YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORT

TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS

FOOD

WEATHER OUTLOOK

2 DEC 2013(As of 8 AM EST)

PHILIPPINESNATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCILPHILIPPINE ATMOSPHERIC, GEOPHYSICAL AND ASTRONOMICAL SERVICES ADMINISTRATIONDEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENTDEPARTMENT OF HEALTH DOH PHILIPPINE HEALTH ATLASDEPARTMENT OF TRANSPORTATION & COMMUNICATIONSDSWD DISASTER MITIGATION AND RESPONSE SITUATION MAP OFFICIAL GAZETTEPHILIPPINE COAST GUARDPHILIPPINE INFORMATION AGENCYWEATHER PHILIPPINESTHE MANILA TIMESGMAPROJECT NOAH

INTERNATIONAL/REGIONAL RELIEFWEBOCHA HUBHumanitarian Response - The Philippines

EUROPEANHUMANITARIAN AID AND CIVIL PROTECTIONCEDIM

UNITED STATESTHE DEPARTMENT OF STATEOFDANOAAPACOMJOINT TYPHOON WARNING CENTERNASAVOAUS EMBASSY – THE PHILIPPINES

HEALTH INFORMATIONCDCDISASTER INFORMATION MANAGEMENT CENTER

PORTALS AND RESOURCESMapActionASEAN COORDINATING CENTER FOR HUMANITARIAN ASSISTANCE ON DISASTER MANAGEMENTGDDACPREVENTION WEB – PHILIPPINES THOMAS REUTERS FOUNDATIONUNDERGROUND WEATHERGOOGLE CRISIS RELIEF MAPHUMANITY ROADPACIFIC DISASTER CENTER

BACKGROUND

CURRENT SITUATION

5,670INJURED DEAD

26,233CLUSTER LEADS

HEALTH

NUTRITION

WASH

EMERGENCY SHELTER

PROTECTION

LOGISTICS

CLUSTER MEETINGS

COORDINATION HUBS

EMERGING NEEDS/ PRIORITIES

US RESPONSE

BACKGROUND

SOURCES: PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

WIKIPEDIA - TYPHOON HAIYAN

Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine typhoon on record, killing at least 5,670 people.

The thirtieth named storm of the 2013 Pacific typhoon season, Haiyan originated from an area of low pressure several hundred kilometers east-southeast of Pohnpei in the Federated States of Micronesia on 2 November. Tracking generally westward, environmental conditions favored tropical cyclogenesis and the system developed into a tropical depression the following day.

After becoming a tropical storm and attaining the name Haiyan at 0000 UTC on 4 November, the system began a period of rapid intensification that brought it to typhoon intensity by 1800 UTC on November 5.

By 6 November, the Joint Typhoon Warning Center (JTWC) assessed the system as a Category 5-equivalent super typhoon on the Saffir-Simpson hurricane wind scale; the storm passed over the island of Kayangel in Palau shortly after attaining this strength.

it continued to intensify; at 1200 UTC on 7 November the Japan Meteorological Agency (JMA) upgraded the storm's maximum ten-minute sustained winds to 235 km/h (145 mph), the highest in relation to the cyclone. At 1800 UTC, the JTWC estimated the system's one-minute sustained winds to 315 km/h (195 mph), unofficially making Haiyan the fourth most intense tropical cyclone ever observed.

On the morning of 8 November, category 5 Typhoon Haiyan (locally known as Yolanda) made a direct hit on the Philippines, a densely populated country of 92 million people, devastating areas in 36 provinces. The eye of the cyclone made its first landfall in the Philippines at Guiuan, Eastern Samar, without any change in intensity.

AFFECTED AREA: Regions VIII (Eastern Visayas), VI (Western Visayas) and VII (Central Visayas) are hardest hit, according to current information. Regions IV-A (CALABARZON), IV-B (MIMAROPA), V (Bicol), X (Northern Mindanao), XI (Davao) and XIII (Caraga) were also affected. Tacloban City, Leyte province, with a population of over 200,000 people, has been devastated, with most houses destroyed. An aerial survey revealed almost total destruction in the coastal areas of Leyte province.

OCHA

BACKGROUND

WEATHER OUTLOOK

Daily AccuWeather PAGASA PAGASA Gale Warning PAGASA weather report PDF

GALE WARNING NO. 30For: Strong to gale force winds associated with the surge of Northeast Monsoon.

Issued at 5:00 a.m. today, 2 December 2013

Strong to gale force winds is expected to affect the seaboards of Northern Luzon and the eastern seaboard of Central and Southern Luzon.

Synopsis:

Tail-end of a cold front affecting Central Luzon.

Forecast:

The provinces of Aurora and Quezon will experience cloudy skies with moderate to occasionally heavy rain showers and thunderstorms. Cagayan Valley and Bicol region will have cloudy skies with light to moderate rain showers and thunderstorms. The rest of Northern and Central Luzon will be partly cloudy to cloudy with isolated light rains. Metro Manila and the rest of the country will be partly cloudy to cloudy with isolated rain showers or thunderstorms.

Moderate to strong winds blowing from the Northeast will prevail over Luzon and the coastal waters along these areas will be moderate to rough. Elsewhere, winds will be light to moderate coming from the northeast with slight to moderate seas.

EMERGING NEEDSMEDICAL AND PUBLIC HEALTH

• Data needed from families about those thought to be dead for identification and processing

• Ormoc lacks food for patients, wound care supplies, fluids, and surgical instruments

• Children migrating from evacuation centers are hampering vaccine campaign efforts

• Damage to birthing centers and equipment • The limited presence of partners on the ground and security

concerns, especially in Tapaz and Capizare challenging the scale-up of integrated nutrition interventions

FOOD, WATER, AND SANITATION• Gaps in immediate food assistance remain in small islets,

northern Cebu, and some coastal areas of Eastern Samar• Populations living in mountainous areas are also in need of

assistance • More funding needed for agricultural inputs needed• Damage has been reported to reservoirs, service connections,

distribution pipes and pump houses in 68 water districts across all affected provinces

• Available tankers in Tacloban City can supply 224 to 336 m3 of potable water but the total capacity of the installed bladders so far is 95m3

• More humanitarian partners are required to engage in sanitation activities to cover the scale of the needs

• Open defecation is an issue in many areas

SECURITY• Growing gender based violence risk among women and

children obliged to work to make ends meet• The presence of female police remains limited• Security personnel lack knowledge of protection issues• IDPs are living in dark and congested evacuation centers or

make-shift dwellings without partitions and proper roofing

LOGISTICS• Heavy equipment for debris clearing and waste disposal needed• Warehouses for storage are in short supply• Need for shared IT and telecommunications services for the

humanitarian community (Iloilo, northern Cebu and Basey)• A 2-3 day delay on ICT equipment deliveries is occurring due to a

strengthening of customs controls• There is little capacity at Ormoc airport and nothing to cover

cargo in order to protect it from rain• Operations in Tacloban Airport is still limited• Transportation for internally displaced people leaving Tacloban

City and Ormoc City• Limited availability of trucks for water-trucking

OTHER• Basic teaching and learning supplies needed• Sports and recreation materials needed• Temporary learning and child-friendly spaces needed• More information collected about status of schools (especially

Region 8)• Local Government Units need funds for recovery and

reconstruction projects• Personal protective equipment and tools needed for additional

emergency employment activities• Sex- and age-disaggregated data on IDPs is unavailable• Loss of personal legal documents• People lack radios and mobile phones lost during the typhoon

• OCHA Situation Report No. 19• NDRRMC SitRep No. 49• MIRA multi-cluster initial rapid needs assessment

SHELTER & URGENT HOUSEHOLD ITEMS• 1,137,681 houses were damaged, of which 579,228 were

completely destroyed• 224,177 people are living in 1,104 evacuation centers• Over 3.8 million displaced people are living outside of

evacuation centers• Better management of camps is needed

EDUCATION• A quick resumption of schooling is important to ensure that

students do not fall back on the academic year and are able to catch up

• 84% of children have not returned to school• Repairing and rehabilitation of damaged and/or destroyed

buildings• Recruiting teaching staff, and providing incentives to teachers• IDPs in schools need protection and proper shelter assistance

when classes resume in Tacloban City in January and Ormoc City in December

OTHER• 5.6 million affected, with livelihoods and sources of income

destroyed, lost or disrupted• Debris clearance is still a priority

• Houses, schools, and hospitals• Roads (Tacloban city barangays 87, 88, and 89)

• Logistics support is required to provide life-saving supplies quickly and efficiently to affected people

• Communities have no/limited access to newspapers and television (eastern coast of Samar and Leyte and inland areas)

EMERGING PRIORITIESFOOD AND WATER

• Life-saving food assistance needed for 2.5 million people• 865,305 people working in the agriculture sector affected

• On average 74% of standing crops lost• On average 64% of tree crops lost

• On average, fishermen lost 65% of their equipment• Farmland needs to be cleared of debris• Communal irrigation canals need to be de-silted• Up to 27% of affected population are without access to

safe sources of drinking water • 4.5 million people need access to life-saving WASH

interventions inside and outside evacuation camps

ESSENTIAL HEALTH SERVICES• The 5 leading health outcomes are: open wounds and

bruises, acute respiratory infection, hypertension, fever, and skin disease

• Tetanus vaccination and immunization• Community-based management of acute malnutrition

needed for children aged 6-59 months• Blanket supplementary feeding programs for up to 40,000

children aged 6-23 months• Emergency programs for infant/young child feeding for

children aged 0-23 months and pregnant women• Referral services for gender-based violence survivors need

to urgently be reactivated to ensure that they are functioning to their usual standard

• Up to 60% of health facilities were destroyed• Up to 50% of health workers were impacted

• Many are not back to work in severely affected areas (Leyte and Eastern Samar)

• OCHA Situation Report No. 19• NDRRMC SitRep No. 49• MIRA multi-cluster initial rapid needs assessment

CURRENT SITUATION

http://www.mapaction.org/deployments/mapdetail/3115.html

CURRENT SITUATION

http://reliefweb.int/sites/reliefweb.int/files/resources/MA3001_3wGuiuan_v1-300dpi.pdf.pdf

FOOD: 2.5 million people are in need of food assistance, but nutrition supplies are inadequate and logistical constrains hamper delivery of food. OCHA mentions 2 million individual rations were distributed in Leyte Province.

