The Earthquake in Ecuador: Significant Damage to Editorial Health Facilities; Emergency Medical Teams Deployed WHO Emergency Reform

Total Page:16

File Type:pdf, Size:1020Kb

The Earthquake in Ecuador: Significant Damage to Editorial Health Facilities; Emergency Medical Teams Deployed WHO Emergency Reform News and Information for the International Community In the Spotlight 3 Smart Hospitals 4 Perspective 6 Member Countries 8 ISASTERS Information Resources 10 Upcoming Events 12 Preparedness and Mitigation in the Americas June 2016 Issue 121 Photo: Paulo Lyra, PAHO/WHO Lyra, Paulo Photo: Downtown commercial district in the city of Portoviejo, Ecuador. The Earthquake in Ecuador: Significant damage to Editorial health facilities; emergency medical teams deployed WHO Emergency Reform n 16 April 2016, one of Ecuador’s The region’s health infrastructure ver the years, epidemics and nat- Oworst disasters—a magnitude 7.8 also was dealt a serious blow, particularly Oural disasters have claimed a high earthquake—left 663 dead and nine miss- in 12 cantons in Manabí and Esmeraldas. number of lives and have had a major ing. As of mid-May, 7,633 families, or 28,775 Thirty-nine health facilities, which include impact on society. For countries affected people, remained in shelters. The earthquake health centers and basic and general hos- by these events and for international also affected many potable water systems. pitals and those providing specialized actors as well, the critical challenge In the first 72 hours, 6,274 persons received services, were damaged and 20 were unable lies in the difficulty of managing these medical attention. The earthquake affected to continue functioning. Despite the dam- large-scale events. The 2014 epidemic of six provinces along Ecuador’s Pacific coast: age to the health infrastructure, medical Ebola in West Africa, and its subsequent Esmeraldas, Manabí, Santa Elena, Guayas, care continued to be provided in mobile spread to several nations in Europe, Santo Domingo de los Tsáchilas and Los Ríos. units, tents, or through services that were the United States, and other countries, However, the provinces of Manabí and the relocated to other facilities. caused global alarm and highlighted south of Esmeraldas were the most affected. (continued on page 3) >> (continued on page 2) >> WHO/L. Cipriani (from page 1) Editorial WHO Emergency Reform the need to make substantive changes to the sive support to countries and communities The Pan American Health Organization and the WHO way the World Health Organization (WHO) as they prepare for, face, or recover from Emergency Reform carries out its alert and emergency response emergencies caused by any type of hazard to operations for outbreaks and disasters. To human health, whether disease outbreaks, In the context of the WHO Emer- this end, WHO, United Nations agencies, natural or man-made disasters or conflicts. gency Reform, PAHO will functionally and other international organizations, con- align its work with the new WHO Health ducted evaluations that reached the same Position of the Region of the Emergencies Program. It will also expand Americas conclusion: a new WHO Health Emergen- collaboration between PAHO and WHO cies Program was needed. In a joint statement, the delega- to identify a greater number of experts tions representing Latin American and ready and able to be mobilized to and A New WHO Health Emergencies Caribbean countries at the World Health from the Americas in emergency situa- Program Assembly expressed satisfaction with the tions and will share the financing of these On 25 May 2016, during the 69th progress made on this issue and their sup- response operations. meeting of the World Health Assembly, port for WHO’s new Health Emergencies PAHO will also continue to deploy its member countries approved one of the most Program. They also acknowledged that staff and the Regional Response Team (reg- important reforms since WHO was created since 1976, their WHO regional office for istered and trained by the Organization) in 1947, establishing the new Health Emer- the Americas (the Pan American Health to support the member states of both the gencies Program. This decision will generate Organization) has had a Department World Health Organization and the Pan substantial changes—both in terms of the of Emergency Preparedness and Disas- American Health Organization. Organization’s work and its culture—when ter Relief, a “proven mechanism that has The WHO Emergency Reform com- it comes to dealing with health emergencies. effectively responded to emergencies and plements