Yale-Tulane Special Report - Typhoon Haiyan (Yolanda) - The Philippines- 23 NOV 2013 - 12 PM

YALE/TULANE ESF-8 PLANNING AND RESPONSE PROGRAM SPECIAL REPORTTYPHOON HAIYAN (YOLANDA PH) – THE PHILIPPINES LINKS

FOOD

WEATHER OUTLOOK

23 NOV 2013(As of 12:00 PM EST)

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

INTERNATIONAL/REGIONAL RELIEFWEBOCHA HUBHumanitarian Response - The Philippines

EUROPEANHUMANITARIAN AID AND CIVIL PROTECTIONCEDIM

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

HEALTH INFORMATIONCDCDISASTER INFORMATION MANAGEMENT CENTER

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

BACKGROUND

CURRENT SITUATION

US RESPONSE

5,235INJURED DEAD

23,501

CLUSTER LEADS

HEALTH

NUTRITION

WASH

EMERGENCY SHELTER

PROTECTION

LOGISTICS

CLUSTER MEETINGS

COORDINATION HUBS

BACKGROUND

SOURCES: PHILIPPINES: TYPHOON ACTION PLAN – NOVEMBER 2013

WIKIPEDIA - TYPHOON HAIYAN

Typhoon Haiyan (known in the Philippines as Typhoon Yolanda) is the second-deadliest Philippine typhoon on record, killing at least 5,235 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.

AFFECTED POPULATION: 2,145,359 families (9,996,065 persons) in nine regions—over 10 percent of the country’s population—are affected

Inside Burauen Hospital, Leyte Island. 18th November 2013 ©Agus Morales

WEATHER OUTLOOK

DAILY ACCUWEATHER

GALE WARNING NO. 13For: Strong to gale force winds associated with the surge of Northeast Monsoon.

Issued at 5:00 p.m. today, 23 November 2013

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

PAGASA

PAGASA GALE WARNING PAGASA WEATHER REPORT PDF

Synopsis:

Tail-end of a cold front affecting the eastern section of Luzon.

Forecast:

Cagayan Valley, Bicol Region, Eastern Visayas and the provinces of Aurora and Quezon will experience cloudy skies with moderate to occasionally heavy rainshowers and thunderstorms which may trigger flashfloods and landslides. Metro Manila and the rest of Luzon will have cloudy skies with light rains. The rest of the country will be partly cloudy to cloudy with isolated rainshowers or thunderstorms.

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

http://reliefweb.int/sites/reliefweb.int/files/resources/MA008_SituationOverview_v13-300dpi.pdf

CURRENT SITUATION

As of 24 NOV 2013 – 5 AM PhT

CASUALTIES: 5,235 individuals were reported dead, 23,501 injured and 1,611 missing.

AFFECTED POPULATION:A total 2,160,576 families (10,013,457 persons) were affected in 10,724 barangays in 44 provinces, 575 municipalities and 57 cities of Regions IV-A, IV-B, V, VI, VII, VIII, X, XI and CARAGA.

738,317 families (3,455,336 persons) were displaced.

Inside 1,095 evacuation centers:• 53,263 families 241,365 persons inside evacuation centers• 684,945 families/ 3,213,971 persons outside evacuation centers DAMAGES (Regions IV-B, V, VI, and CARAGA):

• DAMAGED HOUSES: 1,130496 houses damaged (555,514totally / 5474,892 partially)

• The total cost of damages is $516644611 USD.‒ INFRASTRUCTURE: The total cost of damages increased to

$272,639,664 USD

‒ AGRICULTURE: 244,004,946 USD

CURRENT SITUATION

PAGASA.DOST.GOV.PH OCHA CARITAS TELECOMS SANS FRONTIERES

SEAPORTS: All seaports are operational. • The Matnog, Sorsogon Port to Allen, Northern Samar now has 4 additional

barges. The barges were deployed for a total of 16, thereby doubling the normal services.

• The Bulan Port in Sorsogon to Allen, Northern Samar will be allocated for mercy missions.

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

POWER OUTAGE: • Based on NGCP’s latest inspection, 566 transmission towers and poles are

either leaning or toppled and 7 substations are affected which remained unenergized

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

• On 22 November 2013, electricity has been restored in Ormoc City, Leyte; and in the municipalities of Anilao, Banate , Barotac Viejo & Ajuy, all of Iloilo

WATER: Municipality of Barbaza, Antique and some municipalities/cities in Capiz and Iloilo, still do not have water supplies. Water supply system in Busuanga town proper is functional. Coron, however, is implementing a rationing system. NETWORK OUTAGE: Globe Telecom Cellular Services were restored in Borongan, Eastern Samar, Isabel and Palo in Leyte; Lavezares, Rosario, San Jose, and Lope de Vega in Northern Samar; Hinunangan, Limasawa, and Sogod in Southern Leyte; San Sebastian and Pagsanghan in Western Samar; Culasi and Laua-an in Antique; Dumarao, Capiz; and Daanbantayan, Cebu

AIRPORTS: • To date, operations in Tacloban Airport is still limited.• The Philippine Ports Authority has taken over the Port of

Tacloban.

NATIONAL DISASTER RISK REDUCTION AND MANAGEMENT COUNCIL

CURRENT SITUATION – DAMAGED HOUSES

EMERGING NEEDSMEDICAL AND PUBLIC HEALTH

• 41% of surveyed health facilities (115 out of a total of 2,495) are non-functional

• Only 20% of children fully immunized against measles• 233,697 pregnant and 155,798 lactating women need

specialized reproductive health services• Lack of some basic and essential health care services

such as routine surgery• Patchy disease surveillance

FOOD AND WATER• 2.5 million people in need of food assistance• Hundreds of thousands of hectares of crops destroyed• Farmers need for rice seed is time-bound• Markets have not reopened causing people to rely on

food assistance (Tacloban city)• No access to safe water in some areas

• Municipality of Barbazza, Antique, and some municipalities/cities in Caprize

SECURITY• Looting in places with food supplies• Limited number of Government social workers• Disaggregated data on the number of children at

regional, municipal, and barangay levels is unavailable• Absence of referral pathways for protection services• Local child protection councils non-functioning

MISCELANEOUS• 90% of public schools and daycare centers in affected

areas are damaged• Unavailable data on needs of IDPs (Tacloban city, Roxas

city, & southern Samar)

TEMPORARY SHELTER, EVACUATION CENTERS, AND CAMPS• 1.1 million houses damaged• 4.4 million people internally displaced people (IDPs), 91% of

which are residing outside evacuation centers• Overcrowding in evacuation centers (Eastern Visayas)• No electricity in evacuation centers (Tacloban City)• No proper drainage and waste management facilities in

evacuation centers• Inadequate information on shelter needs in Palawan province

LOGISTICAL BARRIERS• Debris impeding access to remote and interior areas• Fallen trees• Lack of overall debris management plan• Power outages

• Some provinces and municipalities in Regions IV-B, V, VI, VII, & VIII( MapAction/OCHA Power Distruption Map)

• Power outages in Tacloban city affecting emergency telecommunications

• Operations at Tacloban airport are still limited• Limited availability of landing slots

• Limited trucks for relief efforts (Tacloban)• Incessant rain

PHILIPPINES: TYPHOON HAIYAN SITUATION REPORT 13LUTHERAN WORLD RELIEF: SITUATION REPORT NO.13NDRRMC UPDATE: SITREP NO. 38OXFAM: MERGENCY FOOD SECURITY & VULNERABLE LIVELIHOODS: TACLOBAN CITY AND LEYTE PROVINCE ICRC: HELPING IDENTIFY THE DEAD

