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

TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS

FOOD

WEATHER OUTLOOK

18 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

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.[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 percent 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 10-12.9 million people in nine regions—over 10 percent of the country’s population—are affected. As of 17 November over 4 million people are displaced by the typhoon (55 percent 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.

BACKGROUND

http://reliefweb.int/sites/reliefweb.int/files/resources/TC-2013-000139-PHL_snapshot_131118.pdf

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

AccuWeather PAGASA

GALE WARNINGGALE WARNING NO. 04For: Strong to gale force winds associated with the surge of Northeast Monsoon. Issued at 5:00 a.m. today, 19 November 2013 Strong to gale force winds is expected to affect the Northern and Western seaboards of Northern Luzon and the Eastern seaboard of Luzon.

CURRENT SITUATION

https://philippines.humanitarianresponse.info/sites/philippines.humanitarianresponse.info/files/MA017_3www_v03-300dpi.pdf

As of 18 NOV 2013 – 6:00 PM PhT

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

AFFECTED POPULATION:A 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 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: Municipality of Barbaza, Antique and some municipalities/cities in Capiz and Iloilo, still do not have water supplies.

CURRENT SITUATION

OCHA CARITAS TELECOMS SANS FRONTIERES

NETWORK OUTAGE:• As of 16 November 2013, Globe, Sun Cellular, Smart, and Talk ‘N Text Services have been restored in the following provinces

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HEALTH SYSTEM AND INFRASTRUCTURE:• Health infrastructures are severely damaged in the worst affected areas

• Providing health services to municipalities outside Tacloban (including elsewhere in Leyte province) and addressing intermediate and long-term public health needs are critical. According to reports, barangay-level health centers are largely not functioning. Precise figures are not currently available.

• 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.

DISEASES/ INJURIES:• The need for essential and emergency health services and treatment for

chronic conditions is increasing in affected areas, while the need for acute trauma care is decreasing.

• Top 5 morbidities from hospitals, evacuation centers, and health centers are: 1) Wounds, 2) URTI, 3) Fever, 4) Diarrhea and 5) Hypertension.

• The risk of outbreaks of diarrheal diseases and measles is substantial given the lack of safe water and sanitation, displacement and overcrowding, and sub-optimal vaccination coverage.

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

MATERNAL HEALTH: 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.

DEPLOYED ASSETS: A total of eighty-eight (88) medical teams (43 foreign and 45 local) have been deployed to various areas in Regions IV-B, VI, VII, and VIII

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• 2 Rural Health Units (RHU), 14 Barangay Health Stations (BHS) and 1 Local Government Unit (LGU) hospital (Leyte Provincial Hospital) were reported non-functional. RHU services are being done at the City Health Office.

• Hospital cases in Palo, Leyte were referred in Schistosimiasis Hospital wherein manpower is augmented by the Bethel Baptist Hospital team from Bukidnon.

• Hospital cases in Tanauan Leyte were referred in EVRMC*.

PALO AND TANAUAN LEYTE

GUIUAN AND HERNANI, LEYTE

• There are two (2) totally damaged/non-functional RHUs

• 3 hospitals (2 private & 1 LGU) that were damaged but remains functional.

TACLOBAN• All RHU and BHS in Tacloban are not functional.

• 3 private hospitals (Remedios P. Romualdez Hospital, Tacloban Doctors Hospital and Mercy Hospital) and 1 LGU hospital (Leyte Provincial Hospital) are not functional.

ORMOC CITY • 34 BHS were damaged and reported not functional in Ormoc City

• 6 RHUs (San Pablo, Cogon, Ipil, Valencia Curva and Linao) remains functional

• 1 LGU Hospital (Ormoc District Hosptial) and 1 Private Hospital (Ospa Farmers Medical Center) are not functional

• 1 Private Hospital (Ormoc Doctors Hospital) is fully functional

• 2 Private Hospitals (Gatchalian Hospital; and Maternity and Children’s Hospital) are partially functional.