PAHO’s vision, which seeks to It calls for establishing one single program, disasters in the region of the Americas, achieve a health sector that has sufficient with a workforce, budget, standards and pro- within the framework of WHO.” capacity, is led nationally, and sustained cesses, and clear lines of authority. These countries also noted that their to ensure that member states have the The new Health Emergencies Program support for the new WHO Health Emer- resilience to protect the physical, mental adds operational capacity to WHO’s work in gencies Program is “with the understanding and social wellbeing of their commu- outbreaks and humanitarian emergencies to that the PAHO program will continue to nities, and that they are able to rapidly complement its traditional technical and nor- fully respond to the needs of member states recover from the impact of health emer- mative roles. The new program is designed in the Americas, working and coordinating, gencies and disasters. to deliver rapid, predictable, and comprehen- as appropriate, with the WHO Program.” 2 June 2016 Issue 121 Editorial (from page 1) The Earthquake in Ecuador: Significant damage to health facilities; emergency medical teams deployed Level 1* EMTs Level 2** EMTs Specialized Cells In the most affected areas (the cantons National International National International National International of 24 de Mayo, Bolívar, Chone, Flavio Alfaro, 20 1 3 2 6 2 Jama, Manta, Paján, Portoviejo, Puerto López, * Level 1: Outpatient initial emergency care of injuries and other significant health care needs. ** Level 2: Inpatient acute care, general and obstetric surgery for trauma and other major conditions. Rocafuerte, Sucre, Esmeraldas and Guayaquil’s metropolitan district ) the situation in health The Ministry of Public Health used the The Ministry of Public Health, the facilities is as follows: international standards for minimum require- Red Cross, universities, and national and ments and classification of Emergency Medical international NGOs immediately addressed Hospitals Teams, promoted by WHO/PAHO (read the mental healthcare needs. Action was taken guidelines at http://bit.ly/1SNgc5V) for the to control, prevent and address violence and coordination and deployment of national and behavioral disorders, and counseling was Damaged: 15 Unable to function: 6 international emergency medical teams. To provided for disaster victims who lost family execute this operation, an Emergency Medical members and property. A psychosocial sup- Health Centers Teams Information Cell (CICOM) was set up port strategy, oriented toward ‘caring for the in Quito’s ECU 911 Emergency Center, under caregivers,’ was developed. the responsibility of the International Coopera- The Pan American Health Organiza- tion Department of the Ministry of Health. The tion’s regional headquarters and the country Damaged: 24 Unable to function: 14 CICOM helped to organize the deployment office for Ecuador also mobilized staff to Twelve of the 15 hospitals in cantons of EMTs to the disaster-affected areas of the support the Ministry of Health’s earthquake located in the province of Manabí were country, optimize the work of health respond- response, especially in humanitarian coordi- damaged. ers, and improve the quality of information nation, damage assessment (particularly with regarding health coverage. Ecuador is the first regard to health infrastructure) and needs country in the Americas to put this coordina- analysis, coordination of emergency medi- tion mechanism to the test. cal teams, and logistical supply management. PAHO/WHO Lyra, Paulo Photo: The Ministry of Health set up two PAHO/WHO also continues to work closely staging areas in Quito and Manta to regis- with national authorities on epidemiological ter and control the movement of medicines surveillance, restoration of health services, IESS Hospital in Manta. and medical supplies into and out of the immunizations, mental health, and commu- warehouses, using the LSS/SUMA system. nication and information management. Rapid Response Teams were activated, a health situation room was set up, and an epidemiological surveillance system was put in place in shelters and temporary camps. Photo: Paulo Lyra, PAHO/WHO Lyra, Paulo Photo: Integrated Healthcare and Primary Health- Photo: Paulo Lyra, PAHO/WHO Lyra, Paulo Photo: care teams were also deployed to the most Dr. Gina Tambini, PAHO/WHO Representative in affected areas. Potable water was distributed Ecuador and Jerónimo Venegas, chief of opera- tions of the LSS/SUMA system, review contents Interior of the Bahia de Caraquez hospital in the in shelters using tanker trucks, mobile water of the warehouse at the Ministry of Public Health province of Manabí, Ecuador. treatment plants and bottled water. Staging Center in the city of Manta. In the Spotlight June 2016 Issue 121 3 Photos: Victor Ariscain PAHO/WHO Victor Photos: Caribbean Health Facilities Take the Next Step: Smart Hospitals Hospitals that are not only disaster resilient but also climate-friendly are Smart Hospitals uilding on PAHO’s Safe Hospitals Ini- to conserve resources, cut costs, increase • A methodology for a cost/benefit Btiative, national stakeholders in the efficiency in operations, and reduce carbon analysis,
