number of cases needing surgery and in-patient care is
decreasing while need for primary health care especially treatment of
chronic diseases (e.g. TB, hypertension) is increasing.
In Tacloban city, between 24 and 26 November, the following cases of note
were reported:
• Suspect leptospirosis cases (1 each) from Palo and Tacloban City were
admitted to Eastern Visayas Medical Center (EVRMC)
• Suspect tetanus cases (4 in total) from Tacloban city, Tolosa, and Leyte
were admitted to Eastern Visayas Medical Center (EVRMC)

NOTE: THE LASTEST TYPHOON
YOLANDA HEALTH CLUSTER ISSUE
#3 IS POSTED

WHO #3
WHO - #2
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. Vaccines are
sup-plied mainly through local procurement but additional donations from
international entities are still welcome.
While the cold chain was brought from other sites for Tacloban to start the
campaign, shortages still exit to continue the vaccinations in other parts of
Region VIII. UNICEF, in support of DoH, is conducting cold chain assessments for
regions VI, VII and VIII.

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
MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT
A rapid assessment by IMC shows that mental health is a significant
concern for affected populations and the current response measures
are insufficient to meet all the needs. The government is discussing
the means to train national health professionals on delivering mental
health and psychosocial care to the affected population. A mental
health expert from WHO is in Manila to help coordinate the actions in
support of the DoH.
HEARS CURRENT SITUATION 26 NOV 2014
HEARS CURRENT SITUATION NOV 25, 2013
HEARS CURRENT SITUATION NOV 24, 2013

PUBLIC HEALTH RISKS
The main public health risks have been identified as follows:
• Disruption in the health sys-tem including lack of health facilities,
primary and secondary health care delivery and the subsequent
disruption to universal access to health care

• Communicable diseases especially in view of the disruption to
the surveillance system and problems related to water and
sanitation, overcrowded living conditions and low vaccination
coverage prior to the event especially for measles. Cholera,
dengue and leptospirosis are endemic in many of the affected
areas, increasing the risk of out-breaks of these diseases in view
of the increased vulnerability of the affected population.
• Chronic diseases including interruption of treatment for disease
needing long term treatment. This is an in-creasing problem as
chronic diseases including hyper-tension and diabetes ac-count
for a large number of morbidity and mortality
• Reproductive health – high number of pregnant women about to
deliver, low capacity of health facilities to de-liver obstetric and
surgical care

• Disruption in cold chain and medical provisions
• Lack of water and low sanitation level, and low capacity for waste
management, including medical waste
WHO - #3
WHO - #2
CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
• An oil spill incident occurred during the height of the storm surge episode during typhoon Yolanda in Estancia,
Iloilo last November 08, 2013.
• The power barge sustained damage to its hull which also serves as storage for its fuel requirements. As a result,
an estimated 200,000 liters of bunker fuel has leaked out of the fuel tanks into the water and coastline with 1.2
million liters of bunker oil still in the fuel tanks and have to be unloaded.

• The Department of Health has recommended the mandatory evacuation of about 5,000 persons / 1,174
families living in the community.
•

Test results have showed that the level of the toxic substance benzene in
the air in the community reached 16.9 parts per million or 30 times
more than the allowable level of 0.5 ppm.
.
• National Power Corporation (NPC ) deployed the spill booms of PB103
supplemented with spill booms provided by the Philippine Coast
Guard. Spill booms from PSALM’s Power Barges 101 and 102 were also
transported from Iloilo City and deployed to help prevent the spilled oil
from drifting away from the immediate vicinity of the damaged power
barge.
• NPC, with the able assistance of the Philippine Coast Guard, also engaged
the services of the local community to manually scoop the spilled fuel oil
and place the same in available containers before it can be hauled off for
proper disposal.The Philippine Coast Guard has installed booms around
the barge to stop the spread of the oil spill.

HEARS CURRENT SITUATION NOV 24, 2013
NATION POWER CORPORATION

THE NAPOCOR power barge that was detached from its
moorings by storm surge and slammed into communities along
the coastline of Estancia, Iloilo. INQUIRER VISAYAS
HEALTH SERVICES RENDERED
VILLAMOR AIRBASE

EASTERN VISAYAS REGIONAL MEDICAL CENTER

Services

Services

NOV 20-25

Nov 15-Nov 25

ER Consultations

1,524

OPD Consultations

3,356

OPD Consultations

1,795

Psychosocial

2,520

Surgery
Admissions
Psychosocial
Total
TOP 5 CONSULTS:
1. Trauma/typhoon- related Injuries
2. Respiratory Tract Infection
3. Acute Gastro enteritis
4. Hypertension
5. Skin disease

DEPARTMENT OF HEALTH
HEARS CURRENT SITUATION 26 NOV 2014

357
1,352
571
5,599

Referred from AFP Gen.
Hospital to various hospitals
Total

502
6,377

TOP 5 CONSULTS:
1. URTI
2. 2.Headache/ dizziness
3. 3.Wounds (laceration, puncture, abrasions)
4. 4.Hypertension
5. 5.Musculoskeletal pain
NUMBER OF PATIENTS REFERRED FROM
TACLOBAN (AS OF NOV. 26, 2013,4:00 PM)
• To Cebu: 365 patients
• To Metro Manila: 518 patients
• 55 are walk-in, 463 were referred by AFGH & DOH
Medical Teams in Villamor Total: 883 patients
INITIAL ESTIMATES OF DAMAGE OF HEALTH FACILITIES
IN REGIONS IV- B, VI, VII, VIII

PROVINCES

TOTAL NO OF
HEALTH
HOSPITAL
FACILITIES
AFFECTED

TOTAL
ESTIMATED
AMOUNT

TOTAL
ESTIMATED
AMOUNT
USD

BHU

RHU

Region VIII

754

180

61

995

3,928,512,300

89,876,897

Region VII

43

15

2

60

21,880,000

500,572

Region VI

1,084

97

35

1,216

49,932,500

1,142,360

0

7

1

8

82,060,000

1,877,376

1,881

299

99

4,082,384,800

93,397,205

Region IV B
GRAND TOTALS

DOH UPDATED REPORT – 26 NOV 2013
IMMEDIATE NEEDS FOR REPAIR AND REHABILITATION OF HEALTH FACILITIES IN
REGIONS VI, VII, VIII
Provinces

No. of
Hospitals
Affected

Estimated
Amount

No. of RHUs
Affected

Estimated
Amount

Total No. of
Facilities
Affected

Total
Estimated
Amount

Total Estimated
Amount
USD

Region VIII

14

405,000,000

63

307,346,000

77

712,346,000

16,295,199

Leyte

6

205,000,000

40

203,379,100

46

408,379,100

9,343,999

Eastern
Samar

5

170,000,000

21

94,926,300

26

264,926,300

6,061,010

Western
Samar

3

30,000,000

2

9,040,600

5

39,040,600

893,069

Cebu

2

3,450,000

15

15,000,000

17

18,450,000

422,100

Region VI

18

80,000,000

38

38,000,000

56

118,000,000

2,699,615

Aklan

3

12,000,000

10

10,000,000

13

22,000,000

503.318

Antique

6

24,000,000

6

6,000,000

12

30,000,000

$686,343

Capiz

5

25,000,000

15

15,000,000

20

40,000,000

$915,124

Iloilo

4

19,000,000

7

7,000,000

11

26,000,000

$594,830

Grand Total

34

116

360,346,000

150

848,796,000

$19,418,839

Region VII

DOH UPDATED REPORT – 26 NOV 2013
IMMEDIATE NEEDS FOR PUBLIC HEALTH SERVICE
PUBLIC HEALTH INTERVENTION

COST
ESTIMATE (IN
PHP MILLION)

COST ESTIMATE (IN
USD)

Child Health

18.0

$411,805

Oral Rehydration Salt and Zinc Syrup

18.0

$411,805

Maternal Health

9.4

$215,054

Emergency Delivery Kit (4,000 deliveries)

9.0

$205,902

Iron Supplementation for Pregnant and Post-Partum Women

0.4

$9,152

Communicable Diseases

1.9

$43,468

Dengue Insecticide

1.5

$34,317

Doxycycline (Prophylaxis for Leptospirosis)

0.4

$9,152

17.6

$402,607

5.4

$123,541

Anti-Diabetic Medications

12.2

$279,079

Senior Citizens

29.0

$279,079

Influenza and Pneumococcal Vaccine for Senior Citizens

29.0

$279,079

Essential Medicines

6.48

$155,552

Essential Medicines and Supplies for Primary Care

6.48

$155,552

Medical/Surgical Assistance

20.0

$457,562

Non-Communicable Diseases
Anti-Hypertensive Medications

DOH UPDATED REPORT – 26 NOV 2013
DISEASE BRIEF-VITAMIN A DEFICIENCY
DESCRIPTION
Low levels or lack of vitamin A in the body
• Leading cause of preventable blindness in children
• Causes night blindness in pregnant women
• Vitamin A deficiency contributes to maternal mortality and other poor
outcomes in pregnancy
• Vitamin A deficiency reduces the body’s ability to fight infections. In
countries where children are not immunized, infectious disease like
measles have higher death rates
• It may increase children's risk of developing respiratory and diarrheal
infections, decrease growth rate, slow bone development, and decrease
likelihood of survival from serious illness

RISK FACTORS
•

•
•
•
•

Poor food choice, lack of food availability, or lack of nutritional food (even if
people get enough to eat, can cause malnourishment if the food does not
provide the proper nutrients)
Age
Pregnancy
Recent infection such as diarrheal disease
Low socioeconomic status

SYMPTOMS
•
•
•
•
•
•

Dry eyes/hair/fingernails
Night blindness
Skin disorders
Infections to include respiratory
Low blood cell count-anemia
Fatigue

Mayo Clinic
WHO
Medscape

TREATMENT
• Increase vitamin A rich foods-liver, beef,
chicken, eggs, fortified milk, leafy green
vegetables, mangoes, sweet potatoes
• Daily oral vitamin A supplementation
CURRENT SITUATION
FNRI 2008 survey 15% of children aged 6 months-5 years
are deficient-1.7 million children under age 5 and 500,000
pregnant women
RECOMMENDATIONS
• Promote breastfeeding for infants as breast milk is a good
source of vitamin A
• Encourage diets rich in vitamin A to include foods fortified
with this micronutrient
• Support home gardens where fruits and vegetables can be
grown
HIGHLIGHT BRIEF- MALNUTRITION
DESCRIPTION

TREATMENT

• Malnutrition is caused by inadequate or unbalanced nutrition.
• Malnutrition is the largest single contributor to disease according to the
UN’s Standing Committee on Nutrition (SCN).
• Inhibits physical and mental development in children and can cause
mental retardation if severe at an early age
• Can cause women to give birth to low birth-weight babies

• Increase quality and quantity of food intake
• Nutrient supplementation
• People who cannot or will not eat may be fed intravenously or by a tube
inserted directly into the gastrointestinal tract

RISK FACTORS
• Illness or disease is often a factor of malnutrition either as a result or a
contributing cause
• Poor food choice, lack of food availability, or lack of nutritional food (even
if people get enough to eat, can cause malnourishment if the food does
not provide the proper nutrients)
• Injuries to the face or nerve damage to the muscles that control chewing
and/or swallowing

CURRENT SITUTATION
• The first cases of acute malnutrition have been diagnosed.
• Eastern Visayas region: 16 cases (7 moderate and 9 severe) of acute
malnutrition
• Cases also reported from the hospital at Tacloban airport

RECOMMENDATIONS
• Eat a well-balanced diet with adequate caloric intake to balance the
number of calories burned with the number of calories eaten each day.
• Take vitamins daily to supplement diet

SYMPTOMS
• Length of time to develop malnutrition depends on the severity of the
lack of nutrients
• There are a wide range of symptoms depending on the vitamin or mineral
that is deficient:
• Weight loss
• Thin or bloated body
• Pale, thick, and dry skin
• Bruises
• Rashes
• Thin hair that is tightly curled and pulls out easily
• Achy joints
• Gums bleed easily
• Swollen or shriveled and cracked tongue WORLD FOOD PROGRAMME
AMERICAN FAMILY PHYSICIAN
• Night blindness
JOHNS HOPKINS CHILDREN’S CENTER
PHILIPPINES NEWS AGENCY
• Increased sensitivity to light and glare

Prior to the typhoon malnutrition was present in the
Philippines. The conditions since the storm are only likely
to worsen the situation.
HIGHLIGHT BRIEF-PNEUMONIA
DESCRIPTION

TREATMENT

Pneumonia is an inflammatory condition that develops deep in the
lung and is usually caused by infection from viruses or bacteria. It is
spread through tiny particles of air coughed or exhaled by infected
persons. People can become ill with pneumonia by coming in contact
with infected individuals or with organisms in the air or on
contaminated surfaces. Despite advancements in treatment,
pneumonia remains a leading cause of death worldwide.

• Oral or intravenous antibiotics are the treatment of choice.
• Breathing support (oxygen masks, ventilation, etc.) may be needed
for those showing signs that they are not getting enough oxygen in
the blood (difficulty breathing, rapid breathing, blue discoloration of
the lips or fingertips, etc.).

RISK FACTORS
People most at risk for developing pneumonia are the very young,
the very old, and those with certain chronic conditions such as lung
disease or immune disorders such as HIV. Additional risk factors that
put a person at increased risk of pneumonia are poor nutrition, poor
sanitation and hygiene practices, living in impoverished and/or
overcrowded areas.

CURRENT SITUTATION
At a meeting on Friday, 22 Nov 2013, representatives of several dozen
domestic and foreign medical groups described the biggest single
public health problem to emerge since the typhoon as acute
respiratory infections, including pneumonia which have been
attributed to lack of shelter, poor weather, and lack of clothing.

RECOMMENDATIONS
•

SYMPTOMS
The symptoms usually start 2-10 days after coming into contact with
the causative organisms.
Some of the common symptoms include:
• Sudden onset
• High fever
• Shaking chills
• Chest pain
• Cough producing phlegm
• Difficulty breathing
CDC – Pneumococcal Disease
American Family Physician – Pneumonia
Doctors Without Borders
Mayo Clinic

•
•

Wash hands with antimicrobial soap and water or by using
alcohol-based waterless gels. If hands have been in contact with
mucus or other secretions, use soap and water only.
Wear gloves and masks when dealing with people/patients with
cough or other warning signs of respiratory (lung) illness.
Change clothes if soiled with mucus or other secretions.
DOH MEDICAL TEAMS
Information gathered from Department of Health update report on Response to Typhoon Yolanda - 27 NOV 0800H Nov 13

CATBALOGAN

BORONGAN

TACLOBAN

BASEY, BALAGIGA,
LAWAAN, MARABUT
Basey

SALCEDO,
MERCEDES
TANAUN, TOLOSA, DULAG, PALO,
SAN JOSE
ORMOC
FOREIGN MEDICAL TEAMS

http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-26nov2013.pdf
HEALTH AND MEDICAL – PAYNAY ISLAND
• WHO coordinating with partners and bringing them
together with local health authorities
• Coordination and logistics remain challenging, goods
arriving and teams setting up
• Emergency care teams are established; surgical services
remain limited due to electrical outage and resources
• Disease surveillance system patchy due to disruption of
communication lines
• Health assessment is ongoing through several health
partners and is assessing longer-term service delivery
needs (Health Cluster Roxas)

MSF is based in Estancia and are carrying out mobile
clinics in in Estancia, Carles, and San Dionisio on
Panay island. The team is treating respiratory
infections, and have seen some patients with
diarrhea. Without proper shelter and being exposed
to the elements, a lot of people have colds and
fevers, especially the children. They have also seen
people who have been affected mentally by the
typhoon.

Roxas City, Philippines; November 16, 2013 – Master
Corporal Stephan Fortin, a medic with the Canadian
Forces Disaster Assistance Response Team (DART),
checks a local child at a refuge camp outside of Roxas
City, Philippines. The area was devastated by Typhoon
Haiyan, one of the largest typhoons on record. (Photo
Iby Corporal Darcy Lefebvre, Canadian Forces Combat
Camera Photographer)

Estancia

Merlin, SC, British Surgeon has combined efforts with Save the
Children and are now working side-by-side at head office bases in
Manila, Cebu, Roxas.
Canada DART Teams is a military organization ready to deploy
quickly to conduct emergency relief operations. It is one
component of Canada’s toolkit to respond to natural disasters
abroad. As of 0700 EST on 26 November 2013, Task Force
Philippines has:
• Purified approximately 56,000 liters of water;
• Distributed approximately 14,196 liters of purified
water;
• Treated nearly 1,733 medical patients;

PH Health Atlas—Monitoring as of Nov 26
Task Force Yolanda Matrix DOH as of Nov 26

Cut off from healthcare - Access to medical
services are a huge challenge for people
that are in isolated areas and are
homeless. Deborah Lau, one of our medical
experts treats a Typhoon survivor on Panay
Island (MERLIN/SAVE THE CHILDREN).
Photo by UK-IETR/Save the Children
FOREIGN MEDICAL TEAMS
HEALTH AND MEDICAL – ORMOC
INFRASTRUCTURE
• There are 2 operational health facilities. Carigara Hospital, originally a level 2 hospital, is only
partially functional and is unable to provide essential surgical care services including caesarean.
•

The Ormoc District Hospital is partially functional and is able to deliver emergency surgical care
including obstetric surgery, but not all operating rooms are functional and those that do function
are doing so under marginal conditions. ICRF and Mercy Malaysia are providing assistance to the
hospital in order to improve the situation.