CURRENT ASSESSMENT

HEARS CURRENT SITUATION NOV 17, 2013

NOTE: Eastern Visayas Regional Medical Center (EVRMC) has remained to be operational and being augmented by teams from Metro Manila Hospitals.

HEALTH - NEEDS

NEEDS:• The need for essential and emergency health services and

treatment for chronic conditions is increasing in affected areas, while the need for acute trauma care is decreasing.

• Providing health services to municipalities outside Tacloban (including elsewhere in Leyte province) and addressing intermediate and long-term public health needs are critical. According to reports, barangay-level health centers are largely not functioning. Precise figures are not currently available.

• Over 390,000 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.

• The risk of outbreaks of diarrheal diseases and measles is substantial given the lack of safe water and sanitation, displacement and overcrowding, and sub-optimal vaccination coverage.

• Injury management is urgently required. The Eastern Visayas Regional Medical Center is the only operational hospital in Tacloban City.

• 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.

HEALTH

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

• 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.

OCHA SITREP 10– 18 NOV 2013

HEALTH - RESPONSEHEALTH

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

• 43 international medical teams are supporting four hospitals with

tertiary medical needs, including specialist care. These teams are primarily deployed to Leyte and Cebu provinces. This is in addition to 44 local medical teams deployed in affected areas.

• Doctors and nurses in Tacloban City have mobilized to conduct reproductive health and medical missions.

• SPEED, an emergency disease surveillance system, has been activated.

• A campaign for mass vaccination against measles and polio is being organized and will begin this week in Tacloban.

• 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.

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

OCHA SITREP 10– 16 NOV 2013

OCHA SITREP 10– 17 NOV 2013

• 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.

HEALTH – GAPS & CONSTRAINTS

HEALTH

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.

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

• 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

TYPE 1 – MINIMAL SERVICES TO TYPE 4 – SPECIALIZED

WHO SITREP – 17 NOV 2013

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

FIELD HOSPITALS / MEDICAL TEAMS • 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

• 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.

• ACTS WORLD RELIEF has a First Response team of four that has been in the Philippines networking and establishing logistics for the medical team. They are assessing at the SDA hospital in Cebu as the hub base camp, and organizing three helicopters, two airplanes and a speed boat to take medical and emotional care teams to outlying devastated islands for emergency care. Team 2 is now deployed which is directed by Dr. Jason Shives. This team consists of orthopedic surgeons, anesthesiologists, PA’s, Search and Rescue, Psychological First Aid and Security.

Displaced victims of Typhoon Haiyan are being treated for injuries at a field hospital set up by Australians. Photo: Brendan Esposito

• AUSTRALIAN MEDICAL ASSISTANCE TEAM: A 50-bed field hospital now serves as the surgical hub for relief operations in Tacloban City. Has X-ray facility, two operating rooms, five triage tents, and supplies for 4,000 patients and 200 surgical operations. Staffed by 37 doctors, nurses, logisticians, environmental health specialists, and pharmacists. More than a hundred patients treated there in the two days since it has been running, the Australian.

• The INTERNATIONAL SEARCH AND RESCUE GERMANY has a established a field hospital in Palo

• In most areas where MÉDECINS SANS FRONTIÈRES is working—Panay, Guiuan, Ormoc, Tacloban, and Burauen—the health services have been severely disrupted and MSF is focusing on restoring quality primary health care and hospital services. In Guiuan, a tent hospital has been put in place on the premises of the damaged reference hospital, while in Tacloban, an inflatable hospital will be set up this week and will provide all services including emergency room, inpatient department, and operating theater. At the moment, women with complicated deliveries have nowhere to deliver safely or undergo a Caesarean section, so MSF teams will urgently set up maternity, obstetrics and gynecology units.

• 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 Guiuan, 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.

FIELD HOSPITALS / MEDICAL TEAMS

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/

DESCRIPTIONAcute stress disorder (ASD) is a temporary mental health condition that may occur weeks to months after physical or mental trauma. A diagnosis is not made unless symptoms last 30 days or more. It occurs in 6-30% of survivors. A majority of people with ASD will later develop Post-traumatic stress disorder (PTSD).