POWER OUTAGE: • As of 22 November 2013, NGCP reported that there were a total of 1,959

transmission facilities that were damaged including backbone transmission lines, steel poles, and converter station; electricity has been restored in Ormoc City, Leyte; and in the municipalities of Anilao, Banate, Barotac Viejo & Ajuy, all of Iloilo.

• To date, power outage is still being experienced in some provinces and municipalities in Regions IV-B, V, VI, VII, and VIII.

WATER:• Water supply in Leyte is sufficient as of 15 November 2013 • Water supply system in Busuanga town proper is functional. Coron,

however, is implementing a rationing system • In Roxas, Capiz, Metro Roxas Water District and Municipal Water District

has resumed services, but water supply remains limited • Forty percent of municipal water districts in Antique and 70% in Iloilo are

already operational

As of 2 DEC 2013 – 6:00 AM PhT

CASUALTIES: 5,670 individuals were reported dead, 26,233 injured and 1,761 missing.AFFECTED POPULATION:A total 2,376,210 families (11,236,014 persons) were affected in 12,075 barangays in 44 provinces, 588 municipalities and 57 cities of Regions IV-A, IV-B, V, VI, VII, VIII, X, XI and CARAGA.888,253 families (4,094,029 persons) were displaced.

Inside 1,031 evacuation centers:• 44,906 families / 204,131 persons inside evacuation centers• 843,347 families/ 3,889,898 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA):

• DAMAGED HOUSES: 1,176,537 houses damaged (586,227 totally / 590,310 partially)

• INFRASTRUCTURE: The total cost of damages was pegged at PhP 34,366,518,530.67/$786,419,353.49 with PhP 17,333,367,534.29/$ 396.644,649 for infrastructures and PhP17,033,150,996.38/$ 389,997,838 for agriculture in Regions IV-A, IV-B, V, VI, VII, VIII, and CARAGA

Damages to Infrastructure: • Roads/Bridges and other structures: PhP14,482,253,884.29/ $331,591,477• Flood Control: PhP230,393,000.00 /$5275170.• Health Facilities: PhP310,897,000.00 / $7,118,422• Schools: PhP 2,309,823,650.00 / $52,886,646Damages to Agriculture: • Crops (rice, corn other crops): PhP6,989,150,764.29 / $159,934,833• Livestock: PhP2,216,056,243.20/ $50,710,679• Fisheries: PhP5,964,381,458.89/ $136,484,730• Irrigation facilities: PhP212,700,000.00/ $4,867,277• Other agricultural infrastructure: PhP1,650,862,530.00/ $37,798,808

CURRENT SITUATION

NDRRMCPAGASA

OCHA CARITAS TELECOMS SANS FRONTIERES

ROADS AND BRIDGES: 2 roads in Regions VI and VIII remain impassable. The lack of access to affected areas due to blocked roads and damaged infrastructure, limiting assessment and response activities.

AIRPORTS: To date, operations in Tacloban Airport is still limited.

SEAPORTS: All seaports are operational. • The Philippine Ports Authority has taken over the Port of Tacloban. • A total of 16 barges is now operating and travelling from Matnog, Sorsogon

Port to Allen, Northern Samar, while sea crafts taking off from Bulan Port, Sorsogon to Allen, Northern Samar are solely for mercy missions.

CURRENT SITUATION

http://reliefweb.int/sites/reliefweb.int/files/resources/MA008_SituationOverview_v19-300dpi.pdf.pdf

• An oil spill incident occurred during the height of the storm surge episode during typhoon Yolanda in Estancia, Iloilo last 08 November, 2013.

• The power barge sustained damage to its hull which also serves as storage for its fuel requirements. As a result, an estimated 850,000 liters of bunker fuel has leaked out of the fuel tanks into the water and coastline with 550,000 liters of bunker oil still in the fuel tanks and have to be unloaded.

• The Department of Health has recommended the mandatory evacuation of about 5,000 persons / 1,174 families living in the community.

IRIN – 29 NOV 2013 HEARS CURRENT SITUATION NOV 24, 2013NATION POWER CORPORATION

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

• Test results have showed that the level of the toxic substance benzene in the air in the community reached 16.9 parts per million or 30 times more than the allowable level of 0.5 ppm..

• National Power Corporation (NPC ) deployed the spill booms of PB103 supplemented with spill booms provided by the Philippine Coast Guard. Spill booms from PSALM’s Power Barges 101 and 102 were also transported from Iloilo City and deployed to help prevent the spilled oil from drifting away from the immediate vicinity of the damaged power barge.

• NPC, with the able assistance of the Philippine Coast Guard, also engaged the services of the local community to manually scoop the spilled fuel oil and place the same in available containers before it can be hauled off for proper disposal.

• Napocor has pledged to tow the barge to a docking facility by 6 December and to complete the clean-up within three months.

Oil barge ashore in central Philippine province of LOILO that has spilled an estimated 850,000 litres of bunker oil, adding to distress of typhoon survivors in a fishing village in northern Panay island in central Philippines© Ana Santos/ IRIN

NOTE: Repeated exposure to benzene and inhalation can cause a burning sensation on the skin, pulmonary irritation, or acute inhalation poisoning

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

HOSPITALS:

• Eight (8) hospitals in Leyte (Eastern Visayas Regional Medical Center, Schistosomiasis Hospital, Divine Word Hospital, Remedios Romualdez Hospital, Ormoc District Hospital, Dr. Manuel Veloso Memeorial Hospital, Tabango Community Hospital and Abuyog District Hospital) ,

• Three (3) in Eastern Samar (Borongan District Hospital, Eastern Samar Provincial Hospital, Balangiga District Hospital) are being providing services.

• The electricity of EVRMC is provided by a 650 KVE generator. Likewise, out of 451 employees of the hospital 370 resumed to their work. The laboratory department is fully operational and radiologic imaging is possible, except for the CT scan.

• Surveillance during Post Extreme Emergencies and Disasters (SPEED) had been activated in Region VIII since November 11, 2013. Data received from the reporting health facilities are being processed and analyzed daily

WHO #3WHO - #2HEARS PLUS – 1 DEC 2013HEARS PLUS – 28 NOV 201327 NOV 2013 USAID FACT SHEET

NOTE: THE LASTEST TYPHOON YOLANDA HEALTH CLUSTER ISSUE #3 IS POSTED

AS OF 1 DEC 2013• Foreign Teams: 94• DOH Teams: 86• Local Teams: 26

SURVEILLANCE:

• A total of 4,381 consultations ( < 5 y/o. 1,324 / >= 5 y/o.3, 057 ) under SPEED were reported from seven (7) reporting facilities ( 3 hospitals namely : Dr. Manuel B. Veloso Memorial Hospital and Tabango Community Hospital and Villaba Community Hospital ) and 4 Municipal Health Office namely Kananga, Merida, Palompon, Tabango MHO) of six municipalities of Leyte ( Kananga, Merida, Palompon, Tabango and. 30. 2 % of these consultations were among children below five years old.

• The top 5 consultations were acute respiratory infection (2,844)64%, fever(305) 6. 96%, Hypertension(282) 6.43 %, wound with bruises (226) 5.15% and skin disease (163) 3.72%.

• Other consultations seen, suspected leptospirosis (5) 0.1%,suspected measles

(5) 0.1%, acute hemorrhagic fever(16) 0.36%, acute watery diarrhea(115) 2.62% and acute malnutrition(5) 0.1%

Note: The top five SPEED consultations does not reflect the whole medical consultations of region VIII.

FROM NOVEMBER 29 TO 30, 2013

FROM NOVEMBER 10 TO 28, 2013

• A total of 346 consultations (< 5 y/o. 123 / >= 5 y/o. 223) under SPEED were reported from three (3) reporting facilities. These facilities includes 2 hospitals (Dr. Manuel B. Veloso Memorial Hospital and Clinica Gatchalian Hospital), and 1 Municipal Health Office (Capoocan). Among the consultations, 35.54% are children below five years old.

• The top 5 consultations were acute respiratory infection (120) 34.6%,

hypertension (37) 10.6%, Skin diseases (8) 2.31%, Acute watery diarrhea (6) 1.73%, wound with bruises (6) 1.73% and Fever (5)1.45 %.

