Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 17 NOV 2013

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YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS FOOD WEATHER OUTLOOK 17 NOV 2013 (As of 11 PM EST) PHILIPPINES NATIONAL DISASTER RISK REDUCTION AND MANAGEMENT C OUNCIL PHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMI CAL 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 M AP 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 ASEAN COORDINATING CENTER FOR HUMANITARIAN ASSIST ANCE ON DISASTER MANAGEMENT GDDAC PREVENTION WEB – PHILIPPINES THOMAS REUTERS FOUNDATION UNDERGROUND WEATHER GOOGLE CRISIS RELIEF MAP HUMANITY ROAD PACIFIC DISASTER CENTER BACKGROUND CURRENT SITUATION US RESPONSE 3,97 6* INJURED DEAD 18,175* *OFFICIAL NUMBER – THE NUMBERS WILL CONTINUE TO FLUCTUATE CLUSTER LEADS HEALTH NUTRITION WASH EMERGENCY SHELTER PROTECTION LOGISTICS CLUSTER MEETINGS COORDINATION HUBS

Transcript of Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 17 NOV 2013

Page 1: Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 17 NOV 2013

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

TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS

FOOD

WEATHER OUTLOOK

17 NOV 2013(As of 11 PM EST)

PHILIPPINESNATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCILPHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL SERVICES ADMINISTRATIONDEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENTDEPARTMENT OF HEALTH DOH PHILIPPINE HEALTH ATLASDEPARTMENT OF TRANSPORTATION & COMMUNICATIONSDSWD DISASTER MITIGATION AND RESPONSE SITUATION MAP OFFICIAL GAZETTEPHILIPPINE COAST GUARDPHILIPPINE INFORMATION AGENCYWEATHER PHILIPPINESTHE MANILA TIMESGMAPROJECT NOAH

INTERNATIONAL/REGIONAL RELIEFWEBOCHA HUBHumanitarian Response - The Philippines

EUROPEANHUMANITARIAN AID AND CIVIL PROTECTIONCEDIM

UNITED STATESTHE DEPARTMENT OF STATEOFDANOAAPACOMJOINT TYPHOON WARNING CENTERNASAVOAUS EMBASSY – THE PHILIPPINES

HEALTH INFORMATIONCDCDISASTER INFORMATION MANAGEMENT CENTER

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

BACKGROUND

CURRENT SITUATION

US RESPONSE

3,976*INJURED DEAD

18,175**OFFICIAL NUMBER – THE NUMBERS WILL CONTINUE TO FLUCTUATE

CLUSTER LEADS

HEALTH

NUTRITION

WASH

EMERGENCY SHELTER

PROTECTION

LOGISTICS

CLUSTER MEETINGS

COORDINATION HUBS

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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 3,681 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 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.

HTTP://RELIEFWEB.INT/SITES/RELIEFWEB.INT/FILES/RESOURCES/HAIYAN-INFO-16NOV.V1.PDF

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Synopsis:

Tail-end of a cold front affecting Northern Luzon.

Forecast:

Cagayan Valley and the Province of Aurora will experience cloudy skies with light to moderate rain showers and thunderstorms. The Regions of Cordillera and Ilocos will have partly cloudy to cloudy skies with light rains. Metro Manila and the rest of the country will be partly cloudy to cloudy with isolated rain showers or thunderstorms.

Moderate to strong winds blowing from the northeast will prevail over Luzon and Visayas. 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.

WEATHER OUTLOOK

AccuWeatherAccuWeatherPagasa

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CURRENT SITUATION

http://reliefweb.int/sites/reliefweb.int/files/resources/Typhoon%20Haiyan%20Philippines_ECHO%20factsheet%20as%20of%2017%20November%202013.pdf

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CASUALTIES: 3,976 individuals were reported dead, 18,175 injured and 1,602 missing.

AFFECTED POPULATIONA total 2,234,122 families (10,355,119 persons) were affected in 10,424 barangays in 44 provinces, 574 municipalities and 57 cities of Regions IV-A, IV-B, V, VI, VII, VIII, X, XI and CARAGA.850,080 families (4,009,074 persons) were displaced.

Inside 1,551 evacuation centers:• 74,037 families / 354,042 persons inside evacuation centers• 776,043 families/ 3,655,032 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA)

• DAMAGED HOUSES: 595,662 houses damaged in s (295,264 totally / • 300,398 partially)

• INFRASTRUCTURE: The total cost of damages increased to $238,069,019.64 USD.

• AGRICULTURE: $208,369,484.99 USD• In agriculture, a total of PhP 4,607,619,150.00

($105,583,592.00 USD) land planted with various crops.‒ Damages and losses to livestock amounted to PhP 2,079,

107,275 ($4,7642,743 USD )while PhP 1,055,477,436 ($24,186,265) worth of damages to fisheries was reported.

‒ Damage to irrigation facilities and infrastructure amounted to PhP 212,700,000.00 ($4,874,020 USD) and PhP 1,134,277,600.00 ($25,991,971 USD ) respectively.

CURRENT SITUATION

NDRRMC.GOV.PHPAGASA.DOST.GOV.PH

AS OF 6 AM PHT, 18 NOV 2013

OCHA CARITAS TELECOMS SANS FRONTIERES

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. OCHA estimates they have reached over 814,000 people with food aid to date, mainly in Leyte province.

POWER OUTAGE: • To date, power outages are still being experienced in some

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 . WATER: In Tacloban, about 276,400 people (80 per cent of the population) now have access to piped water. The main pipeline and water treatment plant have been repaired. Municipality of Barbaza, Antique and some municipalities/cities in Capiz and Iloilo, still do not have water supplies. As of November 15, water supply in Leyte is sufficient.

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CURRENT SITUATION

OCHA CARITAS TELECOMS SANS FRONTIERES

NETWORK OUTAGE:• “Libreng Tawag” of Globe Telecom was set up at Hotel

Alejandro, Tacloban City.• As of 16 November 2013, Globe, Sun Cellular, Smart and Talk N’

Text Services have been restored in the following provinces:

NDRRMC.GOV.PHPAGASA.DOST.GOV.PH

HEATH

• As of November 10, 2013, Sec. Enrique Ona went to Tacloban together with Asec. Enrique Tayag, Usec Janette Garin, Dr. Jaime Lagahid to conduct assessment and

• identified needs in the affected areas of Tacloban. A total of 50,000 caps of Doxycyline, 1,500 ATS, 150 Tetanus Toxoid, Ointments and 4 CAMPOLAS was with them to be used in the affected areas

• To date, a total of 12,435 cadaver bags to Tacloban City • Established an advanced action center in Cebu and in Calbayog City,

Western Samar • Medical Team and MHPSS team were deployed at Villamor Airbase

to conduct triaging and psychosocial services to arriving Typhoon Yolanda victims from Tacloban

