1

PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

TYPHOON YOLANDA

An outbreak of typhoid fever in Aguiting, Region VIII with ten probable cases including one death is

currently being investigated and responded to.

After the implementation of the vector reduction activities for dengue in Ormoc City over the last two

weeks, the number of cases is in decline.

More than 10 organizations have committed to assist in the physical rehabilitation of 49 health facili-

ties in Leyte, Western and Eastern Samar.

An acute watery diarrhea preparedness and response plan and training for hospital, regional and

provincial health staff for region VIII was completed.

An inter-cluster assessment report on the status of humanitarian service-delivery and requirements

in geographically isolated and disadvantaged areas (GIDA) in Eastern Samar was finalized.

Roxas sub-national office has been relocated to Iloilo. The hubs main function is as a technical body

offering support to the DOH

ZAMBOANGA CONFLICT

An additional transitory site for IDPs has been identified and the transfer of IDPs is expected to take

place by the end of February.

The Community Integrated Management of Acute Malnutrition program is being scaled up in 16 ba-

rangays with high prevalence of malnutrition.

Photo

: W

HO

/Aphalu

ck B

hatiasevi

Inside this bulletin:

Typhoon Yolanda page 2

Zamboanga conflict page 9

Health Cluster Partners page 11

PHILIPPINES

HEALTH

CLUSTER

BULLETIN

14 February 2014

ISSUE #14

HIGHLIGHTS

2

PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

On 31 January Tropical Depres-

sion Basyang made landfall over

Siargao Island and traversed the

Central Visayas, causing land-

slides and floods in regions VII

and VIII. 10,482 families / 47740

persons were affected, 1,130

families / 5,646 persons were

displaced and served inside 9

evacuation centers.

According to the Tacloban City

Mayor Office, the evacuation

centers in Tacloban have de-

creased to 8 sites with a total of

1348 families. Relocation of inter-

nally displaced persons to bunk-

houses is ongoing.

An inter-cluster assessment re-

port on the status of humanitarian

service-delivery and require-

ments in geographically isolated

and disadvantaged areas (GIDA)

in Eastern Samar was finalized,

following a monitoring mission in

late December. Organizations

participating from the health clus-

ter include WHO and the Philip-

pines Department of Health

(DOH). About 19,500 people are

living in the GIDA areas of 10

municipalities in Eastern Samar,

including the mildly affected mu-

nicipality Llorente. Ongoing re-

quirements for humanitarian as-

sistance across most sectors

were identified. While humanitari-

an assistance had been received

in all surveyed areas, many hard

to reach communities reported

bearing significant economic

costs in order to receive assis-

tance. Many of them were assist-

ed through secondary transport.

The report will be publicly availa-

ble on the Humanitarian Re-

sponse Website in the coming

days.

Tacloban’s recovery is ongoing.

Operations in the airport are still

limited. According to the Depart-

ment of Education, school enrol-

ment rates in Tacloban City re-

main low – 43% in elementary

and 31% in secondary schools

(as of 29 January). This is

thought to reflect the high impact

and proportion of damaged

schools in the area.

Current challenges in Panay Is-

land include providing health ser-

vices especially to 42 barangays

situated in the 20 small islands of

Iloilo (Carles and Concepcion) as

these areas are accessible only

by small boats.

RESPONSE

Health care facilities

The interest of partners to assist

in the physical rehabilitation of

health facilities in Leyte, Western

and Eastern Samar has in-

creased in recent weeks. The

organizations that have commit-

ted so far to assisting rehabilita-

tion include Save the children,

Americares, ICRC, ICAD,

Humedica, MDM Spain, MDM

France, Shoemart, IMC and

USAID.

The delivery of critical services

such as immunization, facility

based deliveries, antiretroviral

treatment, and TB detection and

treatment remains a challenge as

the Regional Health Units and

other Health centers are not fully

operational.

Quick fix rehabilitation of the

main health center in Tacloban

city as well as the construction of

a tent for processing and identifi-

cation of dead bodies was com-

pleted by WHO on 9 February in

Tacloban.

An outreach / mobile clinic

providing medical services twice

a week at the Motorcross bunk-

house has been established by

Humedica in Tacloban.

