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  • 1

    TYPHOON YOLANDA HEALTH CLUSTER BULLETIN

    December 11, 2013

    TYPHOON

    YOLANDA

    HEALTH

    DECEMBER 11, 2013

    HIGHGLIGHTS

     As of 10 December 2013, the National Disaster Risk Reduction Management Council

    (NDRRMC) of the Philippines reported 5 786 deaths, 27 022 injured, and 1 779 missing. A

    total of 11 241 237 people have been affected, 4 006 747 are displaced, and 103 604 are in

    386 evacuation centers.

     Top 5 health events reported via SPEED from Region 6 (Capiz, Aklan, Antique and Iloilo) on 9

    Dec 2013 were acute respiratory infection, wounds, high blood pressure, fever, and animal

    bites. Alerts were noted for tetanus and acute haemorrhagic fever in Cabatuan and Iloilo City.

     The number of evacuation centres is declining as people begin rebuilding their homes and

    schools are cleared to permit classes to begin.

     To date, 1068 of 9297 health facilities in the affected regions have been assessed. Among

    assessed facilities there has been substantial damage. Many of the remaining facilities will not

    be assessed as they are outside the Yolanda Corridor and assumed to not be damaged.

     The routine immunization programs in region VIII will begin soon; stocks and cold chain are

    now being re-established.

    P h o to

    : W

    H O

    /F ra

    in is

    c o G

    u e rr

    e ro

    Inside this bulletin:

     Affected population and areas

     Main public health concerns

     Public health risks, needs, and gaps

     Health cluster action

    ISSUE #7

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    TYPHOON YOLANDA HEALTH CLUSTER BULLETIN

    December 11, 2013

    AFFECTED POPULATION AND AREAS

    As of 10 December 2013, the National Disaster Risk Reduction Management Council (NDRRMC) of the

    Philippines reported 5 786 deaths, 27022 injured, and 1 779 missing. A total of 11 241 237 people have

    been affected, 4 006 747 are displaced, and 103604 are in 386 evacuation centers (Table 1).

    Source: Situation report #58 NDRRMC as of 10 December, 2013

    The number of evacuation centres

    is declining. According to OCHA

    people are leaving centers as

    shelter materials from aid organi-

    zations or salvaging become avail-

    able. The reopening of schools

    that previously hosted evacuation

    centers has been a factor for this

    decline. Many affected people

    have begun returning to the sites

    of their former homes. Some stay

    with others in affected areas or

    urban centres such as Cebu and

    Manila. Others have moved to

    temporary relocation centers

    where tent cities and wooden pa-

    vilions are being erected. The De-

    partment of Social Welfare and

    Development (DSWD) has provid-

    ed each departing IDP with a

    Family Assistance Card, making

    them eligible to receive assistance

    in the neighborhood where they

    had lived prior to the typhoon.

    Local Government is constructing

    temporary relocation centers, each

    housing 28 families, in Tacloban,

    Palo inLeyte; Basey, Marabat in

    Samar; Guiuan, Hernani and Gi-

    porlos in Eastern Samar. The goal

    is to build 375 by Christmas. This

    will provide housing for 52,500

    persons. DTM seeks to track con-

    ditions at these sites for the provi-

    sion of services.

    Migration outflow desks are still

    operating at the ports and airport.

    About 500 people per day leave

    the affected areas, approaching

    normal levels of pre– typhoon mi-

    gratory movement.

    The oil spill clean up in Estancia,

    Iloilo is reported to be improving.

    Japan has dispatched an oil clean-

    ing expert team, at the Govern-

    ment’s request.

    UNICEF has put out a reminder

    asking people to look for and as-

    sist unattended children.

    AFFECTED POPULATION

    (NDRRMC, 10 December 2013)

    Number of af-

    fected popula-

    tion

    % of total pop-

    ulation of the

    area*

    Number of

    Displaced

    Population

    % of inter-

    nally dis-

    placed

    Region IV A 27 076 0.2 - -

    Region IV B 467 050 17 1 960 0.07

    Region V 656 239 23.7 - -

    Region VI 2 829 806 39.8 2 414 276 33.83

    Region VII 2 898 027 42.6 258 484 4.30

    Region VIII 4 271 816 104.2 1 340 381 31.93

    Region X 19 592 0.5 - -

    Region XI 5 000 0.1 - -

    Caraga 66 631 2.7 22 -

    Total 11 241 237 23.8 4 006 747 9.27

    Humanitarian

    Case Load ac-

    cording to

    Flash Appeal

    12 900 000 29.84%

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    TYPHOON YOLANDA HEALTH CLUSTER BULLETIN

