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Situation report issued by NDMO This report covers the period from 19 March 2015 To be added to the Situation Report distribution list please subscribe at http://eepurl.com/bhm_Nr Highlights

 On 18 March Vanuatu’s Prime Minister Joe Natuman visited the island of Tanna in on a NZDF aircraft and was accompanied by the New Zealand Head of Mission.  On 19 March the Government allocated VTU 96 million to purchase food supplies. Food assistance will be targeting families in cyclone-affected regions.  Measles campaign led by Ministry Of Health (MOH) with support from UNICEF and WHO is currently underway. 10,000 children under 5 old are to be vaccinated over ten days.  Between 17 and 19 March, Government-led initial joint rapid needs assessments were carried out in 13 islands. Further assessments are planned for and Outer Islands north of .  A Flash Appeal will be launched to support ongoing response operations. Situation Overview

The Vanuatu Government is continuing to coordinate the response to Tropical , including overseeing the development of a consolidated National Distribution Plan, to be finalized on 20 March 2015.

On 19 March, the Government authorised the transport of relief supplies required for life-saving purposes to the provinces. It has also authorized life-saving assistance such as the supply of health items, emergency food and water. Distribution of other relief supplies will be authorized once the government endorses the National Distribution Plan.

On 19 March four more government-led initial joint rapid needs assessment teams conducted assessments on seven islands in three provinces. The islands were and the eastern part of (), Ambae and () and Aniwa, Futuna and Anatom islands (Tafea Province).

Over the period 17–19 March 13 joint rapid needs assessments were conducted in the islands of Tanna, , , , Epi, Ambrym, Pentecost, Ambae, Manewo, Aniwa, Futuna, Paama and Anatom (Tafea, Penama, Malampa and Shefa provinces).

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The Outer Islands and Shepherd Islands north of Efate, which cannot be reached by a fixed wing plane, are still to be assessed. The government is sourcing helicopters to enable communities to be reached as quickly as possible.

NDMO is now reviewing coordination arrangements to support TC Pam response efforts. On 19 March NDMO convened a meeting with representatives from the Government, UN, Donors and NGOs to generate recommendations to the Inter-Cluster Group and to the Government. The review of the coordination arrangements will be carried out on an on-going basis to address any coordination challenges related to the rapidly expanding humanitarian operation and in anticipation of future challenges.

A consolidated needs assessment report for the islands reached will be finalized on 19 March. It will form the basis of a National Distribution Plan to be presented to the Government on 20 March. Once endorsed, relief distributions in all affected communities will be overseen and coordinated by the Government. A standardised package of assistance will be identified based on the assessment report.

The NDMO has compiled a list of all stock in country plus new stock received and a list of all stocks in the pipeline. These lists are continuously updated with new data. They will be used to guide the procurement of relief items, personnel and transport to meet the needs the assessment report articulates.

On 18 March, Vanuatu’s Prime Minister Joe Natuman visited the island of Tanna in Tafea Province on a NZDF aircraft and was accompanied by the New Zealand Head of Mission (N.B. correction of Situation Report 6, which stated the aircraft was an ADF plane).

On 18 March, Ms. Osnat Lubrani, UN Resident Coordinator and Humanitarian Coordinator for Vanuatu, arrived in to assist the Government to coordinate the response effort. Ms Lubrani is the Resident Coordinator for with multi-country coverage of the Federated States of Micronesia, Kiribati, the Marshall Islands, Nauru, Palau, Solomon Islands, , Tuvalu, and Vanuatu.

On 19 March, Ms Lubrani and the Head of Office for OCHA’s Regional Office for the Pacific, Mr Sune Gudnitz, met with the Prime Minister. A Flash Appeal will be launched to support the ongoing response.

On 19 March Humanitarian Coordinator opened UNDP office the Melanesian Hotel.

On 18 March, WFP received a letter from the government requesting it support the response. WFP is mobilising a food response.

On 19 March, humanitarian relief items continue to arrive from agencies such as DFAT, MFAT, Red Cross and DFID. Ten 3KVA generators, donated by the NZ Government, are planned to be sent to Tanna on 20 March to re- establish power to the water pump, which has capacity to provide water for 8,000 people. One super yacht, donated by a private company, will arrive in Vanuatu on 21 March. It will carry one doctor, five emergency medical technicians and medical equipment and it is capable of producing 10,000 litres of water a day. Government authorizes life-saving assistance such as the supply of health items, emergency food and water.