In Eastern Samar, a planning

meeting with all stakeholders on

the rehabilitation of the 17 fully

and 15 partially destroyed Baran-

gay health stations was held on 4

February. Several partners, in-

cluding Plan International and

Health Future Int. were able to

commit to provide assistance to

specific health facilities. Rehabili-

tation of the Regional health units

is ongoing.

16 078 181 AFFECTED

4 095 280 DISPLACED

28 626 INJURED

1 785 MISSING

6 201 DEATHS

Source: National Disaster Risk Reduction Management Council (NDRRMC) of the Philippines

TYPHOON YOLANDA SITUATION OVERVIEW

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PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

Map: A

Map: B

4

PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

Partners and Foreign Medical

Teams

As of 10 February 2014, there

are now 16 foreign medical

teams operating in Regions VI,

VII and VIII. Ten teams provide

basic outpatient care (type I) and

2 teams (MSF Belgium in Guiuan

and MSF France in Tacloban)

provide more advanced health

services including surgeries (type

II). Please refer to maps A, B and

C for further information on the

exact locations. Four teams pro-

vide mobile health clinics and

mental health and psychosocial

support.

Surveillance and communica-ble disease control Highlights from the EWARN re-

port is as below. For more in-

depth information please refer to

the weekly EWARN report that is

available online under:

http://www.wpro.who.int/philippines/typhoon_haiyan/reports/en/index.html This week, 79 health facilities

reported 16,483 total consulta-

tions in typhoon-affected areas of

Region VI and VIII by SPEED.

Acute respiratory infection ac-

counts for 33% of total consulta-

tions.

Suspect measles cases continue

to be reported from Region VIII.

A total of 93 suspect measles

cases with 1 death have been

reported between 1 to 26 Janu-

ary 2014. Among the cases un-

der 5 years of age, 66% were not

vaccinated. A measles immun-

ization campaign is on-going in

the region.

Map: C

Table 1: Summary of SPEED Reporting in Typhoon Yolanda affected Areas 2 – 8 Feb 2014

Region Provinces

(#)

Municipalities

(#)

Health Facilities and

Reporting Sites (#)

VI 2 4 11

VII 0 0 0

VIII 3 45 68

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PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

On 28 January 2014, the Region-

al Epidemiology and Surveillance

Unit for Region VIII, supported by

WHO, launched an investigation

into an alert of a suspected ty-

phoid fever outbreak in barangay

Aguitang in the municipality of

Kananga. There were a further

seven cases suspected. Water

obtained from a nearby military

camp was suspected to be the

source of the outbreak. Control

measures, including the distribu-

tion of jerry cans, water purifica-

tion tablets and hygiene kits and

a hygiene promotion campaign

were initiated.

As of 5 January 2014, ten proba-

ble cases from three sites have

been identified, including two

patients admitted to Ormoc Dis-

trict Hospital and one death.

Eight cases reside in three

households in Nangka, one case

resides in Madapao and one

case resided in Avocado. The

water sources in the three sites

are not shared and investigations

into the different water sources

are ongoing. The case who died

resided in Avocado and tested

positive using a Typhi-dot test

but had other comorbidities.

The Municipal Health Officer, the

Regional Sanitary Inspector and

the Department of Health repre-

sentative for Kananga are moni-

toring cases and have conducted

door-to-door visits in three sites

to provide treatment and health

education, and conduct a clean-

up campaign. There were no

cases with onset of symptoms

after 10 January 2014 have been

identified.

Water samples have been col-

lected by Save the Children from

five locations and there is ongo-

ing analysis for total coliforms.

The water in Barangay Aguiting

is not chlorinated. Preliminary

test results indicate low levels of

fecal contamination. However,

the environmental assessment

suggests that water quality dif-

fers depending on rainfall. Save

the Children will continue con-

ducting weekly testing of the wa-

ter. Although the investigation is

ongoing, environmental investi-

gations indicate significant weak-

nesses in the water and sanita-

tion infrastructure which will re-

quire long-term solutions in order

to ensure the residents of baran-

gay Aguitang have reliable ac-

cess to potable water.