FOOD AID FOR 2.5 MILLION PEOPLE• General food distribution of food baskets containing rice and

ready-to-eat high-energy biscuits.• Establishment of community kitchens

SHELTER & URGENT HOUSEHOLD ITEMS• Tarpaulins, corrugated iron sheets, nails and other building

tools and materials for makeshift shelters• Immediate shelter needs are currently a priority over long-

term shelter needs• Non-food items such as family kits, sleeping kits, cooking

utensils, mosquito nets, and sanitization and hygiene kits• Care and maintenance of existing evacuation centers and

transitional sites

LIVELIHOOD• Can be coordinated with the need for removal and safe

disposal of debris• Provide food or cash for WASH related constructions and

protection to WASH lumber• 1 million farmers and fisherman need assistance to restart

livelihoods• Rice Farmers need seeds to plant before mid-December• Tricycle and pedicab drivers need repairs to or replacement of

damaged vehicles

EDUCATION• Learning tents and tarpaulins are needed for schools that are

damaged• Temporary learning spaces needed• Learning materials needed• Tracking of school children, day care workers, and teachers

EMERGING PRIORITIESIMMEDIATE WATER, SANITATION AND HYGIENE

• Installation of water bladders, water points and mobile water treatment units

• Generators to power small water systems• Rehabilitation of water supply systems• Chlorination of water sources• Water quality surveillance• Distribution of water and hygiene kits• Waste management

• Temporary/semi-permanent latrines (East Samar)• Repair of home-based toilets (East Samar)

ESSENTIAL HEALTH SERVICES• Trauma care for the injured and the prevention of tetanus• Re-establishment of essential primary and secondary care,

including medical, surgical, and obstetrics• Provision of medicines and medical supplies• Mental health and psycho-social support

‒ Children and first responders‒ More professionals needed

• Immunization for measles and polio• Establishment of an early warning system for early detection and

response to an outbreak• Infection control in healthcare units including safe blood

transfusions, medical waste management, sufficient supplies of clean water, and sanitation

• Repair and rehabilitation of damaged health facilities• Referral system from primary to specialized care• Management of acute malnutrition• Continuity of treatment for chronic conditions• Management of dead bodies

NUTRITION SERVICES FOR CHILDREN AND MOTHERS• Provision of nutrition supplies for therapeutic feeding• Micronutrient supplements and equipment• Rapid nutrition assessments and screening• Community-based therapeutic feeding centers for girls & boys with

severe acute malnutrition.

PHILIPPINES: TYPHOON HAIYAN ACTION PLAN - NOVEMBER 2013PHILIPPINES: TYPHOON HAIYAN SITUATION REPORT 13LUTHERAN WORLD RELIEF: SITUATION REPORT NO.13OXFAM: ROUGH RAPID ASSESSMENT, PROVINCE OF EASTERN SAMAROXFAM: MERGENCY FOOD SECURITY & VULNERABLE LIVELIHOODS: TACLOBAN CITY AND LEYTE PROVINCE HEALTH CLUSTER BULLETIN # 1

CURRENT ASSESSMENT – DISEASE AND INJURIES

PNAHEARS CURRENT SITUATION NOV 22, 2013HEARS CURRENT SITUATION NOV 21, 2013 HEARS CURRENT SITUATION NOV 20, 2013 HEARS CURRENT SITUATION NOV 19, 2013HEARS CURRENT SITUATION NOV 17, 2013HEARS CURRENT SITUATION NOV 16, 2013

DISEASES/ INJURIES:

• Top health conditions reported are acute respiratory infections, injuries and wounds, fever, diarrhea, hypertension, asthma and insomnia, as well as chronic conditions.

• The risk of outbreaks of diarrheal diseases and measles is substantial given the lack of safe water and sanitation, displacement and overcrowding, and sub-optimal vaccination coverage.

• The provision of health services and access to safe water continue to be top priorities for the affected regions, as delivery of relief has been hampered by fuel shortages as well as congested roads and air traffic.

At a meeting on the evening of Friday 22 Nov 2013 where representatives of several dozen domestic and foreign medical groups described the biggest single public health problem to emerge since the typhoon is acute respiratory infections, including pneumonia which have been attributed to lack of shelter, poor weather, and lack of clothing (NYT)

Kesha Magason, 3, was treated for pneumonia at an Australian field hospital in the hard-hit city of Tacloban in the Philippines.

• Two leptospirosis deaths have been verified: A 22-year-old male from Tacloban City and a 58-year-old male from Palo, Leyte

• DOH confirms that there have been a number of tetanus cases. Those verified were all males whose ages ranged from 19 to 60 years. One came from Tolosa, Leyte and the rest from Tacloban. All of them are alive. A team of medical experts from the San Lazaro Hospital in Manila was deployed to Tacloban to attend to typhoon victims who contracted tetanus,

First cases of acute malnutrition have been diagnosed. Eastern Visayas Region: 16 cases (7 moderate and 9 severe) of acute malnutrition. Cases also reported from hospital at Tacloban airport

CURRENT ASSESSMENT – DISEASE AND INJURIES

Medical consults conducted in selected evacuation centers (Astrodome, Dulag, EVRMC, Phil. Science High School, San Jose, Tanauan) revealed the following:

• From November 9 to 16, 2013 is 1112 cases were seen.

• The top five cases identified were: punctured/lacerated wound, influenza like illness, acute gastroenteritis, upper respiratory tract infection, and fever. Punctured/lacerated wounds (186) are highest among adults,

• Influenza-like Illness (92), acute gastroenteritis (78), upper respiratory tract infection (69) and fever (24) are highest among children.

Tanauan Evacuation Center appears to be the evacuation center with the highest number of cases.

For the period November 13-21, 2013, Eastern Visayas Medical Center reported the following services: 1,524 ER consultations, 1,795 OPD consultations and 1,352 total in- patient census and 350 operations. The top 5 leading causes of consultation are:

1. Trauma/typhoon related injuries2. Respiratory tract infection3. Acute gastro enteritis4. Hypertension5. Skin disease.

A total of 100 patient given prophylaxis for leptospirosis and 18 tetanus toxoid in November 21.

VACCINATION CAMPAIGN: On November 22, the vaccination campaign was officially launched. The Department of Health has requested support for their Vaccination program, covering measles, tetanus and polio in children, TB (BCG) and Hepatitis B for newborns, and for influenza and pneumococcal within the elderly. The lack of consistent power is affecting the rapid scale up of these processes as it hinders establishment of sufficient cold chain capacity.

SURVEILLANCE: The disease surveillance system in the affected areas has been disrupted by the typhoon as many of the reporting sites have ben destroyed.

Systems for disease monitoring have been activated, but are hampered:• Damaged communications infrastructure, introducing latency in

reporting• A shortage of trained staff • Poor internet connections

Surveillance in Post Extreme Emergencies and Disasters (SPEED), an emergency disease surveillance system, has been activated. SPEED is an early warning disease surveillance system for post-disaster situations launched by the GPH Department of Health and U.N. World Health Organization in 2010. The aim of the system is to determine early and potential disease outbreaks and monitor disease trends.