• Consultation warranting immediate attention is acute watery diarrhea

(6) 1.73 %. This was reported from Capooocan Municipal Health Office and Dr. Manuel B. Veloso Memorial Hospital.

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

LEPTOSPIROSIS• A 58-year-old man from Palo died due to leptospirosis on 20 Nov while 13

others have been diagnosed with leptospirosis. Six of the 13 cases of leptospirosis monitored by health authorities were from Tacloban, while the rest were from Palo, Jaro and Alangalang towns, all in Leyte province.

• The 13 cases were reported from 9-26 NOV and were treated at EVRMC.

• In anticipation of a possible surge of leptospirosis cases in the city and other typhoon-hit areas in Leyte, the DOH has distributed doxycycline, an antibiotic, to prevent the spread of the disease. The public is warned against wading in flood and mud, especially those who are involved in clearing operations.

DENGUE AND CHIKUNGUNYA• Dengue and chikungunya—mosquito-borne viruses—are endemic throughout

typhoon-affected areas, and massive debris piles are likely increasing breeding areas for mosquitos.

• The GPH has considered the islands of Leyte and Samar malaria-free for 10 years; however, health partners have expressed concern that population movements and the interruption of mosquito control campaigns could result in the re-introduction of malaria. Health officials also remain concerned about leptospirosis, a bacterial disease present in affected areas.

• The DoH, WHO, and vector-borne disease specialists continue to assess the vector-borne disease surveillance system. In addition, Health Cluster partners have initiated disease-prevention campaigns and are conducting capacity building activities to strengthen the ability of local health facilities to respond in the event of an outbreak.

WHO #3WHO - #2HEARS PLUS – 1 DEC 2013HEARS PLUS – 28 NOV 201327 NOV 2013 USAID FACT SHEET

NOTE: THE LASTEST TYPHOON YOLANDA HEALTH CLUSTER ISSUE #3 IS POSTED

HEALTH FACILITY STATUS PER AFFECTED REGION A

• Among the 1,034 existing health facilities in Regions IV-B, VI, VII, and VIII, 21 % (221 HFs) of the health facilities were reported damaged but despite the damages incurred, 81% (841 HFs) still remain to be functional and operational.

• Eight (8) DOH Hospitals from the affected regions were partially damaged but

remain to be functional and fully operational while 11 % (113 HFs) of other health facilities including private and LGU hospitals as well as the BHS, RHUs and other health offices are being managed by local and international team for continuance of health service delivery.

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

VACCINATION CAMPAIGN: The mass vaccination campaign for measles, polio and vitamin A dosage started on 26 NOV in Tacloban. The campaign is supported by WHO, UNICEF and other health cluster partners. Patients with wounds have been provided with tetanus toxoid as the risk of tetanus still exits. Vaccines are sup-plied mainly through local procurement but additional donations from international entities are still welcome.

While the cold chain was brought from other sites for Tacloban to start the campaign, shortages still exit to continue the vaccinations in other parts of Region VIII. UNICEF, in support of DoH, is conducting cold chain assessments for regions VI, VII and VIII.

HEARS CURRENT SITUATION 26 NOV 2013HEARS CURRENT SITUATION NOV 25, 2013HEARS CURRENT SITUATION NOV 24, 2013

MATERNAL HEALTHIt is estimated that 3.2 million women and girls of child-bearing age are affected by the crisis. An estimated 233,697 pregnant and 155,798 lactating women need specialized services for prenatal, postnatal, child health, health promotion and family planning, including 7,973 pregnant and 4,716 lactating women. Daily, an estimated 865 births take place in the affected communities, of which 129 will experience potentially life-threatening complications

PUBLIC HEALTH RISKSThe main public health risks have been identified as follows:

• Disruption in the health sys-tem including lack of health facilities, primary and secondary health care delivery and the subsequent disruption to universal access to health care

• Communicable diseases especially in view of the disruption to the surveillance system and problems related to water and sanitation, overcrowded living conditions and low vaccination coverage prior to the event especially for measles. Cholera, dengue and leptospirosis are endemic in many of the affected areas, increasing the risk of out-breaks of these diseases in view of the increased vulnerability of the affected population.

• Chronic diseases including interruption of treatment for disease needing long term treatment. This is an in-creasing problem as chronic diseases including hyper-tension and diabetes ac-count for a large number of morbidity and mortality

• Reproductive health – high number of pregnant women about to deliver, low capacity of health facilities to de-liver obstetric and surgical care

• Disruption in cold chain and medical provisions

• Lack of water and low sanitation level, and low capacity for waste management, including medical waste

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT A rapid assessment by IMC shows that mental health is a significant concern for affected populations and the current response measures are insufficient to meet all the needs. The government is discussing the means to train national health professionals on delivering mental health and psychosocial care to the affected population. A mental health expert from WHO is in Manila to help coordinate the actions in support of the DoH.

WHO - #3WHO - #2

DAMAGED HEALTH FACILITIES BY CATEGORIES AS OF 1 DEC 2013

DOH DAMAGED HEALTH FACILITIES BY CATEGORY AS OF DECEMBER 1, 2013 03:19 PM

Affected Health Facilities

# of Affected Health

FacilitiesFunctional

Not Functional

Partially Damaged

Completely Damaged

Infrastructure EquipmentEstimated Total Cost of Damage

Barangay Health Station

707 385 130 373 119 17,985,000.00 0 36,805,012.00

City / District Health Center

6 6 0 5 1     0

City Health Office 5 5 0 2 0 0 0 60,000.00

LGU Hospitals 60 48 6 35 8 50,852,000.00 13,250,000.00 66,743,000.00

Municipal Health Office

1 1 0 1 0     0

Private Hospital 3 2 1 0 0     0

Retained Hospital 5 5 0 3 0 19,560,000.00 10,000,000.00 29,560,000.00

Rural Health Unit / Health Center

139 110 13 81 13 49,586,695.00 4,408,000.00 53,994,695.00

Grand Total (8 detail records)

TOTAL 926 562 150 500 141 137,983,695.00 27,658,000.00 187,162,707.00

DOH MEDICAL TEAMS

TACLOBAN

BORONGAN

CATBALOGAN

Basey

BASEY, BALAGIGA, LAWAAN, MARABUT

SALCEDO, MERCEDES

ORMOC

TANAUN, TOLOSA, DULAG, PALO, SAN JOSE

Information gathered from Department of Health update report on Response to Typhoon Yolanda - 1 DEC 2013

PALPOMPON

FOREIGN MEDICAL TEAMS

http://typhoonyolanda.doh.gov.ph/images/Updated%20DOH%20Report%20on%20Yolanda%20Nov%2029%20as%20of%206pm%20v2.pdf

FOREIGN MEDICAL TEAMS

http://typhoonyolanda.doh.gov.ph/images/Updated%20DOH%20Report%20on%20Yolanda%20Nov%2029%20as%20of%206pm%20v2.pdf

HEALTH INFRASTRUCTURE

• 1 LGU Hospital (Ormoc District Hospital) partially functional• 1 Private Hospital (OSPA Farmers Medical Center) not functional• 2 Private Hospitals (Gatchalian Hospital; and Maternity and Children’s

Hospital) partially functional• 1 Private Hospital (Ormoc Doctors Hospital) fully functional• 5 RHUs (Curva, Linao, Cogon, Ipil[partially damaged], Valencia) functional• 1 RHU (San Pablo District Hospital) completely damaged • 16 BHS in Ormoc City, and 34 in greater Ormoc completely damaged

FOREIGN• MERCY MALAYSIA at Ormoc District Hospital providing patient services, operating

mobile clinics and serving local communities. Also at Valencia Rural Health Center. Supporting the Medevac services which being operated/ provided by the Italian and Philippine army. The rehabilitation still underway at Ormoc District Hospital.

• SWISS HUMANITARIAN AID UNIT Over 1250 tetanus shots given to Ormoc District Hospital, in addition to other relief supplies donated to the Leyte area.

• MSF-HOLLAND: setting up field unit and sent mobile clinic units• JOHANNITER GERNAMY , BALAY MINDANAW Medical missions in 6 barangays (San

Juan, Liloan, Lao, Linao, Naungan and Nadungholan) and 2 evacuation centers (Ormoc Central Elementary School and Linao Elementary School) VIDEO LINK

• IFRC-CANADIA AND NORWEGIAN at Ormoc District Hospital area with operating theater, maternity wards and inpatient services. Working in collaboration with other teams and Philippines Red Cross.

• Euro Volunteers-France - team is currently in Ormoc City, Leyt.e• CANADIAN MEDICAL ASSESSMENT TEAMS(CMAT) based near City Hall. Rotating team

joined NGO Plan International and visiting mobile clinics and bangarays. Setting up Field Hospital in city center near CMAT base.

• CHINA AID - sent the Peace Ark,10,000-ton-class fully equipped hospital ship.

LOCAL OR OTHER• THE PHILIPPINE COLLEGE OF PHYSICIANS San Pablo City Medical Society, Chapter,28 medical

doctors on site and coordinated by the DOH.• Philippine College of Physicians (PCP) Southern Luzon Chapter - 25 medical doctors on site and

coordinated by DOH• PHILIPPINE NATIONAL RED CROSS Coordinating with international Red Cross chapters. 