An investigation of one death

from severe dehydration, which

was suspected to be due to

acute watery diarrhea (AWD)

was conducted by WHO, the Mu-

nicipal Health Office and the Re-

gional Epidemiology and Surveil-

lance Unit in Jaro Municipality.

Test results were negative for

Vibrio cholera and water samples

were negative for fecal contami-

nation.

An acute watery diarrhea prepar-

edness and response plan for

region VIII was completed by the

Philippines Department of Health

CHD VIII – Eastern Visayas,

WHO and UNICEF on 8 Febru-

ary.

Vaccination and cold chain

A rapid coverage survey of the

measles outbreak response im-

munization campaign, that was

conducted in Tacloban between

24 and 27 January 2014 cover-

ing all barangays with suspected

or confirmed measles cases and

all areas with suspected measles

in the municipalities Palo, Ta-

nauan, Santa Fe, Albuera, Bay-

bay, and Kanangga between 28

January and 7 February 2014 is

currently ongoing and will possi-

bly be extended to the areas cov-

ered by the mass immunization

campaign in November.

As of the end of January 2014,

dog bites to 35 individuals were

reported in Tacloban city. Anti-

rabies vaccines were provided

on 6 February in response to a

stock shortage.

In Eastern Samar, a total of 46

suspect measles cases were

reported with one death from 9

municipalities, including 45 sus-

pected and 1 laboratory con-

firmed case between 29 January

and 6 February 2014. Immuniza-

tion with measles mono vaccines

started 25 November 2013 in

Eastern Samar, targeting 26,508

children. As of 5 February 2014,

17,721 children in 11 municipali-

ties in Eastern Samar were vac-

cinated. No adverse effect after

immunization was reported.

Clustering of measles suspects

was noted in Barangay Paypay-

on, Oras with 3 measles sus-

pects noted between 2 and 3

January 2014 and increasing to 4

cases between 15 and 19 Janu-

ary 2014.

In Roxas, a cold chain assess-

ment was completed by WHO

and UNICEF and 18 refrigerators

were provided.

Dengue and vector control

After implementing the plan of

action for dengue fever in Ormoc

city over the last two weeks, the

number of cases is declining.

Vector control and intensive envi-

ronmental clean-ups in the 5

identified priority barangays has

been conducted, followed by tar-

geted fogging. The clean-up

campaign is still continuing, with

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PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

man power being provided

through a cash for work program

by UNDP. Most of the cases are

children between 10-14 years old

indicating that schools might be

sources of infection. Fogging was

conducted in schools as well.

In Eastern Samar a total of 192

suspect dengue cases were re-

ported from 13 of 23 (57%) mu-

nicipalities, including 154 sus-

pected and 38 probable dengue

cases between 3 December 2013

and 6 February 2014. 118

(61.5%) cases were mild and

consultations were in outpatient

departments, 74 (38.5%) cases

were admitted to the hospital for

treatment. The median age of

cases was 13 years with a range

of 1 to 61 years. 10 clusters of

dengue cases were reported.

Vector control interventions are

on-going and have been intensi-

fied in selected areas in Tacloban

who have reported suspected

cases of dengue.

A SPEED Technical Assistance

and Response Team (START)

visited 11 municipalities in Leyte

to identify issues, gaps and

needs with regard to SPEED re-

porting. Based on the findings,

recommendations were provided

to the focal persons as well as to

the DOH.

Mental health and psychoso-

cial support (MHPSS)

The Tacloban sub-national

Health Cluster reports, that the

mental health and psychosocial

support group developed and

agreed on a concept note for har-

monizing training material for

psychosocial support. Identified

municipalities not covered by

partners started working on

strengthening the referral system.

Two psychiatrists from MSF-

France are currently working for

an outreach program in hospitals

and schools of Tacloban City.

A training on trauma and releas-

ing exercises as part of the ca-

pacity building plan for MHPSS

was conducted in Tacloban and

Ormoc.

In Leyte, psychotropic drugs

have been procured through the

medicine access program to be

distributed to the health facilities

in need. This is expected to ease

the shortage of medicine.

Region VI´s recommendation

following the transition was to

undertake a regional mental

health assessment to understand

the gaps and needs within Panay

Island.

