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

TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS

FOOD

WEATHER OUTLOOK

27 NOV 2013(As of 12 PM 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 RESOURCESASEAN COORDINATING CENTER FOR HUMANITARIAN ASSISTANCE ON DISASTER MANAGEMENTGDDACPREVENTION WEB – PHILIPPINES THOMAS REUTERS FOUNDATIONUNDERGROUND WEATHERGOOGLE CRISIS RELIEF MAPHUMANITY ROADPACIFIC DISASTER CENTER

BACKGROUND

CURRENT SITUATION

5,500INJURED DEAD

26,136CLUSTER 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 5,500 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.

EMERGING NEEDSMEDICAL AND PUBLIC HEALTH

• Reproductive health kits (Tacloban and elsewhere)• Insufficient coordination between incoming foreign medical

teams and local health officials• Limited capacity for the treatment of severe and moderate

acute malnutrition

FOOD AND WATER• Nutrition supplies are urgently needed in Panay• No water supplies in municipality of Barbaza, Antique, and

some municipalities/cities in Capiz and Iloilo• Water services are down and pipes need repairing in north-

west Leyte• Government requested support for agricultural inputs and

crop to farmers in time for the planting season (mid-January)• 1,920 tons of rice seeds• 330 tons of corn seeds• 2,200 tons of fertilizers• 11,000 agricultural tool kits• 1,400 small irrigation water pumps

SECURITY• The presence of female police remains limited• Security personnel lack knowledge of protection issues• Safe spaces for women and children• Documents need to be re-issued, as many were lost

TEMPORARY SHELTER, EVACUATION CENTERS, AND CAMPS• An estimated 4 million corrugated iron sheets and other shelter

material are needed• CGI sheets, fixings and tools needed• Evacuation centers lack safe spaces for lactating women to

breastfeed

LOGISTICAL BARRIERS• Debris clearance and waste management• Information about which small roads are blocked by debris• Limited amount of warehouse facilities to store relief supplies

(Tacloban)• Storage at Tacloban airport• Lack of fuel in Guiuan• Limited trucking capacity exists in Guiuan but could be

augmented from Tacloban• Lack of heavy equipment for debris-clearing needed• Power outages

• Some provinces and municipalities/cities in Regions IV-B, V, VI, VII, and VIII

OTHER• Shortage of funds for Local Government Units to implement

short-term emergency employment and mid- to long-term recovery and reconstruction projects

• An estimated 12,250 workers will need personal protective equipment and tools for debris clearance

• Tents and other temporary learning spaces for schools• Learning and recreation materials

• Philippines: Typhoon Haiyan Situation Report 18• NDRRMC SitRep No. 43

SHELTER & URGENT HOUSEHOLD ITEMS• Over 3.5 million displaced of which 222,600 are living in one of

the 1,068 evacuation centers• Entire population (1,240 families) of the barangay affected by

the oil spill off the coast of Estancia, Iloilo Province, require temporary shelter solutions

• Address overcrowding in evacuation centers• Local markets cannot meet the demand for shelter materials• More assistance from partners in Region VI (Western Visayas)

EDUCATION• Over 800 schools have sustained major damage and 4,485

classrooms need replacement• Debris clearing of schools• Collect information on the non-assessed schools in the most

affected areas• Collect information on the status of day care centers and

children• Initial phases of the education response will focus on the

resumption of learning activities through the establishment of temporary learning spaces, as well as the provision of psychosocial support for children, teachers and other education staff

OTHER• Intensify tracking mechanisms for separated children• Collection of sex and age disaggregated data on IDPs• 40% of affected people have communication problems with

separated family members• Most areas in Leyte and Samar are unreachable by the media• 42% of affected people have documentation needs• A targeted response to the Mamanwa ethnic group in Marabut

is needed• Over 5 million workers’ livelihoods in nine of the country’s 17

regions were affected

EMERGING PRIORITIESFOOD AND WATER

• Life-saving food assistance needed for 2.5 million people• Gaps in food assistance in coastal areas of Eastern Samar

and small isles in northern Cebu• Eight evacuation centers in Tacloban with the largest

number of IDPs are being prioritized for WASH support

ESSENTIAL HEALTH SERVICES• Region VIII (Eastern Visayas) has highest amount of

typhoon-relayed health needs• 25% of the adult population suffers from hypertension• 5% or adult population suffers from diabetes• Promote appropriate infant and young child feeding

practices (IYCP) for 200,000 children• 865 births/day in affected communities, with around 15%

experiencing potentially life-threatening complications• Infant and young child feeding practices

• Micronutrient supplementation to 30,600 children aged 6-59 months

• Blanket supplementary feeding for children aged 6-23 months

• Rreatment for some 600 children aged 6-59 months with severe acute malnutrition and 2,100 with moderate acute malnutrition

• Only 18% of children under 5 fully immunized against measles

• Only 83% of children under 5 immunized against polio• 5.5 million affected children need psychosocial and health

services• Tracing of the locations and causes of diarrhea outbreaks

• Philippines: Typhoon Haiyan Situation Report 18• NDRRMC SitRep No. 43• UNICEF: SitRep #6

WEATHER OUTLOOK

Daily AccuWeather

GALE WARNING NO. 21

For: Strong to gale force winds associated with the surge of Northeast Monsoon.

Issued at 5:00 p.m. today, 27 November 2013

Strong to gale force winds is expected to affect the seaboards of Northern Luzon.

PAGASA PAGASA Gale Warning PAGASA weather report PDF

Synopsis:

Tail-end of a cold front affecting Northern Luzon. Trough of a Low Pressure Area affecting Mindanao.

Forecast:

Metro Manila and the regions of Ilocos, Cordillera, Cagayan Valley, Central Luzon and Mindanao will have cloudy skies with light to moderate rainshowers and thunderstorms. The rest of the country will be partly cloudy to cloudy with isolated rainshowers or thunderstorms.

Moderate to strong winds blowing from the northeast will prevail over Northern Luzon and its coastal waters will be moderate to rough. Elsewhere, winds will be light to moderate coming from the northeast to north with slight to moderate seas.

http://reliefweb.int/sites/reliefweb.int/files/resources/~6427821.pdf

CURRENT SITUATION

As of 27 NOV 2013 – 6:00 PM PhT

CASUALTIES: 5,500 individuals were reported dead, 26,136 injured and 1,757 missing.

AFFECTED POPULATION:A total 2,177,863 families (9,927,335 persons) were affected in 11,939 barangays in 44 provinces, 574 municipalities and 57 cities of Regions IV-A, IV-B, V, VI, VII, VIII, X, XI and CARAGA.

782,222 families (3,542,370 persons) were displaced.

