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

TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS

FOOD

WEATHER OUTLOOK

15 NOV 2013(As of 9:00 PM EST)

PHILIPPINESNATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCILPHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL SERVICES ADMINISTRATIONDEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENTDEPARTMENT OF TRANSPORTATION & COMMUNICATIONS DEPARTMENT OF HEALTH DSWD DISASTER MITIGATION AND RESPONSE SITUATION MAO OFFICIAL GAZETTEPHILIPPINE COAST GUARDPHILIPPINE INFORMATION AGENCYPROJECT NOAHWEATHER PHILIPPINESGMATHE MANILA TIMES

INTERNATIONAL/REGIONAL RELIEFWEBOCHA HUBHumanitarian Response - The Philippines

EUROPEANHUMANITARIAN AID AND CIVIL PROTECTIONCEDIM

UNITED STATESTHE DEPARTMENT OF STATEOFDAUS EMBASSY – THE PHILIPPINES NOAAPACOMJOINT TYPHOON WARNING CENTERNASAVOA

HEALTH INFORMATIONCDC DISASTER INFORMATION MANAGEMENT CENTER

PORTALS AND RESOURCESASEAN COORDINATING CENTER FOR HUMANITARIAN ASSISTANCE ON DISASTER MANAGEMENTGDDACPREVENTION WEB – PHILIPPINES PACIFIC DISASTER CENTERTHOMAS REUTERS FOUNDATIONUNDERGROUND WEATHERGOOGLE CRISIS RELIEF MAPHUMANITY ROAD

BACKGROUND

CURRENT SITUATION

US RESPONSE

12,487*

INJURED DEAD

3,631**OFFICIAL NUMBER – THE NUMBERS WILL CONTINUE TO FLUCTUATE

CLUSTER LEADS

HEALTH

NUTRITION

WASH

GBV

EMERGENCY SHELTER

CHILD PROTECTION

LOGISTICS

EMERGING NEEDS AND PRIORITIES

BACKGROUND

SOURCE: TYPHOON HAIYAN – WIKIPEDIA PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine typhoon on record, killing at least 2,344 people.[1]

The thirtieth named storm of the 2013 Pacific typhoon season, Haiyan originated from an area of low pressure several hundred kilometers east-southeast of Pohnpei in the Federated States of Micronesia on 2 November. Tracking generally westward, environmental conditions favored tropical cyclogenesis and the system developed into a tropical depression the following day.

After becoming a tropical storm and attaining the name Haiyan at 0000 UTC on 4 November, the system began a period of rapid intensification that brought it to typhoon intensity by 1800 UTC on November 5.

By 6 November, the Joint Typhoon Warning Center (JTWC) assessed the system as a Category 5-equivalent super typhoon on the Saffir-Simpson hurricane wind scale; the storm passed over the island of Kayangel in Palau shortly after attaining this strength.

it continued to intensify; at 1200 UTC on 7 November the Japan Meteorological Agency (JMA) upgraded the storm's maximum ten-minute sustained winds to 235 km/h (145 mph), the highest in relation to the cyclone. At 1800 UTC, the JTWC estimated the system's one-minute sustained winds to 315 km/h (195 mph), unofficially making Haiyan the fourth most intense tropical cyclone ever observed.

On the morning of 8 November, category 5 Typhoon Haiyan (locally known as Yolanda) made a direct hit on the Philippines, a densely populated country of 92 million people, devastating areas in 36 provinces. The eye of the cyclone made its first landfall in the Philippines at Guiuan, Eastern Samar, without any change in intensity. Many cities and towns experienced widespread destruction, with as much as 90 per cent of housing destroyed in some areas. Roads are blocked, and airports and seaports impaired; heavy ships have been thrown inland. Water supply and power are cut; much of the food stocks and other goods are destroyed; many health facilities are not functioning and medical supplies are quickly being exhausted.

The cyclone caused devastation in the Philippines, particularly on Samar Island and Leyte.

AFFECTED AREA: Regions VIII (Eastern Visayas), VI (Western Visayas) and VII (Central Visayas) are hardest hit, according to current information. Regions IV-A (CALABARZON), IV-B (MIMAROPA), V (Bicol), X (Northern Mindanao), XI (Davao) and XIII (Caraga) were also affected. Tacloban City, Leyte province, with a population of over 200,000 people, has been devastated, with most houses destroyed. An aerial survey revealed almost total destruction in the coastal areas of Leyte province.

AFFECTED POPULATION: An estimated 11.3 million people in nine regions—over 10 per cent of the country’s population—are affected. At least 673,042 people are displaced by the typhoon (55 per cent are in evacuation centers, the rest in host communities or makeshift shelters). Thousands of people have been killed or are still missing. Tens of thousands suffering from injuries, with the number of confirmed casualties still rising as more areas become accessible. Pre-disaster poverty levels and malnutrition rates in Regions VI, VII and VIII were already higher than the national average.

An entire neighborhood is destroyed in Tacloban after Typhoon Haiyan. Photograph: Kevin Frayer/Getty Images AsiaPac

Synopsis:

Northeast Monsoon affecting Northern Luzon.

Forecast:

The entire archipelago will experience partly cloudy to cloudy skies with light rains over the regions of Cagayan Valley, Cordillera and Ilocos while isolated rain showers or thunderstorms is expected over Metro Manila and the rest of the country.

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 with slight to moderate seas.

http://www.pagasa.dost.gov.ph/wb/glfcst.html

WEATHER OUTLOOK

http://www.pagasa.dost.gov.ph/wb/wxfcst.html

http://www.accuweather.com/en/ph/davao-city/262966/daily-weather-forecast/262966

CASUALTIES: 3,631 individuals were reported dead, 12,487 injured and 1,179 missing

AFFECTED POPULATIONA total of 1,963,898 families (9,073,804 persons) were affected in 9,303 barangays in 44 provinces, 536 municipalities and 55 cities of Regions IV-A, IV-B, V, VI, VII, VIII, X, XI and CARAGA397,607 families (1,871,321 persons) were displaced. There are 1,141 evacuation centers.• 86,889 families / 422,226 persons inside evacuation centers• 310,718 families/ 1,449,095 persons outside evacuation centers

DAMAGES (Regions IV-B, V, VI, and CARAGA)

DAMAGED HOUSES: 273,375 houses damaged in (153,098 totally, 120,277 partially)

INFRASTRUCTURE: PhP362,834,761.13=$8,328,583.98 USD worth of damage to infrastructure

AGRICULTURE: PhP9,089,181,461.00 = $208,278,593.18 USD• The Island of Leyte has been most severely affected. Most homes are

uninhabitable due to damage, and water and power have yet to be restored.• Much of the livelihood infrastructure (farm –to-market roads, fishing boat

landing sites and field irrigation) has been destroyed or blocked with debris, requiring reconstruction.