• DOH Central Office Team divided into groups and were deployed in Palo, Tanuan,Guiuan, Abuyog, Mc Arthur, OCD – Eastern Visayas, and Tacloban City Airport

• The DOH-CO groups provided vaccinations, medical consultations, and psychosocial services to the affected areas

• Deployed 32 members Composite Team (Public Health, Technical, and Surveillance) to Tacloban City

• A total of 2800 cadaver bags were given to CHD VII and VIII • Provided (by the DOH Central Office Team) over 500 measles

vaccines and some 150 • vitamin A supplementation in seven evacuation centers in Tacloban

City

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CURRENT SITUATION - HEALTH

AREA CONTACT DETAILS

Eastern Visayas

Dr. Emmanuel “Bong” Buenoat +63 9178391240Director Gloria Balboaat +63 928-5072141Director Baby Banatin at+63 9178455481

DOH Catbalogan  Coordinating Center

Director: Dr. Balboaat +63 9285072141Executive Assistant: Dr. Rempillo at +63  9175584481

DOH Cebu Coordinating Center

Director: Dr. Bernadasat +63  9189255908

• Health services in affected areas are completely hampered. Health priorities include injury management, preventing the spread of communicable diseases, maternal and child health services and mental health and psychosocial support.

• As of 15 November, 48 of 103 health facilities assessed in four regions (IV-A, IV-B, VII, and VIII) are not functioning. In Ormoc City, six rural health units and 34 barangay health centerswere damaged and not functioning. Solar-powered refrigerators, diesel generators, and equipment to re-establish key hospitals are required.

• Systems for disease monitoring have been activated, but are hampered by damaged communications infrastructure, introducing latency in reportage.

• 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 to many diseases because of lack of clean water and food, and of continued harsh conditions in typhoon-stricken areas.

• Over 370,000 pregnant and lactating women need specialized services for pre-natal, post-natal and child health care, as well as health promotion and family planning services.

• A total of 39 DOH National teams, 32 foreign teams, and 4 local health volunteer teams were deployed in the areas affected by Typhoon Yolanda

INJURY MANAGEMENT IS URGENTLY REQUIRED. THE EASTERN VISAYAS REGIONAL MEDICAL CENTER IS THE ONLY OPERATIONAL HOSPITAL IN TACLOBAN CITY.

• Guiuan is one of the hardest-hit areas, with every health facility destroyed, including the only facility in Eastern Samar province with capacity to help women with complications of child birth. Reproductive health kits have been sent to Guiuan to treat patients with obstetric complications.

NDRRMC.GOV.PHOFFICIAL GAZETTEWHO REPORT – 15 NOV 13WHO SITREP 1OCHA

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DOH TEAMS CURRENTLY DEPLOYEDTEAM DATE OF

DEPLOYMENT TYPES OF TEAM AREAS OF DEPLOYMENT TEAM COMPOSITION STATUS

CARAGA Composite Team 10-Nov-13 Medical and MHPSS Dulog, Tolosa, Tanauan, Palo, San Jose 3 MD, 3 MHPSS, 2 Drivers with Dir. Minerva Molon On-Site13-Nov-13 Medical and WASH 2 MD, 1 RN, 2 EMT, 1 WASH, 1 Driver On-Site

Albay Team (BRTTH and Bicol Sanitarium)10-Nov-13

Medical Team Salcedo and Mercedes, Eastern Samar 4 MD, 27 EMT/RN On-Site

CHD VII team A11-Nov-13

Medical/ WASH Samar, Basey, Marabut, Lawaan and Balangigga 1 MD, 4 RN, 1 WASH Staff, 1 Driver On-Site

CHD VII team C 10-Nov-13 Medical Team/RHA Tacloban City, Leyte 1 MD and 3 RN On-SiteDr. Jose N. Rodriguez Memorial Hospital 12-Nov-13 Medical Team

Eastern Visayas Regional Medical Center

2 MD and 3 RN On-SiteSan Lazaro Hospital 12-Nov-13 Medical Team 3 MD and 3 RN On-SiteTondo Medical Center 12-Nov-13 Medical Team 3 MD and 2 RN On-Site

Quirino Memorial Medical Center 12-Nov-13 Medical Team 3 MD and 2 RN On-Site

National Children’s Hospital 12-Nov-13 Medical Team 2 MD and 3 RN On-SiteAmang Rodriguez Memorial Medical Center 12-Nov-13 Medical Team 4 MD and 2 RN On-SiteEast Avenue Medical Center 12-Nov-13 Medical Team 3 MD and 2 RN On-Site

Dr. Jose Fabella Memorial Hospital Nov 12 ,2013 Medical Team 5 MD and 4 RN On-Site

National Center for Mental Health 12-Nov-13 Psychosocial Team 9 Psychosocial Care Therapist On-SiteCHD V 12-Nov-13 Medical and WASH Team Catbalogan, Samar 4 MD, 1 Engineer and 12 Staff On-Site

Bicol Medical Center 13-Nov-13 Medical Team Eastern Samar Provincial Hospital, Borongan, Samar (as of Nov. 17, 2013) 1 MD, 5 Nurses and EMT On-Site

Vicente Sotto Memorial Medical Center (Team A) Nov 12, 2013 Medical Team Ormoc District Hospital 18 MD, 7 Nurses On-Site CHD VII 13-Nov-13 Technical Team Ormoc City 2 MD On-SiteDOH – Central Office Team (with Lakbay Buhay Kalusugan Bus – Health Promotion Team) 13-Nov-13

Medical Team, RHA, WASH Tacloban, CHD VIII OpCen 8 Doctors, 10 RN, 3 Engineer, 1 Architect, 2 Nutritionist,

2 Driver, 1 Data Encoder, 10 Staff, and 1 Logistic Officer On-Site

CHD XI 14-Nov-13Medical Team, WASH, MHPSS Ormoc City 4 MD, 6 RN, 2 WASH Staff, 1 MHPSS, 1 Administrative

Staff On-Site

CHD X 14-Nov-13 Medical Team, WASH Palompon, Leyte 3MD, 5 RN, 1 WASH, Supply Officer, 4 drivers On-SiteNorthern Mindanao Medical Center 14-Nov-13 Medical Team Palompon, Leyte 6 MD, 4 RN, 1 Logistic Officer, 1 Driver On-SiteSouthern Philippines Medical Hospital 11-Nov-13 Medical Team 7 MD, 3 RN, 2 Ambulance Driver On-SiteDavao Regional Hospital 11-Nov-13 Medical Team Divine Word Hospital, Tacloban City 20 Staff On- SiteVeterans Regional Hospital Nov. 14, 2013 Medical Team

Camp Lukban, Catbalogan, Samar

1 MD, 3 RN, 1 Dentist, 1 NA, 2 Driver, 1 Staff On-SiteRizal Medical Center Nov. 14, 2013 Medical Team 4 MD, 2 RN, 1 Staff On-Site

