Situation Report No. 06 , 15 May 2015

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Summary International Medical Corps is on the ground in Nepal responding to the humanitarian needs of those affected by the 7.8 magnitude earthquake of April 25 and the 7.3 magnitude earthquake that struck on May 12. The International Medical Corps emergency response team (ERT) has been working with the Ministry of Health and Population (MoHP) to assess the needs and implement relief efforts in Kathmandu, Lalitpur, Bhaktapur, Gorkha and Dhading Districts. The ERT includes experts working in health, shelter, nutrition, mental health/psychosocial (MHPSS) care, protection, non-food items (NFIs), and water, sanitation, and hygiene (WASH).

Highlights  International Medical Corps’ ERT has provided a total of 2,385 primary health care consultations via mobile medical units (MMUs) in four districts: Bhaktapur, Kathmandu, Gorkha and Dhading.  International Medical Corps’ ERT conducted hygiene promotion sessions which reached 1,050 people in , , Jharuwarasi, Nikosera, and Kamalbinayak Village Development Committee’s (VDCs) in Lalitpur district.  International Medical Corps responded to Dhading District Hospital’s request for one orthopedic surgeon and one general surgeon due to an influx of injuries. International Medical Corps dispatched one surgeon on May 15 and will send the second surgeon on May 16.

1 UNHCR: Nepal – 2015 Earthquakes - published 15 May 2015. http://reliefweb.int/sites/reliefweb.int/files/resources/EQ_Killed_Injured.pdf Situation Report No. 06 Kathmandu, Nepal 15 May 2015

1. Situation Overview On May 12, a second earthquake with a 7.3 magnitude struck Nepal with the epicenter located in Dolakha District, east of the capital of Kathmandu. The earthquake resulted in approximately 120 deaths and injured an estimated 1,960 people and was followed by several aftershocks .2 The Government of Nepal (GoN) is currently reporting 8,416 deaths and 16,808 people injured since the April 25 earthquake.3 Nepal’s Ministry of Home Affairs continues to coordinate the response, along with the National Emergency Operation Centre (NEOC).6 As of May 15, the GoN had offcially deployed 72 foreign medical teams (FMTs) to affected areas with 59 of the FMTs preparing to leave the county as their 7 Figure 1: International Medical Corps ERT preparing to deploy for an tasks have been completed. assessment following the second earthquake on May 12. According to the GoN, 39 of the country’s 75 districts have been impacted with the most affected being Gorkha, Kavrepalanchok, Dhading, Nuwakot, Rasuwa, Sindupalchok, Dolakha, Ramechhap, Okhaldunga, Makwanpur, Sindhuli, Kathmandu, Bhaktapur and Lalitpur. Prior to the second earthquake, reports indicated 15,001 governmental buildings and 288,797 public (residential) buildings had been completely destroyed, and in the 14 most affected districts, it was estimated that approximately 1,150,000 were impacted as a result of the loss of shelter. Following the May 12 earthquake, the number of people affected by the loss of shelter is estimated to be 1,814,000.9 As of May 14, the MoHP reported that a total of 1,038 health facilities have suffered complete or partial Figure 2: Photo of damage in Bungamati in Lalitpur district. damage as a result of the earthquakes; 358 have been completely damaged and 680 have suffered partial damage.10 In addition, there are concerns that the risk of landslides, and the monsoon season, which is expected to start at the beginning of June, could further deteriorate acccess in many districts. As a result, the mobilization and distribution of supplies and services has been highlighted as a priority need.11

2 USAID: Nepal – Earthquake Fact Sheet #13, Fiscal Year (FY) 2015 http://reliefweb.int/sites/reliefweb.int/files/resources/05.15.15%20-%20USAID- DCHA%20Nepal%20Earthquake%20Fact%20Sheet%20%2313.pdf 3 Government of Nepal, Nepal Disaster Risk Reduction Portal, 15 May 2015. http://drrportal.gov.np/ 6 OCHA, Nepal: Earthquake 2015, Situation Report No.10, published 04 May 2015. 7 WHO: Situation Report #16 – Nepal Earthquake, 15 May 2015. 9 OSOCC: Situation Analysis, 7.3 Magnitude Nepal Earthquake, 15 May 2015, https://www.humanitarianresponse.info/sites/www.humanitarianresponse.info/files/assessments/150515_nepal_situation_analysis_osocc_assessmente_cell_- _final_final.pdf 10 WHO: Situation Report #16 – Nepal Earthquake, 15 May 2015. 11 OSOCC, Situation Analysis – Nepal Earthquake, 15 May 2015. Situation Report No. 06 Kathmandu, Nepal 15 May 2015

2. International Medical Corps Response Primary Health Care: International Medical Corps’ ERT continues to provide support for specialized surgical services for MoHP hospitals in the Kathmandu Valley. Additionally, the ERT’s surgical team is providing assistance at Patan Hospital in Kathmandu, and to date, has conducted a total of 20 orthopedic surgeries. MMUs continue to operate in Gorkha and Dhading districts to provide primary health care services to communities in need; as of May 15, International Medical Corps First Responders had provided a total of 2,385 primary health care consultations via mobile medical units (MMUs) in four districts—Bhaktapur, Kathmandu, Gorkha Figure 3: International Medical Corps First Responders provide and Dhading. To date, nine patients have been referred to surgical assistance at Patan Hospital. district hospitals in Dhading, Gorkha and Kathmandu. The MMUs continue to collaborate with the district health offices in Dhading and Gorkha to identify and reach areas most in need of health services. WASH: The International Medical Corps’ WASH team has installed a total of 105 latrines in Lalitpur district. Additionally, as of May 15, the ERT had conducted hygiene promotion sessions which reached 1,050 people in Bungamati, Chapagaun, Jharuwarasi, Nikosera, and Kamalbinayak VDCs of Lalitpur district. A significant challenge continues to be the geographical constraints of accessing VDCs. MHPSS: International Medical Corps’ MHPSS and protection team plan to support the emergency response across three Figure 4: International Medical Corps’ WASH team conducting a hygiene promotion session. districts — Gorkha, Dhading, and Kathmandu. As a result of needs assessments and focus groups with women’s shelters and LNGOs, the ERT’s immediate plan is to integrate protection and psychosocial support services through MMUs and work with referral networks for survivors of gender- based-violence and orphaned/abandoned children. Furthermore, International Medical Corps continues to support psychological first aid (PFA) trainings for community service providers. Thus far, 12 of 15 PFA trainings have been conducted with over 200 participants; 11 of 13 trainings have been completed in Dhading district by Integrated Community Development Campaign (ICDC) with approximately 180 participants, and two trainings were conducted in Kathmandu, one by Kopila Nepal and one by Mental Health Hospital, with approximately 40 participants.

For additional information, please contact: Chris Skopec, Response Management Lead (HQ) [email protected] Ekin Ogutogullari, Emergency Response Team Lead (Nepal) eogutogullari@@internationalmedicalcorps.org