For more information please visit: http://www.humanitarianresponse.info/operations/vanuatu

1.0 Evacuation centre coordination and management

Needs:  Families in evacuation centres are reporting their key needs as shelter, food and water.  Feedback from families identifies the need for emergency shelter materials in order to return home.  Schools are to be prioritised for returns and closing to enable school to restart.  Current information from evacuation centre managers puts the figures at 39 evacuation centres still open, housing 3,995 people in and around Port Vila.  A large but unknown number of people without shelter are also being hosted by families and communities. Response

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 The Evacuation Centre Working Group/CCCM Cluster has decided to deploy the DTM (Displacement Tracking Matrix) to improve and systematize data collection and analysis of needs and gaps in evacuation centres.  Training for enumerators of the DTM by IOM will take place on Friday 20 March, with data collection planned to start later in the day.  IOM has offered to provide CCCM training including on camp management to NDMO, I/NGO and other personnel responsible for management and coordination of evacuation centres.  Vaccination efforts in Port Vila are prioritizing evacuation centres during an ongoing measles vaccination campaign. Gaps  There is a need to provide up-to-date information on multi-sectoral needs and updated figures of those in evacuation centres.  WASH support, including access to gender segregated latrines and bathing facilities and ensuring access to water is a priority.  Shelter has been identified as a major gap preventing people from returning home.  Protection concerns have not been reported but there has not yet been systematic protection monitoring in evacuation centres. 2.0 Shelter and Non-Food Items (NFI)

Needs  The picture regarding shelter needs is evolving. Unofficial feedback from rapid assessments on Tanna indicates approximately 15 per cent of shelter has been destroyed and 20 per cent badly damaged. Other islands are reporting higher levels of damage (e.g. Tongoa, Emae, Erromango), with damage levels up to 90 per cent. Initial joint rapid assessments of other islands are ongoing. Response  A broad response is being developed as rapid assessments are completed.  Shelter kits and tarpaulins are being shipped to Tanna. Gaps & Constraints  Insufficient stocks in country.  Lack of a pre-established shelter cluster. 3.0 Food Security and Agriculture

Needs  Initial aerial and joint initial needs assessments highlight damage or destruction of food crops, including yams, taro, manioc, kumala, banana, fruit trees and coconuts. Communities in Tanna report food will last until 25 March.  There is a need to distribute seeds for longer-term food security. Seeds (and tools for planting) are needed for all of Tafea and all of Shefa provinces and the islands of Ambrym, Maewo, Pentecost and Paama.  Food is need immediately in Tafea and in Shefa provinces (except in urban Port Vila).  Seeds needed are vegetable seeds, English cabbage, Chinese cabbage, tomato, capsicum, cucumber, and water melon  Food needed immediately includes rice, meat/tuna cans and crackers (according to FSAC Standard Ration).  It is expected additional rice commodities will need to be imported (200 to 250 metric tonnes), which will require government financing. Response  The cluster is preparing for food distributions, based on an initial government projection of needs.  WFP has been requested to support the government’s response. This will form three phases:

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o Special operation o Immediate Response Emergency Operation o Emergency Operation  The cluster has finalized and published a minimum food ration standard, including the food and amount contained within emergency aid packages.  The cluster completed stock and pricing assessments of available goods.  Messages and information has been shared with farmers via radio and pamphlets about replanting crops including island cabbage, manioc and taro, and to watch for livestock and plant pests and diseases.  There is a plan to exchange domestic planting material from less affected island to more affected islands.  Assessments have included impacts on gardens, and forestry and fishery industries. Gaps & Constraints  More information on fisheries and livestock damage and recovery plans is required.  There is a need for detailed Hotspot Mapping.  Reaching people with key messaging is a challenge.  There is a lack of communication to the islands and on the islands. 4.0 Protection and Gender