    December 11, 2013

    PUBLIC HEALTH RISKS, NEEDS, AND GAPS

    Public Health Concerns

    Department of Health is con- cerned by the potential increase in illnesses with cold weather occur- ring in some affected regions. Health programmes do not yet have sufficient programming for Elderly men and women. The Cebu cluster raised concerns

    about unattended injuries, in-

    creased risk for sexual violence,

    petty crimes, trauma and stress.

    Morbidity

    Top 5 health events reported via

    SPEED from Region 6 (Capiz,

    Aklan, Antique and Iloilo) on 9 Dec

    2013 were acute respiratory infec-

    tion, open wounds and bruises,

    high blood pressure, fever and

    animal bites. Alerts were noted for

    tetanus and acute haemorrhagic

    fever in Cabatuan and Iloilo City.

    The DOH sighted the top causes

    of referred cases from 11 Novem-

    ber to 5 December 2013 at the

    Villamor Air Base in Tacloban

    were wounds, fracture, acute gas-

    troenteritis, pneumonia and post-

    exposure prophylaxis for Leptospi-

    rosis.

    Health facilities

    To date, 1068 of 9297 health

    facilities in the affected regions

    have been registered as as-

    sessed. Among those facilities

    there has been substantial dam-

    age. Many of the remaining facili-

    ties will not be assessed as they

    are outside the Yolanda Corridor

    or are otherwise assumed to not

    be damaged. Full information on

    damages will not likely be availa-

    ble for a few weeks as the De-

    partment of Health is still accu-

    mulating and correcting infor-

    mation day by day. Among those

    health facilities that have been

    assessed 402 have been found

    to be partially damaged and a

    further 188 have been complete-

    ly destroyed.

    Essential health services

    All six facilities for diagnosing mul- tidrug resistant TB in the affected areas are functioning. One TB- Directly Observed Therapy (DOTS) treatment facility was de- mand as non-functional and the DOH is awaiting assessments on a further 15. Fourteen TB micro- scopic sites are not functioning yet, and 15 TB-labs, mostly in Bo- hol, are yet to confirm their status. Please refer to maps.

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    TYPHOON YOLANDA HEALTH CLUSTER BULLETIN

    December 11, 2013

  • 5

    TYPHOON YOLANDA HEALTH CLUSTER BULLETIN

    December 11, 2013

    HEALTH CLUSTER ACTION

    Health Cluster coordination

    The Department of Health is the lead of the Health Cluster, with WHO as co-lead. As of December 4, the DOH downgraded the situation from Code Red to Code Blue. This downgrade indicates that activities are returning to normal.

    Assessment

    UK Naval Ship HMS ILLUSTRI-

    OUS team conducted an assess-

    ment of Cadiz City, Cardiz Viejo

    and Sicaba on Negros Island, re-

    gion VI. They found that most are-

    as had been well prepared for the

    disaster and sustained little disrup-

    tion. The medical facilities func-

    tioning were not disrupted and the

    general health of the communities

    seems fair. However, there was

    psychological trauma in some of

    the children, especially around the

    coastal areas. There was limited

    damaged to homes in all places

    except for Sicaba where an esti-

    mated 50% of homes were dam-

    aged and 30% were destroyed.

    Aid has been received by the

    Sicaba community from some

    NGOs.

    Response

    Health Care Services

    Eighty-five registered Foreign

    Medical Teams (FMT) and 148

    local medical teams were in the

    affected areas as of 9 December

    (refer to maps). Seventy-five of the

    teams are functioning with basic

    type 1 services, 7 teams function-

    ing with more sophisticated type 2

    services and 2 teams with special-

    ty type 3 services. Seventy-two of

    the 85 FMTs are in Region VIII.

    FMTs that wish to donate equip- ment and supplies to local ser- vices are requested to coordinate with the DOH in doing so. A guidance note from the DOH on the entry and exit strategy of FMTs can be found at: http:// www.philippineconsulate.com.au/ surgical-and-medical-missions-to- the-phl.html

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    TYPHOON YOLANDA HEALTH CLUSTER BULLETIN

    December 11, 2013