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

TYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS

FOOD

WEATHER OUTLOOK

8 DEC 2013(As of 1 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

5,796INJURED DEAD

27,022

HEALTH

NUTRITION

WASH

EMERGENCY SHELTER

PROTECTION

LOGISTICS

EMERGING NEEDS/ PRIORITIES

US RESPONSE

BACKGROUND

SOURCES: PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

WIKIPEDIA - TYPHOON HAIYANhttp://reliefweb.int/sites/reliefweb.int/files/resources/Phil.Haiyan.03Dec.pdf

Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine typhoon on record, killing at least 5,796 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.

BACKGROUND

http://reliefweb.int/sites/reliefweb.int/files/resources/TC-2013-000139-PHL_snapshot_131205.pdf

WEATHER OUTLOOK

Daily AccuWeather

GALE WARNING NO. 42For: Strong to gale force winds associated with the surge of Northeast Monsoon. Issued at 5:00 a.m. today, 08 December 2013

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

PAGASA

PAGASA Gale Warning PAGASA weather report PDF

Synopsis:

Tail-end of a cold front affecting Southern Luzon.

Forecast:

Quezon province will experience cloudy skies with moderate to occasionally heavy rain showers and thunderstorms which may trigger flashfloods and landslides. Bicol Region will be cloudy with light to moderate rain showers and thunderstorms. The regions of Cagayan, Cordillera and Ilocos will be cloudy with light rains. Metro Manila and the rest of the country will have partly cloudy to cloudy skies with isolated rain showers or thunderstorms.

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

EMERGING NEEDSFOOD, WATER, AND SANITATION

• Increases in rice seed provided to farmers is needed• Lack of funds is preventing the full restoration of rice and

maize production in the most affected areas• Children and pregnant/lactating women need to be screened

for malnutrition and identified cases treated• Water quality surveillance and treatment is needed in Eastern

Samar Province• 175 bunkhouses to be built in Eastern Samar will need water

supply and sanitation facilities• Water system rehabilitation and construction of emergency

latrines in schools is needed• Water supplies still needed in Municipality of Barbaza,

Antique, and some municipalities/cities in Capiz and Iloilo

SHELTER AND SECURITY• Shortage of early recovery building materials, good quality

corrugated iron sheeting is especially needed and tools to repair their homes.

• Non-targeted distribution of milk formula powder by churches and volunteer groups needs to be stopped, but evacuation center managers lack knowledge to do so

• No relocation site has been identified for these affected families

• Lack of protection desks in hospitals and police stations• Non-functioning local child protection networks• Documentation is lacking on people and adolescents who are

travelling to Manila for work and may be at risk of GBV

MEDICAL AND PUBLIC HEALTH• Child health: immunization, nutrition, hydration• Maternal health: iron supplementation, emergency delivery facilities• Medicine for hypertension, heart disease, and diabetes• Insecticide for mosquitoes carrying viruses• Partners need to better document and standardize reporting of medical

consultations needed from partners• Gaps in surveillance along the coast of Eastern Samar• Psychosocial support for children

LOGISTICS• The lack of warehousing remains an issue across the affected areas. • Debris clearance: schools, hospitals, and roads around Tacloban• Heavy equipment for debris clearing is in short supply• The DOLE requires personal protective equipment and tools to

facilitate additional emergency employment activities• Need for shared IT and telecommunications services for humanitarian

partners (Iloilo & Basey)• Customs controls are delaying ICT equipment deliveries• Guiuan port is severely congested and has poor road access• Key cluster messages are not being sufficiently disseminated by radio,

in print, and through video

OTHER• Damaged schools need to be repaired, and schools being used as

evacuation centers need to be vacated for education• Local Government Units need funds for recovery & reconstruction• Baby tents and infant and young children feeding materials are urgently

needed in Region VI• Lack of a mechanism for replacing lost personal documents

OCHA Situation Report No. 21OCHA Situation Report No. 20NDRRMC SitRep No. 49

SHELTER & SECURITY• 1,180,229 houses damaged, of which 587,598 were completely

destroyed• 1,031 evacuation centers sheltering 204,131 individuals• Over 3.8 million people displaced are outside of shelters• Emergency shelter is still needed in some areas (particularly

Regions VII – Central Visayas and Region VIII Eastern Visayas)• Lack of site committees in the vast majority of settlements• Long-term housing, land, and property support for people in

coastal areas who are required to be at least 50m from shoreline

• Some 50 families in Guiuan Municipality have not been permitted to return home due to ongoing construction of the fishing port

• An estimated 375,000 women and girls of reproductive age in affected areas have experienced sexual violence

EDUCATION AND LIVELIHOODS• The percent of children back in school in the typhoon affected

regions ranges between 20% and 90%, depending on the municipality

• 47% of schools in the most affected areas have yet to be assessed (especially in Region VIII Eastern Visayas)

• More information on the status of day care centers & children • 5.6 million workers (including 2.2 million women) were

affected, with their livelihoods and sources of income destroyed, lost or disrupted

• Subsistence fishers urgently need to repair or replace boats and fishing gear to restore their daily sources of food