RISK FACTORS• Multiple trauma• Violent trauma• History of mental health conditions

SYMPTOMS• Anxiety• Difficulty concentrating• Feeling detached from one’s body• Difficulty sleeping• Reliving the event• Disoriented and feeling “dazed”

DISEASE BRIEF - ACUTE STRESS DISORDERTREATMENTSpecific mental health counseling can treat ASD and prevent further development of PTSD.

CURRENT SITUTATION• World Health Organization expressed concern regarding mental

health issues post typhoon. • Mental health professionals have started to arrive to render aid to

those in need.• The mental health need for acute stress disorder is expected to

increase as time moves farther from the initial event.

RECOMMENDATIONSSeek professional help should any of the symptoms occur. Proper rest, hygiene, and nutrition help to alleviate symptoms.

http://www.ptsd.va.gov/public/pages/acute-stress-disorder.asp http://www.who.int/hac/crises/phl/philippines_who_sitrep15november2013.pdf

DESCRIPTIONA life-threatening illness caused by the bacterium Salmonella Typhi, and can be acquired by eating or drinking food that has been handled by a person with Salmonella Typhi, or from sewage contaminated with Salmonella Typhi.

The bacterium lives in the bloodstream and instestinal tract of contaminated humans, and a small number of persons (carriers), recover but continue to carry the bacteria. Persons who do not get treatment may continue to have fever for weeks or months, and as many as 20% may die from complications of the infection.

RISK FACTORSCommon where hand washing is less frequent, or water is contaminated with sewage.

SYMPTOMS• Sustained fever s high as 103° to 104° F (39° to 40° C). • Feeling weak• Stomach pains• Headache• Loss of appetite• Some patients have a rash of rose-colored spots

Must test blood or stool to confirm

DISEASE BRIEF-TYPHOID FEVERTREATMENTTreated with antibiotics. Choices for antibiotic therapy include fluoroquinolones (for susceptible infections), ceftriaxone, and azithromycin. Vaccinate, or get booster shot to prevent.

CURRENT SITUTATIONPossible outbreak in a hospital in Ormoc.

RECOMMENDATIONS• Buy bottled water, or bring to a rolling boil for 1

minute before consuming. • Eat foods that have been thoroughly cooked and that

are still hot and steaming.• Avoid raw vegetables and fruits that cannot be

peeled. Vegetables like lettuce are easily contaminated and are very hard to wash well. Or, peel raw fruit or vegetables yourself. (Wash your hands with soap first.) Do not eat the peelings.

• Avoid risky foods and drinks, get vaccinated.

CDCJSOTF-P

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

FOOD

FOOD SECURITY CLUSTER MEETING MINUTES 11/15/13HUMANITY ROAD - PHILIPPINES 11/17/13

UN OCHA SITUATION REPORT: 11/17/13UN OCHA SNAPSHOT 11/16/13

ICRC UPDATE 11/17/13FOOD SECURITY CLUSTER UPDATE 11/15/13

AGENCY LOCATIONS MAP 11/15/13HUMANITARIAN NEEDS MAP 11/17/13

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 814,000 people have received food aid.• On November 17th, the ICRC and Philippine Red Cross started

distributing food to 10,860 families (54,300 people) in south-eastern Samar.

• 25+ municipalities have been reached with food assistance, with the government reporting reaching all affected areas to date.

