In light of Typhoon Haiyan and its impact on Philippines, the Yale-Tulane ESF-8 Planning and Response Program has produced a special report. The Yale-Tulane ESF #8 Program is a multi-disciplinary, multi-center, graduate-level, program designed to produce ESF-8 planners and responders with standardized skill sets that are consistent with evolving public policy, technologies, and best practices. The group that produced this summary and analysis of the current situation are graduate students from Yale and Tulane Universities. It was compiled entirely from open source materials. Please feel free to forward the report to anyone who might be interested.
Yale Tulane Special report - Typhoon Haiyan (Yolanda) - The Philippines- 16 NOV 2013
1. YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT
TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES
BACKGROUND
WEATHER OUTLOOK
CURRENT SITUATION
NEEDS AND PRIORITIES
HEALTH
FOOD
NUTRITION
WASH
LINKS
PHILIPPINES
NATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCIL
PHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL
SERVICES ADMINISTRATION
DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
DEPARTMENT OF TRANSPORTATION & COMMUNICATIONS
DEPARTMENT OF HEALTH
DSWD DISASTER MITIGATION AND RESPONSE SITUATION MAO
OFFICIAL GAZETTE
PHILIPPINE COAST GUARD
PHILIPPINE INFORMATION AGENCY
PROJECT NOAH
WEATHER PHILIPPINES
GMA
THE MANILA TIMES
INTERNATIONAL/REGIONAL
RELIEFWEB
OCHA HUB
Humanitarian Response - The Philippines
EUROPEAN
HUMANITARIAN AID AND CIVIL PROTECTION
CEDIM
EMERGENCY SHELTER
LOGISTICS
PROTECTION
US RESPONSE
CLUSTER MEETINGS
INJURED
12,501*
DEAD
CLUSTER LEADS
3637*
*OFFICIAL NUMBER – THE NUMBERS WILL CONTINUE TO FLUCTUATE
16 NOV 2013
(As of 8:00 PM EST)
UNITED STATES
THE DEPARTMENT OF STATE
OFDA
US EMBASSY – THE PHILIPPINES
NOAA
PACOM
JOINT TYPHOON WARNING CENTER
NASA
VOA
HEALTH INFORMATION
CDC
DISASTER INFORMATION MANAGEMENT CENTER
PORTALS AND RESOURCES
ASEAN COORDINATING CENTER FOR HUMANITARIAN ASSISTANCE ON
DISASTER MANAGEMENT
GDDAC
PREVENTION WEB – PHILIPPINES
PACIFIC DISASTER CENTER
THOMAS REUTERS FOUNDATION
UNDERGROUND WEATHER
GOOGLE CRISIS RELIEF MAP
HUMANITY ROAD
2. BACKGROUND
Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the seconddeadliest 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.
SOURCE: TYPHOON HAIYAN – WIKIPEDIA
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
HTTP://RELIEFWEB.INT/SITES/RELIEFWEB.INT/FILES/RESOURCES/HAIYAN-INFO-16NOV.V1.PDF
3. WEATHER OUTLOOK
Synopsis:
Northeast Monsoon affecting Northern Luzon.
Forecast:
The whole country will experience partly cloudy to
cloudy skies with light rains over the regions of
Cagayan Valley, Cordillera and Ilocos. Isolated
rainshowers or thunderstorms are expected over
Metro Manila and the rest of the country.
Moderate to strong winds blowing from the
Northeast will prevail over Luzon and Eastern
Visayas and the coastal waters along these areas
will be moderate to rough. Elsewhere, winds will be
light to moderate coming from the Northeast with
slight to moderate seas.
AccuWeather
Pagasa
5. CURRENT SITUATION
AS OF 6 PM, 16 NOV 2013
CASUALTIES: 3,637 individuals were reported dead, 12501 injured and
1,186 missing.
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.
AFFECTED POPULATION
A total of 2,104,037 families (9,815,895 persons) were affected in 9,699
barangays in 44 provinces, 539 municipalities and 56 cities of Regions IVA, IV-B, V, VI, VII, VIII, X, XI and CARAGA.
644,543 families (3,060,011 persons) were displaced.
AIRPORTS: As of 13 November, 2013, all CAAP-controlled airports
were again operational. To date, operations in Tacloban airport are
still limited.