MATERNAL HEALTH: An estimated 389,500 pregnant and lactating women need specialized services for prenatal, postnatal, child health, health promotion and family planning. Daily, an estimated 865 births take place in the affected communities. About 129 of these will have potentially life-threatening complications

AS OF 22 NOV 2013:DOH TEAMS - 62 TEAMS DEPLOYEDLOCAL TEAMS- 23 TEAMSFOREIGN VOLUNTEER - 53 FOREIGN TEAMS IMC SITREP #7

PNAHEARS CURRENT SITUATION NOV 22, 2013HEARS CURRENT SITUATION NOV 21, 2013

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

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

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

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

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

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

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

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

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

• Change clothes if soiled with mucus or other secretions.

CDC – PNEUMOCOCCAL DISEASEAMERICAN FAMILY PHYSICIAN – PNEUMONIA DOCTORS WITHOUT BORDERSMAYO CLINIC

DESCRIPTIONLeptospirosis is a disease caused by a type of bacteria. It is spread by contacting the urine of an infected animal (usually rats). People get sick by touching, eating, or drinking water or soil that has been infected by animal urine. Outbreaks often happen with floodwaters after a hurricane.

RISK FACTORSDrinking, eating, or touching contaminated water or soil.

SYMPTOMSPeople usually start getting sick with a fever, chills, and vomiting 2 days to 4 weeks after the bacteria enters their body. Without treatment, people can be sick for a few days or sometimes more than 3 weeks. Some people recover after a few days but will later become sick again with life-threatening symptoms.

Some of the common symptoms include:• High fever• Headache• Chills• Muscle aches• Vomiting• Jaundice (yellow skin and eyes)• Red eyes• Abdominal Pain• Diarrhea• Rash

DISEASE BRIEF- LEPTOSPIROSISTREATMENTLeptospirosis is treated with antibiotics, usually doxycycline or penicillin for a course of one week.

CURRENT SITUTATIONTwo leptospirosis deaths have been verified: A 22-year-old male from Tacloban City and a 58-year-old male from Palo, Leyte

RECOMMENDATIONS• Aid workers should avoid consuming any unfiltered water.• Keep floodwater and soil off skin, especially, from the eyes, nose,

mouth, or open wounds.• Anybody experiencing a combination of the listed symptoms

should seek medical attention as soon as possible.

CDCTHE NEW YORK TIMES - 14 NOV

DESCRIPTIONTetanus is a serious illness caused by Clostridium tetani bacteria. The bacteria can enter the body through a deep cut. The bacteria are everywhere in the environment and are found in soil, dust, and manure. Death can occur without life-saving treatment.

RISK FACTORS• Dirty open wounds in individuals who have not been immunized

with the tetanus vaccine or who have not received the tetanus booster vaccine as recommended.

• “Tetanus-prone” wounds include those contaminated with dirt, feces, or saliva, punctures, burns, crush injuries, or injuries with necrotic (dead) tissue.

SYMPTOMSThe symptoms usually start 3-21 days after a wound comes in contact with the causative bacteria. Death occurs in 1 out of 10 cases.

Some of the common symptoms include:• Painful tightening/spasm of muscles

• When muscle tightening occurs in the muscles of the jaw, the jaw “locks” and the patient may be unable to open mouth or swallow

• Headache• Fever• Fast heart rate and high blood pressure• Seizures

DISEASE BRIEF-TETANUS (LOCKJAW)TREATMENT• Hospitalization with aggressive wound care and antibiotics.• Immediate treatment with human tetanus immune globulin (TIG).• Drugs to treat muscle spasms.• Vaccination for future prevention.

CURRENT SITUTATION• Survivors with extensive skin injuries are being treated with TIG

and receiving the tetanus vaccine.• DOH confirmed there have been a number of tetanus cases.

Verified cases are male, age range 19-60 years old. One case came from Tolosa, Leyte, the rest were in Tacloban. All are alive.

• A team of medical experts from the San Lazaro Hospital in Manila was deployed to Tacloban to attend to victims with tetanus.

RECOMMENDATIONS• Immediate wound care• Tetanus vaccination

CDCPHILIPPINES NEW AGENCYDOCTORS WITHOUT BORDERS NEWS ARTICLE

STATUS OF HEALTH FACILITIES BY REGION, PROVINCE AS OF NOVEMBER 24, 2013 08:00 AM PHT

http://taskforceyolanda.doh.gov.ph/damage/Report1smry.php

• 1 LGU Hospital (Ormoc District Hosptial) not functional *emergency unit left• 1 Private Hospital (OSPA Farmers Medical Center) not functional• 2 Private Hospitals (Gatchalian Hospital; and Maternity and Children’s Hospita

l) are partially functional• 1 Private Hospital (Ormoc Doctors Hospital) is fully functional• 5 RHUs (Curva, Linao, Cogon, Ipil, Valencia) are functional• 1 RHU San Pablo District Hospital (Uncertain functionality)• 16 BHS in Ormoc City, and 34 in greater Ormoc area were damaged and

reported not functional

HEALTH INFRASTRUCTURE

FOREIGN MEDICAL MISSION: 5LOCAL MEDICAL MISSION: 9 FOREIGN• MERCY MALAYSIA at Ormoc District Hospital. They have set up

emergency services to provide out-patient treatment. Top priority is to fix the roof of Ormoc District Hospital which was completely destroyed by the storm (team=8).

• SWISS SDC/SHA: At City Government Center. SHA team is working closely with SDC team (team=10).

• MSF-HOLLAND: at Ormoc City, setting up field unit and will send mobile clinic units if necessary.

• JOHANNITER GERNAMY At City Government Center. They are working with their local partner ”Balay Mindanaw Foundation1“ (team-12).

• IFRC-CANADIA AND NORWEGIAN at Ormoc District Hospital Vicinity. Its operating theater, maternity wards and inpatient services began on Thursday in Ormoc. This Emergency Response Unit is a joint deployment of the canadian, norwegian and Hong Kong Red Cross societies.

LOCAL• THE PHILIPPINE COLLEGE OF PHYSICIANS near Ormoc District Hospital in

cooperation with the Department of Health (DOH) (team=28).• 1DREAM OF BALAY MINDANAW GROUP worked with multiple Barangays

HEALTH AND MEDICAL – ORMOC

PH Health Atlas (Medical Mission) as of Nov 23

PH Health Atlas (Monitoring) as of Nov 23Video update as of Nov 22

Johanniter-Ärztinoctor Anette Eickert treated the four-month-old Aimee Cabalung. She is suffering from underweight, diarrhea and a sore throat.

The Canadian Red Cross field hospital is set up in Ormoc, Philippines.

HEALTH AND MEDICAL – TACLOBAN

PH Health Atlas (Medical Mission) as of Nov 23

PH Health Atlas (Monitoring) as of Nov 23

• 1 LGU Hospital (Leyte Provincial Hospital) is not functional • 1 Private Hospital (Remedios Trinidad Romualdez Hospital) is not functional• 1 Private Hospital (Bethany Hospital) is functional • 1 DOH Hospital (Eastern Visayas Regional Medical Center) is functional

HEALTH INFRASTRUCTURE

FOREIGN MEDICAL MISSION: 12LOCAL MEDICAL MISSION: 23

AID4LIFE (HUNGRAY HRCA) is an emergency relief team from Hungary. They are able to provide medical care. (11 people)

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)

Agencia Espanola Cooperacion Internacional (SPAIN) has drinking water and two mobile care units which cover primary care, orthopedics, surgery, and gynecology. (35 people)

Japan International Cooperation Agency has teams in Samar and Tacloban. They are able to provide medical support and have a sonogram. They are stationed at the Western Bisaya Hospital. (60 people)

DART (Canadian Armed Forces) proves basic medical care, water purification, basic infrastructure repairs, and helps to streamline communications. While they have a small presence in Tacloban, they are mainly based on the Northern end of Panay Island.

