In light of Typhoon Haiyan and its impact on Philippines, the Yale-Tulane ESF-8 Planning and Response Program has produced this special report. The group that produced this summary and analysis of the current situation are graduate students from Yale and Tulane Universities. It was compiled entirely from open source materials. Please feel free to forward the report to anyone who might be interested. Finally, for those of you who are deployed and responding to the crisis - if you need us to research a specific item/area for you let us know and we will do our best.
From Event to Action: Accelerate Your Decision Making with Real-Time Automation
Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 2 DEC 2013 - 8 AM EST
1. YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT
TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES
BACKGROUND
WEATHER OUTLOOK
EMERGING NEEDS/ PRIORITIES
CURRENT SITUATION
HEALTH
FOOD
NUTRITION
WASH
EMERGENCY SHELTER
LOGISTICS
PROTECTION
US RESPONSE
INJURED
DEAD
5,670
26,233
CLUSTER MEETINGS
COORDINATION HUBS
CLUSTER LEADS
2 DEC 2013
(As of 8 AM EST)
LINKS
PHILIPPINES
NATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCIL
PHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL SERVICES
ADMINISTRATION
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
DEPARTMENT OF HEALTH
DOH PHILIPPINE HEALTH ATLAS
DEPARTMENT OF TRANSPORTATION & COMMUNICATIONS
DSWD DISASTER MITIGATION AND RESPONSE SITUATION MAP
OFFICIAL GAZETTE
PHILIPPINE COAST GUARD
PHILIPPINE INFORMATION AGENCY
WEATHER PHILIPPINES
THE MANILA TIMES
GMA
PROJECT NOAH
INTERNATIONAL/REGIONAL
RELIEFWEB
OCHA HUB
Humanitarian Response - The Philippines
EUROPEAN
HUMANITARIAN AID AND CIVIL PROTECTION
CEDIM
UNITED STATES
THE DEPARTMENT OF STATE
OFDA
NOAA
PACOM
JOINT TYPHOON WARNING CENTER
NASA
VOA
US EMBASSY – THE PHILIPPINES
HEALTH INFORMATION
CDC
DISASTER INFORMATION MANAGEMENT CENTER
PORTALS AND RESOURCES
MapAction
ASEAN COORDINATING CENTER FOR HUMANITARIAN ASSISTANCE ON
DISASTER MANAGEMENT
GDDAC
PREVENTION WEB – PHILIPPINES
THOMAS REUTERS FOUNDATION
UNDERGROUND WEATHER
GOOGLE CRISIS RELIEF MAP
HUMANITY ROAD
PACIFIC DISASTER CENTER
2. BACKGROUND
Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine
typhoon on record, killing at least 5,670 people.
The thirtieth named storm of the 2013 Pacific typhoon season, Haiyan originated from an area of low
pressure several hundred kilometers east-southeast of Pohnpei in the Federated States of
Micronesia on 2 November. Tracking generally westward, environmental conditions favored tropical
cyclogenesis and the system developed into a tropical depression the following day.
After becoming a tropical storm and attaining the name Haiyan at 0000 UTC on 4 November, the
system began a period of rapid intensification that brought it to typhoon intensity by 1800 UTC on
November 5.
By 6 November, the Joint Typhoon Warning Center (JTWC) assessed the system as a Category 5equivalent super typhoon on the Saffir-Simpson hurricane wind scale; the storm passed over the island
of Kayangel in Palau shortly after attaining this strength.
it continued to intensify; at 1200 UTC on 7 November the Japan Meteorological Agency (JMA) upgraded
the storm's maximum ten-minute sustained winds to 235 km/h (145 mph), the highest in relation to the
cyclone. At 1800 UTC, the JTWC estimated the system's one-minute sustained winds to 315 km/h
(195 mph), unofficially making Haiyan the fourth most intense tropical cyclone ever observed.
On the morning of 8 November, category 5 Typhoon Haiyan (locally known as Yolanda) made a direct
hit on the Philippines, a densely populated country of 92 million people, devastating areas in 36
provinces.
The eye of the cyclone made its first landfall in the Philippines at Guiuan, Eastern Samar, without any
change in intensity.
AFFECTED AREA: Regions VIII (Eastern Visayas), VI (Western Visayas) and VII (Central Visayas) are
hardest hit, according to current information. Regions IV-A (CALABARZON), IV-B (MIMAROPA), V (Bicol),
X (Northern Mindanao), XI (Davao) and XIII (Caraga) were also affected. Tacloban City, Leyte province,
with a population of over 200,000 people, has been devastated, with most houses destroyed. An aerial
survey revealed almost total destruction in the coastal areas of Leyte province.
SOURCES:
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
WIKIPEDIA - TYPHOON HAIYAN
4. WEATHER OUTLOOK
GALE WARNING NO. 30
For: Strong to gale force winds associated with the surge of Northeast
Monsoon.
Issued at 5:00 a.m. today, 2 December 2013
Strong to gale force winds is expected to affect the seaboards of Northern Luzon
and the eastern seaboard of Central and Southern Luzon.
Synopsis:
Tail-end of a cold front affecting Central Luzon.
Forecast:
The provinces of Aurora and Quezon will experience cloudy skies with moderate to
occasionally heavy rain showers and thunderstorms. Cagayan Valley and Bicol region will have
cloudy skies with light to moderate rain showers and thunderstorms. The rest of Northern and
Central Luzon will be partly cloudy to cloudy with isolated light rains. Metro Manila and the
rest of the country will be partly cloudy to cloudy with isolated rain showers or
thunderstorms.
Daily AccuWeather
PAGASA Gale Warning
PAGASA
PAGASA weather report PDF
Moderate to strong winds blowing from the Northeast will prevail over Luzon and the coastal
waters along these areas will be moderate to rough. Elsewhere, winds will be light to
moderate coming from the northeast with slight to moderate seas.