EMERGING PRIORITIESFOOD AND WATER

• Nearly 3 million people are in need of life-saving food assistance and agricultural support

• Agreement by partners, UN agencies, and other donors to allow community management of acute malnutrition

• Easier access to markets for elderly and disabled• Some water systems have salty water, and a number of have

tested positive for fecal coliform

ESSENTIAL HEALTH SERVICES• As of 29 November, 1,019 of 2,495 health facilities had been

assessed. Of these, 113 are not functioning• The most common reasons for medical consultations across

affected areas are acute respiratory infection, fever, diarrhea, hypertension, skin disease and wounds. Wounds include both injuries related to debris-clearance and follow-up care for those injured by the typhoon

• Incidence of wounds and bruises has increased due to debris-clearing activities

• Approximately 3.6 million women and girls of reproductive age are among the affected population, including 260,000 pregnant and 173,000 lactating women.

• In the next 3 months, 88,500 births are expected. • Coordination and planning is needed to fill gaps in health

services initially provided by foreign medical teams who are now phasing out

• OCHA Situation Report No. 21• OCHA Situation Report No. 20• UNICEF: SitRep #10• World Food Programme SitRep #10• NDRRMC SitRep No. 49

FOOD: 3.0 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. 37 per cent of the Vasayas’ rice production area damaged , making it critical to increase rice seed provision to farmers

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: Roxas, Capiz, Metro Roxas has resumed services, though water remains limited. 40% of the municipal water districts are operational in Antique and 70% of districts in Iloilo Operational. Water supply system in Busuanga town proper is functional. Coron, however, is implementing a rationing system.

As of 8 DEC 2013 – 6:00 AM PhT

CASUALTIES: 5,796 individuals were reported dead, 27,022 injured and 1,779 missing.

AFFECTED POPULATION:A total 2,599,605 families (12,265,259 persons) were affected in 12,120 barangays in 44 provinces, 590 municipalities and 57 cities of Regions IV-A, IV-B, V, VI, VII, VIII, X, XI and CARAGA.853,634 families (3,988,821 persons) were displaced.

Since last update, 385 active evacuation centers compared to previous reports of ~1000:• 21,356 families / 103,494persons inside evacuation centers• 832,287 families/ 3,885,327 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA):

• DAMAGED HOUSES: 1,148,879 houses damaged (551,991 totally / 596,888 partially)

• INFRASTRUCTURE: The total of damage to infrastructure was PhP18,206,735,334.29/$414,354,344

-

• AGRICULTURE: PhP 17,321,150,996.38/$394,199,950

CURRENT SITUATION

NDRRMC

AIRPORTS: To date, operations in Tacloban airport are 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

CURRENT SITUATION

http://reliefweb.int/sites/reliefweb.int/files/resources/MA1007_AssessmentsRegistry-300dpi.pdf.pdf

BACKGROUND: A significant spill of heavy oil (bunker C type) occurred when Power Barge No. 103 ran aground at the shores of Estancia during the height of typhoon Haiyan. Between 21 and 23 November, environment experts from the Philippines Environmental Management Bureau visited the site of the oil spill together with a United Nations Disaster Assessment and Coordination (UNDAC) environment expert, and a public health expert from the World Health Organization, in order to jointly undertake a preliminary assessment of the threats the spill poses to human health, livelihoods and the environment.

SIZE OF THE SPILL: • Current estimates by the management of the power barge amount to

around 800,000 liters of oil having leaked.

• As the ruptured tanks continue to leak and up to 600,000 liters of oil remain in the tanks, the amount of spill is increasing steadily.

• Urgent action is required to pump out the remaining oil or seal the holes in the tanks.

• Most of the spilled oil has washed ashore, contaminating the coast and mangroves up to 10 kilometers downstream.

• The containment booms deployed are not sufficient to effectively contain all of the free phase oil in the water.

• The free phase oil has been blown ashore by southeastern winds so far. A change of wind direction or a tropical depression could further complicate the containment of the free phase oil. A faster, mechanical clean-up process with oil skimmers is urgently required.

• An urgent need for recovery and clean up equipment and expert advice has been identified. A request for technical assistance to the Environmental Management Bureau in Iloilo has been received by the United Nations on 22 November and an oil spill clean-up expert was deployed on 27 November.

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICALOIL SPILL IN ESTANCIA

HEALTH RISKS• Temporary workers who have been hired for the clean-up operations continue

to stay close to the site of the accident.

• The workers are currently exposed to significant occupational health risks due to the unsafe and ineffective practice of manual recovery of free phase oil in the open water and the insufficient and inappropriate provision of personal protective equipment.

• Immediate change in the management of the clean-up operation is required in order to protect the workers from unacceptable health risks.

• The contamination of the coast is putting the resident population at risk from

accidental fires and other physical injuries.

• The chemical risk to the affected population is limited as long as direct contact with contaminated debris is avoided.

• The physical risk to the people sheltering in the immediate vicinity of the oil spill has been mitigated with the evacuation of most of the population to a temporary evacuation center.

Note: For an in depth report on the oil spill in Estancia read the Joint Assessment Report

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

The Philippine Health Insurance Corporation (PhilHealth) announced yesterday it will pay for the hospitalization of all supertyphoon Yolanda survivors who need medical or hospital care.