Operation areas include the Ormoc District Hospital. VIDEO LINK

HEALTH AND MEDICAL – ORMOC

PH Health Atlas—Monitoring as of Nov 30Task Force Yolanda Matrix DOH as of Nov 29Reliefweb APAN

A volunteer doctor from Mercy Malaysia providing medical relief at one of the clinics

Red Cross delivering supplies t communities around Ormoc

HEALTH AND MEDICAL – TACLOBAN

• Taclobon Assessment shows that there are currently 5 health facilities operational including one public tertiary level hospital and four private hospitals. All five are being supported by public health workers and foreign medical teams that are co-located at the facilities.

• A secondary level field hospital is operational at the Tacloban airport supported by the Australian government.

• Humedica (NGO) has also conducted a rapid structural assessment of

Mother Mercy Hospital. Results show that the 4-storey hospital is serving about 130 – 200 outpatients per day from the community. Part of the ground floor has been converted to a minor surgery center. The major damage was loss of about 40% of the roof sheeting and the roof structure. This damage has resulted in water ingress into the first and second floors making these floors unusable, particularly with the frequent rains.

• A similar rapid structural assessment of Bethany Hospital conducted by MSF France in Tacloban shows minor damage to windows and door in one of the operating rooms. One of the three operating theatres remains completely untouched and will be functional for internal fixation surgery once a generator is in-stalled. One of two-story buildings of the hospital was severely damaged. Over 50% of the roof structure was destroyed in the Typhoon and numerous windows were damaged on the 2nd story. This has made the entire upper floor unusable.

HEALTH INFRASTRUCTURE

Japan Disaster Relief team is using these medical tents in Rizal park, Tacloban.

AusMAT team members perform surgery on a patient in the surgical theatre tent at the AusMAT medical facility in Tacloban.Supplied: Gemma Haines/DFAT

PH Health Atlas—Monitoring as of Nov 30Task Force Yolanda Matrix DOH as of Nov 29

HEALTH AND MEDICAL – TACLOBAN

KOICA is stationed at the Tacloban St. Paul Hospital. They are able to provide medical care. (20 people)

Australian Medical Assistance Team has deployed a 50 bed field hospital. They have x-ray capabilities, two operating rooms, and five triage tents. They are in operation near the airport. (34 people)

Japan International Cooperation Agency has teams in Samar and Tacloban. They are able to provide medical support and have a sonogram. The 2nd medical team arrived on 21 NOV and continue treating patients in Rizal Park as well as supporting Basey District Hospital in Basey on the island of Samar. Also, a plan is underway to gather information and carry out an assessment of new medical needs in the affected area.

MSF (France) has teams on the ground in Tacloban and Cebu. They have doctors and an orthopedic specialist. More doctors are expected to arrive soon. (15 people)

USA – ACTS

HEALTH - NEEDS

NEEDS:• Data from emergency disease surveillance reports indicate that the five

leading health events are open wounds and bruises, acute respiratory infection, hypertension, fever and skin disease.

• Reports of tetanus cases in Eastern Visayas Region indicate a need to provide tetanus vaccination and tetanus immunoglobulin.

• To better facilitate identification and processing of bodies, there is a need to obtain ante-mortem data from families about those thought to be dead.

• Partners estimate that Region VIII (Eastern Visayas) has the highest concentration of health needs related to the typhoon.

• National data estimates that 25 per cent of the adult population (over 21 years) suffers from hypertension, and 5 per cent from diabetes. Primary health care services are required to treat these people.

• Better polio and measles vaccination coverage is needed. In 2012, only 18 per cent of children under 5 were fully immunized against measles, and 83 per cent against polio.

• An estimated 865 births occur daily in affected communities, with around 15 per cent experiencing potentially life-threatening complications. Reproductive health kits are urgently needed.

HEALTH

OCHA SITREP 6 - 12 NOV 2013PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

OCHA SITREP 8 – 14 NOV 2013OCHA SITREP 9– 15 NOV 2013OCHA SITREP 10– 16 NOV 2013

OCHA SITREP 11– 17 NOV 2013

• The need for treatment capacity for TB, acute respiratory infections, dog bites, and wounds related to debris-clearing and reconstruction is increasing.

• The need for emergency trauma care is decreasing, whilst the need for primary health care is increasing.

• Repairs to health care facilities and basic services for patients – including food and water – are urgently needed. Immediate action is needed to provide a safe water supply at the Eastern Visayas Referral Medical Centre, the main hospital for the region.

• In Ormoc, partners confirm that the health situation is stable despite a few cases of upper respiratory infection in children under five. Health services have been fully restored, but drug supplies are running low.

• Solar refrigerators and solar lamps are required for rural health units in areas still without power.

• Basic and essential health care services must be expanded, including for routine surgeries (e.g. Caesarians).

• As of 19 November, 942 (mainly hospitals) of 2,495 health facilities in the affected area have been assessed; 104 are not functioning (11 per cent). However, village-level health facilities are also largely not functioning, creating a serious gap in health care.

• Most drugstores have been looted and medicines, including family planning supplies, are urgently required, particularly in Tacloban City.

OCHA SITREP 12– 18 NOV 2013OCHA SITREP 13– 19 NOV 2013

OCHA SITREP 14-20 NOV 2013

OCHA SITREP 15-21 NOV 2013OCHA SITREP 16-22 NOV 2013

OCHA SITREP 22-25 NOV 2013

OCHA SITREP 25-27 NOV 2013

OCHA SITREP 27-28 NOV 2013

HEALTH - RESPONSE

OCHA SITREP 6 - 12 NOV 2013PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

RESPONSE:

• 184 medical teams (67 foreign, 90 governmental and 27 local) are providing emergency health services.

• The measles and polio vaccination campaign in Tacloban has started.

• The Department of Health has deployed a team of lab specialists to re-enable laboratory facilities in Tacloban City.

• In Tacloban, partners have made available as referral a hospital ship of 300 beds, delivering specialty services not provided by others in the area.

• A health facility has been established in Estancia to serve people with temporary housing due to the oil spill.

• Partners have delivered tents, generators, cold chain equipment, medicine and about 11,000 body bags to priority facilities.

• Clean delivery kits, midwifery kits and kits for treatment of sexually transmitted infections, each to serve 40,000 people, as well as clinical delivery equipment and drugs for 90,000 pregnant women, are available through UNFPA.

• A blood bank in Leyte provincial hospital run by the Philippine Red Cross is now functional. The cold chain is running and vaccine supplies are sufficient for the vaccination campaign in Tacloban.

OCHA SITREP 8 – 14 NOV 2013

OCHA SITREP 9– 15 NOV 2013

OCHA SITREP 10– 16 NOV 2013OCHA SITREP 11– 17 NOV 2013

• In Ormoc, all five hospitals are operational, and rehabilitation is progressing.

• SPEED, an emergency disease surveillance system, has been activated.

• 62 Government, private and foreign medical teams have been deployed across affected municipalities in Regions VI, VII and VIII.

• In Roxas City, a cold chain has been established.

• The Government and partners have provided essential medicines and tents to operational health facilities, but more supplies and equipment are needed.

• Staff is coordinating three medical teams in Tacloban and one in Medellin, which are delivering outpatient emergency care, pediatric and primary health care; 16 medical teams are en-route to affected areas.

• A sub-national health cluster has been established in Cebu.

• Emergency supplies were shipped to Tacloban including four emergency kits with medicines and supplies to cover basic health services for 120,000 people for one month, supplies to perform 400 surgical interventions and four diarrheal disease kits with medicines and supplies to treat 3,000 cases of acute diarrhea.

• Reproductive health kits 6A and 6B (clinical delivery assistance) were sent to Guiuan, Eastern Samar to treat patients with obstetric complications. Additionally, a generator set, one refrigerator to store medicines, one delivery bed, midwifery kits and hygiene kits were sent.

OCHA SITREP 13– 19 NOV 2013

OCHA SITREP 14-20 NOV 2013

OCHA SITREP 15-21 NOV 2013OCHA SITREP 16-22 NOV 2013OCHA SITREP 22-25 NOV 2013OCHA SITREP 25-27 NOV 2013

OCHA SITREP 27-28 NOV 2013

HEALTH – GAPS & CONSTRAINTS

GAPS & CONSTRAINTS: • More attention needs to be focused on the health risks related to

migrating and vulnerable populations.

• Ormoc lacks food for patients, wound care supplies, fluids, and surgical instruments.

• The vaccination campaign is being complicated by a reduction in children being found in evacuation centers due to migration.

• Damage to birthing centers and equipment is hampering the efforts of public health providers to give adequate reproductive health services.

• There remains insufficient coordination between incoming foreign medical teams and local health officials.

• Some patients are hesitating to seek medical care due to economic concerns, unaware that health care is free.

• Gaps in basic health care are expected to occur as foreign medical teams leave the country.

• Geographical coverage of health services needs to be expanded.

• Capacity is stretched due to the limited number of health facilities in operation. Overcrowding is increasing the risk of outbreaks of infectious waterborne diseases.

OCHA SITREP 6 - 12 NOV 2013PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

OCHA SITREP 8 – 14 NOV 2013OCHA SITREP 9– 15 NOV 2013OCHA SITREP 10– 16 NOV 2013

OCHA SITREP 11– 17 NOV 2013

• Transport costs and lack of fuel are hampering the health response.