Inside 1,069 evacuation centers:• 48,655 families / 225,922 persons inside evacuation centers• 733,567 families/ 3,316,448 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA):

• DAMAGED HOUSES: 1,149,529 houses damaged (574,392 totally / 575,137 partially)

The total cost of damages was pegged at P24,539,259,407.76 ($ 559,551,979 USD)

• For infrastructures P13,182,975,034.00 ($300,603,469 USD) • For agriculture P11,356,276,373.26 ($ 258,948,508) in Regions IV-A,

IV-B, V, VI, VII, VIII, and CARAGA ‐ Crops (rice, corn other crops): P5,168,997,352.20 ($117,863,698

USD)‐ Livestock: PhP 2,184,011,8810 ($49,800,712 USD)‐ Fisheries: P2,161,634,28.06 ($49,290,449 USD)‐ Irrigation facilities: P212,700,000 ($4,850,070 USD)‐ Other agricultural infrastructure: P: P1,628,932,860 ($37,143,578

USD)

CURRENT SITUATION

NDRRMC

AIRPORTS: To date, operations in Tacloban Airport is 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.

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 SUPPLY: • Municipality of Barbaza, Antique, and some municipalities/cities in Capiz

and Iloilo, still do not have water supply.• Water supply in areas of Leyte (17 towns, 2 cities), Western Samar (2

towns,1 city) and Eastern Samar (1 town) has been restored.• Several towns have access to water through a diesel-powered / electric-

powered pump.• Water supply system in Busuanga town proper is functional. Coron, however,

is implementing a rationing system.

NETWORK OUTAGE • Globe Telecom Cellular Services were restored in Borongan, Eastern Samar,

Isabel and Palo in Leyte; Lavezares, Rosario, San Jose, and Lope de Vega in Northern Samar; Hinunangan, Limasawa, and Sogod in Southern Leyte; San Sebastian and Pagsanghan in Western Samar; Culasi and Laua-an in Antique; Dumarao, Capiz; and Daanbantayan, Cebu

CURRENT SITUATION

HTTP://RELIEFWEB.INT/SITES/RELIEFWEB.INT/FILES/RESOURCES/MA008_SITUATIONOVERVIEW_V16-300DPI.PDF.PDF

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

WHO #3WHO - #2

Reports from the field show that medical support provided by international and local teams need to increase in geographical area and scope of services beyond the current hubs.

As the situation evolves, the need for emergency trauma care is decreasing, and the need for primary health care is increasing, including for essential medical and surgical care as well as preventive health services.

As of 26 NOV - Despite increasing humanitarian aid in typhoon-hit areas of the Philippines, Doctors Without Borders/Médecins Sans Frontières (MSF) teams are still finding villages and towns that have not yet received any aid.

There are also increasing numbers of cases with Acute Respiratory Infection (ARI), dog bites and wounds related to debris clearing and reconstruction of houses.

Some cases of chicken pox and leptospirosis have been reported and verification is currently taking place.

Other areas of concern as reported by the medical teams include treatment of spinal injuries and tetanus.

Treatment protocols and tetanus immunoglobulin have been dispatched.

MORBIDITY :To date, the five main causes of morbidity identified include acute respiratory infection, fever, diarrhea, hypertension and skin disease.

In Tacloban, the number of cases needing surgery and in-patient care is decreasing while need for primary health care especially treatment of chronic diseases (e.g. TB, hypertension) is increasing.

In Tacloban city, between 24 and 26 November, the following cases of note were reported: • Suspect leptospirosis cases (1 each) from Palo and Tacloban City were

admitted to Eastern Visayas Medical Center (EVRMC) • Suspect tetanus cases (4 in total) from Tacloban city, Tolosa, and Leyte

were admitted to Eastern Visayas Medical Center (EVRMC)

WATER, SANITATION AND HYGIENE (WASH) AND ENVIRONMENTAL HEALTH Following reports of diarrhoea from Bantayan, Cebu, and Region VII the WASH cluster has coordinated the chlorination of shallow wells dug by the cluster. Laboratory tests are being conducted to test for the adequacy of the level of chlorination. Environment health assessment in health care facilities is being conducted this week by a DoH and WHO in Eastern Samar.

PATIENT REFERRALS

AECID has supported DoH in developing a referral system for transfer of patients in Tacloban. A specific reporting form for surgical referrals and needs will be developed as part of the system.

• As of 26 November, surgical cases are to be referred to EVRMC, the Australian FMT and Divine World health facility,

• Dialysis patients are to be referred to RTR • Patients needing ventilators to be referred to the Australian FMT• All other referrals including for obstetric care are to be referred to

EVRMC.

Additional transportation mechanisms are needed to support this system. Currently the Red Cross ambulances stations at EVRMC are the main point of call for transportation of patients.

DISEASE/INJURIES

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

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 2014HEARS 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

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

• The power barge sustained damage to its hull which also serves as storage for its fuel requirements. As a result, an estimated 200,000 liters of bunker fuel has leaked out of the fuel tanks into the water and coastline with 1.2 million 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.

HEARS CURRENT SITUATION NOV 24, 2013NATION POWER CORPORATION

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

THE NAPOCOR power barge that was detached from its moorings by storm surge and slammed into communities along the coastline of Estancia, Iloilo. INQUIRER VISAYAS

• 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.The Philippine Coast Guard has installed booms around the barge to stop the spread of the oil spill.

TOP 5 CONSULTS: 1. URTI2. 2.Headache/ dizziness3. 3.Wounds (laceration, puncture, abrasions)4. 4.Hypertension5. 5.Musculoskeletal pain

EASTERN VISAYAS REGIONAL MEDICAL CENTER

Services NOV 20-25

ER Consultations 1,524

OPD Consultations 1,795

Surgery 357

Admissions 1,352

Psychosocial 571

Total 5,599

TOP 5 CONSULTS: 1. Trauma/typhoon- related Injuries 2. Respiratory Tract Infection 3. Acute Gastro enteritis 4. Hypertension 5. Skin disease

VILLAMOR AIRBASE

Services Nov 15-Nov 25

OPD Consultations 3,356

Psychosocial 2,520

Referred from AFP Gen. Hospital to various hospitals

502

Total 6,377

HEALTH SERVICES RENDERED

NUMBER OF PATIENTS REFERRED FROM TACLOBAN (AS OF NOV. 26, 2013,4:00 PM) • To Cebu: 365 patients • To Metro Manila: 518 patients• 55 are walk-in, 463 were referred by AFGH & DOH

Medical Teams in Villamor Total: 883 patientsDEPARTMENT OF HEALTHHEARS CURRENT SITUATION 26 NOV 2014