• A total of 155,366 hectares of agricultural land planted with rice (86,192 has), corn (14,207 has) and high value crops (54,967 has) were affected in regions IV-B, V, VI, VII, VIII and CARAGA .

• Estimated production loss: PhP7,742,203,861.00 ($177,412,601.47 USD) or 236,938 metric tons (522,358,916 lbs)

• Rice crops were the hardest hit with region VIII ranking No. 1 (74,213 has) , followed by Region VII (7,865 has)

• Losses: rice (PhP2,412,653,276.00 = $ 55,285,949.82 USD), corn (PhP226,986,542.00= $5,201,396.61 USD), high value crops (PhP1,967,979,332.00= $45,096,246.39 USD)

CURRENT SITUATION

NDRRMC.GOV.PHPAGASA.DOST.GOV.PH

AS OF 8 PM PHT, 15 NOV 2013DAMAGES (CONTINUED)• Damages and losses to livestock, fisheries, irrigation facilities and

infrastructure: PhP1,346,977,600.00 = $30,865,991.70 USD• Estimated cost of damages to agriculture: PhP3,697,209,318 = $84,866,505.64

USD

ROADS AND BRIDGES• 2 roads in Regions VI and VIII remain impassable.• The lack of access to affected areas due to blocked roads and damaged

infrastructure, limiting assessment and response activities.

AIRPORTS: As of 13 November, 2013, all CAAP-controlled airports were again operational. To date, operations in Tacloban airport are still limited.

SEAPORTS: All seaports are operational

FOOD: 2.5 million people are in need of food assistance, but nutrition supplies are inadequate and logistical constrains hamper delivery of food.

WATER: Water systems are damaged and non-operational in many areas. In addition, some ground water supplies are contaminated. Some local government units in Capiz and Iloilo, and the Municipality of Barbaza, Antique still do not have water supplies.

CHILDREN: A significant number of children were displaced. Over 20,000 schools and day care centers were affected.

SECURITY: Security conditions across the Philippines are rapidly deteriorating. The critical need for food and water has led desperate inhabitants to pillage supplies from shops and supermarkets, notably in the town of Tacloban. Gender-based violence is a major concern.

OCHA CARITAS TELECOMS SANS FRONTIERES

Note: The total extent of damage is unknown as assessments are still ongoing. Expect this information to change frequently as more information becomes available.

CURRENT SITUATION

ndrrmc.gov.ph

POWER OUTAGE: • Power outage is still being experienced in the following provinces and

municipalities in Regions IV-B, V, VI, VII and VIII• Based on NGCP’s latest inspection, 566 transmission towers and poles are

either leaning or toppled and 7 substations are affected which remain unenergized

POWER SUPPLY HAS BEEN RESTORED IN:• Province of Marinduque• Municipalities of Baco, Calapan City, Naujan, San Teodoro, Socorro,

Victoria, Bansud, Gloria, Mansalay, Pinamalayan, Roxas and all of Oriental Mindoro

• Municipalities of Rizal, Sta. Cruz, Mamburao and San Jose, Occidental Mindoro

• Municipalities of Odiongan, Ferrol, Looc, Alcantara and San Andres, all in Romblon

• Municipalities of Mina, Pototan and Aniway, all in Iloilo

DECLARATION OF STATE OF CALAMITY• On 11 November 2013, the President issued Presidential Proclamation

No. 682 declaring a state of national calamity.

COMMUNICATIONS:• AS of 11 NOV 2013 operating cell sites of Globe Telecom were established.

In total, 49% of the affected sites in Visays and 30% of the affected sites in Luzon and Mindanao have been restored.

• “Libreng Tawag” of Globe Telecom was set up at Hotel Alejandro, Tacloban City

• Smart & Sun Cellular: 309/396 affected municipalities• As of 14 November 2013, Globe, Sun Cellular, Smart and Talk N’ Text Services

have been restored in the following provinces:

Air Crewman Heath surveys the devastation from a U.S. Navy helicopter attached to the aircraft carrier USS George Washington over a village north of Tacloban on Nov. 15. USS George Washington and other U.S. ships were sent to bolster relief efforts in the Philippines. Mark Ralston / AFP - Getty Images

EMERGING NEEDSMEDICAL AND PUBLIC HEALTH

Untreated trauma injuries Untreated medical conditions Shortages of medication in shelters Lack of cold chain capacity is hampering vaccination

campaigns Lack of sanitation & personal hygiene items

FOOD, WATER, AND SHELTER Food shortages Lack of safe drinking water Lack of proper nutrition in shelters for vulnerable

groups Lack of shelter

SECURITY Lack of law enforcement in shelters Attacks on relief convoys by armed groups

LOGISTICAL BARRIERS Loss of electricity Damages to health infrastructures Damages to other government buildings crucial for

livelihood No infrastructure capacity to to store & receive relief

goods Blocked transportation routes Air traffic congestion causing flight delays (Tacloban

& Manilla ) Fuel shortages

.

PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013PHILIPPINES: TYPHOON HAIYAN SITUATION REPORT NO. 8

OTHER NEEDS Damage to school buildings Stress debriefing for those traumatized Psychosocial services for pregnant and lactating

women Lack of access to primary and specialized health care Current status of schools and day care centers Poor internet access

A ship pushed inland by the typhoon sits near damaged buildings in the devastated city of Tacloban on Nov. 15 Nic Bothma / EPA.

