CENTER FOR EXCELLENCE IN DISASTER MANAGEMENT & HUMANITARIAN ASSISTANCE

COVID-19 Informed Planning

LTIOV: 3 Apr 20 CENTER FOR EXCELLENCE IN DISASTER MANAGEMENT & HUMANITARIAN ASSISTANCE

Country Ranked disaster Most Common Access / Planning COVID Medical Capacity Medical Considerations risk of 191 Hazard Risks Considerations Cases/CDC countries; lower is Level more at risk PHL Overall risk ranking Typhoons, Last major 2,633 1,224 Hospitals CRITICAL shortages in medical is 29. Top 12 earthquakes, INDOPACOM professionals, technology, and country at natural flooding, response: Level III 2,587 rural health centers infection control measures. and human hazard volcanic Typhoon Haiyan, 64% of hospitals are Level 1 Dispersed system – quality and risk worldwide. 3-yr eruptions. Nov 2013 with average capacity of 41 availability of care diminish trend indicates beds greatly outside population stable risk Typhoon season Flight restrictions centers. runs June 1 – 10% are Level 3 medical Nov. 30. Movement centers with average restrictions capacity of 318 beds THA Overall risk ranking Earthquakes, Last major 1,875 823 hospitals *Different hospitals can surge is 79. 3-yr trend tsunami, INDOPACOM based on staffing, i.e., a indicates stable risk flooding. response: Floods, Level III 7,115 ICU beds* community hospital can give 2011 30, 60, 90 or 120 beds (of various types – ICU, general Flight restrictions; medicine, med/surg) however U-Tapao Both the and used as major The closest to Western Thailand are ASEAN members, humanitarian hub Medicine out of the countries supported by the AHA Centre, (i.e., air bridge for listed, however, staffing are part of “One ASEAN, One 2004 tsunami shortages, low-tech Response” and the ASEAN response to other equipment, and loose Agreement on Disaster nations) credentialing standards and generic switch rules complicate Management and Emergency Movement the health system’s abilities Response (AADMER) restrictions CENTER FOR EXCELLENCE IN DISASTER MANAGEMENT & HUMANITARIAN ASSISTANCE Country Ranked disaster Most Common Access / Planning COVID Medical Capacity Medical Considerations risk of 191 Hazard Risks Considerations Cases/CD countries; lower is C Level more at risk PNG Overall risk ranking Earthquakes, Flight and 1 2 Teaching Tertiary EXTREME shortages in is 26. Top 12 tsunami, Movement Hospitals medical professionals, country worldwide flooding, restrictions; Level III technology, and infection with least coping cyclones, Including Port 20 Provincial Hospitals control measures. capacity. 3-yr trend volcanic activity. Moresby security indicates stable risk. Peak cyclone issues, other areas 14 District Hospitals # of hospital beds data is season is face law and order not available through any January - March issues 732 Health Centers source. It is loosely extrapolated, thus PNG’s Also: Bougainville 28 Community Health health care system is less independence vote Posts mature than countries with the same size population. Approximately 300 Hospital beds per 1,000 is hospitals beds commonly used metric, (extrapolated from 4.02 however, it makes no beds per 1,000 differentiation of bed type. population) IDN Overall risk ranking Earthquakes, Last INDOPACOM 1,790 2,410 inpatient facilities EXTREME shortages of is 55. 3-yr trend tsunami, response: 2018 (1,782 general & 546 health care professionals. indicates stable risk. flooding, Sulawesi EQ and Level III specialty) Somewhat updated volcano tsunami facilities, but severely eruptions. 338,370 inpatient beds, understaffed. Flight and of which 140,186 are Movement private sector restrictions CENTER FOR EXCELLENCE IN DISASTER MANAGEMENT & HUMANITARIAN ASSISTANCE Country Ranked disaster Most Common Access / Planning COVID Medical Capacity Medical Considerations risk of 191 Hazard Risks Considerations Cases/C countries; lower is DC Level more at risk FJI Overall risk ranking Cyclones, Flight restrictions 7 25 government hospitals SEVERE shortages of is 115. 3-yr trend earthquake, health care indicates stable risk. tsunami, Movement Level III 69 beds (various levels) professionals, flooding. Peak restrictions technology, and cyclone season equipment. is January – Note: Fiji is regional March. humanitarian Measles headquarters for UN outbreak in and other Int’l 2019 agencies. UN RC in Fiji as co-lead of Pacific Humanitarian Team, one of the primary humanitarian response mechanisms

VUT Overall risk ranking Cyclones, Flight restrictions 0 5 public hospitals EXTREME shortages of is 79. 3-yr trend earthquakes, (Note: 2 international health care indicates stable risk. tsunami, airports on separate Level III No bed information, however, professionals, flooding. Peak islands) older WHO information technology, and cyclone season shows 1.70 beds per 1,000. equipment. is January - Movement Extrapolated to the current March restrictions population of 276,244 = Small community- approximately 47 beds based system with mostly primary and preventative care. CENTER FOR EXCELLENCE IN DISASTER MANAGEMENT & HUMANITARIAN ASSISTANCE Country Ranked disaster risk of Most Access / COVID Medical Capacity Medical Considerations 191 countries; lower is Common Planning Cases/CDC more at risk Hazard Risks Considerations Level