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

FOOD

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

GAPS & CONSTRAINTS: • Food Cluster is currently 29% funded out of a total US$76.2

million request.• Logistical constraints hamper the delivery of food assistance,

particularly in mountain areas that remain unreached.• Resources are overstretched as the cluster is also

responding to the Bohol and Zamboanga emergencies.• Security is a concern as people have stormed warehouses

and food distribution sites.• Delivered food supply is insufficient for many populations.• 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.• 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

http://reliefweb.int/sites/reliefweb.int/files/resources/MA023_AssessmentPlan_v01-300dpi.pdf.pdf

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 hmdebwe@unicef.orghmdebwe@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

WASHWATER, SANITATION AND HYGIENE

OCHA SITREP 11 – 17 NOV 2013NDRRMC SITREP No 26 – 18 NOV 2013

RESPONSE: • The Philippines Red Cross has established 3 water bladders in Leyte.

province and provided water to a medical center and 2 bus terminals. • Partners have provided water bladders to 4 municipalities in Capiz

province (Dao, Cuartero, Mambusao and Ivisan) and installed 2 water treatment units in Cebu province (San Remigio municipality).

• Hygiene and water kits have been mobilized for Daanbantayan, Bogo, San Remigio and Medellin municipalities. All these municipalities are in northern Cebu province.

• In Tacloban, about 276,400 people (80% of the population) now have access to piped water. The main pipeline and water treatment plant have been repaired.

• Repairs to a network of smaller pipes in Tacloban are now underway.

GAPS AND CONSTRAINTS:

• WASH cluster coordination and monitoring of WASH access.• Debris in Eastern Samar province continues to hamper transport of

WASH items. • Piped water in Tacloban requires chlorination to be drinkable.• Towns in Eastern Samar and Cebu provinces lack access to drinking

water.• Overcrowding and poor sanitation are concerns in large evacuation

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

and Iloilo, still do not have water supplies.

WATER, SANITATION AND HYGIENE NEEDS:

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

Typhoon Haiyan survivors wash clothes next to a stricken ship in Tacloban. In times of disaster women and girls are particularly vulnerable to abuse.

• Access to safe water remains a major challenge in many areas, including in island towns of Guiuan municipality (Eastern Samar province) and Bantayan Island (Cebu province).

• Generator sets to power small water systems, water treatment and quality monitoring, water kits and household water treatment solutions (e.g. hyposol and aquatabs) are urgently needed.

• Estimates of the total number of people without access to safe water are currently unavailable, although localized assessments exist in some areas.

EMERGENCY SHELTERDAMAGE: Official numbers now report over 1 million damaged houses (over 490,000 completely destroyed).

NEEDS:• Reports of poor sanitation in evacuation centers in Pontevedra

municipality (Capiz province).• Food supplies for in evacuation centers in Western Visayas.• Urgent need for tarps, tents & non-food items.• Shelter repair materials needed; many families are salvaging

materials to build makeshift shelters.

RESPONSE:• Over 4 million people are displaced, of which 72,986 families

(349,870 people) live in 1,562 evacuation centers. An estimated 775,155 families (3,651,290 people) are living outside of evacuation centers in Eastern and Western Visayas.

• Five evacuation centers in Capiz province were profiled using the Displacement Tracking Matrix (DTM) to classify camp needs.

• 5,000 hygiene kits delivered to Astrodome evacuation center.• 5,000 tarps distributed in Tacloban.• Assessments underway to identify potential re-settlement sites for

those living near geo-hazards.• 400 tents assembled at two locations (not specified) for resettlement.• 400 plastic sheets distributed in Tanauan municipality (Leyte

province).• Camp Coordination & Camp Management Cluster Meeting Schedule

Asec Camilo G. Gudmalincgudmalin@dswd.gov.ph0 920 948 5383SHELTER CLUSTER – TYPHOON HAIYAN 2013

OCHA SITUATION REPORT NUMBER 11 – NOV 17

GOVERNMENT LEAD AGENCY CLUSTER CO-LEAD AGENCYPatrick Elliot, IFRCcoord.phil@sheltercluster.orgpatrick.elliott@ifrc.org0 908 401 1218Phil. Int. Dialing Code: +63

GAP & CONSTRAINTS• Overcrowding and poor sanitation are concerns in large evacuation

centers. In Tacloban, over 56,000 people are living in the Astrodome evacuation center alone.