EMERGING PRIORITIESIMMEDIATE WATER, SANITATION AND HYGIENE FOR 500,000 PEOPLE

Installation of water bladders, water points and mobile water treatment units

Rehabilitation of water supply systems Distribution of water and hygiene kits Water quality surveillance Construction of gender-segregated emergency latrines and

bathing facilities Management of solid waste

ESSENTIAL HEALTH SERVICES FOR UP TO 9.8 MILLION PEOPLE Medical/surgical consultations Reproductive health Mental health Psycho-social support Health promotion Immunization Disease surveillance and outbreak control

Restore referral system from community health facilities to higher levels of care

Establish temporary health facilities and services Repair or rehabilitate damaged health facilities Deliver the Minimum Initial Service Package including

maternity tents and hospital delivery room “containers” Mobile health teams

NUTRITION SERVICES FOR 100,000 CHILDREN AND 60,000 MOTHERS

Provision of nutrition supplies for therapeutic feeding Micronutrient supplements and equipment Rapid nutrition assessments and screening Community-based therapeutic feeding centers for girls &

boys with severe acute malnutrition PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

FOOD AID FOR 2.5 MILLION PEOPLE General food distribution of food basket containing rice

and ready-to-eat high-energy biscuits

SHELTER & URGENT HOUSEHOLD ITEMS FOR 562,000 PEOPLE

Tarpaulins, basic tools and other inputs to repair damaged and makeshift shelters, and tents for displaced people

Non-food items such as family kits, sleeping kits, sanitization and hygiene kits

Care and maintenance of existing evacuation centers and transitional sites

IMMEDIATE SHORT-TERM EMPLOYMENT FOR AT LEAST 200,000 WOMEN AND MEN

Toward the removal and safe disposal of debris

SUPPORT REHABILITATION OF SOLID WASTE FACILITIES & OPERATIONS

COORDINATED ROAD AND SEA TRANSPORT SUPPORT

OTHER NEEDS IN SPECIFIC PLACES Temporary storage at Cebu Airport, Tacloban and across

the affected areas Deployment of fully operational communications

centers that will provide both data/Internet service and common security communications service to the humanitarian community in Cebu, Tacloban and Roxas city, and two other locations.

CURRENT SITUATION - HEALTH HEALTH• Several medical teams, both domestic and international, have been

deployed to provide emergency and basic medical and surgical services to affected areas in Eastern Visayas, the hardest hit by typhoon Yolanda (Haiyan). These teams are self-sufficient and will pose no burden to host communities.

DEPLOYMENTS• DOH has deployed more than a hundred doctors and nurses that

are treating the injured and sick in Tacloban, Bantayan, Medelin – and more are positioned to take off and set-up satellite medical stations throughout Regions 6, 7, and 8. These teams have been accompanied by more than P25 million worth of essential medicines and supplies

• WHO Representative to the Philippines announced that “self-sufficient medical teams from Australia, Belgium, Germany, Hungary, Israel, Japan, Norway, Russia and Spain are already in the Philippines and logistical arrangements are underway to ensure that they reach affected areas. There are offers for help from Spain, Israel, the United Kingdom and Singapore

• Priority for deployment will be teams that can set up hospitals with capacity for surgery and are equipped with generators and supplies for their teams to last from 10-15 days. WHO is working closely with the Department of Health to facilitate positioning of these international teams in strategic areas to augment the local medical teams.

SUPPLIES:Several cargoes of medicines, supplies and equipment have now reached Tacloban via Cebu and Catbalogan, Samar. Hopefully these will reach those who need them especially that alternative routes of transport were made available and provided by partners like PAL and AIR21.

HOSPITALS: Of 40 health facilities assessed, one hospital in Iloilo and four in Leyte are not operational. Assessments areongoing and these figures may rise. Functioning hospitals are overstretched. Eastern Visayas Medical Centre isthe only operational hospital in Tacloban, while Bethany Hospital remains closed due to insecurity.. COMMNUICATIONS: Communication remains a problem. DOH has requested that the restoration of communication lines be prioritized for DOH to enable them to get immediate feedback from the field. In the meantime, DOH is coordinating with Telecoms Without Borders to help in this aspect .

CODES:• A Code Blue has been activated in all regions, meaning

medical personnel in the regional offices will go on 24-hour duty.

• Code White has been activated for all hospitals, meaning hospitals should be ready with standby response

OFFICIAL GAZETTE - 13 NOV 13NDRRMC.GOV.PH

DEPARTMENT OF HEALTH • Eastern Visayas saw the deployment of international medical teams to

provide both basic coverage and surgical procedures. Area was among those hardest hit. Medical operations are ‘self sufficient’ posing no burden to host communities.

• Medicine and Supplies have reached Tacloban, finally, only by utilizing unnamed ‘alternate routes of transport’ through orgs like PAL and AIR21.

• There are no reported outbreaks yet. But risk for diarrhea, respiratory illnesses, leptospirosis and influenza outbreaks remain high. To prevent water-borne outbreaks, DOH is coordinating efforts with MWSS, Red Cross, and Bicol local government to provide adequate, clean water through water filtration machines.

HEALTH ADVISORIES• Precautions should be observed by body handlers to prevent spread off

any disease. He urged authorities to retrieve dead bodies, and arrange for decent burial including proper identification.

• Secretary Ona reminded affected communities to observe immediate wound care and seek anti-tetanus vaccination to prevent Tetanus. He added that hygiene and frequent hand washing should be observed whenever feasible to stave off spread of other diseases.

As of November 15, Health Secretary Enrique Ona announced the implementation of a price freeze on about 200 essential medicines to ensure their availability to thousands of typhoon Yolanda victims, who are feared to be vulnerable.