• A shortage of trained staff and poor internet connections are hampering the emergency disease surveillance system.

• Available vaccines and supplies for planned campaigns are estimated to be sufficient only for Eastern Visayas region. Volunteers are needed to administer vaccines in these campaigns.

• The lack of electricity is undermining cold chain operations.

• The disease surveillance system is currently patchy due to a disrupted communications network. Reporting and enquiries can be directed to haiyanops@wpro.who.int.

• The following materials are needed to provide health services: Interagency Emergency Health Kits, Reproductive Health kits, Diarrhoeal Disease Kits and WASH supplies. Cholera kits should be kept on stand-by.

• Basic and essential health care services, including routine surgical capacity (including for Caesarians), must expand. There is an immediate need for reproductive health kits across hardest hit areas.

• Establishing temporary points for delivery of health services is critical as infrastructure is damaged and people do not have access to medical care.

• Medical teams require fuel, water purification and safe accommodation.

• People are traumatized and lack psycho-social support.

OCHA SITREP 13– 19 NOV 2013OCHA SITREP 14-20 NOV 2013

OCHA SITREP 15-21 NOV 2013

OCHA SITREP 16-22 NOV 2013

OCHA SITREP 22-25 NOV 2013OCHA SITREP 25-27 NOV 2013

OCHA SITREP 27-28 NOV 2013

RED CROSS AND RED CRESCENT ACTION

OPERATIONS• As of 26 November, the International Federation of Red Cross/Red Crescent

Societies (IFRC) reports that the primary focus is on shelter.• Immediate priorities are distributing shelter tool kits, roofing kits, solar lamps, and

tarpaulins. • The Philippine Red Cross (PRC) has 25 chapters actively responding.• PRC focus is in Leyte, mobilizing 744 volunteers, providing 6 welfare desks, and

setting up two health stations to provide medical advice and consultations. There are also increased efforts to distribute food parcels and hygiene kits in East Samar and northern Cebu.

• The International Committee of the Red Cross (ICRC) has installed a mobile water-treatment unit in Marabut and will set up basic-health care units in Basey and Balangiga in the upcoming days.

• The PRC and IFRC have a joint base of operations in Cebu City, with two satellite hubs in Tacloban and Maya (North Cebu). A third hub will be built around the rapid deployment hospital in Ormoc and focus on emergency medical care.

LOGISTICS• The IFRC has deployed 11 emergency response units to conduct rapid assessments

of needs in affected areas. This information is communicated to the PRC/IFRC headquarters in Manila to help prioritize immediate assistance needs.

• ICRC has distributed food parcels to 64,800 people in Guiuan, Mercedes, Salcedo, Balangkayan, Hernani and Victory Island, with upcoming distribution to 8,500 people in Homonhon Island. In Guiuan, 86,500 liters of clean water and 3 generators have been provided.

• See Table 1 for PRC resource deployment.

SHELTER CLUSTER• There is now full-time dedicated shelter coordination capacity in Manila, Roxas,

Tacloban, Cebu, and Bohol, with 15 full time staff coordinating. Cluster partners are supporting coordination efforts in Guiuan, Ormoc, and Borongan.

• Mid and longer term recovery plans are now being developed to cover livelihoods (including cash programming) and more permanent shelter needs.

• A detailed inter-agency shelter assessment will start in the coming days.

IFRC Operation Update No2, November 26

MAIN CONSTRAINTS AND CHALLENGES TO PROGRESS• Delays in transportation of relief goods to the operational hubs,

due to problems of access and congestion.• Difficulties in communication with teams in the field due to

multi-tasking, field visits, and limited communications facilities.• Difficulties in sourcing out local materials.• Need for better sharing of assessment information.

POINTS OF CONTACTGwendolyn Pang, Secretary General PRC, Tel: +63 2 525 5654Soaade Messoudi, ICRC Manila, Tel: +63 918 907 2125Birte Hald, IFRC Phillipines, Tel: +63 2 336 8622Richard Gordon, Chairman PRC, Tel: +63 917 899 7898Patrick Fuller, IFRC Manila, Tel: +60 12 230 8451

FOOD SECURITY & AGRICULTURE

NEEDS: • 2.5 million people are in need of food assistance. • It is critical to get rice seed and fertilizer to farmers by mid-December,

77% of whom have lost their main income source.• 865,305 people working in agriculture have been affected.• Farmland needs to be cleared of debris, communal irrigation canals

need to be de-silted.

RESPONSE:• Partners in the Philippines: ACF, ACTED, ADRA, CARE, CARITAS,

CONCERN, CRS, DRC, GOAL, HelpAge, ICRC, IFRC, IMC, IRC, Islamic Relief, LWF, Mercy Corps, NRC, OXFAM, Samaritan’s Purse, Solidarites International, UNICEF and WVI.

• Implementing partners interested in rice/seed intervention, livestock and fisheries intervention work should contact FAO (mathias.mollet@fao.org).

• Around 3 million people have received food assistance, with DSWD distributing 1,152,121 food packs to date.

• Additional cluster partners have reached 738,220 people in affected areas.

• Agencies in Roxas hub are transitioning from food to cash-based assistance.

• Food is now reaching small island communities near Guiuan.• Rice distribution is about to begin across Eastern Visayas.• Plumpy’doz has been pre-positioned in Tacloban and Guiuan.• 614 tons of rice seed and 46 tons corn seed are being delivered to

over 17,600 families for planting.• 16,000 banana and 1,500 coconut trees are being distributed to 800

farming families in Northern Negros.

FOOD

CLUSTER LEADS:Food Cluster Coordinator: Jeffrey Marzilli, jeffrey.marzilli@wfp.org WFP Co-Leads: Beatrice Tapawan, 0917-539-9944, beatrice.tapawan@wfp.org Dipayan (0917-594-2450, dipayan.bhattacharyya@wfp.orgFACEBOOK TWITTER

GAPS & CONSTRAINTS: • To date, no funds have been committed to restore fisheries-

based livelihoods.• Isolated island communities, northern Cebu, coastal Eastern

Samar and mountainous areas have received little to insufficient food assistance to date.

• More funding is needed for agricultural inputs.• Food Cluster is currently 49% funded out of a total US$113 million

request.• Logistical constraints hamper the delivery of food assistance, but

rapid expansion is occurring; coordination hub now in Cebu.• Resources are overstretched as the cluster is also responding to

the Bohol and Zamboanga emergencies.• Security is a concern as people have stormed warehouses and

food distribution sites.

PRIORITIES:• Immediate and ongoing food assistance, as well as restoration of

agricultural livelihoods among top priorities identified in the MIRA (Nov. 28)

• Emergency food-for-work and cash-for-work to help kick-start early recovery activities and rebuild livelihoods.

• Cluster leads are assembling information on locations of all involved organizations for better coordination.

OCHA SITREP #19 - Nov. 29OCHA SNAPSHOT – Nov. 28

CLUSTER LOCATION MAP – Nov. 27WFP OPS UPDATE – NOV 26

NORTHERN NEGROS - Nov. 28FINAL MIRA – Nov. 29

NUTRITION

NEED:

• Partners aim to target 12,000 (50 per cent of need) children aged 6-59 months with community-based management of acute malnutrition (severe and moderate); up to 40,000 children aged 6-23 months with blanket supplementary feeding programs; and 197,500 children aged 0-23 months and pregnant women with infant/young child feeding in emergencies programs(80 per cent of need) over the next six months.

• 1.35 million children under five, 650,000 pregnant and lactating women, and more than 800,000 elderly people in nine of the country's 17 regions are at risk of malnutrition

• Priority interventions needed include infant and young child feeding (IYCF) Infant formula monitoring, vitamin A & micronutrient supplementation, management of acute malnutrition, and health and nutrition education.

PRIORITIES (URGENT):

• Rapid nutrition assessments and screening for detection, referral, and follow-up of girls, boys and women supported by local women's groups, religious leaders, and child protections councils;

• Prevent and manage acute malnutrition for 900,000 children under 5, and 300,000 pregnant and lactating women and older people

• Promote appropriate infant and young child feeding practices (IYCP) for 200,000 children

• Establish community-based therapeutic feeding centers for girls and boys with severe acute malnutrition integrated in to local health systems;

• Provision of nutrition supplies for therapeutic feeding, micronutrient supplements and equipment;

• Capacity-building on management of acute malnutrition and nutrition in emergencies targeting local health staff;

• Coordination and technical support to the Nutrition Cluster;

CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair UNICEF 0917-565-4062 02-901-0150 hmdebwe@unicef.orghmdebwe@gmail.com

Philippines Typhoon Action Plan - Nov 2013

OCHA Situation Report 19 – Nov 29

Emergency Appeal Operation Update - Nov 17

Cases of malnutrition continue to rise. Over 250 diagnosed cases in children age 6-59 months

Nation nutrition council cluster meeting – Nov 20 2013

DESCRIPTION• Malnutrition is caused by inadequate or unbalanced nutrition.• Malnutrition is the largest single contributor to disease according to the

UN’s Standing Committee on Nutrition (SCN).• Inhibits physical and mental development in children and can cause

mental retardation if severe at an early age• Can cause women to give birth to low birth-weight babies

RISK FACTORS• Illness or disease is often a factor of malnutrition either as a result or a

contributing cause• Poor food choice, lack of food availability, or lack of nutritional food (even

if people get enough to eat, can cause malnourishment if the food does not provide the proper nutrients)

• Injuries to the face or nerve damage to the muscles that control chewing and/or swallowing

SYMPTOMS• Length of time to develop malnutrition depends on the severity of the

lack of nutrients• There are a wide range of symptoms depending on the vitamin or mineral

that is deficient:• Weight loss• Thin or bloated body• Pale, thick, and dry skin• Bruises• Rashes• Thin hair that is tightly curled and pulls out easily• Achy joints• Gums bleed easily• Swollen or shriveled and cracked tongue• Night blindness• Increased sensitivity to light and glare

HIGHLIGHT BRIEF- MALNUTRITIONTREATMENT• Increase quality and quantity of food intake• Nutrient supplementation • People who cannot or will not eat may be fed intravenously or by a tube

inserted directly into the gastrointestinal tract

CURRENT SITUTATION• Partners have initiated malnutrition screening activities in Eastern and

Central Visayas regions, finding 235 cases of moderate or severe acute malnutrition among children between six months and five years of age.

