Earthquake in Padang, West Sumatra Province, Republic of Indonesia

Home , Padang Panjang, Pariaman, Sibolga, Solok, West Sumatra

Emergency Situation Report (ESR -4) 04 October 2009

Emergency and Humanitarian Action (EHA), WHO Indonesia

HIGH LIGHTS

 On 30 September 2009, a strong earthquake registering 7.6 Richter scale, depth 71 km under the sea level southwest Pariaman, struck off the coast of Padang in West Sumatra at 17:16 pm local time, and followed by aftershock 6.2 RS.  Data from the Crisis Center- MoH reported 551 dead, and 785 people suffered from major injury, 2,650 minor injured, and 674 missing, while thousands still buried under rubbles in Padang City.  20,459 buildings are damaged.  Accessibility to affected area was disrupted. Electricity powers are still down in many areas.  50 % of petrol stations in Padang city reopened yesterday and fuel supply is adequate for 4 days.  EHA-WHO and Crisis Center MOH, deployed 216 health professional with medical supplies to the site for Rapid Health Assessment. More than 3,000 health staffs are available on the field.  Health Cluster has been activated, and first meeting was conducted on Friday, 2nd October 2009.  Health Coordination Post is located in Provincial Health Office, Jl. Perintis Kemerdekaan No. 65 9only 2 kilometers away from M. Djamil Hospital.  WHO has released US$ 175,000 through the South East Asia Regional Health Emergency Fund (SEARHEF) to support the operational field hospital operations.

 WHO-MOH and Partner Agencies strategizing field operation support to fill gaps in Padang City for all

affected districts.

Affected Areas and Incident Site Mapping The arrows show 10 affected districts by the earthquake:

MAP OF WEST SUMATRA PROVINCE

Name of the affected Districts And Municipality

1. Pasaman Barat 2. Pasaman 3. Agam 4. Bukittinggi 5. Padang Panjang 6. Padang Pariaman 7. Padang 8. Solok City 9. Solok

10. Pesisir Selatan

Estimated population at risk:

-Padang City: 777,893 -Padang Pariaman: 338,098 -Pariman City: 78,920

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Caption: Caption: Health Cluster Coordination meeting in Provincial Health Damaged houses and infrastructure in Padang City Office to strate gize the field operation support.

Situation Analysis ty a. Earthquake mostly felt in West Sumatra Province, while the worst affected areas are: Kota Padang, Solok and Pariaman Municipality, Padang Pariaman, Pesisir Selatan,. Pasaman Barat, Agam, and Solok District. b. The earthquake was also felt in other 5 provinces which are: - North Sumatera Province (MMI III-IV) in Tapanuli Selatan, Sibolga and Gunung Sitoli Districts. - Riau Province (MMI II-III) in Pekan Baru and Duri Districts. - Bengkulu Province (MMI III-IV) in Bengkulu and Muko-Muko Districts. - Lampung Province (MMI III-IV) in Liwa - DKI Jakarta Province (MMI II) in Jakarta. c. An assessment team reported a landslide near the town of Tandikat, Pariaman district, which swept away unconfirmed number of houses; a second landslide swept away 20 houses near Padang Alai village. d. Numerous land routes have been disabled due to landslides, particularly in inland mountainous areas. Fuel also remains a critical issue; however 50% of the petrol stations in Padang city reopened on 2 October and there is confirmed fuel supply for four days, while aircraft fuel supply at the Minangkabau Airport is secure for 13 days. However road connection between the city of Padang and the fuel depot is cut off by a land slide. According to some operating partners in the field, the price of fuel has dramatically increased six-fold. e. SurfAid speedboat travelled to the east coast of Siberut, the northernmost Mentawai island, to assess Muara Siberut and Sikabaluan sub-district; there is no significant damage to infrastructure; two schools and a church have collapsed but many houses are still habitable. The three islands to the south of Siberut (Sipora, Pagai Utara, Pagai Selatan) reported no serious damage. One mosque and an elementary school in Sido Makmur village collapsed. A number of goverment buildings in Tuapejat have sustained moderate structural damage. There are no clear reports from many of the more isolated villages. There are no reports of