Inside 1,086 evacuation centers:
• 76,454 families / 367,759 persons inside evacuation centers
• 568,089 families/ 2,692,252 persons outside evacuation centers
DAMAGES (Regions IV-B, V, VI, and CARAGA)
• DAMAGED HOUSES: 494,611 houses damaged in (248,176 totally,
246,435 partially)
• INFRASTRUCTURE: The total cost of damages increased to PhP
10,339,290,061.00 = $ 236,924,83 1USD.
• AGRICULTURE: PhP9,089,181,461.00 = $208,278,593.18 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.
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.
POWER OUTAGE:
• Power outage is still being experienced in the following provinces
and municipalities in Regions IV-B, V, VI, VII and VIII.
• Based on NGCP’s latest inspection, 566 transmission towers and
poles are either leaning or toppled and 7 substations are affected
which remain un-energized.
WATER: 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.
NDRRMC.GOV.PH
PAGASA.DOST.GOV.PH
OCHA CARITAS TELECOMS SANS FRONTIERES
6. CURRENT SITUATION
NETWORK OUTAGE:
• “Libreng Tawag” of Globe Telecom was set up at Hotel
Alejandro, Tacloban City.
DOH Philippine Health Atlas
• As of 14 November 2013, Globe, Sun Cellular, Smart and Talk N’
Text Services have been restored in the following provinces:
NDRRMC.GOV.PH
PAGASA.DOST.GOV.PH
OCHA CARITAS TELECOMS SANS FRONTIERES
This interactive map set up by DOH and
being utilized by NDRRMC not only shows
where all eth health facilities are located,
but also displays where all of the medical
mission are being carried out, number of
injured and dead and more. Excellent
resource.
7. CURRENT SITUATION - HEALTH
INJURY MANAGEMENT IS URGENTLY REQUIRED. THE EASTERN
VISAYAS REGIONAL MEDICAL CENTER IS THE ONLY OPERATIONAL
HOSPITAL IN TACLOBAN CITY.
•
The Department of Health is monitoring potential occurrence of outbreaks of
communicable diseases because of the breakdown in water and sanitation
facilities and the severe state of primary health facilities which were badly hit by
the typhoon rendering them non-functional in delivering medical aid for victims.
•
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.
•
Essential drugs covered by the price freeze include those that address common
chronic diseases such as diabetes, hypertension and asthma likely to be
aggravated by the anxiety and stress as well as the difficult conditions faced on a
daily basis by the victims.
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.
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.
•
•
•
A total of 22 Filipino medical teams have been deployed to typhoon-affected
areas. For example, the Eastern Visayas Regional Medical Center—the only local
health facility remaining operational in Tacloban—is being manned by teams
from Metro Manila Hospitals.
•
11 foreign medical teams are operational in areas including Tacloban, Ormoc City,
Panay, Guiuan and Palo, and another 14 foreign teams are on their way.
•
WHO has teams on location in Tacloban and Cebu, coordinating the actions of
foreign medical teams. Around 50 WHO experts have come to the Philippines to
support government efforts, in excess of the staff who were already in country
prior to the typhoon.
AREA
CONTACT DETAILS
Eastern Visayas
Dr. Emmanuel “Bong” Bueno
at +63 9178391240
Director Gloria Balboa
at +63 928-5072141
Director Baby Banatin at
+63 9178455481
DOH Catbalogan Coordinating
Center
Director: Dr. Balboa
at +63 9285072141
Executive Assistant: Dr. Rempillo at
+63 9175584481
DOH Cebu Coordinating Center
Director: Dr. Bernadas
at +63 9189255908
NDRRMC.GOV.PH
OFFICIAL GAZETTE
WHO REPORT – 15 NOV 13
WHO SITREP 1
8.
