Typhoon Yolanda Health Cluster Bulletin Highglights
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TYPHOON YOLANDA HEALTH CLUSTER BULLETIN WHO/Frainisco Guerrero Photo: ISSUE #8 DECEMBER 18, 2013 HIGHGLIGHTS As of 18 December 2013, the National Disaster Risk Reduction Management Council (NDRRMC) of the Philippines reported 6 069 deaths, 27 665 injured, and 1 779 missing. A total of 16 074 856 people have been affected, 4 006 747 are displaced, and 101 527 are in 381 evacuation centers UNFPA has increasing concern about the level of support and reproductive health care needs of adolescents. The number of registered Foreign Medical Teams (FMTs) in the affected areas has de- creased to 55 as of 18 December The diagnostic capacity for TB is limited, especially in Region VIII. However, the DOH is reporting that across affected regions TB treatment facilities are almost 100 per cent func- tional. Inside this bulletin: Public health risks, needs, and gaps Affected population and areas Main public health concerns Health cluster action TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 1 December 18, 2013 AFFECTED POPULATION AND AREAS As of 18 December 2013, the National Disaster Risk Reduction Management Council (NDRRMC) of the Philippines reported 6 069 deaths, 27 665 injured, and 1 779 missing. A total of 16 074 856 people have been affected, 4 006 747 are displaced, and 101 527 are in 381 evacuation centers (Table 1). Table 1: AFFECTED POPULATION (NDRRMC, 18 December 2013) Number of % of total Number of % of inter- affected popu- population Displaced nally dis- lation of the area* Population placed Region IV A 27,076 0.2 - - Region IV B 466,120 17.0 1,960 0.07 Region V 692,020 24.9 - - Region VI 3,873,028 54.5 2,434,539 34.28 Region VII 5,909,955 86.9 205,933 3.03 Region VIII 5,015,434 122.3 1,452,826 35.42 Region X 19,592 0.5 19,592 0.4 Region XI 5,000 0.1 - - Caraga 66,631 2.7 - - Total 16,074,856 34.0 4114850 8.6 Humanitarian Case Load according to 12,900,000 29.84% Flash Appeal Source: Situation report # 66 NDRRMC as of 18 December, 2013 Currently there are three different centers close, the Government is placed people are in this last categories of relocation sites in the establishing ‘transitional sites’ in group. affected areas. The first site cate- bunkhouses, to temporarily host gory is ‘evacuation centers’ in pre- families displaced for longer than A clearer picture is emerging of established buildings such as one month. A third type is a the damage to personal homes as schools, barangay halls, gymnasi- ‘spontaneous settlement’, which is response moves toward long-term ums or health centers. These be- an unofficial site where people live recovery planning. Details of the gan to close approximately two in makeshift, open housing struc- level of personal loses facing com- weeks ago as the response shifted tures on the side of the road, close munities are detailed in maps A from meeting acute need to long- to the site of their original their and B. term recovery actions. As these home. It is believed that most dis- Map A TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 2 December 18, 2013 Map B PUBLIC HEALTH RISKS, NEEDS, AND GAPS Public Health Concerns The 5 most reported health mation from the Department of There is increasing interest in re- events from surveillance in each Health takes a back seat to he provision of current services. Sur- establishing routine health care in region are: veys of users would be another affected areas as efforts shift from approach. A large scale multiclus- acute response activities to longer Region VI: acute respiratory in- ter household survey has been -term planning and rehabilitation. fection (ARI), wounds, fever, hy- completed by OCHA, which in- For example the Cebu sub- pertension and skin diseases. cluded 5 questions on health. Ac- national health cluster reports that cess to care was the only topic included. The survey found that the immediate basic health care Region VII: ARI, wounds, acute about a third of all respondents needs of the affected communities diarrhea, fever, and skin diseas- reported inadequate access to in the acute phase of the response es. care. Lack of transport and debris have been met. Now, rebuilding of were the major reasons for prob- health facilities and the re- Region VIII: ARI, wounds, acute lems with access. establishment of routine health diarrhea, hypertension and skin care provision aligned with the diseases. DOH strategies and systems and using foreign medical teams to reinforce regular care are taking Essential health services precedence. Information on post-typhoon con- ditions at the local level remains incomplete. A major focus of the Morbidity recovery planning process is to re- Wounds sustained during clean- establish and enhance the ser- ing up operations are still being vices that were available pre- typhoon. This is because data on reported across