Reproductive Health (RH)

In the next 3 months, more than

70,000 births are expected, of

which about 8,500 (12.1%) are

from adolescent mothers under

19 years old.

Two emergency maternity care

units are set up in Palo, Leyte

and Balangiga, Eastern Samar to

ensure safe deliveries and re-

spond to obstetric complications.

UNFPA donated 10 ambulances

to referral facilities and 24 motor-

ized tricycle ambulances to mu-

nicipal health centers to facilitate

transport of emergency obstetric

cases to the facilities.

Since December 2013, a total of

56 reproductive health medical

missions have been conducted in

Leyte, Eastern Samar, Capiz and

Iloilo serving 8,948 female bene-

ficiaries, including 3,711 pregnant

and 3,992 lactating women,

through pre- and post-natal

checkups, health information ses-

sions, and hygiene kit distribu-

tion.

In Roxas City UNFPA donated

three ambulances to referral facil-

ities to facilitate transport of

emergency obstetric cases.

Water, Sanitation and Hygiene

(WASH) and Environmental

Health

An assessment on Local Govern-

ment Unit (LGU) capacity

for water quality monitoring was

conducted in Cebu on 6-8 Febru-

ary 2014. Based on the assess-

ment, a project proposal was fi-

nalized to establish LGU water

quality monitoring teams through

capacity building, provision of

staff support and the procure-

ment of water testing kits. After a

series of trainings due to be con-

ducted in February and March

2014 in key hubs to strengthen

the capacity on water quality test-

ing and analysis, risk assess-

ments, recording, reporting and

planning, the teams will be able

to conduct water quality monitor-

ing and provide input for data-

bases as well as for mapping.

A health care waste management

system assessment was com-

pleted in Capiz, Aklan and Iloilo

between 5 and 7 February 2014.

Findings will be incorporated in a

project proposal that is being de-

veloped to support the health

care waste management activi-

ties in the affected areas. The

main objective of the project is to

re-establish and improve the

waste management systems to

prevent the occurrence

of relevant infectious diseases in

priority hospitals affected by Ty-

phoon Yolanda. The project in-

cludes capacity building, procure-

ment of supplies and equip-

ment, demonstration of appropri-

ate health care waste treatment

facilities, design of sanitary land-

fill, and development of guide-

lines for health care waste man-

agement in emergencies.

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PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

Major WHO donors: Australia, Canada, Norway, Japan, the United Kingdom and the UN Central Emergency

Response Fund (CERF), Russian Federation, Sweden and the United States of America, and from the

European Commission Humanitarian Aid and Civil Protection (ECHO).

DONORS

A WASH Cluster health & hy-

giene technical working group

meeting was held on 3 February

2014 in Guiuan. The current re-

sponse and future plans of the

agencies active in hygiene pro-

motion were discussed and the

standardisation of information,

education and communication

(IEC) materials used by the differ-

ent organizations was initiated.

Nutrition

Since the beginning of the re-

sponse, 57,291 children have

been screened in Leyte with 191

cases of severe acute malnutri-

tion (SAM) and 1,161 cases of

moderate acute malnutrition re-

ported. The rate of gcombined

acute malnutrition in the

screened population is under

three percent in Leyte.

For further information please

see the Nutrition Cluster Weekly

Update available online under:

https://philippines.humanitarian

response.info/document/nutrition-

cluster-region-viii-weekly-update-

02062014

A Standardized Monitoring and

Assessment of Relief and Transi-

tions (SMART) nutritional assess-

ment has been started this week

in Tacloban.

In Eastern Samar, a second

round of Middle Upper Arm Cir-

cumference screening is currently

ongoing and a SMART survey is

scheduled for late February.

IMC has opened a stabilization

center in Ormoc for children with

SAM with medical complications.

The nutritional situation needs

continued monitoring in Region

VI due to the livelihoods and food

security situation. WHO and

UNICEF will work together to pro-

vide SAM and MUAC training to

Aklan and Antique province.

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PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

FUNDING STATUS OF ACTION PLAN As of 13 February 2014, OCHA has updated the action plan, which is now 52% funded for the health sector

(table 2).