9. EMERGING NEEDS
MEDICAL AND PUBLIC HEALTH
Damages to 5 of the 50 health centers already
assessed (167 in total)
Untreated trauma injuries
Growing queue of people in need of treatment for
pneumonia and diarrhea
Overcrowding in shelters may lead to outbreaks of
communicable disease
Lack of strong disease surveillance system
Approximately 2 million women of reproductive age
need specialized information and services
NEEDS FOR EVACUATION CENTERS
Food shortages
Water shortages
Lack of health services
Lack of non-food items such as beds
Lack of electricity outside centers threatens security
Inadequate amount of female police officers
Need for within shelter community based child
protection network (CBCPN) and family tracing and
reunification system (FTR)
Lack of trained camp managers in family reunification
FOOD, WATER, AND SHELTER
Food shortages (2.5 million people)
Over 40% of crops have been destroyed
Lack of infant and young child feeding partners
Difficulty in monitoring milk donations
Inadequate supply of Vitamin A
Lack of safe drinking water
Lack of materials to build shelters
Limited fuel supply
LOGISTICAL BARRIERS
SECURITY
Looting and begging due to food shortages
Disruption to gender based violence (GBV) reporting
and loss of records
No functional inter-agency mechanisms for reporting
GBV between agencies
EDUCATION
90% of day care centers and schools are damaged
Schools being used for evacuation centers, disrupting
education
Relief good distribution is disorganized
Traffic jams due to trucks transporting relief goods
Remote areas are cut off from debris removal
activities
Logistical and communication problems hampering
response to delivering shelter materials
Lack of access and information needed to restore safe
drinking water
Difficulty in transporting equipment and staff to
restore telecommunication systems
Lack of storage capacity for aid deliveries
Air traffic congestion causing delays at Manila and
Talcoban airports
Destruction to essential government infrastructure
and loss of important documentation
PHILIPPINES: TYPHOON HAIYAN SITUATION REPORT NO. 9
10. EMERGING PRIORITIES
IMMEDIATE 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
FOOD AID FOR 2.5 MILLION PEOPLE
General food distribution of food basket containing rice
and ready-to-eat high-energy biscuits
SHELTER & URGENT HOUSEHOLD ITEMS FOR 562,000
PEOPLE
Tarpaulins, basic tools and other inputs to repair
damaged and makeshift shelters, and tents for displaced
people
Non-food items such as family kits, sleeping kits,
sanitization and hygiene kits
Care and maintenance of existing evacuation centers
and transitional sites
IMMEDIATE SHORT-TERM EMPLOYMENT FOR AT LEAST
200,000 WOMEN AND MEN
Toward the removal and safe disposal of debris
SUPPORT REHABILITATION OF SOLID WASTE FACILITIES &
OPERATIONS
COORDINATED ROAD AND SEA TRANSPORT SUPPORT
OTHER NEEDS IN SPECIFIC PLACES
Temporary storage at Cebu Airport, Tacloban and across
the affected areas
Deployment of fully operational communications
centers that will provide both data/Internet service and
common security communications service to the
humanitarian community in Cebu, Tacloban and Roxas
city, and two other locations.
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
11. HEALTH
HEALTH
NEED
•
Injury management is urgently required. The Eastern Visayas
Regional Medical Center is the only operational hospital in
Tacloban City.
•
Over 360,000 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.
RESPONSE:
• Staff is coordinating three medical teams in Tacloban and one in
Medellin, which are delivering outpatient emergency care, pediatric
and primary health care; 16 medical teams are en-route to affected
areas.
• A sub-national health cluster has been established in Cebu.
• Emergency supplies were shipped to Tacloban including four
emergency kits with medicines and supplies to cover basic health
services for 120,000 people for one month, supplies to perform 400
surgical interventions and four diarrheal disease kits with medicines
and supplies to treat 3,000 cases of acute diarrhea.
•
Reproductive health kits 6A and 6B (clinical delivery assistance) were
sent to Guiuan, Eastern Samar to treat patients with obstetric
complications. Additionally, a generator set, one refrigerator to store
medicines, one delivery bed, midwifery kits and hygiene kits were
sent.
•
Coordination is well under-way in Tacloban City and Eastern Samar
Region.
•
First medical teams have arrived in Cebu. Others teams, currently in
Manila, are preparing for their deployment.
•
Public health epidemiologists will be deployed for field disease
surveillance and response activities.
•
Non-food items like medicines, hygiene kits and dignity kits are prepositioned 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 10– 16 NOV 2013
OCHA SITREP 9– 15 NOV 2013
OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP 6 - 12 NOV 2013
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
12. HEALTH
HEALTH
GAPS & CONSTRAINTS:
•
Transportation of medical supplies to the affected areas is currently
one of the biggest constraints.