5. EMERGING NEEDS
MEDICAL AND PUBLIC HEALTH
• Data needed from families about those thought to be dead for
identification and processing
• Ormoc lacks food for patients, wound care supplies, fluids, and
surgical instruments
• Children migrating from evacuation centers are hampering
vaccine campaign efforts
• Damage to birthing centers and equipment
• The limited presence of partners on the ground and security
concerns, especially in Tapaz and Capizare challenging the
scale-up of integrated nutrition interventions
LOGISTICS
• Heavy equipment for debris clearing and waste disposal needed
• Warehouses for storage are in short supply
• Need for shared IT and telecommunications services for the
humanitarian community (Iloilo, northern Cebu and Basey)
• A 2-3 day delay on ICT equipment deliveries is occurring due to a
strengthening of customs controls
• There is little capacity at Ormoc airport and nothing to cover
cargo in order to protect it from rain
• Operations in Tacloban Airport is still limited
• Transportation for internally displaced people leaving Tacloban
City and Ormoc City
• Limited availability of trucks for water-trucking
FOOD, WATER, AND SANITATION
• Gaps in immediate food assistance remain in small islets,
northern Cebu, and some coastal areas of Eastern Samar
• Populations living in mountainous areas are also in need of
assistance
• More funding needed for agricultural inputs needed
• Damage has been reported to reservoirs, service connections,
distribution pipes and pump houses in 68 water districts across
all affected provinces
• Available tankers in Tacloban City can supply 224 to 336 m3 of
potable water but the total capacity of the installed bladders
so far is 95m3
• More humanitarian partners are required to engage in
sanitation activities to cover the scale of the needs
• Open defecation is an issue in many areas
OTHER
•
•
•
•
•
•
•
•
•
Basic teaching and learning supplies needed
Sports and recreation materials needed
Temporary learning and child-friendly spaces needed
More information collected about status of schools (especially
Region 8)
Local Government Units need funds for recovery and
reconstruction projects
Personal protective equipment and tools needed for additional
emergency employment activities
Sex- and age-disaggregated data on IDPs is unavailable
Loss of personal legal documents
People lack radios and mobile phones lost during the typhoon
SECURITY
• Growing gender based violence risk among women and
children obliged to work to make ends meet
• The presence of female police remains limited
• Security personnel lack knowledge of protection issues
• IDPs are living in dark and congested evacuation centers or
make-shift dwellings without partitions and proper roofing
•
•
•
OCHA Situation Report No. 19
NDRRMC SitRep No. 49
MIRA multi-cluster initial rapid needs assessment
6. EMERGING PRIORITIES
FOOD AND WATER
• Life-saving food assistance needed for 2.5 million people
• 865,305 people working in the agriculture sector affected
• On average 74% of standing crops lost
• On average 64% of tree crops lost
• On average, fishermen lost 65% of their equipment
• Farmland needs to be cleared of debris
• Communal irrigation canals need to be de-silted
• Up to 27% of affected population are without access to
safe sources of drinking water
• 4.5 million people need access to life-saving WASH
interventions inside and outside evacuation camps
SHELTER & URGENT HOUSEHOLD ITEMS
• 1,137,681 houses were damaged, of which 579,228 were
completely destroyed
• 224,177 people are living in 1,104 evacuation centers
• Over 3.8 million displaced people are living outside of
evacuation centers
• Better management of camps is needed
EDUCATION
• A quick resumption of schooling is important to ensure that
students do not fall back on the academic year and are able to
catch up
• 84% of children have not returned to school
• Repairing and rehabilitation of damaged and/or destroyed
buildings
• Recruiting teaching staff, and providing incentives to teachers
• IDPs in schools need protection and proper shelter assistance
when classes resume in Tacloban City in January and Ormoc
City in December
ESSENTIAL HEALTH SERVICES
• The 5 leading health outcomes are: open wounds and
bruises, acute respiratory
infection, hypertension, fever, and skin disease
• Tetanus vaccination and immunization
• Community-based management of acute malnutrition
needed for children aged 6-59 months
• Blanket supplementary feeding programs for up to 40,000
children aged 6-23 months
• Emergency programs for infant/young child feeding for
children aged 0-23 months and pregnant women
• Referral services for gender-based violence survivors need
to urgently be reactivated to ensure that they are
functioning to their usual standard
• Up to 60% of health facilities were destroyed
• Up to 50% of health workers were impacted
• Many are not back to work in severely affected
areas (Leyte and Eastern Samar)
OTHER
• 5.6 million affected, with livelihoods and sources of income
destroyed, lost or disrupted
• Debris clearance is still a priority
• Houses, schools, and hospitals
• Roads (Tacloban city barangays 87, 88, and 89)
• Logistics support is required to provide life-saving supplies
quickly and efficiently to affected people
• Communities have no/limited access to newspapers and
television (eastern coast of Samar and Leyte and inland areas)
•
•
•
OCHA Situation Report No. 19
NDRRMC SitRep No. 49
MIRA multi-cluster initial rapid needs assessment
9. CURRENT SITUATION
As of 2 DEC 2013 – 6:00 AM PhT
CASUALTIES: 5,670 individuals were reported dead, 26,233 injured and 1,761
missing.
AFFECTED POPULATION:
A total 2,376,210 families (11,236,014 persons) were affected in 12,075
barangays in 44 provinces, 588 municipalities and 57 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA.
888,253 families (4,094,029 persons) were displaced.
Inside 1,031 evacuation centers:
• 44,906 families / 204,131 persons inside evacuation centers
• 843,347 families/ 3,889,898 persons outside evacuation centers
DAMAGES (Regions IV-B, V, VI, and CARAGA):
• DAMAGED HOUSES: 1,176,537 houses damaged (586,227 totally /
590,310 partially)
• INFRASTRUCTURE: The total cost of damages was pegged at PhP
34,366,518,530.67/$786,419,353.49 with PhP 17,333,367,534.29/$
396.644,649 for infrastructures and PhP17,033,150,996.38/$
389,997,838 for agriculture in Regions IV-A, IV-B, V, VI, VII, VIII, and
CARAGA
Damages to Infrastructure:
•
•
•
•
Roads/Bridges and other structures: PhP14,482,253,884.29/ $331,591,477
Flood Control: PhP230,393,000.00 /$5275170.