•

The Ormoc Maternity and Children’s Hospital is fully functional except for surgical referral.

•

A few private facilities are also functional, with one that is well supplied and has suffered little
damage, but only on a paid basis. All hospitals have reduced admission levels due to lack of
electric and difficult operating conditions, and one private health facility is planning to close
completely to conduct full repairs on its facility.

FOREIGN
• MERCY MALAYSIA at Ormoc District Hospital and also operating medical tent units that offers
free consultations and medicine. Plans include WASH, increase medical relief efforts,
distribution of hygiene kits.
• SWISS HUMANITARIAN AID UNIT Over 1250 tetanus shots given to Ormoc District Hospital, in
addition to other relief supplies donated to the Leyte area.
• MSF-HOLLAND: setting up field unit and will send mobile clinic units if needed
• JOHANNITER GERNAMY At City Government Center. Operational goal of distributing 1,8 tons of
health kits
• IFRC-CANADIA AND NORWEGIAN at Ormoc District Hospital area with operating theater,
maternity wards and inpatient services. The ERU is a joint operation of Canadian, Norwegian and
Hong Kong Red Cross. Video Update
• CANADIAN MEDICAL ASSESSMENT TEAMS(CMAT) based near City Hall. Rotating team joined
NGO Plan International and visiting mobile clinics and bangarays. Setting up Field Hospital in city
center near CMAT base.
LOCAL OR OTHER
• THE PHILIPPINE COLLEGE OF PHYSICIANS near Ormoc District Hospital in cooperation with the
Department of Health (DOH) (team=28).
• 1DREAM OF BALAY MINDANAW GROUP worked with multiple Barangays
• SM MEDICAL FOUNDATION helped barangay San Pablo in Ormoc City. ECG, X-ray services and
PH Health Atlas—Monitoring as of Nov 26
meds were given from the foundation’s mobile van.
Task Force Yolanda Matrix DOH as of Nov 26
• PHILIPPINE NATIONAL RED CROSS setting up a field office and carrying out “rapid assessments”. Local Volunteer Teams DOH as of Nov 20
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.
• 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 as-sessment of Bethany Hospital conducted by
MSF France in Tacloban shows minor dam-age to windows and door in
one of the operating rooms. One of the three operating theatre remains
completely untouched and will be func-tional for internal fixation surgery once a generator is in-stalled. One of two-storey 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 storey. This has made the entire up-per floor unusable.

AusMAT team members perform
surgery on a patient in the surgical
theatre tent at the AusMAT medical
facility in Tacloban.
Supplied: Gemma Haines/DFAT

Japan Disaster Relief team is
using these medical tents in
Rizal park, Tacloban.

PH Health Atlas—Monitoring as of Nov 26
Task Force Yolanda Matrix DOH as of Nov 26
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 are located at ontinue
treating patients in Rizal Park as
well as supporting Basey District
Hospital in Basey on the island of
Samar. Also, a plan is underway
to gather information and carry
out an assessment of new
medical needs in the affected
area.
MSF (France) has teams on the
ground in Tacloban and Cebu.
They have doctors and an
orthopedic specialist. More
doctors are expected to arrive
soon. (15 people)
USA – ACTS
HEALTH AND MEDICAL – ABUYOG

Ver Noveno
The Chinese Navy’s hospital ship the Peace Ark has joined a Chinese
government emergency field hospital in Abuyog in providing relief to
typhoon Haiyan survivors in the Philippines.
Efforts are being made in conjunction with UNICEF to vaccinate
children against communicable diseases.
Locals fluent in English are assisting Chinese medical staff in
communicating with patients.
The Chinese government emergency medical team began receiving
patients at its field hospital in Abuyog on Saturday night.
The Peace Ark, with 300 beds and over 100 medical professionals on
board, has been put into use since Monday.
.

CCTV
HEALTH AND MEDICAL – PALO
PALO
ASB Germany - On Friday, 22 November 2013, ASB Germany sent a FAST (First
Samaritan Assistance Team) eight member team Palo, to provide basic medical aid
to the population. The team is equipped with an “Emergency Health Kit ” for the
medical care of 30,000 people.
Samaritan's Purse/ US Level 1 Field Hospital –includes doctors, nurses, and a
biomedical technician, is working alongside the staff at the storm-damaged
Schistosomiasis Control & Research Hospital in Palo to provide emergency health
care to the community. The U.S. Air Force helped set up their mobile field hospital
on the grounds of the hospital. Local radio stations are directing injured people to
the expanded medical facility. (SITREP – 22 NOV 2013)

Field Hospital in Palo

PH Health Atlas—Monitoring as of Nov 26
Task Force Yolanda Matrix DOH as of Nov 26
HEALTH AND MEDICAL – GUIUAN, EASTERN SAMAR
HEALTH INFRASTRUCTURE
• Felipe J Abrigo Memorial Hospital was completely destroyed

In Guiuan, the re-opened airport and cleared roads allow the expansion of
humanitarian activities in support of Government efforts. Most of Guiuan’s
infrastructure is destroyed; only two of five water pumping stations are
operating. Food water and shelter are priorities for an estimated 480 000
people.

IMC doctor tends to a
patient in the devastated
town of Guiuan.

• MSF is working in Guiuan. Their priority is reaching areas outside of the city
that are currently difficult to reach. They are helping to restore services at
the Guiuan hospital and are taking inpatients. In addition, they and have set
up a maternity ward, and are able to do minor surgeries and are giving
vaccines.

‐ MSF set up a 40-bed tented hospital
‐ On November 19, a team working at a rural health unit in Guiuan
carried out 320 consultations, mainly for respiratory infections,
diarrhea and chronic diseases. The team also did minor surgery,
post-operative care, and vaccinations against tetanus.
‐ MSF also distributed 400 tents and is providing mental health
counseling.

‐ A mobile medical team based out of Guiuan is traveling by boat to
remote coastal villages to provide general healthcare.
• International Medical Corps- International Medical Corps is conducting
water, sanitation and hygiene (WASH); medical; and mental health
assessments.
•

Medical Teams International is working together IMC and AmeriCares

Typhoon Haiyan left the Felipe J. Abrigo
Memorial Hospital in ruins after sweeping
through the coastal community of Guiuan in
Samar. © ICRC / G. Petrosyan

PH Health Atlas—Monitoring as of Nov 26
Task Force Yolanda Matrix DOH as of Nov 26
HEALTH - NEEDS
HEALTH
NEEDS:
• Partners estimate that Region VIII (Eastern Visayas) has the highest
concentration of health needs related to the typhoon.
• 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.

• Repairs to health care facilities and basic services for patients – including
food and water – are urgently needed. Immediate action is needed to
provide a safe water supply at the Eastern Visayas Referral Medical
Centre, the main hospital for the region.
• Disease surveillance needs strengthening. Reports of chickenpox,
tetanus and leptospirosis deaths have emerged. Partners report
increased cases of gastroenteritis, acute respiratory infection, fever,
rashes and diarrhoea, especially in children.

• 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 estimated 865 births occur daily in affected communities, with
around 15 per cent experiencing potentially life-threatening
complications. Reproductive health kits are urgently needed

• Basic and essential health care services must be expanded, including for
routine surgeries (e.g. Caesarians).

• The need for treatment capacity for TB, acute respiratory infections,
dog bites, and wounds related to debris clearing and reconstruction is
increasing
• The need for emergency trauma care is decreasing, while the need
for primary health care is increasing

OCHA SITREP 27 NOV 2013
OCHA SITREP 25 NOV 2013
OCHA SITREP 22 NOV 2013
OCHA SITREP -21 NOV 2013
OCHA SITREP - 20 NOV
2013

The Government has prioritized the restoration of primary and hospital
health services, including the structural safety of hospitals, appropriate
medical waste management and infection control.

•

Solar refrigerators and solar lamps are required for rural health units in
areas still without power.

•

In the hardest hit areas, one third of the children suffer from
malnutrition

•

Injury management is urgently required.

OCHA SITREP– 19 NOV 2013
OCHA SITREP 9– 15 NOV 2013
OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP – 18 NOV 2013
OCHA SITREP 6 - 12 NOV 2013
OCHA SITREP - 17 NOV 2013
OCHA SITREP - 16 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
HEALTH - RESPONSE
HEALTH

• In Roxas City, a cold chain has been established.

• A blood bank in Leyte provincial hospital run by the Philippine Red Cross is
now functional. The cold chain is running and vaccine supplies are sufficient
for the vaccination campaign in Tacloban.
• In Ormoc, all five hospitals are operational, and rehabilitation is progressing.

• Tents, generators, clean delivery kits, medicines, health supplies and body
bags have been distributed to priority facilities.

• Partners have delivered tents, generators, cold chain equipment,
medicine and about 11,000 body bags to priority facilities.
• 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.

• 153 medical teams (foreign, national and local) are providing
emergency health services.
• The Department of Health, working with partners, will start a
vaccination campaign for children aged 6 months to 5 years in
Tacloban City this week and target around 28,400 children for
measles and vitamin A, and 33,300 children aged 0-5 years for polio.
• 10,000 dignity and hygiene kits for pregnant and breastfeeding
women are being delivered to Tacloban City and Eastern Samar.
• Health facility damage is being mapped.
• Doctors and nurses in Tacloban City have mobilized to conduct
reproductive health and medical missions.
• SPEED, an emergency disease surveillance system, has been
activated.

OCHA SITREP 10-22 NOV 2013
OCHA SITREP 10-21 NOV 2013
OCHA SITREP 10-20 NOV
2013
CHA SITREP 10– 19 NOV 2013

OCHA SITREP 9– 15 NOV 2013
OCHA SITREP 10– 17 NOV 2013
OCHA SITREP 10– 16 NOV 2013

OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP 6 - 12 NOV 2013

PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
HEALTH – GAPS & CONSTRAINTS
HEALTH
GAPS & CONSTRAINTS:
•
More attention needs to be focused on the health risks related to
migrating and vulnerable populations.
•

There remains insufficient coordination between incoming foreign
medical teams and local health officials.

•

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.

•

A shortage of trained staff and poor internet connections are
hampering the emergency disease surveillance system.

• The disease surveillance system is currently patchy due to a disrupted
communications network. Reporting and enquiries can be directed to
haiyanops@wpro.who.int.
• The lack of electricity is undermining cold chain operations.

Geographical coverage of health services needs to be expanded.

•

• Available vaccines and supplies for planned campaigns are estimated to
be sufficient only for Eastern Visayas region. Volunteers are needed to
administer vaccines in these campaigns.

•

The transport of patients to referral hospitals is still an issue due to the
lack of ambulances and fuel. This is improving as roads are cleared.

•

Plans to fill gaps by the eventual departure of foreign medical teams
are required.

OCHA SITREP 10-22 NOV 2013
OCHA SITREP 10-21 NOV 2013
OCHA SITREP 10-20 NOV
2013
CHA SITREP 10– 19 NOV 2013

• The following materials are needed to provide health services:
Interagency Emergency Health Kits, Reproductive Health kits, Diarrhoeal
Disease Kits and WASH supplies. Cholera kits should be kept on stand-by.
• Basic and essential health care services, including routine surgical
capacity (including for Caesarians), must expand. There is an immediate
need for reproductive health kits across hardest hit areas.
• The 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.
• Temporary health facilities, generators, medication, surgical supplies,
cold storage and WASH facilities are urgently required.
• People are traumatized and lack psycho-social support.

OCHA SITREP 10– 17 NOV 2013
OCHA SITREP 10– 16 NOV 2013
OCHA SITREP 9– 15 NOV 2013

OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP 6 - 12 NOV 2013

PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
RED CROSS AND RED CRESCENT ACTION
OPERATIONS
• As of November 26th, the International Federation of Red Cross/Red Crescent
Societies (IFRC) reports that the primary focus is on shelter.
• Immediate priorities are distributing shelter tool kits, roofing kits, solar lamps, and
tarpaulins.
• The Philippine Red Cross (PRC) has 25 chapters actively responding.
• PRC focus is in Leyte, mobilizing 744 volunteers, providing 6 welfare desks, and
setting up two health stations to provide medical advice and consultations. There
are also increased efforts to distribute food parcels and hygiene kits in East Samar
and northern Cebu.
• The International Committee of the Red Cross (ICRC) has installed a mobile watertreatment unit in Marabut and will set up basic-health care units in Basey and
Balangiga in the upcoming days.
• The PRC and IFRC have a joint base of operations in Cebu City, with two satellite
hubs in Tacloban and Maya (North Cebu). A third hub will be built around the
rapid deployment hospital in Ormoc and focus on emergency medical care.
LOGISTICS
• The IFRC has deployed 11 emergency response units to conduct rapid
assessments of needs in affected areas. This information is communicated to the
PRC/IFRC headquarters in Manila to help prioritize immediate assistance needs.
• ICRC has distributed food parcels to 64,800 people in Guiuan, Mercedes, Salcedo,
Balangkayan, Hernani and Victory Island, with upcoming distribution to 8,500
people in Homonhon Island. In Guiuan, 86,500 liters of clean water and 3
generators have been provided.
• See Table 1 for PRC resource deployment.
SHELTER CLUSTER
• There is now full-time dedicated shelter coordination capacity in Manila, Roxas,
Tacloban, Cebu, and Bohol, with 15 full time staff coordinating. Cluster partners
are supporting coordination efforts in Guiuan, Ormoc, and Borongan.
• Mid and longer term recovery plans are now being developed to cover livelihoods
(including cash programming) and more permanent shelter needs.
• A detailed inter-agency shelter assessment will start in the coming days.
IFRC Operation Update No2, November 26

MAIN CONSTRAINTS AND CHALLENGES TO PROGRESS
• Delays in transportation of relief goods to the operational hubs,
due to problems of access and congestion.
• Difficulties in communication with teams in the field due to
multi-tasking, field visits, and limited communications facilities.
• Difficulties in sourcing out local materials.
• Need for better sharing of assessment information.

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
FOOD
FOOD
NEEDS:
• 2.5 million people are in need of food assistance.
• It is critical to get rice seed and fertilizer to approximately
250,000 farmers by mid-December.
• Funding is needed rapidly to fill the gap in immediate needs in
order to restore rice and maize production in the most affected
areas.
RESPONSE:
•
Partners in the Philippines: ACF, ACTED, ADRA, CARE, CARITAS,
CONCERN, CRS, DRC, GOAL, HelpAge, ICRC, IFRC, IMC, IRC,
Islamic Relief, LWF, Mercy Corps, NRC, OXFAM, Samaritan’s
Purse, Solidarites International, UNICEF and WVI.
•
Implementing partners interested in rice/seed intervention,
livestock and fisheries intervention work should contact FAO
(mathias.mollet@fao.org)
•
Between 2.5 million and 3 million people have received food
assistance. WFP is working with DSWD to adjust the duration of
the food ration over the coming weeks.
•
Additional cluster partners have reached 225,565 people in
affected areas; the Philippines Red Cross has distributed food to
218 families in evacuation centers.
•
ICRC finished distributing three-day food rations to 4,300
households in 54 barangays in Guiuan and surrounding areas.
ICRC has launched a large operation in coordination with
partners, to distribute one-month food rations.
•
WFP-managed UNHAS is operating 2 helicopters & 9 passenger
Nov.
plane out of Cebu, for humanitarians. OCHA Sitrep No. 18 – Nov27
OCHA SNAPSHOT
26
WFP OPS UPDATE – NOV 26

GAPS & CONSTRAINTS:
• To date, no funds have been committed to restore
fisheries-based livelihoods.
• Isolated island communities, notably North and South
Gigante, have yet to receive assistance.
• Delivered food supply is insufficient for many populations.
• Food Cluster is currently 49% funded out of a total US$76.2
million request.
• Logistical constraints hamper the delivery of food assistance,
but rapid expansion is occurring; coordination hub now in
Cebu.
• Resources are overstretched as the cluster is also responding
to the Bohol and Zamboanga emergencies.
• Security is a concern as people have stormed warehouses
and food distribution sites.
PRIORITIES:
• Access isolated areas lacking assistance.
• General food distribution, with food baskets containing rice
and ready-to-eat high-energy biscuits.
• Emergency food-for-work and cash-for-work to help kickstart early recovery activities and rebuild livelihoods.
• Cluster leads are assembling information on locations of all
involved organizations for better coordination.
CLUSTER LEADS:
Food Cluster Coordinator: Jeffrey Marzilli, jeffrey.marzilli@wfp.org
WFP Co-Leads: Beatrice Tapawan, 0917-539-9944, beatrice.tapawan@wfp.org
Dipayan (0917-594-2450, dipayan.bhattacharyya@wfp.org
FACEBOOK
TWITTER
NUTRITION
CASES OF ACUTE MALNUTRITION CONTINUE TO RISE.
APPROXIMATELY 30 CASES DIAGNOSED SO FAR
NEED:

PRIORITIES (URGENT):

• Delay in access to affected populations increases likelihood of
deterioration of health and nutrition of affected populations with
potential outbreaks of diseases.