•
There is a need for more comprehensive data on pregnant and
lactating women in the affected areas.
•
The lack of access to safe water, overcrowding and displacement pose
serious risk of outbreaks of communicable diseases. Disease
surveillance needs to be strengthened.
•
Establishing temporary points for delivery of health services is critical
as infrastructure is damaged and people do not have access to medical
care.
•
Medical teams require fuel, water purification and safe
accommodation.
•
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 10– 16 NOV 2013
OCHA SITREP 9 – 15 NOV 2013
OCHA SITREP 8 – 14 NOV 2013
OCHA SITREP 6 - 12 NOV 2013
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013
13. HOSPITALS
•
CANADIAN RED CROSS plans 70-bed (surgical capacity) field hospital,
potential to treat 100,000 through clinic admission or out-patient
services. (per day: 300 as out-patient, immunize 1,000 children) It is
deployed with core of 12 Canadian medical and support staff, and will
have personnel and material support from Norwegian and Hong Kong
Red Cross. Their ERU/ field hospital equipment landed in Cebu,
Philippines, and are dispatched on Friday to set up in Tacloban.
•
California-based MAMMOTH MEDICAL MISSIONS arrived at Villamor Air
Base in Manila. Operations set up in Tanauan: three surgical teams and
>30 parcels of medical supplies and self-contained surgical tent. The
team also has a satellite phone, expect daily updates
•
The ROYAL AUSTRALIAN AIR FORCE landed at Cebu, delivering a
portable field hospital that was soon sent on its way to Tacloban.
•
The ISRAELI DEFENSE FORCE (IDF) field hospital functional in city of
Bogo, began treating first patients Friday morning. Capacity to treat at
least 500 patients at a time, with x-ray and birthing room, women’s and
ambulatory care departments, as well as a general admission
department. twitter: #IDFinPhilippines
•
Japanese doctors examine a baby in a field hospital set up for
people affected by Typhoon Haiyan in Tacloban, Philippines, on
Saturday. AP photo
The Belgium B-FAST Relief Team has set up in Palo, some 10 kilometers
from Tacloban in the Philippines.
A small child from the town of Palo, undergoes an operation performed
by a team of Belgian and German doctors and nurses at a make-shift
hospital opened by Belgian relief organization B-Fast in Palo
14. 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 are many people
from the community who are volunteering to help in whatever
way they can.
•
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 started to set up 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,
among them 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 focus is especially
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 people, 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.
15. 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 acutely 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
carried 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.
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.
http://www.msf.org/article/typhoon-haiyan-msf-starts-treating-patients
16.
17. DISEASE BRIEF- LEPTOSPIROSIS
There are no reported outbreaks yet. But risk
for diarrhea, respiratory illnesses, leptospirosis and
influenza outbreaks remain high.
TREATMENT
Leptospirosis is treated with antibiotics, usually doxycycline or penicillin
for a course of one week.
DESCRIPTION
CURRENT SITUTATION
Leptospirosis 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.
• 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
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 lifethreatening 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
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.
CDC
The New York Times - 14 Nov
18. DISEASE BRIEF-DYSENTERY
DESCRIPTION
TREATMENT
Dysentery 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.
Oral or intravenous hydration therapy is the treatment of choice
as well as antibiotics.
RISK FACTORS
• 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.
Most common in overcrowded, impoverished areas with poor
sanitation, inadequate hygiene practices, and unsafe water supplies.
Drinking, eating, or touching contaminated water or food.
CURRENT SITUTATION
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
AMERICAN ACADEMY OF FAMILY PHYSICIANS - TRAVELERS' DIARRHEA
CDC - TRAVELERS’ DIARRHEA
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
19. FOOD
FOOD
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.
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.
•
On November 14th 170,475 people received family food packs,
with over 34,000 packs distributed in Leyte.
•
On November 14th, 1,500 kilos worth of food packs successfully
deployed to Guiuan, with plans to distribute food supplies to
Eastern Samar.
•
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 November 15th.
•
10,000 households will receive agricultural inputs, such as
seeds.