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

HEALTH AND MEDICAL – TACLOBAN

• Hbaid Rescue 24 is a Hungary based team that is providing food and healthcare. (3 people)

• Hope Emergency Response Team is a group normally based in Metro Manila that is helping to provide food and medical supplies. (5 people)

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

HEALTH AND MEDICAL – PALO

PH Health Atlas (Medical Mission) as of Nov 23

PH Health Atlas (Monitoring) as of Nov 23

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

Samaritan's Purse/ US Level 1 Field Hospital – Their 12 person-medical team, which includes doctors, nurses, and a biomedical technician, is working alongside the staff at the storm-damaged Schistosomiasis Control & Research Hospital in Palo to provide emergency health care to the community. The U.S. Air Force helped set up their mobile field hospital on the grounds of the hospital. Local radio stations are directing injured people to the expanded medical facility. (SITREP – 22 NOV 2013)

An aerial view of the devastated district of Palo in the aftermath of Typhoon Haiyan on November 18, 2013 in Tacloban, Philippines. (Kevin Frayer/Getty Images

Felipe J Abrigo Memorial Hospital was completely destroyed

HEALTH AND MEDICAL – GUIUAN, EASTERN SAMARHEALTH INFRASTRUCTURE

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

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

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

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

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

• Medical Teams International is working together IMC and AmeriCares

PH Health Atlas (Medical Mission) as of Nov 23PH Health Atlas (Monitoring) as of Nov 23

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

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

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

NEEDS:• Repairs to health care facilities and basic services for patients –

including food and water – are urgently needed. Immediate action is needed to provide a safe water supply at the Eastern Visayas Referral Medical Centre, the main hospital for the region.

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

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

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

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

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

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 10– 17 NOV 2013

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

• In the hardest hit areas, one third of the children suffer from malnutrition while only 20 per cent have been fully immunized against measles, leaving them particularly vulnerable to the deadly disease.

• An estimated 389,500 pregnant and lactating women need specialized services for pre-natal, post-natal and child health care, as well as health promotion and family planning services. Daily, an estimated 865 births take place in the affected communities. About 129 of these will have potentially life-threatening complications.

• Injury management is urgently required. The Eastern Visayas Regional Medical Center is the only operational hospital in Tacloban City.

• According to preliminary reports, 25 health facilities in Region VIII are serving over 200 000 affected people.

• According to NDRRMC 12,501 people have been injured, with numbers expected to rise as more areas become accessible.

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

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

OCHA SITREP 10– 18 NOV 2013

OCHA SITREP 10– 19 NOV 2013OCHA SITREP 10-20 NOV 2013

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

HEALTH - NEEDS

HEALTH

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

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

• The number of medical teams providing emergency health care has increased. 59 foreign and 72 local medical teams are currently deployed in affected areas.

• A mass vaccination campaign (measles, polio and Vitamin A) will start in Tacloban next week. In Tacloban, measles vaccination and vitamin A distribution has already begun in some of the evacuation centers.

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

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

reproductive health and medical missions.

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

• A campaign for mass vaccination against measles and polio is being organized and will begin this week in Tacloban.

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

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

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

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

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

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

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

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

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

OCHA SITREP 10– 19 NOV 2013OCHA SITREP 10-20 NOV 2013

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

HEALTH - RESPONSE

HEALTH

GAPS & CONSTRAINTS: • Geographical coverage of health services needs to be expanded.

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

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

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

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

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

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

• The disease surveillance system is currently patchy due to a disrupted communications network. Reporting and enquiries can be directed to [email protected].

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

OCHA SITREP 8 – 14 NOV 2013

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

• The lack of electricity is undermining cold chain operations.

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

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

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

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

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

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

• People are traumatized and lack psycho-social support.

OCHA SITREP 10– 19 NOV 2013OCHA SITREP 10-20 NOV 2013

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

HEALTH – GAPS & CONSTRAINTS

FOOD

FOOD SECURITY CLUSTER MEETING MINUTES - Nov 19UN OCHA SITUATION REPORT - Nov 22

UN OCHA SNAPSHOT – Nov 22AGRICULTURE UPDATE - Nov 21

AGENCY LOCATIONS MAP - Nov 18NEEDS ASSESSMENT MAP - Nov. 22

NEEDS: About 2.5 million people are in need of food assistance. It is critical to get rice seed and fertilizer to approximately 250,000 farmers by mid-December. More than 1 million farmers and fishers need livelihoods restored immediately, as close to US$225 million in damages has occurred (estimate likely to rise).

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

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

• Rice and High Energy Biscuits/emergency food products for 3+ million people, with a large recent increase because of partnership between WFP and DSWS. Some people have gotten multiple rations, while others have received none due to access limitations – estimating total recipients is difficult at this point.

• Partners are beginning to reach more rural areas.

FOOD

FOOD SECURITY CLUSTER SOCIAL MEDIA:

FACEBOOK TWITTER

Food Cluster Coordinator: Jeffrey Marzilli [email protected]

WFP Co-Leads Beatrice Tapawan, [email protected]

Dipayan Bhattacharyya ([email protected])

• Japan has approved APTERR project to delivery US$500,000 worth of emergency rice

• DSWD is considering shifting to food-for-work combined with target distributions to vulnerable people

• Assessments will begin in Roxas, Capiz and Iloilo on Nov. 23. to look at options for cash-based response as markets re-open.

• All interested implementing partners for agriculture should contact FAO ([email protected]) for rice/seed intervention, livestock and fisheries intervention work

• The Dept. of Agriculture has prepositioned rice seeds in all regions and will begin distribution soon.

• As of November 21st, cash has been distributed to 3,580 beneficiaries, soon to be paired with food distribution

People queue for food in Tacloban on 23 NOV 2014 AFP

FOOD

FOOD

GAPS & CONSTRAINTS: • Food Cluster is currently 34% funded out of a total US$113

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

but rapid expansion is occurring; coordination hub in Cebu• Isolated island communities, notably North and South

Gigante, Capiz and Iloilo, have yet to receive assistance. Work to create new partnerships is under way.

• Major gap in food assistance in northern Cebu.• No funding has been committed to restore fisheries

livelihoods and an oil spill near Estancia threatens recovery• Resources are overstretched as the cluster is also

responding to the Bohol and Zamboanga emergencies.• Security is a concern at food distribution sites• There is a limited timeframe (by mid-December) in which to

assist farmers in planting crops to ensure a viable harvest and food supply.