Needs  In evacuation centres health issues typical of overcrowded shelter situations are emerging (e.g. diarrhoea, vomiting and a confirmed case of measles). Surveillance will be done via existing health centres rather than in evacuation centres, however some form of monitoring is necessary in centres to trigger WASH or other interventions where appropriate.  Conditions for children vary considerably between centres, with some being unsafe, and lacking appropriate supervision.  Reports from rapid assessments are yet to be shared, but in Emae Island, , several protection issues have been identified: crowding; privacy (particularly for women); unsafe environment for children (debris); women and children effectively confined to shelters during the heat of the day due to lack of shade outside. Twenty breastfeeding women and seven pregnant women were identified. School is currently suspended. Responses  Oxfam is helping ADRA with plastic sheeting to provide sex-disaggregated latrines in nine evacuation centres. The feasibility of providing lights and generators to reduce protection risks is under consideration.  The health cluster has provided a checklist of early warning signs for outbreaks of disease.  IOM shelter and camp management experts now fill the gap of dedicated coordination capacity for the working group on evacuation centres. Gaps & Constraints  Information about centres outside Port Vila remains a gap. Assessments of several locations are not yet completed and reports of previous assessments are not yet formally circulated.  Referral systems for SGBV in evacuation centres are yet to be implemented.  Tensions over disparities in service provision between centres and surrounding communities have been reported in a limited number of cases.  Emergency shelter for Emae to address crowding, privacy issues.  Replenishment and repairs for health facilities.  Emergency food supplies (appropriate for pregnant and lactating women).  Temporary learning spaces and child-friendly spaces.

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5.0 Water, Sanitation and Hygiene

Needs  In the absence of analysed assessment information available, the sector assumes that 60 per cent of the population of Shefa and Tafea has been affected and has no access to drinking water. Based on individual reports, access to water has emerged as the biggest need. This is confirmed by Shefa provincial government and members of the assessment teams attending the WASH cluster meeting on 19 March, sharing observations from the assessment reports, which are not yet analysed.  Based on the individual reports: Port Vila peri-urban areas (6,000 people), Tongoa Island (2,500 people), Emae (270), Erromango (1,500) and Tanna (30,000) have no access to water due to lack of power to operate the piped water supply, ground water sources being contaminated or broken down rainwater harvesting structures. Response  Shefa Province held its first WASH coordination meeting with NGOs, detailing the needs from the various area councils.  ADRA and UNICEF provided a generator and fuel to Efate island’s village’s water supply system, which is now functional for 1,500 people.  WASH cluster members supported the initial joint inter-cluster rapid assessments in Shefa and Tafea.  Red Cross shipped 500 hygiene kits to Tanna.  DGMWR has deployed plumbers to provide immediate technical support to communities around Efate.  The WASH cluster in Tafea Province is active with Provincial Water Officer as lead, supported by NGOs active in Tanna (Care International, ADRA and WVI).  Vanuatu Mobile Force is providing ongoing support to peri-urban areas through water trucking.  Save the Children, ADRA and Red Cross are providing WASH support (including distribution of water and construction of latrines) in the evacuation centres.  Ten 3KVA generators, donated by the NZ Government, are planned to be sent to Tanna on 20 March to re- establish power to the water pump, which has capacity to provide water for 8,000 people.  On 18 March, approximately 200 litres of water was provided in containers to Makira in the Shepherd Islands group and on 19 March, 320 litres of water was provided in containers to in the Shepherd Islands group. Gaps & Constraints  Transportation of water to rainwater harvesting dependent islands.  Lack of pumps and generators for groundwater sources in Tanna.  Delays in access to international supplies.  In-country technical capacity to operate water treatment systems.  No prepositioned supplies in the northern islands of Shefa Province. 6.0 Health and Nutrition

Needs  There is an urgent need for the provision of health care services including: o emergency care o maternal and child health care o adequate medical personnel for key affected areas o disease control and outbreak response including surveillance, vaccination, case management and vector control o communication of key health issues (with the public and agencies) and disease prevention