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deaths or serious injuries across the Mentawai. Stocks of daily food items in Tuapejat shops are becoming scarce. f. Difficulties in accessing clean water are a problem in most of the affected area due to damaged water infrastructure; repairs are expected to start next week. g. Indonesian Red Cross (PMI) conducted an aerial assessment to more remote areas in Padang and Pariaman which have not yet received assistance. In particular, Bukit Pinang Village in Kampung Pauh district is reporting huge levels of damage to infrastructure. Basic food and tents for temporary shelter are priority needs. h. Vice President Jusuf Kalla estimated the rehabilitation cost for the damaged infrastructure and buildings in West Sumatra could be up to IDR 4 trillion (USD 415 million).

Health Situation Analysis a. Dr. M. Jamil Hospital, the main hospital in Padang municipality was severely damaged. Patients are treated outside the building. 7 doctors, 1 nurse, 2 surgeons, 2 anesthesiologists from Makasar and Jogja and 1 PHO staff are stand-by there. b. There are only two hospitals functioning which are: Air Tawar and Siti Rahma hospital. c. Health personnel need better coordination to provide medical services and deliver the assistance. d. Air force provided air transportation means to support delivery of aid relief items. Marine National Armed Forces of Indonesia deployed an offshore/naval hospital to Padang.

Casualties and Damage

Table showing number of casualties and damaged infrastructure

Districts / Major Minor Damaged No Muniipality Dead Injured Injured Missing Building 1 Pariaman 102 0 0 0 2 Padang 412 1,660 4 1,860 3 Agam 80 40 52 0 4 Bukit Tinggi 4 0 0 200 5 Pesisir Selatan 8 5 0 7,891 6 Pasaman Barat 551 3 410 0 0 7 Padang Pariaman 175 500 618 10,077 8 Solok 1 4 0 0 9 Solok City 0 0 0 0 10 Padang Panjang 0 8 0 240 11 Pasaman 0 23 0 191 Total 551 785 2650 674 20459

(Source: Monitoring and Information Unit, Crisis Center-MOH)

Humanitarian Needs

Tents, portable toilets, generator sets, VHF radio communication, water and sanitation supplies, heavy equipment and personnel for search and rescue effort, food items and emergency shelters.

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Table showing the needs in 3 hospitals

Dr. M. Djamil Hospital Yos Sudarso Hospital No Aid Needed Amount No Aid Needed Amount 1 General orthopedics instrument 1 package 1 External fixator 200 units 2 Electric and manual orthopedic drill 2 packages 2 Plate and screw 100 units 3 Orthopedic drill machine 1 package 3 Arm sling 100 units 4 External Fixator set (tibia-femur) 30 packages 5 4 inches width- cast plaster (gypsum) 100 units Siti Rahmah Hospital 6 6 inches width - cast plaster(gypsum) 100 units No Aid Needed Amount 7 4 inches soft bandage 100 units 1 External fixator 200 units 8 6 inches soft bandage 100 units 2 Plate and screw 100 units 9 4 inches elastic bandage 100 units 3 Arm sling 100 units 10 6 inches elastic bandage 100 units 11 Acrylic self curing 30 units 12 External fixators 200 packages 13 Plate and screw 100 units 14 Arm sling 100 units 15 Child skin traction 20 units 16 Adult skin traction 30 units 17 Surgical gown 300 units