Recommended publications
  • Instituto Ecuatoriano De Seguridad Social Dirección Del Seguro General De Salud Individual Y Familiar
    INSTITUTO ECUATORIANO DE SEGURIDAD SOCIAL DIRECCIÓN DEL SEGURO GENERAL DE SALUD INDIVIDUAL Y FAMILIAR UNIDADES MÉDICAS I.E.S.S. Nº UNIDAD MÉDICA PROVINCIA CIUDAD DIRECCIÓN TELÉFONO REGIONAL 1: Esmeraldas, Pichincha y Santo Domingo de los Tsáchilas 1 Hospital Carlos Andrade Marín Pichincha Quito 18 de Septiembre y Ayacucho PBX: 02-2564939 Nivel III 2 Hospital de Esmeraldas Esmeraldas Esmeraldas Avenidas Colón y Guayas PBX: 06-2712465 Nivel II 3 CAA Central Quito Pichincha Quito Calle Benalcázar N-12 PBX: 02-2957121 4 CAA Chimbacalle Pichincha Quito Av. Napo E-164 y Casitagua PBX: 02-2653444 5 CAA Cotocollao Pichincha Quito Av. De la Prensa 55-118 y Pulida PBX: 02-2590080 6 CAA El Batán Pichincha Quito Av. De las Palmeras y Río Coca Directo: 02-2449369 7 CAA Santo Domingo Santo Domingo Santo Domingo Av. Quito Km 1 s/n y Los Naranjos PBX: 02-2750430 de los Tsáchilas de los Colorados 8 UAA Amaguaña Pichincha Amaguaña Calle José Miranda e Iglesias s/n Directo: 02-2879699 Barrio María Auxiliadora 9 UAA Cayambe Pichincha Cayambe Juan Montalvo 803 y Sucre Directo: 02-2360182 10 UAA La Ecuatoriana Pichincha Quito Av. La Ecuatoriana s/n Directo: 02-2696712 11 UAA Sur Occidental Pichincha Quito Av. Mariscal Sucre 11-27 y Hernando Directo: 02-3103485 Prado Sector El Pintado INSTITUTO ECUATORIANO DE SEGURIDAD SOCIAL DIRECCIÓN DEL SEGURO GENERAL DE SALUD INDIVIDUAL Y FAMILIAR Nº UNIDAD MÉDICA PROVINCIA CIUDAD DIRECCIÓN TELÉFONO 12 UAA San Juan Pichincha Quito Guatemala OE10-352 y San Mateo Directo: 02-2280011 13 UAA Sangolquí Pichincha Sangolquí Eloy Alfaro 112 y Espejo PBX: 02-2331050 Diagonal Estadio Rumiñahui 14 UAA Tabacundo Pichincha Tabacundo Velasco Ibarra 206 Directo: 02-2366008 15 UAA San Lorenzo Esmeraldas San Lorenzo Roberto Luis Cervantes s/n Directo: 06-2780173 REGIONAL 2: Galápagos, Guayas, Los Ríos, Sta.
    [Show full text]
  • Ecuador Malaria General Malaria Information: Predominantly P
    Document is provided for sample purposes only. Content is not updated and should not be used for traveler counseling. Ecuador Malaria General malaria information: predominantly P. vivax. Transmission occurs throughout the year. Issues to Consider Location-specific recommendations: Factors favoring chemoprophylaxis Chemoprophylaxis is recommended for all travelers: elevations below 1,500 m (4,900 ft) in most cantons east of the Andes and in • Adventure travel certain cantons of Esmeraldas, Carchi [1], and Cotopaxi [6] provinces; all cities and towns within these areas. • Risk-averse and vulnerable travelers Chemoprophylaxis is recommended for certain travelers (see Issues to Consider box): elevations below 1,500 m in certain • Areas subject to infrequent epidemics cantons east of the Andes and in certain cantons of Carchi [1], Imbabura [2], Guayas [11], and El Oro [15] provinces; all cities • Immigrants visiting friends and relatives and towns within these areas. • Flexible itineraries Travel longer than 1 month Insect precautions only are recommended (negligible transmission is reported): elevations below 1,500 m in various cantons west • of the Andes and certain cantons of Orellana and Zamora-Chinchipe [17] provinces; all cities and towns within these areas except • Unreliable medical expertise and/or treatment drugs at destination Guayaquil, Manta, Portoviejo, Santa Elena, Babahoyo, and Machala. Factors against chemoprophylaxis No preventive measures are necessary (no evidence of transmission exists): the cities of Quito, Guayaquil, Manta, Portoviejo, Santa Elena, Babahoyo, and Machala; the Galápagos Islands; elevations above 1,500 m; all other areas not mentioned above. • Air-conditioned hotels only • Urban areas only Preventive measures: Travelers should observe insect precautions from dusk to dawn in areas with any level of transmission.