Paulino J. Garcia Memorial Research and Medical Center Nov. 14, 2013 Medical Team 5 MD, 4 RN 1 RMT, 2 Staff On-Site

Dr. Jose Reyes Memorial Medical Center 14-Nov-13 Medical Team 5 MD, 5 RN, 1 Staff On-SiteSan Lazaro Hospital Nov. 14, 2013 Medical Team Brgy. San Agustin, Marabot, Eastern

Samar4 RN, 1 RMT, 1 Driver, 1 Staff On-Site

Manila Health Department Nov. 14, 2013 Medical Team 1 foreman, 3 driver On-SiteCHD ARMM Nov. 14, 2013 Medical Team Tolosa, Leyte (as of 11/16/13; 3:00am) 1 MD, 3 RN, 1 driver, 2 staff On-Site

TOTAL 31 Teams Deployed 358 personnel were mobilized (109 MDs, 138 Nurse and 111 others such as Psychosocial therapist, EMTs,

WASH, Engineer and Staffs)On-Site

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EMERGING NEEDSMEDICAL AND PUBLIC HEALTH

• Key hospitals require solar-powered refrigerators, diesel generators, and other equipment to become functional again

• Over 370,000 pregnant and lactating women need specialized services for prenatal, postnatal, child health, health promotion and family planning services.

• Lacking comprehensive data on pregnant and lactating women

FOOD, WATER, AND SHELTER• 2.5 million people are in need of food assistance• Food assistance is insufficient to cover needs in

Eastern Samar province, northern Cebu province, and Cadiz City

• Difficulty accessing sites and evacuation centers has delayed nutrition assessments

• Lack of partners with experience in Infant and Young Child Feeding

• Difficulty in monitoring milk formula donations• Inadequate supply of Vitamin A• Limited stocks preventing procurement of rice in areas

such as Cebu and Eastern Samar• 775,155 displaced families (3,651,290 million people)

are living outside evacuation centers• Access to safe water remains a challenge in many

areas• Generator sets, water treatment and quality

monitoring, water kits, and household water treatment solutions are urgently needed

• Tents, tarpaulins, and other materials needed to build and repair shelters.

EVACUATION CENTERS AND CAMPS• Food supplies running low in Western Visayas region• Overcrowding and poor sanitation services.

SECURITY• Local child protection councils not functioning

LOGISTICAL BARRIERS• More information needed on logistics capacity of Panay

Island• Roxas City needs to strengthen logistics for shipping,

warehousing, and distribution• Limited fuel and trucks in Tacloban City• Debris in Eastern Samar hampering delivery of WASH kits

OTHER• Learning tents are needed for schools that are destroyed or

being used as evacuation centers.• Chainsaws and other equipment not sufficient to process

lumber and timber for emergency livelihood programs• 3 million women and 4.6 million children need psychosocial

support• Children in six orphanages in Western Visayas region have

not been accounted for

Philippines: Typhoon Haiyan Situation Report 11

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

and ready-to-eat high-energy biscuits.• Seed, fertilizer, and other assistance to farmers before

planting season is over (mid-January).

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 to provide data/Internet service and common security communications service in Cebu, Tacloban and Roxas city, and two other locations.

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 2013Philippines: Typhoon Haiyan Situation Report 11

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HEALTH

NEED• Injury management is urgently required. The Eastern Visayas

Regional Medical Center is the only operational hospital in Tacloban City.

• Over 370,000 pregnant and lactating women need specialized services for prenatal, postnatal, child health, health promotion and family planning services.

• 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 12,501people 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 2013PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

RESPONSE: • 62 Government, private and foreign medical teams have been

deployed across affected municipalities in Regions VI, VII and VIII. • In Roxas City, a cold chain has been established. • The Government and partners have provided essential medicines and

tents to operational health facilities, but more supplies and equipment are needed.

• 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 2013OCHA SITREP 9– 15 NOV 2013

OCHA SITREP 10– 16 NOV 2013

OCHA SITREP 10– 17 NOV 2013

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HEALTHHEALTH

GAPS & CONSTRAINTS: • Comprehensive data on pregnant and lactating women in the affected

areas is lacking. • A disease surveillance system has been activated, but limited

communication in some areas hampers reporting. • Transportation of medical supplies to the affected areas is currently

one of the biggest 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

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.

OCHA SITREP 6 - 12 NOV 2013PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013OCHA SITREP 8 – 14 NOV 2013

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

OCHA SITREP 10– 17 NOV 2013

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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.

• MAMMOTH MEDICAL MISSIONS (California-based) 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

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

• 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

• BELGIUM B-FAST RELIEF TEAM has set up in Palo, some 10 kilometers from Tacloban in the Philippines.

• SAVE THE CHILDREN - Of the two medical teams deployed in the wake of Typhoon Haiyan, one is treating the sick, injured and those needing antenatal and postnatal surgery in Tacloban. The other is on board a British naval vessel, the HMS Daring, and will be deployed by chopper to meet the medical needs of those living in remote islands severely hit by the Typhoon.

Casualties of the typhoon Haiyan that devastated Tacloban attend the Australian Medical Aid field Hospital run by the Australian Medical Assistance Team. Photo: Brendan Esposito

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• International Medical Corps ERT has been providing services in GUIUAN, where the typhoon first made landfall.

• Their reports indicate that approximately 90% of structures are destroyed, and 91 deaths have been recorded.

• Of the 5 health facilities present in Guiuamn 3 have been completely destroyed. Limited health services have resumed in the remaining two centers, with International Medical Corps staff supporting one.

• One week on from the typhoon, the number of trauma and injury cases has decreased, and the demand for health services has started to shift towards more minor injuries, including infected wounds.

• There is also an increased demand for primary care, with high numbers of upper respiratory infections and a lack of drugs for chronic illnesses. It was also noted that the lack of power, telecommunication coverage and fuel shortages are affecting the ability to provide health services. Satellite phones provide inconsistent services, and staff are faced with the difficulties in charging equipment.

• With International Medical Corps' Emergency Operations Center established in Cebu and all of the 11-person team present in-country, the ERT has been focused on developing key partnerships, creating a logistics hub, identifying additional local medical staff, and deploying those staff to provide direct medical care.

HOSPITALS

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HOSPITALS - MSF SAMAR• MSF's emergency team in the far east of Samar Island has

started medical activities in Guiuan town. They performed 600 medical consultations on the first day of medical activities, mostly for infected wounds and lacerations. The MSF staff are working with two Filipino doctors and there community members volunteering to help in any capacity possible.

• Half of Guiuan hospital is destroyed and the other half damaged almost beyond repair. For now the medical staff are working among the ruins, but work has commenced in a makeshift tent hospital.

• Thirty tons of material and supplies have reached the team in Guiuan. More cargo planes will be landing in the coming days: one with water and sanitation equipment and one with around 1,700 tents to distribute as shelter. More medical supplies will also arrive.