FOOD SECURITY CLUSTER SOCIAL MEDIA:
FACEBOOK
TWITTER
FOOD SECURITY CLUSTER MEETING MINUTES 11/15/13
IFRC UPDATE 11/12/13
HUMANITARIAN ROAD - PHILIPPINES 11/14/13
UN OCHA SITUATION REPORT: 11/15/13
UN OCHA SNAPSHOT 11/14/13
WFP UPDATES 11/12/13
FOOD SECURITY CLUSTER UPDATE 11/15/13
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.
• 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.
• Food Cluster is currently 18% funded out of a total US$76.2
million request.
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 kickstart early recovery activities and rebuild livelihoods.
• Cluster leads are assembling information on locations of all
involved organizations for better coordination.
CLUSTER LEADS:
The NEW 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)
20. NUTRITION
NEED:
• Amongst the 1.9 million displaced by Typhoon Haiyan, there are an
estimated 112,000 children between the ages 0 to 59 months and
70,000 pregnant or lactating women.
• An estimated 4.9 million children are at risk to malnutrition.
• Priority interventions include infant and young child feeding (IYCF)
Infant formula monitoring, micronutrient supplementation,
management of acute malnutrition, health and nutrition education.
• Disruption to maternal care and child feeding practices and damage to
WASH and health facilities place children and women at a high risk of
malnutrition, especially in high poverty areas.
• Pre-disaster data shows that the affected regions have high rates of
malnutrition (5 per cent to 9 per cent global acute malnutrition
(wasting), 21 per cent to 26 per cent underweight and 38 per cent to
42 per cent stunting).
RESPONSE
•
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 2082 post-partum women received Vitamin A
capsules in Ormoc.
•
100,000 displaced children are targeted for a Vitamin A
supplementation and de-worming programme which has started in
barangays in Region VIII.
•
Nutrition supplies en-route to Guiuan and being shipped from Manila
and Cotabato City to Tacloban City.
•
Ten surge staff are mobilized and ready for deployment by 16
November to provide nutrition interventions.
UNOCHA report Nov 15 2013
OCHA Situation Report 9 Nov 15 2013
PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 12 2013
UNICEF
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 (IYCF) in
Emergencies, community peer counseling activities with women's groups,
and other trained community counselors.
• Establish community-based therapeutic feeding centers for girls and boys
with severe acute malnutrition integrated in to local health systems.
• Provision of nutrition supplies for therapeutic feeding, micronutrient
supplements and equipment.
• Capacity-building on management of acute malnutrition and nutrition in
emergencies targeting local health staff.
•
Coordination and technical support to the Nutrition Cluster.
• Conduct standardized nutrition surveys for updated age- and genderdisaggregated nutritional status data.
GAPS AND CONSTRAINTS:
• Of 7 million USD asked for in action plan, 0% of funds have been raised.
• Limited IYCF partners to support local agencies.
• Difficulty in monitoring milk formula donations.
• Inadequate supply of Vitamin A.
• Lack of staff to provide nutrition interventions.
CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair
UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.org
hmdebwe@gmail.com
21. WASH
WATER, SANITATION AND HYGIENE
WATER, SANITATION AND HYGIENE
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 to15
days until water systems are completely restored. The rehabilitation of
water pipelines is ongoing.
• A cargo from the United Kingdom carrying 16 tons of aid worth $200,000
USD, including water and sanitation equipment, is arriving into the country
on Saturday and will immediately be taken to affected areas.
• Water treatment plants in Pastrana and Dagami municipalities in Leyte
were repaired.
• Water supply service has been partially restored and is operational in
Tacloban City with fuel, generators and spare parts secured for continued
operations.
• WASH rapid needs assessment teams arrived in Leyte, Samar, Iloilo, Cebu
and Aklan.
• USAID/OFDA partners are providing point-of-use water treatment
solutions for household-level treatment and utilizing bulk chlorine for
larger-scale treatment, as well as providing water containers to assist with
distribution
OCHA SITREP 9 - 15 NOV 2013
USAID Fact Sheet #4 - 14 NOV 2013
Typhoon Haiyan: Oxfam
GAPS & CONSTRAINTS:
•
•
•
•
Access and lack of information restrict the ability of the cluster to gather
essential data.
Water systems that are now intact need to be tested for contamination.
Groundwater supplies remain contaminated in most storm-affected
communities.
According to NDRRMC, 239 municipalities do not have electricity as of 13
November. Water systems in these areas may not be fully operational as
they often rely on power to pump water.