RECOMMENDATIONS

• Nutrition Cluster partners plan to target 12,000 children between six months and five years of age with community-based management of severe and moderate acute malnutrition, up to 40,000 children between six months and two years of age with blanket supplementary feeding programs, and 197,500 children under two years of age and pregnant women with infant and young child feeding in emergency programs over the next six months

• Eat a well-balanced diet with adequate caloric intake to balance the number of calories burned with the number of calories eaten each day.

• Take vitamins daily to supplement diet

WORLD FOOD PROGRAMMEAMERICAN FAMILY PHYSICIANJOHNS HOPKINS CHILDREN’S CENTERPHILIPPINES NEWS AGENCYUSAID FACT SHHEET - 29 NOV 2013

NUTRITION

Philippines Typhoon Action Plan - Nov 2013

RESPONSE:

• The Harmonized Initiative of Media for the Spread of Good Nutrition was rolled out. Key messages for infant and young child nutrition were formulated and shared to affected parents and children using the media and local communication channels.

• In Region VI (Western Visayas), 1,175 children aged 6-59 months and 298 pregnant/lactating women (PLW) have been screened. 18 children were moderately malnourished while 6 children and 51 PLW were severely malnourished.

• In Region VII (Central Visayas), partners screened 4,598 (211 children aged 6-59 months were found to be moderately and severely malnourished).

• In Region VIII (Eastern Visayas), children under-5 in all evacuation centers in Tacloban covered by the integrated vaccination, vitamin A and malnutrition screening campaign. The first parent- and baby-friendly tent was erected at Astrodome (in Tacloban City).

• Treatment of malnutrition and counseling of women for appropriate infant practices.

GAPS AND CONSTRAINTS:

• The limited presence of partners on the ground and security concerns, especially in Tapaz and Capiz (both in Capiz Province of Region VI), are challenging the scale-up of integrated nutrition interventions.

• Facilities for transportation and accommodation are damaged; food and water supplies are limited. Deployed teams need to be fully self-sufficient.

• Of the 12 million USD asked for in action plan, 4.2% of funds have been raised.

• Most of the affected areas in Leyte and Samar remain unreachable by media.

OCHA Situation Report 19 – Nov 29

UNOCHA Report – Nov 23

Emergency Appeal Operation Update - Nov 17

Nation nutrition council cluster meeting – Nov 20 2013

UNICEF health specialist speaks with children affected by the typhoon

WASHWATER, SANITATION AND HYGIENE

RESPONSE:

• Water treatment units have been established in Dumarao (1), President Roxas (1), Roxas City (3), Concepcion (1) and Estancia (1).

• 95 latrines and 18 bathing cubicles are being constructed in 5 evacuation sites in Tacloban City.

• 16 latrines have been built in Estancia (Iloilo Province). • The broadcasting of hygiene promotion messages through mobile trucks

continues throughout Tacloban city, in an effort to raise awareness on good hygiene practices for the prevention of water-borne diseases.

GAPS & CONSTRAINTS:

• Heavy equipment for waste disposal are still in short supply.• There is limited availability of trucks for water-trucking. • More humanitarian partners are required to engage in sanitation activities to

cover the scale of the needs. • Available tankers in Tacloban City can supply 224 to 336 m3 of potable water

but the total capacity of the installed bladders so far is 95m3 • Water supply has been restored in sections of Tacloban, Cebu, Capiz, Roxas

City, as well as Basey, Marabut and Catbalogan City in Western Samar.• The majority of the displaced population is highly dependent on unsafe water

sources such as surface water, water coming from broken pipes, hand pumps and open dug wells.

• Gender analyses are critical and need to be conducted to understand the social and gender dynamics that could help or hinder WASH aid effectiveness.

WATER, SANITATION AND HYGIENE NEEDS:

CLUSTER COORDINATOR Rory Villaluna UNICEF washccph@gmail.comPhone: 0917-859-2578 or 02-901-0101

A Typhoon Haiyan survivor carries a bottle of drinking water past a Catholic icon, decapitated by the storm, as he enters a cathedral where he and other homeless people are squatting in Tacloban, Philippines

OCHA SITREP 19 – 29 NOV 2013UNICEF SITREP 7 – 27 NOV 2013

• Damage has been reported to reservoirs, service connections, distribution pipes and pump houses in 68 water districts across all affected provinces.

• Initial estimates indicate that 4.5 million people need access to life-saving WASH interventions inside and outside evacuation camps.

• Open defecation is an issue in many areas.

• Cluster partners are encouraged to send assessment data, information and updates on their activities in order to support Who Does What Where (3Ws) mapping to philippines@humanitarianresponse.info

• WASH cluster meetings will be held every day at 16:00 until December 31, 2013 in Tacloban City at the OSOCC. Contact person is Silvia Ramos at 0906-516-0271

• Clusters aim to present a 12-month strategic response plan for the Haiyan response by December 8, 2013.

WATER, SANITATION AND HYGIENE

MIRA: Multi-Cluster/Sector Initial Rapid Assessment - 28 NOV 2013

Priority WASH concerns, based on proportion of the population with access to unprotected sources of water, proportion with unclean water, and proportion with reported open defecation because of a lack of appropriate facilities.

EMERGENCY SHELTER

DAMAGE: Official numbers now report 1,139,902 damagedhouses (576,280 completely destroyed).

NEEDS:• Shelter need identified as an immediate life-saving need

according to the preliminary results from the Multi-Cluster Initial Rapid Assessment (MIRA)

• CONTINUING URGENT NEEDS: Tarps, tents, shelter-related non-food items (NFIs), 4 million corrugated iron sheets, nails, building tools and materials, plastic sheeting, roofing material, hurricane straps

• NEEDS IN DISPLACEMENT SITES: Food, Water, Mosquito Nets, Blankets, Hygiene Kits

• Issues of housing, land and property have begun to surface in severely affected area; Protection cluster is covering these

• Entire population (1,240 families) of barangay affected by oil spill needs housing (Estancia, Iloilo Province). 162 families evacuated by oil spill are in an evacuation center. Rest are still looking.

RESPONSE:• 3.54 million people are displaced (including 1 million children),

of which 226,048 people (48,681 families) are living in 1,086 evacuation centers. The rest are living outside evacuation centers.

• Large numbers of people continue to leave affected areas, largely from Region VII (Eastern Visayas)

• MIRA results expected on 27 November, and a 12-month strategic plan by 8 December.

• Work underway to set up new camp in Guiuan. Asec Camilo G. Gudmalin

cgudmalin@dswd.gov.ph0 920 948 5383SHELTER CLUSTER – TYPHOON HAIYAN 2013

OCHA SITUATION REPORT NUMBER 18 – NOV 27

GOVERNMENT LEAD AGENCY CLUSTER CO-LEAD AGENCYPatrick Elliot, IFRCcoord.phil@sheltercluster.orgpatrick.elliott@ifrc.org0 908 401 1218Phil. Int. Dialing Code: +63

GAP & CONSTRAINTS• Camp Coordination and Camp Management Cluster funding is at 14%

of the needed $6 million.• Emergency Shelter Cluster is at 36% funding of the needed $46 million.• Concerns over potential supply pipeline failure locally and

internationally; unable to meet demand.• Overcrowding and poor living conditions continue in evacuation

centers. In Tacloban, less than half of the evacuation centers have access to water, and an average of 1 latrine per 61 people.

• Difficult access to remote communities, poor communications, power outages are affecting operations.

• Corrugated iron sheets need to be procured at scale.• More partners needed to cover needs in Region VI (Western Visayas).

A resident begins repairs on his damaged home (source)

LOGISTICS

LOGISTICSPRIORITIES • Distribute food to the isolated islets off the eastern coasts of Capiz

and Iloilo.• Remove debris from usable schools to create a safe environment.• Support the establishment sustainable and consistent solid waste

management practices.• Support the establishment of a consistent power supply for

communications, water treatment and pumping, refrigeration, lighting, etc.