Table 2: FUNDING STATUS OF ACTION PLAN FOR HEALTH (US$)

Project Appealing

Agency

Amount Re-

quired

Funding % Covered

Merlin & Save the Children Essential Health

Services for Preventing Excess Mortality and

Morbidity in Typhoon Haiyan affected Popula-

tion

Save the

Children 4707706 800000 17%

Ensuring Access to Reproductive Health Ser-

vices in the Aftermath of Typhoon Haiyan UNFPA 10000000 1539518 15%

Provision of emergency health services to ty-

phoon affected populations WHO 15000000 11871062 79%

Immediate assistance to injured and vulnerable

persons affected by Haiyan typhoon in Philip-

pines

HI 240000 237417 99%

Emergency Health care, public health and refer-

ral initiatives for displaced and affected persons

‘on the move and their vulnerable host commu-

nities’

IOM 1810511 431232 24%

Provision of life-saving interventions for health

to children 0-59 months affected by Typhoon

Haiyan emergency

UNICEF 19000569 21479078 113%

Provision of quality medicines and developing

resilience in the supply chain to avoid gaps by

strengthening the department of health medi-

cines stock management systems

IHP 806000 488599 61%

Prevent increase in maternal, neonatal and

child mortality post disaster through ensuring

continuity of services for these more vulnerable

groups

Plan 3960422 0 0%

Promoting mental health and psychosocial well-

being of populations affected by Typhoon Hai-

yan

IMC 727961 0 0%

Ensuring the health needs of older people in

Typhoon Haiyan HelpAge Inter-

national 465000 465000 100%

Health care support for Typhoon Haiyan affect-

ed populations IMC 3865225 0 0%

Enhancing coordination within and outside the

health sector WHO 1816100 0 0%

Surveillance, outbreak prevention and vaccina-

tion WHO 3929850 3135870 80%

Local health system recovery for social and

economic protection WHO 4061800 300000 7%

Delivery of essential health services to meet the

immediate health needs of the affected popula-

tion

WHO 3524500 0 0%

Typhoon Haiyan emergency health response WV Philippines 400000 400000 100% Health assistance for disaster affected commu-

nities of inland Leyte and coastal Barangays of

Tacloban municipalities of Tacloban City, Jaro,

San Miguel and Carigara

RI 955500 0 0%

Provision of emergency medical assistance to

affected population of the Typhoon Haiyan MDM France 2700000 0 0%

Saving Women’s lives in Typhoon affected

provinces through reproduction health Saude em Pro-

tugues 1150800 0 0%

Restoration of basic health package within Con-

cepcion Municipal Health Office area AAI 310000 0 0%

Sub total for health 79431944 41147776 52%

http://fts.unocha.org/reports/daily/ocha_R32_A1043___13_February_2014_(03_00).pdf

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PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

RESPONSE Health care facilities

The International Committee for

the Red Cross has agreed to re-

habilitate the Barangay Health

Stations of Santa Catalina and

Rio Hondo as per recommenda-

tions of the City Health Office.

Health care facilities Partners,

WHO and DOH activities

The Department of Health contin-

ues to supplement basic medi-

cines and drugs to the local Ba-

rangay Health Stations (BHS).

The Philippine Red Cross emer-

gency unit continues to look after

emergency cases and medical

consultations beyond the City

Health Office schedule. Emer-

gency cases are seen 24/7 while

medical consultations are done

after the office of the Barangay

Health Stations of the Santa Cat-

alina Health District. The emer-

gency unit will continue to oper-

ate until April 2014.

Surveillance and communica-

ble disease control

Surveillance in Post-Extreme

Emergencies and Disasters

(SPEED) remains as the main

source of information for disease

trends.

One Evacuation Centre and 2

hospitals reported to SPEED

from Region IX (Zamboanga

Peninsula) in the current report-

ing week (2 - 8 February).

As of 29 January 2014, the De-

partment of Social Welfare and

Development (DSWD) reports

that there are 26,756 internally

displaced persons (IDPs) in 10

evacuation centers and 4 transi-

tory sites (Bunkhouses). 49.8%

of these IDPs (13,328) are at the

Grandstand. In addition, there

are 38,062 home – based IDPs

(6,055 families).