UNICEF Philippines Representative Tomoo Hozumi helps unload hygiene kits that were airlifted via
a charter flight to the city of Tacloban, Leyte, Philippines, on 15 November 2013.
UNICEF supplies
CLUSTER COORDINATOR
Rory Villaluna UNICEF 0917-859-2578 02-901-0101
washccph@gmail.com
23. EMERGENCY SHELTER
DAMAGE: Government data reports 285,993 damaged houses
(160,573 destroyed). These numbers are expected to rise and the
cluster estimates that over 500,000 houses may be severely affected,
particularly in coastal areas inhabited by the vulnerable & poor.
NEEDS:
• Tarps needed on the Island of Batbatan also known as
Kinatacan/Guintacan/Guinatacan (Coordinates: 11.316667,123.9)
• Tarps needed in Salcedo (Coordinates: 11.151880,125.639847)
• Shelter needed on Lipayran Island (Coord: 11.054910,123.626312)
• Food, water, health services and non-food items (NFI) such as beds
are priorities for the following evacuation centers in Tacloban:
Astrodome, Rizal Central School, San Jose Elementary School, San
Fernando Elementary School, & Redemptorist Church.
RESPONSE:
• Map of emergency shelters available here.
• Currently, 1,145 evacuation centers are serving 423,000 people
while 1.4 million are living outside of evacuation centers.
• Donor support for early recovery projects needed immediately.
• The cluster conducted camp management orientation on
establishing participative leadership structures among the
residents of the ECS. Some residents were identified to serve as ad
hoc camp leaders and were tasked with generating the master list
of families living in their ECs. IDPs responded positively and have
listed families.
SHELTER CLUSTER – TYPHOON HAIYAN 2013
TYPHOON YOLANDA CRISIS MAP
HUMANITY ROAD DIGITAL SITUATION REPORT NOV 16
KEY MESSAGES FOR THE SHELTER CLUSTER (12.11.2013)
SHELTER CLUSTER - EMERGENCY AND ER STRATEGY
OCHA SITUATION REPORT NUMBER 9 – NOV 15
GAP & CONSTRAINTS
• Shelter Cluster partners urgently need additional emergency
shelter materials and household non-food 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.
• Only 7% of $42.6 million needed for emergency shelter raised.
• Health concerns in evacuation centers due to overcrowding, lack of
food, safe water, and medicine.
• A lack of power in evacuation centers is making residents fearful.
A woman stands among destroyed homes (source)
GOVERNMENT LEAD AGENCY
Asec Camilo G. Gudmalin
cgudmalin@dswd.gov.ph
0 920 948 5383
Phil. Int. Dialing Code: +63
CLUSTER CO-LEAD AGENCY
Patrick Elliot, IFRC
coord.phil@sheltercluster.org
patrick.elliott@ifrc.org
0 908 401 1218
25. LOGISTICS
LOGISTICS
NEEDS:
• Ground and sea transport vehicles (ferries in high demand),
debris removal, increased transit storage capacity, fuel, and
stable telecommunications.
• Increased logistical capacity to reach mountain areas.
• Expeditious processing and release of international relief goods
(guidance).
Cluster Leads
City
Name
Title
Phone
Email
Manila
Baptiste
Burgaud
Cluster
Coordinator
0917-5713160
Baptiste.burgaud@wfp.org
Cebu
Henrick
Hansen
Logistics Officer
+639152164926
Henrik.hansen@wfp.org
Tacloban
Andrew
Stanhope
Logistics Officer
Not Available
Andrew.stanhope@wfp.org
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.
• Two mobile storage units were installed at Cebu International
Airport.
• Tacloban port is now operational.
• WFP is contracting sea transport service to operate out of Cebu.
• Logistics Cluster is planning transit storage temporarily in Cebu.
• Public Works and Highways have been able to open the national
roads in Eastern Visaya.
• C-130 planes can now fly into Tacloban Airport.
OCHA Situation Report No. 10 Nov. 16
LOGISTICS CLUSTER – MEETING MINUTES – NOV 15
LOGISTICS CLUSTER – CUSTOMS SNAPSHOT– NOV 14
USAID FACT SHEET #4 – NOV 15
26. LOGISTICS
GAPS & CONSTRAINTS:
• Limited fuel, vehicles, air transportation, and impassable
roads to affected areas are slowing the response
capabilities of all clusters.
