TYPHOON YOLANDA HEALTH CLUSTER BULLETIN ISSUE #12 January 24, 2014 Photo: WHO/Aphaluck Bhatiasevi WHO/Aphaluck Photo: AFFECTED POPULATION 16 078 181 4 095 280 28 626 6 021 1 785 AFFECTED DISPLACED INJURED DEATHS MISSING Source: National Disaster Risk Reduction Management Council (NDRRMC) of the Philippines HIGHLIGHTS There were 84 suspected dengue cases in Ormoc City from 1 to 20 January, 2014 As of 16 January 2014 according to IOM and the Department of Social Welfare and Development, just over 26 000 people remain in evacuation centres as a result of Typhoon Yolanda. From 17 to 19 January 2014, in Eastern Samar, Tropical Depression Agaton forced over 1000 people to leave their temporary shelter, tents and bunk houses to improvised evacuation centres in and around Guiuan. To date nutrition cluster partners have screened in total 39,345 children in Leyte and 10,037 children in Samar. Inside this bulletin: Situation Overview Dengue and vector control Health care facilities Mental health and psychosocial support Partners and Foreign Medical Teams Reproductive Health Surveillance and communicable disease Water, Sanitation and Hygiene control Nutrition Vaccination and cold chain Health Cluster Partners TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 1 January 24, 2014 SITUATION OVERVIEW As of 16 January 2014 according and around Guiuan. In a joint ef- The impact of the storm exposed to IOM and the Department of So- fort between DOH, MSF and WHO ongoing vulnerabilities and com- cial Welfare and Development, all known sites were screened for promised coping mechanisms of just over 26 000 people remain in health concerns and a number of people affected by Typhoon Hai- evacuation centres as a result of patients referred to the nearby yan. Humanitarian partners are Typhoon Yolanda. district hospital. While no major seeking ways to better support health concerns arose from the Government efforts to find durable Tropical Depression Agaton is storm itself the consequences of solutions for vulnerable displaced continuing to impact communities the cold and wet climate will most people and other families. and the Yolanda response effort in certainly lead to an increase in the Visayas. An estimated 205 respiratory track infections in the Inspectors from the Iloilo provincial 165 people have been displaced coming days and weeks. government found there is still in Region VIII, X, XI, XIII, Caraga bunker oil along the coastline and and ARMM in Mindanao and Va- In Leyte, some evacuation centers an oil sheen over the water in Ba- sayas. Emergency shelters were and communities in San Jose area rangay Botongan in Estancia damaged or destroyed, and rice of Tacloban city experienced town. Also found were debris with fields in several municipalities flooding due to the rain brought by contaminated oil, which poses flooded. Agaton, as a result, 65 families health risks to residents. needed to be evacuated. The UN From 17 to 19 January, in Eastern and the Government have estab- In addition to this there are reports Samar, Agaton forced over 1000 lished a task force to complete of a second oil spill off the coast of people to leave their temporary assessments, take measures and Iloilo, which is being investigated. shelter, tents and bunk houses to monitor the situation. improvised evacuation centres in RESPONSE Health care facilities not repaired their structures but to now only 25 foreign medical teams Roxas sub-national health cluster also develop the buildings so that operating in Regions VI, VII and have reported that in Region VI, the structures are long term and VIII. Thirteen teams provide basic health facilities have had tempo- are disaster resilient as per the outpatient care (type I) and 3 rary assistance in the develop- Governments rehabilitation plan teams provide more advanced ment of their establishments, with health services including surgeries some permanent repairs being Partners and Foreign Medical (type II). Nine teams provide only undertaken. There is still a need to Teams mobile health clinics and mental not only help with those who have As of 20 January 2014, there are health and psychosocial support. TYPHOON YOLANDA HEALTH CLUSTER BULLETIN Map: A 2 January 24, 2014 Map: B Map: C TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 3 January 24, 2014 As a result of Tropical Depression ing 8 families. There is water and mation please refer to the weekly Agaton, in Guiuan, 3 evacuation toilets available on site. EWARN report. sites have opened. MSF has been mobilized to support with triage in There is a fourth site that is a pri- This week, 79 health facilities one of the sites housing 175 fami- vate business sheltering 24 fami- reported 16,018 total consul- lies. A couple of referrals to the lies who evacuated a bunkhouse tations through SPEED hospital have been made. after the roof blew off. There are Acute respiratory infection water and latrines available