OCHA Sitrep No. 19 Nov 29Tacloban Logistics Cluster Meeting Nov. 28Free-to-User Services Overview Nov. 30Infographic Free-to-User Services

NEEDS• Water, food, mosquito nets, blankets and hygiene kits are the

immediate priority needs in displacement sites.• Corrugated iron sheets, nails, hurricane straps, building tools and

building materials are urgently needed to support early recovery.• Shelter materials currently available are insufficient: corrugated

iron sheets, fixings and tools, need to be procured in large quantities. Local markets cannot meet the demand.

• Debris-clearing and solid waste management are urgently required for the safe operation of schools and evacuation centers.

• Logistical support (e.g. dump trucks) is required to accelerate debris-clearing operations.

• Potable water and a large number of water kits are needed in densely populated areas, evacuation centers and spontaneous camps.

• Water supply is mainly functioning in town centers but is subject to low pressure due to inconsistent electricity.

• Emergency latrines are needed and repairs to home-based toilets.

The International Organization of Migration distributes blankets and mats to 451 families in barangay Lake Danao in Ormoc last 23 Nov. © IOM 2013

LOGISTICS

LOGISTICSGAPS• Lack of electricity: most people in barangays use hand pumps and

wells which have high risk of contamination.• There is a lack of capacity at Tacloban airport now that the US Military

has withdrawn. • Shelter NFIs are arriving in bulk to Tacloban, but logistical challenges

are slowing the distribution of items.• Transport costs and lack of fuel are hampering the health response.• An estimated 12,250 workers will need personal protective equipment

and tools to assist in debris clearance operations.• Supplies are still en route to affected areas. It is taking time for essential

supplies to reach target populations.• Some affected areas are difficult to reach.• The airport authorities in Tacloban as well as commercial operators

are concerned about the serious need for infrastructure repair on most airport facilities following the typhoon.

CONSTRAINTS• Certain companies have increased their prices by over 300%.

Pricing for trucking was given at 13,000 pesos ($297.04 USD) per day, 60,000 pesos($1,370.96 USD) a trip, all-inclusive.

• Limited landing slots at Tacloban airport continue to be a constraint.

• Storage could pose a challenge at Tacloban port.• Power shortages remain a challenge for ETC operations, especially

in Tacloban.• There is a lack of fuel in Guiuan.• Poor communications and long distances to office hubs pose

challenges for potential beneficiaries.• An information management system to systematically track needs

and response is not yet in place.• Customs clearance is slow due to the amount of equipment

arriving at Cebu airport.• Supplies are still en route to affected areas. It is taking time for

essential supplies to reach target populations.• Some affected areas are difficult to reach.• Lacking Food Security and Agriculture Cluster partner personnel

on isolated islands constrains efforts to provide food aid in these areas.

Tacloban Logistics Cluster Meeting NoticeFrequency: Mondays and Thursdays at 19:00

(until further notice)

Location: The Office of Civil Defence (OCD), Tacloban

OCHA Sitrep No. 19 Nov 29Tacloban Logistics Cluster Meeting Nov. 28Free-to-User Services Overview Nov. 30Infographic Free-to-User Services

LOGISTICS

LOGISTICS

RESPONSE• The Government has requested a commercial operator to manage

Tacloban port (including all cargo handling).• Shipping into Tacloban port is free for all humanitarian users,

excluding labor costs.• Commercial overland transport companies are operating in Tacloban.• The Department of Education (DoE) delivered 23 generator kits and

fuel to Leyte and Samar Provinces, and has mobilized cell phones, solar chargers and lights to make offices functional again.

• Commercial shipping capacity has been identified to reach the area of Ormoc.

• Three routes are offered from Ormoc and one to Hilongos, which is 2.5 hours by road to Ormoc.

• The Logistics Cluster does not have a common truck fleet in Tacloban due to available commercial capacity. It is augmenting the capacity of organizations as required to speed up deliveries of priority relief cargo including Shelter and WASH items..

• MV Super Shuttle Roro 5 is providing cargo transport from Cebu to Tacloban.

• Partners may load cargo, vehicles, and/or loaded trucks.• Support staff are available in Cebu and Tacloban Port.• The ship is expected to load approx. every five days in Cebu,

with a 30-hour transit time from Cebu to Tacloban.

CEBU AIRPORT: IMPORTANT DAILY DEADLINESProcess for the use of military air assets• Civ-Mil SRFs submitted by organizations prior to 0800 will

be eligible for flights the following day. • Requests will be taken to a Logistics Meeting at the

operations center at Mactan Air Base (the meeting is open to the humanitarian community) at 0900.

• Cargo will move in accordance with the priorities set by the Humanitarian Country Team (HCT). At the 0900 meeting participants will prioritize eligible requests within each sector of humanitarian activity.

• By 1530 organizations with consignments that have been accepted for early morning flights (departing before 0800) will be contacted and may be asked to deliver the consignment for loading the evening prior to the flights departure day. Source

OCHA Sitrep No. 19 Nov 29Tacloban Logistics Cluster Meeting Nov. 28Free-to-User Services Overview Nov. 30Infographic Free-to-User Services

UPDATED REGIONAL MAPSVisayas General Logistics Planning MapSamar Island Guiuan RegionLeyte Island Tacloban RegionLeyte Island Dulag Region

LOGISTICS

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MANILAJohn Myraunet (Logistics Cluster Coordinator) Email: john.myraunet@wfp.org Mobile: +63 926 618 9007Chiara Argenti (IM Officer) Email: chiara.argenti@wfp.org Mobile: +63 9276613901Oliver Bartolo (UPS Customs Procedures Advisor) Mobile: +63 9158481559Jared Komwanu (Chief Air Officer) Email: jared.komwanu@wfp.org Ismail Osman (Air Officer) Email: imail.osman@wfp.orgThierry Crevoisier (GIS Officer) Email: thierry.crevoisier@wfp.orgOliver Bartolo (UPS Customs Procedures Advisor) Mobile: +63 9158481559 CEBUHenrik Hansen (Logistics Officer) Email: henrik.hansen@wfp.orgColin Hourihan (IM Officer) Email: colinp.hourihan@wfp.orgSean Price (Consignment Tracking Officer) Email: sean.price@wfp.orgTanveer Siddiqui (Information Management Officer) Email: tanveer.siddiqui@wfp.orgSean Price (Consignment Tracking Officer) Email: sean.price@wfp.org

LOGISTICS CLUSTER CONTACTS

LOGISTICS

TACLOBANIrving Prado (Logistics Officer) Email: irving.prado@wfp.org Mobile: +63 9278328557 Esther Russell (IM Officer) Email: esther.russell@wfp.org Mobile: +63 9151438193Andrew Jackson (Consignment Tracking Officer) Email: andrew.jackson@wfp.org Mobile: +63 9278328557

For general Logistic Cluster inquiries please email: Philippines.Logs@logcluster.org

CHILD PROTECTION & GENDER BASED VIOLENCEPROTECTION

UPDATE: • According to the Child Protection Working Group, 10% of Filipino

women and girls aged 15 to 49 have experienced sexual violence. This percentage is expected to increase as women and child work to make ends meet.

URGENT: NEEDS: • IDPs leaving Tacloban City and Ormoc City need assistance with

transportation as military flights have stopped.• IDPs in schools need protection and proper shelter assistance when

classes resume in Tacloban City in January and Ormoc City in December.

• IDPs need information regarding government assistance and relocation plans.

• Land issues have emerged as a potential obstacle to the return of displaced people. In Barangay 6 of Guiuan Municipality, 40 families reportedly cannot return home due to a planned development project. Most of these families do not own land titles.

• According to Protection Cluster estimates:• 42% of affected people have documentation needs• 40% have communication problems with separated family

members• 20% have security fears

• Approximately 3.2 million women of reproductive age and 5.5 million overall affected children need psychosocial support and protection against violence, trafficking, and exploitation.

• 1.8 million children are estimated to be displaced.• There needs to be de-congestion of camps, especially in Guiuan and

Ormoc City.• Coastal and uplands barangays in remote locations need protection.

OCHA SitRep#19 29NovNDRRMC SitRep#38 24Nov

UNFPA Master Plan Protecting Women & GirlsOCHA SitRep#16 22NovOCHA SitRep#15 21Nov

Protection Cluster Assessment#9 29Nov IASC Sub-Working Group on Gender 18Nov

GAPS & CONSTRAINTS: • Documents need to be re-issued, as many were lost.• Distribution of Family Access Cards is urgently required to ensure

women and children access to humanitarian assistance.• Stronger mechanisms are badly needed to prevent trafficking at air and

sea ports.• The presence of female police officers remains limited.• Safe spaces for women and children remains limited.• A referral system for specialized services remain limited.• Sex- and age-disaggregated data on IDPs is unavailable.• Security personnel lack knowledge of protection issues.• Information on missing persons remains large unavailable.• There are reports that cash-for-work programs are only offered to

men.

FUNDING APPEALS:• UNFPA has developed a $110 million plan for national authorities

and humanitarian partners to ensure that no woman dies giving birth and that each woman and girl is protected from violence. UNFPA launched an appeal for $30 million to fulfill its commitments in the next six months.

• UNICEF’s requests $61.5 million to respond to the needs of children and women affected by Typhoon Haiyan. 28% currently remains unfunded.