Health Facilities: PhP310,897,000.00 / $7,118,422
Schools: PhP 2,309,823,650.00 / $52,886,646
Damages to Agriculture:
•
•
•
•
•
Crops (rice, corn other crops): PhP6,989,150,764.29 / $159,934,833
Livestock: PhP2,216,056,243.20/ $50,710,679
Fisheries: PhP5,964,381,458.89/ $136,484,730
Irrigation facilities: PhP212,700,000.00/ $4,867,277
Other agricultural infrastructure: PhP1,650,862,530.00/ $37,798,808
ROADS AND BRIDGES: 2 roads in Regions VI and VIII remain impassable. The
lack of access to affected areas due to blocked roads and damaged
infrastructure, limiting assessment and response activities.
AIRPORTS: To date, operations in Tacloban Airport is still limited.
SEAPORTS: All seaports are operational.
• The Philippine Ports Authority has taken over the Port of Tacloban.
• A total of 16 barges is now operating and travelling from Matnog, Sorsogon
Port to Allen, Northern Samar, while sea crafts taking off from Bulan
Port, Sorsogon to Allen, Northern Samar are solely for mercy missions.
FOOD: 2.5 million people are in need of food assistance, but nutrition supplies
are inadequate and logistical constrains hamper delivery of food. OCHA
mentions 2 million individual rations were distributed in Leyte Province.
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:
• Water supply in Leyte is sufficient as of 15 November 2013
• Water supply system in Busuanga town proper is functional.
Coron, however, is implementing a rationing system
• In Roxas, Capiz, Metro Roxas Water District and Municipal Water District
has resumed services, but water supply remains limited
• Forty percent of municipal water districts in Antique and 70% in Iloilo are
already operational
NDRRMC
PAGASA
OCHA CARITAS TELECOMS SANS FRONTIERES
12. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
AS OF 1 DEC 2013
• Foreign Teams: 94
• DOH Teams: 86
• Local Teams: 26
FROM NOVEMBER 10 TO 28, 2013
HOSPITALS:
•
Eight (8) hospitals in Leyte (Eastern Visayas Regional Medical
Center, Schistosomiasis Hospital, Divine Word Hospital, Remedios
Romualdez Hospital, Ormoc District Hospital, Dr. Manuel Veloso
Memeorial Hospital, Tabango Community Hospital and Abuyog District
Hospital) ,
• Three (3) in Eastern Samar (Borongan District Hospital, Eastern Samar
Provincial Hospital, Balangiga District Hospital) are being providing
services.
• The electricity of EVRMC is provided by a 650 KVE generator.
Likewise, out of 451 employees of the hospital 370 resumed to their
work. The laboratory department is fully operational and radiologic
imaging is possible, except for the CT scan.
SURVEILLANCE:
• Surveillance during Post Extreme Emergencies and Disasters (SPEED)
had been activated in Region VIII since November 11, 2013. Data
received from the reporting health facilities are being processed and
analyzed daily
WHO #3
WHO - #2
HEARS PLUS – 1 DEC 2013
HEARS PLUS – 28 NOV 2013
NOTE: THE LASTEST TYPHOON
YOLANDA HEALTH CLUSTER ISSUE #3 IS
POSTED
• A total of 4,381 consultations ( < 5 y/o. 1,324 / >= 5 y/o.3, 057 ) under SPEED
were reported from seven (7) reporting facilities ( 3 hospitals namely : Dr.
Manuel B. Veloso Memorial Hospital and Tabango Community Hospital and
Villaba Community Hospital ) and 4 Municipal Health Office namely
Kananga, Merida, Palompon, Tabango MHO) of six municipalities of Leyte (
Kananga, Merida, Palompon, Tabango and. 30. 2 % of these consultations
were among children below five years old.
• The top 5 consultations were acute respiratory infection
(2,844)64%, fever(305) 6. 96%, Hypertension(282) 6.43 %, wound with
bruises (226) 5.15% and skin disease (163) 3.72%.
• Other consultations seen, suspected leptospirosis (5) 0.1%,suspected measles
(5) 0.1%, acute hemorrhagic fever(16) 0.36%, acute watery diarrhea(115)
2.62% and acute malnutrition(5) 0.1%
Note: The top five SPEED consultations does not reflect the whole medical
consultations of region VIII.
FROM NOVEMBER 29 TO 30, 2013
• A total of 346 consultations (< 5 y/o. 123 / >= 5 y/o. 223) under SPEED
were reported from three (3) reporting facilities. These facilities includes
2 hospitals (Dr. Manuel B. Veloso Memorial Hospital and Clinica
Gatchalian Hospital), and 1 Municipal Health Office (Capoocan). Among
the consultations, 35.54% are children below five years old.
• The top 5 consultations were acute respiratory infection (120) 34.6%,
hypertension (37) 10.6%, Skin diseases (8) 2.31%, Acute watery
diarrhea (6) 1.73%, wound with bruises (6) 1.73% and Fever (5)1.45 %.
• Consultation warranting immediate attention is acute watery diarrhea
(6) 1.73 %. This was reported from Capooocan Municipal Health Office
and Dr. Manuel B. Veloso Memorial Hospital.
13. CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL
HEALTH FACILITY STATUS PER AFFECTED REGION A
LEPTOSPIROSIS
•
A 58-year-old man from Palo died due to leptospirosis on 20 Nov while 13
others have been diagnosed with leptospirosis. Six of the 13 cases of
leptospirosis monitored by health authorities were from Tacloban, while the
rest were from Palo, Jaro and Alangalang towns, all in Leyte province.
•
The 13 cases were reported from 9-26 NOV and were treated at EVRMC.
• Among the 1,034 existing health facilities in Regions IV-B, VI, VII, and VIII, 21
% (221 HFs) of the health facilities were reported damaged but despite the
damages incurred, 81% (841 HFs) still remain to be functional and
operational.
•
In anticipation of a possible surge of leptospirosis cases in the city and other
typhoon-hit areas in Leyte, the DOH has distributed doxycycline, an
antibiotic, to prevent the spread of the disease. The public is warned against
wading in flood and mud, especially those who are involved in clearing
operations.
• Eight (8) DOH Hospitals from the affected regions were partially damaged but
remain to be functional and fully operational while 11 % (113 HFs) of other
health facilities including private and LGU hospitals as well as the BHS, RHUs
and other health offices are being managed by local and international team
for continuance of health service delivery.
DENGUE AND CHIKUNGUNYA
•
Dengue and chikungunya—mosquito-borne viruses—are endemic throughout
typhoon-affected areas, and massive debris piles are likely increasing breeding
areas for mosquitos.