    [Show full text]
  • Inventario Preliminar De Las Emisiones De Contaminantes Del Aire
    Inventario Preliminar de las Emisiones de Contaminantes del Aire, de los cantones Ambato, Riobamba, Santo Domingo de los Colorados, Latacunga, Ibarra, Manta, Portoviejo, Esmeraldas y Milagro Proyecto Calidad del Aire III Año Base 2010 Quito, 2014 Inventario Preliminar de las Emisiones de Contaminantes del Aire, de los cantones Ambato, Riobamba, Santo Domingo de los Colorados, Latacunga, Ibarra, Manta, Portoviejo, Esmeraldas y Milagro Proyecto Calidad del Aire Fase III Año Base 2010 Gobierno Nacional del Ecuador Econ. Rafael Correa Delgado Presidente de la República del Ecuador Ms. Lorena Tapia Ministra del Ambiente Abg. Juan Carlos Soria Subsecretario de Calidad Ambiental Blgo. Christian Samaniego Director Nacional de Control Ambiental Dra. Ruth Molina Chávez Equipo Técnico del Proyecto Ing. Verónica Gordillo Cueva Calidad del Aire Ecuador, 2014 Este informe presenta el resumen del documento “Inventario Nacional Preliminar de las Emisiones de Contaminantes del Aire, que incluyen las ciudades de Ambato, Riobamba, Santo Domingo de los Colorados, Latacunga, Ibarra, Manta, Portoviejo, Esmeraldas y Milagro”, documento elaborado por el Dr. René Parra Narváez, mediante contrato de consultoria suscrito con el Ministerio de Ambiente. Como parte del equipo consultor participaron: Ing. Letty Andrade Espinoza, Ing. María Gabriela Andrade, Ing. Daniela Flor Cevallos, Lizeth Vásconez Navas y Ana Dávila Gavilanez. Las siguientes personas y entidades, colaboraron en la colecta y/o entrega de información: Dra. Ruth Molina, Ministerio del Ambiente; Ing. Verónica Gordillo, Ministerio del Ambiente; Ing. Natalia Salazar, Ministerio del Ambiente - Dirección Provincial de Tungurahua; Ing. Roberto Ortega, Municipio de Ibarra; QF David Rodríguez, Municipio de Santo Domingo; Sra. Soraya Peñarrieta, Municipio de Portoviejo; Blgo. Denny Moreno, Municipio de Milagro; Ing.
    [Show full text]
  • Ecuador Yellow Fever
    Document is provided for sample purposes only. Content is not updated and should not be used for traveler counseling. Ecuador Yellow Fever Vaccination recommendation: Recommended for travelers aged ≥ 9 months: Esmeraldas Province and areas east of the Andes Mountains below 2,300 m (7,500 ft) (see map). Daytime insect precautions are essential for unvaccinated travelers. Generally not recommended (except for highly risk-averse travelers and long-stay travelers): itineraries limited to areas west of the Andes Mountains below 2,300 m except Guayaquil (see map). No human cases of YF have ever been reported from these areas, and data analysis by WHO indicates extremely low potential for YF virus exposure. Not recommended: itineraries limited to the cities of Guayaquil, Quito, Cuenca, or Otavalo; the Cotopaxi Volcano; areas above 2,300 m; or the Galápagos Islands. NOTE: Entry requirements may apply for this country. Please see the YF requirement statement in the Travax country profile. 83°W 81°W 79°W 77°W Galápagos Islands !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! COLOMBIA !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! 1°N Esmeraldas !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! " !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Tulcán E !! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!A"
    [Show full text]
