http://210.185.184.53/ndccWeb/index.php?option=com_content&task=view&id=189&Itemid=5 Affected Areas by “Ondoy, Pepeng and Santi” Based on the map from the NDCC or National Disaster Coordinating Council, the area in the country most affected by the recent storms is the National Capital Region or NCR. Specific areas include Pasig, Makati, Marikina and Quezon City. These areas are have also been experienced flooding because of the heavy rains that fell during the storms. http://www.abs-cbnnews.com/nation/metro-manila/09/26/09/ondoy-floods-metro-manila ‘Ondoy’ floods Metro Manila A news article last September 26, 2009 was released by ABS-CBN at 9:58pm mentioning the different areas flooded by the heavy rains of Typhoon Ondoy. Mayor Aldrin San Pedro of Muntinlupa reported that day that roads in eight villages were flooded up to the waist and no longer passable. These barangays were Tunasan, Putatan, Bayanihan, Cupang, Buli and Sucat. Mayor Florencio Bernabe of Parañaque City reported a total of 16 barangays situated near creeks and rivers were already flooded. In Manila and Quezon City, reports of commuters being stranded kept arriving and private vehicles were abandoned in roads due to the heavy traffic and rising flood water. Mayor Mon Ilagan of Cainta said in a radio interview that day that 90% of the town was already flooded. He also had Meralco cut off the power in the area in order to prevent injuries. Numerous roads were also rendered impassable to light vehicles. These included EDSA, C5, and Congressional Avenua. In San Juan, the non-stop rains also led to the flooding of five barangays. The article shows how much damage Typhoon Ondoy brought to the Philippines. Due to the heavy flooding, a good number of Filipinos were forced to leave their homes and seek shelter in evacuation centers. The storm not only caused a considerable amount of damage to infrastructure, but also sparked outbreaks of disease because of the floods. Community Detection of Leptospirosis and other Flood Related Diseases After the Typhoon Ondoy, the Department of Health Task Force for Typhoon Ondoy created an algorithm in order to address the Leptospirosis outbreak that occurred in populations that were exposed to flood water due to the heavy rains. Althought the algorithm was no extensively used, it is a method on how health workers are able to diagnose, treat and prepare for the Leptospirosis outbreak. COMMUNITY DETECTION of LEPTOSPRIROSIS and OTHER FLOOD-RELATED DISEASES* Fever Lane Tournique t Test - Other: Consider ILI Diarrhea Lane Fever of 1 Week + + Dengue Dengue Lane: •Bleeding •Abdominal pain •Dec. pulse pressure •Dec. Sensorium ILI – Swab (High Risk) Shortness of Breath Changes in Sensorium •S/Sx of severe dehydration •Inability to feed/suck •Excessive vomiting •High Risks: pregnant, elderly, •young, and with co•morbidity - Leptospirosis: Fever (38 C) for at least 2 days & any of the 2: •Muscle tenderness (calf & thigh) •Conjunctival suffusion •Hemoptysis •Jaundice •Tea-colored urine Mild Ambulatory + co-morbidity: px is elderly, pregnant, < 7 y/o, cardiac, renal, pulmonary - + Mod Severe Hospital Dispatch Hospital Express Lane *In the LGU, establish Community “Tents” and provide the following: • • • dfsdfs Medical/paramedical pool Mobile: Rapid Diagnostic Test: malaria, leptospirosis, dengue, cholera, typhoid Rehydration packages: ORS, zinc and IVF Outpatient Treatment