•
The GPH has considered the islands of Leyte and Samar malaria-free for 10
years; however, health partners have expressed concern that population
movements and the interruption of mosquito control campaigns could result
in the re-introduction of malaria. Health officials also remain concerned about
leptospirosis, a bacterial disease present in affected areas.
•
The DoH, WHO, and vector-borne disease specialists continue to assess the
vector-borne disease surveillance system. In addition, Health Cluster partners
have initiated disease-prevention campaigns and are conducting capacity
building activities to strengthen the ability of local health facilities to respond
in the event of an outbreak.
WHO #3
WHO - #2
HEARS PLUS – 1 DEC 2013
HEARS PLUS – 28 NOV 2013
27 NOV 2013 USAID FACT SHEET
NOTE: THE LASTEST TYPHOON
YOLANDA HEALTH CLUSTER ISSUE #3 IS
POSTED
14. 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 2013
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
15. DAMAGED HEALTH FACILITIES BY CATEGORIES AS OF 1 DEC 2013
Affected Health
Facilities
# of Affected
Not
Health
Functional
Functional
Facilities
Partially Completely
Infrastructure
Damaged Damaged
Equipment
Estimated Total
Cost of Damage
0
36,805,012.00
Barangay Health
Station
707
385
130
373
119
City / District
Health Center
6
6
0
5
1
City Health Office
5
5
0
2
0
LGU Hospitals
60
48
6
35
8
Municipal Health
Office
1
1
0
1
0
0
Private Hospital
3
2
1
0
0
0
Retained Hospital
5
5
0
3
0
Rural Health Unit /
Health Center
139
110
13
81
13
17,985,000.00
0
0
0
60,000.00
50,852,000.00 13,250,000.00 66,743,000.00
19,560,000.00 10,000,000.00 29,560,000.00
49,586,695.00
4,408,000.00
53,994,695.00
Grand Total (8 detail records)
TOTAL
926
562
150
DOH DAMAGED HEALTH FACILITIES BY CATEGORY AS OF DECEMBER 1, 2013 03:19 PM
500
141
137,983,695.00 27,658,000.00 187,162,707.00
16. DOH MEDICAL TEAMS
Information gathered from Department of Health update report on Response to Typhoon Yolanda - 1 DEC 2013
CATBALOGAN
TACLOBAN
BORONGAN
BASEY, BALAGIGA, LAW
AAN, MARABUT
Basey
PALPOMPON
SALCEDO, MERCE
DES
TANAUN, TOLOSA, DULAG, PALO,
SAN JOSE
ORMOC
19. HEALTH AND MEDICAL – ORMOC
HEALTH INFRASTRUCTURE
• 1 LGU Hospital (Ormoc District Hospital) partially functional
• 1 Private Hospital (OSPA Farmers Medical Center) not functional
• 2 Private Hospitals (Gatchalian Hospital; and Maternity and Children’s
Hospital) partially functional
• 1 Private Hospital (Ormoc Doctors Hospital) fully functional
• 5 RHUs (Curva, Linao, Cogon, Ipil[partially damaged], Valencia) functional
• 1 RHU (San Pablo District Hospital) completely damaged
• 16 BHS in Ormoc City, and 34 in greater Ormoc completely damaged
FOREIGN
• MERCY MALAYSIA at Ormoc District Hospital providing patient services, operating
mobile clinics and serving local communities. Also at Valencia Rural Health Center.
Supporting the Medevac services which being operated/ provided by the Italian and
Philippine army. The rehabilitation still underway at Ormoc District Hospital.
• 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 sent mobile clinic units
• JOHANNITER GERNAMY , BALAY MINDANAW Medical missions in 6 barangays (San
Juan, Liloan, Lao, Linao, Naungan and Nadungholan) and 2 evacuation centers
(Ormoc Central Elementary School and Linao Elementary School) VIDEO LINK
• IFRC-CANADIA AND NORWEGIAN at Ormoc District Hospital area with operating
theater, maternity wards and inpatient services. Working in collaboration with other
teams and Philippines Red Cross.
• Euro Volunteers-France - team is currently in Ormoc City, Leyt.e
• 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.
• CHINA AID - sent the Peace Ark,10,000-ton-class fully equipped hospital ship.
A volunteer doctor from
Mercy Malaysia
providing medical relief
at one of the clinics
Red Cross delivering supplies t
communities around Ormoc
LOCAL OR OTHER
•
•
•
THE PHILIPPINE COLLEGE OF PHYSICIANS San Pablo City Medical Society, Chapter,28 medical
doctors on site and coordinated by the DOH.
Philippine College of Physicians (PCP) Southern Luzon Chapter - 25 medical doctors on site and
coordinated by DOH
PHILIPPINE NATIONAL RED CROSS Coordinating with international Red Cross
chapters. Operation areas include the Ormoc District Hospital. VIDEO LINK
PH Health Atlas—Monitoring as of Nov 30
Task Force Yolanda Matrix DOH as of Nov 29
Reliefweb APAN
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.
AusMAT team members perform
surgery on a patient in the surgical
theatre tent at the AusMAT medical
facility in Tacloban.
Supplied: Gemma Haines/DFAT
• Humedica (NGO) has also conducted a rapid structural assessment of
Mother Mercy Hospital. Results show that the 4-storey hospital is
serving about 130 – 200 outpatients per day from the community. Part
of the ground floor has been converted to a minor surgery center. The
major damage was loss of about 40% of the roof sheeting and the roof
structure. This damage has resulted in water ingress into the first and
second floors making these floors unusable, particularly with the
frequent rains.
• A similar rapid structural assessment of Bethany Hospital conducted by
MSF France in Tacloban shows minor damage to windows and door in
one of the operating rooms. One of the three operating theatres remains
completely untouched and will be functional for internal fixation surgery
once a generator is in-stalled. One of two-story buildings of the hospital
was severely damaged. Over 50% of the roof structure was destroyed in
the Typhoon and numerous windows were damaged on the 2nd story.
This has made the entire upper floor unusable.
Japan Disaster Relief team is
using these medical tents in
Rizal park, Tacloban.