• Rapid nutrition assessments and screening for detection, referral,
and follow-up of girls, boys and women supported by local women's
groups, religious leaders, and child protections councils;

• Cluster partners estimate that 1.35 million children under five,
650,000 pregnant and lactating women, and more than 800,000
elderly people in affected areas are at risk of acute malnutrition.

• Prevent and manage acute malnutrition for 900,000 children under
5, and 300,000 pregnant and lactating women and older people

• Priority interventions needed include infant and young child feeding
(IYCF) Infant formula monitoring, micronutrient supplementation,
management of acute malnutrition, and health and nutrition
education.
• Disruption to maternal care and child feeding practices and damage
to WASH and health facilities place children and women at a high
risk of malnutrition, especially in high poverty areas.
• Pre-disaster data shows that the affected regions have high rates of
malnutrition (5 percent to 9 percent global acute malnutrition
(wasting), 21 percent to 26 per cent underweight and 38 percent to
42 percent stunting).

• Promote appropriate infant and young child feeding practices (IYCP)
for 200,000 children
• Establish community-based therapeutic feeding centers for girls and
boys with severe acute malnutrition integrated in to local health
systems;
• Provision of nutrition supplies for therapeutic feeding,
micronutrient supplements and equipment;
• Capacity-building on management of acute malnutrition and
nutrition in emergencies targeting local health staff;

• Coordination and technical support to the Nutrition Cluster;

OCHA Situation Report 18 – Nov 27
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
NUTRITION
RESPONSE:

GAPS AND CONSTRAINTS:

• The Harmonized Initiative of Media for the Spread of Good
Nutrition in Region 8 (HIMSoG-8) was rolled out. Key messages for
infant and young child nutrition were formulated and shared to
affected parents and children using the media and local
communication channels

• Safe spaces for lactating women to breastfeed are lacking in
evacuation centers

•

One mobile team will provide SAM outpatient treatment from 25
November in Tacloban

• Partners are needed in all regions, specifically Ormoc,
Abuyog, Alangalang, Kananga, Palompon, Carigara, Albuera,
Bato and Tabango

•

In Cebu, 314 children aged 6-59 months received Vitamin A
supplements; 345 pregnant and lactating women received infant
and young child feeding counseling

• A lack of partners experienced in IYCF to support local agencies.
Immediate action is needed to harmonize messages on IYCF

•

In Roxas, partners screened 682 children aged 6-59 months and
222 pregnant/lactating women. 10 are moderately malnourished,
and one is severely malnourished. Of the women, nine were
found to be acutely malnourished. All 984 people screened
received high-energy biscuits.

•

•

World Food Program to implement 2 phase plan: 1 – prevent acute
malnutrition and micronutrient deficiencies; 2 – treatment of
moderate acute malnutrition in children 6 – 59 months old

In Tacloban, 90 per cent of children 6-59 months will be screened
for malnutrition during this week’s integrated vaccination and
vitamin A campaign

Emergency Appeal Operation Update - Nov 17
Unicef meeting notes: Nov 21 2013
OCHA Situation Report 18 – Nov 27
Philippines Typhoon Action Plan - Nov 2013

UNOCHA Report – Nov 23

• There is limited capacity for the treatment of severe and
moderate acute malnutrition

• Nutrition supplies are urgently needed in Panay
• Facilities for transportation and accommodation are damaged;
food and water supplies are limited. Deployed teams need to be
fully self-sufficient
• Of the 12 million USD asked for in action plan, 4.2% of funds
have been raised

• Most of the affected areas in Leyte and Samar remain
unreachable by media

CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair
UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org
hmdebwe@gmail.com
NUTRITION

http://reliefweb.int/sites/reliefweb.int/files/resources/MA030_NutritionAssessment_v01-300dpi.pdf.pdf
WASH
WATER, SANITATION AND HYGIENE
WATER, SANITATION AND HYGIENE
NEEDS:
•
•
•
•
•

GAPS & CONSTRAINTS:
•

In Tacloban, 45% of sites have off-site access to water and an average of one •
latrine per 61 people.
•
Debris clearance and waste management remain urgent priorities.
Water services are down and pipes need repairing in north-west Leyte.
8 evacuation centers in Tacloban with the largest number of IDPs are being
prioritized for WASH support.
According to the Shelter Cluster in Tacloban, the Government is planning to
set up one transitional site in Palo and two in Tanauan , which will need WASH
Facilities.

Efforts trace the locations and causes of diarrhea outbreaks need better
systems and more support.
Partner capacity is stretched in light of the large number of affected
municipalities.
Gender analyses are critical and need to be conducted to understand
the social and gender dynamics that could help or hinder WASH aid
effectiveness.

RESPONSE:
•
•
•
•
•
•
•

•
•

Partners are assisting the waste management process around Tacloban City.
Community clean-up and de-sludging have been organized in Tacloban and
Leyte through cash-for-work.
3 additional water treatment units (35,000 liters per day each) have been
installed in Dulag, Leyte.
Disinfection and distribution of emergency drinking water continues. 5 tankers
are currently in the coastal barangays of Basey, Marabut, Lawaan, Balangiga,
Salcedo, Mecedes and Guiuan.
All pumping stations in Northern Guiuan are now operational following the
repair of pumping station number 5.
Partners have distributed hygiene kits and jerry cans in Eastern Samar.
The broadcasting of hygiene promotion messages through mobile trucks
continues throughout Tacloban city, in an effort to raise awareness on good
hygiene practices for the prevention of water-borne diseases.
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

People covering their faces pass a car in debris after super typhoon
Haiyan battered Tacloban City, in central Philippines
OCHA SITREP 18 – 27 NOV 2013
UNICEF SITREP 6 – 26 NOV 2013

CLUSTER COORDINATOR
Rory Villaluna UNICEF washccph@gmail.com
Phone: 0917-859-2578 or 02-901-0101
WASH cluster assessments
EMERGENCY SHELTER
GAP & CONSTRAINTS
• Camp Coordination and Camp Management Cluster funding is at 14%
of the needed $6 million.
• Emergency Shelter Cluster is at 36% funding of the needed $46 million.
NEEDS:
• Concerns over potential supply pipeline failure locally and
• Shelter need identified as an immediate life-saving need
internationally; unable to meet demand
according to the preliminary results from the Multi-Cluster Initial
• Overcrowding and poor living conditions continue in evacuation
Rapid Assessment (MIRA)
centers. In Tacloban, less than half of the evacuation centers have
• CONTINUING URGENT NEEDS: Tarps, tents, shelter-related nonaccess to water, and an average of 1 latrine per 61 people.
food items (NFIs), 4 million corrugated iron sheets, nails, building
tools and materials, plastic sheeting, roofing material, hurricane • Difficult access to remote communities, poor communications, power
outages are affecting operations
straps
• Corrugated iron sheets need to be procured at scale
• NEEDS IN DISPLACEMENT SITES: Food, Water, Mosquito Nets,
• More partners needed to cover needs in Region VI (Western Visayas)
Blankets, Hygiene Kits
• Issues of housing, land and property have begun to surface in
severely affected area; Protection cluster is covering these
• Entire population (1,240 families) of barangay affected by oil spill
A resident begins
needs housing (Estancia, Iloilo Province). 162 families evacuated
by oil spill are in an evacuation center. Rest are still looking.
repairs on his damaged
DAMAGE: Official numbers now report 1,139,902 damaged
houses (576,280 completely destroyed).

home (source)
RESPONSE:
• 3.54 million people are displaced (including 1 million children),
of which 226,048 people (48,681 families) are living in 1,086
evacuation centers. The rest are living outside evacuation
centers.
• Large numbers of people continue to leave affected areas, largely
from Region VII (Eastern Visayas)
• MIRA results expected on 27 November, and a 12-month
strategic plan by 8 December.
• Work underway to set up new camp in Guiuan.
SHELTER CLUSTER – TYPHOON HAIYAN 2013
OCHA SITUATION REPORT NUMBER 18 – NOV 27

GOVERNMENT LEAD AGENCY
Asec Camilo G. Gudmalin
cgudmalin@dswd.gov.ph
0 920 948 5383
Phil. Int. Dialing Code: +63

CLUSTER CO-LEAD AGENCY
Patrick Elliot, IFRC
coord.phil@sheltercluster.org
patrick.elliott@ifrc.org
0 908 401 1218
CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION
UPDATE:
• According to the Child Protection Working Group, 10% of Filipino
women and girls aged 15 to 49 have experienced sexual violence.
This percentage is expected to increase.
URGENT: NEEDS:
•
Identification and profiling of IDPs moving out of affected areas is
needed. Many are leaving through airports and seaports with
minimal (if any) controls.
•
An estimated 5,000 people continue to leave Region VII (Eastern
Visayas) every day.
•
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
•
An estimated 5,000 people continue to leave Region VII (Eastern
Visayas) every day.
•
A targeted response to the Mamanwa ethnic group in marabut is
needed.
•
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.

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:
• Documents need to be re-issued, as many were lost.
• Distribution of Family Access Cards is urgently required to ensure
women and children access to humanitarian assistance.
• Stronger mechanisms are badly needed to prevent trafficking at air
and sea ports.
• The presence of female police officers remains limited.
• Safe spaces for women and children remains limited.
• A referral system for specialized services remain limited.
• Sex- and age-disaggregated data on IDPs is unavailable.
• Security personnel lack knowledge of protection issues.
• Information on missing persons remains large unavailable.
• No legislative data has been made on alternative resettlement or
relocation arrangements for IDPs.
OCHA SitRep#18 27Nov
NDRRMC SitRep#38 24Nov
UNFPA Master Plan Protecting Women & Girls
OCHA SitRep#16 22Nov
OCHA SitRep#15 21Nov
Protection Cluster Assessment#6 20Nov
IASC Sub-Working Group on Gender 18Nov
UNICEF SitRep#4 20Nov
CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION

CRITICAL RESOURCES:

RESPONSE:

TipSheet: Health and Gender

•

TipSheet: Education and Gender

•
•
•
•
•
•

•

The Migration Outflow Desk at Tacloban airport has registered
638 households (2,864 people) to date. DSDW detected one
possible case of human trafficking of a minor girl.
A response desk at Villamor Airbase, Pasay City (Manila), was
established to monitor possible cases of trafficking and/or
unaccompanied, separated, or missing children.
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.
Approximately 2,500 women and adolescent girls will benefit
from 5 women-friendly spaces in Tacloban City.
Over 1,800 children are visiting 7 child-friendly spaces
established in Western Visayas Region.
Four child-friendly spaces are also operating in Roxas and
Estancia, primarily for young children and their mothers living in
school-based evacuation centers who must vacate the schools
during the day for classes.
Women and Child Protection Units have been set up in
Borongan, Balangkayan, Hernani, Llorente, Oras, Salcedo, and
San Julian municipalities (Eastern Samar).

OCHA SitRep#18 27Nov
OCHA SitRep#16 22Nov
OCHA SitRep#15 21Nov
Protection Cluster Assessment#6 20Nov
IASC Sub-Working Group on Gender 18Nov
UNICEF SitRep#4 20Nov

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
CHILD PROTECTION & GENDER BASED VIOLENCE

https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th
CHILD PROTECTION & GENDER BASED VIOLENCE

https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th
US RESPONSE
KEY DEVELOPMENTS
•

As access to typhoon-affected areas continues to improve, aid delivery is
increasing, particularly in more remote areas, according to the U.N. In
addition, the number of people displaced by the typhoon is decreasing as
populations return to their home areas to reconstruct damaged and
destroyed houses.

•

USAID’s Disaster Assistance Response Team (DART) reports that
humanitarian actors are increasingly turning from emergency response to
transition and early recovery assistance.

•

While some populations are returning to home areas, others continue to
depart affected regions. The GPH estimates that 5,000 people are leaving
Eastern Visayas Region every day, including 600 to 700 people from Guiuan
municipality, with up to 6,000 people arriving in Cebu and 800 people at
the Manila airport every 48 hours.

•

On November 25, DoD transported 36 metric tons (MT) of U.N. World Food
Program (WFP) food commodities to five outlying islands near Guiuan on
November 25. To date, DoD has transported approximately 1,810 MT of relief
commodities to typhoon-affected areas, including Borongan, Guiuan, Ormoc, and
Tacloban. DoD has also evacuated approximately 540 American citizens, 19,600
Filipino citizens, and 300 third-country nationals from typhoon-affected areas.

•

As of November 25, DART logistics officers had facilitated the transfer of all
USAID/OFDA-provided relief commodities, including collapsible water containers,
from the Tacloban airport to warehouses managed by the GPH Department of
Social Welfare and Development (DSWD) for onward distribution.

Non-governmental organizations (NGOs) note the difficulty in determining
where to provide services, as it remains unclear whether people plan to
return to their home areas.

•

•

The DART reports significant progress in debris removal in Tacloban in
recent days, noting the opening of side streets and designation of debris
sorting and disposal sites outside of Tacloban city. The DART also observed
small markets selling produce, fish, and meat; an open pharmacy; and
several open gas stations, indicating fuel availability.

LOGISTICS AND RELIEF COMMODITIES
•

Civilian and private-sector commercial capacity has significantly
increased during the past week. Several DoD C-130 aircraft remain in
the Philippines to support deliveries of USAID-validated relief
commodities to affected areas. The U SS Ashland and USS
Germantown continue ship-to-shore logistics for the relief effort.

USAID FACT SHEET NO. 12– NOV 25

http://www.usaid.gov/haiyan/infographic
US RESPONSE
PROTECTION
• On November 23, the DART assessed the DSWD-managed evacuation center at Villamor Air
Base in Manila, which DSWD established to monitor possible cases of trafficking and
unaccompanied, separated, or missing children. The DART reports that all evacuees are
registered at the evacuation center upon arrival in Manila and provided with a meal,
clothes, medical services, and psychosocial support, as needed. DSWD also provides
onward transportation to pre-determined destinations or to a location managed by DSWD
and NGOs.
• Staff from several National Child Protection Working Group member agencies have started
providing specialized on-site support at the evacuation center for vulnerable children,
including initiating family tracing and interim care arrangements for separated and
unaccompanied children, as well as alternative care arrangements.
WATER, SANITATION, AND HYGIENE (WASH)
• Humanitarian organizations report that water quantity is generally sufficient in typhoonaffected areas, but water quality needs to be tested. The DART water, sanitation, and hygiene
(WASH) advisor reports that coastal communities are served by municipal water systems and
distribution networks, as well as wells and hand pumps. The storm surge likely affected
shallow wells, which may need to be cleaned and chlorinated to provide safe drinking water.
• The DART WASH advisor reports that evacuation centers in Tacloban lack sufficient latrines.
USAID/OFDA partner the U.N. Children’s Fund (UNICEF) and NGOs are addressing sanitation
gaps; however, latrines are not uniformly available for typhoon-affected populations. In
addition, sanitation facilities at the airport in Tacloban are not sufficient to meet the needs of
people waiting to evacuate. The Armed Forces of the Philippines reports that existing
sanitation facilities are overwhelmed and in need of maintenance and that additional
temporary latrines and hand-washing facilities are necessary to meet existing needs.
• USAID/OFDA has provided more than $4 million to respond to WASH needs in East Samar,
Leyte, and Samar provinces to date. USAID/OFDA-supported activities include improving
access to safe drinking water, restoring access to latrines, and conducting hygiene promotion
activities.