LEYTE• In Tacloban city a team of eight is being reinforced with

additional staff – medical doctors, nurses, logisticians, a psychologist - to prepare for setting up an inflatable hospital.

• The site will be located next to Bethany hospital, on the seafront of Tacloban which has been severely damaged by the tidal wave. The plan is to set up comprehensive medical services including an Emergency Room, in-patient department,

gynaecology unit, maternity delivery room, psychosocial activities, blood bank, X-Ray, and an isolation ward. In PALO ,12 kilometers south of Tacloban, a team of three is organizing primary healthcare activities.

In and around Ormoc town, teams that include a medical doctor, nurses, logistics specialists and a psychologist started to conduct mobile clinics while assessing further needs. The main focus is on the evacuation centers where people have gathered following the typhoon. The team has provided some basic medical care.Two teams conducted assessments along the east and west coasts of the island. Along the west coast there was structural damage in most of the houses, but generally the situation was not as bad as on the east coast, where most of the health structures visited have been damaged and have supply problems. In DULANG , with a population of around 48,000, the health facility has been partially destroyed and the medical staff report an increase in patients with diarrhoea. They have also received some wounded patients, mainly with cuts. The referral system is not working anymore because there is no fuel to transport patients. The MSF team is planning distributions of relief items and support for the medical facility.

PHILIPPINES: EXPANDING MEDICAL ACTIVITIES IN TYPHOON'S AFTERMATH

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HOSPITALS - MSF PANAY• In the northern part of Iloilo City, and in nearby offshore

islands, there is 90% destruction. • MSF is planning to focus on the most acute needs

including primary medical care through mobile clinics, and distribution of relief items. Needs assessments continue in other parts of the island to identify where MSF’s medical response is most urgently required.

• Following an assessment in Iloilo province, a team will now respond to the acute needs identified in the areas of Estancia, Concepcion and San Dionisio where several thousand houses have been totally destroyed.

• Some small islands off the eastern coast have also been heavily affected and assessments are currently being conducted out there.

• On the western coast of Panay, the team visited the village of Tibiao where they estimated 60% destruction.

• Relief items will arrive in Roxas City and MSF is opening two out-patient departments, in the towns of Cartes and Estancia.

MASBATE: MSF has started a needs assessment on Masbate island.

http://www.msf.org/article/typhoon-haiyan-msf-starts-treating-patients

MSF teams are finding their efforts limited by huge logistical impediments that the storm left in its wake. The areas affected by the typhoon are spread out across a very wide area. Many of the main roads and airports in the region are either destroyed, closed, or littered with debris. Some airstrips are too small to land large planes, and electricity and fuel supplies are very limited. It has been difficult to deliver the cargo necessary, in the amounts necessary, in order to set up programs and provide medical care.

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DESCRIPTIONLeptospirosis is a disease caused by a type of bacteria. It is spread by contacting the urine of an infected animal (usually rats). People get sick by touching, eating, or drinking water or soil that has been infected by animal urine. Outbreaks often happen with floodwaters after a hurricane.

RISK FACTORS

Drinking, eating, or touching contaminated water or soil.

SYMPTOMS

People usually start getting sick with a fever, chills, and vomiting 2 days to 4 weeks after the bacteria enters their body. Without treatment, people can be sick for a few days or sometimes more than 3 weeks. Some people recover after a few days but will later become sick again with life-threatening symptoms.

Some of the common symptoms include:• High fever• Headache• Chills• Muscle aches• Vomiting• Jaundice (yellow skin and eyes)• Red eyes• Abdominal Pain• Diarrhea• Rash

DISEASE BRIEF- LEPTOSPIROSISTREATMENT

Leptospirosis is treated with antibiotics, usually doxycycline or penicillin for a course of one week.

CURRENT SITUTATION

• The are no reported outbreak of Leptospirosis in the affected areas of the Philippines yet.

• The Philippines, however, sees cases of Leptospirosis very often following hurricanes and flooding.

• Public health officials are remaining vigilant to the possibility of an outbreak

RECOMMENDATIONS

• Aid workers should avoid consuming any unfiltered water.• Keep floodwater and soil off skin, especially, from the eyes, nose,

mouth, or open wounds.• Anybody experiencing a combination of the listed symptoms should

seek medical attention as soon as possible.

CDCThe New York Times - 14 Nov

There are no reported outbreaks yet. But risk for diarrhea, respiratory illnesses, leptospirosis and influenza outbreaks remain high.

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DESCRIPTIONDysentery is an inflammatory disorder of the intestine caused by bacteria, amoeba, or viruses. It is spread by coming into contact with water or food contaminated with feces. People get sick by touching, eating, or drinking water or food that is contaminated.

RISK FACTORSMost common in overcrowded, impoverished areas with poor sanitation, inadequate hygiene practices, and unsafe water supplies. Drinking, eating, or touching contaminated water or food.

SYMPTOMS

The symptoms usually start 1-14 days after coming into contact with the causative organisms. Symptoms include fever, chills, vomiting, and watery or bloody diarrhea. Without treatment, people can have life-threatening symptoms such as severe dehydration.

Some of the common symptoms include:• High fever• Chills• Muscle aches or cramps• Vomiting• Abdominal Pain• Watery diarrhea with blood or mucus

DISEASE BRIEF-DYSENTERYTREATMENT

Oral or intravenous hydration therapy is the treatment of choice as well as antibiotics.

CURRENT SITUTATION• There have been cases of dysentery reported in Tacloban. • Dysentery is endemic in the Philippines. • Public health officials are remaining vigilant to the possibility of

outbreaks in other cities and/or towns affected by the typhoon.

RECOMMENDATIONS• Regularly wash hands• Only drink water from reliable sources (bottled water) • Avoid ice cubes• Use bottled water for brushing teeth• Avoid raw uncooked fruits and vegetables• Avoid undercooked foods

AMERICAN ACADEMY OF FAMILY PHYSICIANS - TRAVELERS' DIARRHEACDC - TRAVELERS’ DIARRHEA

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

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

SYMPTOMSThe symptoms usually start 2-10 days after coming into contact with the causative organisms.

Some of the common symptoms include:• Sudden onset• High fever• Shaking chills• Chest pain• Cough producing phlegm• Difficulty breathing

DISEASE BRIEF-PNEUMONIATREATMENT• Oral or intravenous antibiotics are the treatment of choice.• Breathing support (oxygen masks, ventilation, etc.) may be needed

for those showing signs that they are not getting enough oxygen in the blood (difficulty breathing, rapid breathing, blue discoloration of the lips or fingertips, etc.).

CURRENT SITUTATION• Medical volunteers and organizations are reporting a growing

number of people developing pneumonia. • Currently, the number of people needing treatment far exceeds the

resources available. • The lack of available treatment, the poor living conditions, and the

close proximity of the population to one another in makeshift shelters and clinics increases the risk of spread.

