AIG Emergency Rapid Response Project Monthly Report – December, 2006 1. Community and Government Relations: The Emergency Response teams (ERTs) have continued to focus on assessments and trainings through the month of December. Visibility and awareness of government/humanitarian/earthquake-affected communities to team programs and services has been raised through brochures, hourly radio public service announcements and newspaper advertisements. Team linkages with communities through first responder trainings and the above mentioned awareness material has increased incoming requests for assessments, training and emergency assistance. The tent-shelter construction support to the Camp Management Organization (CMO), on request of the Earthquake Rehabilitation and Reconstruction Authority (ERRA) continued, as Rapid Build Teams completed the work in Chattar Kalas camp and Agro Tech Industry camp, located in Muzaffarabad city. The teams will now move to Agro Tech and Mera Tanolia camps. 240 tent shelters have been built through December. Rapid Response Tent Shelter Construction through December Dates Camp Site Shelters Completed 27-Nov to 17-Dec Chattar Kalas 155 20-Dec to 28-Dec Agro Tech Industry 85 Fig 4.1 Laying the foundations Fig 4.2 Constructing the bamboo frame Fig 4.3 Completed shelters in Industry camp There continued to be strong linkages between humanitarian organizations and district government through the Rural Relief and NFI working group. ERTs have mobilized high altitude assessment and distribution teams on request of IOM, ERRA and District Commissioner, for the verification of the situation in Pre-Winter Shelter Security Survey identified vulnerable communities. Disaster Management, and BLS training of Development Authority Muzaffarabad (DAM) workforce, staff of national and international NGOs and trainings in at-risk communities is also ongoing. 2. Current Activities: (i) Emergency Intervention Interventions included: medical evacuations, emergency screenings, road traffic accidents, landslides, and fire. 1 Rapid Response Emergency Intervention Report Type of Date RR Team Dist UC Village Brief Notes of Incident Intervention Due to heavy snow, the road up the Kaghan valley was blocked and 4 member GTZ team with guide and four-wheel vehicle were Kaghan trapped in fresh snow. They spent 24 hours without food, water or 28-Oct Mansehra Kaghan Baboo Sar Top Winter Evacuation valley supplies as IOM ERT Kaghan valley hiked to the location, did medical check ups, provided supplies and guided them to the field station and ensured safe return to Islamabad. 29 year old M Nazir was shocked by 11000 kv overhead power cables while fishing in the Indus river. IOM ERT Allai valley revived 8-Nov Allai valley Battagram Peshora Kotgala Electric Shock and stabilized Nazir and once blood pressure returned to normal, he was transported to Battagram hospital. Operational Manager (NWFP) Bashir Ahmed witnessed a RTA and mobilized Muzaffarabad ERT. The team reached the location in 25 minutes and searched for victims in the van. Ops manager had already transported 14 casualties to Gari Habibullah field hospital. The field hospital was without medical facilities, doctors or medicine, Gari Road Traffic as they were in process of closing operations. Muzaffarabad ERT 23-Nov Muzaffarabad Mansehra Gari Habibullah Habibullah Accident reached the hospital and proceeded with emergency care. Two casualties had fractures in the mouth and hip dislocation. All had lacerated wounds. After immediate care and stabilization of wounds, all patients were shifted to Mansehra Civil Hospital. Two serious patients were referred to Abbottabad. There were no deaths from the incident. A Toyota pick up coming from Jabori to Shinkiari felll from the road Road Traffic due to break failure. Naseem and his 4 year old son fell 70 feet from 28-Nov Siran valley Mansehra Gugarrmang Dadar Accident the road. After revival from unconsciousness, first aid treatment was given and patients taken to the hospital. There is full recovery. While ERT was on survey, a young man requested help for his 2-Dec Bagh Bagh Dharay Badiar Medical Evacuation mother as she had just fallen and had a backbone injury. First aid and evacuation to DHQ hospital Bagh. An outbreak of acute diarrhea and pneumonia claimed the lives of 6 infants. Two days prior to the outbreak, Muzaffarabad ERT had held a training in Khanian village. Community members Ali Asghar and Neelum Maskeen contacted the ERT and requested assistance. Jhelum and valley, Emergency Medical Neelum ERTs were also mobilized. 