PH Health Atlas—Monitoring as of Nov 30
Task Force Yolanda Matrix DOH as of Nov 29
21. HEALTH AND MEDICAL – TACLOBAN
KOICA is stationed at the
Tacloban St. Paul Hospital. They
are able to provide medical care.
(20 people)
Australian Medical Assistance
Team has deployed a 50 bed
field hospital. They have x-ray
capabilities, two operating
rooms, and five triage tents.
They are in operation near the
airport. (34 people)
Japan International Cooperation
Agency has teams in Samar and
Tacloban. They are able to
provide medical support and
have a sonogram. The 2nd
medical team arrived on 21 NOV
and continue treating patients in
Rizal Park as well as supporting
Basey District Hospital in Basey
on the island of Samar. Also, a
plan is underway to gather
information and carry out an
assessment of new medical
needs in the affected area.
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
22. HEALTH - NEEDS
HEALTH
NEEDS:
• Data from emergency disease surveillance reports indicate that the five
leading health events are open wounds and bruises, acute respiratory
infection, hypertension, fever and skin disease.
• Reports of tetanus cases in Eastern Visayas Region indicate a need to
provide tetanus vaccination and tetanus immunoglobulin.
• To better facilitate identification and processing of bodies, there is a
need to obtain ante-mortem data from families about those thought to
be dead.
• 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.
• 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.
• 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, whilst the need for
primary health care is increasing.
• 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.
• In Ormoc, partners confirm that the health situation is stable despite a
few cases of upper respiratory infection in children under five. Health
services have been fully restored, but drug supplies are running low.
• Solar refrigerators and solar lamps are required for rural health units in
areas still without power.
• Basic and essential health care services must be expanded, including for
routine surgeries (e.g. Caesarians).
• As of 19 November, 942 (mainly hospitals) of 2,495 health facilities in
the affected area have been assessed; 104 are not functioning (11 per
cent). However, village-level health facilities are also largely not
functioning, creating a serious gap in health care.
•
Most drugstores have been looted and medicines, including family
planning supplies, are urgently required, particularly in Tacloban City.
OCHA SITREP 27-28 NOV 2013
OCHA SITREP 25-27 NOV 2013
OCHA SITREP 22-25 NOV 2013
OCHA SITREP 16-22 NOV 2013
OCHA SITREP 15-21 NOV 2013
OCHA SITREP 14-20 NOV
2013
OCHA SITREP 13– 19 NOV 2013
OCHA SITREP 12– 18 NOV 2013
OCHA SITREP 11– 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
23. HEALTH - RESPONSE
RESPONSE:
• In Ormoc, all five hospitals are operational, and rehabilitation is
progressing.
• 184 medical teams (67 foreign, 90 governmental and 27 local) are
providing emergency health services.
• SPEED, an emergency disease surveillance system, has been activated.
• The measles and polio vaccination campaign in Tacloban has started.
• 62 Government, private and foreign medical teams have been deployed
across affected municipalities in Regions VI, VII and VIII.
• The Department of Health has deployed a team of lab specialists to reenable laboratory facilities in Tacloban City.
• In Roxas City, a cold chain has been established.
• In Tacloban, partners have made available as referral a hospital ship of
300 beds, delivering specialty services not provided by others in the area.
• The Government and partners have provided essential medicines and
tents to operational health facilities, but more supplies and equipment
are needed.
• A health facility has been established in Estancia to serve people with
temporary housing due to the oil spill.
• 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.
• 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.
• Staff is coordinating three medical teams in Tacloban and one in
Medellin, which are delivering outpatient emergency care, pediatric and
primary health care; 16 medical teams are en-route to affected areas.
• A sub-national health cluster has been established in Cebu.
• Emergency supplies were shipped to Tacloban including four emergency
kits with medicines and supplies to cover basic health services for
120,000 people for one month, supplies to perform 400 surgical
interventions and four diarrheal disease kits with medicines and
supplies to treat 3,000 cases of acute diarrhea.
• Reproductive health kits 6A and 6B (clinical delivery assistance) were
sent to Guiuan, Eastern Samar to treat patients with obstetric
complications. Additionally, a generator set, one refrigerator to store
medicines, one delivery bed, midwifery kits and hygiene kits were sent.
OCHA SITREP 27-28 NOV 2013
OCHA SITREP 25-27 NOV 2013
OCHA SITREP 22-25 NOV 2013
OCHA SITREP 16-22 NOV 2013
OCHA SITREP 15-21 NOV 2013
OCHA SITREP 14-20 NOV
OCHA2013
SITREP 13– 19 NOV 2013
OCHA SITREP 11– 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
24. HEALTH – GAPS & CONSTRAINTS
GAPS & CONSTRAINTS:
• More attention needs to be focused on the health risks related to
migrating and vulnerable populations.
• Ormoc lacks food for patients, wound care supplies, fluids, and surgical
instruments.
• The vaccination campaign is being complicated by a reduction in
children being found in evacuation centers due to migration.
• Damage to birthing centers and equipment is hampering the efforts of
public health providers to give adequate reproductive health services.
• There remains insufficient coordination between incoming foreign
medical teams and local health officials.
• Some patients are hesitating to seek medical care due to economic
concerns, unaware that health care is free.
• Gaps in basic health care are expected to occur as foreign medical teams
leave the country.
•
Geographical coverage of health services needs to be expanded.
• 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.
• 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 lack of electricity is undermining cold chain operations.
• 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 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.
• Establishing temporary points for delivery of health services is critical as
infrastructure is damaged and people do not have access to medical care.
• Medical teams require fuel, water purification and safe accommodation.
• People are traumatized and lack psycho-social support.
OCHA SITREP 27-28 NOV 2013
OCHA SITREP 25-27 NOV 2013
OCHA SITREP 22-25 NOV 2013
OCHA SITREP 16-22 NOV 2013
OCHA SITREP 10– 16 NOV 2013
OCHA SITREP 9– 15 NOV 2013
OCHA SITREP 15-21 NOV 2013
OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP 14-20 NOV
OCHA SITREP 6 - 12 NOV 2013
2013
OCHA SITREP 13– 19 NOV 2013
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
OCHA SITREP 11– 17 NOV 2013
25. RED CROSS AND RED CRESCENT ACTION
OPERATIONS
• As of 26 November, 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.