RECOMMENDATIONS• Wash hands with antimicrobial soap and water or by using

alcohol-based waterless gels. If hands have been in contact with mucus or other secretions, use soap and water only.

• Wear gloves and masks when dealing with people/patients with cough or other warning signs of respiratory (lung) illness.

• Change clothes if soiled with mucus or other secretions.

CDC – Pneumococcal DiseaseAmerican Family Physician – Pneumonia Doctors Without Borders

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DESCRIPTIONTetanus is a serious illness caused by Clostridium tetani bacteria. The bacteria can enter the body through a deep cut. The bacteria are everywhere in the environment and are found in soil, dust, and manure.

RISK FACTORSDirty open wounds in individuals who have not been immunized with the tetanus vaccine or who have not received the tetanus booster vaccine as recommended.

SYMPTOMSThe symptoms usually start 3-21 days after coming into contact with the causative bacteria. Symptoms include painful tightening of the muscles. Death can occur without life-saving treatment.

Some of the common symptoms include:• Headache• Jaw cramping• Fever• Trouble swallowing• Fast heart rate and high blood pressure• Seizures

http://www.doctorswithoutborders.org/news/article.cfm?id=7151&cat=voice-from-the-field

DISEASE BRIEF-TETANUS (LOCKJAW)TREATMENT

Hospitalization with aggressive wound care and antibiotics. Immediate treatment with human tetanus immune globulin (TIG). Drugs to treat muscle spasms.Vaccination for future prevention.

CURRENT SITUTATION• Doctors without Borders expressed concern for tetanus

development as survivors had extensive soft tissue wounds (cuts, lacerations, punctures, crushed tissue). Currently survivors with extensive skin injuries are being treated with TIG and receiving the tetanus vaccine.

RECOMMENDATIONS• Immediate wound care• Tetanus vaccination

http://www.cdc.gov/tetanus/about/

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RED CROSS AND RED CRESCENT ACTION

OPERATIONS• IFRC has deployed a Disaster Law expert to provide advice as needed to PRC and other partners to support humanitarian diplomacy. • As part of the cash working group, the IFRC recovery coordinator for Asia Pacific is deploying to Manila to move the cash coordination agenda forward. • The National Society has set up 20 welfare desks to assist with restoring family links and provide psychosocial support.

LOGISTICS•More than 93 tons of relief materials are being flown from IFRC’s logistic hub in Dubai to devastated areas.• The IFRC global logistics service has reserved 25,000 jerry cans and 100,000 tarpaulins with framework agreement suppliers. An additional 24,000 tarpaulins are booked for sea freight. • An IT/Telecoms ERU has deployed to Cebu and is setting up access in the operations warehouse. • The Cebu airport is congested, many of the affected areas are inaccessible and transportation infrastructure is damaged, posing logistical challenges for the operation.

SHELTER CLUSTER• The shelter cluster has full time capacity dedicated to cluster coordination in Manila, Roxas, Tacloban and Bohol. The inter-agency shelter coordination team will be increased from 8 to 16 staff members by mid-next week. • The shelter cluster will be creating sub operational hubs in Cebu and Roxas. Other hubs under consideration include Ormac (being considered as satellite under Tacloban) in Leyte; Borogan and Guiuan (potentially 2 hubs or 1 hub with 1 satellite) in Eastern Samar; and Iloilo (being considered as a satellite under Roxas) in Capiz. • The first shelter cluster meeting was held in Cebu on November 15 th. • Detailed assessments will be taking place soon, including a WASH cluster rapid assessment team member, to do a joint assessment and ensure provision of shelter with water and sanitation components.

IMPERATIVE CONDITIONS FOR CONTINUED RED CROSS PROGRESS• Adequate support (financial) from partners • Weather conditions do not suspend activities for long periods• Disaster-affected areas remain accessible• Continued cooperation of the authorities • Security issues do not hinder field operations

IFRC Operation Update No1, Nov. 17

A community in one of hard hit areas of Tacloban, in the Philippines. Photo: Alanah Torralba/IFRC.

POINTS OF CONTACTSoaade Messoudi, ICRC Manila, Tel: +63 918 907 2125Richard Gordon, Chairman PRC, Tel: +63 917 899 7898Patrick Fuller, IFRC Manila, Tel: +60 12 230 8451

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FOOD

FOOD SECURITY CLUSTER MEETING MINUTES 11/15/13HUMANITY ROAD - PHILIPPINES 11/16/13

UN OCHA SITUATION REPORT: 11/16/13UN OCHA SNAPSHOT 11/15/13

WFP UPDATES 11/14/13FOOD SECURITY CLUSTER UPDATE 11/15/13

AGENCY LOCATIONS MAP 11/15/13FAO APPEAL 11/14/13

NEEDS: About 2.5 million people are in need of food assistance. It is critical to get rice seed and fertilizer to approximately 250,000 farmers by mid-December. There is also serious concern for severely affected fishing communities – many families have no means of livelihood and decreased sources of protein.

RESPONSE:• Partners in the Philippines: ACF, ACTED, ADRA, CARE, CARITAS,

CONCERN, CRS, DRC, GOAL, HelpAge, ICRC, IFRC, IMC, IRC, Islamic Relief, LWF, Mercy Corps, NRC, OXFAM, Samaritan’s Purse, Solidarites International, UNICEF and WVI.

• Estimated 375,000 people have received food aid, but logistical support is needed to reach mountain areas.

• On November 14th, 5,000 people received high energy biscuits at Tacloban airport with deliveries to Guiuan, Eastern Samar, and other parts of Leyte to start Nov. 15.

• November 14th, 300 boxes of high energy biscuits were flown to two unreached locations-Homonhon island and Sulgod.

• 11,300 households will receive agricultural inputs, such as fertilizer, vegetable and rice seeds, and tools for the planting season.

FOOD

CLUSTER LEADS:The NEW Food Cluster Coordinator is Jeffrey Marzilli ([email protected]). The co-leads at WFP are Beatrice Tapawan (0917-539-9944, [email protected]) and Dipayan Bhattacharyya (0917-594-2450, [email protected])

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 29% 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.• Over 40% of 130,000 hectares of affected crops (mostly rice

and coconut) have been destroyed.• There is a limited timeframe in which to assist farmers in

planting crops to ensure a viable harvest and food supply.

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.

• Cluster leads are assembling information on locations of all involved organizations for better coordination.

FOOD SECURITY CLUSTER SOCIAL MEDIA:

FACEBOOK TWITTER

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NUTRITIONNEEDS:• The cluster estimates that approximately 4.9 million children are

affected by the disaster, of whom 1.5 million are children under five years and are at risk for Global Acute Malnutrition (GAM) if appropriate nutrition solutions are not available to them. An estimated 800,000 pregnant and lactating women will also require nutrition interventions.