  • Anexo Con Codificación
    CODIGOS PROVINCIALES CANTONALES Y PARROQUIALES CÓD 01 PROVINCIA DEL AZUAY CANTONES Y PARROQUIAS Código Nombre Código Nombre Código Nombre CÓD 01 CANTON CUENCA 50 CUENCA 13 TOTORACOCHA 60 PACCHA 01 BELLAVISTA 14 YANUNCAY 61 QUINGEO 02 CAÑARIBAMBA 15 HERMANO MIGUEl 62 RICAURTE 03 EL BATAN 51 BAÑOS 63 SAN JOAQUIN 04 EL SAGRARIO 52 CUMBE 64 SANTA ANA 05 EL VECINO 53 CHAUCHA 65 SAYAUSI 06 GIL RAMIREZ DAVALOS 54 CHECA (JIDCAY) 66 SIDCAY 07 HUAYNACAPAC 55 CHIQUINTAD 67 SININCAY 08 MACHANGARA 56 LLACAO 68 TARQUI 09 MONAY 57 MOLLETURO 69 TURI 10 SAN BLAS 58 NULTI 70 VALLE 11 SAN SEBASTIAN 59 OCTAVIO CORDERO PALACIOS 71 VICTORIA DEL PORTETE 12 SUCRE COD 02 CANTON GIRON 50 GIRON 51 ASUNCION 52 SAN GERARDO COD 03 CANTON GUALACEO 50 GUALACEO 54 MARIANO MORENO 57 SAN JUAN 51 *CHORDELEG 55 *PRINCIPAL 58 ZHIDMAD 52 DANIEL CORDOVA TORAL 56 REMIGIO CRESPO TORAL 59 LUIS CORDERO VEGA 53 JADAN COD 04 CANTON NABON 50 NABON 52 EL PROGRESO 54 *OÑA 51 COCHAPATA 53 LAS NIEVES COD 05 CANTON PAUTE 50 PAUTE 55 *GUACHAPALA 59 SAN CRISTOBAL 51 *AMALUZA 56 GUARAINAG 60 *SEVILLA DE ORO 52 BULAN 57 *PALMAS 61 TOMEBAMBA 53 CHICAN 58 *PAN 62 DUG DUG 54 EL CABO COD 06 CANTON PUCARA 50 PUCARA 51 *CAMILO PONCE ENRIQUEZ 52 SAN RAFAEL DE SHARUG COD 07 CANTON SAN FERNANDO 50 SAN FERNANDO 51 CHUMBLIN COD 08 CANTON STA. ISABEL 50 SANTA ISABEL 52 *EL CARMEN DE PIJILI 53 ZHAGLLI 51 ABDON CALDERON COD 09 CANTON SIGSIG 50 SIGSIG 53 GUEL 55 SAN BARTOLOME 51 CUCHIL 54 LUDO 56 SAN JOSE DE RARANGA 52 GIMA COD 10 CANTON OÑA 50 SAN FELIPE DE OÑA 51 SUSUDEL COD 11 CANTON CHORDELEG 50 CHORDELEG 52 LA UNION 54 SAN MARTIN DE PUZHIO 51 PRINCIPAL 53 LUIS GALARZA ORELLANA COD 12 CANTON EL PAN 50 EL PAN 52 *PALMAS 53 SAN VICENTE 51 *AMALUZA COD 13 CANTON SEVILLA DE ORO 50 SEVILLA DE ORO 51 AMALUZA 52 PALMAS COD 14 CANTON GUACHAPALA 50 GUACHAPALA C0D 15 CANTON CAMILO PONCE E.
    [Show full text]
  • PUNTOS DE ENTREGA AGENCIAS EXPRESITO CARGA CIUDAD DIRECCIÓN TELÉFONO HORARIOS Ambato (Santiago De Ave Cevallos Y Mariano Eguez Esq C.C
    Actualizacion 04 Agosto 2021 [email protected] PUNTOS DE ENTREGA AGENCIAS EXPRESITO CARGA CIUDAD DIRECCIÓN TELÉFONO HORARIOS Ambato (Santiago de Ave Cevallos y Mariano Eguez Esq C.C. Teofilo Lopez 2 y 3 Lunes a Viernes De 9:30 a 13:30 De 14:00 a 17:30 Pillaro, Pelileo, Baños) ARBOLEDA TRAVEL (03) 2829972 - 0984183230 Sábado 10:00 a 13:00 Cuenca (Cumbe, Calle Vega Muñoz 17- 42 y Miguel Heredia Lunes a Viernes 9:00 a 13:30 De 14:30 a 18:00 (07) 2838606 072825086 Girón, Gualaceo, Sta Sabado sin atencion Isabel) 0999527613 0992233451 Guayaquil Ave. de las Americas // Ciudadela Simon Bolivar MZ. 4 Edificio 57 Diagonal (04) 3726200 Lunes a Viernes 9:00 a 17:00 Aeropuerto Nuevo whatsapp 59343726200 Sábado 10:00 a 13:00 Loja (Saraguro, Pasaje Sinchona 205-53 entre Miguel Riofrio y Rocafuerte NEXO CURIER Lunes a Viernes 9:00 a 12:30 De 14:30 a 17:00 Sábado Cariamanga, (07) 2723957- 0980040107 sin atencion Catamayo) Macas Amazonas S/N y 5 de Agosto (07) 2525190 - 0984864806 Lunes a Viernes 10:00 a 13:00 De 14:00 a 16:30 (twinza-Morona) Machala 25 de Junio y Juan Montalvo (07) 2965813 - 0999868073 Lunes a Viernes 08:30 a 12:30 De 14:00 a 18:00 Manta Av. 21 # 1640 y calle 17 (Detras de metal hierro) IBC Curier Lunes a Viernes 9:00 a 12:00 De 13:00 a 18:00 (05) 2610763 - 0997829076 Sábado 8:00 a 12:00 Lunes a Viernes 8:30 a 17:30 Milagro Av.