HOSPITALS:

• To date, 25 hospitals in Leyte, 13 hospitals in Southern Leyte, 1 hospital in Biliran, 9 hospitals in Samar, 16 hospitals in Eastern Samar and 12 hospitals in Northern Samar are providing services.

• Some hospitals are being augmented by the DOH Medical Teams.

• The electricity of EVRMC is provided by a 600 KVE generator. Likewise, 82 % of the hospital employees resumed to their work. The laboratory department is fully operational and radiologic imaging is possible, except for the CT scan. The OPD has been transferred to another building.

• Eastern Visayas Regional Medical Center reported the following services given for the period of Nov. 12 to Dec 4: ER consultation: 2,053; OPD: 3,790; surgery: 380 and psychosocial: 571.

• Medical Team and MHPSS team were deployed at Villamor Airbase to conduct triaging and psychosocial services to arriving typhoon Yolanda survivors from Tacloban City. A total of 7,253 medical consultations and 4,587 psychosocial services were done for the period Nov. 15-Dec. 5. Likewise, 587 patients were transferred to different Metro Manila Hospital from Air Force General Hospital for the period Nov. 11 – Dec. 5, 2013.

AS OF 4 DEC 2013• Foreign Teams: 102• DOH Teams: 124• Local Teams: 26

WHOI# 4WHO #3WHO - #2

• ORMOC‐ Ormoc has reported that despite the extensive damage to the infrastructure

most hospitals are functioning to some degree. For example, Ormoc District Hospital is able to conduct emergency surgery, including Obstetrics and Gynecology.

‐ Carigara Hospital is only partially functional and has lost the ability to do essential surgical care, including caesarean sections.

‐ Ormoc Maternity and Children’s hospital lacks surgical referral capacity.

‐ All hospitals have reduced admission levels due to lack of electricity and difficult conditions and one private hospital is planning to close completely for repairs.

HEARS PLUS 4 DEC 2013HEARS PLUS – 1 DEC 2013HEARS PLUS – 28 NOV 2013

Acute watery diarrhea were reported in municipality of Kanangga 123 cases, in Ormoc 333 cases and 329 cases from other municipalities (Burauen, Dagawin, La Paz, Tabon and Julita). Likewise, 50 cases reported by EVRMC. Date of onset of diarrhea ranged from Nov.8 to present.

There is no outbreak reported.

An increasing number of cases of AWD were noted but this is due to the increasing number of health facilities reporting. There is no clustering of cases noted in the areas identified and it is not within the epidemic threshold.

Confirmatory laboratory test done in Kanangga and Ormoc City last December 4 revealed that rotavirus are present in 1 of 3 cases with specimen but was non reactive to cholera.

Five (5) specimens are still for transport to RITM in order to check any other pathogens that maybe present.

The following areas were found to have water systems positive for E.Coli: Sta. Fe, Tacloban City and Tanauan Leyte

CURRENT SITUATION AS OF DECEMBER 6, 2013

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

SURVEILLANCE IN POST EXTREME EMERGENCY AND DISASTER FROM NOVEMBER 29 TO 30, 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.

AS OF DECEMBER 2, 2013 11PM

• A total of 114 consultations (< 5 y/o. 31 / >= 5 y/o. 113) under SPEED were reported from one (1) reporting health facility. This facility is Guiuan Rural Health Unit Eastern Samar. Among the consultations, 21.5% are children below five years old.

• The top 5 consultations were acute respiratory infection (66) 45.8%, Skin diseases (24) 16.7%, Wound with bruises (20)13.9% hypertension (15) 10.4% and Fever with other symptoms (2) 1.4%

• Other consultations warranting immediate attention is acute watery diarrhea

(13) 9.03%

• A total of 14,079 consultations (< 5 y/o. 4,052 / >= 5 y/o. 10,027) under SPEED were reported from twenty-one (21) reporting facilities. These facilities includes 8 hospitals (Dr. Manuel B. Veloso Memorial Hospital, Leyte Provincial Hospital, Tabangon Community Hospital, Tacloban City Hospital, Eastern Visayas Regional Medical Center, Tacloban Airport Field Hospital, St. Paul Hospital and Villaba Community Hospital), 3 evacuation centers (Rizal Park EC, St. Paul School EC and Leyte National High School), 1 RHU (Guiuan RHU) and 9 Municipal Health Offices ( Albuera, Capoocan, Dagam, Kananga, Leyte, Merida, Palo, Palompon and Tabago). Among the consultations, 28.78 % were children below five years old.

• The top 5 consultations were acute respiratory infection (7,033) 49.95%,

wound with bruises (2,092) 14.86%, skin diseases (781) 5. 55%, hypertension (772) 5.48 %, and acute asthmatic attack (326) 2.7%.

• Other consultations warranting immediate attention are acute watery

diarrhea (582) 4.13%,suspected leptospirosis (59) 0.42%, paralysis of the limbs (34) 0.24%, acute bloody diarrhea (31) 22%, suspected acute hemorrhagic fever (19) 0.13%,acute malnutrition(14) 0.10%, suspected tetanus (8) 0.05% and yellow eyes or skin with or without fever (7) 0.05%.