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
26. FOOD SECURITY & AGRICULTURE
FOOD
NEEDS:
GAPS & CONSTRAINTS:
• 2.5 million people are in need of food assistance.
• It is critical to get rice seed and fertilizer to farmers by midDecember, 77% of whom have lost their main income source.
• 865,305 people working in agriculture have been affected.
• Farmland needs to be cleared of debris, communal irrigation canals
need to be de-silted.
• To date, no funds have been committed to restore fisheriesbased livelihoods.
• Isolated island communities, northern Cebu, coastal Eastern
Samar and mountainous areas have received little to insufficient
food assistance to date.
• More funding is needed for agricultural inputs.
• Food Cluster is currently 49% funded out of a total US$113 million
request.
• Logistical constraints hamper the delivery of food assistance, but
rapid expansion is occurring; coordination hub now in Cebu.
• Resources are overstretched as the cluster is also responding to
the Bohol and Zamboanga emergencies.
• Security is a concern as people have stormed warehouses and
food distribution sites.
RESPONSE:
•
•
•
•
•
•
•
•
•
•
Partners in the Philippines:
ACF, ACTED, ADRA, CARE, CARITAS, CONCERN, CRS, DRC, GOAL, Help
Age, 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).
Around 3 million people have received food assistance, with DSWD
distributing 1,152,121 food packs to date.
Additional cluster partners have reached 738,220 people in affected
areas.
Agencies in Roxas hub are transitioning from food to cash-based
assistance.
Food is now reaching small island communities near Guiuan.
Rice distribution is about to begin across Eastern Visayas.
Plumpy’doz has been pre-positioned in Tacloban and Guiuan.
614 tons of rice seed and 46 tons corn seed are being delivered to
over 17,600 families for planting.
16,000 banana and 1,500 coconut trees are being distributed to 800
farming families in Northern Negros.
OCHA SITREP #19 - Nov. 29
OCHA SNAPSHOT – Nov. 28
CLUSTER LOCATION MAP – Nov. 27
WFP OPS UPDATE – NOV 26
NORTHERN NEGROS - Nov. 28
FINAL MIRA – Nov. 29
PRIORITIES:
• Immediate and ongoing food assistance, as well as restoration of
agricultural livelihoods among top priorities identified in the MIRA
(Nov. 28)
• Emergency food-for-work and cash-for-work to help kick-start
early recovery activities and rebuild livelihoods.
• Cluster leads are assembling information on locations of all
involved organizations for better coordination.
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
27. NUTRITION
Cases of malnutrition continue to rise.
Over 250 diagnosed cases in children age 6-59 months
NEED:
PRIORITIES (URGENT):
• Partners aim to target 12,000 (50 per cent of need) children aged 659 months with community-based management of acute
malnutrition (severe and moderate); up to 40,000 children aged 6-23
months with blanket supplementary feeding programs; and 197,500
children aged 0-23 months and pregnant women with infant/young
child feeding in emergencies programs(80 per cent of need) over the
next six months.
• Rapid nutrition assessments and screening for
detection, referral, and follow-up of girls, boys and women
supported by local women's groups, religious leaders, and child
protections councils;
• 1.35 million children under five, 650,000 pregnant and lactating
women, and more than 800,000 elderly people in nine of the
country's 17 regions are at risk of malnutrition
• Promote appropriate infant and young child feeding practices (IYCP)
for 200,000 children
• Priority interventions needed include infant and young child feeding
(IYCF) Infant formula monitoring, vitamin A & micronutrient
supplementation, management of acute malnutrition, and health
and nutrition education.
• Prevent and manage acute malnutrition for 900,000 children under
5, and 300,000 pregnant and lactating women and older people
• 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;
OCHA Situation Report 19 – Nov 29
Nation nutrition council cluster meeting – Nov 20 2013
Emergency Appeal Operation Update - Nov 17
Philippines Typhoon Action Plan - Nov 2013
•
Coordination and technical support to the Nutrition Cluster;
CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair
UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org
hmdebwe@gmail.com
28. 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
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
• Night blindness
• Increased sensitivity to light and glare
CURRENT SITUTATION
• Partners have initiated malnutrition screening activities in Eastern and
Central Visayas regions, finding 235 cases of moderate or severe acute
malnutrition among children between six months and five years of
age.
RECOMMENDATIONS
• Nutrition Cluster partners plan to target 12,000 children between six
months and five years of age with community-based management of
severe and moderate acute malnutrition, up to 40,000 children
between six months and two years of age with blanket supplementary
feeding programs, and 197,500 children under two years of age and
pregnant women with infant and young child feeding in emergency
programs over the next six months
• 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
WORLD FOOD PROGRAMME
AMERICAN FAMILY PHYSICIAN
JOHNS HOPKINS CHILDREN’S CENTER
PHILIPPINES NEWS AGENCY
USAID FACT SHHEET - 29 NOV 2013
29. NUTRITION
RESPONSE:
GAPS AND CONSTRAINTS:
• The Harmonized Initiative of Media for the Spread of Good
Nutrition was rolled out. Key messages for infant and young child
nutrition were formulated and shared to affected parents and
children using the media and local communication channels.
• The limited presence of partners on the ground and security
concerns, especially in Tapaz and Capiz (both in Capiz
Province of Region VI), are challenging the scale-up of
integrated nutrition interventions.
• In Region VI (Western Visayas), 1,175 children aged 6-59 months
and 298 pregnant/lactating women (PLW) have been screened. 18
children were moderately malnourished while 6 children and 51
PLW were severely malnourished.
• Facilities for transportation and accommodation are
damaged; food and water supplies are limited. Deployed
teams need to be fully self-sufficient.
• In Region VII (Central Visayas), partners screened 4,598 (211
children aged 6-59 months were found to be moderately and
severely malnourished).
• Of the 12 million USD asked for in action plan, 4.2% of funds
have been raised.
• Most of the affected areas in Leyte and Samar remain
unreachable by media.
• In Region VIII (Eastern Visayas), children under-5 in all evacuation
centers in Tacloban covered by the integrated vaccination, vitamin
A and malnutrition screening campaign. The first parent- and babyfriendly tent was erected at Astrodome (in Tacloban City).
• Treatment of malnutrition and counseling of women for
appropriate infant practices.