USAID Fact Sheet No. 12– Nov 25
CLUSTER MEETINGS - 27 NOV 2013
Daily Press Briefing (Tacloban)
27/11/2013 - 07:30
Tacloban Town Hall
Philippines
mildren@un.org
Intra-Cluster Meeting (Roxas)
27/11/2013 - 08:30
Philippines
Reproductive Health Meeting (Roxas)
27/11/2013 - 08:30
PHO
Philippines
Angel Umali
09175440050
umali@unfpa.org
Education Cluster Meeting (Roxas)
27/11/2013 - 09:00
DepEd Division Office, Capiz
Philippines
Preethi Nampoothiri
09154932066
Nutrition Cluster AWG meeting
27/11/2013 - 09:00
UNICEF
Philippines
MCDA Tasking meeting (Cebu)
27/11/2013 - 10:00
Cebu Air Base
Philippines
PAF, Foreign MCDA, Logistics Cluster
Donor Briefing (Manila) incl. MIRA
findings
27/11/2013 - 10:00
ILO Auditorium (19th floor, Yuchengco
Tower, RCBC Plaza, Makati City)
Philippines
Logistics Cluster Coordination
Meeting (Manila)
27/11/2013 - 11:00
Philippines

Shelter Cluster Meeting
(Tacloban)
27/11/2013 - 14:00
Philippines
WASH Cluster Meeting (Tacloban)
27/11/2013 - 14:00
OSOCC
Philippines
Silvia Ramos
0906-516-0271
CCCM Meeting (Tacloban)
27/11/2013 - 15:00
OSOCC
Philippines
Conrad Navidad
0908-865-4543
Nutrition Cluster Meeting
(Tacloban)
27/11/2013 - 15:00
OpCen EWRMC
Philippines
Dina A. Leilane / Mathisen Rogers
Protection Cluster Meeting
(Tacloban)
27/11/2013 - 15:00
OSOCC
Philippines
Roberto Mignone
GBV & Child Protection Meeting
(Tacloban)
27/11/2013 - 15:00
OSOCC
Philippines
Ronnel Villas
Health Meeting (Tacloban)
27/11/2013 - 17:00
Eastern Visayas Regional Medical
Center (DOH OpCen)
Philippines
Boy Llacuna / Dana van Alphen

Early Recovery Cluster Meeting
(Tacloban)
27/11/2013 - 17:00
OSOCC
Philippines
LTC Edwin Sadang / Christophe
Charbon
0917-582-1214
Child Protection WG (Roxas)
27/11/2013 - 17:00
Provincial Capitol 3rd floor
Philippines
Angel Umali
09175440050
Health Meeting (Roxas)
27/11/2013 - 17:00
Governor's IDEA room
Philippines
Suzanne Averill
09471707501
Security Briefing (Tacloban)
27/11/2013 - 17:00
OSOCC
Philippines
LTC Madarang / John Schot
WASH Cluster Meeting Eastern
Samar Hub
27/11/2013 - 18:00
PDRRMC Office
Borongan City, Samar
Philippines
Ms Christie Sidro
Coordination Meeting (Tacloban)
27/11/2013 - 18:00
OSOCC
Philippines
Mr. Jesper Lund
0915 772 0893
lund@un.org

General Coordination Meeting
(Guiuan)
27/11/2013 - 18:00
Philippines
Mark McCarthy
+882167000964
Coordination Meeting (Roxas)
27/11/2013 - 18:00
(ROXAS provincial hall)
Philippines
UNDAC
+63 91 86569199
Public Information and
Communications Meeting
(Tacloban)
27/11/2013 - 19:00
OSOCC
Philippines
Matthew Cochrane
0906-572-3983
FSAC Meeting (Roxas)
27/11/2013 - 19:00
Provincial Capitol 3rd floor
Philippines
Cherie LO
0917981828
WASH Cluster Meeting (Roxas)
27/11/2013 - 19:00
Vice gov. conference room
Philippines
Hanna Montaner
09178607445
CCCM Cluster Meeting (Roxas)
27/11/2013 - 19:00
Provincial Capitol 3rd floor
Philippines
Robert Shaw
09193243185
Shelter Cluster Meeting (Guiuan)
27/11/2013 - 19:00
OSOCC
Philippines
Andrew Lind
09186572802

GIS WG (Manila)
27/11/2013 - 19:00
RCBC complex
Philippines
Shelter Cluster Meeting (Roxas)
27/11/2013 - 19:30
Roxas Provincial Hall, Roxas,
Region VI
Philippines
Tim Stats
0929 7957369
im2.phil@sheltercluster.org
CLUSTER MEETINGS - 28 NOV 2013
Daily Press Briefing (Tacloban)
28/11/2013 - 07:30
Tacloban Town Hall
Philippines
mildren@un.org
Early Recovery Cluster meeting
28/11/2013 - 08:30
PDRRMC Capital Building
Roxas City
Philippines
Winston Camarinas
National Child Protection Working Group
Meeting - Manila
28/11/2013 - 09:00
Manila - UNICEF Office
Philippines
Adele Chavez
agchavez@cwc.gov.ph
2nd Nutriton Cluster Core Group meeting
28/11/2013 - 09:00
Philippines
Education Cluster Meeting (Region VI)
28/11/2013 - 09:00
DepEd Division of Capiz, Superintendents Office
Philippines
Preethi Nampoothiri
9154932066 or 9289040732
P.Nampoothiri@savethechildren.org.uk
MCDA Tasking meeting (Cebu)
28/11/2013 - 10:00
Cebu Air Base
Philippines
PAF, Foreign MCDA, Logistics Cluster
Donor Briefing (Manila) incl. MIRA findings
28/11/2013 - 10:00
ILO Auditorium (19th floor, Yuchengco Tower,
RCBC Plaza, Makati City)
Philippines
GBV Sub-cluster meeting [Manila]
28/11/2013 - 10:30
UNFPA Conference Room
RCBC Plaza 30th floor
Philippines

Livelihood Cluster Meeting
28/11/2013 - 14:00
ILO Auditorium, 19th Floor, RCBC Plaza
Makati
Philippines
Ruth Georget
georget@ilo.org
Shelter Cluster Meeting (Tacloban)
28/11/2013 - 14:00
Philippines
CCCM Meeting (Tacloban)
28/11/2013 - 15:00
OSOCC
Philippines
Conrad Navidad
0908-865-4543
Nutrition Cluster Meeting (Tacloban)
28/11/2013 - 15:00
OpCen EWRMC
Philippines
Dina A. Leilane / Mathisen Rogers
WASH Cluster Meeting (Tacloban)
28/11/2013 - 16:00
OSOCC
Philippines
Silvia Ramos
0906-516-0271
Early Recovery Cluster Meeting (Manila)
28/11/2013 - 16:00
ILO Auditorium (19th floor, Yuchengco
Tower, RCBC Plaza, Makati City)
Philippines
Rekha Das
rekha.das@undp.org
Health Meeting (Tacloban)
28/11/2013 - 17:00
Eastern Visayas Regional Medical Center
(DOH OpCen)
Philippines
Boy Llacuna / Dana van Alphen

Shelter Cluster Meeting (Manila)
28/11/2013 - 17:00
19th floor, ILO (RCBC Plaza)
Philippines
Anna Pont
09084011218
coord.phil@sheltercluster.org
Security Briefing (Tacloban)
28/11/2013 - 17:00
OSOCC
Philippines
LTC Madarang / John Schot
Coordination Meeting (Tacloban)
28/11/2013 - 18:00
OSOCC
Philippines
Mr. Jesper Lund
0915 772 0893
lund@un.org
General Coordination Meeting (Guiuan)
28/11/2013 - 18:00
Philippines
Mark McCarthy
+882167000964
Coordination Meeting (Roxas)
28/11/2013 - 18:00
(ROXAS provincial hall)
Philippines
UNDAC
+63 91 86569199
Logistics Cluster Coordination Meeting
(Tacloban)
28/11/2013 - 19:00
OSOCC
Tacloban City
Philippines
Irving Prado
0927 832 8557
Irving.Prado@wfp.org
5

Public Information and
Communications Meeting
(Tacloban)
28/11/2013 - 19:00
OSOCC
Philippines
Matthew Cochrane
0906-572-3983
FSAC Meeting (Roxas)
28/11/2013 - 19:00
Provincial Capitol 3rd floor
Philippines
Cherie LO
0917981828
CCCM Cluster Meeting (Roxas)
28/11/2013 - 19:00
Provincial Capitol 3rd floor
Philippines
Robert Shaw
09193243185
CLUSTER MEETINGS - 29 NOV 2013
29/11/2013 - 07:30
Tacloban Town Hall
Philippines
mildren@un.org
Protection Cluster Meeting (Manila)
29/11/2013 - 09:00
UNHCR Manilla Office 6th floor GC Corporate
Plaza 150 Legaspi street
Philippines
MCDA Tasking meeting (Cebu)
29/11/2013 - 10:00
Cebu Air Base
Philippines
PAF, Foreign MCDA, Logistics Cluster
Donor Briefing (Manila) incl. MIRA findings
29/11/2013 - 10:00
ILO Auditorium (19th floor, Yuchengco Tower,
RCBC Plaza, Makati City)
Philippines
IYCF TWG meeting
29/11/2013 - 10:00
NNC Conference room
Philippines
CMAM TWG meeting - Nutrition
29/11/2013 - 11:00
NNC Conference room
Philippines
Shelter Cluster Meeting (Tacloban)
29/11/2013 - 14:00
Philippines
Food Security & Agriculture (Tacloban)
29/11/2013 - 14:00
OSOCC
Tacloban City
Philippines
Samantha Chattarraj
0915 143 8191
Samantha.chattaraj@wfp.org
Nutrition Cluster Meeting (Cebu)
29/11/2013 - 14:30
Department of Health/CHD 7 Jones Avenue
Philippines
Ms. Letlet Missio

CCCM Meeting (Tacloban)
29/11/2013 - 15:00
OSOCC
Philippines
Conrad Navidad
0908-865-4543
Nutrition Cluster Meeting (Tacloban)
29/11/2013 - 15:00
OpCen EWRMC
Philippines
Dina A. Leilane / Mathisen Rogers
IM Working Group (Manila)
29/11/2013 - 16:00
RCBC Plaza - 30th floor
OCHA Conference room
Makati
Philippines
Andrej Verity
verity@un.org
Health Meeting (Tacloban)
29/11/2013 - 17:00
Eastern Visayas Regional Medical Center
(DOH OpCen)
Philippines
Boy Llacuna / Dana van Alphen
Child Protection WG (Roxas)
29/11/2013 - 17:00
Provincial Capitol 3rd floor
Philippines
Angel Umali
09175440050
Health Meeting (Roxas)
29/11/2013 - 17:00
Governor's IDEA room
Philippines
Suzanne Averill
09471707501
Food Security and Agricultural Cluster
Meeting (Tacloban)
29/11/2013 - 17:00
OSOCC
Philippines
Samantha Chaterraj

Security Briefing (Tacloban)
29/11/2013 - 17:00
OSOCC
Philippines
LTC Madarang / John Schot
WASH Cluster Meeting Eastern Samar
Hub
29/11/2013 - 18:00
PDRRMC Office
Borongan City, Samar
Philippines
Ms Christie Sidro
Coordination Meeting (Tacloban)
29/11/2013 - 18:00
OSOCC
Philippines
Mr. Jesper Lund
0915 772 0893
lund@un.org
General Coordination Meeting
(Guiuan)
29/11/2013 - 18:00
Philippines
Mark McCarthy
+882167000964
Coordination Meeting (Roxas)
29/11/2013 - 18:00
(ROXAS provincial hall)
Philippines
UNDAC
+63 91 86569199
Public Information and
Communications Meeting (Tacloban)
29/11/2013 - 19:00
OSOCC
Philippines
Matthew Cochrane
0906-572-3983
FSAC Meeting (Roxas)
29/11/2013 - 19:00
Provincial Capitol 3rd floor
Philippines
Cherie LO
0917981828

WASH Cluster Meeting (Roxas)
29/11/2013 - 19:00
Vice gov. conference room
Philippines
Hanna Montaner
09178607445
CCCM Cluster Meeting (Roxas)
29/11/2013 - 19:00
Provincial Capitol 3rd floor
Philippines
Robert Shaw
09193243185
Nutrition Cluster Meeting (Roxas)
29/11/2013 - 19:00
Provincial Capitol, 3rd floor
Philippines
Paul Wasike
09477847179
Shelter Cluster Meeting (Roxas)
29/11/2013 - 19:30
Roxas Provincial Hall, Roxas, Region VI
Philippines
Tim Stats
0929 7957369
im2.phil@sheltercluster.org
CLUSTERS POC

https://philippines.humanitarianresponse.info/system/files/documents/files/Contact%20List_Cluster%20co-leads_Typhoon%20Haiyan_Yolanda%2013Nov2013.pdf

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Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 27 NOV 2013 - 12 PM