    [Show full text]
  • Tarifas De Transporte Terrestre Público De Pasajeros Interprovincial E Intraprovincial En El Ecuador
    Anexo 1: Tarifas de Transporte Terrestre Público de Pasajeros Interprovincial e Intraprovincial en el Ecuador Tarifa Tarifas Provincia de Origen Cantón de Origen Ciudad / Sector Origen Provincia Destino Cantón de Destino Ciudad / Sector Destino preferencial 2021 2021 AZUAY CUENCA CUENCA AZUAY CHORDELEG CHORDELEG $ 1,27 $ 0,63 AZUAY CUENCA CUENCA AZUAY EL PAN EL PAN $ 1,61 $ 0,81 AZUAY CUENCA CUENCA AZUAY GIRÓN ASUNCIÓN $ 2,19 $ 1,09 AZUAY CUENCA CUENCA AZUAY GIRÓN BESTIÓN $ 1,32 $ 0,66 AZUAY CUENCA CUENCA AZUAY GIRÓN CALEDONEAS $ 1,32 $ 0,66 AZUAY CUENCA CUENCA AZUAY GIRÓN CHAULLA MAS RIRCAY $ 1,32 $ 0,66 AZUAY CUENCA CUENCA AZUAY GIRÓN GIRÓN $ 1,21 $ 0,60 AZUAY CUENCA CUENCA AZUAY GIRÓN LENTAG $ 1,44 $ 0,72 AZUAY CUENCA CUENCA AZUAY GIRÓN LENTAG (ESCUELA) $ 1,55 $ 0,78 AZUAY CUENCA CUENCA AZUAY GIRÓN MASTA $ 0,92 $ 0,46 AZUAY CUENCA CUENCA AZUAY GIRÓN NORAMBOTE $ 1,27 $ 0,63 AZUAY CUENCA CUENCA AZUAY GIRÓN SAN GERARDO $ 1,61 $ 0,81 AZUAY CUENCA CUENCA AZUAY GIRÓN SANTA MARIANITA $ 0,98 $ 0,49 AZUAY CUENCA CUENCA AZUAY GIRÓN ZAPATA $ 0,92 $ 0,46 AZUAY CUENCA CUENCA AZUAY GUACHAPALA GUACHAPALA $ 1,27 $ 0,63 AZUAY CUENCA CUENCA AZUAY GUALACEO CHICTICAY $ 0,69 $ 0,35 AZUAY CUENCA CUENCA AZUAY GUALACEO GUALACEO $ 1,27 $ 0,63 AZUAY CUENCA CUENCA AZUAY GUALACEO JADAN $ 1,09 $ 0,55 AZUAY CUENCA CUENCA AZUAY GUALACEO ZHIDMAD $ 0,75 $ 0,37 AZUAY CUENCA CUENCA AZUAY NABÓN COCHAPATA $ 2,59 $ 1,29 AZUAY CUENCA CUENCA AZUAY NABÓN HERMANO MIGUEL $ 1,67 $ 0,83 AZUAY CUENCA CUENCA AZUAY NABÓN NABÓN $ 2,24 $ 1,12 AZUAY CUENCA CUENCA AZUAY NABÓN ZHIÑA
    [Show full text]
  • Sanitation Service By
    Document of The World Bank FOR OFFICIAL USE ONLY Public Disclosure Authorized Report No: 36579-EC PROJECT APPRAISAL DOCUMENT ON A Public Disclosure Authorized PROPOSED ADAPTABLE PROGRAM LOAN (APL-2) IN THE AMOUNT OF US$48 MILLION TO THE REPUBLIC OF ECUADOR FOR THE SECOND RURAL AND SMALL TOWNS WATER SUPPLY AND SANITATION PROJECT Public Disclosure Authorized (PRAGUAS 11) IN SUPPORT OF THE SECOND PHASE OF THE RURAL AND SMALL TOWNS WATER SUPPLY AND SANITATION PROGRAM June 23.2006 Finance, Private Sector, and Infrastructure Bolivia, Ecuador, Peru and Venezuela Country Management Unit Latin America and the Caribbean Region This document has a restricted distribution and may be used by recipients only in the Public Disclosure Authorized performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization. CURRENCY EQUIVALENTS Currency Unit = US Dollar FISCAL YEAR January 1 - December 31 ABBREVIATIONS AND ACRONYMS APL Adaptable Program Loan BCE Central Bank of Ecuador (Banco Central del Ecuador) BdE State Development Bank of Ecuador (Banco del Estado) BOT Build, operate and transfer contract CADS Consultancy to support the delegation of water, sanitation and/or solid waste services (Consultorias de apoyo a la delegacidn) CAS Country Assistance Strategy CGE General Controller's Office (Contraloria General del Estado) CNRH National Council on Water Resources (Consejo Nacional de Recursos Hidricos) CODAE Afro-Ecuadorian Development Corporation (Corporacidn de Desarrollo Afroecuatoriana) CODENPE Ecuadorian
    [Show full text]
  • Codigo Descripcion Del Distrito Sede Codigo