INITIAL ESTIMATES OF DAMAGE OF HEALTH FACILITIES IN REGIONS IV- B, VI, VII, VIII

PROVINCES BHU RHU HOSPITALTOTAL NO OF

HEALTH FACILITIES AFFECTED

TOTAL ESTIMATED AMOUNT

TOTAL ESTIMATED AMOUNT

USD

Region VIII 754 180 61 995 3,928,512,300 89,876,897

Region VII 43 15 2 60 21,880,000 500,572

Region VI 1,084 97 35 1,216 49,932,500 1,142,360

Region IV B 0 7 1 8 82,060,000 1,877,376

GRAND TOTALS 1,881 299 99 4,082,384,800 93,397,205

DOH UPDATED REPORT – 26 NOV 2013

Provinces No. of Hospitals Affected

Estimated Amount

No. of RHUs Affected

Estimated Amount

Total No. of Facilities Affected

Total Estimated Amount

Total Estimated Amount

USD

Region VIII 14 405,000,000 63 307,346,000 77 712,346,000 16,295,199

Leyte 6 205,000,000 40 203,379,100 46 408,379,100 9,343,999

Eastern Samar

5 170,000,000 21 94,926,300 26 264,926,300 6,061,010

Western Samar

3 30,000,000 2 9,040,600 5 39,040,600 893,069

Region VII

Cebu 2 3,450,000 15 15,000,000 17 18,450,000 422,100

Region VI 18 80,000,000 38 38,000,000 56 118,000,000 2,699,615

Aklan 3 12,000,000 10 10,000,000 13 22,000,000 503.318

Antique 6 24,000,000 6 6,000,000 12 30,000,000 $686,343

Capiz 5 25,000,000 15 15,000,000 20 40,000,000 $915,124

Iloilo 4 19,000,000 7 7,000,000 11 26,000,000 $594,830

Grand Total 34 116 360,346,000 150 848,796,000 $19,418,839

IMMEDIATE NEEDS FOR REPAIR AND REHABILITATION OF HEALTH FACILITIES IN REGIONS VI, VII, VIII

DOH UPDATED REPORT – 26 NOV 2013

PUBLIC HEALTH INTERVENTIONCOST

ESTIMATE (IN PHP MILLION)

COST ESTIMATE (IN USD)

Child Health 18.0 $411,805

Oral Rehydration Salt and Zinc Syrup 18.0 $411,805

Maternal Health 9.4 $215,054

Emergency Delivery Kit (4,000 deliveries) 9.0 $205,902

Iron Supplementation for Pregnant and Post-Partum Women 0.4 $9,152

Communicable Diseases 1.9 $43,468

Dengue Insecticide 1.5 $34,317

Doxycycline (Prophylaxis for Leptospirosis) 0.4 $9,152

Non-Communicable Diseases 17.6 $402,607

Anti-Hypertensive Medications 5.4 $123,541

Anti-Diabetic Medications 12.2 $279,079

Senior Citizens 29.0 $279,079

Influenza and Pneumococcal Vaccine for Senior Citizens 29.0 $279,079

Essential Medicines 6.48 $155,552

Essential Medicines and Supplies for Primary Care 6.48 $155,552

Medical/Surgical Assistance 20.0 $457,562

IMMEDIATE NEEDS FOR PUBLIC HEALTH SERVICE

DOH UPDATED REPORT – 26 NOV 2013

DESCRIPTIONLow levels or lack of vitamin A in the body• Leading cause of preventable blindness in children• Causes night blindness in pregnant women• Vitamin A deficiency contributes to maternal mortality and other poor

outcomes in pregnancy• Vitamin A deficiency reduces the body’s ability to fight infections. In

countries where children are not immunized, infectious disease like measles have higher death rates

• It may increase children's risk of developing respiratory and diarrheal infections, decrease growth rate, slow bone development, and decrease likelihood of survival from serious illness

RISK FACTORS• 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)

• Age• Pregnancy• Recent infection such as diarrheal disease• Low socioeconomic status

SYMPTOMS• Dry eyes/hair/fingernails• Night blindness• Skin disorders• Infections to include respiratory • Low blood cell count-anemia• Fatigue

DISEASE BRIEF-VITAMIN A DEFICIENCYTREATMENT• Increase vitamin A rich foods-liver, beef,

chicken, eggs, fortified milk, leafy green vegetables, mangoes, sweet potatoes

• Daily oral vitamin A supplementation

Mayo ClinicWHOMedscape

CURRENT SITUATIONFNRI 2008 survey 15% of children aged 6 months-5 years are deficient-1.7 million children under age 5 and 500,000 pregnant women

RECOMMENDATIONS• Promote breastfeeding for infants as breast milk is a good

source of vitamin A• Encourage diets rich in vitamin A to include foods fortified

with this micronutrient• Support home gardens where fruits and vegetables can be

grown

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• The first cases of acute malnutrition have been diagnosed.• Eastern Visayas region: 16 cases (7 moderate and 9 severe) of acute

malnutrition• Cases also reported from the hospital at Tacloban airport

RECOMMENDATIONS• 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 AGENCY

Prior to the typhoon malnutrition was present in the Philippines. The conditions since the storm are only likely to worsen the situation.

DESCRIPTIONPneumonia is an inflammatory condition that develops deep in the lung and is usually caused by infection from viruses or bacteria. It is spread through tiny particles of air coughed or exhaled by infected persons. People can become ill with pneumonia by coming in contact with infected individuals or with organisms in the air or on contaminated surfaces. Despite advancements in treatment, pneumonia remains a leading cause of death worldwide.

RISK FACTORSPeople most at risk for developing pneumonia are the very young, the very old, and those with certain chronic conditions such as lung disease or immune disorders such as HIV. Additional risk factors that put a person at increased risk of pneumonia are poor nutrition, poor sanitation and hygiene practices, living in impoverished and/or overcrowded areas.

SYMPTOMSThe symptoms usually start 2-10 days after coming into contact with the causative organisms.Some of the common symptoms include:• Sudden onset• High fever• Shaking chills• Chest pain• Cough producing phlegm• Difficulty breathing

HIGHLIGHT BRIEF-PNEUMONIATREATMENT• Oral or intravenous antibiotics are the treatment of choice.• Breathing support (oxygen masks, ventilation, etc.) may be needed

for those showing signs that they are not getting enough oxygen in the blood (difficulty breathing, rapid breathing, blue discoloration of the lips or fingertips, etc.).

CURRENT SITUTATIONAt a meeting on Friday, 22 Nov 2013, representatives of several dozen domestic and foreign medical groups described the biggest single public health problem to emerge since the typhoon as acute respiratory infections, including pneumonia which have been attributed to lack of shelter, poor weather, and lack of clothing.

RECOMMENDATIONS• Wash hands with antimicrobial soap and water or by using

alcohol-based waterless gels. If hands have been in contact with mucus or other secretions, use soap and water only.