CURRENT SITUATION

NDRRMC.GOV.PH http://doh.gov.ph/PAGASA.DOST.GOV.PH

PL DOH Hotline: 711-1001 (Central Office)Dir. Gloria Balboa: 0928-5072141 (Catbalogan, Samar)Dir. Jaime Bernadas: 0918-9255908 (Cebu)

CURRENT SITUATION - MEDICALPUBLIC HEALTH ISSUES:

– Lack of safe drinking water• Many water sources are mixed with salt water• Require rehabilitation of water supply systems,

distribution of water and hygiene kits, water quality surveillance

– Shortage of food • Require family food pack distribution• Three repacking centers are producing 55,000 family food

packs daily– Poor sanitation– Lack of shelter

• Require basic tools to repair damaged and makeshift shelters and tents for displaced people

– Interruption of vaccine campaigns may lead to resurgence of previously eliminated diseases

– Essential health services• Health promotion, immunization, disease surveillance,

reproductive health – Shortage of fuel for cooking food and boiling water– No electricity to run water pipes

• Require generators and rechargeable batteries– Disruption of livelihoods, which will worsen general deprivation

and add to humanitarian needs as soon as coping mechanisms are exhausted

– Sources and transmission of infectious diseases• Diarrhea and other water-borne diseases• Dengue fever and other vector-borne diseases• Pneumonia and viral upper respiratory illness

MEDICAL ISSUES:– Limited hospital availability– Untreated injuries– Lack of care and support for heart attack victims, dialysis patients,

estimated 95,270 pregnant women in disaster zone– Diarrheal and respiratory diseases due to poor sanitation and

overcrowding – Lack of medical supplies:

• Medicine• Hygiene Kits• Cot Beds• Tents• Emergency Supplies

– Undermanned hospitals and fatigued medical staff– Poor hygiene– Disruption of treatment for severe and moderate acute malnutrition– Trauma injuries and other acute medical conditions including

contagious diseases– Difficulty for doctors to access flooded areas

• Doctors are being deployed on a 1,000 ton barge through the Philippine Medical Association

– Psycho-social malaise– Diminished transportation capabilities including air and sea transport

of relief goods and personnel– Reduced emergency telecommunication– Debris removal

http://www.oxfam.org/en/emergencies/philippines-typhoon-haiyan Accessed: 12 Nov 2013http://www.dswd.gov.ph/ Accessed: 12 Nov 2013 http://disaster.dswd.gov.ph/reports-and-updates/ Accessed: 12 Nov 2013https://philippines.humanitarianresponse.info/system/files/documents/files/20131112%20Philippines%20-%20Haiyan%20Action%20Plan.pdf Accessed: 12 Nov 2013

https://www.mercycorps.org/donate. Accessed 12 Nov 13.https://secure.americares.org/site. Accessed 12 Nov 13.https://www.doctorswithoutborders.org/donate/. Accessed 12 Nov 13.http://www.doh.gov.ph/ Accessed: 12 Nov 2013

SITUATION: The World Health Organization categorized Typhoon Haiyan as a Category 3 Disaster (Most Severe)

NPR

HEALTH

Preliminary reports indicate that health infrastructure has been damaged or destroyed in many areas, disrupting the delivery of essential health services. The regional hospital in Tacloban was hit by a storm surge and much of its medical equipment was washed away. An estimated 660,000 displaced people need essential health services.

NEED• Health infrastructures are severely damaged in the worst

affected areas and medical supplies are low. • According to preliminary reports, 25 health facilities in Region VIII

are serving over 200 000 affected people. • The Health Cluster has assessed 24% of total health facilities

(167) in the worst affected areas of Regions IV-A, VI, VII and VIII. Of the 40 facilities assessed, five are damaged.

• According to NDRRMC 12,487 people have been injured, with numbers expected to rise as more areas become accessible.

• An oral polio vaccination campaign is necessary but is hampered by lack of cold chain capacity.

• Emergency surveillance systems needs to be established. The population is at increased risk of tetanus as well as outbreaks of acute respiratory infections, measles, leptospirosis and typhoid fever

• There is no delivery of routine health services in affected areas, as well as lack of medicine, surgical and general medical supplies.

• Most drugstores have been looted and medicines, including family planning supplies, are urgently required, particularly in Tacloban City.

• Health service delivery points, including for emergency obstetric and neonatal care, are compromised by the sustained damage.

HEALTH

OCHA SITREP 6 - 12 NOV 2013

PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

RESPONSE: • 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.

• Coordination is well under-way in Tacloban City and Eastern Samar Region.

• First medical teams have arrived in Cebu. Others teams, currently in Manila, are preparing for their deployment.

• Public health epidemiologists will be deployed for field disease surveillance and response activities.

• Non-food items like medicines, hygiene kits and dignity kits are pre-positioned with the Family Planning

• Organization of the Philippines (FPOP) and ready for deployment. Partners procured an additional 100,000 dignity kits and 100,000 hygiene kits as well as well as reproductive health (RH) kits for distribution in eight severely affected provinces.

OCHA SITREP 8 – 14 NOV 2013

HEALTHHEALTH

GAPS & CONSTRAINTS: • The lack of access to safe water, overcrowding and displacement pose

serious risk of outbreaks of communicable diseases. Disease surveillance needs to be strengthened.

• Establishing temporary points for delivery of health services is critical as infrastructure is damaged and people do not have access to medical care.

• Medical teams require fuel, water purification and safe accommodation.

• The breakdown in communication facilities in many affected areas has hampered reporting and planning for reproductive health activities.

• Temporary health facilities, generators, medication, surgical supplies, cold storage and WASH facilities are urgently required.

• There is a high risk of acute respiratory infections, diarrhea, leptospirosis, measles, cholera and typhoid.

• People are traumatized and lack psycho-social support

OCHA SITREP 6 - 12 NOV 2013 PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

OCHA SITREP 8 – 14 NOV 2013OCHA SITREP 9 – 15 NOV 2013

PRIOITIES (URGENT): • Deliver care for those with injuries to prevent complications such as

infection, tetanus, and disability. • According to the Assistant Secretary of the Department of Health,

WASH facilities, measles vaccination campaigns and restoration of cold chain facilities are priorities.

• Deliver essential medicines and medical supplies to affected populations.

• Increase provision and access to essential health services (i.e. medical/surgical consultations, reproductive health, mental health, psycho-social support, health promotion, immunization).

• Strengthen disease surveillance and outbreak control. • Strengthen referral system from community health facilities to higher

levels of care. • Provide support to systematic immunization for vaccine-preventable

disease outbreaks. • Establish temporary health facilities/ services and/or

repair/rehabilitate damaged health facilities. • Provide support to information management and to the coordination

of the health sector response. • Maternal and newborn health services have been identified as an

important health priority, especially considering that estimated 203,250 pregnant and 135,500 lactating women need service -- in a setting where health services have been substantially depleted.