    PROVINCIAS QUE LA DIRECCIONES DISTRITALES OFICNAS DISTRITALES COMPONEN ZONA DE PLANIFICACION SEDE ZONAL CODIGO DESCRIPCION DEL DISTRITO SEDE CODIGO DESCRIPCION DEL DISTRITO SEDE 04D02 MONTUFAR - BOLÍVAR MONTUFAR CARCHI 04D01 SAN PEDRO DE HUACA - TULCAN TULCAN 04D03 ESPEJO -MIRA ESPEJO 08D03 MUISNE - ATACAMES ATACAMES 08D01 ESMERALDAS ESMERALDAS 08D04 QUININDE QUININDE ESMERALDAS 08D02 ELOY ALFARO ELOY ALFARO 08D05 SAN LORENZO SAN LORENZO 08D06 RIOVERDE RIOVERDE COORDINACION ZONAL 1 IBARRA IBARRA- PIMAMPIRO -SAN MIGUEL DE 10D02 ANTONIO ANTE -OTAVALO OTAVALO IMBABURA 10D01 IBARRA URCUQUI 10D03 COTACACHI COTACACHI 21D01 CÁSCALES - GONZALO PIZARRO - SUCUMBÍOS SUCUMBIOS SUCUMBÍOS 21D02 LAGO AGRIO LAGO AGRIO 21D03 CUYABENO - PUTUMAYO PUTUMAYO 21D04 SHUSHUFINDI SHUSHUFINDI ARCHIDONA - CARLOS JULIO AROSEMENA NAPO TENA 15D02 EL CHACO QUIJOS QUIJOS 15D01 TOLA - TENA 17D10 CAYAMBE - PEDRO MONCAYO CAYAMBE PICHINCHA 17D11 MEJIA - RUMINAHUI RUMIÑAHUI PEDRO VICENTE MALDONADO - PUERTO QUITO - SAN MIGUEL DE LOS COORDINACION ZONAL 2 TENA 17D12 SAN MIGUEL DE LOS BANCOS BANCOS 22D01 LA JOYA DE LOS SACHAS LA JOYA DE LOS SACHAS ORELLANA 22D02 LORETO- ORELLANA ORELLANA 22D03 AGUARICO AGUARICO 05D02 LA MANA LA MANA 05D03 PANGUA PANGUA COTOPAXI 05D01 LATACUNGA LATACUNGA 05D04 PUJILI-SAQUISILI PUJILI 05D05 SIGCHOS SIGCHOS 05D06 SALCEDO SALCEDO 06D02 ALAUSI - CHUNCHI ALAUSI 06D03 CUMANDA - PALLATANGA PALLATANGA CHIMBORAZO 06D01 CHAMBO - RIOBAMBA RIOBAMBA 06D04 COLTA - GUAMOTE GUAMOTE 06D05 GUANO - PENIPE GUANO COORDINACION ZONAL 3 AMBATO PASTAZA 16D01 PASTAZA - MERA - SANTA CLARA PASTAZA 16D02 ARAJUNO ARAJUNO COORDINACION ZONAL 3 AMBATO AMBATO: HUACHI GRANDE, JUAN BENIGNO VELA, MONTALVO, PICAIGUA, PILAHUIN, SANTA 18D02 AMBATO AMBATO: LA PENÍNSULA - LA MERCED - ROSA, TOTORAS, CELIANO MONGE, HUACHI ATOCHA FICOA - LA MATRIZ - SAN CHICO, HUACHI LORETO, PISHILATA FRANCISCO - AUGUSTO N.
    [Show full text]
  • Manabí, Ecuador a Guide To
    A GUIDE TO MANABÍ, ECUADOR The coastal province of Manabí is a gem among Ecuador’s natural treasures. As a traveler here, you can experience its pristine beaches, mouthwatering local dishes and rich biodiversity, both on land and below water. Read on to discover the Wanderbus team’s tips to some of the best destinations to explore in Manabí from Ayampe to Cojimies. Don’t forget your sunblock! A Guide to Manabí, Ecuador OVERVIEW Located between the provinces of Esmeraldas and hiking,horseback riding, and even a dip in a natural Santa Elena, Manabí is one of the most beautiful mud bath. However, if you prefer to base out of segments along the Ecuadorian coast. It’s main cities a larger town with more restaurants, hostels and are Manta and Portoviejo, followed by Pedernales, El nightlife, you’ll find that in Manta, Puerto Lopez Carmen and Chone. and Canoa. Manabí is best known for its gorgeous, often isolated A great way to explore this province is to follow the beaches, and is a sought after destination for both Spondylus Route (Ruta del Spondylus), which begins local and international visitors. It’s one of the in the northern province of Esmeraldas, passes along warmest regions in Ecuador and the area along the Manabí’s coast, stopping at some of its top beach coast is known for its dry forests that are teeming destinations, and ends near Salinas, in with wildlife. the province of Santa Elena. Within Manabí, the most visited locations are located Whether you travel by public in and around Machalilla National Park, including transport, the Wanderbus or a the islands Isla de la Plata and Isla Salango.
