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024845Fa9501503d4925766e0 B. Tropical Storm “ONDOY” 1. Affected Population 5 A total of 993,227 families / 4,901,234 persons were affected in 2,018 barangays, 172 municipalities, 16 cities of 26 provinces by Tropical Storm “Ondoy” in Regions I, II, III, IV-A, IV-B, V, VI, IX, XII, ARMM, CAR and NCR 5 The total number of evacuees still inside 244 evacuation centers is 15,798 families / 70,124 persons 2. Casualties 5 Casualty remains at 1,030 broken down as follows: 464 Dead, 529 Injured and 37 Missing 3. Damages 5 Estimated cost of damage to infrastructure and agriculture amounted to PhP 10.952Billion (PhP4.284 Billion–Infrastructure; PhP6.669 Billion – Agriculture). 5 A total of 1,383 school buildings were damaged: 1,131 elementary and 252 including instructional materials and school equipment amounting to PhP641.849 Million. A total of 239 day care centers were damaged in Metro Manila 5 A total of 203,477 hectares incurred losses of about 329.230 MT of crops (rice, corn, high value commercial crops), fishery products, livestock/poultry and facilities for irrigation, fishery and livestock/poultry production were damaged 5 The total number of damaged houses was 185,004 houses (30,082 totally / 154,922 partially) II. HUMANITARIAN RESPONSES BY CLUSTER A. WASH, Health, Nutrition and Psychosocial Services Health Cluster Response 5 Continued mobile health care services and psychosocial program coverage is being provided in affected areas through the concerted efforts of MSF, Australian Aid International, CNDR, IOM, MERLIN, Save the Children, CFSI, Plan International, PNRC, UNFPA, Handicap International, CRWRC, MERCY Malaysia, and HUMA Japan 5 Health expenditures released for TS “Ondoy” and TY “Pepeng” amounted to PhP105,050,474.92 inclusive of emergency procurement and program stock mobilized from Central Office and donations received 5 On going DOH-HEMS’ Response for TS “Ondoy” and Typhoon “Pepeng” - Augmention of manpower for rapid health assessment, drugs and medicines and replenishment of pre-positioned medical supplies of affected CHDs - Coordination with various local and international agencies through the health, nutrition and WASH clusters - Re-assessment and mapping of affected areas - Evaluation, acceptance, processing and deployment of donations of drugs and medicines, health kits, medical supplies, jerry cans and equipment - Evaluation, acceptance, processing, deployment and post-deployment of medical, WASH, public health and nutrition teams to the affected areas 2 - Launched Health Emergency Relief operations (HERO), an appeal for donations - Prepositioning of emergency health kits containing assorted medicines via a CARAVAN to various LGUs in Camarines Sur, Pangasinan, Sorsogon, Albay and Catanduanes - Conduct of health promotion and advocacy via print and broadcast media and web - Conduct of disease surveillance with outbreak potential - Deployment of daily medical mobile teams to evacuation centers to provide measles immunization and Vitamin A supplementation to children under 5 years old, mental health and psychosocial support for survivors and responders, nutritional assessment and counselling for children, lactating and pregnant mothers, microbiological and chlorine residual testing of water sources - Provision of advisories to LGUs to conduct disinfection/treatment of contaminated water supply source, distribution of portalets and coordination for toilet facilities inspection in evacuation centers - Summary of International Aid for Health, WASH and Nutrition, details on Tab A Accomplishments as of November 12, 2009 Typhoon “Pepeng” 5 DOH deployed 35 teams with 310 personnel (5 medical with 21 personnel; 8 psychosocial with 105 personnel; 1 surveillance team with 2 personnel; 3 assessment team with 3 personnel; 8 public health with 55 personnel and 2 WASH teams with 4 personnel and the total sites visited were 44 - Medical 2,444 (2,444 acute and ambulatory care) - Psychosocial intervention 1,749 (1,748 individuals given psychosocial interventions and 1 referred to memtal ) - WASH 98 (48 microbiological testing of water sources and 7 Toilet facilities inspected) Typhoon “Ondoy” 5 DOH deployed 552 teams (297 medical, 58 psychosocial, 50 WASH, 4 nutrition, 86 public health, 22 assessment, 29 international/NGO and 6 disease surveillance); 2,959 personnel and visited 687 sites, local CHDs provided health services in terms of medical, psychosocial, public health, water sanitation and hygiene and nutrition services to 167,298 individuals (139,439 in NCR, 8,455 in Region III and 23,149 in Region IV-A) 5 Breakdown: Medical – 16,113 (acute and ambulatory care to 16,071 patients and referrals to hospitals 42) Psychosocial – 8,553 (8,547 individuals given intervention and 6 were referred to mental) Public Health -71,784 (16,859 persons were given measles immunization and 54,925 children under 5 yrs old given vitamin A supplementation Water Sanitation and Hygiene 602 (173 Microbiological testing of water sources; 76 portalets still on site; and 353 toilet facilities inspected) Nutrition –70,246 (63,098 children and pregnant mothers undergone nutritional assessment and 7,148 pregnant and lactating mothers undergone nutritional counselling and advocacy. DOH developed protocols on infant feeding in emergencies; conducted orientation for nutrition assessment team, breastfeeding support group coordinators, peer counselors and NGO partners 3 DOH’s Strategies for Leptospirosis Outbreak 5 Formulation of guidelines on prevention and control, active surveillance and monitoring of cases, distribution of prophylaxis, augmentation of drugs and medicine, circulation of public health advisories via multimedia, networking with hospitals for proper management and referral of cases 5 From October 01 - November 12, 2009, the cumulative total of admission and deaths of leptospirosis in 15 hospitals of Metro Manila were 2,291 patients and 178 respectively 5 Since October 16 there were 337,936 persons given leptospirosis prophylaxis: (Doxycycline): NCR (204,493) and Region IV-A (133,443) 5 As of Nov 5, 2009, there were 2,220,000 doxycycline capsules provided to CHDs/Agencies distributed as follows: Region I (300,000); Region III (100,000); NCR (900,000); IV-A (720,000); AFP (50,000); PNP (50,000); BFP (50,000); and PCG (50,000) 5 CHD III, NCR and IV-A reported that the top mortalities were drowning, Asphyxia 2nd, injuries, electrocution and heart attack due to panic while the top morbidities were 19,294 acute respiratory tract infection (53.8%), 6,587 skin infection/wounds (18.3%); 5,188 acute gastroenteritis/diarrhea (14.4%); 2,624 fibrile illness (7.3%); 2,064 Influenza-like illness (5.8%) and 87severe acute respiratory illness (0.2%) and 57 pneumonia (0.1%) 5 DOH-HEMS is continuously monitoring the water quality (sampling and testing), inspection of sanitation facilities in evacuation centers and providing hyposol (water disinfectant) in all evacuation centers and conducted 1 microbiological testing of water supply in Muntinlupa City 5 DSWD engaged partnership with Habitat for Humanity Philippines Foundation (HHPF) incorporated for the installation of communal toilets in the evacuation centers in the cities of Marikina, Quezon, Muntinlupa and Pasig 5 WHO conducted communicable disease risk analysis; ordered 60 basic health kits, 4 logistical kits and 20 diarrhea kits; provided basic emergency health kits to DOH, Save the Children and Plan International; donated 10,100 pieces of jerry cans distributed to NCR (5,100) and Region IV-A (5,000); and procured 12,500 hygiene kits, 15 midwifery kits and 2,000 clean delivery kits 5 UNFPA provided pre natal services to 48 pregnant women; procured 5,000 bottles of ferrous sulphate for distribution to pregnant women and provided 1,228 kits in various areas in MM 5 Medicines Sans Frontieres constructed latrines in evacuation centers in San Pedro, Laguna to provide additional sanitation facilities 5 PNRC conducted trainings on hygiene promotion and distributed hygiene items, drinking water and purification materials in Laguna and Rizal provinces 5 Maynilad restored water supply to 99% of its customers in the West Zone (Manila; portions of San Andres and Sta. Ana; certain parts of Quezon City; certain parts of Makati City-west of the South Super Highway; cities of Caloocan, Pasay, Parañaque, Las Piñas, Muntinlupa, Valenzuela, Navotas and Malabon; also included in the West Zone are Cavite City, towns of Bacoor, Imus, Kawit, Noveleta and Rosario, all in Cavite Province); and continue providing drinking water (in 330 ml bottles and 5 gallon containers) to affected customers in Marikina and Cainta 5 MWSS deployed eight (8) vacuum tankers in areas of Pasig and Cainta for siphoning floodwaters based on calls/reports received through the MWSS action center; conducted water treatment in 170 barangays in Pangasinan; deployed 4 mobile water treatment plant with 10 cubic meters static tank in the following areas in Pangasinan: Dagupan City (2 equipment with 4,000 liter/hr); Bayambang (2 equipment with 4,000 liter/hr and 750 liter/hr); Rosales (1 equipment with 4,000 liter/hr); Umingan (1 equipment with 4,000 liter/hr) ; and delivered containers in Dagupan City: 300 (5 gal) water filled containers; 10,000 (220 ml); cupped water and 1,000 (330 L) bottled water B. Food and Non-Food items (NFIs) 5 Extent of assistance provided by the National Government, LGUs, NGOs and other GOs has amounted to PhP352.0 Million broken down as follows: o Typhoon Pepeng–PhP151,939,429 (NDCC - PhP21,170,000); DSWD- PhP 49,781,079); DOH – PhP12,154,969; LGUs- PhP
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