on accounted for 28% of total The first site is housing 170 fami- site. WHO has conducted medical consultations, most among lies in tents. Water has been set screening. SPEED conditions reported in up, electricity has been installed the current reporting period. and latrines being finalised. Medi- WHO logisticians continue to sup- A training on acute watery cal screenings have been con- port the DOH in improving their diarrhea, dengue, and mea- ducted by MSF, PRC and a local logistics reporting system. A meet- sles preparedness and re- NGO. The second site is housing ing was held with DOH to assess sponse is ongoing in Tacloban 93 families. The evacuees are the National Online Stock Invento- City. This will be repeated in from coastal barangays and bunk- ry Reporting System and advise the succeeding weeks. houses built on the beach. Bottled on possible future support through There were 84 cases of den- water is being provided by the Logistics Support System. gue fever in Ormoc City in Department of Social Welfare and January, which exceeded the Development (DSWD), there are Surveillance and communicable alert threshold for the area. outside latrines, which IOM is fix- disease control ing and MSF is conducting health Highlights from the EWARN report screenings. The third site is hous- below. For more in-depth infor- Table 1: Summary of SPEED Reporting in Typhoon Yolanda affected Areas 12 – 18 Jan 2014 Region Provinces Municipalities Health Facilities and Reporting Sites (#) VI 2 13 15 VII 0 0 0 VIII 3 40 62 NCR, region 4a and 3 Measles situation update Expanded Catch-up Measles Immunization Campaign Jan 23 - Feb 3 2014 In 2013, there were a total of 2232 confirmed measles cases recorded as of the national measles labora- tory report of 8 Jan 2014. There was a progressive rise in the number of measles cases with laboratory positive & equivocal results from June through November. The total number of cases meeting these criteria rose from just over 300 cases in October to over 800 cases in November. The most recorded cases were from the National Capital Region (NCR), Region IV-A, Bulacan and Pampanga. Most cases occurred in children less than three years of age, and the majority of these were either unvaccinated or had an unknown vaccination status. An “Expanded Catch-up Immunization” will target over 2.2 million children from 6 months to 3 years old residing in all cities in NCR, all provinces and cities in Region IV A, and Bulacan and Pampanga in Re- gion III. The campaign will be health center-based complemented with mobile fixed posts. Recording, reporting and monitoring will be done by DOH, WHO and other partners with mop up for low coverage areas per Rapid Coverage Assessments. The cost of the campaign estimated to be P67 Million. TYPHOON YOLANDA HEALTH CLUSTER BULLETIN 4 January 24, 2014 Vaccination and cold chain Efforts continue towards strength- 8,703 beneficiaries, including The Roxas sub national health ening of dengue reporting through 3,115 pregnant and 3,505 lactat- cluster is reporting that, due to an the established SPEED and the ing women, through pre- and post- natal checkups, health information increase of suspected measles PIDSR systems. In addition, DOH cases in Panay Island, there will sessions, and hygiene kit distribu- be a DOH and PHO mass vac- with support of WHO and RITM tion. cination campaign commenced for has since mid-December been Region VI in January and will con- operating a sentinel dengue sur- In Balangkayan, Eastern Samar, a tinue until March 2014. veillance system in eight selected self-contained reproductive health -care facility (“Clinic in a can”) with health facilities across Region 8, capacity to perform C-sections is Dengue and vector control where dengue rapid diagnostic Dengue cases continue to be re- being set up, which is housed in- tests have been provided to sup- side two shipping containers. It ported across all Yolanda-affected port an understanding of base will be operational by mid- areas. 8, not including Ormoc. In levels of dengue in the communi- February. Ormoc City, 84 suspected cases ty . The selected health facilities of dengue were reported between Currently, the Reproductive are the following: 1 and 20 January. This increasing Health Working Group reports that the partners are struggling to keep trend exceeds the alert threshold 1. Eastern Visayas Reginal Med- up with the demand for the ser- level. Control measures are being ical Centre, EVRMC vices. The working group is esti- implemented by DOH, WHO and (Tacloban City, East Leyte) mating that currently only 7% of partner organisations. 2. MSF Bethany Hospital the deliveries since the typhoon (Tacloban City, East Leyte) can be considered clean deliver- In conjunction with this, there con- 3. Schistosomiasis Hospital ies. tinues to be reports of suspected (Tacloban City, East Leyte) dengue in humanitarian work- Water, Sanitation and Hygiene 4.