    [Show full text]
  • EARTHQUAKE in ECUADOR Situation Report No
    EARTHQUAKE IN ECUADOR Situation Report No. April 4-21, 2016 KEY INFORMATION Seven hospitals operated by the Ministry of Public Health (MSP) and the Ecuadorian Social Security Institute (IESS) have severely damaged infrastructure and are not operational. Health personnel in the provinces of Manabí and Esmeraldas are also affected, including some deaths. Others lost family members and homes. There is potential risk of water-, vector-, and food-borne diseases due to limited drinking water and sanitation services, rubble and debris, and lack of proper shelter among people who have lost their homes. 7015 155 24,442 570 24 INJURED MISSING IN AFFECTED SHELTERS DEAD HEALTH FACILITIES Source: Risk Management Department, April 20, 2016, 7:30 p.m. Ministry of Public Health, April 20, 2016 HEALTH SITUATION Status of Health Services Network According to the preliminary assessment, the earthquake has affected the infrastructure of at least 24 MSP and IESS health facilities (14 health centers and 10 hospitals) in the provinces of Manabí and Esmeraldas. Seven (7) of the 10 hospitals and six of the 14 health centers that report damage are out of service. Another three health facilities are not operating despite suffering less damage, due to a lack of personnel, some of whom are afraid to return to work. Centro de Operaciones de Emergencia de la Organización Panamericana de la Salud www.paho.org/desastres 1 Table 1. Reported status of health facility infrastructure TIPO DE PROVINCIA CANTON NOMBRE DEL ESTABLECIMIENTO INSTITUCION DAÑO PROBABLE CONDICION
    [Show full text]
  • Dpa Cpv 2010
    División política administrativa del Ecuador Código Código Código Nombre de la Nombre del Nombre de la Parroquia Provincia Cantón Parroquia Provincia Cantón 01 01 50 AZUAY CUENCA CUENCA 01 01 51 AZUAY CUENCA BAÑOS 01 01 52 AZUAY CUENCA CUMBE 01 01 53 AZUAY CUENCA CHAUCHA 01 01 54 AZUAY CUENCA CHECA (JIDCAY) 01 01 55 AZUAY CUENCA CHIQUINTAD 01 01 56 AZUAY CUENCA LLACAO 01 01 57 AZUAY CUENCA MOLLETURO 01 01 58 AZUAY CUENCA NULTI 01 01 59 AZUAY CUENCA OCTAVIO CORDERO PALACIOS (SANTA ROSA) 01 01 60 AZUAY CUENCA PACCHA 01 01 61 AZUAY CUENCA QUINGEO 01 01 62 AZUAY CUENCA RICAURTE 01 01 63 AZUAY CUENCA SAN JOAQUIN 01 01 64 AZUAY CUENCA SANTA ANA 01 01 65 AZUAY CUENCA SAYAUSI 01 01 66 AZUAY CUENCA SIDCAY 01 01 67 AZUAY CUENCA SININCAY 01 01 68 AZUAY CUENCA TARQUI 01 01 69 AZUAY CUENCA TURI 01 01 70 AZUAY CUENCA VALLE 01 01 71 AZUAY CUENCA VICTORIA DEL PORTETE (IRQUIS) 01 02 50 AZUAY GIRON GIRON 01 02 51 AZUAY GIRON ASUNCION 01 02 52 AZUAY GIRON SAN GERARDO 01 03 50 AZUAY GUALACEO GUALACEO 01 03 52 AZUAY GUALACEO DANIEL CORDOVA TORAL (EL ORIENTE) 01 03 53 AZUAY GUALACEO JADAN 01 03 54 AZUAY GUALACEO MARIANO MORENO 01 03 56 AZUAY GUALACEO REMIGIO CRESPO TORAL (GULAG) 01 03 57 AZUAY GUALACEO SAN JUAN 01 03 58 AZUAY GUALACEO ZHIDMAD 01 03 59 AZUAY GUALACEO LUIS CORDERO VEGA 01 03 60 AZUAY GUALACEO SIMON BOLIVAR (CAB. EN GAÑANZOL) 01 04 50 AZUAY NABON NABON 01 04 51 AZUAY NABON COCHAPATA 01 04 52 AZUAY NABON EL PROGRESO (CAB.EN ZHOTA) 01 04 53 AZUAY NABON LAS NIEVES (CHAYA) 01 05 50 AZUAY PAUTE PAUTE 01 05 52 AZUAY PAUTE BULAN (JOSE VICTOR IZQUIERDO)
    [Show full text]