MALAYSIAN FLOOD EMERGENCY RESPONSE DONOR REPORT 2014

December 2014

Malaysian Medical Relief Society (Registration No. 1155) No. 4, Jalan Langgak Golf, Off Jalan Tun Razak, 55000 Kuala Lumpur Tel : +603 2142 2007 Fax: +603 2142 1992 Email : [email protected] Website: www.mercy.org.my

DISCLAIMER

Whilst attempts have been made to verify the various data sources, the fast changing nature of the situation on the ground as well as changing estimates from the various organisations and bodies involved in this disaster means that some of the data may be outdated or unreliable. MERCY cannot take any responsibility for any mistakes or omissions, or the unreliable nature of the data. We are also not obliged to inform the recipient of this report of any updates concerning the contents of this report.

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TABLE OF CONTENTS

No. Content Page No. i. Definitions 4 1. Introduction 5-6 1.1 Malaysia Climate 5 1.2 Malaysian Flood Background 5 1.3 December 2014 Floods 5-6 2. Emergency Relief Response 7-12 2.1 Health 7-8 2.1.1 Project Description 7 2.1.2 Activities 7 2.1.3 Outputs & Outcomes 7 2.1.4 Data 8 2.2 Water, Sanitation & Hygiene (WASH) 8-10 2.2.1 Project Description 8 2.2.2 Activities 8 2.2.3 Outputs and Outcomes 9 2.2.4 Distribution Data 10 2.3 Food 10-11 2.3.1 Project Description 10 2.3.2 Activities 10 2.3.3 Outputs & Outcomes 10 2.3.4 Data 11 2.4 Non-Food Items (NFI) 11-12 2.4.1 Project Description 11 2.4.2 Activities 12 2.4.3 Outputs & Outcomes 12 2.4.4 Data 12 3. Pictorial Report 3.1 Flood Destruction 14-15 3.2 Distribution of Hygiene Kits 16 3.3 Primary Health Care Outreach Clinic 17 3.4 Food Aid Distribution 18

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DEFINITIONS

ABBREVIATION DEFINITION

MERCY Malaysia (MM) Malaysian Medical Relief Society (Reg No 1155)

MKN Majlis Keselamatan Negara (National Security Council)

DHO District Health Office

IPK Ibu Pejabat Polis Kontingen

UNHCR United Nations High Commission for Refugees

MoH Ministry of Health

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1 INTRODUCTION

1.1 Malaysia Climate

Malaysia is geographically located in South East Asia, consisting of Peninsular Malaysia that shares land and maritime borders with Thailand and Singapore, while East Malaysia shares land and maritime borders with Brunei, Indonesia and Philippines. Peninsular Malaysia is covered in forested mountain ranges running from north to south, with on either side low-lying coastal plains. East Malaysia is situated on the island of Borneo, divided between coastal regions, hills, valleys and a mountainous interior.

The regions equatorial climate is characterised by uniform temperatures, high humidity and copious rainfall throughout the year. Although winds in Malaysia are generally light, the country faces two monsoon seasons. The first ‘lighter’ monsoon season is from May to September, known as the Southwest Monsoon. On the other hand, the Northwest Monsoon from November to March brings heavier rainfall and winds. The east coast of Peninsular Malaysia is exposed to the Northwest Monsoon, highly vulnerable to flooding and landslides as a natural result.

1.2 Malaysian Flood Background

Malaysia has a long history of floods as the country is exposed to monsoon rainfall all year round. More than about 10% of the country is flood-prone. Rapid urbanization of floodplains such as those in Kuala Lumpur, Penang and Sarawak, and upstream development of hill land have rendered many areas vulnerable to hazardous flash floods.

In 1971, Kuala Lumpur was hit by major flash floods as several riverbanks broke due to heavy monsoon rains. Over 180,000 people were displaced with 32 fatalities. The recent century has seen several heavy flash floods occur in Shah Alam, Johor, Kelantan, Perlis, Pahang and Terengganu. The last recorded major flash flood was in 2007, when several states in Peninsular Malaysia were submerged under the Northwest Monsoon rains.