• Wear gloves and masks when dealing with people/patients with cough or other warning signs of respiratory (lung) illness.

• Change clothes if soiled with mucus or other secretions.

CDC – Pneumococcal DiseaseAmerican Family Physician – Pneumonia Doctors Without BordersMayo Clinic

DOH MEDICAL TEAMS

TACLOBANBORONGAN

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 - 27 NOV 0800H Nov 13

FOREIGN MEDICAL TEAMS

http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-26nov2013.pdf

Cut off from healthcare - Access to medical services are a huge challenge for people that are in isolated areas and are homeless. Deborah Lau, one of our medical experts treats a Typhoon survivor on Panay Island (MERLIN/SAVE THE CHILDREN). Photo by UK-IETR/Save the Children

Merlin, SC, British Surgeon has combined efforts with Save the Children and are now working side-by-side at head office bases in Manila, Cebu, Roxas.

Canada DART Teams is a military organization ready to deploy quickly to conduct emergency relief operations. It is one component of Canada’s toolkit to respond to natural disasters abroad. As of 0700 EST on 26 November 2013, Task Force Philippines has:

• Purified approximately 56,000 liters of water;• Distributed approximately 14,196 liters of purified

water;• Treated nearly 1,733 medical patients;

Roxas City, Philippines; November 16, 2013 – Master Corporal Stephan Fortin, a medic with the Canadian Forces Disaster Assistance Response Team (DART), checks a local child at a refuge camp outside of Roxas City, Philippines. The area was devastated by Typhoon Haiyan, one of the largest typhoons on record. (Photo Iby Corporal Darcy Lefebvre, Canadian Forces Combat Camera Photographer)

HEALTH AND MEDICAL – PAYNAY ISLAND

MSF is based in Estancia and are carrying out mobile clinics in in Estancia, Carles, and San Dionisio on Panay island. The team is treating respiratory infections, and have seen some patients with diarrhea. Without proper shelter and being exposed to the elements, a lot of people have colds and fevers, especially the children. They have also seen people who have been affected mentally by the typhoon.

Estancia

PH Health Atlas—Monitoring as of Nov 26Task Force Yolanda Matrix DOH as of Nov 26

• WHO coordinating with partners and bringing them together with local health authorities

• Coordination and logistics remain challenging, goods arriving and teams setting up

• Emergency care teams are established; surgical services remain limited due to electrical outage and resources

• Disease surveillance system patchy due to disruption of communication lines

• Health assessment is ongoing through several health partners and is assessing longer-term service delivery needs (Health Cluster Roxas)

FOREIGN MEDICAL TEAMS

FOREIGN• MERCY MALAYSIA at Ormoc District Hospital and also operating medical tent units that offers

free consultations and medicine. Plans include WASH, increase medical relief efforts, distribution of hygiene kits.

• 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 will send mobile clinic units if needed• JOHANNITER GERNAMY At City Government Center. Operational goal of distributing 1,8 tons of

health kits• IFRC-CANADIA AND NORWEGIAN at Ormoc District Hospital area with operating theater,

maternity wards and inpatient services. The ERU is a joint operation of Canadian, Norwegian and Hong Kong Red Cross. Video Update

• 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.

LOCAL OR OTHER• THE PHILIPPINE COLLEGE OF PHYSICIANS near Ormoc District Hospital in cooperation with the

Department of Health (DOH) (team=28).• 1DREAM OF BALAY MINDANAW GROUP worked with multiple Barangays• SM MEDICAL FOUNDATION helped barangay San Pablo in Ormoc City. ECG, X-ray services and

meds were given from the foundation’s mobile van.• PHILIPPINE NATIONAL RED CROSS setting up a field office and carrying out “rapid assessments”.

HEALTH AND MEDICAL – ORMOC

PH Health Atlas—Monitoring as of Nov 26Task Force Yolanda Matrix DOH as of Nov 26Local Volunteer Teams DOH as of Nov 20

INFRASTRUCTURE• There are 2 operational health facilities. Carigara Hospital, originally a level 2 hospital, is only

partially functional and is unable to provide essential surgical care services including caesarean.

• The Ormoc District Hospital is partially functional and is able to deliver emergency surgical care including obstetric surgery, but not all operating rooms are functional and those that do function are doing so under marginal conditions. ICRF and Mercy Malaysia are providing assistance to the hospital in order to improve the situation.

• The Ormoc Maternity and Children’s Hospital is fully functional except for surgical referral.

• A few private facilities are also functional, with one that is well supplied and has suffered little damage, but only on a paid basis. All hospitals have reduced admission levels due to lack of electric and difficult operating conditions, and one private health facility is planning to close completely to conduct full repairs on its facility.

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 as-sessment of Bethany Hospital conducted by MSF France in Tacloban shows minor dam-age to windows and door in one of the operating rooms. One of the three operating theatre remains completely untouched and will be func-tional for internal fixation sur-gery once a generator is in-stalled. One of two-storey buildings of the hospital was severely damaged. Over 50% of the roof structure was de-stroyed in the Typhoon and numerous windows were damaged on the 2nd storey. This has made the entire up-per 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 26Task Force Yolanda Matrix DOH as of Nov 26

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 are located at ontinue 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 AND MEDICAL – ABUYOG

The Chinese Navy’s hospital ship the Peace Ark has joined a Chinese government emergency field hospital in Abuyog in providing relief to typhoon Haiyan survivors in the Philippines.

Efforts are being made in conjunction with UNICEF to vaccinate children against communicable diseases.

Locals fluent in English are assisting Chinese medical staff in communicating with patients.

The Chinese government emergency medical team began receiving patients at its field hospital in Abuyog on Saturday night.

The Peace Ark, with 300 beds and over 100 medical professionals on board, has been put into use since Monday..

Ver Noveno

CCTV

HEALTH AND MEDICAL – PALO

PALOASB Germany - On Friday, 22 November 2013, ASB Germany sent a FAST (First Samaritan Assistance Team) eight member team Palo, to provide basic medical aid to the population. The team is equipped with an “Emergency Health Kit ” for the medical care of 30,000 people.

Samaritan's Purse/ US Level 1 Field Hospital –includes doctors, nurses, and a biomedical technician, is working alongside the staff at the storm-damaged Schistosomiasis Control & Research Hospital in Palo to provide emergency health care to the community. The U.S. Air Force helped set up their mobile field hospital on the grounds of the hospital. Local radio stations are directing injured people to the expanded medical facility. (SITREP – 22 NOV 2013)

Field Hospital in Palo

PH Health Atlas—Monitoring as of Nov 26Task Force Yolanda Matrix DOH as of Nov 26

• Felipe J Abrigo Memorial Hospital was completely destroyed

HEALTH AND MEDICAL – GUIUAN, EASTERN SAMARHEALTH INFRASTRUCTURE

• MSF is working in Guiuan. Their priority is reaching areas outside of the city that are currently difficult to reach. They are helping to restore services at the Guiuan hospital and are taking inpatients. In addition, they and have set up a maternity ward, and are able to do minor surgeries and are giving vaccines.