‒ Airport storage and unloading facilities are becoming
backlogged, especially Cebu airport.
‒ Tacloban Airport Hospital overloaded and evacuation
list is too long.
‒ There is a lack of trucks in Leyte to meet the volume
of expected deliveries.
‒ Storage in Cebu and Tacloban is limited and likely to
become a constraint as more agencies forward their
cargo.
‒ In Cebu, airport delays were reported in offloading
due to heavy congestion and limited availability of
equipment.
• Matnog ferry crossing connecting Sorsogon to northern
Samar: six-hour ferry-handling is taking up to 3 days due
to backlog of vehicles of Filipinos visiting family
members. Could take up to one week to identify
additional ferries.
28. CHILD PROTECTION & GENDER BASED VIOLENCE
PROTECTION
NEEDS:
•
Family tracing and reunification of separated families is urgently needed.
•
Approximately two million women of reproductive age need specialized
information and services.
VULNERABILITIES:
•
The lack of electricity in affected areas in Regions IV-B, V, VI, VII, and VII is
making women and children inside and outside evacuation centers fearful
and desperate.
•
Food shortages and inadequate security measures have provoked negative
behaviors-looting, begging in the streets and people scouring through
garbage.
RESPONSE:
•
UNHCR is co-leading the protection cluster with the Philippine federal
Department of Social Welfare and Development under the inter-agency
emergency response.
•
UNHCR provides protection coordination and delivery, identifying the most
vulnerable people and ensuring their access to basic aid and services.
•
The cluster provided mapping and information management support to
NDRRMC to facilitate the coordination of logistics in Cebu City.
•
The child protection working group (CPWG) conducted an initial Child
Protection Assessment in Ormoc City and verified that the referral and
reporting mechanisms for the referral of violence against women and
children is in place.
•
UNICEF has announced an appeal of $61.5 million for the Typhoon Haiyan
response. All funds collected for the Typhoon Haiyan emergency will be
used for the Typhoon Haiyan emergency; they will not be reserved for
future emergencies.
OCHU Situation Report #9
http://www.unhcr.org/5286316a6.html
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.
• There are not enough female police officers in the evacuation centers.
• A community-based child protection network (CBCPN) and family tracing
and reunification (FTR) system need to be established in evacuation and
relocation sites.
• Camp managers are not adequately trained on, or experienced in, family
tracing and unification.
• Lack of sufficient lighting for protection at night.
• Lack of protective mechanisms for equal food distributions to decrease
women and children street begging.
Child Protection Working Group;
Reproductive Health Working Group
Sarah Norton Staal
Cluster Co-Lead
snortonstaal@unicef.org; snstaal@gmail.com;
Sexual and Gender-Based Violence Working Group;
Reproductive Health Working Group
Florence Tayzon, Assistant Representative,
Working Group Chair
UNFPA 0917-859-3520 02-901-0304 tayzon@unfpa.org
29. US RESPONSE
DEPARTMENT OF DEFENSE (DOD)
PRIORITIES: debris removal, providing potable water, food,
shelter and medical care.
CHALLENGES:
• Passable roads, vehicles, and ground transportation is
limited.
• Many remote affected areas have not received aid and
damage assessments have not been conducted due to lack
of access.
RESPONSE:
• U.S. Pacific Command has established a joint task force to
coordinate the DOD’s relief efforts.
• Supply drops are being made in at least 16 locations in the
worst-hit island provinces.
• Aircraft carrier USS George Washington has arrived: Marine
Corps MV-22 Ospreys (helicopter) are distributing supplies.
• Eight MV-22 Osprey tilt-rotor aircraft from Marine Medium
Tilt rotor Squadron 265 assigned to the 31st MEU are
expected to fly from Okinawa to Clark International Airport
in the Philippines in the coming days, doubling the number
of Osprey aircraft available to fly missions.
• The first Air Force C-17 Globemaster III transport jet landed
at Tacloban airfield, delivered water production capabilities
to the Philippine armed forces.
• About 300 U.S. Marines are currently on the ground. 900
Marines based in Okinawa are deploying aboard the USS
Germantown and USS Ashland.