Nation nutrition council cluster meeting – Nov 20 2013
Emergency Appeal Operation Update - Nov 17
OCHA Situation Report 19 – Nov 29
UNOCHA Report – Nov 23
Philippines Typhoon Action Plan - Nov 2013
UNICEF health specialist speaks with children affected by the typhoon
30. WASH
WATER, SANITATION AND HYGIENE
WATER, SANITATION AND HYGIENE
RESPONSE:
•
•
•
•
Water treatment units have been established in Dumarao (1), President
Roxas (1), Roxas City (3), Concepcion (1) and Estancia (1).
95 latrines and 18 bathing cubicles are being constructed in 5 evacuation
sites in Tacloban City.
16 latrines have been built in Estancia (Iloilo Province).
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.
NEEDS:
•
•
•
Damage has been reported to reservoirs, service connections,
distribution pipes and pump houses in 68 water districts across all
affected provinces.
Initial estimates indicate that 4.5 million people need access to lifesaving WASH interventions inside and outside evacuation camps.
Open defecation is an issue in many areas.
GAPS & CONSTRAINTS:
•
•
•
•
•
•
•
•
•
•
Heavy equipment for waste disposal are still in short supply.
There is limited availability of trucks for water-trucking.
More humanitarian partners are required to engage in sanitation activities to
cover the scale of the needs.
Available tankers in Tacloban City can supply 224 to 336 m3 of potable water
but the total capacity of the installed bladders so far is 95m3
Water supply has been restored in sections of Tacloban, Cebu, Capiz, Roxas
City, as well as Basey, Marabut and Catbalogan City in Western Samar.
The majority of the displaced population is highly dependent on unsafe
water sources such as surface water, water coming from broken pipes, hand
pumps and open dug wells.
Gender analyses are critical and need to be conducted to understand the
social and gender dynamics that could help or hinder WASH aid
effectiveness.
Cluster partners are encouraged to send assessment data, information and
updates on their activities in order to support Who Does What Where (3Ws)
mapping to philippines@humanitarianresponse.info
WASH cluster meetings will be held every day at 16:00 until December 31, 2013
in Tacloban City at the OSOCC. Contact person is Silvia Ramos at 0906-516-0271
Clusters aim to present a 12-month strategic response plan for the Haiyan
response by December 8, 2013.
A Typhoon Haiyan survivor carries a bottle of drinking water past a
Catholic icon, decapitated by the storm, as he enters a cathedral where
he and other homeless people are squatting in Tacloban, Philippines
OCHA SITREP 19 – 29 NOV 2013
UNICEF SITREP 7 – 27 NOV 2013
CLUSTER COORDINATOR
Rory Villaluna UNICEF washccph@gmail.com
Phone: 0917-859-2578 or 02-901-0101
31. WATER, SANITATION AND HYGIENE
Priority WASH concerns, based on proportion of the population with access
to unprotected sources of water, proportion with unclean water, and
proportion with reported open defecation because of a lack of appropriate
facilities.
MIRA: Multi-Cluster/Sector Initial
Rapid Assessment - 28 NOV 2013
32. 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
34. LOGISTICS
LOGISTICS
GAPS
• Lack of electricity: most people in barangays use hand pumps and
wells which have high risk of contamination.
• There is a lack of capacity at Tacloban airport now that the US Military
has withdrawn.
• Shelter NFIs are arriving in bulk to Tacloban, but logistical challenges are
slowing the distribution of items.
• Transport costs and lack of fuel are hampering the health response.
• An estimated 12,250 workers will need personal protective equipment
and tools to assist in debris clearance operations.
• Supplies are still en route to affected areas. It is taking time for essential
supplies to reach target populations.
• Some affected areas are difficult to reach.
• The airport authorities in Tacloban as well as commercial operators
are concerned about the serious need for infrastructure repair on
most airport facilities following the typhoon.
Tacloban Logistics Cluster Meeting Notice
Frequency: Mondays and Thursdays at 19:00
(until further notice)
Location: The Office of Civil Defence (OCD), Tacloban
CONSTRAINTS
• Certain companies have increased their prices by over 300%.
Pricing for trucking was given at 13,000 pesos ($297.04 USD) per
day, 60,000 pesos($1,370.96 USD) a trip, all-inclusive.
• Limited landing slots at Tacloban airport continue to be a
constraint.
• Storage could pose a challenge at Tacloban port.
• Power shortages remain a challenge for ETC operations, especially
in Tacloban.
• There is a lack of fuel in Guiuan.
• Poor communications and long distances to office hubs pose
challenges for potential beneficiaries.
• An information management system to systematically track needs
and response is not yet in place.
• Customs clearance is slow due to the amount of equipment
arriving at Cebu airport.
• Supplies are still en route to affected areas. It is taking time for
essential supplies to reach target populations.
• Some affected areas are difficult to reach.
• Lacking Food Security and Agriculture Cluster partner personnel on
isolated islands constrains efforts to provide food aid in these
areas.
OCHA Sitrep No. 19 Nov 29
Tacloban Logistics Cluster Meeting Nov. 28
Free-to-User Services Overview Nov. 30
Infographic Free-to-User Services
35. LOGISTICS
LOGISTICS
RESPONSE
• The Government has requested a commercial operator to manage
Tacloban port (including all cargo handling).
• Shipping into Tacloban port is free for all humanitarian users,
excluding labor costs.
• Commercial overland transport companies are operating in Tacloban.
• The Department of Education (DoE) delivered 23 generator kits and
fuel to Leyte and Samar Provinces, and has mobilized cell phones,
solar chargers and lights to make offices functional again.
• Commercial shipping capacity has been identified to reach the area
of Ormoc.
• Three routes are offered from Ormoc and one to Hilongos,
which is 2.5 hours by road to Ormoc.
• The Logistics Cluster does not have a common truck fleet in Tacloban
due to available commercial capacity. It is augmenting the capacity of
organizations as required to speed up deliveries of priority relief
cargo including Shelter and WASH items..
•
MV Super Shuttle Roro 5 is providing cargo transport from Cebu to
Tacloban.
•
Partners may load cargo, vehicles, and/or loaded trucks.
•
Support staff are available in Cebu and Tacloban Port.
•
CEBU AIRPORT: IMPORTANT DAILY DEADLINES
Process for the use of military air assets
• Civ-Mil SRFs submitted by organizations prior to 0800 will
be eligible for flights the following day.