‐ MSF set up a 40-bed tented hospital

‐ On November 19, a team working at a rural health unit in Guiuan carried out 320 consultations, mainly for respiratory infections, diarrhea and chronic diseases. The team also did minor surgery, post-operative care, and vaccinations against tetanus.

‐ MSF also distributed 400 tents and is providing mental health counseling.

‐ A mobile medical team based out of Guiuan is traveling by boat to remote coastal villages to provide general healthcare.

• International Medical Corps- International Medical Corps is conducting water, sanitation and hygiene (WASH); medical; and mental health assessments.

• Medical Teams International is working together IMC and AmeriCares

IMC doctor tends to a patient in the devastated town of Guiuan.

Typhoon Haiyan left the Felipe J. Abrigo Memorial Hospital in ruins after sweeping through the coastal community of Guiuan in Samar. © ICRC / G. Petrosyan

In Guiuan, the re-opened airport and cleared roads allow the expansion of humanitarian activities in support of Government efforts. Most of Guiuan’s infrastructure is destroyed; only two of five water pumping stations are operating. Food water and shelter are priorities for an estimated 480 000 people.

PH Health Atlas—Monitoring as of Nov 26Task Force Yolanda Matrix DOH as of Nov 26

NEEDS:• 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

• 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, while the need for primary health care is increasing

HEALTH

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

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

OCHA SITREP - 16 NOV 2013OCHA SITREP - 17 NOV 2013

• 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.

• Disease surveillance needs strengthening. Reports of chickenpox, tetanus and leptospirosis deaths have emerged. Partners report increased cases of gastroenteritis, acute respiratory infection, fever, rashes and diarrhoea, especially in children.

• The Government has prioritized the restoration of primary and hospital health services, including the structural safety of hospitals, appropriate medical waste management and infection control.

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

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

• In the hardest hit areas, one third of the children suffer from malnutrition

• Injury management is urgently required.

OCHA SITREP – 18 NOV 2013OCHA SITREP– 19 NOV 2013

OCHA SITREP - 20 NOV 2013

OCHA SITREP -21 NOV 2013OCHA SITREP 22 NOV 2013

HEALTH - NEEDS

OCHA SITREP 25 NOV 2013OCHA SITREP 27 NOV 2013

HEALTH

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

• 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.

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

• Tents, generators, clean delivery kits, medicines, health supplies and body bags have been distributed to priority facilities.

• 153 medical teams (foreign, national and local) are providing emergency health services.

• The Department of Health, working with partners, will start a vaccination campaign for children aged 6 months to 5 years in Tacloban City this week and target around 28,400 children for measles and vitamin A, and 33,300 children aged 0-5 years for polio.

• 10,000 dignity and hygiene kits for pregnant and breastfeeding women are being delivered to Tacloban City and Eastern Samar.

• Health facility damage is being mapped. • Doctors and nurses in Tacloban City have mobilized to conduct

reproductive health and medical missions.

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

OCHA SITREP 8 – 14 NOV 2013

OCHA SITREP 9– 15 NOV 2013

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

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

• 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.

OCHA SITREP 10– 19 NOV 2013

OCHA SITREP 10-20 NOV 2013

OCHA SITREP 10-21 NOV 2013OCHA SITREP 10-22 NOV 2013

HEALTH - RESPONSE

HEALTH

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

migrating and vulnerable populations. • There remains insufficient coordination between incoming foreign

medical teams and local health officials.

• 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.

• 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.

• The transport of patients to referral hospitals is still an issue due to the lack of ambulances and fuel. This is improving as roads are cleared.

• Plans to fill gaps by the eventual departure of foreign medical teams are required.

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

OCHA SITREP 8 – 14 NOV 2013

OCHA SITREP 9– 15 NOV 2013OCHA SITREP 10– 16 NOV 2013OCHA SITREP 10– 17 NOV 2013

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

• The lack of electricity is undermining cold chain operations.

• 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.

• The lack of access to safe water, overcrowding and displacement pose serious risk of outbreaks of communicable diseases. Disease surveillance needs to be strengthened.

• 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.

• Temporary health facilities, generators, medication, surgical supplies, cold storage and WASH facilities are urgently required.

• People are traumatized and lack psycho-social support.

OCHA SITREP 10– 19 NOV 2013

OCHA SITREP 10-20 NOV 2013

OCHA SITREP 10-21 NOV 2013OCHA SITREP 10-22 NOV 2013

HEALTH – GAPS & CONSTRAINTS

RED CROSS AND RED CRESCENT ACTION

OPERATIONS• As of November 26th, 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

NEEDS: • 2.5 million people are in need of food assistance. • It is critical to get rice seed and fertilizer to approximately

250,000 farmers by mid-December. • Funding is needed rapidly to fill the gap in immediate needs in

order to restore rice and maize production in the most affected areas.

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)

• Between 2.5 million and 3 million people have received food assistance. WFP is working with DSWD to adjust the duration of the food ration over the coming weeks.

• Additional cluster partners have reached 225,565 people in affected areas; the Philippines Red Cross has distributed food to 218 families in evacuation centers.

• ICRC finished distributing three-day food rations to 4,300 households in 54 barangays in Guiuan and surrounding areas. ICRC has launched a large operation in coordination with partners, to distribute one-month food rations.

• WFP-managed UNHAS is operating 2 helicopters & 9 passenger plane out of Cebu, for humanitarians.

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, notably North and South

Gigante, have yet to receive assistance.• Delivered food supply is insufficient for many populations.• Food Cluster is currently 49% funded out of a total US$76.2

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:• Access isolated areas lacking assistance.• General food distribution, with food baskets containing rice

and ready-to-eat high-energy biscuits.• 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 No. 18 Nov. 27OCHA SNAPSHOT – Nov 26

WFP OPS UPDATE – NOV 26

NUTRITION

NEED:

• Delay in access to affected populations increases likelihood of deterioration of health and nutrition of affected populations with potential outbreaks of diseases.

• Cluster partners estimate that 1.35 million children under five, 650,000 pregnant and lactating women, and more than 800,000 elderly people in affected areas are at risk of acute malnutrition.

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

• Disruption to maternal care and child feeding practices and damage to WASH and health facilities place children and women at a high risk of malnutrition, especially in high poverty areas.

• Pre-disaster data shows that the affected regions have high rates of malnutrition (5 percent to 9 percent global acute malnutrition (wasting), 21 percent to 26 per cent underweight and 38 percent to 42 percent stunting).