Response

EHA-WHO and Crisis Center – Ministry of Health  WHO has released US$ 175,000 through the South East Asia Regional Health Emergency Fund (SEARHEF) to support field health operation.  WHO – MOH and partner agencies strategizing field operation support to fill gaps in Padang City for all affected districts.  Deployed more than 3,000 health staffs through Regional Crisis Center Jakarta, Makassar, Medan, Palembang, Surabaya, Riau, Aceh and in close collaboration with National Army and Police Department.  Besides conducting Rapid Health Assessment activities, MOH provided assistance as follows:

Table showing the list of assistance provided by MOH No Aid Amount 1 Operational funds US$ 20,000 2 Medical supplies 1.5 tones 3 Baby food 5 tones 4 Bed 400 units 5 Surgical gown 1,000 units 6 Tent 2 units 7 Generator sets 2 units 8 Fogging Machine 2 units 9 Bed net 500 units 10 Basic Health Kit 5 boxes 11 Ringer’s lactate 5,000 units 12 Catheter 400 units 13 Child wing needle 100 units 14 Chlorine 10 drums

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No Aid Amount 15 Disinfectant (Lysol) 300 liters 16 Water purifier 1,000 kg 17 Polyurethane bags 5,000 units 18 Chlorine formulation 200 units 19 Masks 4,000 units 20 Clean water 5000 bottles 21 Orthopedics set 2 packages 22 Orthopedics drill (battery-powered) 1 unit 23 Manual orthopedic drill 1 unit 24 Basic major surgery kit 1 unit 25 Venous section sets 3 unit Surgical instruments for Abdominal 26 Operation 1 unit 27 Sterilizer 1 unit 28 Gypsum 400 kg

Caption: Caption: Supplies placed in Padang Mayor’s Office MOH and National Army still evacuating and identifying the dead victims

Health Staffs Resources Mobilization

Table showing availability of health resources from different institution under MOH coordination RHA Orthopedic General Neuro No Institution Team Surgeon Surgeon Surgeon Anesthesiologist Obgyn Pediatrician 1 RCC North Sumatra 1 5 3 2 2 RCC South Sumatra 1 2 1 3 RCC Jakarta 4 5 1 3 4 RCC South Sulawesi 4 4 1 5 PHO Jambi 6 PHO Bengkulu DHO Ogan Komering 7 Ulu 8 National Army (TNI) 1 1

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RHA Orthopedic General Neuro No Institution Team Surgeon Surgeon Surgeon Anesthesiologist Obgyn Pediatrician Indonesian Red- 9 Crescent (BSMI) Medical Emergency 10 Rescue Team 1 1 1 11 Kartini Hospital 1 12 Crisis Center - MOH 3 Total 3 12 17 2 8 1 3

Public General Advanced Assistant Health Assistant No Institution Practitioner Nurse Nurse Midwife Anesthesiologist Officer Pharmacist 1 RCC North Sumatra 5 6 4 1 1 2 2 RCC South Sumatra 6 10 4 3 3 RCC Jakarta 2 17 4 RCC South Sulawesi 1 5 PHO Jambi 6 2 6 PHO Bengkulu 3 9 DHO Ogan Komering 7 Ulu 2 9 8 National Army (TNI) 6 Indonesian Red- 9 Crescent (BSMI) 1 3 1 1 Medical Emergency 10 Rescue Team 5 11 Kartini Hospital 12 Crisis Center - MOH 2 Total 37 47 18 1 1 3 5

Admin Surveillance Communication No Institution Internist Opthalmologist Psychiatrist Officer Officer Officer 1 RCC North Sumatra 2 1 2 RCC South Sumatra 1 2 1 1 3 RCC Jakarta 2 4 RCC South Sulawesi 1 5 PHO Jambi 1 6 PHO Bengkulu DHO Ogan Komering 7 Ulu 2 8 National Army (TNI) Indonesian Red- 9 Crescent (BSMI) 1 Medical Emergency 10 Rescue Team 11 Kartini Hospital 12 Crisis Center - MOH 5 Total 3 3 1 3 9 1