• Priority interventions include infant and young child feeding Infant formula monitoring, micronutrient supplementation, management of acute malnutrition, and health and nutrition education.

• Disruption to maternal care and child feeding practices, 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 to 9 percent global acute malnutrition (wasting), 21 to 26 percent underweight and 38 to 42 percent stunting).

PRIORITIES (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 in Emergency 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 [email protected]@gmail.com PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 12 2013

RESPONSE• Infant and young child feeding counselors have mobilized in Eastern

Samar, Leyte, Iloilo, Capiz, Cebu and Bohol provinces.• Emergency supplies were procured for community-based management

of acute malnutrition.• Breastfeeding and complementary feeding counseling has started

among displaced communities. 2,002 pregnant women received iron folic acid in Ormoc and 2,082 post-partum women received Vitamin A capsules in Ormoc.

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

• Nutrition supplies are en-route to Guiuan. And shipments from Manila and Cotabato City to Tacloban City are occurring.

GAPS AND CONSTRAINTS:• Monitoring the quality of milk formula donations remains a challenge.• Of 7 million USD asked for in action plan, 7% of funds have been raised.• Limited IYCF partners to support local agencies.

OCHA Situation Report 10 Nov 16 2013UNOCHA report Nov 16 2013

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WASHWATER, SANITATION AND HYGIENE

OCHA SITREP 9 - 15 NOV 2013OCHA SITREP 10 – 16 NOV 2013USAID Fact Sheet #5 - 15 NOV 2013NDRRMC SITREP No 23 – 16 NOV 2013

NEEDS: • Water treatment units are needed for barangays outside Tacloban city and

those in outlying areas. • Damaged water systems: limited or no water supply in affected areas. • Water kits, hygiene kits and large generator sets for water systems and

portable treatment units are needed.

RESPONSE: • Water systems are restored to 30% capacity serving 28,000 connections

in eight municipalities serving an estimated 150,000 people. The Philippines National Army donated 6,000 liters of fuel, which will run the pumps for 6 days. Also, USAID/OFDA committed to providing funds for fuel for 10 to 15 days until water systems are completely restored. The rehabilitation of water pipelines is ongoing.

• Eight fire trucks and private water tankers are roaming around the 15 barangays in Tagbilaran City to deliver water.

• Water supply in Leyte is sufficient as of 15 November

GAPS & CONSTRAINTS: • Access and lack of information restrict the ability of the cluster to gather

essential data.• Water and telecommunications networks are also gradually regaining

function. • Fuel shortages and other logistical constraints persist preventing full

operation.• Municipality of Barbaza, Antique, and some municipalities/cities in Capiz

and Iliolo, still do not have water supplies.• Intact water systems need to be tested for contamination.

WATER, SANITATION AND HYGIENE PRIORITY ACTIONS:

CLUSTER COORDINATOR Rory Villaluna UNICEF 0917-859-2578 02-901-0101 [email protected]

Red Cross workers deliver clean water to survivors at a medical center in the city of Tacloban, Philippines Friday, Nov. 15, 2013. Thirsty residents have been struggling to find clean water since Typhoon Haiyan hit, resorting to drinking from broken pipes, rivers and any taps that remain working.

• Debris, typhoon generated waste removal is essential to improve sanitation.

• Water quality surveillance and installation of mobile water treatment units.• Distribution of water and hygiene kits and conducting hygiene promotion

sessions.• WASH cluster coordination and monitoring of WASH access

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EMERGENCY SHELTERDAMAGE: Official numbers now report 478, 343 houses as damaged (about half of which are destroyed), approaching the estimated Shelter Cluster figure.

NEEDS:• Major issues in six evacuation centers in Roxas City: absence of

camp management structure, poor sanitation facilities, poor security and limited public services such as electricity and drinking water.

• As more people become displaced, the need for tents, tarpaulins and non-food items (NFIs) becomes more urgent.

RESPONSE:• Evacuation center maps (as of Nov 15): Palawan & Antique,

Western Visayas, Cebu & Bohol, Leyte, Samar/Leyte.• Over 3 million people reported as displaced (increase from 1.9 mil

yesterday). Decrease of those inside evacuation centers from 423,000 to 371,000, but increase of those living outside evacuation shelters from 1.4 million to 2.7 million.

• Over 70% of displaced are concentrated in six adjacent provinces (Aklan, Antique, Capiz, Guimaras, Iloilo and Negros Occidental).

• The cluster has started identifying volunteers to gather information for the Displacement Tracking Matrix.

• Improvements are underway at the largest evacuation center, the Astrodome in Tacloban City through maintenance and heavy cleaning of the building.

• 1,000 tents mobilized for distribution in Tacloban City and 500 tarpaulins in Medellin municipality, Cebu province.

• 500 shelter repair kits were distributed on Bantayan Island, Cebu Asec Camilo G. [email protected] 920 948 5383SHELTER CLUSTER – TYPHOON HAIYAN 2013

OCHA SITUATION REPORT NUMBER 10 – NOV 16

GOVERNMENT LEAD AGENCY CLUSTER CO-LEAD AGENCYPatrick Elliot, [email protected]@ifrc.org0 908 401 1218Phil. Int. Dialing Code: +63

GAP & CONSTRAINTS• Shelter Cluster partners urgently need additional emergency

shelter materials and non-food household items. The Shelter Cluster calls on donors and aid agencies to provide additional emergency shelter materials and non-food items to the affected areas as quickly as possible.

• Emergency Shelter funding is at 11% of the needed $46.7 million.• Traffic congestion is hampering the movement of relief convoys.• Though shelter non-food items have arrived in Tacloban, affected

people are unable to set up temporary shelters in their places of origin due to un-cleared debris.

Children sleep in a Tacloban church (source)

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LOGISTICS

Cluster Lead Contact Information

LOGISTICS

PRIORITIES:• Debris removal, access to cutoff communities.• Water and fuel at Tacloban are immediate priorities.• Water production plant is Tacloban is operation but needs fuel.• Increased logistical capacity to reach mountain areas.

RESPONSE:• On 16 November, a barge linking Cebu City and Leyte province

sea ports started operating. • Relief supplies, generators and vehicles shipped from Cebu City

are expected to arrive in Tacloban City on 17 November. • 3D Marine Expeditionary Brigade (MEB) is providing capabilities

to acquire fuel, sustain water production and distribution and logistics support in Leyte and Samar provinces.

• MEB is working a surface transport solution.• Next 24 hours: setting up water purification site at

Macarthur Park with 130K gallon capacity to begin producing water.

• The Government of Philippines, the U.N. World Food Program (WFP), and other relief agencies are mobilizing additional trucks, aircraft, and boats to transport relief commodities and personnel.