all regions. It every health unit is needed to appears that these will continue have a complete picture. Collec- as rebuilding activities increase. tion of this information from the clusters is qualitative, while infor- TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 3 December 18, 2013 HEALTH CLUSTER ACTION Health Cluster coordination from the acute phase of the emer- services and 1 teams with special- The Department of Health is the gency into early recovery. This ty type 3 services. lead of the Health Cluster, with may indicate that rapid assess- FMTs that wish to donate equip- ments are finalising and there will WHO as co-lead at the national ment and supplies to local ser- and sub-national levels. be an increase in program report- vices are requested to go through ing and status updates. the DOH to register their dona- As of December 16, the DOH tions. A guidance note from the downgraded the situation from Response DOH on the entry and exit strategy Code Blue to Code White, indicat- Health Care Services of FMTs can be found at: ing the Government’s vision of activities returning to pre-typhoon The number of registered Foreign http:// levels. Medical Teams (FMTs) in the af- www.philippineconsulate.com.au/ fected areas has decreased to 55 surgical-and-medical-missions-to- Assessment as of 18 December (refer to map the-phl.html The number of rapid assessments C, D and E). Forty-nine of the has been decreasing over the last teams are functioning with basic type 1 services, 5 teams function- two weeks, as there is transition ing with more sophisticated type 2 Map c TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 4 December 18, 2013 Map D Map E TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 5 December 18, 2013 In Ormoc the Australian Army has WHO has distributed solar fridg- In Leyte, notifications of suspected developed an early recovery plan, es, including 4 delivered to hospi- leptospirosis via SPEED are lower including rehabilitation of dam- tals in Tacloban city and 11 to than in the previous week, despite aged schools, assessment of support cold chain needs in North- increased SPEED reporting. health centers and assistance to ern Leyte. re-establishing routine water sup- Three suspected Dengue cases plies. The Norwegian Red Cross is UNICEF’s team of cold chain ex- were reported with manifestations currently based at Ormoc District perts have completed assess- of Acute Haemorrhagic Fever. Hospital, providing services for ments of 119 health facilities cov- deliveries and surgery. ering regional, provincial and mu- Given concerns about possible nicipal level vaccine storages in dengue and leptospirosis, close Japan Anti-Tuberculosis Associa- Regions VI , VII and VIII. The main attention is being paid to Guiuan, tion (JATA) and Japanese Interna- obstacle to cold chain restoration given an increase in fever cases in tional Cooperation Agency (JICA) in Region VIII has been unstable the past two weeks. Otherwise, are visiting Tacloban, Palo and power supply and a lack of reliable the apparent increase in fever in Tanauan, in addition to some are- generators to keep refrigerators the past two weeks is largely due as in Eastern Samar. continuously operating. to an overall increased reporting. The diagnostic capacity for TB is Surveillance and communicable Region VII limited, especially in Region VIII. disease control Reporting is reducing from Cebu However, the DOH is reporting As of last week, there is a weekly City and surrounding areas as that across affected regions TB EWARS report that will be sent out people leave evacuation centers. treatment facilities are almost 100 with the Health Cluster Bulletin per cent functional. every week. Highlights from this There have been no reported report are detailed below by Re- alerts from Region VII. Vaccination and cold chain gion. The vaccination campaign is still Region VI continuing in key priority areas, Region VIII There has been a significant in- including Northern Leyte. This There continues to be challenges crease in fever reported in San campaign would not have been with telecommunications making Remigio, in Antique province. possible without strong support reporting difficult from many areas from Save the Children, Salvation within Region VIII, particularly for Two suspected cases of leptospi- Army, Philippines Red Cross and areas surrounding Tacloban City rosis were reported in the province the Japanese Self Defence Force and Eastern Samar. In addition, of Iloilo. (JSDF). JSDF have completed many health services are not func- their work with the campaign as of tioning. WHO and DOH staff are Seven suspected dengue cases 12 December after conducting the active in these areas promoting were reported with manifestations immunisation campaign in Mani- the use of SPEED by training of Acute Haemorrhagic Fever. cani and Victory Islands of Gui- health workers and collecting data uan.