HOSPITALS – POPULATION DENSITY

HOSPITALS – POPULATION DENSITY

HOSPITALS – STORM SURGE

Map Action

Map Action

HOSPITALS – STORM SURGE

HOSPITALS • CANADIAN RED CROSS plans 70-bed (surgical capacity) field hospital,

potential to treat 100,000 through clinic admission or out-patient services. (per day: 300 as out-patient, immunize 1,000 children) It is deployed with core of 12 Canadian medical and support staff, and will have personnel and material support from Norwegian and Hong Kong Red Cross. Their ERU/ field hospital equipment landed in Cebu, Philippines, and are dispatched on Friday to set up in Tacloban.

• California-based MAMMOTH MEDICAL MISSIONS arrived at Villamor Air Base in Manila. Operations set up in Tanauan: three surgical teams and >30 parcels of medical supplies and self-contained surgical tent. The team also has a satellite phone, expect daily updates

• The ROYAL AUSTRALIAN AIR FORCE landed at Cebu, delivering a portable field hospital that was soon sent on its way to Tacloban.

• MÉDECINS SANS FRONTIÈRES’ (Doctors Without Borders Australia) emergency team is setting up its medical services in the far east of Samar island and seeing patients. It will become an integrated provision of mobile clinics, reaching out to the more isolated parts of the coast and islands, and outpatient services in the town of Guiuan itself. The clinic in Guiuan will be able to keep more seriously ill patients overnight.

• The ISRAELI DEFENSE FORCE (IDF) field hospital functional in city of Bogo, began treating first patients Friday morning. Capacity to treat at least 500 patients at a time, with x-ray and birthing room, women’s and ambulatory care departments, as well as a general admission department. twitter: #IDFinPhilippines

• 22 medical teams from the Department of Health (CHD) Regions X, CARAGA, VII, V, IV-B, Bicol Medical Center, Vicente Sotto Medical Center and Metro Manila Hospitals were deployed in the areas affected by Typhoon Haiyana. 16 foreign medical teams are either en route to the Philippines or in Manila awaiting deployment. Five foreign medical teams are deployed in Tacloban; 8 are on their way to different areas and 7 are in coordination hubs waiting for deployment. OCHA Sitrep 9

• Aside from foreign contingents, the PHILIPPINE MEDICAL ASSOCIATION (PMA) is also set to send a group of almost 200 medical professionals on board a barge under its "Doctors on Boat" project. Dr. Leo Olarte, PMA president, said that their contingent is composed of at least 100 doctors with different specializations as well as other health workers. He said they are slated to arrive in Tacloban City on November 19 and will stay in the area to attend to injured and ill residents for one week. Aside from converting the barge with a 1,000-ton capacity into a "boat hospital," Olarte said they will also be sending out some of their members to do house-to-house consultations.

A typhoon victim keeps her husband alive by manually pumping air into his lungs at the Divine Word hospital in Tacloban, which is operating without power. (Photo: AFP)

FOOD

IFRC UPDATE 11/12/13HUMANITARIAN ROAD - PHILIPPINES 11/14/13UN OCHA SITUATION REPORT: 11/14/13UN OCHA SNAPSHOT 11/14/13

NEEDS: About 2.5 million people are in need of food assistance.

RESPONSE:• On November 13th, 10 metric tons of high energy biscuits were

airlifted to Tacloban for distribution in Tacloban and Guiuan.• On November 13th, 9,804 family food packs for 49,020 people were

distributed in 13 out of 129 barangays (smallest administrative unit in the Philippines) in Tacloban City.

• On November 14th, 1,500 kilos worth of food packs successfully deployed to Guiuan, with plans to distribute food supplies to Eastern Samar.

• Department of Social Welfare and Development (DSWD) is distributing 6,200 food packs in Tacloban City evacuation centers, with help from the military.

• 550 food packs from the Turkish government arrived in Manila, along with other non-food items.

• The IFRC, ICRC, and other national Red Cross chapters have organized with the PRC to provide food supplies for up to 100,000 families.

• ASEAN has pledged food aid from stockpiles in the ASEAN Coordinating Centre for Humanitarian Assistance.

GAPS & CONSTRAINTS: • Logistical constraints hamper the delivery of food assistance. • Resources are overstretched as the cluster is also responding to the

Bohol and Zamboanga emergencies.• To expand the ability of the cluster to respond, additional partners need

to be identified. • Food Cluster is currently 14.4% funded out of a total US$76.2 million

request.• Security is a concern as people have stormed warehouses and food

distribution sites, including within Tacloban City.

FOOD

CLUSTER LEADS:The Food Cluster co-leads at WFP are Beatrice Tapawan (0917-539-9944, beatrice.tapawan@wfp.org) and Dipayan Bhattacharyya (0917-594-2450, dipayan.bhattacharyya@wfp.org)

PRIORITIES:• General food distribution, with food baskets containing rice

and ready-to-eat high-energy biscuits, an ideal form of food assistance in the initial phase of an emergency.

• Emergency food-for-work and cash-for-work to help kick-start early recovery activities and rebuild livelihoods.

ASEAN AID 11/12/13TURKEY AID 11/12/13WFP UPDATES 11/12/13

NUTRITION

NEED:• Amongst the 921,212 displaced by Typhoon Haiyan, there are an

estimated 112,000 children between the ages 0 to 59 months and 70,000 pregnant or lactating women.

• Nutrition services for 100,000 children and 60,000 mothers (provision of nutrition supplies for therapeutic feeding, micronutrient supplements and equipment needed

• 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 per cent to 9 per cent global acute malnutrition (wasting), 21 per cent to 26 per cent underweight and 38 per cent to 42 per cent stunting).