The Bunkhouses are located at

Tulungatung, Taluksangay, Rio

Hondo and the Grandstand. Dis-

tribution and current occupation/

population (as of 29 January

2014) of these sites are as fol-

lows:

Rio Hondo Elementary

School: 266 IDP / 38 families

Tulungatung: 2,261 IDP / 394

families

Taluksangay: 1,731 IDP /

357 families

Grandstand: 1,455 IDP / 255

families.

A fifth site has been identified

and the transfer of IDPs is ex-

pected to take place by the end

of February.

Return and resettlement of IDPs

in Zamboanga will be facilitated

through the “Zamboanga City

Roadmap to Recovery and Re-

construction (Z3R Plan).”

Preparations for its implementa-

tion are on-going and include on-

site inspections, land negotia-

tions, road and waterway sur-

veys, and the finalization of

house designs.

To support the Local Government

Unit (LGU) in responding to the

humanitarian needs of IDPs in

evacuation centers (ECs) and

transitory sites in 2014, the Hu-

manitarian Country Team (HCT)

has initiated the revision process

of the current humanitarian

“Zamboanga-Basilan Action

Plan”.

ZAMBOANGA CONFLICT SITUATION OVERVIEW

Figure 1: Proportionate morbidity of select epidemic-prone conditions by week 2 – 8 February 2014

10

PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

On 9 September 2013, fighting broke out in coastal villages of Zamboanga city between a faction of the Moro National

Liberation Front and the Armed Forces of the Philippines which spread to the nearby island province of Basilan. The

clashes displaced more than 120,000 people during the height of the conflict in the most affected barangays of

Kasanyangan, Mariki, Rio Hondo, Santa Barbara, and Santa Catalina in Zamboanga.

From 6 to 10 October, the UN Resident and Humanitarian Coordinator and the Cluster Heads of Agencies held a mis-

sion in Zamboanga to gain first-hand observation of the conflict-affected areas and have direct contact with the affected

people, the local authorities and humanitarian actors. The mission findings revealed congested conditions inside the

evacuation centres and pro-longed displacement are increasing the risk of health and protection issues.

An inter-agency common working space was established on 10 October in Zamboanga as humanitarian partners fur-

ther scaled up the response. Flooding in early October also worsened the living conditions inside the evacuation cen-

tres.

Due to persistent insecurity and lack of humanitarian access, information on approximate needs of displaced people in

Basilan remains a significant gap.

The total number of SPEED con-

sultations decreased by 51%

from 362 last week to 177 this

week. Leading causes of mor-

bidity include:

Acute respiratory infection

(34.5%)

Fever (21%)

Wounds and bruises (15%)

High blood pressure (14%)

Acute watery diarrhoea (8%)

During the month of January

2014, 127 dengue cases have

been reported among the general

population in Zamboanga city

through PIDSR (incidence of

0.14/1000).

The Department of Health will

shift from the SPEED reporting to

the routine disease surveillance

of Philippine Integrated Disease

Surveillance and Response

(PIDSR). Training on PIDSR will

be given to midwives on the 1st

week of March and there will be a

transition period of 2-3 weeks to

fully shift from SPEED to PIDSR.

DOH will still support the City

Health Office through epidemio-

logical investigations and assist

on data analysis, as necessary.

Mental health and psychoso-

cial support (MHPSS)

A consultative meeting with psy-

chiatrists at the Zamboanga City

Medical Center is scheduled for

the coming week. The meeting

aims to introduce the proposed

WHO Mental Health Gap Action

Program (mhGAP) training to be

conducted in Zamboanga City

and to identify speakers for the

training. The mhGAP program

aims to scale up services for

mental, neurological and sub-

stance use disorders for coun-

tries especially with low- and mid-

dle-income.

The City Health Office designat-

ed Assistant City Health Officer

Dr Carole Carabana as focal

point for all MHPSS related activ-

ities.

Reproductive Health

An estimated total of 847 preg-

nant women and 565 lactating

women (with children 0-6

months) are in need of targeted

reproductive health services for

pre and post-natal health, health

promotion, family planning ser-

vices and adolescent reproduc-

tive health within the evacuation

centres, transitional shelters and

bunkhouses.

