46 229 deaths

10 000 deaths

94 200 deaths

5187 deaths

82 deaths

66 deaths

90 deaths

2 deaths

Total 155 981

Update: 6 January 2005 12:53

Somalia 114Kenya 1United Republic of Tanzania 10

South-east Asia earthquake andtsunami, 6 January 2005

Giant earthquakes

• 1952 Russia 9.0 magnitude* • 1957 Alaska 9.1 magnitude• 1960 Chile 9.5 magnitude• 1964 Alaska 9.2 magnitude• 2004 Indonesia 9.0 magnitude

*On the Richter Scale

The Concerns• Trauma and infected wounds• Diarrhoeal diseases• Food poisoning• Vaccine-preventable diseases• Vector-borne diseases• Lost lifelines for vital events e.g. childbirth

and chronic illnesses• Individual and social distress: rumours,

mistakes, psychological trauma• General accrued vulnerability• Loss of health assets

WHO Strategy IMaximising the life-saving and life-preserving value of all humanitarian action:

1. Surveillance of disease. Ensuring that national authorities are able to provide early warning of potential health threats, as they emerge, verify them and trigger a prompt and correct response. Teams of experts have been deployed in countries through the GOARN, producing daily epidemiological updates.

2. Access to essential health care - through assessing and responding to need. Collating information from reviews of the damage to the health service infrastructure and assessment of the health needs of affected populations - analysing the results, together with Health Ministries, as quickly as possible, and making this available to all who seek to save lives and support recovery.

3. Essential public health. WHO provides technical guidance to national and international humanitarian actors, on health policy - including the disposal of dead bodies, responses to disease outbreaks, maintaining water quality, dealing with excreta, sewage and chemical threats, managing chronic diseases, vaccination programmes and maintaining mental health.

4. Strengthening supply systems. Ensuring the supply of medicines, equipment, transport and other vital assets, so that all in need can access the services they require (immediate replacement of lost health assets, supply of emergency health kits, vital vaccines): many of these items are obtained locally, though when external donations are carefully matched to local need, they can make a vital difference. WHO has focused on enabling the in-country health groups to procure these items themselves.

5. Coordination of international health response. WHO helps coordinate and manage assistance and secure the best possible outcomes through briefing of donors, appropriate use of volunteer health workers, involvement of local communities (including women's organisations) and technical support -including common Logistical Supply Systems that are used by the UN system and NGOs.

WHO Strategy II• Reducing avoidable loss of lives and

individual and collective ill-health• Servicing ALL health actors• A channel for the international

concern with the health of the people in the affected countries• An Organization-wide mobilization of capacities and expertise• Shipping Essential Medicines, Cholera and Trauma kits into

the affected countries (150 NEHK + 40 Diarrhoea kits)• A strong regional team in New Delhi• Liaison office Bangkok• Stronger and expanded capacities for coordination and

support, in Banda Aceh and Sri Lanka• Open partnerships: with UNCT, NGO and UNDAC in the field

and with UNICEF, IFRC, ICRC, IOM, and NGOs from Geneva • What WHO is doing, planning and communicating to the media

is on www.who.int

Sri Lanka• Total population 18 910 000• Affected 1.5 million

– East– South– Jaffna, Trincomalee, Batticaloa, Ampara

• Deaths 30 513 MoH• Injured 15 686 MoH• Missing 3870 MoH• Displaced 603 881 MoH

– Over 700 camps• Mine fields in the North-east ???• Needs: Water, sanitation, shelter• WFP 40 000 tons of dry food to the North and

Easter provinces• Presence: WFP, UNICEF, IFRC, ICRCnational

and international NGOs• MoH mobilized 700 doctors – 500 nurses• MoH proposed 26 sub-offices

Update 06.01.05 14:12

WHO activities in Sri Lanka• 8 WHO staff – 3 small WHO teams in country for 12 districts• Proposed 26 sub-offices for affected regions• Supporting disease surveillance: information flow not good enough• Mapping the damages to the health network• WHO Health kits

– NEHK 65 kits needed, 18 in pipeline, 47 arrived

– Diarrhoeal kits 40 needed39 in pipeline1 arrived

– Surgical kits 10 needed10 in pipeline

• 3 logisticians arrived(2 Colombo, 1 Ampara)planned to send total 13

• WHO 2 million chlorine tabs • Strengthening the WHO Country office:

WATSAN expert from NepalPublic health experts from WHO/SEARO, Nepal, WHO/EURO and Australia

Update 6.1.2005

-Jaffna-Trincomalee- Batticaloa- Ampara- Kilincohchi- Mullaittivu- Kalmunai- Monaragala- Baquilla- Ratnapura- Hambantota- Matara- Galle- Kalutara- Colombo- Gampaha- Kegalla- Kurunegala- Puttalam- Andrandhapura- Vavuniya- Mannar- Polonnaruwa- Kandy- Matale- Ratnapura