• USD$200+ million damages to agriculture industry

PRIORITIES:• General food distribution, with food baskets containing rice

and ready-to-eat high-energy biscuits.• Emergency food-for-work and cash-for-work to help kick-

start early recovery activities and rebuild livelihoods. • Cluster leads are assembling information on locations of all

involved organizations for better coordination.• Cluster presence map update by end of week

FOOD SECURITY CLUSTER MEETING MINUTES - Nov 19UN OCHA SITUATION REPORT - Nov 22UN OCHA SNAPSHOT – Nov 22AGRICULTURE UPDATE - Nov 21AGENCY LOCATIONS MAP - Nov 18NEEDS ASSESSMENT MAP - Nov. 22

U.S. and Sweden's Troops unload relief goods from a Sweden's C-130 Plane in a damaged airport in the super typhoon devastated city of Tacloban, Leyte island province, the Philippines, today EPA

FOOD SECURITY CLUSTER SOCIAL MEDIA:

FACEBOOK TWITTER

NUTRITION

NEED:

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

• 4.9 million children (1.5 million of them under age 5) are at risk of global acute malnutrition and require nutrition support

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

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

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

PRIORITIES (URGENT):

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

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

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

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

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

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

• Coordination and technical support to the Nutrition Cluster;

CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair UNICEF 0917-565-4062 02-901-0150 [email protected]@gmail.com

Philippines Typhoon Action Plan - Nov 2013

OCHA Situation Report 15 – Nov 21

Emergency Appeal Operation Update - Nov 17

First cases of acute malnutrition have been diagnosed

Eastern Visayas Region: 16 cases (7 moderate and 9 severe) of acute malnutrition. Cases also reported from hospital at Tacloban airport

Nation nutrition council cluster meeting – Nov 20 2013

A child is checked for malnutrition.

NUTRITION

CLUSTER LEAD: Henry Mdebwe, Nutrition Officer, Cluster Chair UNICEF 0917-565-4062 02-901-0150 [email protected]@gmail.com PHILIPPINES TYPHOON ACTION PLAN - NOV 2013

RESPONSE:

• Breastfeeding support kits have been provided, and community-based centers for the management of acute malnutrition have been set up

• Nutrition supplies are on their way to affected people. Anthropometric equipment such as scales and height boards and essential drugs for treatment of complicated cases of severe acute malnutrition have reached Tacloban

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

• Infant and Young Child Feeding (IYCF) counselors have mobilized in Eastern Samar, Leyte, Iloilo, Capiz, Cebu and Bohol

• Mass vitamin A supplementation began this week

• In Ormoc City, over 4,000 women received nutrition services. An estimated 2,000 pregnant and lactating mothers received iron with folic acid tabs, and 2,100 post-partum women received vitamin A supplementation.

• Nutrition training and deployment of nutrition counselors continue in Eastern Samar, Leyte, Iloilo, Capiz, Cebu and Bohol provinces.

GAPS AND CONSTRAINTS:

• Essential nutrition supplies are slow to reach beneficiaries due to logistical challenges (ie downed bridges)

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

• Vitamin A supplies are inadequate

• Nutrition assessments have been delayed due to difficulties in accessing sites and evacuation centers.

• 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

OCHA SITUATION REPORT 15 – NOV 21

UNOCHA REPORT – NOV 23

EMERGENCY APPEAL OPERATION UPDATE - NOV 17

ASSESSMENTS:

• ACF prepared to implement a nutrition survey (SMART) to assess malnutrition and mortality; DOH conducting rapid assessments in Leyte province; Save the children conducting rapid assessments in Western Visayas

UNICEF MEETING NOTES: NOV 21 2013

NATION NUTRITION COUNCIL CLUSTER MEETING – NOV 20 2013

WASHWATER, SANITATION, AND HYGIENE

NEEDS: • 3 of the 5 water pumps that serve Guiuan municipality in Eastern Samar Province

are not functioning. • Over 300 municipalities may have WASH-related issues that require assistance. • Makeshift houses and informal displacement sites leave people more vulnerable

and promote open defecation. • Guiuan and some other areas still have no water supply and lack sanitation

facilities. • In some areas in northern Cebu, water must be transported by boat as no local

water supply is available. • Immediate and regular water quality monitoring is lacking. Main water sources

are shallow wells, but water treatment is not being done. • Additional water kits are urgently needed; jerry cans without disinfectants may

not be sufficient. Hygiene and sanitation kits are also required.

RESPONSE: • In Ormoc, the water system is operating again, supported by a generator since

the electric grid was completely destroyed• 700 hygiene kits have been distributed in Guiuan. • An additional water treatment unit has been placed in Danao Danao (Iloilo

Province). • Philippine Broadcast Services broadcast key messages from the Protection and

WASH clusters.• The Department of Health has conducted random residual chlorine tests in

Tacloban. Many of the water sources were found to be safe for drinking. Final results will be shared shortly.

• Two water treatment plants are on their way to Roxas city and plans are currently underway to identify the best place to install these water systems

WATER, SANITATION AND HYGIENE GAPS & CONSTRAINTS:

CLUSTER COORDINATOR Rory Villaluna UNICEF [email protected]: 0917-859-2578 or 02-901-0101

A woman washes her infant with her UNICEF hygiene kit in Tacloban

UNICEF SITREP 4 – 20 NOV 2013OCHA SITREP 15 – 21 NOV 2013

• In southern Leyte and northern Samar, access to drinking water remains a priority

• Fuel reserves are exhausted, impacting the operation of water pumps in Guiuan

• Local Government Units are not yet operating as many were also severely affected by the storm. Support will be required to help them co-lead cluster coordination efforts.

• 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 [email protected]

• 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

LOGISTICS

LOGISTICS

PRIORITIES • The focus of UNHAS passenger services will be to move people

between Roxas, Cebu, Ormor, Guiuan and Tacloban.• Establish user requirements of UNHAS transport to define the

number and capacity of air assets. • Manila Cluster participants to communicate needs for cold

storage in Tacloban. • Manila Cluster participants to share road access constraint

information.• Cluster participants requested to send in Service Request

Forms and share their pipelines/operational plans. • Manila Cluster participants to share road access information

for Guiuan-Borongan route and other corridors and to give updated status of the recently opened Bulan Port.

• Debris removal, access to cutoff communities.• Improve air traffic/flight schedule management.

‒ Flight planning is generally working. ‒ Reprogramming/reprioritization of air slots is occurring due

to ad hoc management of flight plans. ‒ Bumped off flights are not being prioritized for the

following day.

LOGISTICS CLUSTER SITUATION UPDATE NOV. 21CLUSTE MEETING NOTES NOV. 20

Tacloban Logistics Cluster Meeting NoticeFrequency: Mondays and Thursdays at 19:00 (until further notice)Location: The Office of Civil Defence (OCD), Tacloban

Manila Logistics Cluster Meeting NoticeDate/Time: Wednesday 27 November at 11:00-12:00 hrsLocation: WFP Office is in Makati city G.C. Corporate Plaza 150 Legaspi Street- 5th floor Makati City 1226

LOGISTICS

LOGISTICS

GAPS • Access to safe water remains a major challenge in island towns of

Guiuan municipality (Eastern Samar province) and Bantayan Island (Cebu province).

• Fuel shortages continue to pose a challenge.• Tacloban airport is still experiencing light congestion. • Efficient use of humanitarian and military assets is hindered by the

lack of visibility on the humanitarian upstream pipeline.

CONSTRAINTS • Cluster participants were advised to consider commercial

passenger air travel options from Manila to Tacloban as the militaries are in the process of demobilising their air assets from Tacloban airport.

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

• Availability of military cargo airlift is limited and participants were advised to use the road corridor from Manila to Matnog, ferry service and road to Tacloban.

• Cebu is currently the main receiving hub for international aid. Commercial ferry services and Ro-Ro vessels are available, but have limited capacity.