90 children in the community 4-Dec Jhelum Muzaffarabad Heerkotli Khanian Screening and were screened, 36 infants were treated on the spot and 7 severe valley, Evacuation cases were transported to AIMS Hospital, Muzaffarabad. ERT Muzaffarabad coordinated with District Health and Merlin for continued medical support. IOM mobilized UNICEF blankets, warm clothing and hygiene kits and carried out the distribution for 470 families in Khanian. All evacuated and treated infants had full recovery. 2 Vehicle rolled down off the road due to landsliding. ERT stabilized Battagram 5-Dec Battagram Pashora Wasma Vehicle in Landslide driver and passenger, who were both without serious injury. In valley coordination with the police, the vehicle was recovered. At 11:00pm Bagh ERT received information that two cars had slipped and were on the roof of a private house down slope from the Road Traffic 7-Dec Bagh Bagh Dharay Sherpur road. There were no serious injuries. First aid and evacuation were Accident given to the passengers. The vehicles were recovered from the dangerous position in coordination with the army. En route to the Northern Areas, the tires of a passenger coach burst and the vehicle fell a height of approx. 2000 ft. 4 passengers were Battagram Road Traffic seriously injured and 20 died on the spot. ERTs assisted police and 8-Dec valley, Allai Kohistan Dassu Keroonala Accident army in the dangerous recovery and identification of bodies. On valley request from District Administration, teams then arranged ambulance transportation for the injured and the dead. Bagh ERT responded to a call of three patients of serious fever at Sorol Sudhan Gali. The team reached location and gave basic first 13-Dec Bagh Bagh BirPani Sorol Medical Evacuation aid before assisting in the difficult evacuation to PIMA hospital, Bagh. Bagh ERT received information that a child at IDP camp chattar # 2 IDP Camp Emergency Medical expired due to pneumonia. ERT screened all the children of the 19-Dec Bagh Bagh Dharay Chattar #2 Screening camp and gave report to the concerned agencies (District Health, World Health Organization). Road Traffic 10 year old male child, Naseem, injured in RTA. Siran ERT 21-Dec Siran valley Jabori Jabori Kanoog Accident stabilized fractured clavicle and dressed head injury. Fire broke out in a wooden shelter and destroyed the shelter, all assets, including eight hundred thousands rupees cash and left 25-Dec Jhelum valley Muzaffarabad Chinari Chinari Fire three people with 2nd degree burns. First Aid and burn treatment given to the casualties. Long term treatment prescription also given by ERT Medic. Fig 4.4 Dr Mushtaq (Muzaffarabad ERT) Fig 4.5 Bagh ERT responds to Sherpur RTA Fig 4.6 Badiar Medical Evacuation Fig 4.7 Kohistan Intervention screens a child in Khanian village 3 (ii) Training On 7 December. a 23 member ‘Urban Emergency Workforce’ (UEW) of DAM received disaster management, first aid and BLS training from the Muzaffarabad and Neelum ERTs. The workforce will focus on urban emergencies this winter whereas the ERTs will continue to prioritize rural needs and remain on standby for technical assistance in the urban setting. Neelum ERT held a first-aid and BLS training for 25 staff of Muzaffarabad-based NGO Kashmir Youth Foundation on 20 December. On 27 December, Jhelum ERT organized a large training on disaster management and BLS training for 50 staff members from 7 NGOs and UN agencies (NRSP, Merlin, Diachoni, UNHabitat, UNFPA, Oxfam, NRC) and 2 government organizations (District Hospital, Jhelum Welfare Association) working in the Jhelum valley. ERTs have continued the community-level training programs based on assessment and also call-in requests. A total of 41 trainings were held in December. 6861 community leaders, secondary school children, teachers and government/non-government staff have been identified and trained as first responders in at-risk communities. Training modules include: disaster management, first aid, BLS, mountaineering, survival and fire safety. (Refer to training matrix) Fig 4.8 Allai ERT holds BLS training Fig 4.9 Dulli ERT conducts training in Chamman Kotli Fig 4.10 Jhelum ERT holds a training at girls secondary school, Chikar 4 Rapid Response Trainings Report Altitude Male Female Age Date RR Team Dist UC Village (feet) Type of Participants Type of Training Participants participants interval 19-Oct Neelum valley Muzaffarabad Talgran Rushpayan 6010 Students +Teachers First Aid 300 Nil 13-55 19-Oct Neelum valley Muzaffarabad Talgran Rushpayan 6010 Students +Teachers First Aid 70 70 13-55 23-Oct Kaghan valley Manshera Kaghan GHS Kaghan 6848 Students +Teachers First Aid 94 Nil 15-45 3-Nov Kaghan valley Manshera Kaghan GHS Phagal 5432 Students +Teachers First Aid 78 Nil 15-45 10-Nov Neelum valley Muzaffarabad Heerkotli Chatter+Doba 4562 Community First Aid 35 Nil 13-70 10-Nov Neelum valley Muzaffarabad Heerkotli Meramandgran 4719 Community First Aid 50 Nil 13-70 11-Nov Siran valley Manshera Sachan