1.3 December 2014 Floods

Peninsular Malaysia suffered from one of the worst floods in recent history during the last two weeks of 2014. A record number of 232,913 evacuees were registered in various evacuation centers across Peninsular Malaysia (as of 29 December 2014). However, the actual number of those affected is believed to be higher as numerous people were unable to reach evacuation centers and several evacuation centers were unregistered. The worst hit states were Kelantan, Pahang and Terengganu, followed by and Johor.

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As of 29th December 2014, Kelantan recorded 160,000 registered evacuees, followed by Pahang with 33,225, Terengganu with 31,820, Perak with 7,540 and Johor with 328 evacuees.

To date, MERCY Malaysia has responded to the flood in several areas Kelantan (Pasir Mas, Tanah Merah and Rantau Panjang) and Terengganu (Kemaman and Hulu Terengganu), as well as in Bota, Perak. The first phase of response was the deployment of needs assessment teams to Pasir Mas in Kelantan, Hulu Terengganu and Kemaman in Terengganu and Bota in Perak respectively as situations became critical. These teams, consisting of MERCY Malaysia staff, medical volunteers and logisticians, conducted rapid needs assessments of the situation in order to identify emergency response assistance. Information gathered from the needs assessments and coordination meetings with several parteners; Majlis Keselamatan Negara (MKN), Jabatan Pertahanan Awam Malaysia (JPAM), Ibu Pejabat Polis Kontingen (IPK), Jabatan Kebajikan Masyarakat and the District Health Office, indicated that the most critical needs were food, water, shelter, hygiene supplies and medical assistance.

There are 3 categories beneficiaries affected by the flood this year: 1. Flood affected evacuees who are staying at gazetted evacuation centres 2. Flood affected evacuees who are staying at non gazetted locations 3. Those not affected by the flood but whose homes are cut-off by the flood

In response, MERCY Malaysia in coordination with the above mentioned partners provided food aid, distributed hygiene kits and carried out several Primary Mobile Health Clinics simultaneously in the districts of Kelantan, Terengganu and Perak. Around four hundred MERCY Malaysia volunteers, partners and donors took part in the flood operations.

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2 EMERGENCY RESPONSE

MERCY Malaysia initiated and executed several emergency relief response projects in three main states affected by the December 2014 floods; Terengganu, Kelantan and Pahang.

2.1 Health

2.1.1 Project Description During a time of disaster, such as flood, the health of those affected is compromised. Dirty flood waters, assembly of people into close proximity and lack of sufficient hygiene facilities pose a serious risk for the spread of infections and waterborne diseases. The most common diseases that occur during flood are fungal infections, fever, flu, diarrhoea and cough.

Primary Healthcare Services such as mobile clinics provide immediate and primary health care for those affected. Patients are treated for a number of problems, such as wounds, illnesses and diseases. However, severe cases are referred to the nearest hospital, such as pregnant mother expected to be due. Patients who suffer from diabetes or hypertension are provided with prescribed medications so they can continue their treatment. The clinics are mobile, able to move to remote areas and stranded populations. Clinics are normally staffed with one MERCY Malaysia volunteer doctor, two nurses, a range of medications and technical equipment.

2.1.2. Activities

Needs assessments of health centres in KD Kuala Nal, KK Laloh and KK Dabong.

Primary Health Care (PHC) kits were procured in Kuala Lumpur and transported to Terengganu, Kelantan and Pahang by truck and airplane.

The District Health Offices (DHO) of Terengganu, Kelantan and Pahang coordinated meetings with MERCY Malaysia, Ministry of Health (MoH) and other local NGOs. The DHO identified health related gaps in the areas affected. Upon their guidance MERCY Malaysia set up Primary Healthcare Clinic’s in several areas, providing primary health care and collected primary patient data.

2.1.3 Outputs& Outcomes

Outputs: Provision of primary health care and raising awareness of possible waterborne diseases and infections.

Outcomes: Improved health of those affected by the floods. Assistance to DHO in monitoring the status of patients and diseases, mitigating the possible outbreak of an epidemic.