• Storage could pose a challenge at Tacloban Port.

LOGISTICS CLUSTER SITUATION UPDATE NOV. 21CLUSTE MEETING NOTES NOV. 20

NEEDS• Fuel needed in Guiuan. • Increased storage capacity at Tacloban Port.• Stabilized clean water source Guiuan (Eastern Samar

Province), and Bantayan Island (Cebu province).

Source

LOGISTICS

LOGISTICSRESPONSE• Cold-storage could be made available in Tacloban if needed.

Please contact the Logistics Cluster with SRFs which can be found on the following link: http://logcluster.org/ops/phl13a

• OCHA offered to assist organizations with other types of coordination if there is a need. OCHA stated that they are deploying two staff to be based out of Cebu.

• Filipino Navy is present at the Cebu international airport and to provide navel assets for the transportation of relief items.

• US Military forces are offering transport by air assets. Destinations will be driven by demand.

• A GIS officer has been deployed to Manila. An Access Constraints Map has been shared and participants were asked to share any updates on bottlenecks.

• Bulan port is open to humanitarian cargo only. Ferries are operating.

• The Roll On, Roll Off (RO/RO) vessel, the Sandy III, has been contracted for a month to provide sea transport services for the humanitarian community.

‐ Its first voyage departs Cebu to Tacloban on the evening of 23 November; the voyage is an estimated 20 hours.

• Shipping into Tacloban port is free for all humanitarian users (excluding labour costs).

LOGISTICS CLUSTER SITUATION UPDATE NOV. 21CLUSTE MEETING NOTES NOV. 20

• Cebu based organizations interested in acquiring light equipment from DFID, contact: [email protected]

• Cebu: US army Chief Philips is coordinating with the Philippines Authorities on passenger movement using military air craft.

₋ The Logistics Cluster confirmed that this is separate from UNHAS.

An Antonov-124 cargo plane - chartered by the UK government - arrives in Cebu.

LOGISTICS

LOGISTICS

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

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

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

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

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

PHOTO SOURCE

CEBU LOGISTICS CLUSTER MEETING MINUTES 11/21

Emergency situations requiring airlift should be communicated directly to UNHAS for appropriate action. For information on contact details, please email: [email protected]

Assessment missions can be requested, the schedule may be open to change to accommodate these needs. Specific requests can be made to [email protected]

LOGISTICS

LOGISTICS

NOTES FOR USERSUNITED NATIONS HUMANITARIAN AIR SERVICE (UNHAS) NOTE: The passenger service will be free of charge to the users until further notice.

Booking address for requests: [email protected] ----- [email protected] and [email protected] should be copied on all emails.

• Be prepared to inform UNHAS of their required destinations and estimated number of passengers per week/destination.

• All requests must include the passengers name, date of travel, passport details, etc.

• The priority is to establish user requirements in order to define the number and capacity of air assets.

• The schedule will be defined by the needs of the participating organizations.

• Care will be taken to balance the routes with those of commercial operators.

Organizations intending to use the service should appoint one or two flight focal points, preferably including the country director. Communicate your details as soon as possible to [email protected].

For UNHAS standard operating procedures go to: http://logcluster.org/

UNHAS Weekly Flight Schedule Effective Nov. 25

Logistics Cluster Tacloban Update Nov. 20

UNHAS Standard Admin. and Operating Procedures

INFRASTRUCTURE CAPACITY REPORTSLogistics Snapshot Tacloban Port, Leyte IslandLogistics Snapshot: Ormoc Port, LeyteLogistics Snapshot: Guiuan Port, Samar IslandLogistics Cluster Snapshot: lloilo Commercial Port

PROTOCOL GUIDANCE DOCUMENTSCustoms GuidanceRelief Item Tracking Application Guidance REVISION Request Form: USAID Facilitated Humanitarian Cargo Transport by Military Assets

MAPSOrmoc CIty Map Tacloban City MapGuiuan City Map Cebu City MapRoxas City Map

DOCUMENTS OF USE

LOGISTICS

PRINTABLE VERSION

MANILAJohn Myraunet (Logistics Cluster Coordinator) Email: [email protected] Mobile: +63 926 618 9007Chiara Argenti (IM Officer) Email: [email protected] Mobile: +63 9276613901Oliver Bartolo (UPS Customs Procedures Advisor) Mobile: +63 9158481559Jared Komwanu (Chief Air Officer) Email: [email protected] Ismail Osman (Air Officer) Email: [email protected] Crevoisier (GIS Officer) Email: [email protected] CEBUHenrik Hansen (Logistics Officer) Email: [email protected] Hourihan (IM Officer) Email: [email protected] Price (Consignment Tracking Officer) Email: [email protected]

LOGISTICS CLUSTER CONTACTS

LOGISTICS

CEBUTanveer Siddiqui (Information Management Officer) Email: [email protected] Price (Consignment Tracking Officer) Email: [email protected]

TACLOBANIrving Prado (Logistics Officer) Email: [email protected] Mobile: +63 9278328557 Esther Russell (IM Officer) Email: [email protected] Mobile: +63 9151438193Andrew Jackson (Consignment Tracking Officer) Email: [email protected] Mobile: +63 9278328557

For general Logistic Cluster inquiries please email: [email protected]

CHILD PROTECTION & GENDER BASED VIOLENCEPROTECTION

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

and girls aged 15 to 49 have experienced sexual violence.

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

areas is needed. Many are leaving through airports and seaports with minimal (if any) controls. This increases the risk of exposure to human trafficking.

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

• 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.• Many have lost their documents of identification, that need to be

replaced.• Minority communities (Bagacay hosts Monobo; Batole hosts bajays)

have specific needs that need to be addressed.• Whereabouts of missing persons need to be determined as soon as

possible for family reunification.

RESPONSE: • Partners have established a Migration Outflow Desk at the

Tacloban Airport to register displaced people and identify protection concerns, including human trafficking. Over 200 people have been registered.

• Similar Migration Outflow Desks are planned in additional sea and airports.

• The government has augmented security personal in severely hit areas and where organized looting is occurring.

• PNP has established hotline numbers to address concerns on peace and security.

• A women and children’s desk has been established in Tacloban City’s main evacuation centers.

• Partners provided 1,000 recreation kits and 1,000 Early Child Development kits in Tacloban City.

• UNICEF’s first Child Friendly Space opened on 20 November in Tacloban.

• UNICEF has supplies for between 50-100 Child Friendly Spaces coming in 8 days (1,000 recreation kits and 1,000 Early Child Development Kits).

• Stress debriefing in evacuation centers has started.• DSDWD and DOH are conducting psychosocial services.

OCHA SITREP#15 21NOVPROTECTION CLUSTER ASSESSMENT#6 20NOV IASC SUB-WORKING GROUP ON GENDER 18NOVUNICEF SITREP#4 20NOV

Super typhoon Haiyan has left a trail of destructions in the Philippines. As always, the children are the most vulnerable from the trauma of the incident and from the struggle to survive. Editor: James |Source: CCTV.com

CHILD PROTECTION & GENDER BASED VIOLENCEPROTECTION

GAPS & CONSTRAINTS:

• Distribution of Family Access Cards is urgently required to ensure women and children access to humanitarian assistance.

• Power remains cut off in parts of Regions IV-B, V, VI, VII, and VIII. Lack of electricity/lighting increases protection risk among women and children both in evacuation centers and house-based.