• USS Germantown and USS Ashland are delivering backhoes,
dump trucks and wreckers; amphibious assault vehicles;
generators; and portable water tanks.
Sailors aboard the U.S. Navy's forward-deployed aircraft carrier USS George
Washington load containers of water onto an MH-60S Seahawk for the Philippines,
Nov. 15. 2013. (U.S. Navy)
U.S. Marines load a pallet of gear onto a KC-130J Hercules aircraft on Marine
Corps Air Station Futenma, Okinawa, Japan, Nov. 12, 2013
NAVY OFFICIAL DETAILS AID MOVING TO PHILIPPINES
USPACOM ESTABLISHES JOINT TASK FORCE
AID TO REMOTE AREAS
30. US RESPONSE
USAID
• Through a cash contribution, USAID/FFP has enabled WFP to
purchase 2,500 metric tons of rice in local markets for
inclusion in the family food packs that the GPH Department of
Social Welfare and Development is distributing to typhoonaffected populations.
• USAID and DOD continue working together closely to
coordinate airlifts to convey USG and non-USG relief
commodities to remote typhoon-affected areas.
31. CLUSTER
MEETING
POC
Agriculture
(No meeting scheduled)
Alberto Aduna (Cluster Coordinator)
+63 917 587 1463 /+63 2 901 0352
Camp Coordination / Management
(No meeting scheduled)
Alberto Aduna (Cluster Coordinator)
+63 917 587 1463 /+63 2 901 0352
Early Recovery
Early Recovery Cluster Meeting (Manila)
18/11/2013 - 10:30
Room 506 Yuchengco Institute for Advanced Studies,
5F Yuchencgco Tower 2, Philippines
Alma Evangelista (Cluster Coordinator)
+63 917 893 3706 / +63 2 901 0226
Education
(No meeting scheduled)
Maria Lourdes de Vera-Mateo (Cluster Coordinator)
+63 917 867 8352 / +63 2 901 0166
Emergency Shelter
Shelter Cluster Meeting (Cebu)
18/11/2013 - 09:00
DSWD offices, conference room, Philippines
Patrick Elliott (IFRC)
email: coord.phil@sheltercluster.org
tel: +63 908 401 1218
Emergency Telecommunications
Next Global ETC Teleconference on Philippines:
18 November
Next Local ETC Working Group meeting:
19 November
Karen Barsamian (ETC Coordinator)
Email: karen.barsamian@wfp.org
Mobile: +639152164938
Food Security
(No meeting scheduled)
Beatrice Tapawan
+63 917 539 9944
Health
(No meeting scheduled)
Arun Mallik (Cluster Coordinator)
+63 908 625 8619
32. CLUSTER
MEETING
POC
Inter-Cluster Coordination
Government coordination meeting(Tacloban)
18/11/2013 - 16:00
Oval Grand Stand, Tacloban City, Philippines
Elizabeth Marasco
Information Manager
+63 917 543 7217 / +63 2 844 1108
John Marinos
Information Management Officer
+63 906 570 2109
Coordination Meeting (Roxas)
18/11/2013 - 18:00
(ROXAS provincial hall), Philippines, UNDAC
General Coordination Meeting (Tacloban)
19/11/2013 - 08:30
Tacloban City Hall, Ground Floor,UNDAC Team
Marcus Culley
marcus.culley@undss.org
UNDAC Contact Number:
+63 91 86569199
Security Meeting for SFPs and INGO partners (Manila)
19/11/2013 - 15:30
RCBC complex
Coordination Meeting (Roxas)
19/11/2013 - 18:00
(ROXAS provincial hall)
Livelihood
(No meeting scheduled)
Simon Hills
+63 917 894 9329 / +63 2 580 9900
Logistics
(No meeting scheduled)
Chiara Argenti
chiara.argenti@wfp.org
Nutrition
(No meeting scheduled)
Henry Mdebwe (Cluster Coordinator)
+63 917 565 4062 / +63 2 901 0150
Protection (GBV / Children)
(No meeting scheduled)
Sarah Norton-Staal (Cluster Coordinator)
+63 917 867 8363 / +63 2 901 0129
Devanna De La Puente (Cluster Coordinator)
+63 917 515 3559
WASH
(No Meeting scheduled)
Souleymane Sow /09202218148
wash.coordregion7@gmail.com