• Camp Coordination and Camp Management Cluster funding is at 0% of the needed $6 million. Emergency Shelter Cluster is at 11% funding of the needed $46 million. (Latest numbers here).

• Transportation of supplies to evacuation centers is still a challenge due to air & road congestion in Tacloban.

• Too few organizations working in shelter support in Capiz province & other severely affected areas (others not mentioned).

The Astrodome evacuation center in Tacloban (source)

LOGISTICS

LOGISTICS

Cluster Lead Contact Information

Manila: Baptist Burgaud, Cluster Cord. 0917-5713160, Baptiste.burgaud@wfp.org

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

Tacloban: Andrew Stanhope, Logistics Officer, Andrew.stanhope@wfp.org

PRIORITIES • In Western Visayas, telephone lines are down in Aklan and Capiz

provinces. Limited mobile coverage is available.• Restore stable power distribution in regions IV-B, V, VI, VII and VIII. • Increase logistical capacity to reach mountain areas. • Debris removal, access to cutoff communities.

GAPS • Intermittent power in five regions: IV-B, V, VI, VII and VIII.• Access to safe water remains a major challenge in island towns

of Guiuan municipality (Eastern Samar province) and Bantayan Island (Cebu province).

• Fuel shortages continue to pose a challenge.

CONSTRAINTS• Communications (mobiles, internet) is limited, particularly in

remote areas- threatening the establishment of information management systems for the response.

• Transportation of supplies for evacuation centers remains a challenge due to air and road traffic congestion in and out of Tacloban.

OPERATIONAL RELIEF ASSETS • Internet (through VSAT), electrical support, security communications

and help desk services will be provided at the humanitarian hub in Roxas City.

• ETC in Tacloban continues to provide internet, basic radio communications and IT help desk services to the humanitarian community.

• All airports are now operational.• Roxas airport is only open during the day, and Tacloban airport has

limited operations. • Ormoc, Guiuan and Borongan airports are now open to C130 aircraft

transporting large amounts of relief goods. • Sea ports are also now operational.

NEEDS• Solar-powered refrigerators and diesel generators to re-establish

health services. • Food supplies for evacuation centers in Western Visayas region. • More information is needed on the logistics capacity of Panay Island. • Generator sets to power small water systems, water treatment and

quality monitoring, water kits and household water treatment solutions (e.g. hyposol and aquatabs) are urgently need.

• Debris removal in Eastern Samar province to allow better transportation of WASH items.

• On 16 November, the Roxas City coordination meeting highlighted the need to strengthen logistics to address the challenge in shipping, warehousing and distribution

OCHA Sitrep No. 11 Nov. 17

NOTE: See Infrastructure Capacity Reports for Tacloban Port, Ormoc Port, Guiuan Port, and Iloilo Commercial Port on the next page for planning guidance.

LOGISTICS

LOGISTICS

RESPONSE• A vessel being loaded with relief supplies in Cebu will

depart for Tacloban on 17 November. • The Logistics Cluster will provide 20,000 liters of fuel to

the humanitarian community under a coupon system.• Heavy vehicles and machines, including loaders, handlers,

fork and shovel fixing, have arrived in Cebu to support logistics.

• A fleet of trucks has been secured in Tacloban to meet the needs of humanitarian operations in the island of Leyte.

• Two mobile storage units have been erected in Cebu airport and a hangar has been secured.

• The Logistics Cluster has secured 20,000 liters (about 5,283 US Gal.)

• WFP and the Logistics Cluster have established regular coordination with the Department for Social Welfare and Development to ensure no delays with Customs clearance Of Imported Humanitarian cargo.