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

FROM NOVEMBER 10 TO 29, 2013

The Health Cluster reports that acute respiratory infection, fever, diarrhea, hypertension, and skin disease are the five main causes of morbidity in affected areas. Additionally, the incidence of open wounds and bruises has increased in recent days due to ongoing debris-clearing activities.

SURVEILLANCE: 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

HEARS PLUS 4 DEC 2013HEARS PLUS – 1 DEC 2013HEARS PLUS 30 NOVHEARS PLUS – 28 NOV 2013

CURRENT ASSESSMENT – PUBLIC HEALTH AND MEDICAL

WHOI# 4WHO #3WHO - #2HEARS PLUS – 1 DEC 2013HEARS PLUS – 28 NOV 201327 NOV 2013 USAID FACT SHEET

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.

• As of December 1, the joint DoH–U.N. World Health Organization vaccination campaign had covered 114 out of 138 barangays in Tacloban. Active in Leyte and Samar provinces, the campaign had vaccinated more than 6,400 children for measles and approximately 7,500 for polio. The campaign also provided doses of Vitamin A to nearly 5,800 children. T

DoH reports that additional vaccine supplies, including syringes, refrigerators, and thermometers, are needed.

• The vaccination campaign is facing some challenges including other competing activities being carried out at the same time (such as food distribution) and the loss of access to many children who have already moved out of the affected areas.

• Efforts are on-going to address the challenges through enhancing social mobilization and community awareness. The tracking of mobile communities (DTM) will also be used to track children from the affected areas.

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

MENTAL HEALTH AND PSYCHOSOCIAL SUPPORT Mental health and psychosocial wellbeing is an increasing concern. In Tacloban there is a growing need for psychosocial support. This was identified through anecdotal reports from community health workers regarding increased attempts of suicide and self harm in the com-munity. Coordination discussions for mental health response have been occurring between WHO and the National Institute of Mental Health.

SANITATION• Access to potable water and waste management as well as population movement

are currently a major concern in affected areas. • Lack of sanitation and overcrowding are having a negative impact on public health

condition.

• Having largely addressed emergency and trauma needs the DOH is directing its efforts towards a public health focus. Further to this they are requesting that international teams on the ground ensure that they are working closely with local teams and integrating into the local systems with the goal of facilitating sustainability for a long-term recovery.

Water, Sanitation, and Hygiene (WASH) Cluster partners warn of increased risks of disease outbreak as relief and recovery efforts continue. The GPH Department of Health (DoH) identified insecticide to prevent the spread of vector-borne diseases, including dengue fever and malaria, as an immediate need. Although partners continue to enhance disease surveillance capacity, gaps along the coast of Eastern Samar Province and in and around Ormoc city, Leyte Province, remain, in part due to damaged communication networks.

HEALTH - NEEDS

NEEDS:• Re-establishment of routine services is critical, especially regarding routine

vaccination programs and non-communicable diseases like tuberculosis.

• The most common reasons for medical consultations across affected areas are acute respiratory infection, fever, diarrhea, hypertension, skin disease and wounds. Wounds include both injuries related to debris-clearance and follow-up care for those injured by the typhoon.

• Immediate needs are child health (immunization, nutrition and rehydration), maternal health (iron supplementation and emergency delivery facilities), non-communicable diseases (maintenance medicines for hypertension, heart diseases and diabetes) and communicable diseases (insecticide for dengue).

• As of 29 November, 1,019 of 2,495 health facilities had been assessed. Of these, 113 are not functioning.

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

• Approximately 3.6 million women and girls of reproductive age are among the affected population, including 260,000 pregnant and 173,000 lactating women. 4,300 childbirth and pregnancy complications are expected every month. In the next 3 months, 88,500 births are expected.

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

• 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 oral polio vaccination campaign is necessary but is hampered by lack of cold chain capacity

• Repairs to health care facilities and basic services for patients

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

• 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 17 - 25 NOV 2013

OCHA SITREP 18 -27 NOV 2013

OCHA SITREP 20 - NOV - 3 DEC 2013

OCHA SITREP 21 NOV -6 DEC 2013

HEALTH - RESPONSE

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

RESPONSE:

• Health partners are increasing disease surveillance, though gaps remain along the coast of Eastern Samar, and within Ormoc City and surrounding areas. Rapid diagnostic test kits are being distributed to identify and help contain any potential disease outbreaks.

• 181 medical teams (65 foreign, 116 local) are covering 25 municipalities in Regions VI, VII and VIII. Most can provide basic outpatient emergency care; seven provide more sophisticated services including surgeries.

• As of 1 December, the vaccination campaign in Tacloban had covered 114 out of 138 barangays, including five barangays that had been completely washed away and had no inhabitants. Including reports from Leyte and Samar. 6,500 children have been vaccinated for measles and 7,500 for polio.

• There are around 20 typhoon-related spinal cord injuries. Patients with major injuries have all been transferred to hospitals with rehabilitation facilities in Cebu and Manila.

• Limited fumigation in hospitals and evacuation centers in Tacloban City has been undertaken by partners.