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o mental health care to address impacts on social and emotional health o nutrition.  Damaged health facilities need to be repaired. Response  One super yacht, donated by a private company, will arrive in Vanuatu on 21 March. It will carry one doctor, five emergency medical technicians and medical equipment and it is capable of producing 10,000 litres of water a day.  Vila Central Hospital (VCH), Port Vila: There were eight more admissions including five from Tanna. Sixty outpatients are seen per day. Reports of the number of injuries continue to increase as access to outlying health facilities improves.  Hospital: There are nine inpatients, seven have been transferred to VCH. Medical supplies and fuel are very low.  Santo: Two evacuations of pregnant women from Sara to Northern Provincial Hospital (NPH), Santo. Possibility of increased use of Northern Provincial Hospital to free up space at VCH.  Disease control and outbreak response: Plan to vaccinate for measles and provide Vitamin A to 10,500 children aged 6 months to 5 years in 10 days across Efate with 1,500 already complete. Santo and Tanna next week if access, cold chain and staffing allows. Vaccination in Efate has started.  Pre-emptive advocacy: MoH is continuing to provide radio announcement warnings to the public of the risk of diarrhoeal disease, viral outbreaks and preventative measures. Broadcast slots have been secured for pre-recorded daily radio announcements.  Mental health services are being established  There is capacity now to treat severe malnutrition at VCH. It is important to encourage mothers to continue breastfeeding infants rather than formula if possible. All incoming infant milk formula must be coordinated and use approved by MoH.  VCH: Repairs are almost complete. Most wards will be operational by midday today except paediatrics. Central Medical Stores watertight with temporary tarpaulin. Waste management is functional. Cold rooms established for Central Medical Store (CMS) and mortuary.  Lenakel Hospital: Roof intact but significant damage; medicines storage water-damaged. AUSMAT carrying out stocktake of medical supplies and medicines and also a structural assessment. FMT send to Tanna to provide medical care.  Paonangisu Health Centre: Significant damage with seven out of nine buildings badly damaged. The Health Centre is a major site for deliveries in Efate. A health cluster tem will visit tomorrow Gaps and Constraints:  VCH: Body bags and additional space and trays for mortuary (container ready).  Island: needing urgent patient evacuation.  Lenakel Hospital: Medical supplies and fuel urgently needed. Sterilizer required for delivery of babies.  Assistance is needed for repairs of health facilities in outer islands.  Communication is still a problem in many islands. 7.0 Education

Needs:  A total of 34 schools are being used as evacuation centres in Efate Island and Torba and Penama provinces, which prevents children continuing to go to school.  Infrastructure, facilities and resources are damaged in a majority of schools in Efate, Torba and Penama. 8.0 Emergency Telecommunications

Needs

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 Voice communications outside of Port Vila are completely non-operational due to damaged telecommunications infrastructure.  Satellite equipment is needed to provide a temporary solution for government and humanitarians until local providers can repair infrastructure and restore services.  Solar charging equipment and portable generators are needed to recharge satellite phones, laptops and other essential communications equipment.

Response  Members of the Emergency Telecommunications (ETC) network are mobilizing, and deploying responders and equipment to Vanuatu.  Two emergency.lu satellite terminals have arrived in Dubai from Luxembourg for immediate onward shipment to Port Vila.  Temporary internet connectivity has been established by Telecoms Sans Frontieres (TSF) for the government in provincial capitals, which is also available to the humanitarian community operating in these areas. TSF also is supporting the United Nations overall with connectivity, including UNDAC.  Global Cluster Coordination teleconference #2 held Tuesday 16 March.  Global Cluster Coordination teleconference #3 held Wednesday 17 March.

Gaps & Constraints  Electricity is a pervasive challenge for the operation. The cyclone severely damaged power infrastructure across the country. The entire operation is reliant on solar power and generators. 9.0 Logistics

Response  WFP with assistance from UNICEF is establishing two storage hubs, one at Port Vila Airport, where a site has been identified, and another in Tanna.  The relief effort continues to be supported by the FRANZ partners’ military forces.  A coordination group has been established to help streamline processes for the use of military assets in the relief effort.  A full report of runway and terminal serviceability was reported by the Civil Aviation Authority, indicating that most runways in affected islands are serviceable but there are some limitations to terminal support for night flying.  The Logistics Cluster continues to record, track and share current and expected stocks. Agencies should send pipeline and distribution information to [email protected].  A British military plane is available to bring in shelter kits and solar lights.  HMS Tobruck is leaving from Townsville on 19 March for Port Vila with relief supplies.  Bulk water with water containers will be sent to the Shepherd Islands on 20 March by a barge offered by Vanuatu Beef.  One super yacht, donated by a private company, will arrive in Vanuatu on 21 March. It will carry one doctor, five emergency medical technicians and medical equipment and it is capable of producing 10,000 litres of water a day.  Ten 3KVA generators, donated by the NZ Government, are planned to be sent to Tanna on 20 March to re- establish power to the water pump, which has capacity to provide water for 8,000 people.  Water desalination plant arriving from Australia on 20 March with the capacity 200,000 litres per 8 hours. Expected to be deployed to Tafea Province. To be supported by 3 Combat Engineer Regiment