Logistics Cluster Situation Update Nov. 17OCHA Sitrep No. 11 Nov. 17

COORDINATIONAn Air Transport User Group meeting will be held on 18 November in Manila. Manila Cluster Coordinator Contact: Baptist BurgaudPh. 0917-5713160 Email: Baptiste.burgaud@wfp.org

INFRASTRUCTURE CAPACITY REPORTSLogistics Snapshot Tacloban Port, Leyte IslandLogistics Snapshot: Ormoc Port, LeyteLogistics Snapshot: Guiuan Port, Samar IslandLogistics Cluster Snapshot: lloilo Commercial Port

PROTOCOL GUIDANCE DOCUMENTSRelief Item Tracking Application Guidance REVISION Request Form: USAID Facilitated Humanitarian Cargo Transport by Military Assets

NOTE: All files are shared publically via Google Drive.

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 PROVINCESPetron service stations open and able to supply fuel in Samar and Leyte

LOGISTICS

LOGISTICS

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

Source: GMA News

DISTRIBUTOR NOTESPetron is currently serving its retail network through its Tacloban, Ormoc, and Pasacao depots. According to Petron, a temporary station was set up to augment the operational Petron stations in Tacloban.• Eight mobile dispensing pumps were deployed to

Tacloban and nearby areas in lieu of the damaged service stations.

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.

• Approximately three million women of reproductive age need specialized information and services. An estimated 4.6 million affected children need psychosocial support and protection against violence, trafficking, and exploitation.

• Internally displaced women and children require information on relief distribution points. Many in remote and isolated communities have not received humanitarian assistance.

VULNERABILITIES: • Food and water shortages and inadequate security have incited looting and

people scouring through garbage. Women and children are particularly at risk.

• Rapid assessments indicate that 90% of day care centers (DCCs) and public schools are damaged in Region VI. In Region VII alone, 1.948 schools and 1,600 day care centers are destroyed impacting the education of 590,000 children and 48,000 children respectively.

• Children do not have access to bathing facilities – putting them at risk.• Children are exposed to dangers of physical injuries due to falling debris.• Due to the destruction of livelihoods, more children will be at risk of

becoming engaged in the sex and pornography industries, or in transactional sex.

• Cash for work programs in the response and recovery phases may place children at increased risk of separation if provision for child care is not made when parents are working.

RESPONSE: • Child friendly spaces were established in four barangays of Estancia and

Ilollo.• The Child Protection sub-cluster has set up operations in Roxas City and

child-friendly spaces were established in evacuation centers in 13 barangays of Roxas City.

GAPS & CONSTRAINTS:

• GBV reporting and prevention services were disrupted and there are no available records.

• There is no disaggregated data on the number of children at the regional, municipal and barangay levels.

• Referral pathways are absent and local child protection councils are not functioning.

• Limited fuel and trucks in Tacloban City and airport congestion in Cebu City hamper the delivery and distribution of protection kits.

• No functional inter-agency mechanisms for GBV on the provincial and municipal levels in the worst affected areas.

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

women and children street begging.• Barangay Councils for the Protection of Children (BCPCs) are the state

mandated child-protection structures at the local level, and these and other pre-existing groups should be supported to help address the immediate child protection needs.

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#11 17Nov Global Protection Cluster Report

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

CHILD PROTECTION

https://philippines.humanitarianresponse.info/sites/philippines.humanitarianresponse.info/files/HAIAN_CP_SNAPSHOT_18NOV.pdf

US RESPONSE - OPERATION DAMAYAN

Department of Defense (DoD): OPERATION DAMAYAN

PRIORITIES:• Increase potable water production.• Stabilize the fuel supply to affected areas.• Continued support of logistical needs to distribute food/relief items, clear debris from

roads, reestablish power, communications, and water production. • Decrease airport congestion to decrease aircraft take off and landing time.• Increase the warehousing capacity at airports, distribution and evacuation centers.

NEEDS:• Water production and logistics, mainly ground transportation and fuel. • Greatest needs in affected areas are water, shelter, food, and medical assistance. • Debris removal to allow ground access to affected areas.

• EX) Main highway south of Guiuan to the end of the peninsula: one major obstruction with only one passable lane. Light lift equipment is required to remove obstruction.

RESPONSE• Nov. 15-16. Six more VM-22B Ospreys with Marine Medium Tiltrotor Squadron 265

arrived in the Philippines at Clark Air Field. In total fourteen Ospreys are now delivering food and water to the most isolated areas affected by the typhoon.