• Partners have conducted reproductive health missions in 16 evacuation centers hosting about 18,000 displaced people in Tacloban City, providing pregnant and lactating women with pre/post-natal, health promotion and family planning services.

• 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 8 – 14 NOV 2013

OCHA SITREP 9– 15 NOV 2013

OCHA SITREP 11– 17 NOV 2013

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

• 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.

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

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

• 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 2013

OCHA SITREP 18 -27 NOV 2013OCHA SITREP 20 - NOV - 3 DEC 2013

OCHA SITREP 21 NOV -6 DEC 2013

HEALTH – GAPS & CONSTRAINTS

GAPS & CONSTRAINTS:

• Intermittent power and communications in Eastern Samar and Capiz provinces are hampering the provision of health services.

• The number of vaccination teams and the quantity

of cold chain equipment are insufficient.

• Additional and comparable assessments are needed to improve the understanding of the situation.

• As the first wave of foreign medical teams begins to phase out, coordination and planning are important to ensure continued health services.

• Health partners need to register and report medical consultations more consistently in order to create a clearer picture of the overall health response. There remains insufficient coordination between incoming foreign medical teams and local health officials.

• The biggest gaps in surveillance reports remain along the coast of Eastern Samar (with the exception of Guiuan), and within Ormoc City and surrounding areas.

• Non-functioning communication, particularly in Eastern Samar, is hampering coordination of field response and surveillance activities.

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

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

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

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

• 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.

• More attention needs to be focused on the health risks related to migrating and vulnerable populations.

• 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, Diarrheal Disease Kits and WASH supplies. Cholera kits should be kept on stand-by.

• 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.

• People are traumatized and lack psycho-social support.

OCHA SITREP 13– 19 NOV 2013

OCHA SITREP 14-20 NOV 2013

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

OCHA SITREP 18 -27 NOV 2013OCHA SITREP 20 - NOV - 3 DEC 2013

OCHA SITREP 21 NOV -6 DEC 2013

CURRENT ASSESSMENT

TYPHOON YOLANDA HEALTH CLUSTER BULLETIN #4

Estimates of Damaged Health Facilities (as of November 30, 2013

DAMAGED HEALTH FACILITIES As of December 4, 2013

DOH

CURRENT SITUATION

AS OF DECEMBER 4, 2013, 8:00 AM

To date, twelve (12) hospitals in Leyte (Eastern Visayas Regional Medical Center, Schistosomiasis Hospital, Divine Word Hospital, Remedios Romualdez Hospital, Ormoc District Hospital, Dr. Manuel Veloso Memorial Hospital, Tabango Community Hospital, Mother of Mercy Hospital, Carigara District Hospital, Palompon General Hospital, Kananga Community Hospital and Abuyog District Hospital) , and three (3) in Eastern Samar (Borongan District Hospital, Eastern Samar Provincial Hospital, Balangiga District Hospital) are providing services. They are being augmented by the DOH Medical Teams.

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 – 4 DEC 2013

PALPOMPON

FOREIGN MEDICAL TEAMS

http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-03dec2013.pdf

FOREIGN MEDICAL TEAMS

http://www.wpro.who.int/philippines/typhoon_haiyan/media/FMT-03dec2013.pdf

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

operating mobile clinics, and serving local communities. MERCY Malaysia teams will be deployed there for at least another one and a half months.

• SWISS HUMANITARIAN AID UNIT Around the city of Ormoc, the local authorities continue to distribute aid items purchased locally by SHA. Theses include tetanus vaccines, shelter, food and hygiene kits as well as kitchen sets.

• MSF-HOLLAND is operating mobile clinics with a team made up of doctors, nurses, logisticians and a mental health officer.

• JOHANNITER GERNAMY The MERT will continue to focus on medical support in Ormoc.

• IFRC-All ERU teams are now fully operational from the hubs in Ormoc (Leyte).

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

global Red Cross network deployed a field hospital to Ormoc.

LOCAL OR OTHERAccording to the Taskforce Yolanda the following teams are also present:• Philippine College of Physicians (PCP) Southern Luzon Chapter• Philippine College of Physicians (PCP) San Pablo City Medical Society Chapter• SM Medical Foundation• ERUF Medical Team• Philippine National Red Cross - Coordinating with international Red Cross

chapters. Operation areas include the Ormoc District Hospital• San Pablo Laguna Medical Team • Pampanga Medical Society

HEALTH AND MEDICAL – ORMOC

PH Health Atlas—Monitoring as of Dec 4Task Force Yolanda Matrix DOH as of Dec 4

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.

ACTS- WORLD RELIEF

PUI, France

Peace Ark – China – Operational one the ground at Tacloban City Hall

Salvation Army

http://www.wpro.who.int/philippines/typhoon_haiyan/media/Tacloban-03dec2013.pdf

Peace Ark – Humanitarian Mission

• After Typhoon Haiyan struck many areas in the central Philippines, China sent a government emergency medical assistance team, a international rescue team of the Red Cross Society of China and the naval hospital ship "Peace Ark" to the severely-hit areas.

• The three teams treated over 5,000 patients in Abuyog, Palo and Tacloban of the central Philippine province Leyte.