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Government  Government of Indonesia (GoI) has declared 2 months emergency phase  GoI provided 1 billion rupiah (US$ 100,000) for Emergency Response Fund.  GoI continues to lead the emergency response operation in West Sumatra by providing SAR, NFIs, food items, temporary shelter and the coordination of complementary support from humanitarian community. A number of government officials are traveling by military plane to Padang today to distribute relief items and personnel.  Military is sending one hospital boat, KRI Suharso to Padang.  Neighboring provinces continue to provide assistance with the distribution of food and NFI assistance. Lampung province deployed additional health teams and Jambi Province sent heavy equipment to support SAR.  Communities member are rallying together to support victims.  The State Logistics Agency (BULOG) prepared 15,000 tons of rice.

Status of International Aid President and the Government of Indonesia welcoming international assistance and support in their relief effort through the close collaboration with the local government.  BNPB confirmed that SAR teams from any country are welcome as long as SAR activities are needed. Singapore, China and Australia are on stand-by.  All organizations are urged to contact the local authorities prior to travelling to the affected area in order to strengthen coordination and improve emergency response.  UN Join Mission including FAO, WHO. UNDP, WFP, UNFPA, UNICEF and OCHA deployed to Padang.  Singapore pledged USD 50,000 dollars of emergency supplies and sent 42 personnel.  Spanish Agency for International Cooperation for Development (AECID) provided € 1 million in coordination with the Spanish Embassy in Indonesia and UN OCHA.  Swiss Agency for Development and Cooperation and Humanitarian Aid provided seven tons of relief items including: plastic sheets, tarpaulins, jerry cans and one WHO Medical IDA kit.

Update from Health Sector / Cluster Coordination Meeting  The health sector coordination post is located in the Provincial Health Office  Address: Jl. Perintis Kemerdekaan No. 65, Padang, West Sumatra. Fax Number: +62 751 26484  The pharmaceutical warehouse and logistic were centered in the Coordination Post.  Health cluster was activated on 2nd of October 2009. WHO leads the first meeting, with the results as follows: 1. West Sumatra Provincial Health Office has the operation room 2. To strengthen better coordination among health workers, especially between District Health Office and Puskesmas. 3. Provincial Health Office is obtaining the complete data of health status in West Sumatra. 4. Provincial Health Office has the health mapping system capacity which will be followed by all health cluster members. 5. As stated by Health Minister, no medicines from International community are required. If International community would like to give assistance, MOH suggest them sending tents, portable closet, generator or radio vhf for communication. 6. The first week, health workers will concentrate on evacuation process, rescue and health assessment. 7. To share the detail number of related focal person from each institution.

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Important Contact for Rapid Health Assessment Team and Health Sector Coordination

Name Designation Organization Phone Fax E-mail Dr. Rustam S. Head of Crisis Center +62215265043 +62215271111 [email protected] Pakaya, MPH Department (PPK – MoH) +628129602324 Mr. Gde Emergency WHO-INO, +628175450684 +62215201164 [email protected] Yogadhita Field Officer EHA Dr. Lucky Head of Crisis Center +62811902378 +62215271111 [email protected] Tjahjono, M. Emergency (PPK – MoH) +6287868142151 Kes Response and Recovery Dr. Indro Emergency Crisis Center +628128395056 +62215271111 [email protected] Murwoko Response and (PPK – MoH) Recovery Unit Zulkarnain Monitoring Crisis Center +6281311031253 +62215271111 [email protected] and (PPK – MoH) Information Unit Dr. Rusnini PHO staff West Sumatra +62 819 7555 666 +62 751 26484 Provincial Health Office Jazmarizal PHO staff West Sumatra +62 812 660 7157 +62 751 26484 Provincial Health Office

Source of Information from Indonesia Information is gathered from the following sources. This report is for reference only and should not be quoted as factual accuracy can change. 1. WHO 2. Crisis Center (PPK), MoH 3. UN System 4. BNPB 5. Local and international news media