PRIOITIES (URGENT): • Rapid nutrition assessments and screening for detection, referral, and

follow-up of girls, boys and women supported by local women's groups, religious leaders, and child protections councils;

• Establish and support Infant and Young Child Feeding (IYCF) in Emergencies community peer counseling activities with women's groups and other trained community counselors;

• Establish community-based therapeutic feeding centers for girls and boys with severe acute malnutrition integrated in to local health systems;

• Provision of nutrition supplies for therapeutic feeding, micronutrient supplements and equipment;

• Capacity-building on management of acute malnutrition and nutrition in emergencies targeting local health staff;

• Coordination and technical support to the Nutrition Cluster;

• Conduct standardized nutrition surveys for updated age- and gender-disaggregated nutritional status data.

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

PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 12 2013

RESPONSE• Breastfeeding and complementary feeding counseling has started

among displaced communities. 2,002 pregnant women received iron folic acid in Ormoc and 2082 post-partum women received Vitamin A capsules in Ormoc

• 100,000 displaced children are targeted for a Vitamin A supplementation and de-worming programme which has started in barangays in Region VIII

• Nutrition supplies supplies en-route to Guiuan and being shipped from Manila and Cotabato City to Tacloban City.

• Ten surge staff are mobilized and ready for deployment by 16 November to provide nutrition interventions.

• UNICEF is setting up therapeutic feeding centers to treat severe acute malnutrition of children. Ready to use therapeutic food and 1.35 million sachets of micronutrient powder are en route

UNICEF

GAPS AND CONSTRAINTS:

• There is a lack of staff to provide nutrition interventions. Dedicated coordinator and information management officer is required.

OCHA Situation Report 7 Nov 13 2013

WATER, SANITATION AND HYGIENE

OCHA SITREP 6 - 14 NOV 2013

Initial reports indicate that water, sanitation and hygiene (WASH) services have been disrupted or destroyed. Several water treatment units are being deployed. However, service does not reach all affected areas. Due to water contamination tankered water is essential and water containers are required for safe storage.

Damaged and unusable toilets, due to lack of water, increase open defecation and the risk of disease outbreaks. Temporary learning spaces and child-friendly spaces will require WASH supplies and facilities.

NEEDS: • Heavy equipment for debris clean-up. • All Water Districts in Leyte are non-operational. Many water supplies are

contaminated. • Immediate and on-site water testing and treatment. • Water treatment units and generators in areas with damaged water

systems. • Additional support to Government-led coordination• Bottled water/safe drinking water for victimsRESPONSE: • The local WASH Cluster has been activated and 2 water filtration plants

have been set up in Tacloban• Water and hygiene kits have arrived in Cebu City and will be distributed on

Nov 15.• Oxfam will build mass water storage and mobile water treatment units to

at least 5 different sitesGAPS & CONSTRAINTS: • In Leyte, fuel for water treatment units is either not available or

insufficient. • Logistical constraints hamper the delivery of aid to Tacloban, Samar and

Iloilo. The situation is aggravated by security concerns due to unrest at distribution sites.

WATER, SANITATION AND HYGIENE PRIOITIES (URGENT):

• Water quality surveillance and installation of mobile water treatment units. • Rehabilitation of water supply systems and the installation of water

bladders and water points. • Distribution of water and hygiene kits and conducting hygiene promotion

sessions. • Construction of gender-segregated emergency latrines and bathing facilities

with operations, maintenance and waste disposal. • Management of solid waste and installation of drainage from WASH

facilities. • WASH cluster coordination and monitoring of WASH access.

Rice, water distributed in Typhoon-ravaged Tacloban

CLUSTER COORDINATOR Rory Villaluna UNICEF 0917-859-2578 02-901-0101 washccph@gmail.com

EMERGENCY SHELTERDAMAGE: Based on initial data, 131,106 houses are totally destroyed and 112,489 partially damaged.

NEEDS:• 46 Million USD is needed to address the immediate shelter response projects

defined in the Haiyan Action Plan-total needs of the shelter sector are still being assessed.

• There is a need to quickly support shelter early recovery including debris removal, salvaging coco lumber, and transitional and semi-permanent construction.

• Disseminate customs processing guidance for donated good to expedite the arrival of donations to the field.

• Based on initial data, 243,595 houses are damaged (131,106 are totally destroyed and 112,489 partially damaged).

• There is an urgent need for tarpaulins, tents and non-food items. • A cross-cluster approach is required to institute early recovery activities that feed

into shelter projects, such as debris removal, salvaging coco lumber, and construction of transitional and semi-permanent shelters.

RESPONSE:• Currently, 995 evacuation centers are serving 345,834 people while 575,378 are

staying with host families. • Some shelter material, allocated for Leyte, North Cebu and Bantayan, has been sent

to Cebu. • A draft strategy document for the Camp Coordination and Camp Management

Cluster is under review by DSWD. • Beginning on 14 November, daily CCCM coordination is being held at the

humanitarian hub in Tacloban City (Grandstand). • In Tacloban and Cebu, Shelter Cluster meetings kicked off on 14 November and are

scheduled for Roxas City this weekend.

GAP & CONSTRAINTS• Main challenges are the cost of transportation and the lack of adequate logistics

and procurement pipelines. • Access constraints continue to hamper delivery of service and relief items to some

evacuation centers CLUSTER COORDINATOR Patrick Elliot, IFRC coord.phil@sheltercluster.org0908-4011218 patrick.elliott@ifrc.org

PRIOITIES

• Coordination support for the development and implementation of emergency and durable shelter solutions.

• Technical assistance and training is require to support community-led “build back safer” projects.

• Rapid support is required for early recovery shelter projects, such as debris removal, salvaging/recycling lumber and materials, technical assistance, etc, with a focus on community driven projects.

• Shelter-related care and maintenance of existing evacuation centers, transitional sites, upgrading of common facilities.

