World Health Organization (WHO) Indonesia Emergency and Humanitarian Action – EHA Section Emergency Situation Report No. 17, 2 June 2005 Earthquake in North Sumatra Province and NAD Province, Indonesia This report is prepared by WHO, Indonesia Simeulue Island (NAD Province) North Sumatera and Aceh (NAD) Banyak Island (NAD Province) Additional detailed maps may be accessed at: http://www.humanitarianinfo.org/sumatra/ma pcentre/catalogue/index.asp Nias Island (North Sumatra) Reporting date 31 May 2005 (Tuesday) Type of Emergency Earthquake Date and time of emergency incidence 28 March 2005 (Monday), 23:09:06 hrs. History of the earth quake and place • A great earthquake was noted at 23:09:36 hrs, local time on Monday, March 28, 2005. The magnitude was 8.7 on the Richter scale and located in Northern Sumatra, Indonesia. The epicenter was located 90 km south of Sinabang with 30 Km Depth 2.065 N 97.010 E • The earthquake was also felt in Thailand, Singapore, Malaysia and Cocos Island, Australia • More than 700 aftershocks recorded on island of Nias, 48 aftershocks following the initial earthquake, a further 628 over the following two days and 51 in the first eight hours on 31 March Latest earthquake, significant aftershock • On 14 May, 2005 an earthquake measuring 6.8 on the Richter scale hit the Nias region at 05:05:18 (UTC) or 12:05:18PM local time • On 19 May 2005, a strong earthquake of 6.9 magnitude occurred at 01:54:52 (UTC) or 8:54:52 Am local time on Thursday, May 19, 2005 in the Nias region • Another earthquake of magnitude 5.1 occurred in the Nias region on May 21, 2005 at 23:09:06 (UTC) at 06:09:06 AM local time Area affected Major affected areas are the following: 1. Nias Island, North Sumatra Province, Capital Gunung Sitoli, Gido, Gomo and Teluk Dalam (District Capital of South Nias) 2. Padang, North Sumatra Province 3. Simeulue Island, NAD Province 4. Banyak Island, NAD Province 5. Singkil, NAD Province Population at risk • People of the North Sumatra Province in the Nias Island Region. • People of the Aceh (NAD) Province in the Simeulue Island and Banyak Island Region also Singkil District. FIGURES North Sumatera Province No Status Figures Remarks 1 Casualties or deaths 853 people 685 people Nias District 165 people Nias Selatan District 1 person Langkat District 1 person Madina District 1 person Sibolga City 2 Injured 916 (in-patients) Gunung Sitoli Hospital 74,353 (out-patients) Total of both Nias and Nias Selatan District Evacuations 161 (in-patients) Referral Hospitals in: 1886 (out-patients) • Medan (12 Hospitals) • Sibolga (1 Hospital) • Tapanuli Tengah (1 Hospital) • Gunung Sitoli (1 Hospital) • Hilisimietano (1 Hospital) 3 IDPs 22,351 people 12,542 people Nias District 597 people Nias Selatan District 6,615 people Tapanuli Tengah District 2,232 people Madina District 330 people Sibolga City 35 people Humbahas Aceh (NAD) Province No Status Figures Remarks 1 Casualties or deaths 62 people 37 people Simeulue District 22 people Aceh Selatan District 3 people Aceh Singkil District 2 Injured 230 people 3 IDPs 81,816 people 53,541 Simeulue District 24,742 Aceh Singkil District 3,533 Aceh Selatan District Damages FIGURES North Sumatera Province No Status Figures Remarks 1 Public infrastructures - Electricity operational Rehabilitated network and gensets - Water operational - Public Hydrant Tanks - Mobile Water Tanks - Knock Down WC - Roads accessible - reconstruction of road network - alternative roads 2 Private Property - Houses 16,580 houses Totally damaged 59,753 houses Light – heavy damages Aceh (NAD) Province No Status Figures Remarks 1 Public infrastructures - Electricity operational Rehabilitated network and gensets - Water operational - Public Hydrant Tanks - Mobile Water Tanks - Knock Down WC - Roads accessible - reconstruction of road network - alternative roads 2 Private Property - Houses 7,528 houses Light – heavy damages Government Support Government support continues at national level through the National Coordination Board for Disaster Management (BAKORNAS), and provincial and district level through the Province or District Coordination Board for Disaster Management (SATKORLAK) WHO and MoH Support Ongoing Activities WHO Banda Aceh Update Banda Aceh The workshop on Hospital Revitalization is being conducted in Medan on June 1-3, 2005, and will discuss programs to strengthen the hospital health system and to build the master plan, that consist of the needs from each hospital affected by tsunami and earthquake, based on the prior assessment of the human resources, equipment and physical condition of every hospital. WHO will be assisting the PHO to return the whole health system back to the regular system, such as the diseases surveillance system in PHC level, medical supply system, and the reproductive health surveillance system. Particularly in medical supply system, the PHO with assistance from WHO and the Medical Supply working group has developed the LPLPO, the form which will be use for provincial and all district drug warehouses to purchase and control their drug supply. Singkil No additional information/up-dates reported Simeulue No additional information/up-dates reported Nias Return of referral patients from Medan, Sibolga and Gunung Sitoli to their original places has been tackled by IOM and Hope Worldwide. Total number of returnees is 311 persons as per available information WHO Team is finalizing the proposal regarding activities that will re-vitalize effective surveillance network based on existing health services Work pertaining to mapping of health agencies is progressing. The field assessment of health facilities mapping has been done. The comprehensive result and the analysis will be finished in the coming days. It will be presented through a seminar and displayed on the website The ‘Who is doing What, Where?’ matrix has been completed and submitted to HIC for crosschecking of data. The Provincial Health Office together with WHO is evaluating the measles campaign The PHO together with WHO is developing the Matrix of Emergency Strategic Planning The PHO has suggested to the NGOs and the agencies interested in rebuilding health facilities to think about redesigning of the health facilities because the standard design of the health centers is inappropriate for the needs Gunung Sitoli Hospital will be reconstructed in the year 2006. The IMC has planned to reconstruct the Emergency Unit and the rest part of hospital will be taking care by MoH The PHO has decided that Puskesmas Hilisimaetano will become the referral center for South Nias. They have planned to upgrade the Puskesmas to be a hospital WHO Medan Update Program Malaria MOH together with PHO had conducted “Mass Fever Survey” for three Puskesmas in Nias (Puskesmas Gunung Sitoli, Awa’I, Olora) at may 23rd -25th 2005 and three Puskesmas in South Nias (Puskesmas Teluk Dalam,Lagundri,Lahusa) at may 27th - 29th 2005. The Mass Fever Survey has used RDT BINAX TEST and found 1 case confirmed as a Falciparum in Nias, the sample was taken from 100 fever cases. There were 2 cases confirmed as a falciparum, 1 case confirmed as a mixed falciparum and vivax in South Nias, the sample was taken from 302 fever cases. They have also taken a blood smear of each patient, so all result will be compared with the result of RDT BINAX TEST. The results of blood smear are being examined. Family Health Hellen Keller has informed WHO that they have already planned to cover all the need of Vitamin A for Nias Island in the disaster setting. HKI will send another 120.000 capsule from the total need of 125.000 capsules for Nias District. The 4000 of 125.000 has been distributed to the IDPs camps. There will be another 39.000 capsules to be sent to Nias Selatan instead of 36.000 that have been already distributed before. There was a plan to distribute the Vitamin A together with the crash program; unfortunately the fact had showed that only few of Vitamin A has been distributed trough the crash program. The PHO/DHO has to find the new fund for tackling the operational cost to distribute the Vitamin A. Immunization PHO reported that they are lack of Measles vaccine. There has been a measles outbreak in Samosir Island so they have to find the new source to tackle the problem. Please find below the crash program coverage in 4 districts: Coverage of Measles Immunization and Vitamin A in 4 Districts, North Sumatra Province 27th of May 2005 Target Measles No District Vitamin A 6mos-15 year Number Percentage 1. Sibolga 25.872 14.107 54.5 2. Tap.Tengah 94.722 20,400 21.5 3. Nias Selatan 57.432 12.311 21.4 4. Nias 115.796 5.082 4.4 908 Total 293.822 51.900 17.7 908 Emergency Strategic Planning On the 27th of May 2005, WHO had distributed the 5 NEHKs and 5 Motorcycles to the PHO which was designed for filling the need of the 5 Puskesmas priority in both districts Nias and South Nias. The NEKHs and Motorcycles were officially handed over to the Governor of North Sumatra Province and the head of North Sumatra PHO. Health Priority Need • Clean water and Food • Supplementary Feeding • Baby Weighing Scale • Doctors for Lukas Hospital and Teluk Dalam Health Center Problem • Many NGOs have not yet reported their activities to the Health Authority • There has been a communication and coordination gap between PHO and DHO The following person can be contacted if more information is needed. Contact E-mail No Name Designation Organization Fax phone Satellite Phone Center for Emergency Dr. Mulya A. Head of 1 preparedness 081533764161 021-5271111 [email protected] Hasjmi Sp. B. Department and response (PPMK) MOH Dr. Kyaw Win Medical 021-5204349 [email protected] 2 EHA - WHO 021-5201164 (Vijay Nath) Officer 0811933821 086811020053 Prasetio 3 EHA - WHO 08122793134 021-5201164 [email protected] Wicaksono Field Dr Anshu Operations 4 WHO 08121064878 +47-241- 37387 [email protected] Banerjee Manager (Banda Aceh) Information 5 Sanjay Kumar Manager WHO 081585310692 +47-241- 37387 [email protected] (Banda Aceh) Source of Information from Indonesia Information is gathered from the following sources and it might not reflect the actual true facts in the current field level but can be used as references.