Nutrition

As part of the Build Back Better

Zamboanga Program, the City

Health Office with technical as-

sistance from ACF International,

WFP and UNICEF will be scaling

up the Community Integrated

Management of Acute Malnutri-

tion in 16 barangays with high

prevalence of malnutrition. This

includes families that are home-

based as well as those in evacu-

ation centres and transition sites.

Through outpatient treatment,

children with severe acute malnu-

trition will be provided with Ready

to Use Therapeutic Food and

children with moderate acute

malnutrition will be provided with

Ready to Use Supplementary

Food.

Water, Sanitation and Hygiene

(WASH) and Environmental

Health

Latest water analysis (1 Febru-

ary) results yielded faecal con-

tamination in 2 of the 15 tested

sites. In the previous week, all 3

tested sites yielded negative re-

sults.

Dengue and vector control

A total of 1, 450 insecticide treat-

ed mosquito nets from DOH (650

nets) and Office of the Civil De-

fence (800 nets) are to be distrib-

uted by the City Health Office.

11

PHILIPPINES HEALTH CLUSTER BULLETIN

14 February 2014

National – Manila: AECID, Americares, Australian Aid, CDN-

DART, CFSI, ChildFund, DFID, DOH,

FPOP, Handicap International, HuMa,

IFRC, IHP-UK, ILO, IMC, IOM, IRC, ISAR

-Germany, JICA, MERLIN, MDM, MSF,

National Bureau of Investigation, PHE,

Philippines Red Cross Society, Relief

International, Plan International, Project

Hope, PU-AMI, SCI, UNFPA, UNICEF,

USAid, US Forces, WHO, World Vision.

Sub-national – Tacloban: AECID, ACF, ACTED, Action Pompiers

Urgence Inlana Vionus, Americares,

ARC, ASEAN, ASYA SAR/KYM, B-FAST,

AUs, Bethany Hospital, Bomberos

Unidos SP, Buddhist Compassion Relief

zu Chi Foundation Philippines, Care,

Canadian Red Cross, CDRRMO, Child

Fund International, Christian Aid, City

Veterinary Office, Compassionate Reach

International, DFID, Doctors Worldwide

Turkey, DOH, DSWD, ECHO, Emergen-

cy.LU, Engnderhealth-Visayas Health

Project, Helpage International, Ericsson

Response, EUCPT, First Relief Fund,

First Response Radio, Fortune Blessings

Foundation, F POP, Friends of Waldorf

Education, Fuel Relief Fund, Family

Care, Family Planning Connection, Ger-

man Embassy, German Red Cross,

Globalmedic, GOAL, Good Neighbours

Intl., Good People Intl., Handicap Interna-

tional, Heart to Heart International, Help-

e.V., HUMEDICA, IEDA Relief, IFRC,

International Disaster Relief, International

Medical Corps, Internews, INTERSOS,

IOM, IsraAid, Israel Relief Coalition,

JICA, JICA LEPCON, JICA SMACHS EV

Proj., Jordan International Relief, KIHI,

KOICA, KUSOG TACLOBAN, Leger

Foundation, Magna, Med Central , Medi-

cal Team Int’l, MDM France, Medicos del

Mundo Spain, Mercy in Action, Mercy

Malaysia, Miral Welfare Foundation, Mis-

sion Tacloban/RTR Foundation, MSF

France, MSF Holland, MSF Spain, MTI,

Navis, NNC 8, OCHA, Norwegian Red

Cross, Operational Blessings Mission,

Oxfam, Phil Health, Philippines Red

Cross Society, Plan International, Pom-

piers Humanitaires France, Post Crisis

Counseling Network (HK), PUI France,

Regional Office DOH, Relief Internation-

al, RTR hospital, RTR Mission Tacloban,

Samaritan 119 Korea, Samaritan Purse

US, Saude EM Portugues, Save the Chil-

dren, SC, SCDN, Solidarities Internation-

al, Spanish Red Cross Society, Swedish

Red Cross, Tacloban City Government,

Tacloban City Nutrition Office, TOMECO,

TGCFI, The Salvation Army, UNDAC,

UNDP, UNFPA, UNICEF, USAID, US

OFDA, Vodafone foundation, Vounteer

for the Visayans, WFP, WHO, WISAR,

World Vision.