CHILD PROTECTION & GENDER BASED VIOLENCEPROTECTION

Sexual and Gender-Based Violence Working Group; Reproductive Health Working GroupFlorence Tayzon, Assistant Representative, Working Group Chair UNFPA 0917-859-3520 02-901-0304 tayzon@unfpa.org

Child Protection Working Group; Reproductive Health Working GroupSarah Norton StaalCluster Co-Leadsnortonstaal@unicef.org; snstaal@gmail.com;

OCHA SitRep#19 29Nov Protection Cluster Assessment#9 29Nov OCHA SitRep#16 22Nov IASC Sub-Working Group on Gender 18NovOCHA SitRep#15 21Nov

CRITICAL RESOURCES:

TipSheet: Health and Gender

TipSheet: Education and Gender

TipSheet: Gender in Coordination Projects

Tip Sheet: Addressing GBV in Health Assessments and Initial Program Design

Tip Sheet: Addressing GBV in Shelter Assessments and Initial Program Design

Tip Sheet: Addressing GBV in WASH Assessments and Initial Program Design

Minimum Standards for Child Protection in Humanitarian Action Handbook

Handbook for Coordinating GBV Interventions in Humanitarian Settings

Guidelines for Child-Friendly Spaces in Emergencies

Key Messages for Caregivers in a Sudden Onset

Actions in case of Missing or Separated Children

RESPONSE:

• The first Protection Cluster meeting was conducted in Ormoc City. Priorities: strengthening information dissemination regarding assistance and family tracing system; and reactivating referral pathways.

• The Migration Outflow Desk at Tacloban airport has registered 638 households (2,864 people) to date.

• A response desk at Villamor Airbase, Pasay City (Manila), was established to monitor possible cases of trafficking and/or unaccompanied, separated, or missing children.

• IDP registration in Ormoc City has begun.• 100 child protection workers in Tacloban City and 13

municipalities in Leyte Province have received training in child protection and documentation.

• 2,000 children in Tacloban City have been assisted through the nine established Child-Friendly Spaces.

• 34,120 people received protection kits in Eastern Visayas Region.• 200 women and adolescent girls participated in two information

sessions on gender-based violence in Tacloban City.• Over 1,800 children are visiting 7 child-friendly spaces

established in Western Visayas Region.• Four child-friendly spaces are also operating in Roxas and

Estancia.• Women and Child Protection Units have been set up in

Borongan, Balangkayan, Hernani, Llorente, Oras, Salcedo, and San Julian municipalities (Eastern Samar).

US RESPONSE

FACT SHEET NO# 14

CLUSTER MEETINGS - 2 DEC 2013

Daily Press Briefing (Tacloban)02/12/2013 - 07:30Tacloban Town HallPhilippinesmildren@un.orgShelter Cluster Meeting (Guiuan)02/12/2013 - 08:00OSOCCPhilippinesAndrew Lind09186572802alind@iom.intIntra-Cluster Coordination meeting02/12/2013 - 08:30PhilippinesUNDAC0915 265 3214undac.roxas@gmail.comHealth Cluster Meeting (Manila)02/12/2013 - 09:00 to 10:30Department of Health, Duque Hall (Bldg. 21PhilippinesShelter Cluster Meeting (Cebu)02/12/2013 - 09:00Pprovincial government capital compoundCebuPhilippinesXavier Genotcoord2.phil@sheltercluster.orgMCDA Tasking meeting (Cebu)02/12/2013 - 10:00Cebu Air BasePhilippinesPAF, Foreign MCDA, Logistics Clusterheltercluster.org

Inter-Cluster Coordination Meeting (Cebu)02/12/2013 - 10:30Provincial Government’s Capital Compound (2nd floor Legislative Building)PhilippinesLivelihood Cluster Meeting (Tacloban)02/12/2013 - 14:00On-site Operations Coordination Center (OSOCC)Leyte Sports Development CenterPhilippinesSimon Hillshills@ilo.orgWASH Cluster Meeting (Tacloban)02/12/2013 - 14:00DoH, PaloPhilippinesSilvia Ramos0906-516-0271CCCM Meeting (Tacloban)02/12/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543Gender-Based Violence meeting02/12/2013 - 15:00Capiz Provincial Capital BuildingRoxas CityPhilippinesAna Maria Leal0917-859-3517leal@unfpa.org

Protection Meeting02/12/2013 - 16:00Capiz Provincial Capital BuildingRoxas CityPhilippinesAlvin gomzagagomzaga@unhcr.orgHealth Meeting (Ormoc)02/12/2013 - 16:00ORMOC City Hall (2nd floor)PhilippinesCraig Hampton09164567527hamptonc@who.intShelter Cluster Meeting (Manila)02/12/2013 - 17:0019th floor, ILO (RCBC Plaza)PhilippinesVictoria Stodart09084011218coord.phil@sheltercluster.orgChild Protection Meeting02/12/2013 - 17:00Capiz Provincial Capital BuildingRoxas CityPhilippinesVerity Rushtonvrushton@unicef.orgCCCM Cluster Meeting (Manila)02/12/2013 - 17:3019th floor, ILO (RCBC Plaza)PhilippinesWASH Cluster Meeting Eastern Samar Hub02/12/2013 - 18:00PDRRMC OfficeBorongan City, SamarPhilippinesMs Christie Sidro

Coordination Meeting (Tacloban)02/12/2013 - 18:00OSOCCPhilippinesMr. Jesper Lund0915 772 0893lund@un.orgLogistics Cluster Coordination Meeting (Cebu)02/12/2013 - 18:00Waterfront Hotel, Mactan AirportPhilippinesCoordination Meeting (Roxas)02/12/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199Logistics Cluster Coordination Meeting (Tacloban)02/12/2013 - 19:00OSOCCTacloban CityPhilippinesIrving Prado0927 832 8557Irving.Prado@wfp.orgPublic Information and Communications Meeting (Tacloban)02/12/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983Shelter Cluster Meeting (Roxas)02/12/2013 - 19:30Roxas Provincial Hall, Roxas, Region VIPhilippinesGustavo Domato09159468721coord4.phil@sheltercluster.org

CLUSTER MEETINGS - 3 DEC 2013

Daily Press Briefing (Tacloban)03/12/2013 - 07:30Tacloban Town HallPhilippinesmildren@un.orgNational Nutriton Cluster Meeting03/12/2013 - 09:00 to 12:00NNC conference roomPhilippinesAyadil Saparbekon+63 (0) 9297681848asaparbekov@unicef.orgProtection Cluster Meeting (Cebu)03/12/2013 - 09:00Department of Social Welfare and Development (DSWD), General Maxilom Avenue, Cebu CityPhilippinesTri-Cluster (WASH, Nutrition, Health) meeting03/12/2013 - 10:00TBDPhilippinesPaul Wasike09477847179pwasike@unicef.orgMCDA Tasking meeting (Cebu)03/12/2013 - 10:00Cebu Air BasePhilippinesPAF, Foreign MCDA, Logistics Cluster

Donor Briefing (Manila)03/12/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)PhilippinesFood Security and Agriculture Cluster Meeting (Manila)03/12/2013 - 11:005/F GC Corporate Plaza, 150 Legazpi St., Legaspi VillageMakati City, ManilaPhilippinesSandra Hart09151438195Sandra.Hart@wfp.orgHealth - Reproductive Health03/12/2013 - 13:00OpCen EVRMCTacloban CityPhilippinesRonnel Villas0917-622-0021villas@unfpa.orgHealth Meeting (Cebu)03/12/2013 - 13:00Department of Health (DOH), Osmeña Boulevard, Cebu CityPhilippines

Food Security & Agriculture (Tacloban)03/12/2013 - 14:00OSOCCTacloban CityPhilippinesSamantha Chattarraj0915 143 8191Samantha.chattaraj@wfp.orgEducation Cluster Meeting (Region VIII)03/12/2013 - 14:00DepEd Regional OfficePaloPhilippinesCesar Verunque09173104208cverunque@yahoo.comEducation Cluster Meeting (Cebu)03/12/2013 - 14:00Department of Education, ECOTECH Center, Lahug, Cebu CityPhilippinesChild Protection Working Group Meeting (Tacloban)03/12/2013 - 15:00PhilippinesCCCM Meeting (Tacloban)03/12/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543

IM Working Group (Manila)03/12/2013 - 16:00RCBC Plaza - 30th floorOCHA Conference roomMakatiPhilippinesAndrej Verityverity@un.orgHLP Working Group03/12/2013 - 16:00UNHCR Meeting roomPhilippinesVictoria Stodart09084011218hlp.phil@sheltercluster.orgLogistics Cluster Coordination Meeting (Ormoc)03/12/2013 - 17:00Ormoc City HallPhilippinesIrving Prado09278328557irving.prado@wfp.orgShelter Cluster Meeting (Tacloban)03/12/2013 - 17:30PhilippinesRichard Luff0905 440 0048coord3.phil@sheltercluster.orgFSAC Meeting (Roxas)03/12/2013 - 18:00Provincial Capitol 3rd floorPhilippinesKarim Bahabdoulkarim.bah@fao.org

Coordination Meeting (Tacloban)03/12/2013 - 18:00OSOCCPhilippinesMr. Jesper Lund0915 772 0893lund@un.orgPublic Information and Communications Meeting (Tacloban)03/12/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983D

CLUSTERS POC

https://philippines.humanitarianresponse.info/system/files/documents/files/Contact%20List_Cluster%20co-leads_Typhoon%20Haiyan_Yolanda%2013Nov2013.pdf