Excerpts from MEB OP DAMAYAN SitRep Nov. 16

NEEDS:• MEB NEEDS: Continuing to work the contract (30) 3-

Ton or higher commercial box/flat bed trucks, (5) tractor trailers (TT’s) with lowboy capacity.

• Gas/solar powered refrigerator and cold chain remain a priority request for medical equipment.

• Contracting: working to contract commercial trucks to Tacloban.

• Ground and sea transport vehicles (ferries in high demand), debris removal, increased transit storage capacity, fuel, and stable telecommunications.

GAPS AND CONSTRAINTS:• Transportation of medical supplies to the affected

areas is currently one of the biggest constraints. • Vulnerability: Gasoline and diesel prices reportedly

skyrocketing in Yolanda-hit provinces, the Department of Energy's (DOE's) Oil Industry Management Bureau report that supplies of fuel in Leyte and Samar should stabilize late next week.

UPDATE:• Government officials announce that Catbalogan Port

(Samar) can be used to transport relief goods. • The USAID DART reports significant quantities of

humanitarian goods are reaching primary and secondary distribution points despite constraints.

Manila: Baptist Burgaud, Cluster Cord. 0917-5713160, [email protected]

Cebu: Henrick Hansen, Logistics Officer, +639152164926, [email protected]

Tacloban: Andrew Stanhope, Logistics Officer, [email protected]

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SAMAR PROVICE FUELING STATIONS• Allen Cor San Francisco St., Catbalogan, Samar • Del Rosario St., Catbalogan, Samar • Maharlika Highway, Brgy. Capoocan, Calbayog City • Poblacion 3, Maydolong, Samar • Brgy. Nator, Taft, Eastern Samar • Songco, Borongan, Eastern Samar • Borongan, Eastern Samar • Brgy. Buray, Paranas, Jiabong, Western Samar • Salvacion, Lavezares, Northern Samar • National Road Dolores, Eastern Samar • National Road, Mondragon, Northern Samar • National Highway, Kabulihan, Catbalogan, Samar • Bobon, Northern Samar • National Highway, San Jorge, Samar • National Highway, Villareal, Samar • National Highway, Old Manunca, Sta. Rita, Samar • National Highway, Gandara, Samar • National Highway, Dolores, Eastern Samar

OPERATIONAL FUEL STATIONS IN SAMAR AND LEYTE PROVINCES

LOGISTICSLOGISTICS

LEYTE PROVINCES FUELING STATIONS• Real, Tacloban City, Leyte • Real/Osmena, Ormoc City, Leyte • Magsaysay Blvd., Baybay City, Leyte • Palo, Tacloban, Leyte • Maharlika Highway, Campetik, Palo, Leyte • Marasbaras, Tacloban City, Leyte • National Highway, Poblacion, Hindang, Leyte • San Jose, Sogod, Southern Leyte • Pob. Hinunangan, Southern Leyte • National Highway, Maasin, Southern Leyte • Mantahan, Maasin, Southern Leyte • Jose Rizal Street, Bato City, Leyte • Sta. Sofia Padre Burgos, Southern Leyte • L. Regis St., Sogod, Southern Leyte • Alquino, Hilongos, Leyte • National Highway, Poblacion Gaas Ba, Leyte • San Juan, Southern Leyte • Malitbog, Southern Leyte • National Highway, Tunga, Leyte • Bontoc, Southern Leyte • National Highway, Pasay, Maasin City, Leyte • Hilongos, Leyte • Matalom, Leyte

• Poblacion, Silago, Southern Leyte • Himatagon Saint Bernard, Southern Leyte • National Highway, Brgy. Lunang, Hilongos, Leyte • Brgy. Libertad, Ormoc City, Leyte • National Highway, Mahaplag, Southern Leyte • Central San Francisco, Southern Leyte • Brgy. Candadam, Baybay City, Leyte

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CHILD PROTECTION & GENDER BASED VIOLENCEPROTECTION

NEEDS: • UNICEF’s Humanitarian Action for Children requests US$61.5 million to

respond to the needs of children and women affected by Typhoon Haiyan, an increase for its original requirements. 89% currently remains unfunded.

• Family tracing and reunification of separated families is urgently needed.• Approximately three million women of reproductive age need specialized

information and services.• Women friendly spaces need to be established to provide gender based

violence survivors safe and confidential multi-sectoral services (medical, psychosocial, security, legal).

• An estimated 4.6 million affected children need psychosocial support and protection against violence, trafficking, and exploitation.

• Child friendly spaces, temporary learning spaces, and community-based child protection networks need to be established in evacuation and relocation sites.

• Internally displaced women and children require information on relief distribution points.

• Need for support of immediate resumption of schooling to decrease risk of increased exploitation of children, particularly boys in child labor.

VULNERABILITIES: • Food shortages / lack of adequate security have incited looting and people

scouring through garbage. Women and children are particularly at risk.• Children are exposed to dangers of physical injuries due to falling debris.

RESPONSE: • In Ormoc City, three separated children have been identified and reunited

with their families.• Over 200 registration forms were distributed for separated and

unaccompanied children in Tacloban City.• Child friendly spaces were established in four barangays of Estancia and

Ilollo and in evacuation centers in 13 barangays of Roxas City.

FURTHER RESPONSE: • Children Protection partners have reached most northern Iloilo

municipalities and will assist in coordination of cases and activities with government partners to prevent and address abuse, violence, trafficking, and exploitation of children.

• Violence against Women and Children (VAWC) Officers of the Philippine National Police in Ormoc City are on alert for possible child trafficking cases and are closely coordinating with the city social welfare office.

GAPS & CONSTRAINTS: • GBV reporting and prevention services were disrupted and there are no

available records.• No functional inter-agency mechanisms for GBV on the provincial and

municipal levels in the worst affected areas.• There are not enough female police officers in the evacuation centers.• Limited fuel and trucks in Tacloban City is hampering delivery and

distribution of protection kits.• Internally displaced women and children in remote and isolated

communities have not yet received humanitarian assistance.• Lack of sufficient lighting for protection at night.• Lack of protective mechanisms for equal food distributions to decrease

women and children street begging.

Sexual and Gender-Based Violence Working Group; Reproductive Health Working GroupFlorence Tayzon, Assistant Representative, Working Group Chair UNFPA 0917-859-3520 02-901-0304 [email protected]

OCHA SitRep#10 16Nov UNICEF SitRep 15NOV

Child Protection Working Group; Reproductive Health Working GroupSarah Norton StaalCluster [email protected]; [email protected];

Page 30: Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 17 NOV 2013

US RESPONSEDepartment of Defense (DoD): OPERATION DAMAYANPRIORITIES:• 3D Marine Expeditionary Brigade (MEB) is providing command and control to a

primarily sea-based force to accomplish the following objectives:• Open Aerial Port of Debarkation at Tacloban. • Distribute humanitarian assistance and disaster relief (HA/DR) supplies

primarily with aviation assets – focus on Tacloban and Samar.• Produce and distribute bulk potable water. • Assist road clearance. • Provide limited infrastructure repair / support missions. • Transport victims from affected area to Manila.• Distribute relief supplies to isolated locations in Tacloban.