TLS Overall risk ranking is 60. Drought, Flight 1 1 Tertiary Referral EXTREME shortages in 3-yr trend indicates flooding, restrictions; Hospital medical professionals, decreasing risk. Hazard landslides, (Note: Level III technology, and infection and Exposure dimension cyclones, infrastructure 5 District Hospitals control measures. 3-yr trend indicates stable earthquakes not as risk; Vulnerability and developed-1 65 Community Health # of hospital beds data is dimension 3-yr trend tsunamis. international Centers not available through any indicates decreasing risk; Most airport, 2 source. It is loosely Lack of Coping Capacity cyclones others) 198 Health Posts extrapolated, thus PNG’s dimension 3-yr trend between health care system is less indicates stable risk. November Movement 76 beds mature than countries with and April. restrictions; 1 the same size population. seaport Hospital beds per 1,000 is commonly used metric, however, it makes no differentiation of bed type. MYS Overall risk ranking is 111. Floods, forest Flight and 3,116 130 hospitals The next closest to Western Hazard and Exposure fires, Movement Medicine out of the dimension 3-yr trend tsunami, restrictions Level III 50,676 beds countries listed, however, indicates decreasing risk; cyclonic there is a large quality and Vulnerability dimension 3- storms, Kuala Lumpur availability disparity yr trend indicates stable landslides, home to UN between private hospitals risk; Lack of Coping haze. Humanitarian (tourism medicine) and Capacity dimension 3-yr Monsoons Response public hospitals. trend indicates stable risk. Nov-Dec until Depot hub, March & serving Asia – CENTER FOR EXCELLENCE IN DISASTER MANAGEMENT & HUMANITARIAN ASSISTANCE

Country Ranked disaster Most Common Access / Planning COVID Medical Capacity Medical Considerations risk of 191 Hazard Risks Considerations Cases/CDC countries; lower is Level more at risk PLW Overall risk ranking Cyclones, USAID/OFDA 0 2 hospitals EXTREME shortages of is 124. drought, floods. assisted with health care professionals. 3-yr trend indicates Typhoon season drought (funding) Level III 96 beds Somewhat updated stable risk runs June 1 – in March 2016 facilities, but severely Nov. 30 understaffed. Infection control measures not in place.

Dispersed system – quality and availability of care diminish greatly outside population centers. FSM Overall risk ranking Cyclones, USAID/OFDA 0 2 hospitals EXTREME shortages of is 67. drought, floods. assisted FSM after health care professionals. 3-yr. trend indicates Typhoon season Typhoon Wutip Level III 96 beds Somewhat updated stable risk runs June 1 – passed over facilities, but severely Nov. 30 Chuuk, Pohnpei understaffed. and Yap states in Feb 2019; OFDA Infection control measures staff deployed not in place. Dispersed system – quality and No flight or availability of care diminish movement greatly outside population restrictions centers. CENTER FOR EXCELLENCE IN DISASTER MANAGEMENT & HUMANITARIAN ASSISTANCE

Country Ranked disaster Most Common Access / Planning COVID Medical Capacity Medical Considerations risk of 191 Hazard Risks Considerations Cases/CDC countries; lower is Level more at risk RMI Overall risk ranking Cyclones, USAID/OFDA 0 2 hospitals EXTREME shortages of is 60. drought, floods. assisted with health care professionals. 3-yr. trend indicates Typhoon season drought (funding) Level III 96 beds Somewhat updated stable risk runs June 1 – in March 2016 facilities, but severely Nov. 30 understaffed. Infection No flight or control measures not in movement place. restrictions Dispersed system – quality and availability of care diminish greatly outside population centers and health care system is geographically separated. UNCLASSIFIED Defense Support of Civil Authorities (DSCA) Operations within the U.S.

ENSURING A FREE AND OPEN INDO-PACIFIC TJFLCC is C2 element for all DSCA activities Location Most Common Hazard Access / Planning COVID Medical Capacity Medical Considerations Risks Considerations Cases/CDC Level

Guam Typhoons, (located in Last major disaster: 77 1 hospital Western standard of medicine. “typhoon alley”), Typhoon Wutip Level III Critical shortages of personnel earthquakes, tsunami, Feb 2019, 198 beds (158 acute and equipment drought, flooding. Typhoon FEMA provided care & 40 skilled season mainly active May financial assistance nursing) – Oct Access not restricted American Cyclones, earthquakes, Last major disaster: 0 1 hospital EXTREME shortages of Samoa tsunami, droughts, INDOPACOM DSCA Level III personnel and equipment flooding, operations in support 76 beds Cyclone Season from of FEMA to Earthquake November 1 – April 30 and tsunami on Sept 29, 2009. Recent measles outbreak from Nov 2019 Access not restricted

CNMI Typhoons, (located in Last major disaster: 6 / Level III 1 hospital EXTREME shortages of - “typhoon alley”), INDOPACOM DSCA - 2 / Level personnel and equipment earthquakes, tsunami, operations in support III 74 beds - drought, flooding, active of FEMA to volcanoes on Pagan and SuperTyphoon Yutu, - 2 / Level Agrihan; typhoon season Oct 2018 III July – Jan, but most active between Aug to Nov Access not restricted

UNCLASSIFIED 8