OCJHA SITREP 14 NOV 2013OCHA SITREP 7 - 13 NOV 2013OCHA SHELTER PRIORITIES TYPHOON HAIYAN - SHELTER CLUSTER NFI TECHNICAL GUIDANCE

LOGISTICS

LOGISTICS CLUSTER – CONCEPT OF OPERATIONS – NOV 13LOGISTICS CLUSTER – ONE STOP SHOP – NOV 10OCHA CLUSTER CONTACT LIST – NOV 13DSWD ASSURES FASTER RELIEF OFS – NOV 13LOGISTICS CLUSTER MEETING MINUTES – NOV 11LOGISTICS CLUSTER OPERATION PHILIPPINES HOMEPAGE

NEEDS:

• Temporary storage, especially at Cebu Airport, for influx of relief items

• Coordinated sea, air and land transport

RESPONSE:

• Organizations bringing goods into the Philippines are encouraged to to notify the “One-Stop-Shop” before landing in Cebu (additional “shop” potentially in Manila) (more details here)

• In the process of establishing a Logistics Cluster Coordination Cell in Manila and Field-level Coordination Cell in Tacloban

• “Provider of Last Resort” activities to be available:

• Storage in Cebu & Tacloban

• Helicopters chartered and managed by WFP Aviation

• Sea transport vessel operating out of Cebu to Leyte Island, discharging in Ormoc and/or Tacloban

• Road transport from vessel to Tacloban hub

• Department of Social Welfare and Development (DSWD) has set up repackaging and storage hubs for relief itemsin Tacloban, Guian, and Ormoc.

GAPS & CONSTRAINTS:

• Lack of access to affected areas due to blocked roads & damaged infrastructure (see map). The DSWD is contradicting this by saying many roads have been cleared.

• Difficulties in gathering current information of transport infrastructure

• Communication problems due to lack of infrastructure

• As of Nov 10, all airports in affected areas except Cebu have been deemed unusable; expected congestion at airport

City Name Title Phone Email

Manila Baptiste Burgaud Logistics Cluster Coordinator

0917-5713160 Baptiste.burgaud@wfp.org

Cebu Henrick Hansen Logistics Officer +639152164926 Henrik.hansen@wfp.org

Tacloban Andrew Stanhope Logistics Officer N/A Andrew.stanhope@wfp.org

Cluster Leads

Volunteers & DSWD staff repackage relief supplies; volunteers are given three kgs (6.6 lbs) of rice per four hours of work(Official Gazette)

LOGISTICS

LOGISTICS

NEEDS:

• Temporary storage in Cebu & Tacloban for influx of relief items.• Additional fuel supplies in affected cities.• Support & storage at Cebu airport for item management.• Expedited debris removal from roadways.

GAPS & CONSTRAINTS:

• Transportation: Tacloban airport has 1 usable runway, only available to small civilian aircraft (victim transport) & military aircraft

• Slow ground travel: Manila to Tacloban via Hondagua-Legazpi through Samer Island, 1.5-2 days transit time.

• Debris blocking roads, cutting off remote areas and markets away from the population centers. There are reports that commodity prices are frozen due to the disruption in supply of goods.

• Road access to Tacloban from the south is viable, but dependent on weather conditions.

• Limited local trucking capacity in Leyte to transport the large volume of incoming aid.

• Limited capacity ferry service and Ro-Ro vessels from Cebu to Ormoc.

• Air traffic causing delays at Tacloban and Manila airports.• Limited cargo airlift capacity; priority use to medical support.• Inadequate infrastructure in Tacloban to handle influx of relief

items.

OCHA SITUATION REPORT 11-14-13

RESPONSE:

• A logistics coordination cell has been established in Manila

• Nov. 14 recovery team travelled from Samar to Tacloban to assess debris clearing and management, restoration of basic infrastructure and market functionality.

PROGRESS:

• All towns in Leyte now accessible by road• “One-Stop-Shop” services are now available at the Ports of

Tacloban, Cebu and Ninoy Aquino International Airport (Manila), run by the Bureau of Customs of the Philippines.

City Name Title Phone Email

Manila Baptiste Burgaud

Cluster Coordinator 0917-5713160

Baptiste.burgaud@wfp.org

Cebu Henrick Hansen

Logistics Officer +639152164926

Henrik.hansen@wfp.org

Tacloban Andrew Stanhope

Logistics Officer Not Available Andrew.stanhope@wfp.org

CLUSTER LEADS

• Next Logistics Cluster Meeting: WFP Office, Manila, 16 Nov, 11:00 AM.

CHILD PROTECTIONPROTECTION

NEEDS: • It is estimated that more than 40% of affected population are children

under the age of 18. • Needs assessment is ongoing in Ormoc City and Roxas City, and other areas

with child protection partners.• UNICEF appealed US for $34 million for children of Philippines.RESPONSE: • Private sectors and international non-government agencies have established

communications platforms to assist in tracing missing relatives.• UNICEF is working with local authorities to identify and register children

who are separated from their families in displacement. • UNICEF will use funding to support strengthening local and barangay

councils for the welfare of children, noting that these institutions have been weakened during the last emergencies.

• UNICEF will help set up psychosocial recovery programs, including training thousands of teachers and day care workers in how to use play and art work to help children overcome the trauma they have experienced.

• In Omoc City, the Children Protection Working Group identified and reunited three separated children with their families.

GAPS & CONSTRAINTS: • Child Protection Services , prevention, and response are severely

interrupted at the barangay (lowest administrative unit in the Philippines) level in the affected areas.

• Lack of adequate street lighting and inequality of food distribution or security present.

PRIORITIES• Ensuring functioning referral mechanisms for separated and unaccompanied children for tracing and care, in partnership with other children protection agencies and the DSWD.• Preventing further separations of children from their families by providing parents and children with adequate information and documentation re-acquisition in partnership with Municipal and Barangay Councils.• Working with children and parents to identify risks to children in evacuation centers and affected communities, and to ensure that measures are put in place to mitigate against these.• Training humanitarian workers and volunteers in psychological first aid• Establishing child-friendly spaces for boys and girls of all ages• Providing parents, caregivers and others with information and skills to provide psychosocial support.

Child Protection Working Group; Reproductive Health Working GroupSarah Norton StaalCluster Co-Leadsnortonstaal@unicef.org; snstaal@gmail.com;

Children begging for food and water on the streets of Tabogon.

OCHA SitRep #8http://www.unicef.org/media/media_70893.html

PROTECTION - GENDER BASED VIOLENCEPROTECTION

NEEDS: • An estimated 56,400 women of reproductive age 15-49 years old are at risk

of sexual and gender based violence (GBV)• Women require stress/trauma debriefing.• Specialized psychosocial and health services for pregnant and lactating

mothers is limited and needed.