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2.1.4 Data

Table A. Mobile Clinics

LOCATION NUMBER OF STATE DISTRICT NAME OF PLACE CLINIC PATIENTS SET UP Kuala Krai SK Bedal 123 Kelantan SMA Bedal 50 Peria Static Clinic 50 Klinik Kesihatan Dabong 100 Kemubu 150 Hospital Manik Urai 30 Tanah Merah SK Tanah Merah 2 120 Sekolah Datuk Mahmud 35 Sub-Total 658 Kg Persagi Klinik Kesihatan Awah Figures pending Kg Kertau Chenor Static Clinic Figures pending Pahang Paya Pasir Chenor Static Clinic Figures pending Klinik Kesihatan Chenor Figures pending OPD Clinic Sub-Total Total TOTAL

2.2 Water, Sanitation and Hygiene (WASH)

2.2.1 Project Description

During a flood, good personal hygiene is the most important health aspect to maintain in order to remain resilient against infections and reduce morbidity as a result of waterborne diseases such as diarrhoea and fungal infection. Thereby, MERCY Malaysia developed a hygiene kit that consists of the essentials for beneficiaries to maintain good personal hygiene during a flood especially for those staying in evacuation centres due to the non-ideal living condition. The hygiene kits contain bath soap, sanitary pads, toothbrush, toothpaste, pail, towel, undergarments, slippers, blanket, etc. However, items contained may differ according to local context, flood situation and availability of stocks. In response to immediate needs, MERCY Malaysia also procured additional hygiene items; diaper packets, water cartons, undergarments and sanitary pads. One hygiene kit costs RM150. Each hygiene kit is developed to serve a family of five; composed of man(father), woman(mother) & 3 children.

2.2.2 Activities

Hygiene kits were procured in Kuala Lumpur, Kelantan and Terengganu before being transported to affected areas. At MERCY Malaysia basecamps in Kelantan and Terengganu, MERCY Malaysia volunteers assembled hygiene kits before they were transported to selected distribution centres. Distribution centres were identified according to needs assessments and in coordination with the District Health Office (DHO).

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Distribution of hygiene kits ranged from mass distribution in evacuation centres to house-to-house distribution.

Diaper packets, undergarments, sanitary pads and water cartons were procured locally in Perak and distributed to those identified by the needs assessment team and DHO.

2.2.3 Project Output & Outcomes

Output: A total of 3,474 hygiene kits were distributed (1,400 in Terengganu and 2,074 in Kelantan). Outcomes: The resilience of the affected population against infections and waterborne diseases was strengthened through an increase in good personal hygiene practices.

2.2.4 Distribution Data Table B. Hygiene Kit Distribution LOCATION NUMBER OF HYGIENE KITS STATE DISTRICT DISTRIBUTED Tanah Merah 162 Kelantan Pasir Mas 1,819 Rantau Panjang 18 Kuala Krai 75 Sub-total 2,074 Hulu Berang 364 Hulu Telemong 683 Jenagor 15 Terengganu Kuala Berang 134 Kuala Telemong 52 Penghulu Diman 22 Tangol 5 Tersat 125 Sub-Total 1,400 Perak Kg Gajah 500 Perak Tengah 500 56 Lambar Kiri 129 Bota Kiri 88 Bota Kanan 14 Kg Baru 57 (SMK Iskandar Shah) 16 1,349 Pahang Kg Awah 203 Sub-Total 203 TOTAL 5,026

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A detailed Hygiene Kit distribution table can be found in Annex 4.1.

Table C. Additional Hygiene Item Distribution LOCATION NUMBER OF STATE DISTRICT DISTRIBUTION CENTRE ITEMS ITEM DISTRIBUTED Undergarments 350 Bra Perak Lambor Kanan SMK Sultan Muzaffar 70 Sanitary Pads Shah 350

2.3 Food

2.3.1 Project Description

The rapid onset of the floods did not allow people time to stockpile food at home or secure supplies to take with them to evacuation centres. Furthermore, the long duration of the floods quickly diminished food supplies of those had some. The duration of the floods also impacted supplies of local shops and restaurants, unable to replenish supplies due to disruptions to transportation networks.