  • 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 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 FOOD NUTRITION WASH EMERGENCY SHELTER LOGISTICS PROTECTION US RESPONSE INJURED DEAD 5,500 26,136 CLUSTER MEETINGS COORDINATION HUBS CLUSTER LEADS 27 NOV 2013 (As of 12 PM EST) 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 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. BACKGROUND Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine typhoon on record, killing at least 5,500 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
  • 3. EMERGING NEEDS MEDICAL AND PUBLIC HEALTH • Reproductive health kits (Tacloban and elsewhere) • Insufficient coordination between incoming foreign medical teams and local health officials • Limited capacity for the treatment of severe and moderate acute malnutrition FOOD AND WATER • Nutrition supplies are urgently needed in Panay • No water supplies in municipality of Barbaza, Antique, and some municipalities/cities in Capiz and Iloilo • Water services are down and pipes need repairing in northwest Leyte • Government requested support for agricultural inputs and crop to farmers in time for the planting season (mid-January) • • • • • • An estimated 4 million corrugated iron sheets and other shelter material are needed • CGI sheets, fixings and tools needed • Evacuation centers lack safe spaces for lactating women to breastfeed LOGISTICAL BARRIERS • Debris clearance and waste management • Information about which small roads are blocked by debris • Limited amount of warehouse facilities to store relief supplies (Tacloban) • Storage at Tacloban airport • Lack of fuel in Guiuan • Limited trucking capacity exists in Guiuan but could be augmented from Tacloban • Lack of heavy equipment for debris-clearing needed • Power outages • Some provinces and municipalities/cities in Regions IV-B, V, VI, VII, and VIII 1,920 tons of rice seeds 330 tons of corn seeds 2,200 tons of fertilizers 11,000 agricultural tool kits 1,400 small irrigation water pumps SECURITY • • • • TEMPORARY SHELTER, EVACUATION CENTERS, AND CAMPS The presence of female police remains limited Security personnel lack knowledge of protection issues Safe spaces for women and children Documents need to be re-issued, as many were lost • Philippines: Typhoon Haiyan Situation Report 18 • NDRRMC SitRep No. 43 OTHER • Shortage of funds for Local Government Units to implement short-term emergency employment and mid- to long-term recovery and reconstruction projects • An estimated 12,250 workers will need personal protective equipment and tools for debris clearance • Tents and other temporary learning spaces for schools • Learning and recreation materials
  • 4. EMERGING PRIORITIES FOOD AND WATER • Life-saving food assistance needed for 2.5 million people • Gaps in food assistance in coastal areas of Eastern Samar and small isles in northern Cebu • Eight evacuation centers in Tacloban with the largest number of IDPs are being prioritized for WASH support SHELTER & URGENT HOUSEHOLD ITEMS • Over 3.5 million displaced of which 222,600 are living in one of the 1,068 evacuation centers • Entire population (1,240 families) of the barangay affected by the oil spill off the coast of Estancia, Iloilo Province, require temporary shelter solutions • Address overcrowding in evacuation centers • Local markets cannot meet the demand for shelter materials • More assistance from partners in Region VI (Western Visayas) ESSENTIAL HEALTH SERVICES • Region VIII (Eastern Visayas) has highest amount of typhoon-relayed health needs • 25% of the adult population suffers from hypertension • 5% or adult population suffers from diabetes • Promote appropriate infant and young child feeding practices (IYCP) for 200,000 children • 865 births/day in affected communities, with around 15% experiencing potentially life-threatening complications • Infant and young child feeding practices • • • • Over 800 schools have sustained major damage and 4,485 classrooms need replacement • Debris clearing of schools • Collect information on the non-assessed schools in the most affected areas • Collect information on the status of day care centers and children • Initial phases of the education response will focus on the resumption of learning activities through the establishment of temporary learning spaces, as well as the provision of psychosocial support for children, teachers and other education staff Micronutrient supplementation to 30,600 children aged 6-59 months Blanket supplementary feeding for children aged 6-23 months Rreatment for some 600 children aged 6-59 months with severe acute malnutrition and 2,100 with moderate acute malnutrition • Only 18% of children under 5 fully immunized against measles • Only 83% of children under 5 immunized against polio • 5.5 million affected children need psychosocial and health services • Tracing of the locations and causes of diarrhea outbreaks • • • EDUCATION Philippines: Typhoon Haiyan Situation Report 18 NDRRMC SitRep No. 43 UNICEF: SitRep #6 OTHER • Intensify tracking mechanisms for separated children • Collection of sex and age disaggregated data on IDPs • 40% of affected people have communication problems with separated family members • Most areas in Leyte and Samar are unreachable by the media • 42% of affected people have documentation needs • A targeted response to the Mamanwa ethnic group in Marabut is needed • Over 5 million workers’ livelihoods in nine of the country’s 17 regions were affected
  • 5. WEATHER OUTLOOK GALE WARNING NO. 21 For: Strong to gale force winds associated with the surge of Northeast Monsoon. Issued at 5:00 p.m. today, 27 November 2013 Strong to gale force winds is expected to affect the seaboards of Northern Luzon. Synopsis: Tail-end of a cold front affecting Northern Luzon. Trough of a Low Pressure Area affecting Mindanao. Forecast: Metro Manila and the regions of Ilocos, Cordillera, Cagayan Valley, Central Luzon and Mindanao will have cloudy skies with light to moderate rainshowers and thunderstorms. The rest of the country will be partly cloudy to cloudy with isolated rainshowers or thunderstorms. Daily AccuWeather PAGASA Gale Warning PAGASA PAGASA weather report PDF Moderate to strong winds blowing from the northeast will prevail over Northern Luzon and its coastal waters will be moderate to rough. Elsewhere, winds will be light to moderate coming from the northeast to north with slight to moderate seas.
  • 7. CURRENT SITUATION As of 27 NOV 2013 – 6:00 PM PhT AIRPORTS: To date, operations in Tacloban Airport is limited CASUALTIES: 5,500 individuals were reported dead, 26,136 injured and 1,757 missing. SEAPORTS: All seaports are operational. • The Philippine Ports Authority has taken over the Port of Tacloban. • A total of 16 barges is now operating and travelling from Matnog, Sorsogon Port to Allen, Northern Samar, while sea crafts taking off from Bulan Port, Sorsogon to Allen, Northern Samar are solely for mercy missions. AFFECTED POPULATION: A total 2,177,863 families (9,927,335 persons) were affected in 11,939 barangays in 44 provinces, 574 municipalities and 57 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA. 782,222 families (3,542,370 persons) were displaced. Inside 1,069 evacuation centers: • 48,655 families / 225,922 persons inside evacuation centers • 733,567 families/ 3,316,448 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA): • DAMAGED HOUSES: 1,149,529 houses damaged (574,392 totally / 575,137 partially) The total cost of damages was pegged at P24,539,259,407.76 ($ 559,551,979 USD) • For infrastructures P13,182,975,034.00 ($300,603,469 USD) • For agriculture P11,356,276,373.26 ($ 258,948,508) in Regions IV-A, IV-B, V, VI, VII, VIII, and CARAGA ‐ Crops (rice, corn other crops): P5,168,997,352.20 ($117,863,698 USD) ‐ Livestock: PhP 2,184,011,8810 ($49,800,712 USD) ‐ Fisheries: P2,161,634,28.06 ($49,290,449 USD) ‐ Irrigation facilities: P212,700,000 ($4,850,070 USD) ‐ Other agricultural infrastructure: P: P1,628,932,860 ($37,143,578 USD) POWER OUTAGE: • As of 22 November 2013, NGCP reported that there were a total of 1,959 transmission facilities that were damaged including backbone transmission lines, steel poles, and converter station; electricity has been restored in Ormoc City, Leyte; and in the municipalities of Anilao, Banate , Barotac Viejo & Ajuy, all of Iloilo. • To date, power outage is still being experienced in some provinces and municipalities in Regions IV-B, V, VI, VII, and VIII. WATER SUPPLY: • Municipality of Barbaza, Antique, and some municipalities/cities in Capiz and Iloilo, still do not have water supply. • Water supply in areas of Leyte (17 towns, 2 cities), Western Samar (2 towns,1 city) and Eastern Samar (1 town) has been restored. • Several towns have access to water through a diesel-powered / electricpowered pump. • Water supply system in Busuanga town proper is functional. Coron, however, is implementing a rationing system. NETWORK OUTAGE • Globe Telecom Cellular Services were restored in Borongan, Eastern Samar, Isabel and Palo in Leyte; Lavezares, Rosario, San Jose, and Lope de Vega in Northern Samar; Hinunangan, Limasawa, and Sogod in Southern Leyte; San Sebastian and Pagsanghan in Western Samar; Culasi and Laua-an in Antique; NDRRMC Dumarao, Capiz; and Daanbantayan, Cebu
  • 9. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL Reports from the field show that medical support provided by international and local teams need to increase in geographical area and scope of services beyond the current hubs. As the situation evolves, the need for emergency trauma care is decreasing, and the need for primary health care is increasing, including for essential medical and surgical care as well as preventive health services. As of 26 NOV - Despite increasing humanitarian aid in typhoon-hit areas of the Philippines, Doctors Without Borders/Médecins Sans Frontières (MSF) teams are still finding villages and towns that have not yet received any aid. WATER, SANITATION AND HYGIENE (WASH) AND ENVIRONMENTAL HEALTH Following reports of diarrhoea from Bantayan, Cebu, and Region VII the WASH cluster has coordinated the chlorination of shallow wells dug by the cluster. Laboratory tests are being conducted to test for the adequacy of the level of chlorination. Environment health assessment in health care facilities is being conducted this week by a DoH and WHO in Eastern Samar. PATIENT REFERRALS AECID has supported DoH in developing a referral system for transfer of patients in Tacloban. A specific reporting form for surgical referrals and needs will be developed as part of the system. • As of 26 November, surgical cases are to be referred to EVRMC, the Australian FMT and Divine World health facility, • Dialysis patients are to be referred to RTR • Patients needing ventilators to be referred to the Australian FMT • All other referrals including for obstetric care are to be referred to EVRMC. Additional transportation mechanisms are needed to support this system. Currently the Red Cross ambulances stations at EVRMC are the main point of call for transportation of patients. DISEASE/INJURIES There are also increasing numbers of cases with Acute Respiratory Infection (ARI), dog bites and wounds related to debris clearing and reconstruction of houses. Some cases of chicken pox and leptospirosis have been reported and verification is currently taking place. Other areas of concern as reported by the medical teams include treatment of spinal injuries and tetanus. Treatment protocols and tetanus immunoglobulin have been dispatched. MORBIDITY : To date, the five main causes of morbidity identified include acute respiratory infection, fever, diarrhea, hypertension and skin disease. In Tacloban, the number of cases needing surgery and in-patient care is decreasing while need for primary health care especially treatment of chronic diseases (e.g. TB, hypertension) is increasing. In Tacloban city, between 24 and 26 November, the following cases of note were reported: • Suspect leptospirosis cases (1 each) from Palo and Tacloban City were admitted to Eastern Visayas Medical Center (EVRMC) • Suspect tetanus cases (4 in total) from Tacloban city, Tolosa, and Leyte were admitted to Eastern Visayas Medical Center (EVRMC) NOTE: THE LASTEST TYPHOON YOLANDA HEALTH CLUSTER ISSUE #3 IS POSTED WHO #3 WHO - #2
  • 10. 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. Vaccines are sup-plied mainly through local procurement but additional donations from international entities are still welcome. While the cold chain was brought from other sites for Tacloban to start the campaign, shortages still exit to continue the vaccinations in other parts of Region VIII. UNICEF, in support of DoH, is conducting cold chain assessments for regions VI, VII and VIII. 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 MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT A rapid assessment by IMC shows that mental health is a significant concern for affected populations and the current response measures are insufficient to meet all the needs. The government is discussing the means to train national health professionals on delivering mental health and psychosocial care to the affected population. A mental health expert from WHO is in Manila to help coordinate the actions in support of the DoH. HEARS CURRENT SITUATION 26 NOV 2014 HEARS CURRENT SITUATION NOV 25, 2013 HEARS CURRENT SITUATION NOV 24, 2013 PUBLIC HEALTH RISKS The main public health risks have been identified as follows: • Disruption in the health sys-tem including lack of health facilities, primary and secondary health care delivery and the subsequent disruption to universal access to health care • Communicable diseases especially in view of the disruption to the surveillance system and problems related to water and sanitation, overcrowded living conditions and low vaccination coverage prior to the event especially for measles. Cholera, dengue and leptospirosis are endemic in many of the affected areas, increasing the risk of out-breaks of these diseases in view of the increased vulnerability of the affected population. • Chronic diseases including interruption of treatment for disease needing long term treatment. This is an in-creasing problem as chronic diseases including hyper-tension and diabetes ac-count for a large number of morbidity and mortality • Reproductive health – high number of pregnant women about to deliver, low capacity of health facilities to de-liver obstetric and surgical care • Disruption in cold chain and medical provisions • Lack of water and low sanitation level, and low capacity for waste management, including medical waste WHO - #3 WHO - #2
  • 11. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL • An oil spill incident occurred during the height of the storm surge episode during typhoon Yolanda in Estancia, Iloilo last November 08, 2013. • The power barge sustained damage to its hull which also serves as storage for its fuel requirements. As a result, an estimated 200,000 liters of bunker fuel has leaked out of the fuel tanks into the water and coastline with 1.2 million liters of bunker oil still in the fuel tanks and have to be unloaded. • The Department of Health has recommended the mandatory evacuation of about 5,000 persons / 1,174 families living in the community. • Test results have showed that the level of the toxic substance benzene in the air in the community reached 16.9 parts per million or 30 times more than the allowable level of 0.5 ppm. . • National Power Corporation (NPC ) deployed the spill booms of PB103 supplemented with spill booms provided by the Philippine Coast Guard. Spill booms from PSALM’s Power Barges 101 and 102 were also transported from Iloilo City and deployed to help prevent the spilled oil from drifting away from the immediate vicinity of the damaged power barge. • NPC, with the able assistance of the Philippine Coast Guard, also engaged the services of the local community to manually scoop the spilled fuel oil and place the same in available containers before it can be hauled off for proper disposal.The Philippine Coast Guard has installed booms around the barge to stop the spread of the oil spill. HEARS CURRENT SITUATION NOV 24, 2013 NATION POWER CORPORATION THE NAPOCOR power barge that was detached from its moorings by storm surge and slammed into communities along the coastline of Estancia, Iloilo. INQUIRER VISAYAS
  • 12. HEALTH SERVICES RENDERED VILLAMOR AIRBASE EASTERN VISAYAS REGIONAL MEDICAL CENTER Services Services NOV 20-25 Nov 15-Nov 25 ER Consultations 1,524 OPD Consultations 3,356 OPD Consultations 1,795 Psychosocial 2,520 Surgery Admissions Psychosocial Total TOP 5 CONSULTS: 1. Trauma/typhoon- related Injuries 2. Respiratory Tract Infection 3. Acute Gastro enteritis 4. Hypertension 5. Skin disease DEPARTMENT OF HEALTH HEARS CURRENT SITUATION 26 NOV 2014 357 1,352 571 5,599 Referred from AFP Gen. Hospital to various hospitals Total 502 6,377 TOP 5 CONSULTS: 1. URTI 2. 2.Headache/ dizziness 3. 3.Wounds (laceration, puncture, abrasions) 4. 4.Hypertension 5. 5.Musculoskeletal pain NUMBER OF PATIENTS REFERRED FROM TACLOBAN (AS OF NOV. 26, 2013,4:00 PM) • To Cebu: 365 patients • To Metro Manila: 518 patients • 55 are walk-in, 463 were referred by AFGH & DOH Medical Teams in Villamor Total: 883 patients
  • 13. INITIAL ESTIMATES OF DAMAGE OF HEALTH FACILITIES IN REGIONS IV- B, VI, VII, VIII PROVINCES TOTAL NO OF HEALTH HOSPITAL FACILITIES AFFECTED TOTAL ESTIMATED AMOUNT TOTAL ESTIMATED AMOUNT USD BHU RHU Region VIII 754 180 61 995 3,928,512,300 89,876,897 Region VII 43 15 2 60 21,880,000 500,572 Region VI 1,084 97 35 1,216 49,932,500 1,142,360 0 7 1 8 82,060,000 1,877,376 1,881 299 99 4,082,384,800 93,397,205 Region IV B GRAND TOTALS DOH UPDATED REPORT – 26 NOV 2013