• Overcrowded evacuation centers need to be de-congested.• No legislative decision has yet been made on alternative re-settlement

or re-location arrangements, or on response to movements of people.• Stronger mechanisms are needed to prevent trafficking, particularly at

air and sea ports.• Information on missing persons remains largely unavailable.• More female police officers are needed (especially in Region VIII).• Training of security personnel on human rights and protection is

required.• Child- and women-friendly spaces are needed in evacuation centers.

Sexual and Gender-Based Violence Working Group; Reproductive Health Working GroupFlorence Tayzon, Assistant Representative, Working Group Chair UNFPA 0917-859-3520 02-901-0304 [email protected]

Child Protection Working Group; Reproductive Health Working GroupSarah Norton StaalCluster [email protected]; [email protected];

OCHA SitRep#15 21NovProtection Cluster Assessment#6 20Nov

IASC Sub-Working Group on Gender 18NovUNICEF SitRep#4 20Nov

PROGRAMMING PRIORITIES:

• Priorities for food and non-food items must be determined through consulting women and youth about their individual needs. Special measures for deliver must be taken.

• Target women in the distribution of non-food items, especially house-repair kits for female-headed households.

• Shelter programs must prioritize safe gender-specific spaces. And provision of childcare services.

• Gender segregated latrines and bathing facilities must be constructed.

CRITICAL RESOURCES:

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

Guidelines for Child-Friendly Spaces in Emergencies

Key Messages for Caregivers in a Sudden Onset

Actions in case of Missing or Separated Children

EMERGENCY SHELTER

DAMAGE: Official numbers now report 1.08 million damagedhouses (535,994 completely destroyed).

NEEDS:• 27 of 41 displacement sites in Tacloban have no camp

management structure in place• Shelter needs span from temporary housing to long-term needs• 22 evacuation centers in Tacloban have no power and

inadequate draining/waste management facilities• CONTINUING URGENT NEEDS: Tarps, tents, shelter-related non-

food items (NFIs), corrugated iron sheets, nails, building tools and materials, plastic sheeting, roofing materials

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

RESPONSE:• 4.33 million people are displaced (including 1 million children),

of which 386,715 people (82,887 families) are living in 1,546 evacuation centers. The large majority of people are living outside the evacuation centers in six regions. All evacuation centers in Northern Mindanao, Bicol and Davao regions have closed, and only one remains open in CARAGA Region. 600-700 people are leaving Ormoc and Guiuan (Eastern Visayas Region) daily, mainly for Cebu and Manila, where reception centers have been established to host them.

• Distributed items include kitchen sets, hygiene kits, plastic sheets, blankets, mats, tarps, shelter kits & other non-food items, toolkits, framing kits, corrugated iron sheets, and more

• 64 tents given to de-congest an evacuation center in Tacloban Asec Camilo G. [email protected] 920 948 5383SHELTER CLUSTER – TYPHOON HAIYAN 2013

OCHA SITUATION REPORT NUMBER 15 – NOV 21UPDATE ON CCCM IN PHILIPPINES – NOV 21

GOVERNMENT LEAD AGENCY CLUSTER CO-LEAD AGENCYPatrick Elliot, [email protected]@ifrc.org0 908 401 1218Phil. Int. Dialing Code: +63

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

of the needed $6 million.• Emergency Shelter Cluster is at 36% funding of the needed $46 million.

(Latest numbers here).• Continuing logistical challenges to assessments and delivery of supplies• Non-Food Items have arrived in Tacloban but are held up on the wharf• Local markets cannot meet the demand for shelter materials• Some evacuation centers will close on Monday; school is starting

A boy receives a tarp from Samaritan’s Purse (source)

US RESPONSE - OPERATION DAMAYAN

Department of Defense (DoD): OPERATION DAMAYAN

PRIORITIES:• Increase potable water production.• Stabilize the fuel supply to affected areas.• Continued support of logistical needs to distribute food/relief items, clear debris from

roads, reestablish power, communications, and water production. • Decrease airport congestion to decrease aircraft take off and landing time.• Increase the warehousing capacity at airports, distribution and evacuation centers.

NEEDS:• Water production and logistics, mainly ground transportation and fuel. • Greatest needs in affected areas are water, shelter, food, and medical assistance. • Debris removal to allow ground access to affected areas.

• EX) Main highway south of Guiuan to the end of the peninsula: one major obstruction with only one passable lane. Light lift equipment is required to remove obstruction.

RESPONSE• The last 24 hours Water supply has been partially restored in most areas of Eastern and

Western Visayas regions, according to the NDRRMC.• USAID and OFDA has provided $5 million to support WFP logistics and $2.5 million to

Oxfam to improve access to safe drinking water in Leyte. • The U.N. Population Fund (UNFPA) is providing reproductive health kits to health

partners for distribution• All municipalities in Leyte province are now accessible. In addition, 146 roads have been

repaired and cleared of debris in MIMAROPA, Bicol and Eastern, Central and Western Visayas regions.

• DOE deployed 152 generator sets (gensets) to Semar, Capiz, and Palawan provinces.• Iinter-agency shipment of relief goods by sea arrived in Tacloban City. A second vessel

has departed from Cebu for Tacloban carrying 300 mt of relief goods.

ADMIRAL'S MORNING BRIEF UNCLAS - NOV 20OPERATION DAMAYAN DAILY SOURCE REPORT NOV 21US DOD - OSPREYS FLY SUPPLIES TO REMOTE AREAS IN PHILIPPINES US DOD - MILITARY, USAID CONTINUE RELIEF EFFORTS IN PHILIPPINES OCHA SIT-REP 13 – NOV 19

GAPS AND CONSTRAINTS• Lack of medical facilities and the slow pace of relief operations are

causing further harm to individuals and vulnerable communities. • Lack of power remains a challenge for ETC operations, especially in

Tacloban. • Inadequate helicopter landing zone preparation increases risk to crew

and equipment: soft ground (sand and marsh lands, in some areas) uneven ground, debris coverage.

• Medium to large passive and aggressive crowds, with varying levels of organization are present at landing zones (crowds of 30-200+ people reported), in some cases rushing the aircraft, increases the risk of competition for aid and the potential for violence.

• Minimal security at some landing zones has disallowed aircraft to land. Aid is delivered via hoist in-flight.

• Weather conditions have prohibited helicopters from accessing Tacloban Airfield.

• Congestion at Tacloban Airfield has eased, yet only some commercial flights allowed to land.

• Areas inland of Matarinao Bay in mountainous regions are inaccessible by roads due to rain washouts

• Main highway north of Guiuan appears intact and unobstructed; however 30% of secondary roads are passable.

Field Notice: Current Requests for InformationWhat is the current status of secondary roads and roads around HLZs in Eastern Samar and Leyte? What are the environmental conditions surrounding port facilities on Samar and Leyte (underwater debris, etc.)?

US RESPONSEUSAID/OFDA RESPONSE:• USAID and DoD assistance helps restore water service to most Tacloban residents.

‒ USAID/OFDA and DoD will continue to support Tacloban’s water production in the coming days, until the GPH and humanitarian partners can organize additional fuel suppliers.

• The USAID DART has established a forward operating base at Tacloban, posting a logistics officer and a military liaison officer at the city’s airport to strengthen coordination with other humanitarian stakeholders and enable closer tracking of USG commodities scheduled for distribution.