Gaps & Constraints  There is a need to augment storage in Port Vila and in Tanna, particularly as the amount of relief items to arrive is likely to increase.  There is a need for coordination of transport assets for use in the relief effort.  ADF Logistics support ship Tobruk is due to arrive on 23 March.

10.0 General Coordination

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NDMO convened a meeting on 19 March to streamline coordination structures. An agreement was reached to continue the existing cluster system and strengthen inter-cluster coordination. It was agreed that the working groups for logistics, evacuation centre management and emergency telecommunications would continue as working groups in addition to the existing six clusters. Shelter sector to be coordinated as a sub-group of the Logistics Working Group. Graphic representation of the coordination structure will be developed by the IMWG and shared with partners.

At this meeting, it was also proposed that a working group to coordinate distributions and provide linkages to provincial level structure be established in Port Vila.

On 19 March, coordination meetings included WASH, Evacuation Centre Management, Gender and Protection, Education and Health. Heads of agencies also met on 19 March.

Meetings for 20 March 2015 8.00 a.m. WASH cluster Meteorological Office Conference Room 9.00 a.m. Health cluster WHO conference room

10.00 a.m. (4 hour-meeting) ICCG/distribution planning NDMO

11.00 a.m Logistics cluster NDMO (small tent)

12.00 p.m Shelter Working Group NDMO (small tent) 12.30 p.m. Gender and Protection cluster 6.00 p.m Meeting with NDMO to present the NDMO National Distribution Plan 8.00 pm Media briefing NDMO

TBC Emergency Telecommunications Working Group meeting

Assessment Report on Affected Islands

On 19 March four more multi-disciplinary initial joint rapid needs assessment teams conducted assessments on seven islands in three provinces. The islands were Paama and East Ambrym (Malampa Province), Ambae and Maewo (Penama Province) and Aniwa, Futuna and Anatom islands (Tafea Province) Over the period 17–19 March joint rapid needs assessments were conducted in the islands of Tanna, Erromango, Emae, Tongoa, Epi, Ambrym, Pentecost, Ambae, Manewo, Aniwa, Futuna, Paama and Anatom (Tafea, Penama, Malampa and Shefa provinces). The outer islands and Shepherd Islands north of Efate, which cannot be reached by a fixed- wing plane, are still to be assessed. The Government is sourcing helicopters to access communities as quickly as possible. Ambrym Island, Malampa Province Recommendations:

Relief Distribution/Security a. According to the Joint Needs Assessment team report, 96 per cent of food crops are destroyed. b. Food stocks in commercial centers will only last for two weeks. c. Fuel stocks will also last for only two weeks d. Medical supplies need to address the epidemic diseases as soon as possible.

WASH e. Set up an alternative waste disposal/management system or restore regular garbage collection system (use water crafts instead of dump trucks).

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f. Roll out sanitary and hygiene advocacy programs to prevent an outbreak of diarrheal and other sanitation related diseases.

Health g. Strengthen surveillance in affected communities. h. Intensify health promotion and advocacy on disease prevention.

Livelihood: i. The communities are likely to need an alternative source of income. The main source of income in the area is copra, now that all coconut plantations are badly damaged; there will be no income for more than one for families.

Emae Island, Shefa Province

Recommendations:

Food a. Provision of seedlings to be considered to stimulate recovery of food gardens. In the meantime, food distribution will be required.

WASH b. Urgent planning for provision of water in the short term. c. Water quality assessments (taking into account local opinions regarding contamination of ground water sources) d. Rainwater harvesting equipment (tanks, gutters, pipes). e. Hygiene kits and soaps needed.