  • 14. IMMEDIATE NEEDS FOR REPAIR AND REHABILITATION OF HEALTH FACILITIES IN REGIONS VI, VII, VIII Provinces No. of Hospitals Affected Estimated Amount No. of RHUs Affected Estimated Amount Total No. of Facilities Affected Total Estimated Amount Total Estimated Amount USD Region VIII 14 405,000,000 63 307,346,000 77 712,346,000 16,295,199 Leyte 6 205,000,000 40 203,379,100 46 408,379,100 9,343,999 Eastern Samar 5 170,000,000 21 94,926,300 26 264,926,300 6,061,010 Western Samar 3 30,000,000 2 9,040,600 5 39,040,600 893,069 Cebu 2 3,450,000 15 15,000,000 17 18,450,000 422,100 Region VI 18 80,000,000 38 38,000,000 56 118,000,000 2,699,615 Aklan 3 12,000,000 10 10,000,000 13 22,000,000 503.318 Antique 6 24,000,000 6 6,000,000 12 30,000,000 $686,343 Capiz 5 25,000,000 15 15,000,000 20 40,000,000 $915,124 Iloilo 4 19,000,000 7 7,000,000 11 26,000,000 $594,830 Grand Total 34 116 360,346,000 150 848,796,000 $19,418,839 Region VII DOH UPDATED REPORT – 26 NOV 2013
  • 15. IMMEDIATE NEEDS FOR PUBLIC HEALTH SERVICE PUBLIC HEALTH INTERVENTION COST ESTIMATE (IN PHP MILLION) COST ESTIMATE (IN USD) Child Health 18.0 $411,805 Oral Rehydration Salt and Zinc Syrup 18.0 $411,805 Maternal Health 9.4 $215,054 Emergency Delivery Kit (4,000 deliveries) 9.0 $205,902 Iron Supplementation for Pregnant and Post-Partum Women 0.4 $9,152 Communicable Diseases 1.9 $43,468 Dengue Insecticide 1.5 $34,317 Doxycycline (Prophylaxis for Leptospirosis) 0.4 $9,152 17.6 $402,607 5.4 $123,541 Anti-Diabetic Medications 12.2 $279,079 Senior Citizens 29.0 $279,079 Influenza and Pneumococcal Vaccine for Senior Citizens 29.0 $279,079 Essential Medicines 6.48 $155,552 Essential Medicines and Supplies for Primary Care 6.48 $155,552 Medical/Surgical Assistance 20.0 $457,562 Non-Communicable Diseases Anti-Hypertensive Medications DOH UPDATED REPORT – 26 NOV 2013
  • 16. DISEASE BRIEF-VITAMIN A DEFICIENCY DESCRIPTION Low levels or lack of vitamin A in the body • Leading cause of preventable blindness in children • Causes night blindness in pregnant women • Vitamin A deficiency contributes to maternal mortality and other poor outcomes in pregnancy • Vitamin A deficiency reduces the body’s ability to fight infections. In countries where children are not immunized, infectious disease like measles have higher death rates • It may increase children's risk of developing respiratory and diarrheal infections, decrease growth rate, slow bone development, and decrease likelihood of survival from serious illness RISK FACTORS • • • • • Poor food choice, lack of food availability, or lack of nutritional food (even if people get enough to eat, can cause malnourishment if the food does not provide the proper nutrients) Age Pregnancy Recent infection such as diarrheal disease Low socioeconomic status SYMPTOMS • • • • • • Dry eyes/hair/fingernails Night blindness Skin disorders Infections to include respiratory Low blood cell count-anemia Fatigue Mayo Clinic WHO Medscape TREATMENT • Increase vitamin A rich foods-liver, beef, chicken, eggs, fortified milk, leafy green vegetables, mangoes, sweet potatoes • Daily oral vitamin A supplementation CURRENT SITUATION FNRI 2008 survey 15% of children aged 6 months-5 years are deficient-1.7 million children under age 5 and 500,000 pregnant women RECOMMENDATIONS • Promote breastfeeding for infants as breast milk is a good source of vitamin A • Encourage diets rich in vitamin A to include foods fortified with this micronutrient • Support home gardens where fruits and vegetables can be grown
  • 17. HIGHLIGHT BRIEF- MALNUTRITION DESCRIPTION TREATMENT • Malnutrition is caused by inadequate or unbalanced nutrition. • Malnutrition is the largest single contributor to disease according to the UN’s Standing Committee on Nutrition (SCN). • Inhibits physical and mental development in children and can cause mental retardation if severe at an early age • Can cause women to give birth to low birth-weight babies • Increase quality and quantity of food intake • Nutrient supplementation • People who cannot or will not eat may be fed intravenously or by a tube inserted directly into the gastrointestinal tract RISK FACTORS • Illness or disease is often a factor of malnutrition either as a result or a contributing cause • Poor food choice, lack of food availability, or lack of nutritional food (even if people get enough to eat, can cause malnourishment if the food does not provide the proper nutrients) • Injuries to the face or nerve damage to the muscles that control chewing and/or swallowing CURRENT SITUTATION • The first cases of acute malnutrition have been diagnosed. • Eastern Visayas region: 16 cases (7 moderate and 9 severe) of acute malnutrition • Cases also reported from the hospital at Tacloban airport RECOMMENDATIONS • Eat a well-balanced diet with adequate caloric intake to balance the number of calories burned with the number of calories eaten each day. • Take vitamins daily to supplement diet SYMPTOMS • Length of time to develop malnutrition depends on the severity of the lack of nutrients • There are a wide range of symptoms depending on the vitamin or mineral that is deficient: • Weight loss • Thin or bloated body • Pale, thick, and dry skin • Bruises • Rashes • Thin hair that is tightly curled and pulls out easily • Achy joints • Gums bleed easily • Swollen or shriveled and cracked tongue WORLD FOOD PROGRAMME AMERICAN FAMILY PHYSICIAN • Night blindness JOHNS HOPKINS CHILDREN’S CENTER PHILIPPINES NEWS AGENCY • Increased sensitivity to light and glare Prior to the typhoon malnutrition was present in the Philippines. The conditions since the storm are only likely to worsen the situation.
  • 18. HIGHLIGHT BRIEF-PNEUMONIA DESCRIPTION TREATMENT Pneumonia is an inflammatory condition that develops deep in the lung and is usually caused by infection from viruses or bacteria. It is spread through tiny particles of air coughed or exhaled by infected persons. People can become ill with pneumonia by coming in contact with infected individuals or with organisms in the air or on contaminated surfaces. Despite advancements in treatment, pneumonia remains a leading cause of death worldwide. • Oral or intravenous antibiotics are the treatment of choice. • Breathing support (oxygen masks, ventilation, etc.) may be needed for those showing signs that they are not getting enough oxygen in the blood (difficulty breathing, rapid breathing, blue discoloration of the lips or fingertips, etc.). RISK FACTORS People most at risk for developing pneumonia are the very young, the very old, and those with certain chronic conditions such as lung disease or immune disorders such as HIV. Additional risk factors that put a person at increased risk of pneumonia are poor nutrition, poor sanitation and hygiene practices, living in impoverished and/or overcrowded areas. CURRENT SITUTATION At a meeting on Friday, 22 Nov 2013, representatives of several dozen domestic and foreign medical groups described the biggest single public health problem to emerge since the typhoon as acute respiratory infections, including pneumonia which have been attributed to lack of shelter, poor weather, and lack of clothing. RECOMMENDATIONS • SYMPTOMS The symptoms usually start 2-10 days after coming into contact with the causative organisms. Some of the common symptoms include: • Sudden onset • High fever • Shaking chills • Chest pain • Cough producing phlegm • Difficulty breathing CDC – Pneumococcal Disease American Family Physician – Pneumonia Doctors Without Borders Mayo Clinic • • Wash hands with antimicrobial soap and water or by using alcohol-based waterless gels. If hands have been in contact with mucus or other secretions, use soap and water only. Wear gloves and masks when dealing with people/patients with cough or other warning signs of respiratory (lung) illness. Change clothes if soiled with mucus or other secretions.
  • 19. DOH MEDICAL TEAMS Information gathered from Department of Health update report on Response to Typhoon Yolanda - 27 NOV 0800H Nov 13 CATBALOGAN BORONGAN TACLOBAN BASEY, BALAGIGA, LAWAAN, MARABUT Basey SALCEDO, MERCEDES TANAUN, TOLOSA, DULAG, PALO, SAN JOSE ORMOC
  • 21. HEALTH AND MEDICAL – PAYNAY ISLAND • WHO coordinating with partners and bringing them together with local health authorities • Coordination and logistics remain challenging, goods arriving and teams setting up • Emergency care teams are established; surgical services remain limited due to electrical outage and resources • Disease surveillance system patchy due to disruption of communication lines • Health assessment is ongoing through several health partners and is assessing longer-term service delivery needs (Health Cluster Roxas) MSF is based in Estancia and are carrying out mobile clinics in in Estancia, Carles, and San Dionisio on Panay island. The team is treating respiratory infections, and have seen some patients with diarrhea. Without proper shelter and being exposed to the elements, a lot of people have colds and fevers, especially the children. They have also seen people who have been affected mentally by the typhoon. Roxas City, Philippines; November 16, 2013 – Master Corporal Stephan Fortin, a medic with the Canadian Forces Disaster Assistance Response Team (DART), checks a local child at a refuge camp outside of Roxas City, Philippines. The area was devastated by Typhoon Haiyan, one of the largest typhoons on record. (Photo Iby Corporal Darcy Lefebvre, Canadian Forces Combat Camera Photographer) Estancia Merlin, SC, British Surgeon has combined efforts with Save the Children and are now working side-by-side at head office bases in Manila, Cebu, Roxas. Canada DART Teams is a military organization ready to deploy quickly to conduct emergency relief operations. It is one component of Canada’s toolkit to respond to natural disasters abroad. As of 0700 EST on 26 November 2013, Task Force Philippines has: • Purified approximately 56,000 liters of water; • Distributed approximately 14,196 liters of purified water; • Treated nearly 1,733 medical patients; PH Health Atlas—Monitoring as of Nov 26 Task Force Yolanda Matrix DOH as of Nov 26 Cut off from healthcare - Access to medical services are a huge challenge for people that are in isolated areas and are homeless. Deborah Lau, one of our medical experts treats a Typhoon survivor on Panay Island (MERLIN/SAVE THE CHILDREN). Photo by UK-IETR/Save the Children
  • 23. HEALTH AND MEDICAL – ORMOC INFRASTRUCTURE • There are 2 operational health facilities. Carigara Hospital, originally a level 2 hospital, is only partially functional and is unable to provide essential surgical care services including caesarean. • The Ormoc District Hospital is partially functional and is able to deliver emergency surgical care including obstetric surgery, but not all operating rooms are functional and those that do function are doing so under marginal conditions. ICRF and Mercy Malaysia are providing assistance to the hospital in order to improve the situation. • The Ormoc Maternity and Children’s Hospital is fully functional except for surgical referral. • A few private facilities are also functional, with one that is well supplied and has suffered little damage, but only on a paid basis. All hospitals have reduced admission levels due to lack of electric and difficult operating conditions, and one private health facility is planning to close completely to conduct full repairs on its facility. FOREIGN • MERCY MALAYSIA at Ormoc District Hospital and also operating medical tent units that offers free consultations and medicine. Plans include WASH, increase medical relief efforts, distribution of hygiene kits. • SWISS HUMANITARIAN AID UNIT Over 1250 tetanus shots given to Ormoc District Hospital, in addition to other relief supplies donated to the Leyte area. • MSF-HOLLAND: setting up field unit and will send mobile clinic units if needed • JOHANNITER GERNAMY At City Government Center. Operational goal of distributing 1,8 tons of health kits • IFRC-CANADIA AND NORWEGIAN at Ormoc District Hospital area with operating theater, maternity wards and inpatient services. The ERU is a joint operation of Canadian, Norwegian and Hong Kong Red Cross. Video Update • CANADIAN MEDICAL ASSESSMENT TEAMS(CMAT) based near City Hall. Rotating team joined NGO Plan International and visiting mobile clinics and bangarays. Setting up Field Hospital in city center near CMAT base. LOCAL OR OTHER • THE PHILIPPINE COLLEGE OF PHYSICIANS near Ormoc District Hospital in cooperation with the Department of Health (DOH) (team=28). • 1DREAM OF BALAY MINDANAW GROUP worked with multiple Barangays • SM MEDICAL FOUNDATION helped barangay San Pablo in Ormoc City. ECG, X-ray services and PH Health Atlas—Monitoring as of Nov 26 meds were given from the foundation’s mobile van. Task Force Yolanda Matrix DOH as of Nov 26 • PHILIPPINE NATIONAL RED CROSS setting up a field office and carrying out “rapid assessments”. Local Volunteer Teams DOH as of Nov 20
  • 24. 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. • 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 as-sessment of Bethany Hospital conducted by MSF France in Tacloban shows minor dam-age to windows and door in one of the operating rooms. One of the three operating theatre remains completely untouched and will be func-tional for internal fixation surgery once a generator is in-stalled. One of two-storey 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 storey. This has made the entire up-per floor unusable. AusMAT team members perform surgery on a patient in the surgical theatre tent at the AusMAT medical facility in Tacloban. Supplied: Gemma Haines/DFAT Japan Disaster Relief team is using these medical tents in Rizal park, Tacloban. PH Health Atlas—Monitoring as of Nov 26 Task Force Yolanda Matrix DOH as of Nov 26
  • 25. 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 are located at ontinue treating patients in Rizal Park as well as supporting Basey District Hospital in Basey on the island of Samar. Also, a plan is underway to gather information and carry out an assessment of new medical needs in the affected area. MSF (France) has teams on the ground in Tacloban and Cebu. They have doctors and an orthopedic specialist. More doctors are expected to arrive soon. (15 people) USA – ACTS
  • 26. HEALTH AND MEDICAL – ABUYOG Ver Noveno The Chinese Navy’s hospital ship the Peace Ark has joined a Chinese government emergency field hospital in Abuyog in providing relief to typhoon Haiyan survivors in the Philippines. Efforts are being made in conjunction with UNICEF to vaccinate children against communicable diseases. Locals fluent in English are assisting Chinese medical staff in communicating with patients. The Chinese government emergency medical team began receiving patients at its field hospital in Abuyog on Saturday night. The Peace Ark, with 300 beds and over 100 medical professionals on board, has been put into use since Monday. . CCTV
  • 27. HEALTH AND MEDICAL – PALO PALO ASB Germany - On Friday, 22 November 2013, ASB Germany sent a FAST (First Samaritan Assistance Team) eight member team Palo, to provide basic medical aid to the population. The team is equipped with an “Emergency Health Kit ” for the medical care of 30,000 people. Samaritan's Purse/ US Level 1 Field Hospital –includes doctors, nurses, and a biomedical technician, is working alongside the staff at the storm-damaged Schistosomiasis Control & Research Hospital in Palo to provide emergency health care to the community. The U.S. Air Force helped set up their mobile field hospital on the grounds of the hospital. Local radio stations are directing injured people to the expanded medical facility. (SITREP – 22 NOV 2013) Field Hospital in Palo PH Health Atlas—Monitoring as of Nov 26 Task Force Yolanda Matrix DOH as of Nov 26
  • 28. HEALTH AND MEDICAL – GUIUAN, EASTERN SAMAR HEALTH INFRASTRUCTURE • Felipe J Abrigo Memorial Hospital was completely destroyed In Guiuan, the re-opened airport and cleared roads allow the expansion of humanitarian activities in support of Government efforts. Most of Guiuan’s infrastructure is destroyed; only two of five water pumping stations are operating. Food water and shelter are priorities for an estimated 480 000 people. IMC doctor tends to a patient in the devastated town of Guiuan. • MSF is working in Guiuan. Their priority is reaching areas outside of the city that are currently difficult to reach. They are helping to restore services at the Guiuan hospital and are taking inpatients. In addition, they and have set up a maternity ward, and are able to do minor surgeries and are giving vaccines. ‐ MSF set up a 40-bed tented hospital ‐ On November 19, a team working at a rural health unit in Guiuan carried out 320 consultations, mainly for respiratory infections, diarrhea and chronic diseases. The team also did minor surgery, post-operative care, and vaccinations against tetanus. ‐ MSF also distributed 400 tents and is providing mental health counseling. ‐ A mobile medical team based out of Guiuan is traveling by boat to remote coastal villages to provide general healthcare. • International Medical Corps- International Medical Corps is conducting water, sanitation and hygiene (WASH); medical; and mental health assessments. • Medical Teams International is working together IMC and AmeriCares Typhoon Haiyan left the Felipe J. Abrigo Memorial Hospital in ruins after sweeping through the coastal community of Guiuan in Samar. © ICRC / G. Petrosyan PH Health Atlas—Monitoring as of Nov 26 Task Force Yolanda Matrix DOH as of Nov 26