• The last 24 hours, more than 66,000 pounds of food, water and shelter items have been delivered to Tacloban, Borongan and Guiuan.

• The USNS Bowditch, an oceanographic survey ship, has provided charted data of safe, navigable channels and identified new hazards that will prove invaluable in the relief efforts that have and will continue to occur in the region.

• There are now 150,000 people in Tacloban being served by clean water (USAID). • Aid delivery increased considerably south of Tacloban due to number of assets fragged

and level of coordination between elements.

Nov. 18 Admiral's Morning Brief UNCLASOspreys Fly Supplies to Remote Areas in Philippines Military, USAID Continue Relief Efforts in Philippines

GAPS AND CONSTRAINTS• Lack of medical facilities and the slow pace of relief operations causing

further harm to individuals and vulnerable communities. • Inadequate helicopter landing zone preparation increases risk to crew

and equipment: soft ground (sand and marsh lands, in some areas) uneven ground, debris coverage.

• Medium to large passive and aggressive crowds, with varying levels of organization are present at landing zones (crowds of 30-200+ people reported), in some cases rushing the aircraft, increases the risk of competition for aid and the potential for violence.

• Minimal security at some landing zones has disallowed aircraft to land. Aid is delivered via hoist in-flight.

• Weather conditions have prohibited helicopters from accessing Tacloban Airfield.

• Congestion at Tacloban Airfield has forced aircraft to circle for 40 minutes before clearance to land.

• Main highway north of Guiuan appears intact and unobstructed; however 30% of secondary roads are passable.

Field Notice: Current Requests for InformationWhat is the current status of secondary roads and roads around HLZs in Eastern Samar and Leyte? What are the environmental conditions surrounding port facilities on Samar and Leyte (underwater debris, etc.)?

US RESPONSEUSAID/OFDA RESPONSE:• USAID and DoD assistance helps restore water service to most Tacloban residents.

‒ USAID/OFDA and DoD will continue to support Tacloban’s water production in the coming days, until the GPH and humanitarian partners can organize additional fuel suppliers.

• The USAID DART has established a forward operating base at Tacloban, posting a logistics officer and a military liaison officer at the city’s airport to strengthen coordination with other humanitarian stakeholders and enable closer tracking of USG commodities scheduled for distribution.

• USG humanitarian funding increases from $22.5 million to $27.2 million, primarily to augment logistical activities.

STATUS UPDATE:• On November 16, USAID DART members noted significant improvements in the speed

and efficiency of relief supply distributions at the GPH Department of Social Welfare and Development (DSWD) warehouse in Tacloban.

• The DART also visited a portion of the most-affected areas of Tacloban and observed rapid improvements in road clearing and cleanup operations.

USAID Fact Sheet No. 6 Nov. 16Plan International & USAID unload urgently-needed relief supplies in

Tacloban city. Source.

Health Meeting (Tacloban)20/11/2013 - 08:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesMs. Patricia Kormoss0908-892-0515kormossp@wpro.who.int

General Coordination Meeting (Tacloban)20/11/2013 - 08:30Tacloban City Hall, Ground FloorPhilippinesUNDAC Team

Donor Briefing (Manila)20/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)Philippines

Shelter Cluster Meeting (Tacloban)20/11/2013 - 14:00Philippines

Education Cluster Meeting (Tacloban)20/11/2013 - 14:30Leyte National High SchoolPhilippinesNonoy Fajardo0917-542-9875lfajardo@unicef.org

Coordination Meeting (Tacloban)20/11/2013 - 18:00OSOCCPhilippinesSebastian Rhodes Stampa0926-690-3679

Coordination Meeting (Roxas)20/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199

Public Information and Communications Meeting (Tacloban)20/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983

CLUSTER MEETINGS - 20 NOV 2013

Early Recovery Cluster Meeting (Tacloban)20/11/2013 - 14:30OSOCCPhilippinesTim Walsh0915-807-5756