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 18 – Nov 27

Emergency Appeal Operation Update - Nov 17

CASES OF ACUTE MALNUTRITION CONTINUE TO RISE. APPROXIMATELY 30 CASES DIAGNOSED SO FAR

Nation nutrition council cluster meeting – Nov 20 2013

NUTRITION

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

RESPONSE:

• The Harmonized Initiative of Media for the Spread of Good Nutrition in Region 8 (HIMSoG-8) 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

• One mobile team will provide SAM outpatient treatment from 25 November in Tacloban

• In Cebu, 314 children aged 6-59 months received Vitamin A supplements; 345 pregnant and lactating women received infant and young child feeding counseling

• In Roxas, partners screened 682 children aged 6-59 months and 222 pregnant/lactating women. 10 are moderately malnourished, and one is severely malnourished. Of the women, nine were found to be acutely malnourished. All 984 people screened received high-energy biscuits.

• World Food Program to implement 2 phase plan: 1 – prevent acute malnutrition and micronutrient deficiencies; 2 – treatment of moderate acute malnutrition in children 6 – 59 months old

• In Tacloban, 90 per cent of children 6-59 months will be screened for malnutrition during this week’s integrated vaccination and vitamin A campaign

GAPS AND CONSTRAINTS:

• Safe spaces for lactating women to breastfeed are lacking in evacuation centers

• There is limited capacity for the treatment of severe and moderate acute malnutrition

• Partners are needed in all regions, specifically Ormoc, Abuyog, Alangalang, Kananga, Palompon, Carigara, Albuera, Bato and Tabango

• A lack of partners experienced in IYCF to support local agencies. Immediate action is needed to harmonize messages on IYCF

• Nutrition supplies are urgently needed in Panay

• 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 18 – Nov 27UNOCHA Report – Nov 23

Emergency Appeal Operation Update - Nov 17 Unicef meeting notes: Nov 21 2013

NUTRITION

http://reliefweb.int/sites/reliefweb.int/files/resources/MA030_NutritionAssessment_v01-300dpi.pdf.pdf

WASHWATER, SANITATION AND HYGIENE

NEEDS:

• In Tacloban, 45% of sites have off-site access to water and an average of one latrine per 61 people.

• Debris clearance and waste management remain urgent priorities. • Water services are down and pipes need repairing in north-west Leyte. • 8 evacuation centers in Tacloban with the largest number of IDPs are being

prioritized for WASH support. • According to the Shelter Cluster in Tacloban, the Government is planning to

set up one transitional site in Palo and two in Tanauan , which will need WASH Facilities.

RESPONSE:

• Partners are assisting the waste management process around Tacloban City. • Community clean-up and de-sludging have been organized in Tacloban and

Leyte through cash-for-work. • 3 additional water treatment units (35,000 liters per day each) have been

installed in Dulag, Leyte. • Disinfection and distribution of emergency drinking water continues. 5 tankers

are currently in the coastal barangays of Basey, Marabut, Lawaan, Balangiga, Salcedo, Mecedes and Guiuan.

• All pumping stations in Northern Guiuan are now operational following the repair of pumping station number 5.

• Partners have distributed hygiene kits and jerry cans in Eastern Samar. • 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.

WATER, SANITATION AND HYGIENE GAPS & CONSTRAINTS:

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

People covering their faces pass a car in debris after super typhoon Haiyan battered Tacloban City, in central Philippines

OCHA SITREP 18 – 27 NOV 2013UNICEF SITREP 6 – 26 NOV 2013

• Efforts trace the locations and causes of diarrhea outbreaks need better systems and more support.

• Partner capacity is stretched in light of the large number of affected municipalities.

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

• 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

WASH cluster assessments

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)

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.

URGENT: NEEDS: • Identification and profiling of IDPs moving out of affected areas is

needed. Many are leaving through airports and seaports with minimal (if any) controls.

• An estimated 5,000 people continue to leave Region VII (Eastern Visayas) every day.

• 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

• An estimated 5,000 people continue to leave Region VII (Eastern Visayas) every day.

• A targeted response to the Mamanwa ethnic group in marabut is needed.

• 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.

OCHA SitRep#18 27NovNDRRMC SitRep#38 24Nov

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

Protection Cluster Assessment#6 20Nov IASC Sub-Working Group on Gender 18Nov

UNICEF SitRep#4 20Nov

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.• No legislative data has been made on alternative resettlement or

relocation arrangements for IDPs.

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#18 27NovOCHA SitRep#16 22NovOCHA SitRep#15 21NovProtection Cluster Assessment#6 20Nov IASC Sub-Working Group on Gender 18NovUNICEF SitRep#4 20Nov

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 Migration Outflow Desk at Tacloban airport has registered 638 households (2,864 people) to date. DSDW detected one possible case of human trafficking of a minor girl.

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

• 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.• Approximately 2,500 women and adolescent girls will benefit

from 5 women-friendly spaces 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, primarily for young children and their mothers living in school-based evacuation centers who must vacate the schools during the day for classes.

• Women and Child Protection Units have been set up in Borongan, Balangkayan, Hernani, Llorente, Oras, Salcedo, and San Julian municipalities (Eastern Samar).

CHILD PROTECTION & GENDER BASED VIOLENCE

https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th

CHILD PROTECTION & GENDER BASED VIOLENCE

https://philippines.humanitarianresponse.info/visuals/snapshot-child-protection-risks-and-needs-november-25th

US RESPONSE

LOGISTICS AND RELIEF COMMODITIES

• On November 25, DoD transported 36 metric tons (MT) of U.N. World Food Program (WFP) food commodities to five outlying islands near Guiuan on November 25. To date, DoD has transported approximately 1,810 MT of relief commodities to typhoon-affected areas, including Borongan, Guiuan, Ormoc, and Tacloban. DoD has also evacuated approximately 540 American citizens, 19,600 Filipino citizens, and 300 third-country nationals from typhoon-affected areas.

• As of November 25, DART logistics officers had facilitated the transfer of all USAID/OFDA-provided relief commodities, including collapsible water containers, from the Tacloban airport to warehouses managed by the GPH Department of Social Welfare and Development (DSWD) for onward distribution.

KEY DEVELOPMENTS

• As access to typhoon-affected areas continues to improve, aid delivery is increasing, particularly in more remote areas, according to the U.N. In addition, the number of people displaced by the typhoon is decreasing as populations return to their home areas to reconstruct damaged and destroyed houses.

• USAID’s Disaster Assistance Response Team (DART) reports that humanitarian actors are increasingly turning from emergency response to transition and early recovery assistance.

• While some populations are returning to home areas, others continue to depart affected regions. The GPH estimates that 5,000 people are leaving Eastern Visayas Region every day, including 600 to 700 people from Guiuan municipality, with up to 6,000 people arriving in Cebu and 800 people at the Manila airport every 48 hours.