Sub-national – Cebu: AmeriCares, ASB Austria, Canadian

Emergency Response Unit, Canadian

Medical Assistance Teams, CFSI, Child-

Fund, DOH, Embassy of Israel, Eversly

Child Sanitarium, GOAL, Glory Reborn,

ICRC, IFRC, IEAD relief, Health Organi-

zation of Mindanao w/ Helping Hand

relief and Development, International

Medical Corps, JICA, Japan Red Cross,

LandsAid, Magna Children at risk, Med

Japan, The Mentor Initiative, Merlin,

MSF, NYC Medics, PNA, Project hope,

React Philippines, Samaritan Purse,

Samu Sevilla International, SC, SCI,

Spanish Red Cross Society, Saint Antho-

ny Mother and Child Hospital, Talisay

District Hospital, UNICEF, Vicente Sotto

Memorial Medical Centre, WHO, World

Vision.

Sub-national – Iloilo: Access Aid International, ACF, Action Aid

International, ADRA, AMERICARES,

ANGKLA PORTYLIST, Capiz Medical

Society, Child Fund, CRWRC, DoH,

Friend of Mar Roxas, ICRC, IFRC, IOM,

Lung Centre of Philippines, Metropolitan

Hospital, Operation Blessing, Philippine

Rural Reconstruction Movement, Profes-

sional Regulatory Board of Psychology,

Project Hope International Health,

NETHOPE, Red Cross Capiz, Regional

Health Office Mental Health Team, RN

Response Network, Rotary Club, Save

the Children, UNDAC, UNFPA, UNICEF,

WFP, WHO, World Vision International,

Zuellig Foundation.

Sub-national – Guiuan /

Borangan: DOH, Family Organisation of the Philip-

pines, Health in Portugese, ICRC, IOM,

Medical Team International, Norwegian

Church aid, PHTO, Plan International,

Radio Bakdaw. UNFPA, UNICEF.

Sub-national – Ormoc: AusAID, Australian Army, CMAT, Child-

Fund, Clarion Global Response IMAT,

COSE, CFSI, COPAP, DOH, HelpAge

International, HuMA, IFRC, IsraAID, IRC,

Johanniter International Assistance,

KMA, Magna Children at Risk, MDM

France, MDM Spain, Mercy Malaysia,

MSF, OCA, Ormoc City Health Office,

Ormoc District Hospital, Philippine Army,

Philippines Red Cross, PAC, Pureworks

Foundation, Merlin-Save the Children

International, SADC-Swiss Humanitarian

Aid, Singapore Red Cross, UNICEF,

Vestergaard, WHO, World Vision.

Sub-national – Bohol: UNFPA, Philippines Red Cross Society,

UNICEF, MERLIN, IOM, DOH.

Sub-national – Zamboanga: ACF International, Ateneo de Zamboan-

ga University, Brent Hospital and Colleg-

es, Inc., Camp Navarro General Hospital,

City Health Office - Zamboanga City,

Community and Family Services Interna-

tional (CFSI), Department of Education

IX, Department of Health - Zamboanga

Peninsula, Department of Social Welfare

and Development IX, Family Planning

Organization of the Philippines (FPOP),

Holy Rosary Family Center, International

Committee for the Red Cross, Katiling-

ban , MERLIN, Office of the City Social

Welfare and Development, Philippine

Red Cross - Zamboanga Chapter, Philip-

pine Obstetrics and Gynecology Society -

Zamboanga Chapter (POGS), POPCOM

IX, Save the Children, UNFPA, UNICEF,

Western Mindanao State University,

Zamboanga City Medical Center, Zambo-

anga Evangelical Disaster Response

Network.

Health Cluster Partners

Health Cluster Contacts

National- Manila: haiyanhccmanila@wpro.who.int

Sub-national- Tacloban: haiyanhcctacloban@wpro.who.int; hcctacloban@gmail.com

Sub-national- Cebu: haiyanhcccebu@wpro.who.int

Health Cluster Website:http://www.wpro.who.int/philippines/typhoon_haiyan/en/