MERCY Malaysia assisted in the procurement and distribution of food packages to over 40 thousand people affected. Food packages consisted of a variety of goods, such as biscuits, dried foods, rice and canned food. The food items are distributed according to the type of beneficiaries. Those who are able to prepare the food were provided with dry rations and those without any means to cook were provided with ready to eat food such as bread, biscuits, chocolate, etc.

2.3.2 Activities

Food supplies were procured in Kuala Lumpur, Kelantan and Terengganu before being transported to MERCY Malaysia basecamps in affected areas. MERCY Malaysia volunteer’s packed food supplies into food parcels at base-camp. Food parcels were then distributed to beneficiaries at distribution points, such as evacuation centres.

2.3.3. Outputs & Outcomes

Outputs: Distribution of food packages.

Outcomes: Increased accessibility of beneficiaries to food, restoring a normal diet and sustaining the wellbeing of beneficiaries.

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2.3.4 Distribution Data

Table D. Food Parcel Distribution LOCATION NUMBER OF STATE DISTRICT BENEFICIARIES Machang 6750 Kelantan Tanah Merah 3500 Kuala Krai 4250 Pasir Mas 9151 Rantau Panjang 4007 Sub-Total 47,658 Lambor Kiri (15 sacks of rice) Parit 215 Labor Kanan 15 Perak Bota Kanan 120 Bota Kiri 610 Labor Kiri 395 Telok Sareh 115 Sub-Total 1,420 Total 49,078

A detailed table of food distributed can be found in Annex 4.2

2.4 Non-Food Items

2.4.1 Project Description

The intensity and rapid onset of the floods displaced thousands of people from their homes without any warning. Thereby, many found themselves without essential items. In addition to providing hygiene items such as those included in the Hygiene Kit, there was a need for basic comfort People with Disabilities (PWD) in evacuation centres and additional blankets. MERCY Malaysia staff have also purchased various kitchen items for families affected.

Additionally, MERCY Malaysia purchased diesel fuel in Kelantan and Terengganu to assist in the delivery of MERCY Malaysia relief items and other relief organisation’s.

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2.4.2 Activities

MERCY Malaysia staff procured 4,000 blankets and 72 mattresses. The mattresses were distributed to PWD in Perak. The blankets were distributed to those affected by the floods in Kelantan.

MERCY Malaysia staff procured and distributed 7,000 litres of diesel fuel in Kelantan and Terengganu for 4-wheele drives, boats and trucks to delivery essential relief items.

2.4.3. Outputs & Outcomes

Outputs: Distribution of non-food items to meet immediate needs.

Outcomes: Sustaining the well-being of those affected by the floods. Continued delivery of relief items to evacuation centers and communities. 2.4.4 Distribution Data Table E. Distribution of Mattresses LOCATION NUMBER OF MATRESSES STATE DISTRICT DISTRIBUTED Kg Parti 13 15 Kg Tepus 3 Kg Merua 5 Perak Bota 2 Kg Kepayang 10 Parit 23 Bota Kiri 14 Bota Kanan 13 Total 85

Table F: Distribution of Diesel LOCATION Litres of Fuel distributed STATE DISTRICT Kelantan (various) 7000 Total 7,000

Table G: Kitchen Items LOCATION Number of items distributed STATE DISTRICT Perak (various) Figures pending Total

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3 Pictorial Report

Flood Destruction

Figure 1: Areal view of flood waters in Kota Bharu, Kelantan.

Figure 2 : The road condition from Maran to Temerloh.

Figure 3: The floods destroyed the road and iron bridge in Kampung Kemubu, Kelantan.

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Figure 4: Several Kampung are only accessible by 4-wheele-drive transportation network have been destroyed. Here in Kemubu, Kelantan the railway track has been badly damaged.

Figure 5: In several Kampung only around 10% of the houses remain standing after the flash floods.

Figure 6: Although it is dangerous to enter flood waters, it is the only source for cleaning for many people, such as those from Kampung Kemubu, Kelantan.

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Health Project

Figure 7: Several mobile clinics have been set up in Kelantan and Pahang, providing primary health care services for those affected by the floods.