• Non-governmental organizations (NGOs) note the difficulty in determining where to provide services, as it remains unclear whether people plan to return to their home areas.

• The DART reports significant progress in debris removal in Tacloban in recent days, noting the opening of side streets and designation of debris sorting and disposal sites outside of Tacloban city. The DART also observed small markets selling produce, fish, and meat; an open pharmacy; and several open gas stations, indicating fuel availability.

• Civilian and private-sector commercial capacity has significantly increased during the past week. Several DoD C-130 aircraft remain in the Philippines to support deliveries of USAID-validated relief commodities to affected areas. The U SS Ashland and USS Germantown continue ship-to-shore logistics for the relief effort.

USAID FACT SHEET NO. 12– NOV 25 http://www.usaid.gov/haiyan/infographic

US RESPONSE

USAID Fact Sheet No. 12– Nov 25

PROTECTION

• On November 23, the DART assessed the DSWD-managed evacuation center at Villamor Air Base in Manila, which DSWD established to monitor possible cases of trafficking and unaccompanied, separated, or missing children. The DART reports that all evacuees are registered at the evacuation center upon arrival in Manila and provided with a meal, clothes, medical services, and psychosocial support, as needed. DSWD also provides onward transportation to pre-determined destinations or to a location managed by DSWD and NGOs.

• Staff from several National Child Protection Working Group member agencies have started providing specialized on-site support at the evacuation center for vulnerable children, including initiating family tracing and interim care arrangements for separated and unaccompanied children, as well as alternative care arrangements.

WATER, SANITATION, AND HYGIENE (WASH)• Humanitarian organizations report that water quantity is generally sufficient in typhoon-

affected areas, but water quality needs to be tested. The DART water, sanitation, and hygiene (WASH) advisor reports that coastal communities are served by municipal water systems and distribution networks, as well as wells and hand pumps. The storm surge likely affected shallow wells, which may need to be cleaned and chlorinated to provide safe drinking water.

• The DART WASH advisor reports that evacuation centers in Tacloban lack sufficient latrines. USAID/OFDA partner the U.N. Children’s Fund (UNICEF) and NGOs are addressing sanitation gaps; however, latrines are not uniformly available for typhoon-affected populations. In addition, sanitation facilities at the airport in Tacloban are not sufficient to meet the needs of people waiting to evacuate. The Armed Forces of the Philippines reports that existing sanitation facilities are overwhelmed and in need of maintenance and that additional temporary latrines and hand-washing facilities are necessary to meet existing needs.

• USAID/OFDA has provided more than $4 million to respond to WASH needs in East Samar, Leyte, and Samar provinces to date. USAID/OFDA-supported activities include improving access to safe drinking water, restoring access to latrines, and conducting hygiene promotion activities.

CLUSTER MEETINGS - 27 NOV 2013

Daily Press Briefing (Tacloban)27/11/2013 - 07:30Tacloban Town HallPhilippinesmildren@un.orgIntra-Cluster Meeting (Roxas)27/11/2013 - 08:30PhilippinesReproductive Health Meeting (Roxas)27/11/2013 - 08:30PHOPhilippinesAngel Umali09175440050umali@unfpa.orgEducation Cluster Meeting (Roxas)27/11/2013 - 09:00DepEd Division Office, CapizPhilippinesPreethi Nampoothiri09154932066Nutrition Cluster AWG meeting27/11/2013 - 09:00UNICEFPhilippinesMCDA Tasking meeting (Cebu)27/11/2013 - 10:00Cebu Air BasePhilippinesPAF, Foreign MCDA, Logistics ClusterDonor Briefing (Manila) incl. MIRA findings27/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)PhilippinesLogistics Cluster Coordination Meeting (Manila)27/11/2013 - 11:00Philippines

Shelter Cluster Meeting (Tacloban)27/11/2013 - 14:00PhilippinesWASH Cluster Meeting (Tacloban)27/11/2013 - 14:00OSOCCPhilippinesSilvia Ramos0906-516-0271CCCM Meeting (Tacloban)27/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543Nutrition Cluster Meeting (Tacloban)27/11/2013 - 15:00OpCen EWRMCPhilippinesDina A. Leilane / Mathisen RogersProtection Cluster Meeting (Tacloban)27/11/2013 - 15:00OSOCCPhilippinesRoberto MignoneGBV & Child Protection Meeting (Tacloban)27/11/2013 - 15:00OSOCCPhilippinesRonnel VillasHealth Meeting (Tacloban)27/11/2013 - 17:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesBoy Llacuna / Dana van Alphen

Early Recovery Cluster Meeting (Tacloban)27/11/2013 - 17:00OSOCCPhilippinesLTC Edwin Sadang / Christophe Charbon0917-582-1214Child Protection WG (Roxas)27/11/2013 - 17:00Provincial Capitol 3rd floorPhilippinesAngel Umali09175440050Health Meeting (Roxas)27/11/2013 - 17:00Governor's IDEA roomPhilippinesSuzanne Averill09471707501Security Briefing (Tacloban)27/11/2013 - 17:00OSOCCPhilippinesLTC Madarang / John SchotWASH Cluster Meeting Eastern Samar Hub27/11/2013 - 18:00PDRRMC OfficeBorongan City, SamarPhilippinesMs Christie SidroCoordination Meeting (Tacloban)27/11/2013 - 18:00OSOCCPhilippinesMr. Jesper Lund0915 772 0893lund@un.org

General Coordination Meeting (Guiuan)27/11/2013 - 18:00PhilippinesMark McCarthy+882167000964Coordination Meeting (Roxas)27/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199Public Information and Communications Meeting (Tacloban)27/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983FSAC Meeting (Roxas)27/11/2013 - 19:00Provincial Capitol 3rd floorPhilippinesCherie LO0917981828WASH Cluster Meeting (Roxas)27/11/2013 - 19:00Vice gov. conference roomPhilippinesHanna Montaner09178607445CCCM Cluster Meeting (Roxas)27/11/2013 - 19:00Provincial Capitol 3rd floorPhilippinesRobert Shaw09193243185Shelter Cluster Meeting (Guiuan)27/11/2013 - 19:00OSOCCPhilippinesAndrew Lind09186572802

GIS WG (Manila)27/11/2013 - 19:00RCBC complexPhilippinesShelter Cluster Meeting (Roxas)27/11/2013 - 19:30Roxas Provincial Hall, Roxas, Region VIPhilippinesTim Stats0929 7957369im2.phil@sheltercluster.org