• USG humanitarian funding increases from $22.5 million to $27.2 million, primarily to augment logistical activities.

STATUS UPDATE:• On November 16, USAID DART members noted significant improvements in the speed

and efficiency of relief supply distributions at the GPH Department of Social Welfare and Development (DSWD) warehouse in Tacloban.

• The DART also visited a portion of the most-affected areas of Tacloban and observed rapid improvements in road clearing and cleanup operations.

USAID Fact Sheet No. 10 – Nov 21A U.S. Navy officer loads supplies onto a helicopter in Tacloban.

DOD Operation Damayan Website

WASH Cluster Meeting (Tacloban)24/11/2013 - 16:00OSOCCPhilippinesSilvia Ramos0906-516-0271

Coordination Meeting (Tacloban)24/11/2013 - 18:00OSOCCPhilippinesSebastian Rhodes Stampa0926-690-3679

General Coordination Meeting (Guiuan)24/11/2013 - 18:00PhilippinesMark McCarthy+882167000964

Coordination Meeting (Roxas)24/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199

Public Information and Communications Meeting (Tacloban)24/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983

Health Meeting (Tacloban)24/11/2013 - 08:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesMs. Patricia [email protected]

Donor Briefing (Manila)24/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)Philippines

Shelter Cluster Meeting (Tacloban)24/11/2013 - 14:00Philippines

Education Cluster Meeting (Tacloban)24/11/2013 - 14:30Leyte National High SchoolPhilippinesNonoy [email protected]

Early Recovery Cluster Meeting (Tacloban)24/11/2013 - 14:30OSOCCPhilippinesTim Walsh0915-807-5756

CCCM Meeting (Tacloban)24/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543

Health Meeting (Tacloban)23/11/2013 - 08:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesMs. Patricia [email protected]

Donor Briefing (Manila)23/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)Philippines

Shelter Cluster Meeting (Tacloban)23/11/2013 - 14:00Philippines

Education Cluster Meeting (Tacloban)23/11/2013 - 14:30Leyte National High SchoolPhilippinesNonoy [email protected]

Early Recovery Cluster Meeting (Tacloban)23/11/2013 - 14:30OSOCCPhilippinesTim Walsh0915-807-5756

CCCM Meeting (Tacloban)23/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543

WASH Cluster Meeting (Tacloban)23/11/2013 - 16:00OSOCCPhilippinesSilvia Ramos0906-516-0271

Coordination Meeting (Tacloban)23/11/2013 - 18:00OSOCCPhilippinesSebastian Rhodes Stampa0926-690-3679

General Coordination Meeting (Guiuan)23/11/2013 - 18:00PhilippinesMark McCarthy+882167000964

Coordination Meeting (Roxas)23/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199

Public Information and Communications Meeting (Tacloban)23/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983

CLUSTER MEETINGS 23 NOV 2013 24 NOV 2013

https://philippines.humanitarianresponse.info/calendar

Daily Press Briefing (Tacloban)25/11/2013 - 07:30Tacloban Town [email protected]

Early Recovery Cluster Meeting (Manila)25/11/2013 - 10:00Room 506 Yuchengco Institute for Advanced Studies, 5F Yuchencgco Tower 2PhilippinesAlma [email protected]

Donor Briefing (Manila)25/11/2013 - 10:00ILO Auditorium (19th floor, Yuchengco Tower, RCBC Plaza, Makati City)Philippines

Cash Working Group Meeting25/11/2013 - 11:30 to 13:00Rm. 530, Yuchengco Tower 2RCBC PlazaMakati CityPhilippinesCarla [email protected]

CLUSTER MEETINGS - 25 NOV 2013MIRA assessment Meeting25/11/2013 - 13:00TBDMakati CityPhilippinesCecilia Utas0927 [email protected]

Education Cluster Meeting (Tacloban)25/11/2013 - 14:00DepEd Regional OfficePhilippinesSusan Acuin / Yul Olaya

Shelter Cluster Meeting (Tacloban)25/11/2013 - 14:00Philippines

Early Recovery Cluster Meeting (Tacloban)25/11/2013 - 15:00OSOCCPhilippinesLTC Edwin Sadang / Christophe Charbon

CCCM Meeting (Tacloban)25/11/2013 - 15:00OSOCCPhilippinesConrad Navidad0908-865-4543

Inter-Cluster Coordination Meeting (Manila)25/11/2013 - 15:00tbcPhilippines

Nutrition Cluster Meeting (Tacloban)25/11/2013 - 15:00OpCen EWRMCPhilippinesDina A. Leilane / Mathisen Rogers

WASH Cluster Meeting (Tacloban)25/11/2013 - 16:00OSOCCPhilippinesSilvia Ramos0906-516-0271

Shelter Cluster Meeting (Manila)25/11/2013 - 17:0019th floor, ILO (RCBC Plaza)PhilippinesPatrick [email protected]

Health Meeting (Tacloban)25/11/2013 - 17:00Eastern Visayas Regional Medical Center (DOH OpCen)PhilippinesBoy Llacuna / Dana van Alphen

Security Briefing (Tacloban)25/11/2013 - 17:00OSOCCPhilippinesLTC Madarang / John Schot

WASH Cluster Meeting Eastern Samar Hub25/11/2013 - 18:00PDRRMC OfficeBorongan City, SamarPhilippinesMs Christie Sidro

https://philippines.humanitarianresponse.info/calendar

Coordination Meeting (Tacloban)25/11/2013 - 18:00OSOCCPhilippinesSebastian Rhodes Stampa0926-690-3679

General Coordination Meeting (Guiuan)25/11/2013 - 18:00PhilippinesMark McCarthy+882167000964

Coordination Meeting (Roxas)25/11/2013 - 18:00(ROXAS provincial hall)PhilippinesUNDAC+63 91 86569199

Logistics Cluster Coordination Meeting (Tacloban)25/11/2013 - 19:00Philippines

Public Information and Communications Meeting (Tacloban)25/11/2013 - 19:00OSOCCPhilippinesMatthew Cochrane0906-572-3983

COORDINATION HUBS

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

NAME TELEPHONE EMAIL LOCATION ADDRESS 1 ADDRESS 2 CITY STATE POSTAL

CODE COUNTRY

Busuanga Unknown [email protected] IV-B (MIMAROPA) Unknown Busuanga IV-B 5317 PH

Cebu Unknown [email protected] VII (Central Visayas) Unknown Cebu VII 6000 PH

Cotabato Sub-Office

+63 (0) 64 421 7935 [email protected] Cotabato City No. 080 Rufo Manara St. Rosary

Heights 10Cotabato City Mindanao 9600 PH

Davao City 082 285 2562 [email protected] Samal CityNo. 384. Sampaguita, corner Tulip Street, Juna subdivision

Matina Davao City Region 11 1124 PH

Guian Unknown [email protected] VIII (Eastern Visayas) Unknown Guian VIII 6809 PH

Manila +63 (0) 843 9553 [email protected] Metro Manila(NCR) 30/F, Yuchengco Tower,

RCBC PlazaAyala Avenue Makati City NCR 1226 PH

Roxas Unknown [email protected]

VI (Western Visayas) Capiz Government Business Centre Roxas VI 5800 PH

Tacloban unknown [email protected] VIII (Eastern Visayas)Tacloban City Hall, 1F Sen. Enage St cor Magsaysay Blvd

Tacloban VIII 6500 PH

CLUSTERS POC

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