Source: MoH Update 06.01.2005

Deaths 30 513

Injured 15 686

Source: MoH Update 06.01.2005

Displaced 603 881

Source: MoH Update 06.01.2005

Source: MoH Update 01.01.2005

8357500805 1344 02828 551Total

1924 5572,0002000Mullaitivu

2259 519560Killinochchi

10992,000140Vavuniya

8793 408947Trincomalee

Tangalle

Panadura

Negombo

Mount Lavinia

6440 5001061Matara

Kelaniya

10538 441213Kalutara

4348 7292640Jaffna

3728 7854500Hambantota

150750044 5823724Galle

Elpitiya

1032 0007Gampaha

5424 5001465Colombo

68504Puttalam

103185 637142254Batticaloa

125183 52710 436Ampara

No of Camps

Houses Damaged

Houses Damaged

HospitalizedInjuredDisplacedMissingDeathsDistrict

• Teaching Hospital Mahamodara – equipment washed off – partly damaged – shifted temporary to Karapitya• Central Dispensary Ahangama – completely damaged• Hikkaduwa MoH Office – completely damaged• Maternal and Child Health Clinic – completely damaged

Galle District

• Matara – office of the Deputy Provincial Director – completely damaged• Matara – MoH office matara – washed off – partly damaged• Regional Drug Stores – washed off – partly damaged

Matara District

• Tangalle MoH Office – washed off – partly damaged Hambantota District

• Kanthankudy District Hospital – completely damaged -OPD is functioning in a school• Kanthankudy MoH office – completely damaged• Kallar District Hospital – completely damaged• Vakari Peripheral Unit – completely damaged – new hospital not opened yet• Vakari MoH office – completely damaged• Palameenmandu Rural Hospital – completely damaged• Palamunai Central Dispensary – completely damaged

Batticaloa District

• NilJaffna District

• Mulaitivu District Hospital – completely damagedMulaitivu District

• Kinniya District Hospital – completely damaged – OPD is functioning in a school• Kinniya MoH office – completely damaged• GH Trincomalee – partly damaged• Kuchahaveli Rural Hospital – equipment washed off – partly damaged•Nilaveli Central Dispensary – completely damaged

Trincomalee District

• Sainthamaranthu District hospital – completely damaged• Ninthavur District hospital – partly damaged• Karativu Peripheral Unit – completely damaged• Periyaneelvanai Peripheral Unit District Hospital – completely damaged• Alaiyadivembu Peripheral Unit – completely damaged• Addalachchanai Peripheral Unit – completely damaged• Komari Central Dispensary and Maternity Home – fully damaged• Pothuvil District Hospital – partly damaged•Regional Drug Stores Kalmunai – washed off but building not damaged

Ampara district

Hospitals Destroyed in Sri Lanka (MoH)

Update 03.01.2005

Indonesia• Population 217 131 000• Affected 1-3 million

– Banda Aceh Province population 4 million• Most affected West coast Pusong, Blang Cut,

Jambo and Panti villages, Lhokseumawe city• Kuala Simpang in East of Aceh

– Nias district– Pantai Cermin

• Deaths 94 200• Injured 2196 • Missing 6000• Displaced hundreds thousands• Death toll could rise further• IOM established field hospitals Banda Aceh, Sigli, Meulabohand Ache Timur

• WFP, UNHCR, UNICEF, ICRC, IFRC, NGOs and WHO• OCHA setting up camp for relief workers• 50 % health facilities destroyed• 50 % health staff dead or missing (17 officially reported)• 3 of 6 health centres partially functioning

Update 06.01.2005

135194 081Total

16Aceh Selatan (South Aceh) district15

-4000Aceh Island (Aceh besar district)14

27914 800Aceh Barat (West Aceh) district13

-14 000Aceh Besar District12

-12Sabang municipality11

18Simeulue district (Sinabang)10

-20 500Aceh Jaya district (excluding Calang)9

-5000Calang city (Aceh Jaya district)8

-500Nagan Raya district7

7451864North Aceh district (Aceh Utara)6

2292194Pidie district5

96594Bireun District4

-157Lhokseumawe city3

-224East Aceh (Aceh Timur)2

-30 000Banda Aceh city1

MissingDeathsPlaceNo

Indonesia deaths and missing people

Update 03.01.2005

WHO action in Indonesia• Field presence in Banda Aceh

– Health assessment and coordination (3 working groups: hospitals, WATSAN, mental health)

– surveillance system and lab

• WHO Health kits– NEHK 50 needed

50 arrived• 5 logisticians in the field

(2 Jakarta, 1 Banda Aceh, 2 Medan)planned to send total 13

• Communications extremely difficult• WHO Country office strengthened with public health experts

from WHO/WPRO, PAHO and the US• WHO support the government to set up surveillance systems