CLUSTER MEETINGS - 28 NOV 2013

Daily Press Briefing (Tacloban)28/11/2013 - 07:30Tacloban Town HallPhilippinesmildren@un.orgEarly Recovery Cluster meeting28/11/2013 - 08:30PDRRMC Capital BuildingRoxas CityPhilippinesWinston CamarinasNational Child Protection Working Group Meeting - Manila28/11/2013 - 09:00Manila - UNICEF OfficePhilippinesAdele Chavezagchavez@cwc.gov.ph2nd Nutriton Cluster Core Group meeting28/11/2013 - 09:00PhilippinesEducation Cluster Meeting (Region VI)28/11/2013 - 09:00DepEd Division of Capiz, Superintendents OfficePhilippinesPreethi Nampoothiri9154932066 or 9289040732P.Nampoothiri@savethechildren.org.ukMCDA Tasking meeting (Cebu)28/11/2013 - 10:00Cebu Air BasePhilippinesPAF, Foreign MCDA, Logistics ClusterDonor Briefing (Manila) incl. MIRA findings28/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)PhilippinesGBV Sub-cluster meeting [Manila]28/11/2013 - 10:30UNFPA Conference RoomRCBC Plaza 30th floorPhilippines

Livelihood Cluster Meeting28/11/2013 - 14:00ILO Auditorium, 19th Floor, RCBC PlazaMakatiPhilippinesRuth Georgetgeorget@ilo.orgShelter Cluster Meeting (Tacloban)28/11/2013 - 14:00PhilippinesCCCM Meeting (Tacloban)28/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543Nutrition Cluster Meeting (Tacloban)28/11/2013 - 15:00OpCen EWRMCPhilippinesDina A. Leilane / Mathisen RogersWASH Cluster Meeting (Tacloban)28/11/2013 - 16:00OSOCCPhilippinesSilvia Ramos0906-516-0271Early Recovery Cluster Meeting (Manila)28/11/2013 - 16:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)PhilippinesRekha Dasrekha.das@undp.orgHealth Meeting (Tacloban)28/11/2013 - 17:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesBoy Llacuna / Dana van Alphen

Shelter Cluster Meeting (Manila)28/11/2013 - 17:0019th floor, ILO (RCBC Plaza)PhilippinesAnna Pont09084011218coord.phil@sheltercluster.orgSecurity Briefing (Tacloban)28/11/2013 - 17:00OSOCCPhilippinesLTC Madarang / John SchotCoordination Meeting (Tacloban)28/11/2013 - 18:00OSOCCPhilippinesMr. Jesper Lund0915 772 0893lund@un.orgGeneral Coordination Meeting (Guiuan)28/11/2013 - 18:00PhilippinesMark McCarthy+882167000964Coordination Meeting (Roxas)28/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199Logistics Cluster Coordination Meeting (Tacloban)28/11/2013 - 19:00OSOCCTacloban CityPhilippinesIrving Prado0927 832 8557Irving.Prado@wfp.org5

Public Information and Communications Meeting (Tacloban)28/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983FSAC Meeting (Roxas)28/11/2013 - 19:00Provincial Capitol 3rd floorPhilippinesCherie LO0917981828CCCM Cluster Meeting (Roxas)28/11/2013 - 19:00Provincial Capitol 3rd floorPhilippinesRobert Shaw09193243185

CLUSTER MEETINGS - 29 NOV 2013

29/11/2013 - 07:30Tacloban Town HallPhilippinesmildren@un.orgProtection Cluster Meeting (Manila)29/11/2013 - 09:00UNHCR Manilla Office 6th floor GC Corporate Plaza 150 Legaspi streetPhilippinesMCDA Tasking meeting (Cebu)29/11/2013 - 10:00Cebu Air BasePhilippinesPAF, Foreign MCDA, Logistics ClusterDonor Briefing (Manila) incl. MIRA findings29/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)PhilippinesIYCF TWG meeting29/11/2013 - 10:00NNC Conference roomPhilippinesCMAM TWG meeting - Nutrition29/11/2013 - 11:00NNC Conference roomPhilippinesShelter Cluster Meeting (Tacloban)29/11/2013 - 14:00PhilippinesFood Security & Agriculture (Tacloban)29/11/2013 - 14:00OSOCCTacloban CityPhilippinesSamantha Chattarraj0915 143 8191Samantha.chattaraj@wfp.orgNutrition Cluster Meeting (Cebu)29/11/2013 - 14:30Department of Health/CHD 7 Jones AvenuePhilippinesMs. Letlet Missio

CCCM Meeting (Tacloban)29/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543Nutrition Cluster Meeting (Tacloban)29/11/2013 - 15:00OpCen EWRMCPhilippinesDina A. Leilane / Mathisen RogersIM Working Group (Manila)29/11/2013 - 16:00RCBC Plaza - 30th floorOCHA Conference roomMakatiPhilippinesAndrej Verityverity@un.orgHealth Meeting (Tacloban)29/11/2013 - 17:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesBoy Llacuna / Dana van AlphenChild Protection WG (Roxas)29/11/2013 - 17:00Provincial Capitol 3rd floorPhilippinesAngel Umali09175440050Health Meeting (Roxas)29/11/2013 - 17:00Governor's IDEA roomPhilippinesSuzanne Averill09471707501Food Security and Agricultural Cluster Meeting (Tacloban)29/11/2013 - 17:00OSOCCPhilippinesSamantha Chaterraj

Security Briefing (Tacloban)29/11/2013 - 17:00OSOCCPhilippinesLTC Madarang / John SchotWASH Cluster Meeting Eastern Samar Hub29/11/2013 - 18:00PDRRMC OfficeBorongan City, SamarPhilippinesMs Christie SidroCoordination Meeting (Tacloban)29/11/2013 - 18:00OSOCCPhilippinesMr. Jesper Lund0915 772 0893lund@un.orgGeneral Coordination Meeting (Guiuan)29/11/2013 - 18:00PhilippinesMark McCarthy+882167000964Coordination Meeting (Roxas)29/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199Public Information and Communications Meeting (Tacloban)29/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983FSAC Meeting (Roxas)29/11/2013 - 19:00Provincial Capitol 3rd floorPhilippinesCherie LO0917981828

WASH Cluster Meeting (Roxas)29/11/2013 - 19:00Vice gov. conference roomPhilippinesHanna Montaner09178607445CCCM Cluster Meeting (Roxas)29/11/2013 - 19:00Provincial Capitol 3rd floorPhilippinesRobert Shaw09193243185Nutrition Cluster Meeting (Roxas)29/11/2013 - 19:00Provincial Capitol, 3rd floorPhilippinesPaul Wasike09477847179Shelter Cluster Meeting (Roxas)29/11/2013 - 19:30Roxas Provincial Hall, Roxas, Region VIPhilippinesTim Stats0929 7957369im2.phil@sheltercluster.org

CLUSTERS POC

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