  • 29. HEALTH - NEEDS HEALTH NEEDS: • Partners estimate that Region VIII (Eastern Visayas) has the highest concentration of health needs related to the typhoon. • 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. • Repairs to health care facilities and basic services for patients – including food and water – are urgently needed. Immediate action is needed to provide a safe water supply at the Eastern Visayas Referral Medical Centre, the main hospital for the region. • Disease surveillance needs strengthening. Reports of chickenpox, tetanus and leptospirosis deaths have emerged. Partners report increased cases of gastroenteritis, acute respiratory infection, fever, rashes and diarrhoea, especially in children. • 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 estimated 865 births occur daily in affected communities, with around 15 per cent experiencing potentially life-threatening complications. Reproductive health kits are urgently needed • Basic and essential health care services must be expanded, including for routine surgeries (e.g. Caesarians). • The need for treatment capacity for TB, acute respiratory infections, dog bites, and wounds related to debris clearing and reconstruction is increasing • The need for emergency trauma care is decreasing, while the need for primary health care is increasing OCHA SITREP 27 NOV 2013 OCHA SITREP 25 NOV 2013 OCHA SITREP 22 NOV 2013 OCHA SITREP -21 NOV 2013 OCHA SITREP - 20 NOV 2013 The Government has prioritized the restoration of primary and hospital health services, including the structural safety of hospitals, appropriate medical waste management and infection control. • Solar refrigerators and solar lamps are required for rural health units in areas still without power. • In the hardest hit areas, one third of the children suffer from malnutrition • Injury management is urgently required. OCHA SITREP– 19 NOV 2013 OCHA SITREP 9– 15 NOV 2013 OCHA SITREP 8 – 14 NOV 2013 OCHA SITREP – 18 NOV 2013 OCHA SITREP 6 - 12 NOV 2013 OCHA SITREP - 17 NOV 2013 OCHA SITREP - 16 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
  • 30. HEALTH - RESPONSE HEALTH • In Roxas City, a cold chain has been established. • A blood bank in Leyte provincial hospital run by the Philippine Red Cross is now functional. The cold chain is running and vaccine supplies are sufficient for the vaccination campaign in Tacloban. • In Ormoc, all five hospitals are operational, and rehabilitation is progressing. • Tents, generators, clean delivery kits, medicines, health supplies and body bags have been distributed to priority facilities. • Partners have delivered tents, generators, cold chain equipment, medicine and about 11,000 body bags to priority facilities. • 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. • 153 medical teams (foreign, national and local) are providing emergency health services. • The Department of Health, working with partners, will start a vaccination campaign for children aged 6 months to 5 years in Tacloban City this week and target around 28,400 children for measles and vitamin A, and 33,300 children aged 0-5 years for polio. • 10,000 dignity and hygiene kits for pregnant and breastfeeding women are being delivered to Tacloban City and Eastern Samar. • Health facility damage is being mapped. • Doctors and nurses in Tacloban City have mobilized to conduct reproductive health and medical missions. • SPEED, an emergency disease surveillance system, has been activated. OCHA SITREP 10-22 NOV 2013 OCHA SITREP 10-21 NOV 2013 OCHA SITREP 10-20 NOV 2013 CHA SITREP 10– 19 NOV 2013 OCHA SITREP 9– 15 NOV 2013 OCHA SITREP 10– 17 NOV 2013 OCHA SITREP 10– 16 NOV 2013 OCHA SITREP 8 – 14 NOV 2013 OCHA SITREP 6 - 12 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
  • 31. HEALTH – GAPS & CONSTRAINTS HEALTH GAPS & CONSTRAINTS: • More attention needs to be focused on the health risks related to migrating and vulnerable populations. • There remains insufficient coordination between incoming foreign medical teams and local health officials. • 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. • A shortage of trained staff and poor internet connections are hampering the emergency disease surveillance system. • The disease surveillance system is currently patchy due to a disrupted communications network. Reporting and enquiries can be directed to haiyanops@wpro.who.int. • The lack of electricity is undermining cold chain operations. Geographical coverage of health services needs to be expanded. • • Available vaccines and supplies for planned campaigns are estimated to be sufficient only for Eastern Visayas region. Volunteers are needed to administer vaccines in these campaigns. • The transport of patients to referral hospitals is still an issue due to the lack of ambulances and fuel. This is improving as roads are cleared. • Plans to fill gaps by the eventual departure of foreign medical teams are required. OCHA SITREP 10-22 NOV 2013 OCHA SITREP 10-21 NOV 2013 OCHA SITREP 10-20 NOV 2013 CHA SITREP 10– 19 NOV 2013 • The following materials are needed to provide health services: Interagency Emergency Health Kits, Reproductive Health kits, Diarrhoeal Disease Kits and WASH supplies. Cholera kits should be kept on stand-by. • Basic and essential health care services, including routine surgical capacity (including for Caesarians), must expand. There is an immediate need for reproductive health kits across hardest hit areas. • The 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. • Temporary health facilities, generators, medication, surgical supplies, cold storage and WASH facilities are urgently required. • People are traumatized and lack psycho-social support. OCHA SITREP 10– 17 NOV 2013 OCHA SITREP 10– 16 NOV 2013 OCHA SITREP 9– 15 NOV 2013 OCHA SITREP 8 – 14 NOV 2013 OCHA SITREP 6 - 12 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
  • 32. RED CROSS AND RED CRESCENT ACTION OPERATIONS • As of November 26th, the International Federation of Red Cross/Red Crescent Societies (IFRC) reports that the primary focus is on shelter. • Immediate priorities are distributing shelter tool kits, roofing kits, solar lamps, and tarpaulins. • The Philippine Red Cross (PRC) has 25 chapters actively responding. • PRC focus is in Leyte, mobilizing 744 volunteers, providing 6 welfare desks, and setting up two health stations to provide medical advice and consultations. There are also increased efforts to distribute food parcels and hygiene kits in East Samar and northern Cebu. • The International Committee of the Red Cross (ICRC) has installed a mobile watertreatment unit in Marabut and will set up basic-health care units in Basey and Balangiga in the upcoming days. • The PRC and IFRC have a joint base of operations in Cebu City, with two satellite hubs in Tacloban and Maya (North Cebu). A third hub will be built around the rapid deployment hospital in Ormoc and focus on emergency medical care. LOGISTICS • The IFRC has deployed 11 emergency response units to conduct rapid assessments of needs in affected areas. This information is communicated to the PRC/IFRC headquarters in Manila to help prioritize immediate assistance needs. • ICRC has distributed food parcels to 64,800 people in Guiuan, Mercedes, Salcedo, Balangkayan, Hernani and Victory Island, with upcoming distribution to 8,500 people in Homonhon Island. In Guiuan, 86,500 liters of clean water and 3 generators have been provided. • See Table 1 for PRC resource deployment. SHELTER CLUSTER • There is now full-time dedicated shelter coordination capacity in Manila, Roxas, Tacloban, Cebu, and Bohol, with 15 full time staff coordinating. Cluster partners are supporting coordination efforts in Guiuan, Ormoc, and Borongan. • Mid and longer term recovery plans are now being developed to cover livelihoods (including cash programming) and more permanent shelter needs. • A detailed inter-agency shelter assessment will start in the coming days. IFRC Operation Update No2, November 26 MAIN CONSTRAINTS AND CHALLENGES TO PROGRESS • Delays in transportation of relief goods to the operational hubs, due to problems of access and congestion. • Difficulties in communication with teams in the field due to multi-tasking, field visits, and limited communications facilities. • Difficulties in sourcing out local materials. • Need for better sharing of assessment information. 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
  • 33. FOOD FOOD NEEDS: • 2.5 million people are in need of food assistance. • It is critical to get rice seed and fertilizer to approximately 250,000 farmers by mid-December. • Funding is needed rapidly to fill the gap in immediate needs in order to restore rice and maize production in the most affected areas. RESPONSE: • Partners in the Philippines: ACF, ACTED, ADRA, CARE, CARITAS, CONCERN, CRS, DRC, GOAL, HelpAge, ICRC, IFRC, IMC, IRC, Islamic Relief, LWF, Mercy Corps, NRC, OXFAM, Samaritan’s Purse, Solidarites International, UNICEF and WVI. • Implementing partners interested in rice/seed intervention, livestock and fisheries intervention work should contact FAO (mathias.mollet@fao.org) • Between 2.5 million and 3 million people have received food assistance. WFP is working with DSWD to adjust the duration of the food ration over the coming weeks. • Additional cluster partners have reached 225,565 people in affected areas; the Philippines Red Cross has distributed food to 218 families in evacuation centers. • ICRC finished distributing three-day food rations to 4,300 households in 54 barangays in Guiuan and surrounding areas. ICRC has launched a large operation in coordination with partners, to distribute one-month food rations. • WFP-managed UNHAS is operating 2 helicopters & 9 passenger Nov. plane out of Cebu, for humanitarians. OCHA Sitrep No. 18 – Nov27 OCHA SNAPSHOT 26 WFP OPS UPDATE – NOV 26 GAPS & CONSTRAINTS: • To date, no funds have been committed to restore fisheries-based livelihoods. • Isolated island communities, notably North and South Gigante, have yet to receive assistance. • Delivered food supply is insufficient for many populations. • Food Cluster is currently 49% funded out of a total US$76.2 million request. • Logistical constraints hamper the delivery of food assistance, but rapid expansion is occurring; coordination hub now in Cebu. • Resources are overstretched as the cluster is also responding to the Bohol and Zamboanga emergencies. • Security is a concern as people have stormed warehouses and food distribution sites. PRIORITIES: • Access isolated areas lacking assistance. • General food distribution, with food baskets containing rice and ready-to-eat high-energy biscuits. • Emergency food-for-work and cash-for-work to help kickstart early recovery activities and rebuild livelihoods. • Cluster leads are assembling information on locations of all involved organizations for better coordination. CLUSTER LEADS: Food Cluster Coordinator: Jeffrey Marzilli, jeffrey.marzilli@wfp.org WFP Co-Leads: Beatrice Tapawan, 0917-539-9944, beatrice.tapawan@wfp.org Dipayan (0917-594-2450, dipayan.bhattacharyya@wfp.org FACEBOOK TWITTER
  • 34. NUTRITION CASES OF ACUTE MALNUTRITION CONTINUE TO RISE. APPROXIMATELY 30 CASES DIAGNOSED SO FAR NEED: PRIORITIES (URGENT): • Delay in access to affected populations increases likelihood of deterioration of health and nutrition of affected populations with potential outbreaks of diseases. • Rapid nutrition assessments and screening for detection, referral, and follow-up of girls, boys and women supported by local women's groups, religious leaders, and child protections councils; • Cluster partners estimate that 1.35 million children under five, 650,000 pregnant and lactating women, and more than 800,000 elderly people in affected areas are at risk of acute malnutrition. • Prevent and manage acute malnutrition for 900,000 children under 5, and 300,000 pregnant and lactating women and older people • Priority interventions needed include infant and young child feeding (IYCF) Infant formula monitoring, micronutrient supplementation, management of acute malnutrition, and health and nutrition education. • Disruption to maternal care and child feeding practices and damage to WASH and health facilities place children and women at a high risk of malnutrition, especially in high poverty areas. • Pre-disaster data shows that the affected regions have high rates of malnutrition (5 percent to 9 percent global acute malnutrition (wasting), 21 percent to 26 per cent underweight and 38 percent to 42 percent stunting). • Promote appropriate infant and young child feeding practices (IYCP) for 200,000 children • Establish community-based therapeutic feeding centers for girls and boys with severe acute malnutrition integrated in to local health systems; • Provision of nutrition supplies for therapeutic feeding, micronutrient supplements and equipment; • Capacity-building on management of acute malnutrition and nutrition in emergencies targeting local health staff; • Coordination and technical support to the Nutrition Cluster; OCHA Situation Report 18 – Nov 27 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
  • 35. NUTRITION RESPONSE: GAPS AND CONSTRAINTS: • The Harmonized Initiative of Media for the Spread of Good Nutrition in Region 8 (HIMSoG-8) was rolled out. Key messages for infant and young child nutrition were formulated and shared to affected parents and children using the media and local communication channels • Safe spaces for lactating women to breastfeed are lacking in evacuation centers • One mobile team will provide SAM outpatient treatment from 25 November in Tacloban • Partners are needed in all regions, specifically Ormoc, Abuyog, Alangalang, Kananga, Palompon, Carigara, Albuera, Bato and Tabango • In Cebu, 314 children aged 6-59 months received Vitamin A supplements; 345 pregnant and lactating women received infant and young child feeding counseling • A lack of partners experienced in IYCF to support local agencies. Immediate action is needed to harmonize messages on IYCF • In Roxas, partners screened 682 children aged 6-59 months and 222 pregnant/lactating women. 10 are moderately malnourished, and one is severely malnourished. Of the women, nine were found to be acutely malnourished. All 984 people screened received high-energy biscuits. • • World Food Program to implement 2 phase plan: 1 – prevent acute malnutrition and micronutrient deficiencies; 2 – treatment of moderate acute malnutrition in children 6 – 59 months old In Tacloban, 90 per cent of children 6-59 months will be screened for malnutrition during this week’s integrated vaccination and vitamin A campaign Emergency Appeal Operation Update - Nov 17 Unicef meeting notes: Nov 21 2013 OCHA Situation Report 18 – Nov 27 Philippines Typhoon Action Plan - Nov 2013 UNOCHA Report – Nov 23 • There is limited capacity for the treatment of severe and moderate acute malnutrition • Nutrition supplies are urgently needed in Panay • Facilities for transportation and accommodation are damaged; food and water supplies are limited. Deployed teams need to be fully self-sufficient • Of the 12 million USD asked for in action plan, 4.2% of funds have been raised • Most of the affected areas in Leyte and Samar remain unreachable by media CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org hmdebwe@gmail.com
  • 37. WASH WATER, SANITATION AND HYGIENE WATER, SANITATION AND HYGIENE NEEDS: • • • • • GAPS & CONSTRAINTS: • In Tacloban, 45% of sites have off-site access to water and an average of one • latrine per 61 people. • Debris clearance and waste management remain urgent priorities. Water services are down and pipes need repairing in north-west Leyte. 8 evacuation centers in Tacloban with the largest number of IDPs are being prioritized for WASH support. According to the Shelter Cluster in Tacloban, the Government is planning to set up one transitional site in Palo and two in Tanauan , which will need WASH Facilities. Efforts trace the locations and causes of diarrhea outbreaks need better systems and more support. Partner capacity is stretched in light of the large number of affected municipalities. Gender analyses are critical and need to be conducted to understand the social and gender dynamics that could help or hinder WASH aid effectiveness. RESPONSE: • • • • • • • • • Partners are assisting the waste management process around Tacloban City. Community clean-up and de-sludging have been organized in Tacloban and Leyte through cash-for-work. 3 additional water treatment units (35,000 liters per day each) have been installed in Dulag, Leyte. Disinfection and distribution of emergency drinking water continues. 5 tankers are currently in the coastal barangays of Basey, Marabut, Lawaan, Balangiga, Salcedo, Mecedes and Guiuan. All pumping stations in Northern Guiuan are now operational following the repair of pumping station number 5. Partners have distributed hygiene kits and jerry cans in Eastern Samar. The broadcasting of hygiene promotion messages through mobile trucks continues throughout Tacloban city, in an effort to raise awareness on good hygiene practices for the prevention of water-borne diseases. 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 People covering their faces pass a car in debris after super typhoon Haiyan battered Tacloban City, in central Philippines OCHA SITREP 18 – 27 NOV 2013 UNICEF SITREP 6 – 26 NOV 2013 CLUSTER COORDINATOR Rory Villaluna UNICEF washccph@gmail.com Phone: 0917-859-2578 or 02-901-0101
  • 39. EMERGENCY SHELTER GAP & CONSTRAINTS • Camp Coordination and Camp Management Cluster funding is at 14% of the needed $6 million. • Emergency Shelter Cluster is at 36% funding of the needed $46 million. NEEDS: • Concerns over potential supply pipeline failure locally and • Shelter need identified as an immediate life-saving need internationally; unable to meet demand according to the preliminary results from the Multi-Cluster Initial • Overcrowding and poor living conditions continue in evacuation Rapid Assessment (MIRA) centers. In Tacloban, less than half of the evacuation centers have • CONTINUING URGENT NEEDS: Tarps, tents, shelter-related nonaccess to water, and an average of 1 latrine per 61 people. food items (NFIs), 4 million corrugated iron sheets, nails, building tools and materials, plastic sheeting, roofing material, hurricane • Difficult access to remote communities, poor communications, power outages are affecting operations straps • Corrugated iron sheets need to be procured at scale • NEEDS IN DISPLACEMENT SITES: Food, Water, Mosquito Nets, • More partners needed to cover needs in Region VI (Western Visayas) Blankets, Hygiene Kits • Issues of housing, land and property have begun to surface in severely affected area; Protection cluster is covering these • Entire population (1,240 families) of barangay affected by oil spill A resident begins needs housing (Estancia, Iloilo Province). 162 families evacuated by oil spill are in an evacuation center. Rest are still looking. repairs on his damaged DAMAGE: Official numbers now report 1,139,902 damaged houses (576,280 completely destroyed). home (source) RESPONSE: • 3.54 million people are displaced (including 1 million children), of which 226,048 people (48,681 families) are living in 1,086 evacuation centers. The rest are living outside evacuation centers. • Large numbers of people continue to leave affected areas, largely from Region VII (Eastern Visayas) • MIRA results expected on 27 November, and a 12-month strategic plan by 8 December. • Work underway to set up new camp in Guiuan. SHELTER CLUSTER – TYPHOON HAIYAN 2013 OCHA SITUATION REPORT NUMBER 18 – NOV 27 GOVERNMENT LEAD AGENCY Asec Camilo G. Gudmalin cgudmalin@dswd.gov.ph 0 920 948 5383 Phil. Int. Dialing Code: +63 CLUSTER CO-LEAD AGENCY Patrick Elliot, IFRC coord.phil@sheltercluster.org patrick.elliott@ifrc.org 0 908 401 1218