Figure 8: Several MERCY Malaysia volunteer medical staff travelled by boat to stranded communities to provide primary health care services.

Figure 9: MERCY Malaysia staff and volunteers conducted public health assessments at evacuation centres.

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WASH Project

Figure 10: 1,400 Hygiene Kits were distributed to families affected in Terengganu.

Figure 11: Over 2,000 Hygiene Kits were distributed to families throughout Kelantan, one of the worst affected states.

Figure 12: Additional hygiene material such as diaper packets and undergarments were purchased in Perak according to immediate needs. Here the goods are being delivered to basecamp, for further packing and distribution.

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Food Distribution

Figure 13: Hundreds of food packages were procured, packaged and distributed to communities affected in Kelantan, Pahang and Perak,

Figure14: Emergency food supplies were also transported by boat to stranded communities in Kelantan who had been without food for a few days.

Figure 15: Items procured in Kuala Lumpur were transported by both lorry and aviation.

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4 Annex

4.1 Hygiene Kit Distribution

LOCATION NUMBER OF STATE DISTRICT NAME OF HYGIENE KITS DISTRIBUTION DISTRIBUTED CENTER (if any) Sek Keb Kulim, Gual 26

Sek Keb Alor Pasir 52 Kpg Pdg Kijang 22 Tanah Merah Balai Raya Bukit Kecil 7

Madrasah Kuala Kepok 31

Seberang Alor Botor 24

SMA Lati 363 SMA Meranti 32 SK Kubang Kuau 187

Pasir Mas SK Gelang Mas 440

SK Kedai Tanjung 423

SK Pangkal Kala 15 Kelantan SK Guar Periuk 131 Masjid Lubok Kawah 43 SK Sri Kiambang 82 Sek Men Agama Pohon 43 Buluh SK Bendang Pauh 10 SK To’ Uban 8 Msajid Tarbiah 2 Kg Belukar 10 Kg Gaung Lati 6 Kg Padang Rokwa 10 Kg Tok Derepah 14 Rantau Panjang SK Tok Deh 18 Kuala Krai Kg Pasir Linggi 45 Kg Temangan 30 Sub-Total 2,074 B. Raya Kg Peris 11 Bangunan NGO Peng. 11 Ajal Dewan PPSK Kg 54 Menerong Kuarters Pasir Pelata 5

Masjid Kg Bentong 37 Masjid Kg Gunung 10

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Hulu Berang Masjid Kg Peneh 41 Masjid Kg Kua 44 Masjid Menerong 14 Masjid Peng. Ajal 62 Rumah P/Masjid Kg 23 Lubok Periok Rumah Su JKKKKg 52 Terengganu Lubok Periok Asrama Sek 80 Tengkawang B.Raya Kg Pasir Dula 7 B. Raya Kg Payang 1 Kayu B. Raya Paloh Nyior 7 Dewan Besar Kg 41 Basung Dewan Budiman Kg 104 Kepah Markas Cawangan Pdg 36 Setar Hulu Telemong Masjid K. Jeneris 10 Masijd Kg Baong 45 Masjid Kuala Ping 71 Sek. Keb. Nibong 81 Sek. Men Matang 74 Surau Kg Pasir Dula 16 Surau Kg Basung 25 Surau Padang Setar 8 Surau Tok Lawit 77 Jenagor B. Raya Kg 15 B. Raya Batu 23 33 B. Raya Kg Getang 31 Kuala Berang B. Raya Kg Paya Besar 46 P. Pemindahan Bukit 24 Tok Bat Kuala Telemong P. Pemindahan Kg 52 BKT. Tadok B. Raya Bukit Kolam 5 Durian Kasim/Surau C. 3 Leban Penghulu Diman B. Raya Kg Landas 2 B. Raya Kg Pela 12 Tangol Masjid Kg Tok Gebok 5 B. Raya Bukit Gemuroh 11 B. Raya Cheting 10 B. Raya Kg Durian 12 Bador B. Raya Kg Padang 10