Update 06.01.05

Indonesia MoH information 03 Jan 2005

Update 03.01.20057971602Total

16Poldasu Hospital23

Permata Bunda Hospital22

Malahayati Hospital21

2Lantamal TNI hospital20

1Glen eagles hospital19

2Herna hospital18

1Martha Friska hospital17

43Rumkit16

1-Elisabeth hospital15

5-Brimob Hospital14

15-Haji Hospital Medan13

2-Sari Mutiara hospital12

56-Pringadi hospital11

83-Adam Malik Hospital10

North Sumatra

7Iskandar Muda B. Aceh Hospital9

-500Calang Hospital8

1242Simuelue Hospital7

23193Aceh Timur Hospital6

157-PMI hospital Lhokseumawe5

78198Bireun hospital4

1581Langsa Hospital3

2-Melati Perbaungan Hospital2

10888Cut Meutia Hospital, Lhokseumawe1

Aceh Province

In patientsOut PatientPlaceNo

IDPs MoH information 6 January 2005

Update 06.01.2005

165 083Medan

263Jakarta

27 006Banda Aceh city

474 619Total

26 points location28 430Aceh Selatan (Timur, Tamiang

21 points location97 947Aceh Utara district

90 315Pidie district

25 280Aceh Barat (Jaya, Barat, Nagan Raya)

Kuala Langsa Village40 295Ache Besar district

RemarksNumber of IDPsLocation

India• Population 1 049 549 000• Affected

– Tamil Nadu:• 6170 deaths and 202 missing

– Andhra Pradesh:• 111 deaths and 30 missing

– Andaman & Nicobar Islands:• 359 deaths and 5900 missing

– Kerala : 170 deaths and 2 missing– Pondicherry: 520 deaths 330 missing

• Deaths 10 000• Missing 5918• No help requested – the Indian Government is still

assessing the damages and providing support• India sent relief to Sri Lanka and Maldives

– 2 hospital ships

Update 05.01.05

WHO activities in India

• WHO Health kits– NEHK 25 needed

25 in pipeline– Surgical kits 10 needed

10 in pipeline

Maldives• 54 deaths and 61 missing• Population 309 000• Affected 223 957• Deaths 82• Missing 26• Displaced 11 216

– Health network severely affected in at least 10% of the islands

– Extreme scarcity of drinking water

– Diarrhoea increasing already• UNDAC team on the ground

since 28 December

Update 05.01.2005

WHO activities in Maldives

• WHO country office strengthened with two water engineers

• One public health experts expected from WHO/EURO

• WHO Health kits– NEHK 10 needed

10 arrived– Surgical kits 10 surgical kits needed

10 arrived• Planned to send 1 logistician to Male Update 05.01.05

Malaysia• Population 23 965 000• Affected

– Pulau Pinang 50 deaths– Kedah 10 deaths– Perak 4 deaths– Selangor 1 death

• Injured 675• Deaths 66• Missing 6• Displaced 8 000• Cases of diarrhoea detected 11 (2 Pulau Pinang, 9 Kedah)• Establishment of medical teams total 7 (Kedah, Perak, Perlis,

Pulau Pinang)• Establishment of health teams total 6 (Pulau Pinang, Kedah,

Perak, Perlis)

Update 05.01.05

Thailand• Population 62 193 000• The provinces of Ranong,

Phang-Nga, Phuket, Krabi, Trang and Satun were Severely affected

• Deaths 5246 (official)

• Injured 8457 (official)

• Missing 4499 (official)

• Two MOH teams sent to the South • UNDAC team on the ground (with WHO participation)

Update 06.01.05

845752464499Total

1560Satun

11251Trang

24617216Ranong1111262700Phuket13766671669Krabi559741342113Phang Nga

InjuredMissingDeath

Information from Ministry of Interior, Thailand

Other affected countries• Myanmar :

– 17 villages were destroyed – 90 persons perished so far– assessments continue

• Somalia :– 200 people were killed – estimated 30 000 will need assistance– 50 000 displaced

• Tanzania and Kenya also hit

• Bangladesh :two people were killed

Update 01.01.05

Total needs 150 NEHK + 40 Diarrhoea kitspipeline 43 NEHK + 39 Diarrhoea kitarrived 107 NEHK + 1 Diarrhoea kit

6 January 2005

New Emergency Health kits and Diarrhoeal kits to South Asia region

Sri LankaNeeds 65 + 40 Diarrhoea Pipeline 18 + 39 DiarrhoeaArrived 47 + 1 Diarrhoea

IndiaNeeds 25Pipeline 25Arrived -

IndonesiaNeeds 50 Pipeline -Arrived 50

MaldivesNeeds 10Pipeline -Arrived 10

Total needs 70pipeline -arrived 70

6 January 2005

Surgical kits to South Asia region

Sri LankaNeeds 10Pipeline -Arrived 10

IndiaNeeds 10Pipeline -Arrived 10

IndonesiaNeeds 40Pipeline -Arrived 40

MaldivesNeeds 10Pipeline -Arrived 10

Total 38

6 January 2005

Indonesia total 21

Planned WHO staff in South Asia region

WHO Regional Office in New Delhi total 6- 1 logistician- 1 HR officer- 1 admin/finance officer- 2 communications officers- 1 information officer

Sri Lanka total 5- 1 team leader- 4 logisticians

Aceh (16)-1 head of operations-1 head of office-2 information officers-1 fleet manager-2 IT officers-1 communications officer-4 logisticians-4 admin officers

Jakarta (2)-1 head of operations-1 logistician

Medan (3)-2 logisticians-1 admin officer

Maldives 6- 1 emergency coordinator- 1 epidemiologist- 1 logistician- 1 admin/finance officer- 2 local admin assitants