  • 40. CHILD PROTECTION & GENDER BASED VIOLENCE PROTECTION UPDATE: • According to the Child Protection Working Group, 10% of Filipino women and girls aged 15 to 49 have experienced sexual violence. This percentage is expected to increase. URGENT: NEEDS: • Identification and profiling of IDPs moving out of affected areas is needed. Many are leaving through airports and seaports with minimal (if any) controls. • An estimated 5,000 people continue to leave Region VII (Eastern Visayas) every day. • 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 • An estimated 5,000 people continue to leave Region VII (Eastern Visayas) every day. • A targeted response to the Mamanwa ethnic group in marabut is needed. • 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. 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: • Documents need to be re-issued, as many were lost. • Distribution of Family Access Cards is urgently required to ensure women and children access to humanitarian assistance. • Stronger mechanisms are badly needed to prevent trafficking at air and sea ports. • The presence of female police officers remains limited. • Safe spaces for women and children remains limited. • A referral system for specialized services remain limited. • Sex- and age-disaggregated data on IDPs is unavailable. • Security personnel lack knowledge of protection issues. • Information on missing persons remains large unavailable. • No legislative data has been made on alternative resettlement or relocation arrangements for IDPs. OCHA SitRep#18 27Nov NDRRMC SitRep#38 24Nov UNFPA Master Plan Protecting Women & Girls OCHA SitRep#16 22Nov OCHA SitRep#15 21Nov Protection Cluster Assessment#6 20Nov IASC Sub-Working Group on Gender 18Nov UNICEF SitRep#4 20Nov
  • 41. CHILD PROTECTION & GENDER BASED VIOLENCE PROTECTION CRITICAL RESOURCES: RESPONSE: TipSheet: Health and Gender • TipSheet: Education and Gender • • • • • • • The Migration Outflow Desk at Tacloban airport has registered 638 households (2,864 people) to date. DSDW detected one possible case of human trafficking of a minor girl. A response desk at Villamor Airbase, Pasay City (Manila), was established to monitor possible cases of trafficking and/or unaccompanied, separated, or missing children. 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. Approximately 2,500 women and adolescent girls will benefit from 5 women-friendly spaces in Tacloban City. Over 1,800 children are visiting 7 child-friendly spaces established in Western Visayas Region. Four child-friendly spaces are also operating in Roxas and Estancia, primarily for young children and their mothers living in school-based evacuation centers who must vacate the schools during the day for classes. Women and Child Protection Units have been set up in Borongan, Balangkayan, Hernani, Llorente, Oras, Salcedo, and San Julian municipalities (Eastern Samar). OCHA SitRep#18 27Nov OCHA SitRep#16 22Nov OCHA SitRep#15 21Nov Protection Cluster Assessment#6 20Nov IASC Sub-Working Group on Gender 18Nov UNICEF SitRep#4 20Nov 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
  • 42. CHILD PROTECTION & GENDER BASED VIOLENCE https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th
  • 43. CHILD PROTECTION & GENDER BASED VIOLENCE https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th
  • 44. US RESPONSE KEY DEVELOPMENTS • As access to typhoon-affected areas continues to improve, aid delivery is increasing, particularly in more remote areas, according to the U.N. In addition, the number of people displaced by the typhoon is decreasing as populations return to their home areas to reconstruct damaged and destroyed houses. • USAID’s Disaster Assistance Response Team (DART) reports that humanitarian actors are increasingly turning from emergency response to transition and early recovery assistance. • While some populations are returning to home areas, others continue to depart affected regions. The GPH estimates that 5,000 people are leaving Eastern Visayas Region every day, including 600 to 700 people from Guiuan municipality, with up to 6,000 people arriving in Cebu and 800 people at the Manila airport every 48 hours. • On November 25, DoD transported 36 metric tons (MT) of U.N. World Food Program (WFP) food commodities to five outlying islands near Guiuan on November 25. To date, DoD has transported approximately 1,810 MT of relief commodities to typhoon-affected areas, including Borongan, Guiuan, Ormoc, and Tacloban. DoD has also evacuated approximately 540 American citizens, 19,600 Filipino citizens, and 300 third-country nationals from typhoon-affected areas. • As of November 25, DART logistics officers had facilitated the transfer of all USAID/OFDA-provided relief commodities, including collapsible water containers, from the Tacloban airport to warehouses managed by the GPH Department of Social Welfare and Development (DSWD) for onward distribution. Non-governmental organizations (NGOs) note the difficulty in determining where to provide services, as it remains unclear whether people plan to return to their home areas. • • The DART reports significant progress in debris removal in Tacloban in recent days, noting the opening of side streets and designation of debris sorting and disposal sites outside of Tacloban city. The DART also observed small markets selling produce, fish, and meat; an open pharmacy; and several open gas stations, indicating fuel availability. LOGISTICS AND RELIEF COMMODITIES • Civilian and private-sector commercial capacity has significantly increased during the past week. Several DoD C-130 aircraft remain in the Philippines to support deliveries of USAID-validated relief commodities to affected areas. The U SS Ashland and USS Germantown continue ship-to-shore logistics for the relief effort. USAID FACT SHEET NO. 12– NOV 25 http://www.usaid.gov/haiyan/infographic
  • 45. US RESPONSE PROTECTION • On November 23, the DART assessed the DSWD-managed evacuation center at Villamor Air Base in Manila, which DSWD established to monitor possible cases of trafficking and unaccompanied, separated, or missing children. The DART reports that all evacuees are registered at the evacuation center upon arrival in Manila and provided with a meal, clothes, medical services, and psychosocial support, as needed. DSWD also provides onward transportation to pre-determined destinations or to a location managed by DSWD and NGOs. • Staff from several National Child Protection Working Group member agencies have started providing specialized on-site support at the evacuation center for vulnerable children, including initiating family tracing and interim care arrangements for separated and unaccompanied children, as well as alternative care arrangements. WATER, SANITATION, AND HYGIENE (WASH) • Humanitarian organizations report that water quantity is generally sufficient in typhoonaffected areas, but water quality needs to be tested. The DART water, sanitation, and hygiene (WASH) advisor reports that coastal communities are served by municipal water systems and distribution networks, as well as wells and hand pumps. The storm surge likely affected shallow wells, which may need to be cleaned and chlorinated to provide safe drinking water. • The DART WASH advisor reports that evacuation centers in Tacloban lack sufficient latrines. USAID/OFDA partner the U.N. Children’s Fund (UNICEF) and NGOs are addressing sanitation gaps; however, latrines are not uniformly available for typhoon-affected populations. In addition, sanitation facilities at the airport in Tacloban are not sufficient to meet the needs of people waiting to evacuate. The Armed Forces of the Philippines reports that existing sanitation facilities are overwhelmed and in need of maintenance and that additional temporary latrines and hand-washing facilities are necessary to meet existing needs. • USAID/OFDA has provided more than $4 million to respond to WASH needs in East Samar, Leyte, and Samar provinces to date. USAID/OFDA-supported activities include improving access to safe drinking water, restoring access to latrines, and conducting hygiene promotion activities. USAID Fact Sheet No. 12– Nov 25
  • 46. CLUSTER MEETINGS - 27 NOV 2013 Daily Press Briefing (Tacloban) 27/11/2013 - 07:30 Tacloban Town Hall Philippines mildren@un.org Intra-Cluster Meeting (Roxas) 27/11/2013 - 08:30 Philippines Reproductive Health Meeting (Roxas) 27/11/2013 - 08:30 PHO Philippines Angel Umali 09175440050 umali@unfpa.org Education Cluster Meeting (Roxas) 27/11/2013 - 09:00 DepEd Division Office, Capiz Philippines Preethi Nampoothiri 09154932066 Nutrition Cluster AWG meeting 27/11/2013 - 09:00 UNICEF Philippines MCDA Tasking meeting (Cebu) 27/11/2013 - 10:00 Cebu Air Base Philippines PAF, Foreign MCDA, Logistics Cluster Donor Briefing (Manila) incl. MIRA findings 27/11/2013 - 10:00 ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City) Philippines Logistics Cluster Coordination Meeting (Manila) 27/11/2013 - 11:00 Philippines Shelter Cluster Meeting (Tacloban) 27/11/2013 - 14:00 Philippines WASH Cluster Meeting (Tacloban) 27/11/2013 - 14:00 OSOCC Philippines Silvia Ramos 0906-516-0271 CCCM Meeting (Tacloban) 27/11/2013 - 15:00 OSOCC Philippines Conrad Navidad 0908-865-4543 Nutrition Cluster Meeting (Tacloban) 27/11/2013 - 15:00 OpCen EWRMC Philippines Dina A. Leilane / Mathisen Rogers Protection Cluster Meeting (Tacloban) 27/11/2013 - 15:00 OSOCC Philippines Roberto Mignone GBV & Child Protection Meeting (Tacloban) 27/11/2013 - 15:00 OSOCC Philippines Ronnel Villas Health Meeting (Tacloban) 27/11/2013 - 17:00 Eastern Visayas Regional Medical Center (DOH OpCen) Philippines Boy Llacuna / Dana van Alphen Early Recovery Cluster Meeting (Tacloban) 27/11/2013 - 17:00 OSOCC Philippines LTC Edwin Sadang / Christophe Charbon 0917-582-1214 Child Protection WG (Roxas) 27/11/2013 - 17:00 Provincial Capitol 3rd floor Philippines Angel Umali 09175440050 Health Meeting (Roxas) 27/11/2013 - 17:00 Governor's IDEA room Philippines Suzanne Averill 09471707501 Security Briefing (Tacloban) 27/11/2013 - 17:00 OSOCC Philippines LTC Madarang / John Schot WASH Cluster Meeting Eastern Samar Hub 27/11/2013 - 18:00 PDRRMC Office Borongan City, Samar Philippines Ms Christie Sidro Coordination Meeting (Tacloban) 27/11/2013 - 18:00 OSOCC Philippines Mr. Jesper Lund 0915 772 0893 lund@un.org General Coordination Meeting (Guiuan) 27/11/2013 - 18:00 Philippines Mark McCarthy +882167000964 Coordination Meeting (Roxas) 27/11/2013 - 18:00 (ROXAS provincial hall) Philippines UNDAC +63 91 86569199 Public Information and Communications Meeting (Tacloban) 27/11/2013 - 19:00 OSOCC Philippines Matthew Cochrane 0906-572-3983 FSAC Meeting (Roxas) 27/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Cherie LO 0917981828 WASH Cluster Meeting (Roxas) 27/11/2013 - 19:00 Vice gov. conference room Philippines Hanna Montaner 09178607445 CCCM Cluster Meeting (Roxas) 27/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Robert Shaw 09193243185 Shelter Cluster Meeting (Guiuan) 27/11/2013 - 19:00 OSOCC Philippines Andrew Lind 09186572802 GIS WG (Manila) 27/11/2013 - 19:00 RCBC complex Philippines Shelter Cluster Meeting (Roxas) 27/11/2013 - 19:30 Roxas Provincial Hall, Roxas, Region VI Philippines Tim Stats 0929 7957369 im2.phil@sheltercluster.org
  • 47. CLUSTER MEETINGS - 28 NOV 2013 Daily Press Briefing (Tacloban) 28/11/2013 - 07:30 Tacloban Town Hall Philippines mildren@un.org Early Recovery Cluster meeting 28/11/2013 - 08:30 PDRRMC Capital Building Roxas City Philippines Winston Camarinas National Child Protection Working Group Meeting - Manila 28/11/2013 - 09:00 Manila - UNICEF Office Philippines Adele Chavez agchavez@cwc.gov.ph 2nd Nutriton Cluster Core Group meeting 28/11/2013 - 09:00 Philippines Education Cluster Meeting (Region VI) 28/11/2013 - 09:00 DepEd Division of Capiz, Superintendents Office Philippines Preethi Nampoothiri 9154932066 or 9289040732 P.Nampoothiri@savethechildren.org.uk MCDA Tasking meeting (Cebu) 28/11/2013 - 10:00 Cebu Air Base Philippines PAF, Foreign MCDA, Logistics Cluster Donor Briefing (Manila) incl. MIRA findings 28/11/2013 - 10:00 ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City) Philippines GBV Sub-cluster meeting [Manila] 28/11/2013 - 10:30 UNFPA Conference Room RCBC Plaza 30th floor Philippines Livelihood Cluster Meeting 28/11/2013 - 14:00 ILO Auditorium, 19th Floor, RCBC Plaza Makati Philippines Ruth Georget georget@ilo.org Shelter Cluster Meeting (Tacloban) 28/11/2013 - 14:00 Philippines CCCM Meeting (Tacloban) 28/11/2013 - 15:00 OSOCC Philippines Conrad Navidad 0908-865-4543 Nutrition Cluster Meeting (Tacloban) 28/11/2013 - 15:00 OpCen EWRMC Philippines Dina A. Leilane / Mathisen Rogers WASH Cluster Meeting (Tacloban) 28/11/2013 - 16:00 OSOCC Philippines Silvia Ramos 0906-516-0271 Early Recovery Cluster Meeting (Manila) 28/11/2013 - 16:00 ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City) Philippines Rekha Das rekha.das@undp.org Health Meeting (Tacloban) 28/11/2013 - 17:00 Eastern Visayas Regional Medical Center (DOH OpCen) Philippines Boy Llacuna / Dana van Alphen Shelter Cluster Meeting (Manila) 28/11/2013 - 17:00 19th floor, ILO (RCBC Plaza) Philippines Anna Pont 09084011218 coord.phil@sheltercluster.org Security Briefing (Tacloban) 28/11/2013 - 17:00 OSOCC Philippines LTC Madarang / John Schot Coordination Meeting (Tacloban) 28/11/2013 - 18:00 OSOCC Philippines Mr. Jesper Lund 0915 772 0893 lund@un.org General Coordination Meeting (Guiuan) 28/11/2013 - 18:00 Philippines Mark McCarthy +882167000964 Coordination Meeting (Roxas) 28/11/2013 - 18:00 (ROXAS provincial hall) Philippines UNDAC +63 91 86569199 Logistics Cluster Coordination Meeting (Tacloban) 28/11/2013 - 19:00 OSOCC Tacloban City Philippines Irving Prado 0927 832 8557 Irving.Prado@wfp.org 5 Public Information and Communications Meeting (Tacloban) 28/11/2013 - 19:00 OSOCC Philippines Matthew Cochrane 0906-572-3983 FSAC Meeting (Roxas) 28/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Cherie LO 0917981828 CCCM Cluster Meeting (Roxas) 28/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Robert Shaw 09193243185
  • 48. CLUSTER MEETINGS - 29 NOV 2013 29/11/2013 - 07:30 Tacloban Town Hall Philippines mildren@un.org Protection Cluster Meeting (Manila) 29/11/2013 - 09:00 UNHCR Manilla Office 6th floor GC Corporate Plaza 150 Legaspi street Philippines MCDA Tasking meeting (Cebu) 29/11/2013 - 10:00 Cebu Air Base Philippines PAF, Foreign MCDA, Logistics Cluster Donor Briefing (Manila) incl. MIRA findings 29/11/2013 - 10:00 ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City) Philippines IYCF TWG meeting 29/11/2013 - 10:00 NNC Conference room Philippines CMAM TWG meeting - Nutrition 29/11/2013 - 11:00 NNC Conference room Philippines Shelter Cluster Meeting (Tacloban) 29/11/2013 - 14:00 Philippines Food Security & Agriculture (Tacloban) 29/11/2013 - 14:00 OSOCC Tacloban City Philippines Samantha Chattarraj 0915 143 8191 Samantha.chattaraj@wfp.org Nutrition Cluster Meeting (Cebu) 29/11/2013 - 14:30 Department of Health/CHD 7 Jones Avenue Philippines Ms. Letlet Missio CCCM Meeting (Tacloban) 29/11/2013 - 15:00 OSOCC Philippines Conrad Navidad 0908-865-4543 Nutrition Cluster Meeting (Tacloban) 29/11/2013 - 15:00 OpCen EWRMC Philippines Dina A. Leilane / Mathisen Rogers IM Working Group (Manila) 29/11/2013 - 16:00 RCBC Plaza - 30th floor OCHA Conference room Makati Philippines Andrej Verity verity@un.org Health Meeting (Tacloban) 29/11/2013 - 17:00 Eastern Visayas Regional Medical Center (DOH OpCen) Philippines Boy Llacuna / Dana van Alphen Child Protection WG (Roxas) 29/11/2013 - 17:00 Provincial Capitol 3rd floor Philippines Angel Umali 09175440050 Health Meeting (Roxas) 29/11/2013 - 17:00 Governor's IDEA room Philippines Suzanne Averill 09471707501 Food Security and Agricultural Cluster Meeting (Tacloban) 29/11/2013 - 17:00 OSOCC Philippines Samantha Chaterraj Security Briefing (Tacloban) 29/11/2013 - 17:00 OSOCC Philippines LTC Madarang / John Schot WASH Cluster Meeting Eastern Samar Hub 29/11/2013 - 18:00 PDRRMC Office Borongan City, Samar Philippines Ms Christie Sidro Coordination Meeting (Tacloban) 29/11/2013 - 18:00 OSOCC Philippines Mr. Jesper Lund 0915 772 0893 lund@un.org General Coordination Meeting (Guiuan) 29/11/2013 - 18:00 Philippines Mark McCarthy +882167000964 Coordination Meeting (Roxas) 29/11/2013 - 18:00 (ROXAS provincial hall) Philippines UNDAC +63 91 86569199 Public Information and Communications Meeting (Tacloban) 29/11/2013 - 19:00 OSOCC Philippines Matthew Cochrane 0906-572-3983 FSAC Meeting (Roxas) 29/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Cherie LO 0917981828 WASH Cluster Meeting (Roxas) 29/11/2013 - 19:00 Vice gov. conference room Philippines Hanna Montaner 09178607445 CCCM Cluster Meeting (Roxas) 29/11/2013 - 19:00 Provincial Capitol 3rd floor Philippines Robert Shaw 09193243185 Nutrition Cluster Meeting (Roxas) 29/11/2013 - 19:00 Provincial Capitol, 3rd floor Philippines Paul Wasike 09477847179 Shelter Cluster Meeting (Roxas) 29/11/2013 - 19:30 Roxas Provincial Hall, Roxas, Region VI Philippines Tim Stats 0929 7957369 im2.phil@sheltercluster.org

Notas del editor

  1. Updated 08:25PMEST, November 22, 2013
  2. Source 2:Go to this site and download the excel sheethttp://fts.unocha.org/pageloader.aspx?page=emerg-emergencyDetails&appealID=1043
  3. Source 2:Go to this site and download the excel sheethttp://fts.unocha.org/pageloader.aspx?page=emerg-emergencyDetails&appealID=1043