• The emergency medical assistance team treated 1,831 people in Abuyog, provided clinic and emergency medical service to 2,144 people and conducted hundreds of assistant medical examinations.

• The international rescue team of the Red Cross Society of China treated over 1,800 people by setting up fixed medical station in Tacloban and sending two teams to remote villages and towns.

Foreign Ministry Spokesperson Hong Lei's Regular Press Conference on December 6, 2013

• At present, the "Peace Ark" is staying in the disaster-hit area for further rescue mission. The emergency medical assistance team of the Chinese government and the first batch of international rescue team of the Red Cross Society of China have completed their mission and are preparing for return.

• A second batch of international rescue team of the Red Cross Society of China is leaving for the Philippines.

• China will continue to provide humanitarian support and assistance to the disaster-hit areas according to the development of the situation and the needs of the Philippine people.

RED CROSS AND RED CRESCENT ACTIONOPERATIONS• The FACT cash surge team and PRC cash focal point submitted a concept paper for unconditional cash grant to PRC for approval. The intended start date is the first week of December in PRC branches and the target for distribution is within 3 month. • An operations team comprised of 23 FACT members and 11 ERUs is based at the newly-established PRC operations center in Cebu, as well as at forward field locations in Leyte, North Cebu and Panay. • A staff health clinic is being established at the base camp in Palo to monitor and ensure the physical and mental health of all staff. • Security and Staff Health hold a joint briefing every morning in the PRC Operations Center in Cebu at 10:00 for newcomers.

LOGISTICS• 3 mobile water treatment plants have been set-up in Borongo, Mercedes, and Salcedo on the island of Samar. • From 29 November to 4 January, 10,000 essential household items kits will be distributed in 8 barangays of Homonhon Island. • A cash for work program is being planned for the main communities south of Tacloban, focusing on debris clearnace so that shelter recovery efforts can begin. • A forensic expert has been sent to advise, coordinate, and cooperate with authorities on the proper management of the dead due to mass burials.

SHELTER CLUSTER• Coordination, technical, information management, and communications capacity has been supplied to the Manila base and to hubs in Tacloban, Roxas, Cebu, and Bohol. Sub-hub coordination is being provided through cluster partnerships in Ormac (Save the Children), Guiuan (IOM), and Borongan City (Plan International), and coordinated through the Tacloban hub. • An inter-cluster strategic response plan is being developed, with the launch targeted for 9 December. • A number of inter-cluster Technical Working Groups (TWiGs) are being established to deal with specific issues related to defining appropriate modalities and addressing advocacy positions. TWiGs on Housing, Land & Property, Cash, and Coconut Timber usage are on-going in Manila. Philippine Red Cross News & Updates IFRC Operation Update No3, Dec. 4

IMPERATIVE CONDITIONS FOR CONTINUED RED CROSS PROGRESS• Adequate support (financial) from partners • Weather conditions do not suspend activities for long periods• Disaster-affected areas remain accessible• Continued cooperation of the authorities • Security issues do not hinder field operations

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: • In the aftermath of Super Typhoon Haiyan (local name ‘Yolanda’),

which made landfall on 8 November, the main priority is to deliver food assistance to those living in the most affected areas while simultaneously laying the foundation for a shift to more targeted interventions that help people rebuild their lives.

• 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.

.

FOOD

OCHA SITREP #20 - Dec. 3OCHA SNAPSHOT – Dec. 2

CLUSTER MEETING MINUTES - Dec. 2WFP OPS UPDATE – Nov. 26

FINAL MIRA – Nov. 29CLUSTER 3W MAP – Nov. 30

RESPONSE:• In the first three weeks of the emergency response, WFP is using

geographic targeting to reach people in the most affected areas with blanket food assistance. WFP rice and biscuits are being delivered across Tacloban, Ormoc, Roxas, Guiuan and remote islets and coastal communities, through ongoing government distributions as well as direct deliveries of rice and biscuits.

• Partners in the Philippines: ACF, ACTED, ADRA, CALP, CARE, CARITAS, CONCERN, CRS, CW, DRC, FAO, GOAL, HelpAge, ICRC, IEDA Relief, IFRC, ILO, IMC, IRC, Islamic Relief, LWF, Mercy Corps, NRC, OXFAM, Peace Boat, Phil FIDA, Philippines Red Cross, PLAN, Salvation Army, Samaritan’s Purse, Solidarites International, UNICEF, WFP 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.• FSAC to develop gap analysis for seeds and fishing inputs for Dec.• Agencies are transitioning from food to cash-based assistance in

moderately-affected areas, including Roxas.• 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.• 686 tons of rice seed and 46 tons corn seed are being delivered to over

19,450 families for planting.• Where the Government is providing seed in Mimaropa (Reg. IV-B),

partners are providing fertilizer and tools, reaching 6,660 households

WFP MONTHLY SNAPSHOT – 29 NOV 13

FOOD SECURITY & AGRICULTURE

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 #20 - Dec. 3OCHA SNAPSHOT – Dec. 2

CLUSTER MEETING MINUTES - Dec. 2WFP OPS UPDATE – Nov. 26

FINAL MIRA – Nov. 29CLUSTER 3W MAP – Nov. 30

GAPS & CONSTRAINTS:

• Rapid delivery of food has been hampered by difficult conditions on the ground. Many areas suffered severe damage making access and communication challenging. Local government units that would normally respond were also affected.