VULNERABILITIES: • Lack of electricity and lighting increases protection risk among women,

especially at night and in evacuation centers.• Extreme shortage of food led to women begging on the streets and

exposing themselves to violence and risk.• Partners reported cases of sexual violence in severely hit areas including

one alleged rape case in Tacloban City.

RESPONSE: • UNHCR is co-leading the protection cluster with the Philippine’s federal

Department of Social Welfare and Development under the inter-agency emergency response.

• UNHCR distributed 50,000 solar-powered lanterns to mitigate risks of GBV with the power lines down.

• Restoration of communication and power lines is ongoing.• Private sector provided mobile cell site to initially restore communication

network. Some local government units are using Very High Frequency Radios to communicate.

• Rapid response teams were initiated to develop an inter-agency GBV response.

• The Philippine National Police has established hotline numbers to address IDP concerns on peace and security

GAPS & CONSTRAINTS: • GBV reporting and prevention services are interrupted. • The affected areas have a weak GBV reporting and referral system.• Total number of IDPs requiring assistance is unverified.• In evacuation centers, there is a lack of law enforcement presence,

especially female police officers.• Lack of sufficient lighting for protection at night.• Lack of protective mechanisms for equal food distributions to decrease

women and children street begging.

PRIORITIES• Assist the police force by establishing and strengthening the capacity of

women and child protection desks. • Restore mechanisms to respond to GBV cases at the municipal and local

levels.• Provide psycho-social support services to the displaced people

traumatized by the disaster, in close coordination with the Child Protection Working Group and the Health Cluster.

• Work with the shelter, livelihood and early recovery clusters to ensure that gender perspectives and GBV prevention are incorporated in the design of temporary shelters and cash-for-work programs.

• Women-friendly spaces (WFS) will be established in areas where temporary shelters will be built and information sessions conducted on GBV and women’s rights;

• The Local Committee against Trafficking and Violence Against Women and Children (LCAT-VAWC) at the provincial and municipal levels will be re-instated and/or strengthened.

Sexual and Gender-Based Violence Working Group; Reproductive Health Working GroupFlorence Tayzon, Assistant Representative, Working Group Chair UNFPA 0917-859-3520 02-901-0304 tayzon@unfpa.org

OCHA sitrep report #8http://www.unhcr.ca/news/2013-11-12.htm

US RESPONSE - DEPARTMENT OF DEFENSE (DOD)

USAID PHILIPPINES-TYPHOON YOLANDA/HAIYAN FACT SHEET #3 – NOV 13 GEORGE WASHINGTON STRIKE GROUP ARRIVES

3D MEB OPERATIONAL SITREP NOV. 15

PRIORITIES: USAID top priorities for DOD Forces are water production and logistics, mainly ground transportation and fuel. The greatest needs in affected areas are water, shelter, food, and medical assistance.

INCREASING CAPACITY:• DoD flight operations will expand to include regular flights

from Tacloban to Guiuan.• USS George Washington and the cruisers USS Antietam and

USS Cowpens will assess damage, provide logistical support, medical and water supplies on the eastern coast of Samar island.

• USNS Charles Drew and USS Lassen are transporting emergency supplies via helicopter into Tacloban.

• USS Emory S. Land is providing ship-to-shore hotel services to Tacloban.

• The Military Sealift Command hospital ship USNS Mercy has been activated to deploy and is due to arrive in December.

CHALLENGES: Major coastal routes between Tacloban and Guiuan are open, but fuel shortages, debris management, and vehicle shortages are impeding relief efforts.

PROGRESS: • 3D Marine Expeditionary Brigade (3D MEB) opened Tacloban

airfield for 24/7 flight operations. Night operations are being conducted to the greatest extent possible.

• Evacuation flight wait-time from Tacloban Airfield is shortening.

US RESPONSEDepartment of Defense• Coordinated efforts with USAID, see notes below

USAID • Distribution of first shipment of supplies began on Nov 13, with

assistance from the Department of Defense (DoD). Second shipment is hoped to arrive in Manila on Nov 14.

• Disaster Assistance Response Team (DART) & Department of Defense (DoD) Pacific Command survey reported 80% of homes/infrastructure in assessed areas(Tacloban, Leyte Province, neighboring areas)

• First overland assessment of Eastern Samar Province completed by Government of Philippines clearing crew & Disaster Assistance Response Team (DART); observed damage to 15 rural communities

U.S. Military• Four additional (now eight total) MV-22B Ospreys are deployed to

assist in the Philippines, assigned to Marine Medium Tiltrotor 262, Marine Aircraft Group 36, 1st Marine Aircraft Wing, 3rd Marine Expeditionary Force.

• USS George Washington and other naval ships stationed in neighboring countries have been ordered to respond; the George Washington can produce more than 400,000 gallons per day and is expected to arrive on station on Nov 13 or 14.

• Navy submarine & survey ship ensuring no underwater obstructions in Leyte Gulf & San Pedro Bay

• Hospital ship Mercy is activating, preparing for potential deployment (could arrive in Philippines by Dec)

USAID PHILIPPINES-TYPHOON YOLANDA/HAIYAN FACT SHEET #2 – NOV 12 DEFENSE.GOV – NOV 13DEFENSE.GOV – NOV 12DEFENSE.GOV – NOV 11NAVYTIMES – NOV 13NAVYTIMES – NOV 13

U.S. Marines assist Filipinos displaced by Typhoon Haiyan as they depart a KC-130J Super Hercules aircraft at Vilamor Air Base in Manila, Philippines, Nov. 12, 2013. U.S. Marine CorpsPhoto by Lance Cpl. Caleb Hoover

U.S. Marine Lance Cpl. Christopher E. Pring helps airmen with the Philippine air force prepare pallets of water for transport at Vilamor Air Base in Manila, Philippines, Nov. 12, 2013. Pring, a landing support specialist, is assigned to the Combat Logistics Regiment 3, 3rd Marine Expeditionary Brigade. U.S. Marine CorpsPhoto by Cpl. Codey Underwood

CLUSTERS POC

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