• Requests will be taken to a Logistics Meeting at the
operations center at Mactan Air Base (the meeting is open
to the humanitarian community) at 0900.
• Cargo will move in accordance with the priorities set by the
Humanitarian Country Team (HCT). At the 0900 meeting
participants will prioritize eligible requests within each
sector of humanitarian activity.
• By 1530 organizations with consignments that have been
accepted for early morning flights (departing before 0800)
will be contacted and may be asked to deliver the
consignment for loading the evening prior to the flights
departure day. Source
UPDATED REGIONAL MAPS
Visayas General Logistics Planning Map
Samar Island Guiuan Region
Leyte Island Tacloban Region
Leyte Island Dulag Region
The ship is expected to load approx. every five days in Cebu,
with a 30-hour transit time from Cebu to Tacloban.
OCHA Sitrep No. 19 Nov 29
Tacloban Logistics Cluster Meeting Nov. 28
Free-to-User Services Overview Nov. 30
Infographic Free-to-User Services
37. LOGISTICS CLUSTER CONTACTS
LOGISTICS
MANILA
John Myraunet (Logistics Cluster Coordinator)
Chiara Argenti (IM Officer)
Oliver Bartolo (UPS Customs Procedures Advisor)
Jared Komwanu (Chief Air Officer)
Ismail Osman (Air Officer)
Thierry Crevoisier (GIS Officer)
Oliver Bartolo (UPS Customs Procedures Advisor)
Email: john.myraunet@wfp.org
Email: chiara.argenti@wfp.org
Mobile: +63 926 618 9007
Mobile: +63 9276613901
Mobile: +63 9158481559
Email: jared.komwanu@wfp.org
Email: imail.osman@wfp.org
Email: thierry.crevoisier@wfp.org
Mobile: +63 9158481559
CEBU
Henrik Hansen (Logistics Officer)
Colin Hourihan (IM Officer)
Sean Price (Consignment Tracking Officer)
Tanveer Siddiqui (Information Management Officer)
Sean Price (Consignment Tracking Officer)
Email: henrik.hansen@wfp.org
Email: colinp.hourihan@wfp.org
Email: sean.price@wfp.org
Email: tanveer.siddiqui@wfp.org
Email: sean.price@wfp.org
TACLOBAN
Irving Prado (Logistics Officer)
Esther Russell (IM Officer)
Andrew Jackson (Consignment Tracking Officer)
Email: irving.prado@wfp.org
Email: esther.russell@wfp.org
Email: andrew.jackson@wfp.org
For general Logistic Cluster inquiries please email: Philippines.Logs@logcluster.org
Mobile: +63 9278328557
Mobile: +63 9151438193
Mobile: +63 9278328557
38. 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 as women and child work to
make ends meet.
URGENT: NEEDS:
•
IDPs leaving Tacloban City and Ormoc City need assistance with
transportation as military flights have stopped.
•
IDPs in schools need protection and proper shelter assistance when
classes resume in Tacloban City in January and Ormoc City in
December.
•
IDPs need information regarding government assistance and
relocation plans.
•
Land issues have emerged as a potential obstacle to the return of
displaced people. In Barangay 6 of Guiuan Municipality, 40 families
reportedly cannot return home due to a planned development
project. Most of these families do not own land titles.
•
According to Protection Cluster estimates:
•
42% of affected people have documentation needs
•
40% have communication problems with separated family
members
•
20% have security fears
•
Approximately 3.2 million women of reproductive age and 5.5
million overall affected children need psychosocial support and
protection against violence, trafficking, and exploitation.
•
1.8 million children are estimated to be displaced.
•
There needs to be de-congestion of camps, especially in Guiuan and
Ormoc City.
•
Coastal and uplands barangays in remote locations need protection.
FUNDING APPEALS:
•
UNFPA has developed a $110 million plan for national authorities
and humanitarian partners to ensure that no woman dies giving
birth and that each woman and girl is protected from violence.
UNFPA launched an appeal for $30 million to fulfill its
commitments in the next six months.
•
UNICEF’s requests $61.5 million to respond to the needs of children
and women affected by Typhoon Haiyan. 28% currently remains
unfunded.
GAPS & CONSTRAINTS:
• 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.
• There are reports that cash-for-work programs are only offered to
men.
OCHA SitRep#19 29Nov
NDRRMC SitRep#38 24Nov
UNFPA Master Plan Protecting Women & Girls
OCHA SitRep#16 22Nov
OCHA SitRep#15 21Nov
Protection Cluster Assessment#9 29Nov
IASC Sub-Working Group on Gender 18Nov
39. CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION
CRITICAL RESOURCES:
RESPONSE:
•
•
•
•
•
•
•
•
•
•
•
TipSheet: Health and Gender
The first Protection Cluster meeting was conducted in Ormoc
City. Priorities: strengthening information dissemination
regarding assistance and family tracing system; and
reactivating referral pathways.
The Migration Outflow Desk at Tacloban airport has registered
638 households (2,864 people) to date.
A response desk at Villamor Airbase, Pasay City (Manila), was
established to monitor possible cases of trafficking and/or
unaccompanied, separated, or missing children.
IDP registration in Ormoc City has begun.
100 child protection workers in Tacloban City and 13
municipalities in Leyte Province have received training in child
protection and documentation.
2,000 children in Tacloban City have been assisted through the
nine established Child-Friendly Spaces.
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.
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.
Women and Child Protection Units have been set up in
Borongan, Balangkayan, Hernani, Llorente, Oras, Salcedo, and
San Julian municipalities (Eastern Samar).
OCHA SitRep#19 29Nov
OCHA SitRep#16 22Nov
OCHA SitRep#15 21Nov
Protection Cluster Assessment#9 29Nov
IASC Sub-Working Group on Gender 18Nov
TipSheet: Education and Gender
TipSheet: Gender in Coordination Projects
Tip Sheet: Addressing GBV in Health Assessments and Initial Program Design
Tip Sheet: Addressing GBV in Shelter Assessments and Initial Program Design
Tip Sheet: Addressing GBV in WASH Assessments and Initial Program Design
Minimum Standards for Child Protection in Humanitarian Action Handbook
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