Emergency shelter f. Temporary shelter required to reduce crowding in remaining dwellings, provide shade and promote self‐recovery. g. Chainsaws for rebuilding

Health h. Restock of dressings and wound care supplies and medicines. i. One referral boat needs to be replaced or repaired urgently.

Logistics j. More chainsaws are needed for debris clearance and house rebuilding. k. Coastal road also needs to be cleared/repaired for sea‐transport.

Emae Island, Shefa Province

Key Findings/Observations:

Infrastructure & Logistics 1.1 Roads have been damaged and blocked by fallen trees from the southern to the eastern side. Public workers have cleared the roads from Melsisi to Lonorore only. The rest of the road on the eastern side is partially damaged and not accessible for vehicles. Local NGOs are equipped with vehicles that can drive on the repaired roads only. Boat transport is accessible to Lonorore Airport. The team was not able to assess schools on the eastern side.

WASH

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2.1 Water Sanitation and Hygiene (WASH) is a concern to Central Pentecote (Lonorore). Although flushed toilets existed, observations showed that soap and other sanitation tools were not beingused and the toilets did not comply with hygiene standards. 2.2 Due to the lack of communication, no reports have been received on the status of eastern Pentecote. 2.3 Reports indicate that there are two full water tanks in central Pentecote, which have been contaminated by the cyclone. 2.4 Lonorore has a water supply system but still reported water to be contaminated.

Evacuation Centre 3.1 It was observed that the majority of the people are living in rather good conditions in the assessed areas. People have been reported to have used their Nakamal (traditional meeting place) as their evacuation centre.

Health 4.1 Reports from health workers in Lonorore indicate no reported injuries or sickness in the Aid Post including Melsisi Hospital. 4.2 No outbreaks of communicable diseases are reported to date. 4.3 There is also no infrastructural damage to the Aid Post buildings in the central area.

Food Security 5.1 The majority of the farmlands observed in the central parts have not been damaged. However, the eastern side has a lot of damaged farmland and vegetation with significant impacts to livelihoods and agriculture. 5.2 Food is not an immediate concern. However, sustaining food security, particularly on rice availability may be an issue in the longer term due to the vast damage to agricultural crops and farmlands.

Communication 6.1 Communication has been disrupted and is yet to be restored.

Education 7.1 Schools that have been damaged: - Santari school, south‐east - Melsisi school, central - Ranwadi High school, central - Upiku school, central

Recommendations

a. Schools that have been affected need to be rebuilt. b. A detailed assessment is to be carried out on the eastern side of Pentecote for a deeper understanding of the damage.

Tafea Island Province (Islands of Tanna, , Futuna and Erromango)

Futuna

1. No deaths. 2. Some minor injuries. 3. Communications tower is down and in urgent need of repairs. 4. All residents have access to clean drinking water. 5. Local vegetable gardens are damaged and the remaining crops will last for another two weeks. 6. Fruit and banana trees are damaged. 7. Local shops are open and trading.

Tanna

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The Island had sustained major damage to dwellings and critical infrastructures. There is an urgent need to address many of the recommendations identified in this report.

Recommendations

WASH a. Supplies of bottled water to fill initial gaps. b. Set up an emergency/relief potable water supply distribution system. c. Delivery of 10L collapsible water bladders. d. Delivery of water purification tablets e. Delivery of hygiene kits.

Food f. Supply of tinned meat and rice.

Shelter g. Delivery of tents/tarps for housing / schools. h. Delivery of shelter tool kits.

Health i. Delivery of medical supplies to support the hospital infrastructure. j. Regular medical visits and surveillance to the evacuation centers and the temporary shelters. k. Restore functionality of damaged health facilities and augment resources in affected communities to enable health services to reach isolated villages and to increase capability to respond to possible disease outbreaks. l. Mobile health teams to provide services to isolated areas. Potential need for midwife services to reach women delivering at home. m. Intensify health promotion and advocacy on disease prevention.

Misc Items Delivery of chainsaws to assist in road clearance.

To be added to the Situation Report distribution list please subscribe at http://eepurl.com/bhm_Nr For more information please visit: http://www.humanitarianresponse.info/operations/vanuatu Please send pipeline and distribution information to [email protected]