CCCM Meeting (Tacloban)20/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543

WASH Cluster Meeting (Tacloban)20/11/2013 - 16:00OSOCCPhilippinesSilvia Ramos0906-516-0271

HCT Sustainable Solutions Group (Manila)20/11/2013 - 16:00Room 506 at the Yuchengco Institute for Advanced Studies (YIAS), 5TH Floor Tower II RCBC Plaza, 6819 Ayala Ave. cor. Gil PuyatPhilippinesJahal de Meritens09175975759jahal.de.meritens@undp.org

Health Meeting (Tacloban)21/11/2013 - 08:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesMs. Patricia Kormoss0908-892-0515kormossp@wpro.who.int

General Coordination Meeting (Tacloban)21/11/2013 - 08:30Tacloban City Hall, Ground FloorPhilippinesUNDAC Team

Donor Briefing (Manila)21/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)Philippines

Early Recovery Cluster Meeting (Manila)21/11/2013 - 10:30tbcPhilippines

GBV subcluster meeting (Manila)21/11/2013 - 14:00UNFPA meeting room, RCBC tower, ManilaPhilippinesDevanna de la Puente

Shelter Cluster Meeting (Tacloban)21/11/2013 - 14:00Philippines

Education Cluster Meeting (Tacloban)21/11/2013 - 14:30Leyte National High SchoolPhilippinesNonoy Fajardo0917-542-9875lfajardo@unicef.org

Early Recovery Cluster Meeting (Tacloban)21/11/2013 - 14:30OSOCCPhilippinesTim Walsh0915-807-5756

CCCM Meeting (Tacloban)21/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543

WASH Cluster Meeting (Tacloban)21/11/2013 - 16:00OSOCCPhilippinesSilvia Ramos0906-516-0271

Public Information and Communications Meeting (Tacloban)21/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983

HCT Sustainable Solutions Group (Manila)21/11/2013 - 16:00Room 506 at the Yuchengco Institute for Advanced Studies (YIAS), 5TH Floor Tower II RCBC Plaza, 6819 Ayala Ave. cor. Gil PuyatPhilippinesJahal de Meritens09175975759jahal.de.meritens@undp.org

Shelter Cluster Meeting (Manila)21/11/2013 - 17:0019th floor, ILO (RCBC Plaza)PhilippinesPatrick Elliot09084011218coord.phil@sheltercluster.orgCoordination Meeting (Tacloban)21/11/2013 - 18:00OSOCCPhilippinesSebastian Rhodes Stampa0926-690-3679

Coordination Meeting (Roxas)21/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199

CLUSTER MEETINGS - 21 NOV 2013

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 philippines@humanitarianresponse.info IV-B (MIMAROPA) Unknown Busuanga IV-B 5317 PH

Cebu Unknown philippines@humanitarianresponse.info VII (Central Visayas) Unknown Cebu VII 6000 PH

Cotabato Sub-Office

+63 (0) 64 421 7935 muktar@un.org Cotabato City No. 080 Rufo Manara St. Rosary

Heights 10Cotabato City Mindanao 9600 PH

Davao City 082 285 2562 schmidtm@un.org Samal CityNo. 384. Sampaguita, corner Tulip Street, Juna subdivision

Matina Davao City Region 11 1124 PH

Guian Unknown philippines@humanitarianresponse.info VIII (Eastern Visayas) Unknown Guian VIII 6809 PH

Manila +63 (0) 843 9553 ochaphilippines@un.org Metro Manila(NCR) 30/F, Yuchengco Tower,

RCBC PlazaAyala Avenue Makati City NCR 1226 PH

Roxas Unknown philippines@humanitarianresponse.info

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

Tacloban unknown undac.tacloban@gmail.com VIII (Eastern Visayas)Tacloban City Hall, 1F Sen. Enage St cor Magsaysay Blvd

Tacloban VIII 6500 PH

CLUSTERS POC

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