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Setar Dewan JKKK Kg 5 Tersat Pelandan K. Menjing/D. Sivik B. 7 Gemuroh Masjid Sekayu 20 Sekolah Keb. Kemat 40 Surau Kg Bukit 10 Gemuroh Sub-Total 1,400 Kg Gajah 500 Perak Tengah 500 Parit SK Tanjung Belanja 25 SK Pasir Gajah 15 Lambor Kiri SK Bakong 41 SK Lambor Kiri 88 Perak SMK Iskandar Shah 16 Bota Kiri DOR Kg Pulau Pisang 5 SK Telok Kepayang 83 DOR Kawasan Kucai 5 Bota Kanan Dewan Dato Hambal 14 KG Baru SAR Al-Nasariah 57 Sub-Total 1,349 Kg Awah SK Sekara 59 Pahang SK Jengka 99 Dewan Serbaguna 45 Bukit Pala Sub-Total 203 TOTAL 5,026

4.2 Food Parcel Distribution

LOCATION STATE DISTRICT NAME OF NUMBER OF DISTRIBUTION BENEFICIARIES CENTER SK Pei Hwa 700 SK Pasir Kelang 1500 Lawa Ladang Taku Estate 500 Machang SK Kuala Nal 1000 Taman Sri Nal 1000 SK Kampung Peh 50 SK Kampung Kerla 2000

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SK Datuk Mahmud 1000 SK Tanah Merah 500 Lama Tanah Merah SK Tanah Merah 500 Baru Masjid Karayan 500 Kampung Laloh SM Laloh 1000 SK Bedal 1500 Kuala Krai SMA Bedal 500 Kg Pasir Linggi 500 Kg Temangan 750 SK Kedai Tanjung 2116 SK Bakong 780

Jeram Perdah 150 Kelantan Bukit Lata 150 Kampung Bakong 80 Bogor 80 Tersang 300 Lubok Stol 75 Kg Rahmat 100 SMK Kubang 800 Bemban

SK Sultan Ibrahim 3 100 Pasir Mas JPAM Pasir MAs 600 Ramah Kedai, Kg 150 Gaung Lati Taman Sri Mas 50 Klinik Meranti 80 SK Guar Tinggi 500 Kampung Paloh 400 Kg Kubang Nyior 20 SMK Kangkung 72 Masjid Tarbiah 200 SK Arab Ismailiah 220 Pohon Buluh SK Arab Meranti 140 Diniah SK Kedai Tanjung 538 SK Sri Kiambang 155 Kg Banggol Chicha 150 Kg Belukar 50 Banggol Petaling 85 Pondok Lubok Mas 75 Padang Jelapang, 100 Chicha Tinggi Kg Gaung Lati 90 Kg Tok Sangkut 80

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Kg Kedai Tanjung 30 Kg Lati 250 Kg Tal 7 50 Padang Rokwa 50 Kg Bawah Lembah, 130 Gual Periok Kg Tok Derepah 70 Kg Lemal 85 Maahad Tahfiz Darul 30 Quran JPAM Rantau 120 Panjang SK Tok Deh 150 SK To’Uban 35 SK Bendang Pauh 120 SK Kelar 50 SK Gual Periuk 455 SK Gual Tok Deh 349 SMK Diniah 50 Bonggol Jering 275 Jeram Perdah 130

Bukit Lata 120

Mukim Chak Meranti 80 Rantau Panjang Taman Rantau Mas 500 Tasik Bakong 50 Kg Kedap 150 Tersang 300 Seberang Merbau 150 Kg Kedap 150 Bandar Rantau 60 Panjang Lama Kg Bagoh 250 Tersang Baru 86 Tersang Lama 157 Kg Seronga Luar 80 Kg Seronga Dalam 110 Sub-Total 27,658 Parit SK Tanjung Belanja 120 Dewan Orang Ramai 55 Kg Tepus Surau Tanjung 40 Belanja Perak Labor Kanan SMK Sultan Muzaffar 15 Shah Bota Kanan Dewan Dato Hambal 40 SK Padang 80 Changkat Bota Kiri SK Telok Kepayang 380

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DOR Pt 13 230 Labor Kiri SK Bakong 165 SK Lambor Kiri 230 Telok Sareh 115 Sub-Total 1,470 Total: 29.128

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