• 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.

• Lack of funding for agricultural inputs is restricting production in the highly affected areas.

• Food Cluster is currently 51% 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.

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

http://reliefweb.int/sites/reliefweb.int/files/resources/PHL_FSAC_LEYTE_3W_011213.pdf http://reliefweb.int/sites/reliefweb.int/files/resources/PHL_FSAC_SAMAR_3W_011213.pdf

NUTRITION

NEED:

• Children and pregnant/lactating women need to be screened for malnutrition and identified cases treated

• 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 20 – Dec 03

Emergency Appeal Operation Update - Nov 17

Cases of malnutrition continue to rise. Over 750 diagnosed cases diagnosed – large majority in Western Visayas

Nation nutrition council cluster meeting – Nov 20 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), of the 3,452 children aged 6-59 months screened in Iloilo and Capiz provinces, 9 per cent were either acutely malnourished or at risk of acute malnutrition. Of these, 17 per cent of the 946 screened pregnant/lactating women were also found to be acutely malnourished.

• In Region VII (Central Visayas), 49 children aged under 5 were found to have severe acute malnutrition and 162 children were found to have moderate acute malnutrition.

• In Region VIII (Eastern Visayas), 14 severe and 118 moderate cases have been detected.

• 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)

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 20 – Dec 03UNOCHA Report – Nov 23

Emergency Appeal Operation Update - Nov 17 Nation nutrition council cluster meeting – Nov 20 2013

World Vision team distributes relief packs for mothers and young children during the Women and Young Children Space in Tabogon, Cebu

WASHWATER, SANITATION AND HYGIENE

RESPONSE: • 65, 730 water kits distributed to date• 132 latrine slabs have been distributed in Dulag, Leyte Province and 64

emergency latrine slabs with hand-washing capabilities have been created for 3,000 individuals

• 88,679 hygiene kits and 65,730 water kits have been distributed in total• 72 bottles of hyposol and 16,000 aquatabs have been sent to Hernai Rural

Health Unit, Eastern Samar, to benefit around 700 households. • DART reports that all evacuation centers in Tacloban are currently housing

more than 10 families.

GAPS & CONSTRAINTS:• Flooded water pipelines and lack of electricity combined with low fuel has

made water treatment and pumping impossible • IDP movements to different municipalities and provinces are making the

monitoring and tracking of beneficiaries a challenge• Warn of increased risks of disease outbreak. The GPH Department of Health

identified insecticide to prevent the spread of vector-borne disease.• Overcrowding and unpredictable population movements make it difficult to

supply enough sanitation facilities and safe drinking water.

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 20 – 3 DEC 2013UNICEF SITREP 7 – 27 NOV 2013

USAID Fact Sheet- Dec 3

• Some water systems have salty water and a number have tested positive for faecal coliform

• Water quality surveillance and treatment is needed in Eastern Samar Province to mitigate risk of waterborne disease

• Water system rehabilitation and construction of emergency latrines• 175 bunkhouses must be build in Eastern Samar with water supply and

sanitation

• 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.

WHO, WHAT, WHERE - WASH

SHELTER

This map depicts the number of houses destroyed or partially damaged by Typhoon Haiyan (Yolanda). This map is based on information from NDRRMC Situation Report #53, 05 DEC 13, 0600 PHT. Only data for those municipalities who have reported are shown. http://reliefweb.int/map/philippines/philippines-number-damaged-houses-typhoon-haiyan-yolanda-05-december-2013

SHELTER

This map depicts the number of houses destroyed or partially damaged by Typhoon Haiyan (Yolanda). This map is based on information from NDRRMC Situation Report #53, 05 DEC 13, 0600 PHT. Only data for those municipalities who have reported are shown. http://reliefweb.int/map/philippines/philippines-number-damaged-houses-typhoon-haiyan-yolanda-05-december-2013

NEEDS• Baby tents and infant and young children feeding materials are

urgently needed in Region VI. • 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 Department of Labor and Employment (DOLE) requires

personal protective equipment and tools to facilitate additional emergency employment activities.

LOGISTICS

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

and Iloilo.• Debris clearance, particularly from schools, hospitals and roads

around Tacloban, remains a top priority. • Support the establishment of 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. 20 Dec. 3 OCHA Sitrep No. 19 Nov 29Tacloban Logistics Cluster Meeting Nov. 28Free-to-User Services Overview Nov. 30Infographic Free-to-User Services

Online Cluster Meeting Schedule You can synchronize your own electronic agenda with the

Cluster Meeting calendar page (meetings displayed on this calendar page link directly in your Google Calendar / Lotus

Notes / Outlook / Thunderbird / ICal) by using this link.

Detailed instructions on how to do so can be found here.

LOGISTICS

GAPS• 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.

• Heavy equipment for debris clearing is in short supply.