NEEDS:• Debris removal to allow ground access to affected areas.• According to USAID/OFDA, greatest needs in the affected area are water, shelter,

and food.

RESPONSE:• As of Nov. 14, Operation Damayan has transported 623,000 pounds of relief

supplies to Tacloban and transported 2,900 displaced people from the city to Manila, on the return legs of its flights.

• MEB, fuel has been provided to the municipal water plant in Tacloban to facilitate production. Temperatures in the high 80s F will continue to exacerbate the situation.

• MEB: The "Golden Falcons" of Helicopter Sea Combat Squadron 12 and the “Saberhawks” of Helicopter Maritime Strike Squadron 77-primary support to Guiuan, Eastern Samer- have dropped off 3,255 gallons of water, 24,900 pounds of food and 2,630 pounds of general supplies, and have conducted 221 personnel transfers.

• DoD plans to provide additional fuel to Talcoban in the short term until the international community organizes additional suppliers.

• USAID/OFDA is providing the U.N. Children’s Fund (UNICEF)-a lead agencies for the WASH Cluster, with $750,000 to procure a generator to help restore power to Tacloban’s municipal water system.

Excerpts from MEB OP DAMAYAN SitRep Nov. 16George Washinton Strike Group Assists

Navy Corpsmen load supplies onto a forklift at Tacloban Air Base.Photo credit: U.S. Navy photo by Mass Communication Specialist 3rd Class

Ricardo R. Guzman/RELEASED.

FIELD NOTICE: CRITICAL SUPPLY ACQUISITION NEEDSMARINE EXPEDITIONARY BRIGADE, SAMAR AND LEYTE PROVINCES • Gas/solar powered refrigerator and cold chain remain a priority request for

medical equipment.• Ground and sea transport vehicles (ferries in high demand), debris removal,

increased transit storage capacity, fuel, and stable telecommunications.• Contracting (30) 3-Ton or higher commercial box/flat bed trucks, (5) tractor

trailers (TT’s) with lowboy capacity.

Page 31: Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 17 NOV 2013

Health Meeting (Tacloban)19/11/2013 - 08:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesMs. Patricia [email protected]

General Coordination Meeting (Tacloban)19/11/2013 - 08:30Tacloban City Hall, Ground FloorPhilippinesUNDAC Team

Gender data for MIRA (Manila)19/11/2013 - 10:00FAO Representatives office, 29th floor RCBC plazaPhilippines

Donor Briefing (Manila)19/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)Philippines

ETC working group meeting (Manila)19/11/2013 - 10:00Plan Asia Regional OfficePhilippines

Food Security and Agricultural Cluster Meeting (Manila)19/11/2013 - 11:00FAO Conference Room – 29th Floor, Yuchengco Tower, RCBC PlazaPhilippinesRuco Van Der Merwe

Logistics Cluster Coordination Meeting (Cebu)19/11/2013 - 14:00Waterfront Airport Hotel Mactan Airport Road, MactanPhilippines

Shelter Cluster Meeting (Tacloban)19/11/2013 - 14:00Philippines

National Child Protection Working Group19/11/2013 - 14:30Office of the Social Technology Bureau (STB)-Conference Room, 3rd floor, DSWD Central Office, Batasan Complex, Quezon City.ManilaPhilippines

Education Cluster Meeting (Tacloban)19/11/2013 - 14:30Leyte National High SchoolPhilippinesNonoy [email protected]

Early Recovery Cluster Meeting (Tacloban)19/11/2013 - 14:30OSOCCPhilippinesTim Walsh0915-807-5756

HCT Sustainable Solutions Group (Manila)19/11/2013 - 16:00Room 506 at the Yuchengco Institute for Advanced Studies (YIAS), 5TH Floor Tower II RCBC Plaza, 6819 Ayala Ave. cor. Gil PuyatPhilippinesJahal de [email protected]

Government coordination meeting(Tacloban)19/11/2013 - 16:00Oval Grand StandTacloban CityPhilippines

Coconut TWG19/11/2013 - 17:00IOM office 28th Fl, CitiBank TowerPhilippinesCoordination Meeting (Tacloban)19/11/2013 - 18:00OSOCCPhilippinesSebastian Rhodes Stampa0926-690-3679

Coordination Meeting (Roxas)19/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199

Public Information and Communications Meeting (Tacloban)19/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983

Livelihood Cluster Meeting (Manila)19/11/2013 - 14:30ILO Auditorium in the 19th floor of the Yuchengco Tower I, RCBC Plaza, Ayala Av. Corner Sen. Gil Puyat Ave., Makati CityPhilippinesCarlos Carrión-Crespo

CCCM Meeting (Tacloban)19/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543

Security Meeting for SFPs and INGO partners (Manila)19/11/2013 - 15:30RCBC complexPhilippinesMarcus [email protected] Cluster Meeting (Tacloban)19/11/2013 - 16:00OSOCCPhilippinesSilvia Ramos0906-516-0271

Livelihood Cluster Meeting (Manila)19/11/2013 - 16:0019/F Yuchengco Tower I, RCBC Plaza, Ayala Avenue corner Sen. Gil Puyat Avenue, Makati CityPhilippines

CLUSTER MEETINGS - 19 NOV 2013

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COORDINATION HUBS

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

NAME TELEPHONE EMAIL LOCATION ADDRESS 1 ADDRESS 2 CITY STATE POSTAL

CODE COUNTRY

Busuanga Unknown [email protected] IV-B (MIMAROPA) Unknown Busuanga IV-B 5317 PH

Cebu Unknown [email protected] VII (Central Visayas) Unknown Cebu VII 6000 PH

Cotabato Sub-Office

+63 (0) 64 421 7935 [email protected] Cotabato City No. 080 Rufo Manara St. Rosary

Heights 10Cotabato City Mindanao 9600 PH

Davao City 082 285 2562 [email protected] Samal CityNo. 384. Sampaguita, corner Tulip Street, Juna subdivision

Matina Davao City Region 11 1124 PH

Guian Unknown [email protected] VIII (Eastern Visayas) Unknown Guian VIII 6809 PH

Manila +63 (0) 843 9553 [email protected] Metro Manila(NCR) 30/F, Yuchengco Tower,

RCBC PlazaAyala Avenue Makati City NCR 1226 PH

Roxas Unknown [email protected]

VI (Western Visayas) Capiz Government Business Centre Roxas VI 5800 PH

Tacloban unknown [email protected] VIII (Eastern Visayas)Tacloban City Hall, 1F Sen. Enage St cor Magsaysay Blvd

Tacloban VIII 6500 PH

Page 33: Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 17 NOV 2013

CLUSTERS POC

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