CONSTRAINTS• Guiuan port is severely congested, consisting only of a small dock

measuring 8 x 15 m. Road access is also poor. The nearby port of Barangai Molos is being assessed.

• 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.• Insufficient Food Security and Agriculture Cluster partner

personnel on isolated islands constrains efforts to provide food aid in these areas. OCHA Sitrep No. 20 Dec. 3

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

LOGISTICSRESPONSE• In Guiuan, three 10-wheeler trucks are available for inter-agency use

and more can be made available if the need arises.

• Over 6,000 m2 of storage space is being supplied in Tacloban, Guiuan, Ormoc, Roxas and Cebu.

• Transport by sea, air and road has been provided for over 1,500 tons /4,500 m3 of relief items on behalf of over 25 different organizations.

• Since the beginning of the operation, 600 passengers and 3.1 tons of cargo have been transported on 122 UNHAS flights to Manila, Cebu, Ormoc, Roxas.

• Guiuan, Tacloban, Romblon, Alcantara, San Roque, Palawan, Cuyo, Lungsod, Borangan and Iloilo.

• 30 November and 1 December, 119 tons (444 m3) of relief items were moved by air from Cebu to Tacloban, Roxas, Guiuan and Ormoc.

• Logistics Cluster is providing over 6,000 m2 of storage space to the humanitarian community, in Tacloban, Guiuan, Ormoc, Roxas and Cebu with the capacity to scale-up rapidly.

• The Port of Barangai Molos in the vicinity is being assessed as an alternative point of discharge.

OCHA Sitrep No. 20 Dec. 3 OCHA Sitrep No. 19 Nov 29Tacloban Logistics Cluster Meeting Nov. 28Free-to-User Services Overview Nov. 30Infographic Free-to-User Services

UPDATED REGIONAL MAPSLeyte Island-Eastern RegionLeyte Island-Southern RegionLeyte Island-Western RegionLeyte Island Tacloban RegionLeyte Island Dulag RegionVisayas General Logistics Planning MapSamar Island Guiuan RegionSamar Island-South Eastern Island

PLANNING DOCUMENTS AND FORMSUNHAS Routes as of Dec. 3Port of Roxas AssessmentUNHAS Focal Point Assignment Form

WFP has been coordinating with the Australian, Canadian, Indonesian, Japanese, New Zealand, Philippines, Swedish, UK, and US militaries to deliver and scale-up vital assistance to isolated areas, including island barangays. SOURCE: WFP/Antony Chase Lim

LOGISTICSROAD AND SEA TRANSPORT AIR TARNSPORT CIV/MIL COORDINATION

http://reliefweb.int/sites/reliefweb.int/files/resources/Logistics_Cluster_Philippines_Cargo_Snapshot_131206.pdf

LOGISTICS

Source

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

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, an estimated

375,000 women and girls of reproductive age in affected areas have experienced sexual violence.

• The number of people estimated to leave Ormoc City daily has fallen from 5,000 to 2,400 people.

URGENT NEEDS: • IDPs in schools need protection and proper shelter assistance when

classes resume in schools currently serving as evacuation centers.• IDPs need information regarding government assistance and

relocation plans.

ADDITIONAL NEEDS:• 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#20 03DecNDRRMC 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: • Some 50 families in Guiuan Municipality have not been permitted to

return home due to ongoing construction of the fishing port. No relocation has been identified for these affected families.

• Protection desks in hospitals and police stations are lacking.• Local child protection networks are not functioning.• A mechanism for replacing lost personal documents is lacking.

Documentation is lacking on people and adolescents who are travelling to Manila to work and may be at risk of GBV.

• Better coordinated in the delivery of psychosocial support is needed.• The presence of female police officers remains limited.• Safe spaces for women and children remains limited.• 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#20 03Dec

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

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..

• Three Child-Friendly Spaces (CFS) in Ormoc City, Nine CFS in Tacloban City, and one in Estancia Municipality are providing psychosocial support and safe environments.

• 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.

• 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.

US RESPONSE

http://reliefweb.int/map/philippines/usg-humanitarian-assistance-typhoon-yolandahaiyan-last-updated-12032013

FACT SHEET NO# 15

US RESPONSE

FACT SHEET NO# 15

• • During a December 2–3 assessment trip, staff from

USAID’s Disaster Assistance Response Team (DART) observed a wide range of self-recovery and clean-up activities, including large-scale debris removal, ongoing in typhoon-affected areas.

• The main roads in Tacloban city, Leyte Province, and Guiuan municipality, Eastern Samar Province, as well as the coastal road between the two areas, are cleared, and crews continue to work on secondary roads. Market activity in Eastern Samar, Leyte, and Samar provinces has increased significantly since the initial days after the typhoon, with fresh fruits, vegetables, and fish, as well as other food items, for sale in affected areas.

• USAID/OFDA partners continue to provide much-needed relief and early recovery assistance in Eastern Samar, Leyte, and Samar provinces. During the recent assessment trip, the DART verified the distribution of USAID/OFDA commodities and noted the use of the commodities throughout the three provinces.

• 1,020 metric tons (MT) of Title II pre-positioned rice provided by USAID’s Office of Food for Peace (USAID/FFP) arrives in the Philippines.